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Recipient Committee Date stamp COVER PAGE <br />Campaign Statement '_ ' '`' <br />Cover PageECEIVE <br />'' <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />S71: covers period jDate of election if applicable: <br />from <br />(Month, Day, Year) <br />through 06/30/2018 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />M< Officeholder, Candidate Controlled Committee <br />❑ Primarily Formed Ballot Measure <br />Q State Candidate Election Committee <br />Committee <br />Q Recall <br />O Controlled <br />(Also Complete Per? 5) <br />O Sponsored <br />❑ General Purpose Committee <br />(Also Complete Pert 6) <br />Q Sponsored <br />❑ Primarily Formed Candidate/ <br />O Small Contributor Committee <br />Officeholder Committee <br />Q Political Party/Central Committee <br />(/UsoComplete Part 7) <br />3. Committee Information <br />I.D. NUMBER <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Erin Edwards for City Council 2019 <br />CITY STATE ZIP CODE AREA CODEfPHONE <br />Sacramento IaA <br />MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX <br />2. Type of Statement: <br />❑ Preelection Statement <br />❑x Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />Page 1 of 9 <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE!PHONE <br />Sacramento CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODE!PHONE CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to [dherein and in the attached schedules is true and complete, I certify <br />under penalty of perjury under the laws of the State of California that the foregoing is t <br />Ex€cuted on By <br />D/gate asurer <br />Executed on J By <br />U'Date' _ nent or Responsible Officer of Sponsor <br />Executed on <br />Date <br />Executed on <br />Date <br /> <br />By <br />Signature of Cdrdmling Officeholder, Candidate, State Measure Proponent <br />By <br />Slgnature of Controlling ORceholder,Candidate. State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: (8661275-3772) <br /> <br />