Loading...
CA Form 410 Susan Brooks for Rancho Palos Verdes City Council 2015Statement of Organization Date Starn Recipient Committee RECEIVED all CITY OF RANCHO PALOS VEiall![ Statement Type EJ •initial El Amendment 0 Termination — See Part 5 For Official Use Only Not yet qualified ❑ or List I.D. number: List t.D. number: AUG 0 7 2015 07 14 2015 ---/.--_i.____—-----i—/---------/—.--._._1---- C1 -- CLERKS CSI Date qualified as committee Date qualified as committee Date of Termination (if applicable) i,. 4, 4. Ct., yy I.IS, V 9 01 NAME OF COMMITTEE NAME OF TREASURER Susan Brooks for Rancho Palos Verdes City Council 2015 Ann Marinovich STREET ADDRESS (NO P.O. BOX) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA'CODE/PHONE Rancho Palos Verdes CA 90275 ( Rancho Palos Verdes CA 90275 ( MAILING ADDRESS (IF DIFFERENT) NAME OF ASSISTANT TREASURER, IF ANY FAX / E-MAIL ADDRESS STREET ADDRESS (NO P.O. BOX) COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE Los Angeles NAME OF PRINCIPAL OFFICER(S) Attach additional information on appropriately labeled continuation sheets. STREET -ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3 Ve* 01ffi�a.dhi 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 Cc-offprnia that th,e foregoing is truerrd correct. 06/14/2015 Executed on By DATE SIGNATURE QF TREASURER OR ASSISTANT TREASURER 06/14/2015 Executed on By DATE SIGKATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT Executed on By DAIE 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 a Page 2 COMMITTEE NAME I.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 / 3 -� �? 6 �f 4 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ( ADDRESS CITY STATE ZIP CODE Rancho Palos Verdes CA 90275 5. S- xo r f.. ... : -: .. .. .. a .. .:. t .. ... ... 1 ". .. .. ..:. _ ... .. .. "1 .. [. .:- r. • 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 Susan Brooks Rancho Palos Verdes City Council 2015 © Nonpartisan S U2P El Nonpartisan ly 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) FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT OPPOSE El S U2P QJELT O 0 FPPC Form 410 (Dec/2012) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov