CA Form 410 Termination Jim Knight for Rancho Palos Verdes Council 2015 Statement of Organization Date Stamp CALIFORNIA 41 0
Recipient Committee FORM
Statement Type El Initial ❑ Amendment ® Termination—See Part 5 RECEIVED For Official Use Only
Not yet qualified ❑ or List I.D.number: List I.D.number: Cfl'Y OF RANCHO PALOS VERDES
# 1379750 # 1379750
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Date qualified as committee Date qua mittee Date of Termination
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NAME OF COMMITTEE _ .. .\.. .\\\\ \`..,... .:.�
NAME OF TREASURER
Jim Knight for Rancho Palos Verd Beth Whittenbury
STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX)
30213 Via Bori 30213 Via Borica
CITY STATE ZIP CODE AREA CODE/PHONE CIT ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275 243 Rancho Palos Verdes CA 90275 (310)544-6243
MAILING ADDRESS(IF NAME OF ASSISTANT TREASURER,IF ANY
Marie Chura
FAX/E-MAIL ADDRESS STREET ADDRESS(NO P.O.BOX)
bkwhittenbury@cox.net 6847 Vallon Dr.
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE CITY STATE ZIP CODE AREA CODE/PHONE
Los Angeles Rancho Palos Verdes CA 90275 (310)377-5363
NAME OF PRINCIPAL OFFICER(S)
Jim Knight
Attach additional information on appropriately labeled continuation sheets. STREET ADDRESS(NO P.O.BOX)
5 Cinnamon Ln.
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 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;he
.
DATE "01°— '! SIGNATURE 0 •• OR ASSISTANT TREASU ER
Executed on By .. •---�
DATE OF ,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(Dec/2012)
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
Jim Knight for Rancho Palos Verdes Council 2015 13
• All committees must list the titution where the campaign ban located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Malaga Bank (310)375-9000 03-11402504
ADDRESS CITY STATE ZIP CODE
. 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."
• 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
Jim Knight City Council 2015
❑ 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 MEASURE(S)JURISDICTION
(INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE
SUPPORT , OPPOSE
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FPPC Form 410(Dec/2012)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov