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RECEIVED <br /> CALIFORNIA FORm7OO STATEMENT OF ECONOMIC INTERESTS i!' AR 2 7 2012 <br /> DOCUMENT FAIR POLITICAL PRACTICES COMMISSION <br /> A PUBLIC COVER PAGE City of Riverside <br /> City Clerk's Office <br /> Please type or print in ink. <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> 'J u T T E P- 1C>fc.N to E, <br /> 1. Office, Agency, or Court <br /> Agency Name^IU G n�I 0 f �0611l / \`•J T r U T y <br /> Division, Board, DDepartmeennt,, Diistrict, if applicable Your Position <br /> 73o/mo mem?5 ER <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 /> City of /Z 1 V ILP,-S i 0I- ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> ?I Annual: The period covered is January 1, 2011,through ❑ Leaving Office: Date Left J� <br /> December 31, 2011. (Check one) <br /> -o <br /> The period covered is____J—_J , through O The period covered is January 1, 2011, through the date of <br /> December 31, 2011, leaving office. <br /> ❑ Assuming Office: Date assumed J 1 O The period covered is through <br /> the date of leaving office. <br /> ❑ Candidate: Election Year Office sought, if different than Part 1: _. <br /> 4. Schedule Summary ,L <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 /> E] 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 /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS(OPTIONAL) <br /> ( ) <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 th <br /> Date Signed Ø Z7. V)L- Signat <br /> )month,day,y r) <br /> /2012 <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />