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R 3 R-116Licui <br />Statement of Organization L <br />Recipient Committee <br />Statement Type 0 Initial <br />® Not yet qualified <br />or <br />O Date qualification threshold met <br />mmittee lnformat <br />NAME OF COMMITTEE <br />/ <br />0 Amendment <br />Date qualification threshold met <br />Date Stamp <br />0RECEIVoffice EtD AND Firy f E <br />❑ Termination —See Pare of the State of California <br />Date of termination <br />FEB 28 2019 <br />MAR 182019 <br />City of Riverside <br />©' <br />I.D. Number <br />(if applicable) <br />MAARTIN ROSSOUW FOR RIVERSIDE CITY COUNCIL WARD 7 - 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />RIVERSIDE <br />STATE <br />CA <br />ZIP CODE <br />AREA CODE/PHONE <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />SAME AS ABOVE <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />COUNTY OF DOMICILE <br />RIVERSIDE <br />JURISDICTION WHERE COMMITTEE I5 ACTIVE <br />Attach additional information on appropriately labeled continuation sheets. <br />ensurer", <br />NAME OF TREASURER <br />DONNIE HARRIS <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />RIVERSIDE <br />STATE <br />CA <br />ZIP CODE <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />NAME OF PRINCIPAL OFFICER(S) <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />Verification <br />I have used all reasonable diligence in pre <br />penalty of perjury under the laws of the S <br />Executed ort(2' By <br />DATE <br />Executed on (;` " 0 '� <br />DATE <br />Executed on <br />Executed on <br />DAT <br />DATE <br />By <br />nd to the best of my knowledge the information contained herein is true and complete. •1 -Certify under <br />OLDER, 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.gov <br />