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RECEIVED <br /> CALIFORNIA • ' STATEMENT OF ECONOMIC INTERESTS JAN, Received <br /> FAIR POLITICAL PRACTICES COMMISSION <br /> A PUBLIC DOCUMENT COVER PAGE City of Riverside <br /> Please type or print in ink. City Clerk's Office <br /> NAME OF FILER (LAST) (FIRST) <br /> (MIDDLE) <br /> Leach Charissa Joan-Anne <br /> 1. Office, Agency, or Court <br /> Agency Name <br /> City of Riverside <br /> Division, Board, Department, District, if applicable Your Position <br /> Cultural Heritage Board Board Member <br /> ► If filing for multiple positions, list below or on an attachment. <br /> Agency: 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 /> n City of Riverside <br /> ❑Other <br /> 3. Type of Statement (Check at least one box) <br /> ❑ Annual: The period covered is January 1, 2011, through ❑X Leaving Office: Date Left 01 / 08 / 2013 <br /> -or- <br /> December 31, 2011. (Check one) <br /> The period covered is I through (9 The period covered is January 1, 2011,through the date of <br /> December 31, 2011. leaving office. <br /> ❑ Assuming Office: Date assumed—�_J O The period covered is__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." ► Total number of pages including this cover page: ,_.4_ <br /> ❑ Schedule A-1 -Investments–schedule attached ❑ Schedule C -Income, Loans, &Business Positions–schedule attached <br /> ❑ <br /> X Schedule A-2-Investments–schedule attached ❑ Schedule D-Income–Gifts–schedule attached <br /> ❑X 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 blrc Document) CITY STATE ZIP CODE <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 foreg <br /> Date Signed January 21, 2013 Signature <br /> (month,day,year) <br /> FPPC Form 700(2011/2012) <br /> FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov <br />