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STATEMENT OF ECONOMIC INTERESTS RK <br />COVER PAGE 9 2 4 2.02 <br />Please type or print in ink. City o f R i versid e <br />NAME OF FILER (LAST ��jh� (',k:�rk'q Offirp <br />( (FIRST) (MIDDLE) <br />Gardner Michael C. <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside Councilmember <br />Division, Board, Department, District, if applicable Your Position <br />P- 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 />Q 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 _J_1 <br />December 31, 2011. <br />(Check one) <br />- or - <br />The period covered is <br />through 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 <br />O The period covered is __/_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." <br />► Total number of pages including this cover page: 5 <br />❑ Schedule A -1 - Investments - schedule attached <br />X❑ Schedule C - Income, Loans, & Business Positions - schedule attached <br />❑ Schedule A -2 - Investments - schedule attached <br />E] Schedule D - Income - Gifts - schedule attached <br />❑ Schedule B - Real Property- schedule attached <br />❑ Schedule E - Income - Gifts - Travel Payments- schedule attached <br />- or- <br />F None - No reportable interests on any schedule <br />5. Ver <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />I certify under penalty of perjury under the laws of the State of California that the fore oin is true a <br />Date Signed L Signature <br />(month, day, year) <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <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 />