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Statement of Economic Interest Form 700 public
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2011
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700 Roybal (01-01-11 - 2-1-12)
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i.,.. ter' <br />q: � g1 )r r <br />STATEMENT OF ECONOMIC INTERESTS ,. i ; n <br />D OCUMENT A PUBLIC COVER PAGE Riverside <br />(' , Chrk's Office <br />Please type or print in ink. <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: <br />through ® The period covered is January 1, 2011, through the date of <br />leaving office. <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ Multi- County <br />❑x City of Riverside <br />Position: <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <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 ❑x Leaving Office: Date Left 2 / 1 1 2012 <br />December 31, 2011. (Check one) <br />- or- <br />The period covered is <br />December 31, 2011. <br />❑ Assuming Office: Date assumed —J---J <br />❑ Candidate: Election Year <br />Q 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 />► Total number of pages including this cover page: <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 />No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET <br />CITY <br />I certify under penalty of perjury under the laws of the State of California that the <br />Date Signed <br />Signature <br />STATE ZIP CODE <br />FPPC Form 700 (201112012) <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 />
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