Laserfiche WebLink
Recipient Committee <br />Campaign Statement <br />CoverPage <br />(Government Code Sections 84200-84216,5) <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />I -)Q I ) Ci <br />From <br />through C1 <br />1. Type of Recipient Committee- Pit cominittees – complete Parts 1, 2,3, and 4. <br />Officeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure <br />0 State Candidate Election Committee Committee <br />0 Recall 0 Controlled <br />(AJSQ Complete Part 5) 0 Sponsored <br />General Purpose Committee (Also Comptate Pad 6) <br />0 Sponsored Primarily Formed Candidate! <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee fAlsa Complete Patt 7) <br />3. Committee Information <br />OMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITT <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS (NO P.O� BOX) <br />NAME OF TREASURER <br />Shawnda Deane <br />CITY <br />STATE <br />ZIP CODE AREA GODEIPHONE <br />Riverside <br />CA <br />ZIP CODE AREA CODEIPHONE <br />__IllllL_ <br />MAILING ADDRESS (IF DIFFERENT) NO. AND TREET OR RO, BOX <br />a— <br />C I] <br />STATE <br />— <br />ZIP CODE' AREAGODE/PHONE <br />Saorandanto <br />C 'A <br />CITY <br />Riverside <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />ZIP CODE AREA CODE/PHONE <br />Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to <br />under penalty of perjury underthe laws of the State of California that the foregoing Is I <br />NN&KA100 <br />OCT 2 6 2019 <br />Date of election if applicable: <br />(Month, Day� Year) Page I of <br />MY of Riverside For Off-cial Use Only <br />11/05/2019 city clerks Office <br />__J_� __L_ <br />2. Type of Statement: <br />F_XJ Preelection Statement El Quarterly Statement <br />E] Semi-annual Statement F1 Special Odd -Year Report <br />Termination Statement r_1 Supplemental Preelection <br />(Also file a Form 410 Termination) Statement -Attach Form 495 <br />Amendment (Explain below) <br />TreaSUrer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />CITY <br />Sa=amento <br />STATE <br />CA <br />ZIP CODE AREA CODEIPHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Rdwards <br />MAILING ADDRESS <br />CITY <br />Riverside <br />STATE <br />CA <br />ZIP CODE AREA CODE/PHONE <br />OPTIONAL; FAX / E. -MAIL ADDRESS <br />Executed on <br />Date <br />Executed on <br />Dat a <br />www.neffile.com <br />By SignatureofCantruilingOMce,�older, Candidate, State MeasurePraidonent <br />By <br />Signature of Controffing Officeholder, Candidate, State Measure Prot:'onent FPPC Forrn 460 (Jan/2016) <br />FPPC Advice: adv1ce@4ppcca.gov (866/275-3772) <br />www.fppc.ca.gov <br />