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CALIFORNIA FORM STATEMENT OF ECONOMIC IN I cRESTS RECE <br /> FAIR POLITICAL PRACTICES COMMISSION <br /> ' ' '• COVER PAGE <br /> ' �� � 2013 <br /> Please type or print in ink. City of RiverSide <br /> NAME OF FILER (LAST) (FIRST) <br /> Field John Davison <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> County of Riverside Chief of Staff <br /> Division, Board, Department, District, if applicable Your Position <br /> Board of Supervisors, 2nd District <br /> ► If filing for multiple positions, list below or on an attachment. <br /> Agency: City of Riverside Position: 'Cultural Heritage Board Member <br /> 2. Jurisdiction of Office (Check at least one box) <br /> ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> ❑Multi-County ©County of Riverside (2nd District Supervisor's Office) <br /> ©City of Riverside (Cultural Heritage Board Member) ❑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 /> December 31, 2012. (Check one) <br /> The period covered is—J_J through O The period covered is January 1, 2012,through the date of <br /> December 31, 2012. leaving office. <br /> ❑ Assuming Office: Date assumed__/_J O 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." ► 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 92502 <br /> fELEPHONE NUMBER E-MAIL ADDRESS(OPTIONAL) <br /> I have used all reasonable diligence in preparing this statement, I have reviewe formation contained <br /> herein and in any attached schedules is true and complete. I acknowledge this <br /> I certify under penalty of perjury under the laws of the State of California <br /> Date Signed 02/2612013 Sign <br /> g <br /> (month,day,year) licial.) <br /> rm 700(2012/2013) <br /> advice0fppc.ca.gov <br /> 0 - ree Helpline:866/275-3772 www.fppc.ca.gov <br />