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Recipient Committee Date Stamp COVER PAGE <br />Campaign Statement RECEIVED <br />Cover Page <br />SEE INSTRUCTIONS ON REVERSE <br />Statement covers period <br />from 1 /1 /21 <br />through <br />6/30/21 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />Officeholder, Candidate Controlled Committee <br />0 State Candidate Election Committee <br />0 Recall <br />(Also Complete Pat 5) <br />❑ General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br />❑ Primarily Formed Ballot Measure <br />Committee <br />0 Controlled <br />0 Sponsored <br />(Also Complete Part 6) <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Also Complete Part 7) <br />3. Committee Information I ID NUMBER <br />1435920 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO <br />Friends of Dr Luis S Gonzalez for Colton City Council 2022 <br />STREET ADDRESS (NO P.O. BOX) <br /> <br />CITY <br />STATE <br />ZIP CODE <br />AREACODE/PHONE <br /> <br /> <br /> <br /> <br />MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX <br /> <br />CITY <br />STATE <br />ZIP CODE <br />AREACODE/PHONE <br /> <br /> <br /> <br /> <br />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 <br />certify under penalty of perjury under the laws of the State of California that the foregoing is true, <br />Executed on 8/2/21 <br />Date <br />Executed on 8/2/21 <br />Date <br />Executed on <br />Date <br />Executed on <br />Date <br />By <br />By <br />By <br />Date of election if applicable: <br />(Month, Day, Year) <br />1 /8/22 <br />AUG 0 2 2021 <br />CITY OF <br />E <br />I <br />2. Type of Statement: <br />❑ <br />Preelection Statement <br />Semi-annual Statement <br />❑ <br />Termination Statement <br />(Also file a Form 410 Termination) <br />❑ <br />Amendment (Explain below) <br />Page 1 of 5 <br />For Official Use Only <br />❑ Quarterly Statement <br />❑ Special Odd -Year Report <br />Treasurer(s) <br />NAME OF TREASURER <br />Christina Perris <br />MAILING ADDRESS <br /> <br />CITY <br />STATE <br />ZIP CODE <br />AREA CODE/PHONE <br /> <br /> <br /> <br /> <br />NAME OF ASSISTANT TREASURER, IF ANY <br />Dr Luis S Gonzalez <br />MAILING ADDRESS <br /> <br />CITY <br />STATE <br />ZIP CODE <br />AREACODE/PHONE <br /> <br /> <br /> <br /> <br />OPTIONAL: FAX / E-MAIL ADDRESS <br /> <br />the informayK contained herein and in the attached schedules is true and complete. I <br />or <br />or <br />By <br />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 />