Laserfiche WebLink
i owmum w <br />STATEMENT OF ECONOMIC INTERESTS <br />C ,t `1 ak <br />�= E 13 2, r <br />i�t :i11.y-[r DI.ICI(f)rt1`tiiil� COVER PAGE <br />Please type or print in ink. City of �i Riverside <br />.,.if .,ier Office <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Gardner Michael C. <br />1. Office, Agency, or Court <br />Agency Name <br />Redevelopment Agency <br />Member <br />Division, Board, Department, District, if applicable <br />Your Position <br />a 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 />❑X Leaving Office: Date Left 2 1 1 1 2012 <br />December 31, 2011. <br />(Check one) <br />- or - <br />The period covered is —_I— I <br />through (i The period covered is January 1, 2011, through the date of <br />December 31, 2011. <br />leaving office. <br />❑ Assuming Office: Date assumed — 1 <br />O The period covered is _._l —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 />o. 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 />❑ 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. Verification <br />MAILING ADDRESS STREET <br />(fusiness or AgencyAddfvss Rococo h7nded - Public Document) <br />CITY STATE ZIP CODE <br />Riverside CA - <br />E -MAIL ADDRESS (OPTIONAL) <br />I have used all reasonable diligence in preparing this statement. I have reviewed Is 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 />Date Signed Si g nature <br />(month, da); year) (File the T119-1111-1y signed statement with your Bling official) <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />