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u s <br />RECEIV <br />STATEMENT OF ECONOMIC INTERESTS APR � 20 12 <br />Agency Name <br />CITY OF RIVERSIDE <br />Division, Board, Department, District, if applicable <br />Your Position <br />PLANNING COMMISSION <br />COMMISSIONER /SECRETARY <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 />EXI City of RIVERSIDE <br />❑ Other <br />3. 'hype of Statement (Check at least one box) <br />❑X Annual: The period covered is January 1, 2011, through <br />❑ Leaving Office: Date Left —J —J <br />December 31, 2011. <br />(Check one) <br />-or- <br />The period covered is I I <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 <br />O The period covered is J —J through <br />the date of leaving office. <br />❑ Candidate: Election Year Office sought, if different than Part 1: <br />. Schedule Summary <br />Check applicable schedules or "None." <br />o. Total number of pages including this cover page: 4 <br />❑ Schedule A -1 - Investments – schedule attached <br />❑ Schedule C - Income, Loans, & Business Positions -- schedule attached <br />❑X Schedule A -2 - Investments – schedule attached <br />❑ Schedule D - Income – Gifts – schedule attached <br />X1 Schedule B - Real Property – schedule attached <br />❑ Schedule E - Income – Gifts – Travel Payments – schedule attached <br />'or- <br />El None - No reportable interests on any schedule <br />. Verificati <br />MAILING ADDRESS STREET <br />CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />RIVERSIDE CA <br />I have used all reasonable diligence in preparing this statement. I have reviewe ormation contained <br />herein and in any attached schedules is true and complete. I acknowledge thi <br />I certify under penalty of perjury under the laws of the State of California <br />APRIL 2, 2012 <br />Date Signed Sign <br />(month, day, year) cial.) <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />