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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 1/1/18 <br />through 6/3/18 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee <br />O State Candidate Election Committee <br />O Recall <br />(Also Complete Part 5) <br />❑ General Purpose Committee <br />O Sponsored <br />O Small Contributor Committee <br />O Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />O Controlled <br />O Sponsored <br />(Also Complete Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complexe PO 7) <br />COVER PAGE <br />CALIFORNIA 460 <br />FORM <br />Date of election if applicable: <br />(Month, Day, Year) <br />6/4/19 <br />2. Type of Statement: <br />❑ Preelection Statement <br />® Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />O Amendment (Explain below) <br />Submission of donor addresses <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />dtdded 4-0 seittecimi44. <br />3. Committee Information <br />I.D. NUMBER <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Philip Falcone for Riverside City Council Ward 1 2019 <br />X) <br />CITY <br />Riverside <br />STATE <br />CA <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE <br />ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />Treasurer(s) <br />NAME OF TREASURER <br />Paula Leivas <br />MAILING ADDRESS <br />CITY <br />Riverside <br />STATE <br />CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Michaela Montgomery <br />CITY <br />Riverside <br />STATE ZIP C DE AREA CODE/PHONE <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 <br />certify under penalty of perjury under the laws of the State of California that the foregoing <br />Executed on <br />Executed on <br />Date <br />Executed on <br />Date <br />_ 3.5- 1� <br />Executed on <br />Date <br />By <br />By <br />By <br />By <br />rein and in the attached schedules is true and oomplete. 1 <br />Surer <br />Signatui5 5V Controlling Officeh li�er, Candid e, State Measure Proponent or Responsible Officer of Sponsor <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Signature of Controlsg Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />