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Recipient COMMIttee, COVER PAGE <br />Campaign Statement Date Stamp <br />ph'* 1 E CEDE E I I'VE <br />(Government Code Sections 84200-84216.5) — of election I im <br />CoVer Page <br />Statement covers period Date tion if applicable:Lr)k <br />from ___ELizz2L1_ (Month, Day, Year) SEP 2 6 2019 Page -i of _.DA2S_ <br />For Official Use Only <br />SEE INSTRUCTIONS ON REVERSE through .. Si9/21/211_9 11/05/2019 City of Riverside <br />— City ClefWs Office <br />1, Type of Recipient Committee: mi committees Complete Parts 1, 2, 3, and 2. Type of Statement: <br />Ox Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Ox Preelection Statement <br />• State Candidate Election Committee Committee El Quarterly statement <br />• Recall 0 Controlled El Semi-annual Statement F,� Special Odd -Year Report <br />(Aiso Compiete Part -5) 0 Sponsored Termination Statement Supplemental Preelection <br />(Also file a Form 410 Termination) Statement -Attach Form 496 <br />El General Purpose Committee Amendment (Explain below) <br />0 Sponsored E] Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Parly/Central Committee (Also Complete Part7) <br />3. Committee Informationwt <br />Erin Edwards for City- Council Ward 1 2019 <br />STREETADDRESS NO RO, BOX <br />CITY <br />STATE ZIP CODE AREA <br />Riverside <br />CA <br />MAILING ADDRESS (IF DIFFEREFT) NO. AND STREET OR P.O. BOX <br />CITY --m <br />- -_ — <br />STATE ZIP CODE AREA CODEIPHONE <br />saoranento <br />CA <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the <br />under penalty of perjury under the laws of the State of Califomia that the foregoing Is true <br />Executed on __ 09/25/2019 <br />Date <br />Executed on 09/25/2019 <br />Date <br />Executed on <br />Date <br />Executed on <br />Date <br />www.netrile.com <br />E <br />Treasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Sacramento <br />NAME OF ASSISTANT TREASURER, IF AN f <br />Erin vdwarde <br />MAILING ADDRESS <br />zi <br />Riverside CA <br />and in the attached schedules is true and complete. I certify <br />By <br />SignOUPS Of ContrOlting Officeholder, Candidate, State Measure Proponen—t FPPC Form 460 (Jan/2016) <br />FPPC Advice: advfce@fppc.ca,qov (866/275-3772) <br />www.fppc.ca.gov <br />