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Recipient Commiffee <br />Campaign Statement <br />CoverPage <br />(Government Code Sections E4200 -842M5) <br />S I <br />tatement covers period <br />from <br />SEE INSTRUCTIONS ON REVERSE <br />f through — 12/31/2019 <br />1. Type of Recipient Committee: All Committees -- Complete Pails 1, 2. 3. and 4. <br />Officeholder, Candidate Controlled Committee El <br />Primarily Formed Ballot Measure <br />0 State Candidate Election Committee <br />Committee <br />0 Recall <br />C) Controlled <br />(Also Complete Part,') <br />Cl Sponsored <br />(Also Complete Part 6) <br />❑ Genera! Purpose Committee <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 />4. <br />mrMIMMIMIN <br />Erin Edwards for City Council Ward 1 2019 <br />I.D. NUMBER <br />-406052 <br />CITY STATE ZIP CODE AREA CGDE/PHONE <br />Riverside CP. <br />MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Sacramento <br />CA <br />Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best <br />under penalty of perjury under the laws of the State of California that the foregoing is true ardc <br />Executed on vzi� -A By <br />Executed onBY <br />Date sit <br />City of Riverside - For Official Use Only <br />city Dwkis Office; <br />I . 2 'Type of Statement: <br />E] Preelection Statement E] Quarterly Statement <br />0 Semi-annual Statement F-1 Special Odd -Year Report <br />E] Termination Statement E] Supplemental Preelection <br />(Also file a Form 410 Termination) Statement - Attach Form 495 <br />'KAmendmentXplaain below <br />T-reasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODEIPHONE <br />Sacrariento <br />CIA <br />NZ—OF' AqS1STW!T TREASURER, IF ANY <br />lirin. Rdw,ard , s <br />KI, 717G —ADDRESS <br />CITY <br />STATE ZIP CODE AREA COIDEWHONE <br />Riverside <br />CA <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />Executed on <br />Date S*gna-AyeofCoairelfing Offiraholder, Candidate, S am Measure Proponent <br />Executed on By <br />Date SignaureofCojitrallitigOfficeholder, Candidate, State Measure Proporrent <br />true and complete. I certify <br />FPI-C Form 468 (Jan12016) <br />FPPG Advice: advlce0qfppc.ca.gov (8661275-3772) <br />VVWLV.j7etjFjj0.CoM www.fppc.ca.gov <br />