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Recipient Committee <br />Campaign Statement <br />Cover Page <br />1. Type of Recipient Committee <br />Officeholder, Candidate Controlled Committee <br />0 State Candidate Election Committee <br />0 Recall <br />General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br />3. Committee Information <br />Statement covers period <br />from 01/19/2020 <br />through 02/15/2020 <br />F] Primarily Formed Ballot Measure <br />Committee <br />0 Controlled <br />0 Sponsored <br />F1 Primarily Formed Candidatel <br />Officeholder Committee <br />COMMITTTEE NAME <br />Patricia Lock Dawson for Mayor 2020 <br />STREET ADDRESS (NO PO <br />Riverside <br />CITY <br />I.D. Number 1420941 <br />61AIL ZIP GOUL AREA <br />CA <br />STATE ZIP CODE <br />Postmarked 02-20-2020 <br />STREET ADDRESS <br />CITY STATE ZIP CODE AREACODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and <br />complete. I certify under enalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />ill <br />Executed on By <br />Executed on By <br />✓01014A I U rMUrUiNtN I OR RESPONSIBLE OFFICER OF SPONSOR <br />Executed on By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />Executed on By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) <br />State of Californialsl <br />COVER PAGE <br />RECEIVE <br />MAR 0 9 2020 <br />QtY of Rhierside <br />CitClerk's Office <br />age I of 42 <br />Date of Election if applicable <br />03/03/2020 <br />For Official Use Only <br />(Month, Day, Year) <br />2. Type of Statement <br />0 Pre-election Statement E] Quarterly Statement <br />E] Semi -Annual Statement F1 Special Odd -Year Statement <br />E] Termination Statement E] Supplemental Pre-election <br />n Amendment Statement - Attach Form 495 <br />Treasurer(s) <br />NAME OF TREASURER <br />Richard Teainan <br />STREET ADDRESS <br />CITY STATE ZIP CODE AREACODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein is true and <br />complete. I certify under enalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />ill <br />Executed on By <br />Executed on By <br />✓01014A I U rMUrUiNtN I OR RESPONSIBLE OFFICER OF SPONSOR <br />Executed on By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT <br />Executed on By <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) <br />State of Californialsl <br />