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Recipient Committee <br />Campaign Statement <br />Cover Page Statement covers period <br />from 01/01/2021 <br />through 05/30/2021 <br />1. Type of Recipient Committee <br />Officeholder, Candidate Controlled Committee ❑ <br />0 State Candidate Election Committee <br />0 Recall <br />❑ General Purpose Committee <br />0 Sponsored F10 Small Contributor Committee <br />0 Political Party/Central Committee <br />3. Committee Information <br />COMMIMEE NAME <br />Patricia Lock Dawson for Mayor 2020 <br />Primarily Formed Ballot Measure <br />Committee <br />0 Controlled <br />0 Sponsored <br />Primarily Formed Candidate/ <br />Officeholder Committee <br />I.D. Number 1420941 <br />Date of Election if applicable <br />R���TVE <br />AUG 0.2 2021, <br />(Month, Day, Year) City of Riverside <br />C#F'/ CI8ri4'S OfftCE <br />COVER PAGE <br />Page 1 of 44 <br />For Official Use Only <br />2. Type of Statement <br />❑ Pre-election Statement ❑ Quarterly Statement <br />Semi -Annual Statement [] Special Odd -Year Statement <br />❑ Termination Statement ❑ Supplemental Pre-election <br />❑ Amendment Statement - Attach Form 495 <br />Treasurer(s) <br />NAME OF TREASURER <br />Richard Teaman <br />STREETADDRESS <br />STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODEIPHONE <br />Riverside CA <br />CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS <br />CITY <br />/ E-MAIL ADDRESS <br />STATE ZIP CODE <br />CITY <br />OPTIONAL: FAX 1 E-MAIL ADDRESS <br />STATE ZIP CODE AREA CODEIPHONE <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 a der malty of perjury under the laws of the State of California that e fore oin is true and correct. <br />Executed on By <br />Executed on �� By <br />' If_`AiBTI IGF f1G (`lIAITR(ll I IAfl: f1FFif C I iIFR !'6i.IflEC18TF CT6-fF ldFGCI IRF PRf1Pf1AIGIJT f1R RFCP1lAI.CII]I F f1FFlf'FR f1F CPf7AICf1R <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 />Stats of CallfornialSI <br />