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A RECEIVED CALIFORNIA FORM �r 1 STATEMENT OF ECONOMIC INTERESTS M A4d DOCUMENT FAIR POLITICAL PRACTICES A PUBLIC COVER PAGE City of Riverside Please type or print in ink. City Clerk's Office NAME OF FILER (LAST) (FIRST) (MIDDLE) e, r`-'I ID a L/i, J V\J 1. Office, Agency, or Court Agency Hame _ 4.1 IDS K V�rS, Division, Board, Department, District, if applicable Your Position u W cyrc-t W e r-A cs e TNDn( ,4 Me nn V,)e - o. If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County ❑County of ,S�City of -,V e_(7:>) n ❑Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1,2012, through ❑ Leaving Office: Date Left_�_I -or- December 31,2012. (Check one) The period covered is through O The period covered is January 1, 2012,through the date of December 31, 2012. leaving office. © Assuming Office: Date assumed 03 t 05 / 2013 O The period covered is_I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or"None." ► Total number of pages including this cover page: Schedule A-1 - Investments—schedule attached ❑ Schedule C-Income, Loans, &Business Positions—schedule attached ;9. Schedule A-2- Investments—schedule attached ❑ Schedule D-Income—Gifts—schedule attached Schedule B-Real Property—schedule attached ❑ Schedule E-Income—Gifts—Travel Payments—schedule attached -or- ❑ None-No reportable interests on any schedule 5. Verification MAILING ADDRESS (Business or Agency Address E-MAIL ADDRESS{OPTIONAL) 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 herein and in any attached schedules is true and complete. I acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 2 5 ' 7 )- Sign JI (month,day,)ear) IWO with your filing official) FPPC Form 700(2012/2013) FPPC Advice Email:adviceC�fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov