CA Form 410 Termination Jim Knight for Rancho Palos Verdes Council 2015Statement of Organization
Recipient Committee
Statement Type E] initial
Not yet qualified ❑ or
❑ Amendment
List I.D. number:
# 1379750
Date qualified as committee Date qualified as committee
(If applicable)
® Termination — See Part 5
List I.D. number:
# 1379750
Date of Termination
NAME OF COMMITTEE
Jim Knight for Rancho Palos Verdes Council 2015
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275 (
MAILING ADDRESS (IF DIFFERENT)
FAX / E-MAIL ADDRESS
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Los Angeles
Attach additional information on appropriately labeled continuation sheets.
Date Stamp
RECEWD
OF RANCHO PALOS
NAME OF TREASURER
Beth Whittenbury
STREET ADDRESS (NO P.O. BOX)
DEC 2 1 2015
For Official Use Only
CITY
STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes
CA 90275 (
NAME OF ASSISTANT TREASURER, IF ANY
Marie Chura
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes
CA 90275 (
NAME OF PRINCIPAL OFFICER(S)
Jim Knight
STREET ADDRESS (NO P.O. BOX)
Executed on
DATE
Executed on
DATE
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
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
Statement of organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
Jim Knight for Rancho Palos Verdes Council 2015 1379750
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
AREA CODE/PHONE
(
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
• 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.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Jim Knight
City Council
2015
® Nonpartisan
SU
❑ Nonpartisan
Formed • • 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)
SUPPORT
1:1
OPPOSE
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FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov