410 Jalani Bakari Darryl Martin W3 (07-05-19) Termination_R

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RECEIVED Statement of Organization JUL 0 5 2019 Recipient Committee Statement Type ❑ Initial 0 Not yet qualified or Q Date qualification threshold met 1. Committee Information 0 Amendment Date qualification threshold met Ter of Riverside elerkg ff Date of termination 06 20 2019 I.D. Number (if applicable) 1416488 NAME OF COMMITTEE Jalani Bakari For riverside City council Ward 3 2019 STREET ADDRESS (NO P.O. BOX) CITY Date Stamp RECEIVED AND Fly in the office of the Secretary of eaf the •hats cif OaIlfrtrr)l ce JUN 27 2019 For Official Use Only 2019JU#3I 1lO:5 REGISTRAR OF VOTEF COUNTY OF RIVERSID 2. Treasurer and Other Principal Officers NAME OF TREASURER Susan Leivas-Sturner STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Riverside CA FULL MAILING ADDRESS (IF DIFFERENT) E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) COUNTY OF DOMICILE STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3. Verification I have used all reasonable diligence in pre.arins this statemeand to the best of m k .wl . - . - '.. cation contained herein is true and complete. I certify under penalty of perjury under the laws of the Executed ons t C1 DATE ,,.URER By Executed on 06, ry Zo DATE By Executed on By DATE Executed on By DATE E MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 7 L.