HomeMy WebLinkAboutForm 460_08/27/19 COVER PAGE
Recipient Committee Date Stamp CALIFORNIA 460
Campaign Statement RM
Cover Page RECEIV -, ' v
Statement covers period Date of election if applicable Page ' of
from Jarl )) 2_0j9
S,(Month, Day,Year) AUG 27 2019 Fo Official Use Only
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SEE INSTRUCTIONS ON REVERSE through J u 3 0j W��
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement Quarterly Statement
O State Candidate Election Committee Committee X Semi-annual Statement ❑ Special Odd-Year Report
O Recall 0 Controlled 0 Termination Statement
(Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6)
❑ General Purpose Committee 0 Amendment(Explain below)
O Sponsored 0 Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
(Also Complete Part 7)
O Political Party/Central Committee
3. Committee Information I.D.NUMBER Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
COiMMiITeE To �L�TTJo- R1VE.FA CATNEO L c (T`� UES-3L � J, P--IVO 'A
CIT'/ COU NU I - 2bl e MAILING ADDRESS 9 L.2..34
202,c1(0 tPei t )C,66_S . CA-r4EpAAL, Ctry, CA
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
2`)2 DESL- PRli� s 1R 06--n-1.6°1 crry CA `x'22'? - qp, 0 313.-0380
CITY STATE ZIP CODE AREA 1 �,`'_ NAME OF ASSISTANT TREASURER,IF ANY
SAME AS vF
lino CV LLKLJ2 SArne
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
4
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informat'in contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is tru- and orrect. j •
Executed on 0/X7—a7 D�/ 9 By 4 AIA _A; ' �` I
/ Si.. tures . . . -r or As4s.tapt Treasurer
Executed on 0/. .-7— / Bg,.. • `� �_Date( �;ignature of Controlling Officeholder,C.ndidate,State Measure Proponent or Responsible Officer 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(Jan/2016)
liFPPC Advice:advice@fppc.ca.gov(866/275-3772)
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