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Recipientpi Committee COVER <br /> PAGE <br /> p Date Stamp <br /> Campaign Statement CALIFORNIA 460 <br /> FORM <br /> Cover Page f �ry1 N <br /> (Government Code Sections 84200-84216.5) y F G( -c „ 4 <br /> • <br /> Statement covers period Date of election if applicable: <br /> Page 1 of 10 <br /> 10/21/2018 (Month, Day, Year) FEB 0 4 2019 <br /> from <br /> For Official Use Only <br /> 12/31/2018 .1,.; Ue ,r ::u r5t@:S <br /> SEE INSTRUCTIONS ON REVERSE through 11/06/2018 <br /> g e�;tty Clerk's Departrneni. <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 Preelection Statement ❑ Quarterly Statement <br /> O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report <br /> O Recall 0 Controlled ai Termination Statement <br /> (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) ❑ Supplemental Statement-A tack Formrn <br /> -Attach 495 <br /> (Also Complete Part 6) <br /> ❑ General Purpose Committee X 11 Amendment (Explain below) <br /> Q Sponsored ❑ Primarily Formed Candidate/ ping(bier Page to act'Type of Stat3rat <br /> 0 Small Contributor Committee Officeholder Committee - <br /> (Also Complete Part 7) <br /> 0 Political Party/Central Committee <br /> 3. Committee Information I I.D. NUMBER Treasurer(s) <br /> 1408345 <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 tot hedules is true and complete. I certify <br /> under penalty of perjury under the laws of the State of California that the foregoing is tr <br /> 01/29/2019 <br /> Executed on p By <br /> 01/29/2019 <br /> Executed on By <br /> Date <br /> nsor <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 /> ,..,.,^µ,:r^^^M www.fppc.ca.gov..n. <br />