CA Form 410 Termination Dave Emenhiser for City Council 2017 i
Statement of Organization COP'I( CALIFORNIA
Recipient Committee CJlYOFRgNCHO PVAIFORM 41 0
Statement Type 0 Initial 0 Amendment ® Termination—See Part 5 LO' r ') .;;;•Official Use Only
0 Not yet qualified NOV 16 2017
or 11 10 17
0 Date qualified as committee ----/--/- /-/ �'�.,
Date qualified as committee Date of termination ' Y
CLERK'S 0 FILE
1-"has , Information / I.D. Number 1397259 • ea `O h°3
:, r: A l . (if •applicable) 1
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NAME OF COMMITTEE NAME Of TREASURER
DAVE EMNHISER 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
CA 90275 310-944-8404 RANCHO PALOS VERDES CA 90275 310-544-4632
CITY STATE ZIP CODE AREA CODE/PHONE NAME OP ASSISTANT TREASURER,IF ANY
RANCHO PALOS VERDES CA 90275 310-944-8404
MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
ROLLING HILLS ESTATES, CA 90274
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 PALOS VERDES CA 90275 310-944-8404
I have used all reasonable diligence in
. ,/
- 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(October/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 COUNCIL 2017 1397259
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
MALAGA BANK 310-541-3000
ADDRESS CITY STATE ZIP CODE
ROLLING HILLS ESTATES CA 90274
4.:'N.00100,0060: miipt tr*thl ° slt ibt s t+i5ns:
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." Stating"No party preference"is acceptable.
• 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 YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION
CHECK ONE
Nonpartisan Partisan(list political party below)
DAVE EMENHISER RANCHO PALOS VERDES CITY COUNCIL 2017 ✓
Nonpartisan Partisan(list political party below)
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
IF A RECALL,STATE"RECALL"IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410(October/2017)
Clear Page 1111=11111 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 3
COMMITTEE NAME
I.D.NUMBER
DAVE EMENHISER FOR CITY COUNCIL 2017 1397259
4i
TYPilOOMMIttlite. teo, itad)`
General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee 0 Political Party/Central Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee
Date qualified
TerfninOnR3 rt'eInet'1I S ; 6Vslgningt8everification,'thetreature4 atsittenttreastireratidiori nd9tl te,officeholder,or proponent.certify thrtaltaftbafollowingtondidonsfravebtentt t-
• 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.
Clear Print
FPPC Form 410(October/2017)
Page FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov