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STATEMENT OF ECONOMIC INTERESTS , % ", <br />COVER PAGE UL 1 a Z011 <br />Please type or print in ink. G i <br />IlAilll� -I II�T- 1����1 -IT i,. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Gilleece Michelle H <br />1. Office, Agency, or Court <br />Agency Name <br />Cultural Heritage Board, City of Riverside <br />Division, Board, Department, District, if applicable <br />Your Position <br />Board Member <br />► 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 />❑X City of Riverside <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left —1 1 <br />2010. -or- <br />(Check one) <br />The period covered is I I , through December 31, O The period covered is January 1, 2010, through the date of <br />2010. <br />leaving office. <br />❑X Assuming Office: Date 04 t 19 1 11 <br />O The period covered is I , through the date <br />of leaving office. <br />❑ Candidate: Election Year Office sought, if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." <br />P. 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 />f J Schedule A -2 - Investments – schedule attached <br />❑ Schedule D - Income – Gifts – schedule attached <br />❑ Schedule B - Real Property – schedule attached <br />❑ Schedule E - Income – Gifts – Travel Payments – schedule attached <br />'or- <br />El None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET <br />CITY STATE ZIP CODE <br />(Business orAgencyAddress Recommended - Public Document) <br />San Bernardino CA - <br />E -MAI L ADDRESS <br />Date Signed 07/14/11 <br />(month, day, year) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.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 />