Laserfiche WebLink
Statement of Organization <br />Recipient Committ, <br />Statement Type El i tal <br />Not yet qualified <br />or <br />0 Date qualification threshold met <br />❑ Amendment <br />Date qualification threshold met <br />I.D. Number <br />(if applicable) <br />NAME OFCOMMITTEE v-Fevie <br />--V*-en FOC v-CX6� . <br />rk--ti Co to c t M.\1\16e tic c� 2� 02019 <br />STREET ADDRESS (NO P.0. BD <br />❑ Termination — See Part 5 <br />Date of termination <br />/ <br />NAME OF TREASURER <br />Date Stamp <br />ECEIVED <br />FEB 2 8 2019 <br />City of Riverside <br />City Clerk's Office <br />rid.. Other Principa <br />CAL ORNJA <br />FORM <br />For Official Use Only <br />C <br />vest <br />FULL MAILING ADDRESS (IF DIFFERENT} <br />AIL ADDRESS (REQUIRED) / FAX <br />Attach additional information on appropriately labeled continuation sheets_ <br />STREET ADDRESS NO PTS SO4 <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />NAME OF PRINCIPAL OFFICERS) <br />STREET ADDRESS INO P.O. C50 <br />STATE <br />i!P CODE <br />AREA CODE/PHONE <br />Verifikation <br />have used all reasonable diligence in pre <br />penalty of perjury and r the laws of the St <br />Executed on 0028 ( 5 <br />By <br />Executed on By <br />AT <br />Executed on By <br />DATE <br />Executed on 3v <br />DATE <br />in is true and complete. 1 certify under <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.gov <br />