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Treen Nancy L <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />Cultural Heritage Board Member <br />P, If filing for multiple positions, list below or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction Of Office (Check at least one box) <br />❑ State <br />❑ Judge (Statewide Jurisdiction) <br />❑ multi-county <br />❑ County of <br />❑ Cly of <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Annual: The period covered is January 1, 2010, through <br />December 31, ❑ Leaving Office: Date Left — — — <br />2010. -or- <br />(Check one) <br />The period covered is through December 31, 0 The period covered is January 1, 2010, through the date of <br />2010. <br />leaving office, <br />E] Assuming Office: Date t <br />0 The period covered is through the date <br />of leaving office, <br />F Candidate: Election Year Office sought, if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None, <br />® Total number of pages including this cover page: <br />Schedule A-1 - Investments - schedule attached <br />❑ Schedule C - Income, Loans, & Business Positions - schedule attached <br />Schedule A-2 - Investments - schedule attached <br />❑ Schedule D - Income - Gifts - schedule attached <br />❑ Schedule 13 - Real Property - schedule attached <br />❑ Schedule E - Income - Gifts - Travel Payments - schedule attached <br />, or , <br />None - No <br />reportable interests on any schedule <br />5. Verification <br />'Cle <br />MAILINGAIDDRESS <br />Uly ")IAlt LIF L;UUL <br />(Business or Agency Address Recommended - Pubfic Document) <br />IE- A�tAIL 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 />heroin and in any attached schedules is true and complete, <br />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 />29­ �_O// <br />Date Signed <br />Signature <br />(month, day, year) <br />FPPC Form 700 (201012011) <br />FPPC Toll-Free Helpline: 8661275-3772 www,fppc.ca.gov <br />