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RECEIVED <br />STATEMENT OF ECONOMIC INTERESTS <br />COVER PAGE <br />Please type or p rint in ink AMENDMENT (a'S� C�erk Off C <br />Y , <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Davis Paul <br />Marion <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable <br />Your Position <br />City Council <br />Council Member <br />► If filing for multiple positions, list below or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />❑ County of <br />❑X City of Riverside <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑X Annual: The period covered is January 1, 2011, through <br />❑ Leaving Office: Date Left <br />December 31, 2011. <br />(Check one) <br />.or- <br />The period covered is through <br />O The period covered is January 1, 2011, through the date of <br />December 31, 2011. <br />leaving office. <br />❑ Assuming Office: Date assumed J_J <br />O The period covered is I_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 />❑X Schedule A -1 - Investments - schedule attached X❑ Schedule C - Income, Loans, & Business Positions - schedule attached <br />❑X Schedule A -2 - Investments - schedule attached FX_1 Schedule D - Income - Gifts - schedule attached <br />❑X Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached <br />- or- <br />El None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET CITY <br />(Business or Agency Address Recommended - Public Document) <br />STATE ZIP CODE <br />Riverside <br />CA - <br />DAYTIME TELEPHONE NUMBER <br />E -MAIL ADDRESS (OPTIONAL) <br />I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained <br />herein and in any attached schedules is true and complete. I acknowledge this is a public document. <br />I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />FPPC Form 700 Amendment (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />