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CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS E Qaj a <br /> COMMISSION FAIR POLITICAL PRACTICES MAR 262012 <br /> DOCUMENT A PUBLIC COVER PAGE <br /> Cit Of Riverside <br /> Please type or print in ink. y <br /> rL <br /> NAME OF FILER (LAST) (FIRTO (M�DLE) <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> Divisipn, Board, Department, District, if applicable Yq r Position <br /> �`.�i�'i`i�- �I�_%i'���C/�•�,`' /�/rig///.1�� �! e/�'i y�e_r�=�' �C�raj���_f's"�ls�lv:� <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 /> E+'City of 42/?E,1`40 ❑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 <br /> December 31, 2011. (Check one) <br /> -or- <br /> The period covered is I 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 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 <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 LI Schedule E - Income- Gifts- Travel Payments-schedule attached <br /> � -or- <br /> Ed None- No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or Agency,4 ddress Recommended-Public Document) I <br /> DAYTIME T E-MAIL ADDRESS(OPTIONAL) ISO-- <br /> I have used all reasonable diligence in preparing this statement. I have reviewed Is statement and to the best ot my knowledge the information contained <br /> herein and in any attached schedules is true and complete. I acknowledge this is a public document. <br /> I certify under penalty of perjury under the laws of the State of California that the fore99ing is true and correct. <br /> Date Signed 1 �,'%2 Signature <br /> (mlonth,day,year) <br /> FPPC Form 700(2011/2012) <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />