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700 Gardner (Annual 2010) R
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STATEMENT OF ECONOMIC INTERESTS <br />COVER PAGE <br />HEUU IV C <br />City of Riverside <br />City Clerk's Office <br />Please type or print in ink. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Gardner Michael C. <br />1. Office, Agency, or Court <br />Agency Name <br />Riverside City Council <br />Division, Board, Department, District, if applicable Your Position <br />Ward 1 Council Member <br />P. If filing for multiple positions, list below or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction Of Office (Check at least one box) <br />❑ State ❑ Judge (Statewide Jurisdiction) <br />❑ Multi- County ❑ County of <br />❑X City of Riverside ❑ Other <br />3. Type of Statement (Check at least one box) <br />Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left J 1 <br />2010. -or- (Check one) <br />The period covered is _ I through December 31, O The period covered is January 1, 2010, through the date of <br />2010. leaving office. <br />❑ Assuming Office: Date I 1 O The period covered is I _ I through the date <br />of leaving office. <br />❑ Candidate: Election Year Office sought, if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." o. Total number of pages including this cover page: <br />Q <br />❑ Schedule A -1 - Investments — schedule attached X Schedule C - Income, Loans, & Business Positions — schedule attached <br />❑ Schedule A -2 - Investments — schedule attached FRI 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 STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />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 <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 foregoing is true and correct. <br />Date Signed <br />1/23/11 <br />(month, day, year) <br />Signature <br />oAgrnally signed statement with your <br />FPPC Form 700 (201012011) <br />FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov <br />
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