Laserfiche WebLink
Redpientcom I-niftee Date Stamp COVERPAGE <br />Campaign Statement <br />CoverPage FIECE1 <br />(Government Code Sections 84200-84216.5) am <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 01/01/2020 <br />through 01/18/2020 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2,3, and 4. <br />Officeholder, Candidate Controlled Committee <br />Primarily Formed Ballot Measure <br />0 State Candidate Election Committee <br />Committee <br />0 Recall <br />0 Controlled <br />(Also Complete Part 5) <br />0 Sponsored <br />By <br />(Also Complete Pad 6) <br />F� General Purpose Committee <br />Executed on <br />0 Sponsored <br />Primarily Formed Candidate/ <br />0 Small Contributor Committee <br />Officeholder Committee <br />0 Political Party/Central Committee <br />(Also Complete Part 7) <br />3. Committee Information <br />I.E. UMBER <br />1421003 <br />COMMITTEE NAME (OR CANDIDATE�S NAME IF NO COMMITTEE) <br />Andy Melendrez for Mayor 2020 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O, BOX <br />NIA <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX i E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of <br />under penalty of perjury under the laws of the State of California that the foregoing is true and a <br />Executed on <br />01/23/2020 BV <br />Date <br />Executed on <br />01/23/2020 By <br />Date <br />Executed on <br />By <br />Date <br />Executed on <br />By <br />Date <br />www.neffile.coni <br />Date of electior if applicable: <br />(Month, Day, Year) <br />03/03/2020 <br />2. Type of Statement: <br />Preelection Statement <br />Semi-annual Statement <br />Termination Statement <br />(Also file a Form 410 Termination) <br />Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Andy Melendrez <br />MAILING ADDRESS <br />Page 1 of 8 <br />For Official Use Only <br />F-1 Quarterly Statement <br />Special Odd -Year Report <br />Supplemental Preelection <br />Statement -Attach Form 495 <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />and in the attached schedules is true and complete. I ceqifi <br />Stale Measure Proponent FPPC Form 460 OaW20%) <br />FPPC Advice: advice@fppc.ca.gov (8661275-3772) <br />mirw.fppc.ca.gov <br />