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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS ON REVERSE <br />COMMITTEE NAME 1 1,11, N1111111 <br />Rubio for Riverside City CouncilWard-3 <br />---- 1416175 <br />- All committees must list the financial institution where the campaign bank account is located. <br />—11 It t[NANLIA-11—TIQN <br />Pacific Premier Bank W6& 66iiii <br />ADDRESS CITY STATE ZIP CODE <br />Riverside Ca <br />- List * the name of each controlling officeholder, candidate, or state measure proponent, lfcandidate or officeholder controlled, also list the elective office sought or held, and <br />district number, if any, and the year of the election. <br />I <br />- List the political party with which each officeholder or candidate is affiliated or check "nonpardsan.' Stating "No party preference" is acceptable. <br />- Ifthis committee acts jointly with another controlled committee, list the name and Identification number of the other controlled committee. <br />ELECTIVE OFFICE SOUGHTOR HELD YEAR OF PARTY <br />NAME OF CANDIDAT8/QFFICEHOLDER/STATE MEASURE PROPONENT IINC LUDE DISTRICT NUMBER IF APPI ICARI F1 F1 FIT— <br />Primarily formed to support or oppose specific candidates or measures in a single election. Listbelow: <br />CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION <br />IFA RECALL, STATE 'RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME, HNC[tJnFnIqTRtrTNrI rITV--1A1TV-ADD—A1111 <br />SUPPORT <br />Nonpartisan <br />IPartisan <br />(list political party below) <br />Richard Rubio <br />City Council Ward 3 <br />2019 <br />F-/1 <br />I M <br />OPPOSE <br />Nonpartisan <br />Partisa <br />(list political party below) <br />0 <br />I E] <br />Primarily formed to support or oppose specific candidates or measures in a single election. Listbelow: <br />CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHTOR HELD OR MEASURE(S) JURISDICTION <br />IFA RECALL, STATE 'RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME, HNC[tJnFnIqTRtrTNrI rITV--1A1TV-ADD—A1111 <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />SUPPORT <br />ITT <br />OPPOSE <br />1:1 <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />