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Statement of Organization <br />Recipient Committee <br />INSTRUCTIONS ON REVERSE <br />COMMITTEE NAME <br />Mnnrnw Mabon SOX Riverside City Council 2021 <br />• All committees must list the fiin@ncial institution where the campaign bank account is located. <br />NAME OF FINANUALINSTITUTION <br />ral;fnrnia Bank & Trust <br />ADDRESS <br />SANK ACCOUNT NUM SEK <br />L17Y STATE ZIP CODE <br />Los Angeles CA <br />NUMBER <br />1428458 <br />• List the name of each controlling officeholder, candidate, or state measure proponent. if candidate or officeholder controlled, also list the elective office sought or held, and <br />district number, if any, and the year of the election. <br />• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan" Stating "No parry preference" is acceptable. <br />• if this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. <br />ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY <br />NAME OF CANDIDATE/OFFECEHOLDER/STATE MEASURE PROPONENT(INCLUDE DISTMCT NUMBER IF APPLICABLE) ELECTION CHECKONE <br />City Council Member Riverside District 4 Nonpartisan Partisan (€ist politica€ party <br />2021 X <br />monrow Mabon <br />Noneartisan Partisan [list political party <br />FormedPrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below: <br />CANDI DATES) OFFICE SOUGHT OR HELD OR MEASURE($) JURISDICTION <br />CANDIDATES) NAME OR MEASURE€S) FULL TITLE [INCLUDE BALLOT NO. LETTER) (INCLUDE DISTRICT NO., OR COUNTY, ASAPPLICA6LE) cxECKONE <br />IF A RECALL. STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. SUPPORT I OPPQSE <br />OPPOSE <br />FPPC Form 410 (Augustf 241$) <br />FPPC Advice: advice@fppc.ca.gov (865/275-3772) <br />www.fppc.ca.gov <br />