460 Mill CC W5 (07-01-18 - 12-31-18)_R

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Recipient Committee Campaign Statement Cover Page COVER PAGE Statement covers period from 07/01/2018 through 12/31/2018 Date of Election if applicable (Month, Day, Year) JAN 31 2019 City of Riverside City Clerk's Office Page 1 of 3 For Official Use Only 1. Type of Recipient Committee Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee C Primarily Formed Ballot Measure Committee O Controlled • Sponsored Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement ❑ Pre-election Statement ® Semi -Annual Statement ❑ Termination Statement ❑ Amendment ❑ Quarterly Statement ❑ Special Odd -Year Statement ❑ Supplemental Pre-election Statement - Attach Form 495 3. Committee Information I.D. Number 1407130 COMMITTTEE NAME Sean Mill for Riverside City Council Ward 5 - 2019 STREET ADDRESS (NO PO BOX) CITY Riverside STATE CA ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Dana Hopkins, CPA STREET ADDRESS CITY Riverside STATE ZIP CODE AREA CODE/PHONE CA NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in prepari complete. I certify upderenalty of perjury u Executed on 1131 { 12- O (a By Executed on 1[3.-;\ ").-ot the best of my knowledge the information contained herein is true and that the foregoing is true and correct. RE OF TREASURER OR ASSISTANT TREASURER By A RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) State of California/SI