460 Rubio CC W3 (05-19-19 - 06-30-19) Amendment_R

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Recipient Committee Date StampCOVER PAGE Campaign Statement ' ' '_ 1 Cover Page ' SEE INSTRUCTIONS ON REVERSE Statement covers period from ✓�' through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) �Oriiceholder marily Formed Candidate/ Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 'P,&,",, t,, o I.D. NUMBER i art to i -7 T STATE ZIP CODE AREA CnnF/PHnNF MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement certify under penalty of perjury under the laws of the State of California that the Executed on 1 / Date Executed on ql Ao lbt q Date Executed on Date Executed on Date Date of election if applicable: (Month, Day, Year) 6 - tl l SEP 2 0 2019 City of Riverside City Clerk`s Office 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) -.-r T ..I - _ -- Treasurer(s) NAME OF TREASURER CAI NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS Page __�_ of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report XF CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAILADDRESS ;s is true and complete. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)