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NAME OF TREASURER <br />Do,Yic! <br />Penn 'itt-i-on <br />STREET ADDRESS (No P,0, BOX) <br />R Clrer5 i, <br />CITY <br />I,J i t ia-ty+ Pe&rze <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS IND P,O, Box) <br />N'erS lyre <br />Statement of Organization <br />Recipient Committee <br />Statement Type ® Initial <br />Not yet qualified <br />or <br />Date qualification threshold met <br />Committee Information <br />0 Amendment <br />Date qualification threshold met <br />I.D. Number <br />(if applicable) <br />3r 3121 <br />❑ Termination — See Part 5 <br />Date of termination <br />READ <br />FEB 12 2019 <br />City of Riverside <br />City COei1,'s Office <br />Treasurer and Cather Principal ffice <br />For Official Use Only <br />NAME OF COMMITTEE <br />6 . W i jl iaw1 t? t -e. f!o r` i,J&, rd <br />STREET A RES 0 P,0, BOX <br />CITY <br />C <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />EMAIL ADDRESS (REQUIRED,/ FAX (OPTIONAL) <br />COUNTY OF DOMICILE l JURISDICTION WHERE COMMITTEE 15 ACTIVE <br />'rer5 rhe <br />C -/ 0C- ward, 7 <br />Attach additional information on appropriately labeled continuation sheets. <br />CI <br />r t2c j- L <br />tllvi5 <br />CAr <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br />NAME OF PRINCIPAL OFFICERS) <br />J <br />STREET ADDRESS (NO P.0, BOX) <br />iver5 jk <br />CITY <br />CA. <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br />3. Verification <br />I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. 1 certify under <br />penalty of perjury under the laws of the Stat nF rolihe foregoing is true and correct. <br />2 - IC fLo lR <br />Executed on By <br />Executed on - By <br />DATE <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />RE OF TREASURER OR ASSISTANT TREASURER <br />RCEETNG 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/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca gbv <br />