Laserfiche WebLink
Statement of Organization <br />Recipient Committee <br />Statement Type <br />❑ Initial <br />Q Not yet qualified <br />or <br />0 Date qualification threshold met <br />® Amendment <br />0 Termination — See Part 5 <br />For Official Use Only <br />Date qualification threshold met <br />01 . 08 .2019 <br />Date of termination <br />I.D. Number <br />(if applicable) <br />NAME OF COMMITTEE <br />Sean Mill for Riverside City Council 2019 <br />1407130 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />NAME OF TREASURER <br />Dana Hopkins, CPA <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br />Riverside CA <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />COUNTY OF DOMICILE <br />Riverside <br />JURISDICTION WHERE COMMITTEE 15 ACTIVE <br />Attach additional information on appropriately labeled continuation sheets. <br />3_.Neicaber <br />I have used all reasonable diligence in prep <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />NAME OF PRINCIPAL OFFICER(S) <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />penalty of perl!jury under the laws of the S <br />Executed on F ! 1 (, B <br />!!! IDAIT,ECI <br />DATE <br />Executed on lBy <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />this statement a - d <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br />o the best of my knowledge the information contained herein is true and complete. 1 certify under <br />correct. <br />ASURER OR ASSISTANT TREASURER <br />NTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/1018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />