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Recipient Committee <br />Campaign Statement <br />CoverPage <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from I)q ha lae lei— <br />through .1d'v-q- 12o,l*tel <br />I <br />Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />EX] Officeholder, Candidate Controfied Committee El Primarily Formed Ballot Measure <br />0 State Candidate Election Committee Committee <br />0 Recall 0 Controlled <br />(A[-Co-p1et&Part5) 0 Sponsored <br />(A 1- C-Wlara PaA6) <br />E] General Purpose Committee <br />0 Sponsored Primarily Formed Candidate/ <br />0 Small Contributor Committee Ofteholder Committee <br />0 Political Party/Central Committee (W_ Complete pelt 7) <br />3. Committee Information I I.D. NUMBER <br />*MMrrTEE NAME (OR CANDIDATE'S NAME IF NO COMMITI <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Riverside <br />CA <br />MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Sacramento <br />CA, <br />OPTIONAL-. FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and <br />under penalty of perjury under the laws of the State of Galifomia that the foregoing <br />Executed on <br />Date <br />Executed on <br />Dais <br />Executed on <br />Date <br />Date Stamp <br />EftE'F%E <br />M U <br />Date of election If applicable: <br />(Month, Day, Year) I JAN 3 011 <br />Page 1 of <br />For Official Use Only <br />City of Riverside <br />c) City Clerk's offi <br />2. Type of Statement: <br />FAI Preelection Statement ❑ Quarterly Statement <br />F1 Semi-annual Statement Special Odd -Year Report <br />F-1 Termination Statement Supplemental Preelection <br />(Also file a Form 410 Termination} Statement -Attach Form 495 <br />Amendment (Explain below) <br />MMA -e c.-ivyvy)riixAA \n <br />Treasurer(s) <br />NAME OF TREASURER <br />Sbawnda Deane <br />MAILING ADDRESS <br />CITY <br />Sacramento <br />STATE ZIP CODE AREA CODEfPHONE <br />CA <br />NAME OF Assis'FAKT—tREASURER, IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />OPTIONAL: FAX I E-MAIL ADDRESS <br />contained herein and in the attached schedules Is true and complete. I certify <br />Executed on Date By SignatureofControlling Officehotdier, Candidate, State Measure Propone.1t FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@_fppcca,gov (866/275-3772) <br />WVWW. I neffile.com www.fppc.ca.gov <br />