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COVER PAGE <br /> " Recipient Committee Date Stamp <br /> CALIFORNIA <br /> Campaign Statement 460 <br /> Cover Page RECEIVED FORM <br /> Statement covers period Date of election if applicable: JAN 2 3' 2023 Page 1 of 5 <br /> from <br /> 1/1/23 (Month,Day,Year) For Official Use Only <br /> O <br /> FICE <br /> SEE INSTRUCTIONS ON REVERSE through 1/23/23 11/8/22CITY CLERK E <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: <br /> m Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement El Quarterly Statement <br /> U State Candidate Election Committee Committee 0 Semi-annual Statement 0 Special Odd-Year Report <br /> 0 Recall Controlled m Termination Statement <br /> (Also Complete Part 5) Sponsored (Also file a Form 410 Termination) <br /> (Also Complete Perth) ❑ Amendment(Explain below) <br /> 0 enerai Purpose Committee <br /> Sponsored ❑ Primarily Formed Candidate/ <br /> Small Contributor Committee Officeholder Committee <br /> Political Party/Central Committee (Also Complete Pert 7) <br /> 3. Committee Information I.D.NUMBER Treasurer(s) <br /> 1435920 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Friends of Dr Luis S Gonzalez for Colton City Council 2022 Jaylene Roberts <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> Dr Luis S Gonzalez <br /> MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> <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 con ' ed 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 is true an ect. <br /> JExecuted on 1/1/23 By LC) <br /> Date Signet re of T surer si tent 7reas <br /> Executed on 1/23/23 By <br /> Date Signatu ntrolli ndid e,State Measure Proponent or Responsible Officer of Sponsor <br /> Executed on By <br /> Date Signature of Controlling Offi older,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 />