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EL, <br /> CALIFORNIA FORm7OO STATEMENT OF ECONOMIC INTERESTS 1­1 <br /> FAIR POLITICAL PRACTICES COMMISSION <br /> A PUBLIC DOCUMENT COVER PAGE APR R 0 2 2013 <br /> Please type or print in ink. ity Of Riverside <br /> NAME OF FILER ILAST) (FIRST) %.AILT&"Olft 15ft;tj <br /> 6110_6e,C6 . M i c4nt,45 /-hEFMP&Y 0rJ <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> qF- PwgasiluiF <br /> Division, Board, Department, District, if applicable Your Position's C07"Wz- <br /> o. 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 /> D-cl�-of J�vwgoc ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> El"Znnual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I I <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 I-1 0 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." III,. Total number of pages including this cover page: <br /> F-1 Schedule A-1 - Investments-schedule attached EW"'Schedule C- Income, Loans, & Business Positions-schedule attached <br /> VSchedule A-2- Investments-schedule attached ❑ Schedule D- Income-Gifts-schedule attached <br /> 92schedule B- Real Property-schedule attached ❑ Schedule E-Income-Gifts- Travel Payments-schedule attached <br /> 'Or. <br /> E] None- No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> 5 fiij/3E�t,4"I KI o Ø q2-LIO <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 <br /> Date Signed Signatur <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 />