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Statement of Organization <br />Recipient Committee <br />Statement Type 0 Initial <br />Q Not yet qualified <br />or <br />Q Date qualification threshold met <br />1. Committee Information <br />❑ Amendment <br />Date qualification threshold met <br />WI Termination — See Part 5 <br />Date of termination <br />07 312019 <br />I.D. Number <br />(if applicable) <br />1416494 <br />NAME OF COMMITTEE <br />Maartin Rossouw for Riverside City Council Ward 7 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />RECE1VEC <br />JUL 31 2019 <br />City of Riverside <br />City Clerk's Office <br />CALIFORNIA 410 <br />FORM <br />For Official Use Only <br />2. Treasurer and Other Principal Officers <br />NAME OF TREASURER <br />Donnie Harris <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />Ca <br />STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br />Riverside CA <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />same <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />COUNTY OF DOMICILE <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S) <br />Attach additional information on appropriately labeled continuation sheets. <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />3. Verification <br />I have used all reasonable diligence in preparing <br />penalty of perjury under the laws of the State o <br />Executed on „/ a - <br />DATE - - - ER <br />.on contained herein is true and complete. I certify under <br />Executed o "� \ �W <br />DATE ANDIDATE, OR STATE MEASURE PROPONENT <br />Execu d on <br />DATE ANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />