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• <br /> COVER PAGE <br /> Recipient Committee Date Stamp CALIFORNIA 4"��jj0 <br /> Campaign Statement RECEIVED FORM <br /> Cover Page <br /> Statement covers period Date of election if applicable: JUL 31 2023 Page of <br /> from <br /> 01/01/2022 (Month,Day,Year) For Official Use Only <br /> 11/08/2022 OFFICE OF THE <br /> SEE INSTRUCTIONS ON REVERSE through 06/30/2022 CITY CLERK <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 E Preelection Statement ❑ Quarterly Statement <br /> 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report <br /> 0 Recall 0 Controlled ❑ Termination Statement <br /> (Also CompletePad5) 0 Sponsored (Also file a Form 410 Termination) <br /> (Also Complete Part6) ® Amendment(Explain below) <br /> ❑ SponsoredGeol ❑ Primarily Formed Candidate/Purpose Committee 000RRCTION OF EXPENDITURE.ADDING AN ADDITONAI,BANK <br /> 0 <br /> 0 Small Contributor Committee Officeholder Committee FEE AMOUNT OF$87.00 <br /> 0 Political Party/Central Committee (Also Complete Part7) <br /> 3. Committee Information I.D.NUMBER Treasurer(s) <br /> 1448866 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> FRANK J NAVARRO FRANK J NAVARRO <br /> MAILING ADDRESS <br /> <br /> STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEJPHONE <br /> <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> • <br /> MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR 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: Fs• -MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the bes • -• , edge .- '.form- •. con: - ein and in the attached schedules is true and complete. <br /> certify under penalty of perjury under the laws of the State of California that the foregoing is rue an• 1� . <br /> Executed on 07/31/2023 By t IS Iti <br /> bate a jiea r,. s. -: u•r <br /> Executed on 07/31/2023 By I• Aria LL ��Si �� <br /> Date Signature of Control i •Office ••er,Ca••ida-,•' •su. -•••• a or Responsi•e Officer o Sponsor <br /> Executed on By <br /> Date Signature of Controlling Otlicehokuer,Candidate,State Measure Proponent <br /> Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> • <br /> FPPC Form 460(Jan/2016)) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />