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Recipient Committee <br />Campaign Statement <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 1/1/2024 <br />through 1120/2024 <br />1. Type of Recipient Committee: All Committees — Complete Paris 1, 2, 3, and 4. <br />@{ Offlceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />0 State Candidate Election Committee Committee <br />0 Recall 0 Controlled <br />Ww Complete part 5) 0 Sponsored <br />(Also Complete Per! 6} <br />❑ General Purpose Committee <br />0 Sponsored ❑ Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee (Also Complete Ped 7) <br />3. Committee Information <br />I.D. NUMBER <br />1407581 <br />Re-elect Gaby Plascencia Riverside City Council Ward 5 - 2024 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREACODEIPHONE <br />Riverside CA - <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY STATE ZIP CODE AREACODEIPHONE <br />OPTIONAL: FAX I E-MAILADDRESS <br />COVER PAGE <br />Date Stamp CALIFORNIA I • <br />.- <br />Date of election if applicable: <br />AN 2 55 2024 Page / of -5— <br />(Month, <br />(Month, Day, Year) For Official Use Only <br />City of Riverside <br />Cky Clerk's Office <br />2. Type of Statement: <br />Q Preelection Statement ❑ Quarterly Statement <br />❑ Semi-annua€ Statement ❑ Special Odd Year Report <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Martha Trujillo <br />MAILING ADDRESS <br />CFfY STATE ZIP CODE AREACODEIPHONE <br />Riverside, CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREACODEIPHONE <br />OPTIONAL: FAX/E-MAELADDRESS <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 and in the attached schedules is true and complete. I <br />certify under penalty of <br />P jurynder the laws of the State of California that the fAiolm- <br />Executed on �' °� S � /6 qLlate r tint Treasurer <br />�rExecuted on -Date Proponent or Responsible Officer of Sponsor <br />Executed on By <br />Date Signature of Controll"sng Officeholder, Candidate, State Measure Proponent <br />Executed on By <br />Date Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016} <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />.uune, inn n 0nv <br />