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Recipient Committee <br />Campaign Statement <br />Cover Page <br />RECEIVE <br />Statement covers period <br />from <br />04/21/2019 <br />through 05/18/2019 <br />Date of Election if applicable <br />06/04/2019 <br />{Month, Day, Year) <br />1. Type of Recipient Committee <br />1 Officeholder, Candidate Controlled Committee <br />o State Candidate Election Committee <br />Recall <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 />Sponsored <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />MAY 24 2019 <br />City of Riverside <br />City CIP-rk's ice <br />2. Type of Statement <br />▪ Pre-election Statement <br />❑ Semi -Annual Statement <br />❑ Termination Statement <br />❑ Amendment <br />COVER PAGE <br />CALIFORNIA w 60 <br />FORM �}�]�J <br />Pace 1 f 12 <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Statement <br />❑ Supplemental Pre-election <br />Statement - Attach Form 495 <br />3. Committee information <br />I.D. Number <br />1416488 <br />COMMITTTEE NAME <br />Jalani Ba:cari For Riverside City Council Ward 3 2019 <br />STREET ADDRESS (NO PO BOX) <br />CITY <br />Riverside <br />Treasurer(s) <br />NAME OF TREASURER <br />Susan Leivas—SturriGr <br />STREET ADDRESS <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br />CA <br />MAILING ADDRESS (IF DIFFERENT) <br />crry <br />STATE ZIP CODE <br />OPTIONAL: FAX 1 E-MAIL ADDRESS <br />STREET ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <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 herein is true and <br />complete. I certify under penalty of perjury uncleregoing is true and correct. <br />[- SURER OR ASSISTANT TREASURER <br />7'.Z3 -f9 By <br />MATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR <br />By <br />Executed on <br />Executed on <br />Executed on <br />Executed on <br />-a3-lG} <br />By <br />By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONE iC Form 460-[JANf2076] <br />State of California/SI <br />