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Recipient Committee <br />Campaign Statement <br />Cover Page <br />1. Type of Recipient Committee <br />Officeholder, Candidate Controlled Committee <br />0 State Candidate Election Committee <br />0 Recall <br />❑ GeneCal Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political PartylCentral Committee <br />3. Committee Information <br />COVER PAGE <br />Date Stamp s ' <br />Statement corers period Rate of Election if applicable AA''y page 1 of 22 <br />from 07/01/2022#N qp 292ForOfficialUseOnly <br />through 12/31/2022 (Month, Day, Year) 'City of Riverside <br />2. Type of Statement <br />❑ Primarily Formed Ballot Measure ❑ Pre-election Statement ❑ Quarterly Statement <br />Committee Semi -Annual Statement ❑ Special Odd Year Statement <br />0 Controlled ❑ Termination Statement ❑ Supplemental Pre-election <br />0 Sponsored ❑ Amendment Statement -Attach Form 495 <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />I.D. Number 1420941 <br />Treasurer(s) <br />COMMITTTEE ]NAME <br />Patricia Lock Dawson for Mayor 2024 <br />STREETADDRESS (NO PO BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) <br />CITY <br />STATE ZIP CODE <br />NAME OF TREASURER <br />Richard Teaman <br />STREET ADDRESS <br />CITY STATE ZIPGODE AREACODE/PHONE <br />Riverside CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS <br />CITY <br />STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS <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 certifyder pe Itty of perjury under the Iaws of the tate is true and correct. <br />Executed on17 L Lr 13y <br />rRER <br />Executed on -__-_ _ ! / -7,3 By <br />d NT OR RESPONSIBLE OFFICER OF SPONSOR <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 California/Sl <br />