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, _ i4 cue E D <br />STATEMENT OF ECONOMIC INTERESTS <br />1 2012 <br />D OCUMENT COVER PAGE <br />Please type or print in ink. Clity Riverside <br />('lorh'c (lffinc <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />ELLIOTT ROBERT C <br />1. O Ag or Court <br />Agency Name <br />CITY OF RIVERSIDE <br />Division, Board, Department, District, if applicable Your Position <br />RIVERSIDE PUBLIC UTILITIES BOARD BOARD MEMBER <br />P. If filing for multiple positions, list below or on an attachment. <br />Agency: <br />Position: <br />_, <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />❑ County of <br />❑x City of RIVERSIDE <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />*nnual: The period covered is January 1, 2011, through <br />❑ Leaving Office: Date Left I <br />December 31, 2011. <br />(Check one) <br />- or <br />The period covered is �� ,through <br />The period covered is January 1, 2011, throw <br />� P rY h the date of 9 <br />December 31, 2011. <br />leaving office. <br />❑ Assuming Office: Date assumed I <br />O The period covered is I 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 atone. III. Total number of pages including this cover page: 1 <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 ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached <br />,�, � ` - <br />I�l (None - No reportable interests on any schedule <br />; Ar K Ve <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />I certify under penalty of perjury under the laws of the State of California tha <br />Date Signed JUNE 1, 2012 Signatu <br />(month, day, year) WWWEE_ <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 8661275 -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 />