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RECEIVED <br /> CALIFORNIA FORM 700m STATEMENT OF ECONOMIC INTERESTS �11Ar' ,4, 1 t I� <br /> DOCUMENT FAIR POLITICAL PRACTICES COMMISSION I A PUBLIC COVER PAGE <br /> City of Riverside <br /> '.ity Clerk's Office <br /> Please type or print in ink. <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> Moore Brian Michael <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> City of Riverside <br /> Division, Board, Department, District, if applicable Your Position <br /> Parks, Recreation, and Community Services Commission Commissioner <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 /> ❑X City of Riverside ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> X1 Annual: The period covered is January 1, 2011,through ❑ Leaving Office: Date Left <br /> December 31, 2011. (Check one) <br /> or- The period covered is January 1, 2011, through the date of <br /> The period covered is�� , through O p ry 9 <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." P- Total number of pages including this cover page: 3 <br /> ❑ Schedule A-1 - Investments-schedule attached ❑X Schedule C- Income, Loans, &Business Positions-schedule attached <br /> ❑ Schedule A-2- Investments-schedule attached X❑ Schedule D- Income-Gilts-schedule attached <br /> ❑ Schedule B - Rea/Property-schedule attached ❑ Schedule E - Income-Gilts- Travel Payments-schedule attached <br /> -or- <br /> None- No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or Agency Address Recommended-Pubhc Document) <br /> Riverside ca - <br /> DAYTIME TELEPHONE NUMBER 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 is a public document. <br /> I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br /> Date Signed March 28, 2012 Signature <br /> (month,day,year) <br /> FPPC Form 700(2011/2012) <br /> FPPC Toll-Free Helpline:8661275-3772 www.fppc.ca.gov <br />