700 Loveridge - RA Leaving Office (01-01-11 - 02-01-12)

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STATEMENT OF ECONOMIC INTERESTS :1N Vr F COVER PAGE Please type or print in ink FEB 2 7 20 0°4` n ri NAME OF FILER (LAST) (FIRST) 4 Uty - ice 1. Office, Agency, or Court Agency Name Redevelopment Agency Division, Board, Department, District, if applicable Your Position ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑R City of Riverside ❑ County of ❑ Other 3. Type of Statement (Check at least one box) ❑x Annual: The period covered is January 1, 2011, through Leaving Office: Date Left _ 2 /❑ 2012 December 31, 2011. (Check one) -or- The period covered is December 31, 2011. through (9 The period covered is January 1, 2011, through the date of leaving office. ❑ Assuming Office: Date assumed 1 O The period covered is __J—_I through the date of leaving office. ❑ Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or 'None." ► Total number of pages including this cover page: chedule A -1 - Investments - schedule attached n Sct edule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached I � D - Income - Gifts - schedule attached ❑ Schedule B - Real Property- schedule attached Schedule E - Income - Gifts - Travel Payments- schedule attached -or- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. herein and in any attached schedules is true and complete. I acknowledge this is a public document. FPPC Form 700 (2011/2012) FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov