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Recipient Committee <br />Campaign Statement <br />Cover Page <br />1. Type of Recipient Committee <br />Officeholder, Candidate Controlled Committee <br />0 State Candidate Election Committee <br />0 Recall <br />F] General Purpose Committee <br />Statement covers period <br />from 10/20/2019 <br />through 12/18/2019 <br />Primarily Formed Ballot Measure <br />Committee <br />0 Controlled <br />0 Sponsored <br />0 Sponsored F] Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee <br />3. Committee Information <br />I.D. Number 1256312 <br />COMMITTTEE NAME <br />Mike Gardner for City Council Ward 1 2019 <br />STREET ADDRESS (NO PO BOX) <br />CITY STATE ZIP CODE AREA CODE-/-P-HONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) <br />CITY <br />STATE ZIP CODE <br />COVERPAGE <br />Date Stamp . GAL11F0R1_11�_ft,,'1 <br />FORM <br />E C E I V" E <br />Date of Election if applicable Page 1 of 7 <br />DEC 2 0 Z019 For Official Use Or <br />(Month, Day, Year) <br />EMU =-# <br />2. Type of Statement <br />El Pre-election Statement <br />Semi -Annual Statement <br />Termination Statement <br />F1 Amendment <br />Treasurer(s) <br />NAME OF TREASURER <br />Mike Gardner <br />F1 Quarterly Statement <br />Special Odd -Year Statement <br />Supplemental Pre-election <br />Statement - Attach Forrn 495 <br />STREET ADDRESS <br />CITY STATE ZIPCODE AREACODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL 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 is true and <br />complete. I certify under penalty of perjury under the laws of the State of Cali at the foregoing is ti ue and correct. <br />Executed on By OF TREASURER OR ASSISTANT TREASURER <br />Executed on By 1Z1r_'K1AT1 lPr Or r0h1TPn1 I IKI(-' r)!FP(111(� 11111111r IT�T. U��11 ffl� 11111�1111_-IIT IP PrI.11111M F 1)F1111P 11F 111111111? <br />Executed on By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />Executed on By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) <br />State of California/Sl <br />