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Recipient Committee <br />Campaign Statement <br />Cover Page <br />COVER PAGE <br />Statement covers period <br />05/19/2019 <br />from <br />through 06/30/2019 <br />Date of Election if applicable <br />(Month, Day, Year) <br />JUL 2 5 2019 <br />City of Riverside <br />City Clerk's Office <br />Page 1 of 13 <br />For Official Use Only <br />1. Type of Recipient Committee <br />▪ Officeholder, Candidate Controlled Committee <br />• State Candidate Election Committee <br />O Recall <br />❑ General Purpose Committee <br />O Sponsored <br />O Small Contributor Committee <br />O Political Party/Central Committee <br />Primarily Formed Ballot Measure <br />Committee <br />O Controlled <br />• Sponsored <br />Primarily Formed Candidate/ <br />Officeholder Committee <br />2. Type of Statement <br />❑ Pre-election Statement <br />Semi -Annual Statement <br />❑ Termination Statement <br />❑ Amendment <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 />1256312 <br />COMMITTTEE NAME <br />Mike Gardner for City Council Ward 1 2019 <br />STREET ADDRESS (NO PO BOX <br />CITY <br />Riverside <br />Treasurer(s) <br />NAME OF TREASURER <br />Marc Troast <br />STREET ADDRESS <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />STATE E NAME OF ASSISTANT TREASURER, IF ANY <br />CA <br />MAILING ADDRESS (IF DIFFERENT) <br />CITY <br />STATE ZIP CODE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />( )- <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 under the L -oregoing is true and correct. <br />Executed on By <br />Executed on <br />Executed on <br />Executed on <br />By <br />By <br />By <br />URER OR ASSISTANT TREASURER <br />STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />FPPC Form 460 -(JAN/2016) <br />State of California/SI <br />