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CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS <br /> RECav <br /> FAIR POLITICAL PRACTICES COMMISSION <br /> A PUBLIC • COVER PAGE SUN 2012 <br /> Cif Y of riverside <br /> Please type or print in ink. C4 Ciews O f fiCP <br /> NAME OF FILER — (LAST) (FIRST) (MIDDLE) <br /> 1 rep ' to rd Wa yre o C I <br /> 1. Office, Agency, or Court <br /> Agenc <br /> c Na e k1 <br /> Div' 'on, Bo d, Department, Distri t, if applicable Your Position <br /> - <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 21 Z?Z�S �-"--" ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> ❑ Annual: The period covered is January 1, 2010,through December 31, x Leaving Office: Date Left <br /> 2010. -or- (Check one) <br /> The period covered is—1—J through December 31, �i 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 ❑ 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 /> (Business or A enc Address Recommended-Public Document) a / <br /> 1 have use a 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 f <br /> Date Signed �' ( ! Signature <br /> (month,day,year) <br /> FPPC Form 700 (2010/2011) <br /> FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov <br />