460 Avery CC W3 (05-19-19 - 06-30-19)_R

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Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee 1 Officeholder, Candidate Controlled Committee State Candidate Election Committee Q Recall ❑ General Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee Statement covers period from 05/19/2019 through 06/30/2019 Primarily Formed Ballot Measure Committee Controlled Sponsored Primarily Formed Candidate/ Officeholder Committee Date of Election if applicable (Month, Day, Year) Date Stamp ECEIVE JUL 3 0 2019 City of Riverside City Clerk's nffi( 2. Type of Statement ❑ Pre-election Statement Semi -Annual Statement ❑ Termination Statement ❑ Amendment COVER PAGE CALIFORNIA 460 FORM Page 1 of 11 For Oficial Use Only ❑ Quarterly Statement ❑ Special Odd -Year Statement ❑ Supplemental Pre-election Statement - Attach Form 495 3. Committee Information I.D. Number 1416490 COMMITTTEE NAME Warren Avery For Riverside City council Ward 3 2019 STREET ADDRESS (NO PO BOX) CITY Riverside STATE ZIP CODE AREA CODE/PHONE CA MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Susan Leivas—Struner 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 r complete. I certify under penalty of perjury under the -�q Executed on Executed on Executed on Executed on 7. 2- • l By By By the infonnation contained herein is true and d correct. T TREASURER SURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR ATE, STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONEALTpC Forrn 460-(JAN/2016) State of Califomia/SI