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RECENFDd <br /> CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS 0� <br /> FAIR POLITICAL PRACTICES COMMISSION MAY 2 3 2012 <br /> DOCUMENT A PUBLIC COVER PAGE City of Riverside <br /> Please type or print in ink. City Clerk's Office <br /> NAME OF FILER // ff&1 U P(LAST) (FIRST) (MIDDLE) <br /> Y'CL 6,✓ - 01, <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> Division, Board,LDep rtment, District, if applicable � / Your Position <br /> Ott,( �✓a:..1 t 4 /r7Q � t da'- <br /> ► If filing for multiple positions, list below or on an attachment. <br /> Agency: Position: <br /> 2. Jurisdiction of Office (Check at Least one box) <br /> ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> ❑Multi-County ❑County of <br /> P�ity of ❑Other <br /> 3. Type of Statement (check at Least one box) <br /> Annual: The period covered is January 1, 2011,through ❑ Leaving Office: Date Left I I <br /> December 31, 2011. (Check one) <br /> -or- <br /> The period covered is 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 ❑ Schedule D- Income-Gifts-schedule attached <br /> ❑ Schedule B- Real Property-schedule attached ❑ Schedule E - Income- Gifts- Travel Payments-schedule attached <br /> -or- <br /> [n None- No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or A enc Address Recommended-Public Document <br /> n � <br /> E-MAIL ADDRESS(OPTIONAL) <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 i <br /> I certify under penalty of perjury under the laws of the State of California t <br /> Date Signed 19XL /",-, 1 , Signat <br /> onth,day,year) <br /> FPPC Form 700(2011/2012) <br /> FPPC Toll-Free Helpline:8661275-3772 www.fppc.ca.gov <br />