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CALIFORNIA • ' 1 STATEMENT OF ECONOMIC INTE E I�' `I " <br /> -ceiv <br /> - POLITICAL' PRACTICES <br /> - " COVER PAGE i � 2 �� <br /> Please type or print in ink. City of riverside <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> k e L,b-e, <br /> 1. Office, Agency, or Court <br /> Agency Nam <br /> 0-1c w5(S r <br /> D' n, Board, Departmenz if applicable Your Positionn� <br /> law G.011- Y'C �7!/1r� rntSS�!/�--•.. ( �D�r�m�SSiUrw� 1Gu� v <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 ❑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 /> y ?� <br /> December 31, 2012. (Check one) <br /> The period covered is—I I through -The period covered is January 1, 2012, through the date of <br /> December 31, 2012. leaving office. <br /> ❑ Assuming Office: Date assumed—1— 1 O The period covered is_J_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 /> -or- <br /> None- No reportable interests on any schedule <br /> 5. Verificatio <br /> MAILING ADDRE STATE ZIP CODE <br /> DAYTIME TELEPHONE NUMBER , E-MAIL ADDRESS(OPTIONAL) <br /> ( � ) d� �? <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 /> 1 certify under penalty of perjury under the laws of the State of California that the f 11 1 <br /> Date Signed' ' `° 'J Signature <br /> (month,day,year) g <br /> FPPC Advice Email:advice Ca)fppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />