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Recipient Committee <br />Campaign Statement <br />Cover Page <br />from <br />Statement covers period pate of election if appli, <br />1/21/2024 (Month, Day, Year) <br />SEE INSTRUCTIONS ON REVERSE <br />through 2/17/2024 <br />1. Type of Recipient Committee. All Committees— Complete Parts 1, 2, 3, and 4. <br />0 Officeholder, Candidate Controlled Committee ❑ <br />Primarily Formed Ballot Measure <br />0 State Candidate Election Committee <br />Committee <br />0 Recall <br />0 Controlled <br />(Also Complete Pan 51 <br />O Sponsored <br />{Also Complete Part 6) <br />❑ General Purpose Committee <br />O Sponsored ❑ <br />Primarily Formed Candidate/ <br />O Small Contributor Committee <br />Officeholder Committee <br />0 Political Party/Central Committee <br />(Also Complete Part 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 AREA CODE/PHONE <br />Riverside CA _ <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOX <br />CITY STATE ZIP CODE AREACODEIPHONE <br />OPTIONAL: FAX I E-MAILADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my <br />certify under penalty of p�jury rider the laws of the State of California that the foregoing is <br />Executed on L_ Z ` B <br />Date <br />Executed on 5— -2'4.� ? B <br />Date o on <br />Executed on <br />Date <br />Executed on <br />Date <br />Date Stamp <br />�5, <br />Mg <br />FEB 22 2024 <br />COVER PAGE <br />Page f of <br />For Official Use Only <br />3/5/2024 ity o f 'llya •S de <br />tV fc'newk5 on, <br />Ca <br />A <br />2. Type of Statement, <br />® Preelection Statement ❑ Quarterly Statement <br />❑ Semi-annual 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 />CITY 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-NAILADDRESS <br />herein and in the attached schedules is true and complete. <br />By <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/201+6) <br />FPPC Advice: advice@fppc.ce.gov (866/275-3772) <br />uY fnnr r onu <br />