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410 Plascencia CC W5 (12-02-20)_R
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2/25/2021 5:53:54 PM
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Statement of an <br />Orgization tom, 7 � <br />r 01 4 Date Stamp <br />Recipient Committee` - -nu F. � 4 <br />eCE <br />Statement TypeInAmendment <br />Initial ® ' <br />Ternnination — See Part 5 _ r. For official Use Only <br />Q Not yet qual€�ed <br />or DEt ti 212� <br />O Date qualiffeetion threshold met date qualificaCion threshold met Date Of termination <br />,1—/, 11 2018Qe <br />• l �;. lel Mber 1407581 .. o <br />/f`a P1ica6fe <br />NAME OF COMMITTEE <br />NAME OF TREASURER <br />Re-elect Gaby Plascencia fG." Riverside City Cotmeil Ward 5 - 2024 Martha TrtijiIlo <br />STREET ADDRESS (NO P.O. BOX) <br />STREET -K1:55 trio P.O. Boxi <br />CITY .STATE ZIPCOD€ AREACODE/P <br />Riverside CA — <br />CITY STATE ZIP CODE AREA CODE/P}iDNE <br />NAME OF ASSMANTTREASURER, IF ANY <br />Riverside CA , <br />FULL MAI LING ADDRESS (IF DIFFERENT) STREET ADDRESS {NO RO. BOx) <br />&MAI€ ADDRESS (REQU IRED) / FAX (OPTIONAL) CITY <br />STATE ZIP CODE AREA COOE/P: <br />IWILI. N-.ERECOMMITTEE ISACTIVE NAME OF PRINCIPALOFMFZ%S} <br />Riverside Riverside <br />STREET ADDRESS (NO P.O. BOX} <br />Attach additional information on appropriately labeled conifnuatfon sheets. "T` STATE ZiP CODE AREA <br />ulllg- -t� Ili preparing this Statement and to the best of my knowledge the information contained herein is true and complete. I certify under <br />penalty of perjury under the laws Of the State of Califo ue and correct. <br />Executed on '1�✓� B <br />DATE Y <br />URE OF TREASURER OR ASSISTANT TREASURER <br />Executed OR �'�r 1 '�"' �� � <br />� <br />GATE <br />ONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on Sy <br />DATE SIGNATURE OF CONTROLLING OFFICENO€DER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on BY <br />DATE <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2018) <br />FPPC Advice: advice f c.ca. ou (855/275-3772) <br />XMn .fnpc-Ca.go <br />
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