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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 02/16/2020 <br />through 06/30/2020 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />Fx� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />Q State Candidate Election Committee Committee <br />Q Recall 0 Controlled <br />(Also Complete Part 5) 0 Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <br />Q Sponsored ❑ Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />Q Political Party/Central Committee (Also Complete Part 7) <br />3. Committee Information I 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 <br />N/A <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to <br />under penalty of perjury under the laws of the State of California that the foregoing is t <br />COVER PAGE <br />Date Stamp <br />.. , <br />E E <br />Date of election if applicable: <br />(Month, Day, Year) JUL 3 1 2020 Page 1 of 54 <br />For Official Use Only <br />11/03/2020 CK of Riverside <br />Cid,' Clerk's Office <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />❑x 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 />Treasurer(s) <br />NAME OF TREASURER <br />Andy Melendrez <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Url IUNAL: FAX/ E-MAIL ADDRESS <br />ned herein and in the attached schedules is true and complete. I certify <br />Executed on <br />07/31/2020 <br />By <br />Date <br />rer or Assistant Treasurer <br />Executed on <br />07/31/2020 <br />By <br />y <br />ate Measure Proponent or Responsible Officer of Sponsor <br />Executed on <br />By <br />Date <br />er, Candidate, State Measure Proponent <br />Executed on <br />By <br />Date <br />er, Canddate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />- <br />www.fppc.ca.gov <br />