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REQ�IV <br /> STATEMENT OF ECONOMIC INTERESTS . w � . <br /> COMMISSION FAIR POLITICAL PRACTICES FEB 14 2013 <br /> PUBLIC COVER PAGE <br /> City of Riverside <br /> Please type or print in ink. City Clerk's Office <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> M AC i AS e�3 0,C A bt <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> nn ��JJ <br /> Division, Board, Department, District, if applicable Your Position <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 or Court Commissioner(Statewide Jurisdiction) <br /> ❑Multi-Coup `_ F1 County of <br /> 0 City of I Vim/jet: ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> Annual: The period covered is January 1, 2012,through ❑ Leaving Office: Date Left <br /> -or- <br /> December 31, 2012. (Check one) <br /> The period covered is—1I through O The period covered is January 1, 2012, through the date of <br /> December 31,2012. leaving office. <br /> ❑ Assuming Office: Date assumed—J—_/ O The period covered is__J_J through <br /> the date of leaving office. <br /> ❑ Candidate: Election year and 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 /> D <br /> (45-1 ) LVbo aC?f,�i3 E& <br /> I have used all reasonable diligence in preparing this statement. I have review con ained <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 <br /> Date Signed r?- I I I I I� Signature <br /> (month,day,year) a y sign s a ement with your filing official.) <br /> FPPC Form 700(2012/2013) <br /> FPPC Advice Email:advice(? fppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />