Laserfiche WebLink
Statement of Organization <br />Recipient Committee <br />Statement Type <br />® Initial <br />33 /iss <br />• Not yel qualified <br />Of <br />Q Dale qualification threshold mel <br />1. Committee Information <br />❑ Amendment <br />Dale qualification threshold mel <br />I.D. Number <br />Of applicable) <br />0 Termination — See Part pz <br />in <br />Date of termination <br />/ <br />/ <br />2. Treasurer <br />Date Stains: <br />ECEIVEC AND FIS. <br />the office of the Secretary of S <br />of the State of California <br />FEB 28 2019 <br />her Principal Office <br />'CALIFORNIA` <br />to <br />MAR 18 2019 <br />Rivers ri <br />^JA",1I OF CUMOH IEE <br />Jalani Bakari for Riverside Ctiy Council Ward 3 2019 <br />i tR( El Af70RI SS (NO PO h10x1 <br />Riverside <br />STATE <br />CA <br />7Ip CODE AREA CODE)PHDNE <br />FUIF MATTING ANLIRESS ('F 1111- <br />E-MAIt AI:Oft@SS <br />i IJVIRE 111, Fax 1011IONA <br />(.OUT,. l) GF 01MITI <br />Riverside <br />10111)011. TION WHERE COMM iTTEE TS Al IIVE <br />Riverside <br />Attach additional inforrnaiion on appropriately labeled continuation sheets. <br />NAME OF TREASURER <br />Susan Leivas - Sturner <br />11R€E1 ADORESs 1NC) PO BOX) <br />C120 <br />Riverside <br />STATE 71' CODE AREA COOEJPHONE <br />CA <br />NAME OF ASSISTANT 1REASURER iF ANY <br />STREET AISDR ESS 010 PO. 11:10) <br />1170 <br />STATE <br />71' (712 AREA COO rr F+110111 <br />NAmF 1)1- PRIN1t PA10 EFICER)51 <br />111111. AM:PESS IN) i'u. R:1*) <br />{:15 <br />STATE 111'1:011 <br />AREA (1)111-11r)0NE <br />3. Verification <br />I have used all reasonable diligence in preparing this s <br />penalty of perjury under the laws of the State of Calif <br />Executed on ` 1 .— <br />By <br />RATE <br />Cxecut00 on G 19 13y <br />ATF <br />I:x(pultrd on By <br />.41E <br />[xecut(7d on by <br />DATE <br />nformation contained herein is true and complete. I certify under <br />jI GNA1;IRE OF CONTR.': T .11 OFF ICEHC)L1)ER. (ANU1E001E. OR 5741E MEAS114E PROPONENT <br />SIGNATURE 0) CoNIROF(ING O'Flct I0(1)ER, CAN1)1041 F. 0)151411 MEASURE F'50701411( <br />FPPC Form,410 ('August/2018) <br />FPPC Advice: advice@fppc.ca.gov (R/275-3772) <br />/275-3772) <br />www.fppc.ca.gov <br />