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Please type or print in ink <br />NAME OF FILER (LAST) <br />(FIRST) (MIDDLE) <br />Nelson <br />Justin Martin <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable <br />Your Position <br />Parking, Traffic and Streets Commission <br />Commissioner <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 />F Judge (Statewide Jurisdiction) <br />❑ Multi-County <br />❑ County of <br />Fx 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 <br />2010, or- <br />(Check one) <br />The period covered is through December <br />31, 0 The period covered is January 1, 2010, through the date of <br />2010. <br />leaving office. <br />FX Assuming Office: Date _ 1 <br />0 The period covered is through the date <br />of leaving office. <br />❑ Candidate: Election Year Office sought, <br />if different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." <br />D. 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 0 - Income - Gifts - schedule attached <br />❑ Schedule B - Real Property - schedule attached <br />Schedule E - Income - Gifts - Travel Payments - schedule attached <br />.or- <br />❑ None - No reportable <br />interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET <br />CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />k <br />Date Signed _ �,J J (month, day, year) <br />signed statement month your filing official.) <br />FPPC Form 700 (201012011) <br />FPPC Toll-Free Helpline: 8661276-3772 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-sn"rect. <br />