460 Soubirous (01-01-14 - 06-30-14)_R

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Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee ® Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee Q Recall ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee Statement covers period from 01/01/2014 through 06/30/2014 ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored ❑ Primarily Formed Candidate/ Officeholder Committee 3. Committee Information I.D. Number 1355581 COMMITTTEE NAME Mike Soubirous for Riverside City Council — Ward 3, 2013 T CITY STATE Riverside CA MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE Date of Election if applicable (Month, Day, Year) 2. Type of Statement ❑ Pre - election Statement ® Semi - Annual Statement ❑ Termination Statement ❑ Amendment Treasurer(s) NAME OF TREASURER Dana Hopkins, CPA COVER PAGE JUL 3 120141 Page 1 of 13 City of Rivers,jifle For Official Use Only City Clerk's 0 ce ❑ Quarterly Statement ❑ Special Odd -Year Statement ❑ Supplemental Pre- election Statement - Attach Form 495 NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX /E -MAIL ADDRESS OPTIONAL: FAX /E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in prepar' best of my knowledge the information contained herein is true and complete. I certify1 under penalty of perjury t the foregoing is true and correct. Executed on Executed on to— 3 " ✓{ Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 - January /05 State of California /SI