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ni <br /> C <br /> RECF.!y,, D <br /> ALIFORNIA • ' i STATEMENT OF ECONOMIC INTERESTS ofho <br /> COMMISSION , "E, <br /> FAIR POLITICAL PRACTICES A PUBLIC MAR 5 2013 <br /> DOCUMENT COVER PAGE <br /> Please type or print in ink. City Of Riverside <br /> NAME OF FILER � (LAST) City C 1prk c nujcni <br /> .�IR T) (MIDDLE) <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> cif-IJ o4" R ,v�rs�cf <br /> Di, n, Board, Department, District, if applicable Your Position <br /> it is-.J I�Lf"',r, e.(��iL+i Gl/l� Ø-�YYt ��•l C� ^fi �O <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-County ❑County of <br /> `City of F1 Other <br /> 3. Type of Statement (Check at least one box) {� <br /> r-1 Annual: The period covered is January 1, 2012, through Leaving Office: Date Left_ e& /Ø <br /> -or- December 31, 2012. (Check one) <br /> The period covered is—_ I through 0 The period covered is January 1, 2012,through the date of <br /> December 31,2012. leaving office. <br /> ❑ Assuming Office: Date assumed`J_J 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 /> 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 /> (9,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 /> ITY STATE ZIP CODE <br /> 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 <br /> I certify under penalty of perjury under the laws of the State of California that <br /> Date Signed �° S Signature <br /> (month,day,year) <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 />