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Recipient Committee <br />Campaign Statement <br />Cover Page <br />Statement covers period <br />from <br />05/19/2019 <br />through 06/30/2019 <br />Date of Election if applicable <br />1. Type of Recipient Committee <br />II Officeholder, Candidate Controlled Committee <br />O 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 />O Sponsored <br />Primarily Formed Candidate/ <br />Officeholder Committee <br />t ►(vev Q.(( <br />COVER PAGE <br />JUL 31 2019 <br />City of Riverside <br />City Clerk's Office <br />2. Type of Statement <br />❑ Pre-election Statement <br />• Semi -Annual Statement <br />❑ Termination Statement <br />❑ Amendment <br />(Month, Day, Year) <br />Page <br />1 of 17 <br />For Official Use Only <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 />1407130 <br />COMMITTTEE NAME <br />Sean Mill for Riverside City Council Ward 5 - 2019 <br />STREET ADDRESS (NO PO BOX) <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />MAILING ADDRESS (IF DIFFERENT) <br />CITY STATE ZIP CODE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this st <br />complete. I certifyrunder penalty of perjury under the laws of the Stat <br />Executed on —1130 12-614:k By <br />Executed on/SVICt <br />Executed on <br />Executed on <br />By <br />By <br />By <br />Treasurer(s) <br />NAME OF TREASURER <br />Dana Hopkins, CPA <br />STREET ADDRESS <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />�rmation contained herein is true and <br />ect. <br />URE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR <br />IDATE, STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />FPPC Form 460 -(JAN/2016) <br />State of California/SI <br />