Riveria, Floriza - 2019-2020 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS
POLITICALFAIR COVER PAGE
Please type or print to ink. A PUBLIC DOCUMENT
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Filing Oflicral Use Only
CIJY CLERK'S OFFICE
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NAME OF FILER (LAST) (FIRST) (MIDDLE)
21 M4A Frt o Rt
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY or 1::z S6-6ruaba
Division, Board, Department, District, if applicable Your Position
RvBL/G WCr"S Ax-II iL ENU/Ne:�e
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County —
x City of r L
SF�gUNl�O
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
,K Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left _I
December 31, 2019.
-or-
The period covered is I I through
December 31, 2019.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
(Check one circle.)
0 The period covered is January 1, 2019, through the date of
-or-
leaving office.
0 The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- 0 None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
350 W I S-r -ter F_t_ S.-_c-,u Na a 'A Ro ?4 s
( 3to ) 52-1L- 23ca 1
Iver+a
ME
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
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is trd coFrect.
Date Signed 3/ZO/2-0 Signaturc_�
(month, day, year) (File the originally signed paper statement with your filing official.)
FPPC Form 700 -Cover Page(2019/2020)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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