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700 Negron (Assuming 8-13-13)
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11/22/2013 1:22:46 PM
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STATEMENT OF ECONOMIC INTERESTS RECEKP <br />NOV - 4 2013 <br />A PUBLIC DOCUMENT COVER PAGE <br />Please type or print In ink. City► of Riverside <br />':ice r`Iorlt ate_ <br />NAME OF FILER {LAST} (FIRST) (MIDDLE) <br />Negron Luz <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />Park and Recreation Commission Member <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 <br />m City of City of Riverside <br />3. Type of Statement (check at toast one box) <br />❑ Annual: The period covered is January 1, 2012, through <br />December 31, 2011 <br />-or- <br />The period covered is _J__/ through <br />December 31, 2012. <br />® Assuming Office: Date assumed 08 r 13 1 2013 <br />❑ County of <br />❑ other <br />❑ Leaving Office: Date Left _I I <br />(Check one) <br />Q The period covered is January 1, 2012, through the date of <br />leaving office. <br />Q 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: <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 />[j�/None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS <br />(Business or Agency <br />herein and in any attached schedules is true and complete. 1 acknowledge this is a public document. <br />I certify under penalty of perjury under the laws of the State of California that the <br />Date Sign"lw�!_� <br />(—th, day, yew') <br />is true and correct. <br />your fling official) <br />FPPC Form 700 (2012/2013) <br />,�..:..., r�..a. ........... tea__.. .... ..... <br />
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