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CALIFORNIA HECEIVED <br /> • ' STATEMENT OF ECONOMIC INTERESTS 0E(, Ve, M ed <br /> FAIR POLITICAL PRACTICES DOCUMENT City of Riverside <br /> COVER PAGE City Clerk's Office <br /> Please type or print in ink. <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> Segura Gustavo <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> City of Riverside <br /> sion, Board, Department, District, if applicable Your Position <br /> Board of Public Utilities 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 ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> ❑Multi-County ❑County of <br /> ❑✓ City of Riverside ❑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 03 / 01 / 2013 <br /> December 31, 2012. (Check one) <br /> -or- <br /> The period covered is I I through G7 The period covered is January 1, 2012,through the date of <br /> December 31, 2012. leaving office. <br /> • Assuming Office: Date assumed I 1 O The period covered is I 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: 1 <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 <br /> MAILING ADDRESS STREET CITY STATE ZIP CODE <br /> (Business or Agency Address Recommended-Public Document) <br /> CA 92503 <br /> E-MAIL ADDRESS(OPTIONAL) <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 /> 1 herein and in any attached schedules is true and complete. I acknowledge this A Ticial.)ocument. <br /> 3 <br /> ; I <br /> I certify under penalty of perjury under the laws of the State of California <br /> 03/01/2013 <br /> Date Signed Sign <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 />