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Attach additional information on appropriately labeled continuation sheets. <br />I have used all reasonable diligence in pr( <br />penalty of perjury under the laws of the <br />Executed on 7) By <br />DAT <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />CITY <br />swumb-im WNIM WMAM <br />nformation contained <br />NTTREASURER <br />OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />STATE ZIP CODE AREA CODE/PHONE <br />herein is true and complete. I certify under <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (8661/275-3772) <br />www.fppc.ca.gov <br />1r.lvtu <br />OCT 11 2019 <br />Statement of Organization <br />City of Riverside <br />Date Stamp <br />CALIFORNIA',, <br />Recipient Committee <br />91 <br />CP Clef�'S Office RECEIVED AND Fla-�: <br />FOIVA 410� <br />Statement Typen <br />El initial <br />❑Amendment <br />Termination —See Part 5 <br />the office of the Secretary of <br />of the State of CaV ' <br />0219 <br />T <br />For Official Use Only <br />0 Not yet qualified_ <br />CT <br />P 2 6 2019 <br />0 Date qualification threshold met <br />Date qualification threshold met <br />Date of termination <br />g' <br />COUNTY <br />URAR Cn7 vi�)1-izin(S, <br />OF RIVERSIDE <br />&q 911*0�.KA21w, Of <br />e <br />gig <br />iyl� <br />3 I.D. Number <br />�T.te <br />VQ <br />(if applicable) <br />S. <br />PR ww <br />NAMIOFCOMMITTEE <br />NAME OF TREASURER <br />Qty{ q <br />STREET ADDRESS (NO P.O. BOX <br />ZIP CODE AREA CODE PHONE <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE <br />A <br />CITY STATE ZIP CODE AU"nnr1Pwn.F <br />NAME OF ASSISTANT TREASURER, IF ANY <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />STREET ADDRESS (NO RO. BOX) <br />ZIP CODE AREA CODE/PHONE <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />CITY STATE <br />PNTY OF DOMICILE <br />JURISDICTION WHERE COMMITTEE IS ACTIVE <br />NAME OF PRINCIPAL OFFICERS) <br />STREET ADDRESS (NO P.O. BOX) <br />Attach additional information on appropriately labeled continuation sheets. <br />I have used all reasonable diligence in pr( <br />penalty of perjury under the laws of the <br />Executed on 7) By <br />DAT <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />Executed on By <br />DATE <br />CITY <br />swumb-im WNIM WMAM <br />nformation contained <br />NTTREASURER <br />OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />STATE ZIP CODE AREA CODE/PHONE <br />herein is true and complete. I certify under <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (8661/275-3772) <br />www.fppc.ca.gov <br />