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700 Peery (Leaving 4-6-13 - 9-24-13)
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Q ' STATEMENT OF ECONOMIC INTERESTS RE bate ReIV <br />N01fTYS26b <br />` PUBLIC DOCUMENT COVER PAGE City of Riverside <br />Please type or print in ink. City Clerks Office <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />1. Office, Agency, or Court <br />Agency <br />Division, Board, Deplrtment, District, if applicable Your Position <br />Qx,"� 41,t r0.1 � Y- : eS . '&'oL ,� <br />► If filing for multiple positions, list below or on an attachment. <br />Agency: <br />2. Jurisdiction of Office (Check at least one box) <br />Position: <br />❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />❑ City of — <br />❑ County of <br />❑ Other <br />3. Type of Statement (Check at least one box) //��}Ggj <br />❑ Annual: The period covered is January 1, 2012, through ..Leaving Office: Date Left __L7�� <br />December 31, 2012. (Check one) <br />•or- <br />The period covered is __J_ 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 I I /� <br />The period covered is _ l 0 3 through <br />the date of leaving office. <br />❑ Candidate: Election year and office sought, if different than Part 1: <br />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 />F1 <br />None - No reportable interests on any schedule <br />E -MAIL <br />have used all reasonable diligence in preparing 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 the fore oin is true and correct. <br />ohs „e Signed, I� Iq .3 <br />(mo th, day, year) i e e origins y signed statement with your lNing official.) <br />FPPC Form 700 (2012/2013) <br />FPPC Advice Email: advice@fppc.ca.gov <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />
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