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t�c"3'P Ei t <br />RECEIVED <br />STATEMENT OF ECONOMIC INTERESTS`: <br />" '' COVER PAGE pity Of Riverside <br />Please type or print in ink. City Clerk's Office <br />NAME OF FILER (LAST) (FIRST) <br />(MIDDLE) <br />Melendrez, Jr. Andrew Soria <br />1, uttice, Agency, or Court <br />Hgency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable <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 ❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ Multi- County <br />Z City of Riverside <br />❑ County of <br />❑ Other _ <br />3. Type of Statement (check at least one box) <br />❑x Annual: The period covered is January 1, 2011, through <br />December 31, 2011. <br />-or- <br />The period covered is __ /_l through <br />December 31, 2011. <br />❑ Assuming Office: Date assumed <br />❑ Candidate: Election Year <br />❑ Leaving Office: Date Left <br />(Check one) <br />O The period covered is January 1, 2011, through the date of <br />leaving office. <br />O The period covered is _ <br />the date of leaving office. <br />Office sought, if different than Part 1: <br />through <br />4. Schedule Summary <br />Check applicable schedules or 'None." ► Total nufnber of pages including this cover page:.__ <br />Schedule A -1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached <br />V chedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts- schedule attached <br />schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifs - Travel Payments - schedule attached <br />-or- <br />❑ None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Public Document) <br />I certify under penalty of perjury under the laws of the State of California that the <br />Date Signed as - I2, Signature <br />(month, day, year) <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Fie / elpline: 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 docun}?nyJ „ A <br />