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-Recipient -C-0 <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 05/19/2019 <br />through 06/30/2019 <br />COVER PAGE <br />Date of election if applicable: <br />(Month, Day, Year) <br />JUL 31 2019 <br />City of Riverside <br />City Clerk's Office <br />Page <br />1 <br />of _ <br />For Official Use Only <br />1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. <br />0 Officeholder, Candidate Controlled Committee <br />0 State Candidate Election Committee <br />Q Recall <br />(Also Complete Pad 5) <br />❑ General Purpose Committee <br />O Sponsored <br />Q Small Contributor Committee <br />0 Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />Q Controlled <br />Q Sponsored <br />(Also Complete Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />2. Type of Statement: <br />❑ Preelection Statement <br />O Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />3. Committee Information <br />I.D. NUMBER <br />1406052 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />Riverside <br />STATE <br />CA <br />ZIP CODE AREA CODE/PHONE <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY <br />Sacramento <br />STATE <br />CA <br />ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to <br />under penalty of perjury under the laws of the State of California that the foregoing is ti <br />Executed on 07/30/2019 <br />Date <br />Executed on <br />Executed on <br />Executed on <br />Date <br />07/30/2019 <br />Date <br />Date <br /> <br />By <br />By <br />By <br />By <br />Treasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />CITY <br />Sacramento <br />STATE ZIP CODE <br />CA <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />CITY <br />Riverside <br />STATE ZIP CODE <br />CA <br />AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />and in the attached schedules is true and complete. I certify <br />urer <br />nt 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 />FPPC Advice: (866/275-3772) <br /> <br />