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hl I l t I � 1 awry � �ea'a� � '?Lt v Lm�: <br />[ )ate 0 R � f TM,fl <br />STATEMENT OF ECONOMIC INTERESTS k, �,At\ '1­2 2 <br />COVER PAGE <br />A PUBLIC DOCUMENT a it c t ivel s, d <br />Please type or print in ink. AMENDMENT Clerk's O ffic (. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Bailey, III William Russell <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable <br />Your Position <br />Council M e m ber <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 or Court Commissioner (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 />❑X Annual: The period covered is January 1, 2011, through <br />❑ Leaving Office: Date Left <br />December 31, 2011. <br />(Check one) <br />-or- <br />The period covered is _lam <br />through O The period covered is January 1, 2011, through the date of <br />December 31, 2011, <br />leaving office. <br />❑ Assuming Office: Date assumed <br />O The period covered is J —_I through <br />the date 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 />❑ Schedule A -2 - Investments - schedule attached <br />❑ Schedule D - Income - Gifts- schedule attached <br />❑ Schedule B - Real Property- schedule attached <br />❑X 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 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 <br />March 1, 2012 <br />Signature <br />(month, day, year) <br />1/2012) <br />I have used all reasonable diligence in preparing this statement. I have reviewed this state ontained <br />herein and in any attached schedules is true and complete. I acknowledge this is a publi <br />