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460 Lock Dawson MYR (10-18-20 - 12-31-20)_R
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2/25/2021 5:20:16 PM
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Recipient Committee <br />Campaign Statement <br />Cover Page Statement covers period <br />from 10/18/2020 <br />through 12/31/2020 <br />/ 4 <br />7 <br />rRAE0BVPM_ <br />Date of Election if applicable JAN 2 5 2021 Page <br />(Month, Day, Year) <br />COVER PAGE <br />1 of 31 <br />For Official Use Only <br />City of Riyersld <br />City Clerk's Off <br />1. Type of Recipient Committee 2. Type of Statement <br />Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Pre-election Statement <br />0 State Candidate Election Committee Committee ® Semi -Annual Statement <br />0 Recall 0 Controlled ❑ Termination Statement <br />❑ General Purpose Committee 0 Sponsored ❑ Amendment <br />0 Sponsored <br />E]Primarily Formed Candidate/ <br />Small Contributor Committee <br />0 Officeholder Committee <br />0 Political Party/Central Committee <br />3. Committee Information I.D. Number 1420941 <br />COMMITTTEE NAME <br />Patricia Lock Dawson for Mayor 2020 <br />�. o�c cir uvuc nR�n �.w�irnvrvc <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) <br />CITY <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />STATE ZIP CODE <br />Treasurer(s) <br />NAME OF TREASURER <br />Richard Teaman <br />STREET ADDRESS <br />❑ Quarterly Statement <br />❑ Special Odd -Year Statement <br />❑ Supplemental Pre-election <br />Statement - Attach Form 495 <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS <br />CITY <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />STATE ZIP CODE AREA CODE/PHONE <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 ujner pe alty of perjury under the laws of the State of alifornia that th fore oin is true and correct. <br />Executed on t By <br />Executed on <br />Executed on <br />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 Calffornia/SI <br />
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