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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INS t ;UCTIONS f N REVERSE <br />1 Type Of I ecipient Committee; iatt Committees - <br />L J .: viiicerhalder, Candidate Controlled Committee 0 <br />0 'State Candidate Election Committee <br />Q Recall <br />Statemerrt covers period <br />from . - 2019 <br />through -2-0 <br />-2-011 <br />Complete Parts 1, 2, 3, and 4. <br />[I General Purpose Committee <br />O Sponsored <br />O Small Contributor Committee <br />O Political Party/Central Commttee <br />Primarily Famed Batiot Measure <br />Committee <br />Q Controlled <br />❑ Sponsored <br />Ws* Confide Pada) <br />FP:hilarity uariiy Formed Candidate! <br />Otiveholder Committee <br />{AisaCampleN PO 7} <br />Date ct.election if applicable: <br />(Month, Day, Year) <br />Date Stamp <br />RECEIVE <br />CALIFORNIA. <br />FORM <br />MAY 23 2019 <br />City of Riverside <br />City Clerk's Office <br />2, Type of Statement: <br />®" Preelection Statement <br />D Semi-ann ial Statement <br />O Termination Statement <br />(Also file a Form 410 Termination) <br />• Amendment (E4siain below) <br />For Official Use OnSy <br />• Quarterly Statement <br />❑ Special Odd -Year Report <br />M� 4 a, =��' �r� z_e. 5 i711 .&-5 h <br />hk 6—Pia i; irt6i p LPYe Co feRr•'_� <br />l.tl. <br />3. Committee iriforo nation Nul!1zER! 4. ! 2S1 <br />COMMITTEENAME MR CANDIDATE'S NAME IF NO COMMITTEE)' <br />'^ IQ A iiourn Imo) 7 Ziff <br />• sTREErA, <br />cliw a. <br />STATE MP CODE <br />MAILING ADDRESS (iF DIFFERENT) NO. AND STREET OR P.O. cox <br />C1TY <br />STATE <br />ZIP COLE <br />AREA CCDEtP HONE <br />OPTIONAL: FAX [ E•MAit.ADDRESS <br />Treasurer(s) <br />NAME OF TREASURER <br />Pear iY!; <br />MAI LI <br />CITY <br />SATE <br />NAME OF ASSISTANT TREASURER,IFANY <br />1111 <br />lib NOM <br />CITY f\ty ]E <br />OPTIONAL; FAX _ E-MAIL ADDRESS <br />4. Verification <br />[have used all reasonable diligence in preparing and reviewing this statement and tote best of my Knowledge the information contained herein and in the attached schedules is true and complete_ 1 <br />certify under penally of perjury underthe laws of the State of California that the toregning is true and correct <br />aorl <br />Executed on <br />Dale <br />Executed on <br />Executed an <br />Executed en <br />Date <br />Date' <br />Date <br />BY <br />Ry <br />By <br />BY <br />e sur r a AssiTreasurer <br />Signature e71 Corrolling Oie c@hoider, CartdErIe , State Measure Proponent or Respori b Officer of Spoh.sor <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Signature of Contredrel Officeholder. Candidate, Stale Measure Proponent <br />FPPC Form 460 pan/2016) <br />FPPC Advice: advice@fppc.ea_gov (866/275-3772) <br />