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CALIFORNIA FORIN S IAI EMEN I OF ECONOMIC IN 1 EKES 1 S <br />A PUBLIC DOCUMENT COVER PAGE <br />Please type or print in ink. itY o f Riverside- <br />ity Ci rk ° s Offln,�a <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Field John Davison <br />1. Office, Agency, or Court <br />Agency Name <br />County of Riverside, Supervisor's Chief of Staff <br />Division, Board, Department, District, if applicable Your Position <br />o If filing for multiple positions, list below or on an attachment. <br />Agency <br />City of Riverside <br />Position: B oard Member, Cultural Heritage Board <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />x❑ County of Riverside <br />❑x City of Riverside ❑ 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 .J1 <br />December 31, 2011. (Check one) <br />.or- <br />The period covered is I through O The period covered is January 1, 2011, through the date of <br />December 31, 2011. leaving office. <br />❑ Assuming Office: Date assumed I 1 O The period covered is __I I 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 />❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached <br />Schedule A -2 - Investments - schedule attached FX� Schedule D - Income - Gifts - schedule attached <br />❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached <br />-or- <br />El <br />None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />(Business or Agency Addj oss Recommended - Public Document) <br />DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) <br />I have used all reasonable diligence in preparing this statement. I have reviewed th' ation contained <br />herein and in any attached schedules is true and complete. I acknowledge this is <br />I certify under penalty of perjury under the laws of the State of California tha <br />Date Signed 2/28/12 <br />(inonth, day, ye-) <br />700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www,fppc-ca.gov <br />