460 Soubirous (10-19-14 - 12-31-14)_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 0 Recall ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information Statement covers period from 10/19/2014 through 12/31/2014 ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored ❑ Primarily Formed Candidate/ Officeholder Committee I.D. Number COMMITTTEE NAME Re -Elect Mike Soubirous to City Council 2015 Date of Election if applicable (Month, Day, Year) mom FEB 03 ZU 15 city Of 0 1i'v si' �' "✓ City ietk'�3 Cfi 2. Type of Statement ❑ Pre - election Statement Semi - Annual Statement ❑ Termination Statement ❑ Amendment 1355581 Treasurer(s) NAME OF TREASURER Dana Hopkins, CPA STREET ADDRESS NO PO BOX CITY STATE ZIP CODE AREA CODE /PHONE Riverside CA MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE STREET ADDRESS 10IOLVI 17t[em Page 1 of 7 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Statement ❑ Supplemental Pre - election Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE /PHONE Riverside CA OF ASSISTANT TREASURER, IF ANY STREETADDRESS 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 prepay' he best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury" hat the foregoing is true and correct. Executed on I - � S- B Executed on /-30 A P 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 CalifornialSl