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Recipient Committee Date S COVER PAGE <br /> Campaign Statement s . � R CALIFORNIA 460 <br /> Cover Page (�^, t:,.:., FORM <br /> (Government Code Sections 84200-84216.5) SEP 2 7 V 18 <br /> Statement covers period Date of election if applicable: <br /> (Month, Day,Year) Page 1 of_ 11 <br /> from 01/01/2018 Ciiy Or Unino I-PliS <br /> Ci y Clerk's Department. <br /> For Official Use Only <br /> SEE INSTRUCTIONS ON REVERSE through 09/22/2018 11/06/2018 <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: <br /> ❑x Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑x Preelection Statement ❑ Quarterly Statement <br /> Q State Candidate Election Committee Committee 0 Semi-annual Statement ❑ Special Odd-Year Report <br /> O Recall 0 Controlled ❑ Termination Statement ❑ Supplemental Preelection <br /> (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee ❑ Amendment (Explain below) <br /> Q Sponsored ❑ Primarily Formed Candidate/ <br /> O Small Contributor Committee Officeholder Committee <br /> O Political Party/Central Committee (Also Complete Part 7) <br /> 3. Committee Information I I. NUMBER Treasurer(s) <br /> COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Gabriel DeLuna for Chino Hills City Council 2018 Yolanda Miranda <br /> MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to edules is true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is t <br /> Executed on 09/27/2018 By <br /> Date <br /> Executed on 09/27/2018 By <br /> Date sor <br /> Executed on By <br /> Date <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 /> www.neifile.com <br />