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Recipient Committee Date Stamp M <br />COVER PAGE <br />Campaign Statement RECEIVED . � CALIFORNIA • <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period I Date of election if applicable <br />from <br />01/01/2021 (Month, Day, Year) <br />through 06/30/2021 <br />1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4. <br />Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />0 State Candidate Election Committee Committee <br />0 Recall 0 Controlled <br />(Also Complete Part 5) 0 Sponsored <br />(Also Complete Part 6) <br />❑ General Purpose Committee <br />0 Sponsored ❑ Primarily Formed Candidate/ <br />0 Small Contributor Committee Officeholder Committee <br />0 Political Party/Central Committee (Also Complete Pad 7) <br />3. Committee Information I.D. NUMBER <br />14066867 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />FRANK J NAVARRO FOR MAYOR 2018 <br />STREETADDRESS (NO P.O. BOX) <br /> <br />CITY STATE ZIP CODE AREACODE/PHONE <br /> <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />OPTIONAL: FAX / E-MAIL ADDRESS <br />JUN 2 9 20211 Page 1 of 3 <br />OFFICE OF TH <br />CITY CLERK <br />2. Type of Statement: <br />❑ <br />Preelection Statement <br />m <br />Semi-annual Statement <br />❑ <br />Termination Statement <br />(Also file a Form 410 Termination) <br />❑ <br />Amendment (Explain below) <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />Treasurer(s) <br />NAME OF TREASURER <br />FRANK J NAVARRO <br />MAILING ADDRESS <br /> <br />CITY STATE ZIP CODE AREA CODE/PHONE <br /> <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREACODE/PHONE <br />OPTIONAL: FAX / E-MAILADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge <br />certify under penalty of perjury under the laws of the State of California that the foregoing.i�t7fr8L•t. <br />Executed on 06-29-2021 By <br />Date <br />Executed on 06-29-2021 <br />Date <br />Executed on <br />Executed on <br />Date <br />By <br />contained herein and in the attached schedules is true and complete. I <br />or <br />By <br />Signature of Controlling Officeholder, Candidate, State Measure Proponent <br />By <br />Signature of Controlling Officeholder, Candidate, Stale Measure Proponent <br />FPPC Form 460 (Jan/2016)) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />