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0 <br />COVER PAGE APR 2 0 2011 <br />Please type or print in ink City of Riverside <br />e`% e <br />AME OF FI'LER (LAST) (FIRST) (MIDDLE) <br />Megna Ralph Jamieson <br />1. Office, A or Court <br />Agency Name <br />City of Riverside Cultural Heritage Board Member (201 vice c ha i rim an) <br />Division, Board, Department, District, if appircabie Your Position <br />ip 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 />0 State <br />El Multi-County <br />x City of Riverside <br />El Judge (Statewide Jurisdiction) <br />❑ County of <br />3. 'Type of Statement (Check at least one box) <br />Annual: The period covered is January 1, 2010, through December 31, El Leaving Office: Date Left <br />2010. -or- (Check one) <br />The period covered is through December 31, <br />2010. <br />El Assuming Office: Date <br />F Candidate. Election Year <br />4. Schedule Siummai <br />0 The period covered is January 1, 2010, through the date of <br />leaving office, <br />0 The period covered is ------ I ------- J_ through the date <br />of leaving office <br />Office sought, if different than Pao 1: <br />5,. Verification <br />MAUNG ADDRESS STREET CITY <br />(Business or Agency Address Recommended - Ptidk Document <br />Riverside <br />I E-MAIL ADDRESS <br />I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to <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� <br />Date Signed . Y />Im W, 7.0// Signature <br />(Month, day, year) <br />R E G E V D <br />ZIP CODE <br />best of my knowledge the information contained <br />i Form 700 (201012011) <br />