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Recipient Committee <br />COVER PAGE <br />Campaign Statement <br />Date StaTP—M <br />CALIFORNIA <br />460 <br />Cover Page <br />FORM <br />"i'E I VE <br />Page of <br />Statement covers period <br />Date of election if applicaba M. <br />0�1 <br />5/19/2019 <br />(Month, Day, Year) <br />For Official Use Only <br />from <br />JAN 3 0 2o2o <br />SEE INSTRUCTIONS ON REVERSE <br />through 6/30/2019 <br />11/5/2019 Lity of Rh/erside. <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2,3, and 4. <br />2. Type of Statempril Uly UlefK'S ofte <br />W Officeholder, Candidate Controlled Committee <br />E71 Primarily Formed Ballot Measure <br />M Preelection Statement El <br />Quarterly Statement <br />0 State Candidate Election Committee <br />Committee <br />El Semi-annual Statement El <br />Special Odd -Year Report <br />0 Recall <br />0 Controlled <br />El Termination Statement <br />(Also Complete Part 5) <br />0 Sponsored <br />(Also file a Form 410 Termination) <br />El General Purpose Committee <br />(Also Complete Part 6) <br />Amendment (Explain below) <br />0 Sponsored <br />El Primarily Formed Candidate/ <br />To add Schedule B Part 1 <br />0 Small Contributor Committee <br />Officeholder Committee <br />0 Political PartylCentral Committee <br />(Rso Complete Part 7) <br />3. Committee Information I.D NUMBER <br />1 1,407581 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Gaby Plascencla Riverside City Council Ward 5, 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREACODE/PHONE <br />Riverside CA �� <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX/ E-MAILADDRESS <br />Treasurer(s) <br />NAME OF TREASURER <br />Martha Trujillo <br />MAILINGADDRESS <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILINGADDRESS <br />CITY STATE ZIP CODE AREA COOE/PHONE <br />OPTIONAL: FAX I E-MAIL ADDRESS <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. <br />certify under penalty of perjury u er the laws of the State of California that the foregoing is true and correct. <br />I I 1� <br />Executed on, � / � T-'.19, B <br />il I Date surer <br />Executed on 0 z41P'2_a B <br />Date ant or ResDonsible officer Of Sponsor <br />Executed on <br />Date <br />Executed on <br />Date <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />