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Rec1pie nt C oirilEi€�eF.. e l Date StampCOVER PAGE <br />_. _ ®E <br />Campaign Statement I � 0' ® e I <br />Gauer Page __�ECEIVEI <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 01/19/2020 <br />through 02/15/2020 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />❑x Officeholder, Candidate Controlled Committee <br />❑ Primarily Formed Ballot Measure <br />Q State Candidate Election Committee <br />Committee <br />O Recall <br />Q Controlled <br />(Also Complete Part 5) <br />O Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <br />Q Sponsored <br />❑ Primarily Formed Candidate/ <br />Q Small Contributor Committee <br />Officeholder Committee <br />Q Political Party/Central Committee <br />(Also Complete Part 7) <br />3. Committee Infor e' d ation� <br />I.D. NUMBER <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 CODE/PHONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />N/A <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />innorehab@aol.com <br />4. Verification <br />i have used all reasonable diligence in preparing and reviewing this stat <br />under penalty of perjury under the laws of the State of California that the <br />Executed on 02/20/2020 <br />Date <br />Executed on 02/20/2020 <br />Date <br />Executed on <br />Date <br />Executed on <br />Date <br />arra_ <br />W if9a i.`w'. (F�a9 pR�.6-iddiN <br />Date of election if applicable: a F,SB%'Page 1 of 20 <br />(Month, Day, Year) tf I <br />For Official Use Only <br />City of Riverside <br />03/03/2020 - City Cleck's Once <br />2. Type of Statement: <br />Preelection Statement ❑ Quarterly Statement <br />❑ Semi-annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement ❑ Supplemental Preelection <br />(Also file a Form 410 Termination) Statement -Attach Form 495 <br />❑ Amendment (Explain below) <br />NAME OF TREASURER <br />Andy Melendrez <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CP_ <br />NAME OF.ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />in the attached schedules is true and complete. I certify <br />_ _._ FPPC Form 460 (.ianf20i6) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />