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REtQE,tV <br />STATEMENT OF ECONOMIC INTERESTS MAR 3 p 2012 <br />DOCUMENT A PUBLIC COVER PAGE <br />City of Riverside <br />Please type or print in ink. City Clerks Of fice <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Leach Charissa Joan -Anne <br />1. O ffi c e, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable <br />Your Position <br />Cultural Heritage Board <br />Board Member <br />► If filing for multiple positions, list below or on an attachment. <br />Riverside Unified School District <br />Agency: <br />Position: Committee Member <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 I <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 _J 1 <br />O The period covered is _—J_J 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 />► 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 />X 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 />F1 None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET <br />(Business or Agency Address Recommended - Public Document) <br />CITY STATE ZIP CODE <br />Riverside CA <br />DAYTIME TELEPHONE NUMBER <br />I E -MAIL ADDRESS (OPTIONAL) <br />I have used all reasonable diligence i ' preparing this statement. I have reviewed this statement and to the best of my knawiedge 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 <br />Date Signed March 27, 2012 Signature <br />(month, day, year) <br />u -No <br />FPPC F orm 700 (2011/2012) <br />FPPC Toll -Free Helpline: 8661275 -3772 www.fppe.ca.gov <br />