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Statement of Organization <br />Recipient Committee <br />Statement Type <br />❑ Initial © Amendment <br />O Not yet qualified <br />or 06 28 207.8 <br />0 Date qualified as committee /- <br />Date tlualified as committee <br />kitIVN <br />OCT ©52018 <br />City of Riverside <br />City Cli nic's Office R:CE VED AND F <br />❑ Termination --See Part 5 in he office of the Secretary,' <br />of the State of CaliforJJ <br />Date Stamp <br />Date of termination <br />1. Committee information I.D.INumber <br />(ifapplicable) 1406052 <br />72. Treasurer and Other Principal Officers <br />1RNIA'`! <br />M <br />For Official Use Only <br />8 : <br />5 <br />l'� 10c <br />Sip 2 5 2018 R [ <br />f <br />NAME OF COMMITTEE <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS (NO (.0. BOX) <br />CITY STATE <br />Sacramento <br />CA <br />ZIP CODE <br />AREA CODE/PHONE <br />MAILING ADDRESS (IF DIFFERENT) <br />E-MAIL ADDRESS (REQUIRED) / FAX (OPTIONAL) <br />COUNTY Of DOMICILE <br />Sacramento County <br />JUP:ISDICTION WHERE COMMITTEE IS ACTIVE <br />City of Riversi4.s <br />Attach additional information on appropriately labeled continuation sheets. <br />3� Vericat1 n <br />I have used all reasonable diligence in preparin <br />penalty of perjury under ttie flaws of the State o <br />Executed on c/ /2 1 F By <br />Executed on !/ <br />Executed on <br />Executed on <br />TE <br />DATE <br />By <br />DATE By <br />DATE <br />By <br />NAME OF TREASURER <br />Slewnda Deane <br />STRE ET ADDRESS (N0 P.O. BOX) <br />CITY <br />Sa:ramento <br />NAME OF ASSISTANT TEEASSURER,tIf" ANY <br />Erin Edwards <br />S -ATE <br />CA <br />ZIP CODE <br />AREA CODE/PHONE <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />Riverside <br />vommews wwwwwww .. <br />NAME: OF PRINCIPAL OFFICER(S) <br />S -ATE <br />CA <br />ZIP CODE <br />AREA CODE/PHO IE <br />STRE ET ADDRESS (00 P. 0. BOX) <br />CITY <br />STATE ZIP CODE <br />AREA CODE/PHONE: <br />nowledge the information contained herein is true and complete. I certify under <br />d correct. <br />.ITREASI. RER OR ASSISTANT TREASURER <br />ICEHOIL' ER, CANDIDATE, OR STATE MM EASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLIiER, CANDIDATE, OR STATE M EASURE PROPONENT <br />SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />FPF'C Form 410 (February/2018) <br />FPPC Advice: (866/275-3772) <br /> <br />