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STATEMENT OF ECONOMIC INTERESTS, ii, 111, rG� <br />CALIFORNIA • ' r7ffir lal U1111 01il,y <br />FAIR POLITICAL PRACTICES COMMISSION <br />A PUBLIC DOCUMENT COVER PAGE Filed Date: 02/28/2017 05:36 PM <br />SAN: 051300028 -STH -0028 <br />Please type or print in ink. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Davis Paul Marion <br />1. Office, Agency, or Court <br />Agency Name (Do not use acronyms) <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />City Council Member of the City Council <br />P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) <br />Agency: SEE ATTACHED LIST Position: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ Multi- County <br />❑X City of Riverside <br />3. Type of Statement (Check at least one box) <br />❑ <br />x Annual: The period covered is January 1, 2016, through <br />December 31, 2016. <br />-or- <br />The period covered is I I through <br />December 31, 2016. <br />❑ Assuming Office: Date assumed I I <br />❑ Candidate: Election year <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ County of <br />❑ Other — <br />❑ Leaving Office: Date Left I I <br />(Check one) <br />O The period covered is January 1, 2016, through the date of <br />-or- <br />leaving office. <br />O The period covered is I I through <br />the date of leaving office. <br />and office sought, if different than Part 1: <br />4. Schedule Summary (must complete) ► Total number of pages including this cover page: <br />Schedules attached <br />❑Q Schedule A -1 - Investments – schedule attached <br />❑x Schedule A -2 - Investments – schedule attached <br />❑ Schedule B - Real Property – schedule attached <br />.or- <br />F-1 None - No reportable interests on any schedule <br />5. Verification <br />❑Q Schedule C - Income, Loans, & Business Positions – schedule attached <br />❑X Schedule D - Income – Gifts – schedule attached <br />❑ Schedule E - Income – Gifts – Travel Payments – schedule attached <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />3900 Main Street Riverside CA 92522 <br />DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS <br />( 951 ) 826 -5991 PDavis @riversideca.gov <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 />02/28/2017 05:36 PM <br />(month, day, year) <br />Signature Electronic Submission <br />(File the originally signed statement with your filing official.) <br />FPPC Form 700(2016/2017) <br />FPPC Advice Email: advice @fppc.ca.gov <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />