460 Gardner (07-01-19 - 09-21-19)_R

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TOT, 1117 ff Cover Page 1. Type ®f Recipient Committee Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 11��Mrfl Statement covers period from 07/01/2019 through 09/21/2019 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored E] Primarily Formed Candidate/ Officeholder Committee I.D. Number 1256312 COMMITTTEE NAME Mike Gardner for City Council Ward 1 2019 STREET ADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE Date of Election if applicable SEP 220 3 19 Page I of 8 11/05/2019 City of Riverside Cit_v'Clerk's Office For Official Use Only (Month, Day, Year) 2. Type of Statement Pre-election Statement r—1 Quarterly Statement Semi -Annual Statement E] Special Odd -Year Statement E] Termination Statement E] Supplemental Pre-election n Amendment Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Mike Gardner STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing an g this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under t the State of California that the foregoing is true and correct. Executed on Z3 /I q By I t SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on q/z31 By OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By SIGNATURE OF CONT ROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN12016) State of California/81