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CA Form 410 Dave Emenhiser for City Council 2019 RE CkiVER Statement of Organization � , C�L 'c�?NIA P Reci lent Committee CITY OF RAS 4 �„ ,� I-ORM 410 Statement Type mj Initial 0 Amendment 0 Termination—See Part 5For Official Use Only o Not yet qualified alij1 1 2„,.3 or 0 Date qualification threshold met Date qualification threshold met Date of termination _ .. _ rOFFICE , . TV CLERK� I.D.Number (if applicable) NAME OF COMMITTEE NAME OF TREASURER Dave Emenhiser for City Council 2019 Eric Emenhiser STREET ADDRESS(NO PO.BOX) 214 1/2 S Guadalupe Ave STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6620 Channelview Ct Redondo Beach CA 90277 310-750-7979 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Rancho Palos Verdes CA 90275 310-944-8404 FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO PO.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 PO.BOX) 6620 Channelview Ct 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 preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the oregoing is true and correc . 7-19-19 Executed on By �--`'t_ DATESIGNATURE OF TREA ER OR ASSISTANT TREASURER Executed on 7-19-19 By 11, 11. DATE SIGNATURE OF CONTROLLING OFF CEHOLDER,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(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA 1 0 Recipient Committee FORM 4 INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER Dave Emenhiser for City Council 2019 • 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 Pending ADDRESS CITY STATE ZIP CODE 23670 Hawthorne Blvd Rolling Hills Estates CA 90274 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 2019 Nonpartisan Partisan (list political party below) 111 Primarily Formed Committee Primarily formed to support or oppose specific candidates or mer sures 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 017 n FPPC Form 410(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA Recipient Committee FORM 4 1 O INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER I- 11-/1• - • •i • I • I • 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 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 • 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(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov