Laserfiche WebLink
CALIFORNIA FORM 7Q01 STATEMENT OF ECONOMIC INTERESTS �a ������� <br /> FAIR POLITICAL . ,O <br /> DOCUMENT A PUBLIC COVER PAGE <br /> Please type or print in ink. <br /> NAME OF FILER (LAST) (FIRST) (MIDDLE) <br /> Scott-Coe Justin Montgomery <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> City of Riverside <br /> Division, Board, Department, District, if applicable Your Position <br /> Board of Public Utilities Board Member <br /> P. If filing for multiple positions, list below or on an attachment. <br /> Agency: San Bernardino Valley Municipal Water District Position: Advisory Commission on Water Policy (Alt.) <br /> 2. Jurisdiction of Office (Check at least one box) <br /> ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) <br /> x❑Multi-County Riverside, San Bernardino ❑County of <br /> ❑City of ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> ❑x Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left I I <br /> December 31, 2011. (Check one) <br /> -or- <br /> The period covered is through O The period covered is January 1, 2011, through the date of <br /> December 31, 2011. leaving office. <br /> ❑ Assuming Office: Date assumed 1 O The period covered is 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." ► 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- Rea/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 /> Riverside CA - <br /> DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS(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 fo <br /> Date Signed 3/19/2012 Signature <br /> (month,day year) cial) <br /> FFTC orm 700(2011/2012) <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />