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1YED <br /> 1 STATEMENT OF ECONOMIC INTERESTS �I�� � tx<t <br /> COVER PAGE City of Riverside <br /> Please type or print in ink. City Clerk's Office <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> Hurtado Jaime <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> Parks and Recreation Commission <br /> Division, Board, Department, District, if applicable Your Position <br /> Board Commisioner <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 Riverside ❑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—J_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 /> ❑ Assuming Office: Date assumed /--- O The period covered is_/—1 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: 1 <br /> 0 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 92501 <br /> E-MAIL ADDRESS(OPTIONAL) <br /> I have used all reasonable diligence in preparing this statement. I have re ' ned <br /> herein and in any attached schedules is true and complete. I acknowled <br /> I certify under penalty of perjury under the laws of the State of Calif <br /> Date Signed <br /> (month,day,year) <br /> 2013) <br /> a.gov <br /> a.gov <br />