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Recipient Committee <br />Campaign Statement <br />Cover Page <br />1. Type of Recipient Committee <br />Officeholder, Candidate Controlled Committee <br />0 State Candidate Election Committee <br />0 Recall <br />❑ General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br />3. Committee Information <br />Statement covers period <br />from 05/20/2018 <br />through 06/30/2018 <br />❑ Primarily Formed Ballot Measure <br />Committee <br />0 Controlled <br />0 Sponsored <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />COMMITTTEE NAME <br />Mike Gardner for City Council 2015 <br />STREET ADDRESS (NO PO BOX) <br />I.D. Number 1256312 <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) <br />CITY STATE ZIP CODE <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and <br />complete. I certify udder penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />r <br />Executed on By <br />SURER <br />Executed on L By <br />CIr:NAT1IRF nF r�nNTRnI Hrll nFP rANnInATF CTA TP RAP ACI IRF PPnPnNFNT nP PFCPnAICI RIC orriFFP nF CPnNCnP <br />Executed on <br />Executed on <br />By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) <br />State of California/SI <br />COVER PAGE <br />e <br />OVE <br />JVI1 <br />��8p <br />rPageof 7 <br />Date of Election if applicable <br />For Official Use Only <br />ii 'f Riverside <br />(Month, Day, Year) <br />2. Type of Statement <br />❑ Pre-election Statement ❑ Quarterly Statement <br />Semi -Annual Statement ❑ Special Odd -Year Statement <br />❑ Termination Statement ❑ Supplemental Pre-election <br />❑ Amendment <br />Statement - Attach Form 495 <br />Treasurer(s) <br />NAME OF TREASURER <br />Richard Teaman <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Riverside <br />CA <br />NAME OF ASSISTANT TREASURER, <br />IF ANY <br />Javier Carrillo <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Riverside <br />CA <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and <br />complete. I certify udder penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />r <br />Executed on By <br />SURER <br />Executed on L By <br />CIr:NAT1IRF nF r�nNTRnI Hrll nFP rANnInATF CTA TP RAP ACI IRF PPnPnNFNT nP PFCPnAICI RIC orriFFP nF CPnNCnP <br />Executed on <br />Executed on <br />By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) <br />State of California/SI <br />