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CA Form 410 Royston for Rancho Palos Verdes City Council 2015 L . Statement of Organization Date Stamp CALIFORNIA 41 0 Recipient Committee FORM RECEIVED Statement Type ii21 initial ❑ Amendment 0 Termination--See Part 5 For Official use Only Not yet qualified Ea or List(<D.number: List I.D.number: CIN OF RANCHO PALOS VERDES # # I JUL' 1 3 2015 ...}....—.. i....e_......_.a --.. ../ ........_......../_, , Date qualified as committee Date qualified as committee Date of Termination (It applicable) CITY CLERK'S OFFICE .. :...... r.i:::.:.:....,..: .:.:.v.::..::::.:.:.:.::..::...::::.wv.u•..:.:....:r.:.....:....:....: ..:.:..}...:Y.': .k:}is•.. .....r::,:..r•:ie;•:: ... ...... ..Y n.......,r.. ..♦: �!� .... .._....::..a'..t':'.:}.i4:•i}p. 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Royston STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX) • CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Rolling Hills Estates CA 90274 Rolling Hills Estates CA 90274 MAILING ADDRESS(IF DIFFERENT) NAME OF ASSISTANT TREASURER,IF ANY FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O<BOX) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE Los Angeles Rancho Palos Verdes NAME OF PRINCIPAL OFFICER(S) Gregory T. Royston STREET ADDRESS(NO P.O.BOX) Attach additional information on appropriately labeled continuation sheets. 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I certify under penalty of perjury under the laws of the State of California that the foregoing is true and co 7/13/15 .------- ---**---.- ,, Executed on By DATE SIG " ISTA SURER 7/13/15 :,• -- ,-- °' Executed on By DATE SIGNATURE O ONTROLLING OFFI' CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(Dec/2012) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov i, Statement of Organization CALIFORNIA Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.O.NUMBER Royston for Rancho Palos Verdes City Council 2015 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE .� -. 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Controlled Committee • List the name of each controlling officeholder,candidate,or state measure proponent. If candidate or officeholder controlled,also list the elective office sought or held,and district number,if any,and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check"nonpartisan." • If this committee acts jointly with another controlled committee,list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY 12:I Nonpartisan Gregory T. Royston Rancho Palos Verdes City Council 2015 ❑ Nonpartisan Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE orlFPPC Form 410(Dec/2012) FPPC Advice:advice.fppc.ca.gov(866/275-3772) www.fppc.ca.gov Y Statement of Organization CALIFORNIA 41 0 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D♦NUMBER Royston for Rancho Palos Verdes City Council 2015 .. ?,..Gv x. .........r n .:::...: _.::.}:a:{�:„};:{.a' ,.... :. q:Y<. ..G:x!{i::;•.:� .:X•'3.•':'. +:O' .$} ,.. yr }r .. x ... w ....v..w., T .. , .......♦.......... .. v.M .:Y-X> tr .... :V.tr. ..na S....r.v na... ....... 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NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE Small Contributor Committee 0 Data qualified :.:...:.. .:.... ........... .., ............ .: :...:..........:................. ......................... .'.'aL..-;.:... ..�. v^•t•::x^'.'.?•. ,..:1.4:..}•. •:{•xa:!..:;,:.}}T}:.,>:o:;.'{.}:+.$Y;;4 v.......vu . t. ... ........ ...,....x......... ........ ...:::.:xi•.::{•i•}> .tr,::::: vn4\ .G{hnW}}:v<h ;:j:.:::Y'•i::::fi:�\Wi . :>♦n:> j:?nw:Y � ...... ........ ...... .....t..........rv...... .. ............. .. ......,. ..tri:.t...;,,••}•?•,}>T\�.}•.:;:::: ^4 ..v- .., .. .. ,,.. .. .. .. .. v ... ::....... :d� :.n}T:4\v\},<:'T.4}:Q•x:Fi:Tkk+$; ..�# . r......X. .S u iti :� a .t .a .�1 .or. �::� ,�r:: tc �h �< J.:... T t p*:on .t .. a.n ..n rer no lf: . ..i ... .. , n.,,n ...... ...G. t '">' ........:........:.... 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Z 4.. .,�jl��� �:f �.6 • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts,loans received,and other obligations; • This committee has no surplus funds;and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political,legislative or governmental purposes under Government Code Sections 89511-89518,and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(Dec/2012) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc,ca.gov