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• - • - 7 STATEMENT OF ECONOMIC INTERESTS�� at V <br />• C COVER PAGE AN _ 1 2012 <br />City of Riverside <br />Please type or print in ink. City Clerk's Office <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Roybal Ralf J. <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />La Sierra /Arlanza Redevelopment Project Area Committee Member <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 (Statewide Jurisdiction) <br />❑ Multi- County ❑ County of <br />® City of Riverside ❑ Other <br />3. Type of Statement (Check at least one box) <br />0 Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left —J 1 <br />2010. - (Check one) <br />The period covered is I through December 31, O The period covered is January 1, 2010, through the date of <br />2010. leaving office. <br />❑ Assuming Office: Date I 1 O The period covered is I through the date <br />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 Fj Schedule D - Income – Gifts – schedule attached <br />❑ Schedule B - Real Property – schedule attached ❑ 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 />I certify under penalty of perjury under the laws of the State of California that the <br />Date Signed fiL. A <br />(month, day, <br />Signature <br />FPPC Form 700 (2010/2011) <br />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 />