460 Soubirous (07-01-17 - 12-31-17)_R

Home

Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee • Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall ❑ General Purpose Committee C Sponsored O Small Contributor Committee O Political Party/Central Committee COVER PAGE Statement covers period from 07/01/2017 through 12/31/2017 ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored ❑ Primarily Formed Candidate/ Officeholder Committee Date of Election if applicable (Month, Day, Year) 2. Type of Statement ❑ Pre-election Statement Semi Annual Statement ❑ Termination Statement ❑ Amendment JAN 30 20 City of Rive City Gerle's For Official Use Only Quarterly Statement Special Odd -Year Statement Supplemental Pre-election Statement - Attach Form 495 3. Committee Information I.D. Number 1355581 COMMITTTEE NAME Re -Elect Mike Soubirous to City Council 2019 STREET ADDRESS (NO PO BOX CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA MAILING ADDRESS (IF D FFERENT) CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Dana Hopkins, CPA STREET ADDRESS CITY Riverside STATE Z P CA NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / - ADDRESS 4. Verification I have used all reasonable diligence in preparing complete. I certify Ynder penalty of perjury and t r /Zot B Executed on Executed on Executed on Executed on BY BY BY BY t of my knowledge the information contained herein is true and e foregoing is true and correct. URER TE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROWNG OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPON SIGNATURE OF CONTROWNG OFFICEHOLDER DATE, STATE MEASURE :*': II, PON FPPC Form 460-(JAN/2016) State of CalifornlalSl