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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216 5) <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 04/21/2019 <br />through 05/19/2019 <br />1. Type of Recipient Committee: Ail Committees —Complete Parts t, 2, 3, and 4. <br />❑x Officeholder, Candidate Controfed Committee <br />Q State Candidate Election Committee <br />Q Recall <br />(Also Complete Pan 5) <br />❑ General Purpose Committee <br />Q Sponsored <br />Q Small Contributor Committee <br />Q Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />Q Controlled <br />0 Sponsored <br />(Also Complete Parts) <br />Primarily Formed Candidate/ <br />Officeholder Cornmittee <br />(.4rsti Complete Part ? <br />Date of election if applicable: <br />(Month, Day, Year) <br />06/04/2019 <br />COVER PAGE <br />MAY 2 4 2019 <br />City of Riverside <br />City Clerk's Office <br />2. Type of Statement: <br />O Preelection Statement <br />❑ Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />❑ Quarterly Statement <br />10 Special Oed-Year Report <br />D Supplemental Preelection <br />Statement - Attach Form 495 <br />3. Committee Information <br />I.U. NUMBER <br />1406052 <br />COMMITTEE NAME (OR CANDIDATE'S NAME F NO COMMITTEE) <br />Erin Edwards for City Council t)ard 1 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />3890 Orange Street, 4575 <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside <br />CA 92502 {916)285-5733 <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />1787 Tribu_e Road, Suite K <br />CITY <br />Sacramento <br />STATE ZIP CODE <br />CA 95815 <br />AREA CODE/PHONE <br />OPTIONAL: FAX 1 E-MAIL ADDRESS <br />(916)333-1344 / Eiwards2015€deaneandcorapany.can <br />Treasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAL_ING ADDRESS <br />1787 Tribute Road, Suite K <br />CITY <br />Sacramento <br />STATE ZIP CODE <br />CA 95815 <br />AREA CODErPHONE <br />(516)285-5733 <br />NAME OF ASSISTANT TREASURER. IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />3124 Lime Street <br />CITY <br />Riverside <br />STATE ZIP CODE <br />CA 92501 <br />AREA CODE/PHONE <br />815)793-4957 <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />have used all reasonable diligence -n preparing and reviewing this statement and to the bes . my nnowled <br />under penalty of perjury u nder the laws of the State of California that the foregoing is tris a • culled. <br />Executed on 05 123 120 1 1 <br />nptl <br />Executed on 05 .3 I 2 0 1 c <br />Dale <br />By <br />By <br />Executed on By <br />Deas <br />Signa <br />e tom_ nfarmation contained here n and in the altached schedules is true and complete. I certify <br />gnature of Treasurer orAs:>isfanr Treasurer <br />of Con ing Ofkahoider, Candidate, State Meavire Proponent or Responsible Offioeror Sponsor <br />Sgnateeof Controlling OFkaholoer, Candidate, Stale Measure Proponent <br />Executed on By <br />Date Signature °TCnraroilinsg Ofrrcenulder, Candidale, State Measure Proponent <br />www.fi'ettlie. coin <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advicelafppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />