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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 />iStatement covers period <br />from 01/01/2019 <br />through 04/20/2019 <br />1. Type of Recipient Committee: Ail Committees – Complete Parts 1, 2, 3, and 4. <br />❑x Officeholder, Candidate Controlled Committee <br />❑ State. Candidate Electior Committee <br />n Recall <br />(Ars° Complete Par: 5) <br />❑ General Purpose Committee <br />❑ Sponsorec <br />❑ Small Contributor Committee <br />O Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />o Controlled <br />❑ Sponsored <br />(Also Onet& Part S) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />I rso Corr/plats Parr 7) <br />Date of election if applicable: <br />(Month. Day. Year) <br />06/04/2019 <br />Date Stamp <br />ECEIVED <br />MAY 242019 <br />City of Riverside <br />City Clerk's Office <br />COVER PAGE <br />CALIFORNIA 1 <br />FORM <br />o <br />Page <br />1 <br />of 37_ <br />=ar Of tial Use Only <br />2. Type of Statement: <br />[] Preelection Statement <br />❑ Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />21 Amendment (Explain below) <br />0?d k --,e am-yencxAm?acj-e y S(,\-\ • E 56-1-F <br />❑ Quarterly Sta-ement <br />❑ Special Odd -Year Report <br />❑ Supplementa Preelection <br />Statement - Attach Form 495 <br />3. Committee Information <br />I.D. NUMBER <br />1406052 <br />COMMITTEE NAME ,OR CANDIDA'E'S NAME IF NO COMMITTEE) <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS :NO P.D. BOX) <br />CITY <br />Sacrament <br />STATE <br />CA <br />ZIP CODE AREA COTE/PHONE <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY <br />STATE <br />ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />tMEN <br />Treasurer (s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />CITY <br />Sacramento <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Edwards <br />STATE ZIP CODE <br />CA <br />AREA CODE/PHONE <br />MAILING ADDRESS <br />CITY <br />Riverside <br />STATE <br />CA <br />Z!P CODE <br />OPTIONAL: FAX + E-MAIL ADDRESS <br />AREA CODE/PHONE <br />4. Verification <br />1 have used all reasonable diligence in preparing and reviewing this statement and to th <br />under penatl y of perjury under the laws of the :13tate of California that the foregoing is tru <br />ExecL1ed on 1 `C 1 9 <br />ExecLted on v <br />ExeCL ted on <br />ExecL•ted on <br />3 <br />Date <br />Date <br />..Hans nn In nnm <br />By — <br />By <br />By <br />By <br />herein ard in the attached schedules is true and complete. I certify <br />t Treasurer <br />Proponent or Responsible Officer or Spc alar <br />Signature of Controlling Officehelder. Candidate, State Measure Proponent <br />Signature of Controlling Oflicehorder, Candidate, State Measure Proponent <br />FPPC Fonn 460 (Jan/2016) <br />FPPC Advice: (8661275-3772) <br /> <br />