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REQEIVcEQ <br /> CALIFORNIA IIII I . 0 STATEMENT OF ECONOMIC INTERESTS Official Use Only <br /> POLITICAL FAIR MAR 2 4 2014 <br /> DOCUMENT A PUBLIC COVER PAGE <br /> Please type or print in ink City Of Riverside <br /> City Clerk's Office <br /> NAME OF FILER (LAST) (FIRST) <br /> (MIDDLE) <br /> 1. Office, Agency, or Court <br /> Agency Name (Do not use acronyms) <br /> G kt"'i ca= RL <br /> Division, Board, Department, District, if applicable Your Position <br /> BOAA6 0,;-- —t MEM+�-i <br /> ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) <br /> Agency: Position: <br /> 2. Jurisdiction of Office (Check at least one box) <br /> ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> El Multi-County ❑County of <br /> ry�City of (ZWV1 ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left—J I <br /> December 31, 2013. (Check one) <br /> -or- <br /> The period covered is /% I i3 through O The period covered is January 1, 2013, through the date of <br /> December 31, 2013. leaving office. <br /> Ej Assuming Office: Date assumed O The period covered is_J— 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 /> ❑ None-No reportable interests on any schedule <br /> 5. Verification = 4kA:nXJn,Z5 eP� �zs <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or Agency Address Recommended-Public Document) <br /> DAYTIME TELEPHONE NUMBER <br /> 0 <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 t <br /> Date Signed S 124 1+20 P- Signature <br /> (month,day,year) <br /> FPPC Form 700(2013/2014) <br /> FPPC Advice Email:advice @fppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />