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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />COVER PAGE <br />Statement covers period <br />from 01/01/2019 <br />through 04/20/2019 <br />Date of election if applicable: <br />(Month, Day, Year) <br />06/04/2019 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />O Officeholder, Candidate Controlled Committee <br />Q State Candidate Election Committee <br />Q Recall <br />(Also Complete Part 5) <br />❑ General Purpose Committee <br />Q Sponsored <br />Q Small Contributor Committee <br />Q Political Party/Central Committee <br />NIMININSINUM <br />3. Committee Information <br />❑ Primarily Formed Ballot Measure <br />Committee <br />Q Controlled <br />Q Sponsored <br />(Also Complete Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part7) <br />Date Stamp <br />ECEIVED <br />APR 2 9. 2019 <br />City of Riverside <br />City Clerk's Office <br />2. Type of Statement: <br />0 Preelection Statement <br />❑ Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />❑ Amendment (Explain below) <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />I.D. NUMBER <br />1406052 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Erin Edwards for City Council Ward 1 2019 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />STATE <br />ZIP CODE AREA CODE/PHONE <br />Sacramento CA <br />MAILING ADDRESS OF DIFFERENT) NO. AND STREET O . . <br />CITY STATE <br />ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />OINNINIUNINIIMMOMMINOMIMUMINIMMIN <br />Treasurer(s) <br />INIMMINIMINIMINMSONI <br />NAME OF TREASURER <br />S1hawnda Deane <br />MAILING ADDRESS <br />CITY <br />Sacramento <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />STATE ZIP CODE <br />CA <br />AREA CODE/PHONE <br />CITY <br />Riverside <br />STATE ZIP CODE <br />CA <br />AREA CODE/PHONE <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best <br />under penalty of perjury under the laws of the State of California that the foregoing <br />OH /25 <br />0 I <br />Date <br />Executed on <br />Executed on <br />Executed on <br />Executed on <br />Date <br />2.5 1 9. <br />Date <br />�ananei nn4fi/o rank ant, <br />/ E-MAIL ADDRESS <br />n contained herein and in the attached schedules is true and complete. 1 certify <br />By <br />By <br />By <br />s <br />t Treasurer <br />e, State Measure Proponent or Responsible Officer of Sponsor <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: (866/275-3772) <br /> <br />