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Agency Name <br />Department of Transportation <br />Division, Board, Department, District, if applicable Your Position <br />California Transportation Commission Commissioner <br />► If filing for multiple positions, list below or on an attachment. <br />Agency: Riverside City Planning Commission <br />Position; Commissi <br />2. Jurisdiction of Office (Check at least one box) <br />0 State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />❑R City of Riverside <br />❑ County of <br />❑ Other _ <br />3. Type of Statement (Check at least one box) <br />❑X Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left <br />.or- <br />December 31, 2011. <br />The period covered is —J_/ through <br />December 31, 2011. <br />❑ Assuming Office: Date assumed <br />(Check one) <br />O The period covered is January 1, 2011, through the date of <br />leaving office. <br />O The period covered is _ <br />the date of leaving office. <br />through <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: 14 <br />❑x Schedule A -1 - Investments – schedule attached ❑ Schedule C - Income, Loans, & Business Positions – schedule attached <br />X 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 />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />Riverside CA - <br />DAYTIME TELEPHONE NUMBER I E -MAIL ADDRESS (OPTIONAL) <br />I certify under penalty of perjury under the laws of the State of California <br />Date Signed March 28, 2011 <br />(month, day, year) <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 />