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RECEIVED <br /> STATEMENT OF ECONOMIC INTERESTS <br /> CALIFORNIA �� AØ 04 Z013 <br /> A PUBLIC DOCUMENT <br /> COVER PAGE City of Riverside <br /> Please type or print in ink, City Clerks Office <br /> NAME of FILER (LAST) (FIRST) <br /> (MIDDLE) <br /> Ferguson Kevin W.M. <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> City of Riverside Public Utilities Department Board Member <br /> Division,Board,department,District,if applicable Your Position <br /> s 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 Riverside Public Utilities Board <br /> 3. Type of Statement (Check at least one box) <br /> 0 Annual: The period covered is January 1,2012,through ❑ Leaving office: Date Left_I <br /> -or- <br /> December 31,2012. (Check one) <br /> The period covered is 1. through O The period covered is January 1,2012,through the date of <br /> December 31,2012. leaving office. <br /> Assuming office: Date assumed_ 3 t, J 13 O The period covered is I 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 /> ❑ None-No reportable interests on any schedule <br /> 5. Verification <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or Agency Address Recommended-Public Document) <br /> Riverside CA 92506 <br /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS(OPTIONAL) <br /> 1 have used all reasonable diligence in preparing this statement. I <br /> herein and in any attached schedules is true and complete, I ack <br /> I certify under penalty of perjury under the laws of the State <br /> Date Signed 04104/2013 <br /> (month,day,year) <br />