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Recipient Committee COVER PAGE <br /> p CALIFORNIA <br /> Campaign Statement REc1ED 460 <br /> FORM <br /> Cover Page CITY O RANCHO HA2018S LOVERI <br /> Statement covers period Date of election if applicable: 3 0 Page of <br /> (Month, -440 <br /> Day,Year) For Official Use Only <br /> from JLi I1.42 <br /> SEE INSTRUCTIONS ON REVERSE throa 265 //--- 17-. 2 ce3ITYLEiikS <br /> OFF1CF <br /> 1. Type of Recipient Committee: All Committees–Complete Parts 1,2,3,and 4. 2. Type of Statement: <br /> g Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement <br /> 0 State Candidate Election Committee Committee .gLSemi-annual Statement ❑ Special Odd-Year Report <br /> 0 Recall 0 Controlled ❑ Termination Statement <br /> (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> 0 Sponsored ❑ Primarily Formed Candidate/ <br /> 0 Small Contributor Committee Officeholder Committee <br /> 0 Political Party/Central Committee (Also Complete Part 7) <br /> 3. Committee Information I.D.N097/060", Treasurer(s) <br /> COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER ctrha.ra_ <br /> reArreu---0 <br /> for- ecuicAo Pak)..s <br /> eiLetries V el',"-1,-airei <br /> MAILING ADDRESS <br /> Vefde,5 <br /> <br /> <br /> <br /> <br /> STATE ZIP CODE AREA CODE/PHONE Sthe,A0 <br /> OF ASSISTANT TREASURER,IF ANY 7-1 <br /> kamci.40E/05 Ver,iec e 97z & 3/6y-3'7/7-/ 9A <br /> MAILING ADDRESS(IF DIFFERENT)NO.AN0 STREET R P.O.BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verification <br /> 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 true and complete. I <br /> certify under penalty of perjury under the laws of the State of California that the foregoing <br /> <br /> <br /> <br /> <br /> <br /> or Responsible Officer of Sponsor <br /> Executed on By <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> FPPC Form 460(Jan/2016) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />