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CALIFORNIA I • ' 1 STATEMENT F RECEIY� <br /> _ "',0 , <br /> FAIR POLITICAL PRACTICES 0 ECONOMIC INTERESTS <br /> COMMISSION FEB 2 5 2013 <br /> PUBLIC DOCUMENT COVER PAGE <br /> City Of Riverside <br /> Please type or print in ink. <br /> City Clerks Office <br /> NAME OF FILER k leK-- (LAST) (FIRST) (MIDDLE) <br /> karrol IZI. <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> Bilard, Department, District, if applicable, Your Position <br /> �t1� i�mi 'SS►6Y`` ØMh►11�Sj0�.2/+(� <br /> P. 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-County // F-1 County of <br /> ®City of t vt:65t CUZJ ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> ❑ Annual: The period covered is January 1, 2012,through �d__Leaving Office: Date Left <br /> -or- <br /> December 31,2012. (Check one) <br /> The period covered is I I through Whe period covered is January 1, 2012, through the date of <br /> December 31, 2012. leaving office. <br /> ❑ Assuming Office: Date assumed I 1 O The period covered is_—/__/ through <br /> the date of leaving office. <br /> ❑ Candidate: Election year and office sought, if different than Part 1: <br /> . Schedule SUM <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 atta ed ❑ Schedule E-Income–Gifts– Travel Payments–schedule attached <br /> -or- <br /> None• No reportable interests on any schedule <br /> .`1lerification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> y <br /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS <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 the fore oin is true <br /> Øate.Signett © <br /> ,Sig t re <br /> i na u <br /> (month,day,year) .,y., <br /> FPPC Form 700(2012/2013) <br /> FPPC Advice Email:adviceCfppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />