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CALIFORNIA • ' STATEMENT OF ECONOMIC INTERESTS d'1E �i�� <br /> COMMISSION FAIR POLITICAL PRACTICES AUG 12 2013 <br /> PUBLIC DOCUMENT COVER PAGE <br /> Please type or print in ink. City of RiverS1de <br /> Clerks ofrinp <br /> NAME OF FILER (LAST) City FIRSTj <br /> R%�Y�- r' (MIDDLE) <br /> y'a� <br /> 1. Office, Agency, or Court <br /> Agencyf�ame <br /> 1,U E) c-,Y'�l <br /> D; ,Board, Dep^ artment„I ”, if applicable Your Position yam'tR <br /> _ �}' /�- C��►- ,r/1/Ø !JY`--� t,�( S 1 lk--- /tGLlv_'' <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-Coup ❑County of <br /> amity of t U-61S t ❑Other <br /> 3. Type of Statement (Check at least one box) j <br /> ❑ Annual: The period covered is January 1, 2012, through Leaving Office: Date Left I I J <br /> -or- <br /> December 31,2012. (Check one) <br /> The period covered is_J— I through The period covered is January 1, 2012, through the date of <br /> December 31,2012. leaving office. <br /> ❑ Assuming Office: Date assumed—J 1 O The period covered is—J ---- ,through <br /> the date of leaving office. <br /> ❑ Candidate: Election year and office sought, if different than Part 1: <br /> ti'§, 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 <br /> STATE ZIP CODE <br /> (Business or A enc Address Recommen <br /> aring 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 th <br /> D;6 Signed a b 2 ( � Sir <br /> nature, <br /> (month,day,year) <br /> FPPC Form 700(201212013) <br /> FPPC Advice Email:adviceOfppc.ca.gov <br /> FPPC Toll-Free Helpline:8661275-3772 www.fppc.ca.gov <br />