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CALIFORNIA FORm7 VIII STATEMENT OF ECONOMIC INTERESTS 0103 ,F` <br /> COMMISSION FAIR POLITICAL PRACTICLS MAR 6 2013 <br /> A PUBLIC DOCUMENT COVER PAGE <br /> Please type or print in ink. City of Riverside <br /> Citv Clerk's Office <br /> NAME OF FILER (LAST) (� (FIRST) (MIDDLE) <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> G GY ep, &0 V" ybY+ L6nntss <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-County <br /> �j El County of <br /> City of Ts iyex&AQ El 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—J_J <br /> -or- <br /> December 31,2012. (Check one) <br /> The period covered is—J____i through O The 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_J_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 /> ❑ 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 /> El None- No reportable interests on any schedule <br /> 5: Verification <br /> MAILING ADDRESS <br /> -14 C91 <br /> _.D <br /> ( ) <br /> 1 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 for <br /> Date Signed Signature <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 />