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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 />Statement covers period <br />from 04/21/2019 <br />through 05/18/2019 <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 />• 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 />Small Contributor Committee <br />Q Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />Q Controlled <br />0 Sponsored <br />(Also Complere Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />Date Stamp <br />ECEIVED <br />JUL 3 0 2019 <br />City of Riverside <br />ICL_Qffice <br />2. Type of Statement: <br />E] Preelection Statement <br />❑ Semi-annual Statement <br />O Termination Statement <br />(Also file a Form 410 Termination) <br />Page <br />1 <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Repori! <br />❑ Supplemental Preelection <br />Statement - Attach Form 495 <br />] Amendment (Explain below) <br />09Ola ,6t an\ry)a)(-1,,\ c P- <br />3. Committee Information <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 ZIP CODE AREA CODE/PHONE <br />Riverside CA <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br />CITY <br />Sacramento <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />4. Verification <br />have used all reasonable diligence in preparing and reviewing this statement and <br />under penalty of perjury under the laws of the State of California that the foregoing i <br />Executed on 01 V2_0(7_0 ` <br />77 Date <br />Executed on I -!L \ - 1 <br />Date <br />Executed on <br />Executed on <br /> <br />Date <br />Date <br />Treasurer(s) <br />NAME OF TREASURER <br />Shawnda Deane <br />MAILING ADDRESS <br />CITY <br />Sacramento <br />STATE ZIP CODE AREA CODE/PHONE <br />CA <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Erin Edwards <br />MAILING ADDRESS <br />CITY <br />Riverside <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />STATE ZIP CODE AREA CODE/PHONE <br />r -A <br />11111M11=1•••• .1.01.1111•11•11•101•111•••••111111MMMIMEMM. <br />ere in and in the attached schedules is true and complete. I certify <br />lTreasurer <br />By <br />By <br />oponent or Responsible Officerof 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 />