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RE C t <br />STATEMENT OF ECONOMIC INTERESTS <br />COVER PAGE APR 4 _ 201Z <br />Please type or print in ink. City of Riverside <br />NAME OF FILER (LAST) (FIRST) (I rliar-16's II <br />Gilleece Michelle <br />H <br />1. Office, Agency, or Court <br />n!Jumq walliv <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />Cultural Heritage Board Member <br />r 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 _ ❑ County of <br />❑R City of Riverside <br />3. Type of Statement (Check at least one box) <br />Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left <br />-or- <br />December 31, 2011. (Check one) <br />The period covered is 1 through O The period covered is January 1, 2011, through the date of <br />December 31, 2011, leaving office. <br />Assuming Office: Date assumed _ 04 j 20 / 2011 O The period covered is 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," ► Total number of pages including this cover page: <br />❑ Schedule A -1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached <br />❑ Schedule A -2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached <br />❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — 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 />DAYTIME <br />San Bernardino CA <br />(OPTIONAL) <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 foranninn k tnia and <br />Date Signed 04/02/12 Signature <br />{month, day, year) g <br />FHF'C Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />