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am <br />R <br />STATEMENT OF ECONOMIC INTERESTS DEC ' `�.. ' "ll, <br />' ' • COVER PAGE City of Riverside <br />City Clerk's Office <br />Please type or print in ink. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Garafalo Robert C <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />Cultural Heritage Board 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 <br />❑ Multi- County <br />z City of Riverside <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ County of <br />❑ 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 08 127 / 2013 <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 />El Assuming Office: Date assumed _J -1 0 The period covered is 01 101 I 2013 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 />�9 -or- <br />( None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of m knowled a the information contained <br />herein and in any attached schedules is true and complete. I acknowledge this is <br />I certify under penalt of perjury under the laws of the State of California that <br />Date Signed 0203 Signatur <br />(month, day, year) <br />FPPC Form 700 (2012/2013) <br />FPPC Advice Email: advice@fppc.ca.gov <br />FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov <br />