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460 Booker CC W1 (01-01-19 - 04-20-19)_R
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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from \Ck\-\i3C',as \ U <br />throughl1':J l� <br />Date of election if applicable: <br />(Month, Day, Year) <br />Date Stamp <br />RECEIVE <br />1. Type of Recipient Committee: All Committees — Complete Parts t, 2, 3, and 4. <br />g' ftceholder, Candidate Controlled Committee <br />❑ State Candidate Election Committee <br />❑ Recall <br />{wso Complete Part 5) <br />❑ General Purpose Committee <br />❑ Sponsored <br />❑ Small Contributor Committee <br />❑ Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />❑ Controlled <br />O Sponsored <br />(Also CampFefe Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />{Aso Cnmprete Part 7) <br />2. Type of Statement: <br />MAY 2 3 2019 <br />city of Riverside <br />Clty Cftxkts Off1DG <br />P eelection Statement <br />ISemi-annual Statement <br />❑ Termination Statement <br />(Also tile a Form 410 Termination) <br />❑ Amendment (Explain below) <br />COVER PAGE <br />CALIFORNIA 460 <br />FORM V <br />P ge_ of <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />3. Committee Information <br />COMMITTEE NAME {OR CANDIDATE'S NAME IF NO COMMITTEE) <br />I.A. NUMBER <br />STREET ADDRESS (N• .O, BOX) <br />STATE <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET aR <br />IMP rnnF <br />`~J <br />Treasurer(s) <br />NAME OF TREASURER <br />7___\.. <br />G ADDRESS <br />CITY <br />CC\ <br />STATE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />AREA CODE/PHONE <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained <br />certify under penalty of perjury andr the laws of the State of California that the foregoing is t <br />n 123\ \c'-‘ <br />Da <br />Executed on <br />Executed on <br />Executed on <br />Executed on <br />Date <br />to <br />❑ate <br />Date <br />By <br />By <br />By <br />By <br />Signatu <br />herein and in the attached schedules is true and complete. I <br />le Officer of Sponsor <br />Signature of Controlling Offceholder 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 />
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