460 Jalani Bakari Darryl Martin W3 (01-01-19 - 04-20-19) Amendment_R

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Recipient Committee Campaign Statement Cover Page Statement covers period 01/01/2019 from through 04/20/2019 Date of Election if applicable 06/04/2019 !tSor th, Day, Year 1 RECEIVE JUN 4 4 2019 COVER PAGE '.LIFORNIA 460 FORM V Page 1 of City of Riverside City Clerk's Office For Official use Only 1_ Type of Recipient Committee ▪ Officeholder, Candidate Controlled Committee C) State Candidate Election Committee 0 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.D. Number 1416488 COMM]TTTEE NAME Jalan_ Bakari For Riverside City Council Ward 3 2019 STREET ADDRESS (NO PO BOX) cITy Ri.er._deCA STATE MAILING ADDRESS (]F DIFFERENT) ZIP CODE AREA CODE/PHONE CITY STATE ZIP CORE OPTIONAL: FAX I E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Susan Leive -Sturner STREET ADDRESS CITY Riverside STATE ZIP CODE AREA CODE/PHONE CA NAME OF ASSISTANT TREASURER. IF 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 reviexvinq this statement and to the best.of mv knowledge the information contained herein is true and complete. I certify under penalty of perjury under correct. Executed on I.D —73 — 1 By Executed on 6 - 3 ^' By Executed on By Executed on By TREASURER RE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR jLt J JM I UI<t L7r LV1V 1 YLULL7110 Urriucrsu VtIC. LAI1L,1VF{ FE. STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONULT- ri-C Fpm 460[JAN12Q16] State of California/SI