460 Avery CC W3 (04-21-19 - 05-18-19)_R

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Recipient Committee Campaign Statement Cover Page RECEIVED Statement covers period from 04/21/2019 through 05/18/2019 Date of Election if applicable 0E/04/2019 (Month, Day, "ear) MAY 232019 City of Riverside City Clerk's Office COVER PAGE CALIFORNIA w 60 FORM �F V 1J Page 1 of 11 For Official Use Only 1. Type of Recipient Committee ▪ Officeholder, Candidate Controlled Committee • State Candidate Election Committee Q Recall ❑ General Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee Primarily Formed Ballot Measure Committee Controlled Sponsored Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement Pre-election Statement ❑ Semi -Annual Statement ❑ Termination Statement ❑ Amendment ❑ Quarterly Statement ❑ Special Odd -Year Statement ❑ Supplemental Pre-election Statement - Attach Form 495 3. Committee Information I.Q. Number 1416490 COMMITTTEE NAME Warren Avery For Riverside City council Ward 3 2019 STREET ADDRESS NO PO BOX) CRY Riverside STATE ZIP CODE AREA CODEIPi-IONE CA MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Susan Le_vas-Srruner STREET ADDRESS CITY Riverside STATE ZIP CODE AREA CODE/PHONE CA NAME OF ASSISTANT TREASURER. 1F ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of mv knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws and correct. Executed on - - ~ t � By Executed on Executed on Executed on -�3-try By By By SIGN SIGNATURE OF CONTROLLING OFFICEHOLDER NT TREASURER ASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR AN DATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONFC Form 460 -(JAN12016) State of CalifomialSI