Laserfiche WebLink
. 1 .1 <br />........ ....... a <br />Recipient Committee <br />Statement Typo [I Initial 0 Amendment <br />0 Not yet qualified <br />or <br />0 Date 4ualificatlon threshold met Date qualification threshold met <br />-4. <br />11.0. Number <br />(if applicable) <br />NAME OF COMMITTEE <br />br llekrLe, 6r Wo -4 7 210tl <br />WAIL ZRESS (F1 rOMBED) i FAX (OPTIONAL) <br />W;Wbw-� pea"( -Oz - <br />COUNTY OF DOMICILE JURISDICTION WHER9 COMMITTEE IS ACTIVE <br />< firars �& rk i�Ap- W0,4 -7 <br />penalty of perjury under the laws of th, <br />Executed on 12- lj�-ZMO( <br />DATE <br />Executed on ZOO( <br />DATE <br />121 1111111111 1111�111i 1111111111111111mro!�� <br />:j K ;::I I ;1, 11 ii iii ii i 111 <br />Termination — See Part 5 <br />Date of termination <br />liz 2-011 <br />DEC 0.6 2019 <br />Pity of Riverside <br />City Cleft Office <br />For Official Use only <br />NAM C OF ASSISTANT TREASURER, IF ANY <br />Q*i it Ayi PavLrLe- <br />CITY' <br />J �, I <br />-' 1) Ok V i <br />Executed on DATE BY SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on ay <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDNI-E, OR STATE M EASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice, advice@fppc.ca.gov (866/27S-3772) <br />www.fppc.ca.gov <br />