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CALIFORNIA FORm7OO STATEMENT OF ECONOMIC INTERESTS <br /> COMMISSION FAIR POLITICAL PRACTICES A PUBLIC DOCUMENT MAR 272013 <br /> COVER PAGE p <br /> Please type or print in ink. City Of Riverside <br /> NAME OF FILER (LAST) (FIRST) ' <br /> t r ( 7 (MIDDLE) <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> Division, Board, Department, District, if applicable Your Position <br /> 0 e�� M%: wx C-_�)4 fL n b--- ( - l-ØA-Izo <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 �% �� `�� i ❑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�Z:_�/ ZA <br /> -or- <br /> December 31, 2012. (Check one) <br /> The period covered is through ,5�L 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_/ 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 /> / <br /> "or- <br /> None- No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (B <br /> E I��� ��� p� Cp� 0,5- <br /> E-MAIL ADDRESS(OPTIONAL) <br /> I have used all reasonable diligence in preparing this statement. 1 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 t <br /> Date Signed M/A Qz a t 12 L-1 6 I Signature <br /> (month,day,year) <br /> FPPC Form 700(2012/2013) <br /> FPPC Advice Email:advice Pfppc.ca.gov <br /> FPPC Toll-Free Helpline:8661275-3772 www.fppc,ca.gov <br />