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RE —Da v�p <br /> • • A • • 700 , me�ecelveT <br /> STATEMENT OF ECONOMIC INTEKESTS APR 64S ffy <br /> FAIR POLITICAL PRACTICES COMMISSION A PUBLIC " COVER PAGE <br /> City of Riverside <br /> Please type or print in ink. City Clerks Office <br /> NAME OF FILER (LAST) (FIRST) <br /> �i (MIDDLE) <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> /. 4,1, (� ? rte. ... r�� rØ 1 <br /> , <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 ❑County of <br /> [F-City of C_11j<�L ❑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_I <br /> -or- <br /> December 31, 2012. (Check one) <br /> The period covered is_ I I through O The period covered is January 1, 2012, through the date of <br /> December 31, 2012, leaving office. <br /> pin Assuming Office: Date assumed � 2_3 _ 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:._L__ <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 <br /> (Business STATE ZIP CODE`Lje-r5,Ac- C_F� ID-6-0,5— <br /> DAY TI <br /> E- <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 the foregoing is true and correct. <br /> Date Signed Li r X~4-13 Si nature <br /> (month,day,year) g 11IRdstateent with your filing official.) <br /> FPPC Form 700(2012/2013) <br /> FPPC Advice Email:adviceC@fppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www,fppc.ca.gov <br />