460 Falcone W1 (07-01-18 - 12-31-18)_R

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Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/18 through 12/31/18 Date of election if applicable: (Month, Day, Year) 6/4/19 COVER PAGE JAN 3 0 2019 City of Riverside City Clerk's Office For Official Use Only 1. Type of Recipient Committee: All Committees Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) El General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee — Complete Parts 1, 2, 3, and 4. ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement • Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Philip Falcone for Riverside City Council Ward 1 2019 STREET ADDRESS (NO P.0. BOX) CITY Riverside STATE ZIP CODE CA MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Paula Leivas MAILING ADDRESS CITY Riverside STATE ZIP CODE CA AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Michaela Montgomery MAILING ADDRESS CITY Riverside STATE ZIP CODE CA AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and certify under penalty of perjury under the laws of the State of California that the for Executed on Executed on Executed on Executed on Date / Date Date Date By By By By n and in the attached schedules is true and complete. I er or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)