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Date Initial Filing <br /> CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS Rey <br /> FAIR POLITICAL COMMISSION ().ricia;Use n;y <br /> A PUBLIC DOCUMENT COVER PAGE City of Riverside <br /> City Please type or print in ink. y Clerk's office <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> S�1'os�'L S't9rvG��/ <br /> 1. Office, Agency, or Court <br /> Agency Name (Do not use acronyms) <br /> 016/ o 1� xlpdeesoe <br /> Division, Boar/, Department, District, if applicable Your Position <br /> A.441WA-IdA 00 ee&�IV <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 /> ❑Multi-County ,Q ❑County of <br /> Ity of V, ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left I I <br /> -or- <br /> December 31,2014. (Check one) <br /> The period covered is J I through O The period covered is January 1, 2014,through the date of <br /> December 31, 2014. 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: <br /> ❑ Schedule A-1 -Investments—schedule attached PS`chedule 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 /> F] 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 /> ' S d .S' 1 /t/�'fS 4 (24 <br /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS <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 t J <br /> Date Signed to Signature, <br /> month,day,year) <br /> FPPC Form 700(2014/2015) <br /> FPPC Advice Email:advice @fppc.ca.gov <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />