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410 Rossouw CC W7 (08-22-19) Termination_R
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Statement ofOrganization <br />Recipient Committee <br />INSTRUCTIONS nwREVERSE <br />Page 2 <br />COMMITTEE NAME I.D. NUMBER <br />MAARTIN ROSSOUW FOR RIVERSIDE CITY COUNCIL WARD 7 <br />~ All committees must list the financial institution where the campaign bank account is located. <br />NAME u"FINANCIAL INSTITUTION ^RE^omE/PHomc BANK ACCOUNT NUMBER <br />PACIFIC PREMIER BANK | - <br />. <br />� <br />ADDRESS CITY STATE ZIP CODE <br />List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and <br />district number, ifany, and the year ofthe election. <br />= List the political party with which each officeholder nrcandidate is affiliated orcheck "nonparUsan." <br />° Ifthis committee acts jointly with another controlled committee, list the name and identification number ofthe other controlled committee. <br />wMc�mwm�p�/oanmm��c�^m��ommc� (INCLUDE �m�om�m��o�� YEAR OF ELECTION PARTY <br />MAARTIN ROSSOUW <br />CITY COUNCIL. CITY OF RIVERSIDE <br />2019 <br />Nonparusan <br />(INCLUDE CHECK <br />ONE <br />E] Nonpartisan <br />Primarily formed to support moppose specific candidates mmeasures inasingle election. List below: <br />c^wommcmNAME upMmaonrmFULL TITLE (INCLUDE BALLOT NO, nxLETTER) mmm"ATc($OFFICE SOUGHT onHELD onwsmmnngJURISDICTION <br />DISTRICT wo,CITY oxCOUNTY, ^sAPPLICABLE) <br />(INCLUDE CHECK <br />ONE <br />SUPPORT <br />OPPOSE <br />SU R <br />Om <br />FppcForm 4om(oec/zOzz <br />FppcAdvice: advice @f ppo.ca.mm(8o6/o75-3n2) <br />
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