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Recipient Committee Date Stamp A COVER . PAGE <br />0 <br />Campaign Statement RECEIVED OEM= <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />from <br />Statement covers period Date of election if applicable: <br />10-20-2019 1 (Month, Day, Year) <br />through <br />of Riverside <br />11-5-2019 11-5-2019 ONVIerks Off ice <br />1. Type of Recipient Committee: All Committees – 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 />(Also Complete Pan' 5) 0 Sponsored <br />(Also Complete Part 6) <br />F-l General Purpose Committee <br />0 Sponsored El Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political PartylCentral Committee (Also Complete Part 7) <br />3. Committee Information 1,13. NUMBER <br />1 1416289 <br />Dr. WIlliam Pearce for Ward � 2019 <br />STREET ADDRESS (NO RO, BOX) <br />CITY STATE ZIP COPE AREA CODE/PHONE <br />Riverside CA � <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX <br />CITY STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement a <br />certify under penalty of perjury under the laws of the State of California that the <br />Executed on 12-4-2019 <br />Date <br />Executed on 12-4-2019 <br />Date <br />Executed on <br />Date <br />Executed on <br />Date <br />2. Type of Statement: <br />Page —1 of — <br />For Official Use Only <br />El Preelection Statement El Quarterly Statement <br />El Semi-annual Statement El Special Odd -Year Report <br />Termination Statement <br />(Also file a Form 410 Termination) <br />Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Sandra Andersen <br />MAILING ADDRESS <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br />Riverside <br />CA <br />NAME OF ASSISTANT TREASURER, IFANY <br />William Pearce <br />MAILING ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODEIPHONE <br />Riverside <br />CA <br />OPTIONAL: FAX I E-MAIL ADDRESS <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />is is true and complete. <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />