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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />°I. Type of Recipient Committee: Ali Contra' <br />® Officeholder, Candidate Controlled Committee <br />G State Candidate Election Committee <br />a Recall • <br />(Me Complete Part 5) <br />0 General Purpose Committee <br />O Sponsored <br />O Small Contributor Committee <br />O Political Party/Central Committee <br />i <br />Statement covers period <br />from 3- 3 - 20 ti <br />through 4 — 2.0 -2019 <br />es - Complete Parts 1, 2, 3, and 4. <br />❑ Primarily Formed Ballot Measure <br />Committee <br />© Controlled <br />O Sponsored <br />(Also Complete Pat 6) <br />O Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Pat 7) <br />Date of election if applicable: <br />(Month, Day, Year) <br />w^e <br />j 201 6( <br />Date Sta <br />COVER PAGE <br />RECEIVE <br />APR 2 4 2019 <br />City of Riverside' <br />City Clerk's Office <br />2, Type of Statement: <br />Xri Preelection Statement <br />❑ Semi-annual Statement <br />O Termination Statement <br />(Also file a Form 410 Termination) <br />O Amendment (Explain below) <br />O Quarterly Statement <br />O Special Odd -Year Report <br />3. Committee Information 141 62 8 c1 <br />I.D. NUMBER <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />(- fl..-) l 1, � a v Pearce FOR oaa rd 7 2.011 <br />STREETADDRESS (NO PO. BOX) <br />CITY r, STATE <br />--vers Tote, CA - <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. B <br />CITY <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br />OPTIONAL: FAX ! E-MAIL ADDRESS <br />Treasurer(s) <br />NAME OF TREASURER <br />bex-V r d 1Pe.,p'STD n <br />MAILING ADDRESS <br />CITY <br />R;.ver5;de, <br />STATE ZIP CODE <br />C A - <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Pea-, <br />MAILING ADDRESS <br />CITY <br />R ✓ er-5 r c <br />nnSTATE ZIP CODE <br />AR • CODE/PHONE <br />OPTIONAL: E -MAI .. DDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the infol <br />certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />-22- Wi, <br />Executed on <br />Executed on <br />Executed on <br />Executed on <br />Date <br />Date <br />22.-- 2019 <br />Date <br />Date <br />By <br />By <br />By <br />By <br />ation <br />n <br />ined herein and in the attached schedules is true and complete. 1 <br />ure of Treasurer or Assistant Treasurer <br />Sigr <br />!Candidate, State Measure Proponent or Responsible Officer of Sponsor <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />