410 Armas CC W5 (08-21-18) Initial_R

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Statement of Organization Recipient Committee Statement Type ® Initial • Not yet qualified or O Date qualified as committee mmittee Informa NAME OF COMMITTEE 0 Amendment ❑ Termination — See Part 5 Date qualified as committee Date of termination I.D. Number (if applicable) JOSE ARMAS FOR CITY COUNCIL WARD 5 2019 STREET ADDRESS (NO P.O. BOX) CITY asurer and Other Principal Date Stamp RECEIVED AUG 21 2018 City of Riverside City Clerk's Office NAME OF TREASURER SUSAN LEIVAS-STURNER CALIFORNIA A 1 FORM 't STREET ADDRESS (NO P.O. BOX) CITY RIVERSIDE STATE ZIP CODE AREA CODE/PHONE CA STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY RIVERSIDE CA MAILING ADDRESS (IF DIFFERENT) RIVERSIDE, CA_ E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE RIVERSIDE JURISDICTION WHERE COMMITTEE IS ACTIVE RIVERSIDE Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE rmca I have used all reasonable diligence in preparing this statement and to the best of my knowledge the inform penalty of perjury under the laws of the State of California that the fo Executed on G - ( 6 DATE Executed on \ I b By DATE NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT ed herein is true and complete. I certify under URE OF TREASURER OR ASSISTANT TREAS Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT DATE Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov