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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 1/1/2020 <br />through 6/30/2020 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee <br />❑ Primarily Formed Ballot Measure <br />O State Candidate Election Committee <br />Committee <br />O RecallQ <br />Controlled <br />(Also Complete Part 5) <br />V Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <br />10 Sponsored <br />❑ Primarily Formed Candidate/ <br />O Small Contributor Committee <br />Officeholder Committee <br />O Political Party/Central Committee <br />(Also Complete Part 7) <br />3. Committee Information <br />I.D. NUMBER <br />1407581 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Gaby Plascencia Riverside City Council Ward 5 -2019 <br />STREETADDRESS (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 />CITY STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX/E-MAIL ADDRESS <br />Date of election if applicable: <br />(Month, Day, Year) <br />Date Stamp <br />,F <br />VDIV"r' 020 <br />" :_:- <br />COVER PAGE <br />Page / of <br />For Official Use Only <br />11/3/2019 !iy� '` 6: `sem Office <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />® Semi-annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Martha E. Trujillo <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CA 92504 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: 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 and in the attached schedules is true and complete. I <br />certify under penalty ofperjury under the laws of the State of California that the foregoin is true and o ect. <br />Executed on /?-0 <br />Date ssistant Treasurer <br />Executed ont��� B <br />Date IN ure o on ng ce o er, an i a e, a easure Proponent or Responsible Officer of Sponsor <br />Executed on Date <br />Executed on <br />Date <br />By <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (1an/2016)) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />