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CALIFORNIA RE(; <br /> FOR <br /> i 1 STATEMENT OF ECONOMIC INTERESTS Dat <br /> rEB1 <br /> FAIR POLITICAL PRACTICES COMMISSION' PUBLIC DOCUMENT COVER PAGE City of Riverside <br /> Please type or print in ink. City Clerks Office <br /> NAME OF FILER --x^17 (LAST) (FIRST) (MIDDLE <br /> 1. Office, Agency, or Court <br /> Agen Name f%«b t f_ft2 t J fl. l/e-,, a-f ;/i-t-, -e 5 <br /> Division, Board, Department, District, if applicable Your Position <br /> Tna_rk �� r <br /> ► If filing for5q,y le p,Qsiti�on�s ):2-ow or or�nG�atta0m11,0 (� <br /> Agency: (��' 4°%�S^ L��7in'�i� G–�" q�, �% Ø D 11 D 1&Vl.. <br /> 9 Position: <br /> A r <br /> 2. Jurisdiction of Office (Check at least one box) <br /> ❑State 4 ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> Y Multi County y Y !�❑County of <br /> i <br /> Ø_City of ❑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 I through The period covered is January 1, 2012,through the date of <br /> December 31, 2012. leaving office. <br /> ❑ Assuming Office: Date assumed O The period covered is— I 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 /> Sc edule 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 IVY 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 /> (Bu <br /> r",­-, l ll _1.7 Ld-P Gk <br /> DA E-MAIL ADDRESS(OPTIONAL) <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 /> I certify under penalty of perjury under the laws of the State of California that <br /> Date Signed Li(P 1w cz� Signatur <br /> (month,day,year) <br /> FPPC Form 700(2012/2013) <br /> FPPC Advice Email:advicegfppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www,fppc.ca.gov <br />