CA Form 410 Dave Emenhiser for City Council 2017 - Statement of Organization I '2/ 51 Date Stamp CRI-,IFORNIA► n
Recipient Committee I / FORM 1 vu
Statement Type ®initial v 0 Amendment 0 Termination—See Part5 R :CV/ED AND FiL,,, D For Official Use Only f
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or of the State of California
0 Date qualified as committee --/—/ —/—/— p' (� �.. n Fa A ,
Date qualified as committee Date of termination J 1'1 2 3 2u � $i`t 4
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ID Number J is hcab" ,><
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NAME OF COMMITTEE NAME OF TREASURER
DAVE EMENHISER FOR CITY COUNCIL 2017 ROBERT A. NELSON
STREET ADDRESS(NO P.O.BOX)
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
RANCHO PALOS VERDES CA 90275 310-544-4632
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
RANCHO PALOS VERDES CA 90275 310-988-8404
MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
EMENHISER@AOL.COM
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
LOS ANGELES RANCHO PALOS VERDES, CA 90275 DAVE EMENHISER
STREET ADDRESS(NO P.O.BOX)
CITY .. STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. RANCHO PALSO VERDES CA 90275 310-988-8404
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DATE ='
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(May/2017)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA 41 0
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D.NUMBER
DAVE EMENHISER FOR CITY(OOUNCIL 2017
• All committees must list the financiall institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
MALAGA BANK 310-541-3000 PENDING ...
ADDRESS CITY STATE ZIP CODE
ROLLING HILLS ESTATES CA 90274
4.,Type ptcommittee the.applicable<sections
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
® Nonpartisan
DAVE EMENHISER RANCHO PALOS VERDES CITY COUNCIL 2017
❑ 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 MEASURES)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT
_ ❑
SUPPORT OPPOSE
❑ ❑
FPPC Form 410(May/2017)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov