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Recipient Committee Date <br />COVER PAGE <br />Campaign Statement <br />Cover Page ti <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers perioct <br />from 7/1/2020 <br />through 12/31/2020 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee <br />O State Candidate Election Committee <br />O Recall <br />(Also Complete Part 5) <br />❑ General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />O Political Party/Central Committee <br />3. Committee Information <br />4. <br />❑ Primarily Formed Ballot Measure <br />Committee <br />O Controlled <br />O Sponsored <br />(Also Complete Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />I.D. NUMBER <br />1407581 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Re-elect Gaby Plascencia for Riverside City Council Ward 5- 2024 <br />STREETADDRESS (NO P.O. BOX) <br />NAME OF TREASURER <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />Riverside <br />CA - <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. SOX <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br />STATE ZIP CODE AREACODE/PHONE <br />Riverside <br />OPTIONAL: FAX/E-MAIL ADDRESS <br />Date of election if applicable: <br />(Month, Day, Year) <br />City of Riverside <br />City Clerk's Office <br />2. Type of Statement: <br />❑ Preelection Statement <br />® Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Page ` of <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />Treasurer(s) <br />NAME OF TREASURER <br />Martha Trujillo <br />MAILING ADDRESS <br />CITY <br />STATE ZIP CODE AREACODE/PHONE <br />Riverside <br />CA _ <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX/ E-MAIL ADDRESS <br />Verification <br />1 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 of perjury under the laws of the State of California that the forecoino istrue and correct. <br />Executed on, 2— Z —2Date <br />� o ` / BY urer <br />Executed on <br />Date <br />Executed on <br />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 (Jan/2016)) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />