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STATEMENT OF ECONOMIC INTERESTS RECEIVED <br />COVER PAGE <br />FEB 2 4 2012 <br />Please type or print in ink. City of Riverside <br />t�"ity rlprk'Q OffirP <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Gardner Michael C. <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside Councilmember <br />Division, 8bard, Department, District, if applicable <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 />Your Position <br />Position: <br />❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />x City of Riverside <br />3. Type of Statement (Check at least one box) <br />❑ County of <br />❑ Other <br />❑ <br />X Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left —J_ I <br />December 31, 2011. (Check one) <br />-or- <br />The period covered is I _ I through O The period covered is January 1, 2011, through the date of <br />December 31, 2011. leaving office. <br />❑ Assuming Office: Date assumed --J— 1 O The period covered is — I through <br />the date of leaving office. <br />❑ Candidate: Election Year 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: 5 <br />❑ Schedule A -1 - Investments - schedule attached X❑ 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 STATE ZIP CODE <br />(Business orAoencvAddress 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 fore Din is true an <br />Date Signed i '' Signature <br />(month, day, yoar) g <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />