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HomeMy WebLinkAboutForm 460_08/15/19 Recipient Committee COVER PAGE p Type or print in ink. Date Stamp Campaign Statement CALIFORNIA 460 Cover PageECPORrin (Government Code Sections 84200-84216.5) 7 Statement covers period Date of election if applicable: Page of 07/14/2019 (Month, Day,Year) AUG 15 2019 For • ficial Use Only from /'�/ CLERK SEE INSTRUCTIONS ON REVERSE through 08/10/2019 08/27/2019 _C 1 1 i CLERK DEPT 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: U' Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure [X Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled E Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) E General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) FPPC#1418464 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Commitee to Elect Rita Lamb James Tolliver MAILING ADDRESS 68470 E.Palm Canyon Dr Ste B STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE P.O. BOX Cathedral City CA 92234 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Cathedral City CA 92235 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS Same CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification 1 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is tru- .nd complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 08/15/2019 Ja •s Tolliver ' ... --_0. Executed on By Date i•nat re•..4'-asurer or Assis 1107r rer Executed on 08/15/2019 By `' I lip•_ of ,, i Date Signature of Controlling Off\dthier,Candidate,State •asure P•••nent or Responsi•e• .'- of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California 5.11 nom 7 g > S 11 § > C) 22 ■ 7 § 0 ° X ; ) ! § ) �, , p e , m � § 0 2 \ - s _ , g g $ 7 A n @ -0 13., ] q 9 9 9 k k ? Z . 3 E 0 CD m x m x T. R 0- g o ems' = m m m m § z - } 3 \ k$ k _� o _m $ ,m 2 3 � 3 k o m | § = e }} / \ - \ \ / � CD� % ; ° z § � z P. m meso ° 2 0 ■ ) CO E■ — S k § § # m m ■ 2 / / § > 0 -1 / }° > [ a 2 § > § z•\ i § a o @ m !E — ) 2 S S (a = - £ a o o 7$ / \ m 0 N / % J n) @ 7 ° 3 . � _ 0. 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