460 Soubirous (07-01-19 - 12-30-19)_R

Home

Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee Officeholder, candidate controlled committee 0 State Candidate Election Committee 0 Recall F] General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information Statement covers period from 07/01/2019 through 12/30/2019 F] Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored F] Primarily Formed Candidate/ Officeholder Committee I.D. Number COMMITTTEE NAME Re -Elect Mike Soubirous to City Council 2019 COVERPAGE Date Stamp CALIFORNIA ^0 FORM Date of Election if applicable Eutl VNED I Page 1 of 4 JAN 0 6 2020 1 For Official Use Only (Month, Day, Year) 9� of Riverside 14411 2. Type of Statement - El Pre-election Statement F1 Quarterly Statement n Semi -Annual Statement F] Special Odd -Year Statement Termination Statement n Supplemental Pre-election Amendment Statement - Attach Form 495 1355581 Treasurer(s) NAME OF TREASURER Dana Hopkins, CPA STREETADDRESS CITY STATE ZIP CODE AREA CODEIPHONE Corona CA MAILING ADDRESS (IF DIFFEREN-0 CITY STATE ZIP CODE CITY STATE ZIP CODE AREA CODE/PR_0_NE Riverside CA NAME OF ASSISTANT TREASURER, IF ANY STREET ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparin to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury un ia that the foregoing is true and correct. i/t, -4 Executed on By TURE OF Executed on By 111111111II11111111ir TREASURER OR ASSISTANT TREASURER Executed on Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) State of California/Sl