Laserfiche WebLink
Recipient Committee COVERPAGE <br />Campaign Statement Date Stamp • ' . <br />Cover page <br />(Government Code Sections 84200-84216.5,, <br />SEE INSTRUCTIONS ON REVERSE <br />Statement nt covers period <br />from _ -_ �VLV <br />fhrough��.�)LlJ <br />1- Type of Recipient Committee: All COMMItts9e, - CorMPlete Parts 1, 2, 3, and 4. <br />® Officeholder, Candidate Controlled Committee <br />Q State Candidate Election Committee <br />!❑ Primarily Formed Ballot Measure <br />Q Recall <br />Committee <br />Q Controlled <br />(Also Compte€e p-5,1 <br />Q Sponsored <br />❑ General Purpose Committee <br />(14j-Camplefe Parr s) <br />Q Sponsored <br />❑ Primarily Formed Candidate/ <br />Q Small Contributor Committee <br />Officeholder Committee <br />Q Political Parrentral Committee <br />(Ats�CompleisPart 7) <br />3. Committee information [ I.D. NUMBER <br />1406OS2_ <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS (NO P.O. SOX) <br />CITY STATE ZIP CODE AREA CODF1PHCNE <br />Sacramento CA - <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREA CODEJPHONE <br />g, Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the hest <br />under penalty of perjury under the laws of the State of California that the foregoing is tru <br />Executed on12-9-1,20?-/ <br />Dam SY - <br />Executed on f <br />Date BY <br />Ge <br />Date of election if applicable: <br />(Month, Day, Year) <br />FcB 01 2021 <br />Page 1 Of ---7 <br />For Official Use Only <br />City of Riverside <br />City Clerk's Office <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />❑x Semi-annual Statement <br />❑ Special add -Year Report <br />❑ Termination Statement ❑ Supplemental Preelection <br />(Also file a Form 410 Termination) Statement -Attach Form 495 <br />❑ Amendment (Explain belovd) <br />Treasurer(s) — -- <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />STATE ZIP CODE AREA CODE/PHONE <br />Sacramento CP _ <br />NAME OF ASSISTANT TREASURER, IF ANY -- <br />Erin Edwards <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODEJPHONE <br />Riverside CA _ <br />OPTIONAL. FAX J E-MAIL ADDRESS <br />and in the attached schedules is true and complete. I certify <br />Executed on — <br />Date By <br />Signa'�treof CattrotirmO:Ycehotder, Candidate, Stale tdeasure Proponerd <br />Executed on By <br />Gate Sigrtaturea;ConfrWlirgQ�hader,Candiciafa,Stat=_�easureProponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: advice@fppc.ca:gov (86612753772) <br />tA+Lfflrt� Be$e, rQt1? www.fppc_ca.gov <br />