Laserfiche WebLink
Statement of Organization <br />Recipient Committee <br />Statement Type El Initial n Amendment <br />0 Not yet qualified <br />or <br />0 Date qualification threshold met Date qualification threshold met <br />I.D. Number <br />W' 20�� <br />(if cpplicable) 1256312 <br />NAME OF COMMITTEE <br />Mike Gardner for City Council Ward 1 2019 <br />STREET ADDRESS (NO P-0. BOXI <br />CITY STATE ZIP COD E AREA CODE/PHONE <br />Riverside CA <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />0 Termination — See Part <br />Date of termination <br />12 18 19 <br />. I <br />NAME OF TREASURER <br />Mike Gardner <br />Date Stamp <br />CALIFORNIJ <br />ECEIVED 1) <br />FORM <br />theofficeoftheSOcreta fStrte <br />. ."official <br />of the State M C'111-643'34 <br />ANI I I :F5 a <br />COL <br />R 1 VEIR S I D E <br />aw-M <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREACODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO RO� BOX) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE <br />COUNTY OF DOMICILE 1URISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S) <br />Riverside City of Riverside <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Attach additional information on appropriately labeled continuation sheets. <br />I have used all reasonable diligence in preparing this statement and to <br />penalty of perjury under the laws of the State of California that the for <br />Executed on 12/18119 By <br />DATE <br />Executed on 12/18/19 By <br />DATE SIGNATU <br />Executed on By <br />DATE <br />Executed on <br />DATE <br />By <br />( knowledge the information contained herein is true and complete. I certify <br />and correct. <br />OF TREASURER OR ASSISTANT TREASURER <br />OR STATE MEASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />I <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (August/2018) <br />FPPC Advice: adVice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />