410 Lock Dawson MYR (03-04-22)_R

Home

Statement of Organization Recipient Committee Statement Type ❑ initial ® Amendment ❑ Termination - See Part Q Not yet qualified or Date qualification threshold met Date qualification threshold met 08 -1 27 2019 I.D. Number pp mon r ' � (if licahleJ 1420941 Tom '�; �_ �' a NAME OF COMMITTEE Patricia Lock Dawson for Mayor 2424 STREET ADDRESS [NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA _ FULL MAILING ADDRESS OF DIFFERENT) E-MAIL AD DRESS (RMu I RED) / FAX (OPTIONAL) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Riverside City of Riverside Attach additfonol information on appropriately labeled continuation sheets. I have used all reasonable diligence in preparing this statement and penalty of perjury !! under the laws of the State of California that the Executed on 1 2- ZD2-Z By q oaTE 1 L0�;y Z Executed on l 2'gy DATE. Executed on DATE Executed on DATE, to Date of termination Date Stamp *.'EIVED AND FEE O'mce tai tin ser-retarj tai of the 5t -:a of ClWiF JAN 3 1 202'1? I 0 _. � .411 ,j " 25 AN T a :Y 0 4 2022 s` '_ef Riverside NAME OF TREASURER Richard A. Teaman STREET ADDRESS (NO P.O. BOX} CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA NAME OF ASSISTANT TREASU REE(, IF ANY .Javier Carrillo STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE - AREA CODE/PHONE Riverside CA NAME OF PRINCIPAL OFFICER(S) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREACODE(PHONE of my knowledge the i `----- -- -1 -- --- -- on contained herein is true and complete. I certify under By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT - FPPC Form 410 (August/2018) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov