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

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p E STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date keived � „„�, Ot /ic.�al ' city Of Riverside City Clerk's offjcx , Please type or print in ink. NAME OF FILER (LAST) a / (FIRST) (MIDDLE) /V d'7 G r ,"", _ 1. O 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 ❑ County of M City of Riverside ❑ Other 3. Type of Statement (Check at least one box) ❑X Annual: The period covered is January 1, 2011, through ❑R Leaving Office: Date Left --- 2012 December 31, 2011. (Check one) -or- The period covered is through ® The period covered is January 1, 2011, through the date of December 31, 2011, leaving office. ❑ Assuming Office: Date assumed 1 O The period covered is —� —J through the date of leaving office. ❑ Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." o. Total number of pages including this cover page: Schedule A -1 - Investments- schedule attached ❑ Schedule C - Income, Loans, & Business Positions- schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule 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 I have used all reasonable diligence in preparing this statement. I have review herein and in any attached schedules is true and complete. I acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of Date Signed `� A-1 t 2— tmonth, day, year) IWW 700 (2011/2012) FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov MAILING ADDRESS STREET CITY STATE ZIP CODE