Home
Clerk
>
Statement of Economic Interest Form 700 public
>
87200 - Elected Officials
>
2011
>
700 Hart - City Council (01-01-11 - 12-31-11)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/5/2012 3:05:55 PM
Creation date
3/5/2012 3:05:49 PM
Metadata
Fields
Template:
General
Department
City Clerk
General - Type
City Council Reports
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
STATEMENT OF ECONOMIC INTERESTS <br />ECE . ;m <br />8 � <br />A PUBLIC DOCUMENT COVER PAGE pity of Riversi (e: <br />Please type or print in ink. City C ler k's ID'S Ice <br />NAME 0V FILER (LA - 0 4F}�' <br />,�7 „„ � / <br />1. Office, Ag ncy, or Court � ,/ (MIDDLE) <br />/ '/ <br />Agency Name <br />City of Riverside / <br />p pp <br />D ivision, Board, Department, District, if applicable Your Position <br />► If filing for multiple positions, list below or on an attachment, <br />Agency: Position: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />City of Riverside <br />3. Type of Statement (Check at least one box) <br />❑ County of <br />❑ Other <br />❑X Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left _J —J <br />-or- <br />December 31, 2011. (Check one) <br />The period covered is —,through through O The period covered is January 1, 2011, through the date of <br />December 31, 20ft leaving office. <br />❑ Assuming Office: Date assumed —_1 O The period covered is _J_J through <br />the date of leaving office. <br />❑ Candidate: Election Year -_ Office sought, if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." ► Total number of pages including this cover page: _ <br />V Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached <br />❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached <br />❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached <br />-or- <br />❑ None - No reportable interests on any schedule <br />5. Verification <br />MAII IN(, AnnRFRR RTRFFT nrry <br />nereln ana In any anacnea scnedules Is true ana complete. I acknowledge this is a public document. <br />
The URL can be used to link to this page
Your browser does not support the video tag.