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R ECEAVED <br />STATEMENT OF ECONOMIC INTERESTS <br />0Y 3 0 2012 <br />• PUBLIC DOCUMENT COVER PAGE <br />City of Riverside <br />Please type or print in ink. Citg rlprk'c Offira <br />NAME OF FILER (LAST) j �(FIRST) (MIDDLE) <br />A M C -/ 7 - �!l� /Z >2t✓ f-L <br />1. Offi Age o Court <br />Agency Name <br />City of Rive <br />Division, Board, Department, District, if applicable Your Position <br />Board of Public Utilities Member <br />P. If filing for multiple positions, list below or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi -County <br />© City of Riverside <br />❑ County of <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />© Annual: The period covered is January 1, 2011, through <br />December 31, 2011. <br />-or- <br />The period covered is I I through <br />December 31, 2011. <br />❑ Assuming Office: Date assumed I <br />❑ Candidate: Election Year <br />❑ Leaving Office: Date Left I I <br />(Check one) <br />O The period covered is January 1, 2011, through the date of <br />leaving office. <br />O The period covered is I I through <br />the date of leaving office. <br />Office sought, if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." <br />❑ Schedule A -1 - Investments — schedule attached <br />❑ Schedule A -2 - Investments — schedule attached <br />❑ Schedule B - Real Property — schedule attached <br />❑ Schedule C - Income, Loans, & Business Positions — schedule attached <br />❑ Schedule D - Income — Gifts — schedule attached <br />❑ Schedule E - Income — Gifts — 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 A enc Address Recommended - Pub6c Document) <br />R\ �.e,►rst�?� GEF <br />I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />s/29�2 Z <br />�Signe�t Signature <br />(rhonffi, day, year) (File the ong(natty signed statement 01h your frting otfiaal) <br />► Total number of pages including this cover page: <br />- - - FPPC Form 700 (2011 /2012) Jim ' FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov <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 />