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Recipient Committee COVER PAGE <br />Date Starnip <br />, CALIFORNIA <br />Campaign Statement 0% row FORM 460 <br />Cover Page FIEUtIVED I I !, <br />Statement covers period Date of election if applicable- Page __L_ of <br />from 9/22/2019 (Month, Day, Year) OCT 2 3 2019 For Official Use Only <br />SEE INSTRUCTIONS ON REVERSE 10/19/2019 11/5/2019 ftY Of Riverside <br />through ItY Cler,"'Lls; offt,. <br />fi, <br />1. Type of Recipient Committee: All Committees —Complete Parts 1, 2,3, and 4. 2. Type of Statement: <br />W Officeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure 10 Preelection statement E71 Quarterly Statement <br />0 State Candidate Election Committee Committee El Semi-annual Statement El Special Odd -Year Report <br />0 Recall 0 Controlled F-1 Termination statement <br />(Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) <br />EJ General Purpose Committee (Mo complete Part 6) El Amendment (Explain below) <br />0 Sponsored F-1 Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee (AJso Complete part 7) <br />3. Committee Information I,D. NUMBER Treasurer(s) <br />1 1407581 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br />Gaby Plascencia Riverside City Council Ward 5, 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREACODE/PHONE <br />Martha Trujillo <br />MAILINGADDRESS <br />MAILINGADDRESS <br />CITY STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX E-MA[L ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I <br />certify under penalty of perjury under the taws of the State of California that the foregoing is true and correct. <br />!i <br />Executed on ochk �'/ D,t By ;t Treasurer <br />Ist., <br />J6/ Executed on By <br />Date ne ProDonent or Resnonsible Officer of Soonsor <br />Executed on <br />Date <br />Executed on <br />Date <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />