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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS owREVERSE <br />COMMITTEE NAME <br />" <br />All committees must list the financial institution where the campaign bank account is located <br />NAME OFFINANCIAL INSTITUTION <br />Provident 6"im <br />° <br />ADDRESS CITY STATE ZIP CODE <br />Page <br />To. NUMBER <br />List the name ofeach controlling officeholder, candidate, orstate measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and <br />district number, if any, and the year of the election. <br />~ List the political party with which each officehcJdercxoandidatebaffi|iatednrcheck"nonpartisan." Stating "No party preference" is acceptable. <br />° Ifthis committee acts jointly with another controlled committee, list the name and identification number ofthe other controlled committee. <br />ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY <br />NAME npCAmo/oxrwopncc*vmexenxr MEASURE PROPONENT (INCLUDE DISTRICT NUMBER /pAPPLICABLE) ,ncnnw CHECK ONE <br />Primarily Formed Committee I Primarily formed to support or oppose specific candidates or measures in a single election. List below: <br />mmmoATs$NAME nnwomungsFULL TITLE (INCLUDE BALLOT NO. nxLEncm CANDIDATE(S) OFFICE SOUGHT oxHELD nnMEASURE(S) JURISDICTION <br />.'^._... ~~-~~~~..^."=""","='"^°==.,"""."""`"^=, (INCLUDE DISTRICT NO- CITY onCOUNTY, ^sAPPLICABLE) <br />CHECK ONE <br />Nonpartisan <br />Partisan <br />(list political party below) <br />Mike Gardner <br />Riverside City Council Ward 1 <br />2019 <br />M <br />1:1 <br />Nonpartisan <br />Partisan <br />(list political party below) <br />Primarily Formed Committee I Primarily formed to support or oppose specific candidates or measures in a single election. List below: <br />mmmoATs$NAME nnwomungsFULL TITLE (INCLUDE BALLOT NO. nxLEncm CANDIDATE(S) OFFICE SOUGHT oxHELD nnMEASURE(S) JURISDICTION <br />.'^._... ~~-~~~~..^."=""","='"^°==.,"""."""`"^=, (INCLUDE DISTRICT NO- CITY onCOUNTY, ^sAPPLICABLE) <br />CHECK ONE <br />FPPC Form 4m(August/208) <br />pppC Advice: adwm@fppcca.gm(866/u75-3772) <br />SUPPORT <br />FPPC Form 4m(August/208) <br />pppC Advice: adwm@fppcca.gm(866/u75-3772) <br />