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Statement of Organization <br />Recipient Committee <br />Statement type '❑ Initial <br />® Not yet qualified <br />m <br />O Data qua1datlaE threshold met <br />-/--/- <br />0 <br />1 <br />❑ Amendment <br />Date quaftdc tton threcho d met <br />—✓—/ <br />0 Termination — See Part 5 <br />Date of tem motion <br />—1—/— <br />RECEIVED 1 -/ <br />RECEIVED <br />MAR 07 2.019 <br />City of Riverside <br />Citi Clerk's Office <br />CALIF <br />O 410 <br />RM <br />Fm Official Use Only <br />NAME OF COMMITTEE <br />MAARTIN ROSSOUW FOR RIVERSIDE CITY COUNCIL WARD 7-2019 <br />STREETADORES (NO PO.8010 <br />CITY <br />RIVERSIDE <br />STATE SIP CODE AREACODF/PNaNE <br />CA <br />RILL EMIUNG ADORESS OF DIFFERENT) <br />SAME AS ABOVE <br />E MNL ADDRESS (REOUIRED)/FAR(OVFIONA4 <br />COUNTY OF DOMICILE <br />RIVERSIDE <br />AIRISMCTION WHERE COMMITTEE a ACTIVE <br />Attach additional information on appropriately labeled continuatfon sheets. <br />I have used all reasonable diligence in preparing <br />penalty of perjury <br />under/erthe laws of the State of <br />17 <br />awaited onI' orJ By <br />EEp eo�gSre�TYC/TS <br />aajted On 62 0.3- <br />Executed on <br />Executed on <br />statement and to the <br />ifomia IFSi�r r <br />NAME OF TREASURER <br />DONNIE HARRIS <br />STREET ADDRESS (NOVA MLO <br />Cry <br />RIVERSIDE <br />STATE ay CODE AREA COOE/PNONE <br />CA <br />NAME OF ASSLSTMR TREASUEER IIF MIT <br />STREET ADDRESS INO PA. EMO <br />CITY <br />STATE ZIP CODE AREACODE/YNONE <br />NAME OF PRINCIPAL OFFICER%) <br />STREETADDRESS INC P.O. EMO <br />CRY <br />STATE <br />HP CODE <br />ANA cOOE/%qNE <br />best of my knowledge the Information contained herein Is true and complete. I certify under <br />'rect. <br />F CONTROLLING OFFICEHOLDER. CANDIDATE. OR STATE MEASURE PROPONENT <br />NGNATURE OF CONTROW NG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />DAre SIGNATURE OF CONTROLLING OFNCENOEDER CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice®fpptw.gov (866/2753772) <br />wwwfppcce.gov <br />