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CA Form 410 Jim Knight for Rancho Palos Verdes Council 2015 AmendmentStatement of Organization Date Stamp e Recipient Committee RECENED Statement Type [] Initial0 Amendment 0 Termination -See Part S CITY OF RANCHO PALOS VES For Official Use Only Not yet qualft 0 or List I.D. number: List I.D. number: SEP 1'7 2015 # 1379750 # 09 12 2015 , Date qualified as committee a' Date qualified as committee Date of Termination C1 CLERK'S C.)FF k,. l (if applicable) yp;j73 ,r NAME OF COMMITTEE - NAME OF TREASURER JIM KNIGHT FOR RANCHO PALOS VERDES COUNCIL 2015 BETH WHI17ENBBURY STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE zip CNE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE RANCHO PALOS VERDES CA 90275 ( RANCHO PALOS VERDES..........CA 90275 ( MAILING ADDRESS (IF DIFFERENT) t NAME OF ASSISTANT TREASURER, IF ANY MARIE CHURA FAX / E-MAIL ADDRESS STREET ADDRESS (NO P.O. BOX) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY 5TATE ZIP CODE AREA CODE/PHONE LOS ANGELES RANCHO PALOS VERDES CA 9027531. NAME OF PRINCIPAL OFFICER(S) JIM KNIGHT Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS (NO A.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE RANCHO PALOS VERDES CA 90275 ( I have used all reasonable diligence in preparing this statement and to the best of n y knowledge owledge the information contained herein is true and complete. I certify under penalty of per'r under the laws of the State of lifornia that thee jf'eg?lWS true and correct. my Executed on By DATE Executed on /SI�NATAIRE OF DATE SIGNATU 60MOLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASUME PROPONENT Executed on By DATE 1 v A shb� �Vr&^el =k -r#%r% Executed on By DATE SIGNATURE OF FONTROiLMG OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 6 4 N Statement of Organization CALIFORNIA Recipient Committee F*1914 41 INSTRUCTIONS ON REVERSE - - --- --M Page 2 COMMITTEE NAME I.D, NUMBER JIM KNIGHT FOR RANCHO PALMS VERDE S COUNCIL 2015 1379750 * All committees must list the financial Institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ( * 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 CAN DI DATE/OFF ICEHOLDE R/STATE MEASURE PROELECTIVE OFFICE SOUGHT OR HELD PROPONENT ELECTIVE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY JIM KNIGHT CITY COUNCIL 2015 0 Nonpartisan _0 0- 1 M SUIE= Li Nonpartisan Primarily F'ot-n7ed 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 111191 119%11 9%1e11rftJ.--r &so% I -M .-* -&--A . - . — -1 6 FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov CHECK !MPORT ONE OPPOSE El _0 0- 1 M SUIE= Li OPPOS Li 6 FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov