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Cover Page <br />Statement covers period <br />from 10/20/2019 <br />through 12/31/2019 <br />1. Type of Recipient Committee <br />Officeholder, Candidate Controlled Committee <br />F-1 Primarily Formed Ballot Measure <br />0 State Candidate Election Committee <br />Committee <br />0 Recall <br />Controlled <br />General Purpose Committee <br />Sponsored <br />Sponsored <br />Primarily Formed Candidate/ <br />Small Contributor Committee <br />Officeholder Committee <br />Political Party/Central Committee <br />3. Committee Information I.D. Number 1416492 <br />1 — <br />COMMITTTEE NAME <br />Steven Hemenway For Riverside City Council Ward 7 2019 <br />STREET ADDR <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Riverside CA <br />CITY <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing t1lis statement <br />complete. I certify under penalty of perjury under the laws of the State of Cal <br />Executed on I By <br />Executed on //-3/ ho 11-C1- By <br />Date Stamp <br />Date of Election if applicallaIRECEIVE Page 1 of 13 <br />For Official Use Only <br />JAN 3 12020 Far offii"I Use only <br />(Month, Day, Year) --I- <br />- - - Clews othce <br />2. Type of Statement Ci <br />F -i Pre-election StatemMn F] Quarterly Statement <br />Semi -Annual Statement Fj Special Odd -Year Statement <br />Termination Statement n Supplemental Pre-election <br />Amendment Statement - Attach Form 495 <br />H�� <br />NAME OF TREASURER <br />Susan Leivas-Sturner <br />STREETADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />P <br />Uverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />CITY <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />herein is true and <br />Executed on By - SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />R OF SPONSOR <br />Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONWJFC Form 460 -(JAN/2016) <br />State of California/Sl <br />