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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTfONS ON REVERSE <br />Statement covers period <br />from <br />04/21/2019 <br />through 05/19/2019 <br />1. Type of Recipient Committee: Atl Committees --Complete Parts 1, 2, 3, and 4. <br />❑x Officeholder, Candidate Control;ed 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 />❑ <br />Political Party/Central Committee <br />❑ Primarily Formed Ballot ?Measure <br />Committee <br />Q Controlled <br />0 Sponsored <br />Olsa Compere. Parts) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Alan Cou plea Pert?). <br />Date of election if applicable: <br />(Month, Day, Year) <br />06/04/2019 <br />Rase Stafne <br />RECEIV E <br />MAY 2 4 2019 <br />City of Riverside <br />City Clerk's Office <br />2. Type of Statement: <br />Di Preelection Statement <br />❑ Semi-annual Statement <br />❑ Termination Statement <br />(Also file a Form 410 Termination) <br />o Amendment (Explain below) <br />CALIFORN /� 6 n <br />FORM "'1' V <br />❑ Quarterly Statement <br />❑ Special Odd -Yew Report <br />D Supplemental Preelection <br />Statement - Attach Form 495 <br />3. Committee Information <br />E.D. NUMBER <br />1406052 <br />COMMIT -EE NAME (OR CANDIDATE'S NAME 'F NO COMMITTEE) <br />Erin 2dward.8 for City Council Ward 1 2010 <br />STREET ADDRESS (NO P.O. BOX) <br />CITY <br />Riverside <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY <br />Sacramento <br />STATE ZIP CODE AREA CCDEIPHONE <br />CA <br />OPTIONAL: FAX 1 E-MAIL ADDRESS <br />4. Verification <br />have used all reasonable diligence •n preparing and reviewing this statement and to t <br />under penalty of perjury under the laws of the State of California that the foregoing is tr <br />Executed on 05 )23 12 0 <br />n <br />Executed On 05 f2 2 0 1 1 <br />Daze <br />Executed on <br />Date <br />Executed on <br /> <br />By <br />By <br />By <br />By <br />Treasurer(s) <br />NAME OFiREASURER <br />Shawnda Deane <br />MALING ADDRESS <br />CITY <br />Sacramento <br />STATE ZIP CODE <br />CA <br />AREA CODE/PHONE <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />CITY <br />Riverside <br />STATE ZIP CODE <br />AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />n and in the attached schedules is true and complete. I certify <br />Basi rex <br />or,ent or Responelble DTfceraf Sponsor <br />SignatureorContrdfing Officeholder, Candidate, Stade Measure Proponent <br />Signature ofCoremMng Otrrcenulder. Canth ale, State Measure, Proponent <br />FPPC Form 460 (Jan/2016) <br />FPPC Advice: (8651275-37r2) <br /> <br />