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Statement of Organization Date StaMp O <br />Recipient Committee RECEIVED e - 7Only Statement Type ❑Initial 0 Amendment ❑ Termination — See Part 5 FnrOfttda) Use <br />O Not yet qualified JUL4 2018 <br />or `� <br />06 <br />0 Date qualified as ccmmittee Date qualified as committee Date of termination <br />City f Riverside <br />Cilerks Office <br />1. Committee Information I.D. Number 1no�osz 2. Treasurer and Other Principal Officers <br />(!f applicable) <br />NAME OF COMMITTEE <br />Grin Edwards for City Council. 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Sacramento CA <br />MAILING ADDRESS (IF DIFFERENT) <br />EMAIL ADORESS (REQUIRED) / FAx (OP) IONAL) <br />IS ACTIVE <br />Sacramento County ( City of Riverside <br />Attach additional information on oppropriately labeled continuation sheets. <br />NAME OF TREASURER <br />Shawnda Deane <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE Zip CODE AREA CODE/PHONE <br />Sacramento <br />CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Grin Edwards <br />STIIEET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIPCOOE AREA CODE/FRONT' <br />Riverside <br />CA <br />NAME OF PRINCIPAL OFFICER(S) <br />STREET ADDRESS (140 P.O. BOX) <br />STATE ZIP CODE AREA CODE/PHONE <br />3. Verification <br />have used ail reasonable diligence in preparing ledge the information contained herein is true and complete. I certify under <br />penalty of perjury under the laws of the State o rrect, <br />Executed on —7 1 By <br />�7 AiF JAER OR A55151'ANT TREASURER <br />Executed on / - ay <br />DATE <br />Executer) on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, Oil STATE MEASURE PROPONENT <br />Executed on 13y <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410(February/2018) <br />FPPC Advice: (866/275-3772) <br /> <br />