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CA Form 410 Jim Knight for Rancho Palos Verdes Council 2015 Amendment Statement of Organization Date Stamp CALIFORNIA Recipient Committee RECEIVED 410 Statement Type 0 Initial Amendment ForMOfficial Use Only °List I List 1.D.number: Not yet qualified or Ie.rnmuimnbaetiro:n See part s CITY OF RANCHO PALOS vE.I FOR SEP 17 2015 1379750 J09 _1,12 2015 CifY CLERK'S F F Date qualified as committee Date qualified as committee Date of Termination a rntitee ' :':*iatht4*:-gt::'9:0:trqfii:lZIR:f4'1:1iM?:M:':M:*': : ::':':W?!'jj'!:'kq::N'":V:':',?t:tli,t ;::t:;:;:!_!':::':tPirnthtit::!: MITTEE NAME OF TREASURER JIM KNIGHT FOR RANCHO PALOS VERDES COUNCIL 2015 BETH WHITTENBBURY STREET ADDRESS(NO P A OX) 30213 VIA BORICA 30213 VIA BORICA CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZI REA CODE/PHONE RANCHO PALOS VERDES CA 90275 (310)544-6243 RANCHO PALOS VERDES CA 90275 (310)544-6243 MAILING ADDRESS(IF NAME OF ASSISTANT TREASURER,IF ANY MARIE 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 M KNIGHT STREET ADDRESS(NO P.O.BOX) Attach additional information on appropriately n sheets. 5 CINNAMON LN. CITY STATE ZIP CODE AREA CODE/PHONE RANCHO PALOS VERDES CA 90275 (310)541-4349 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 perjAy under the laws of the State of a RE OF TREASUylOR ASSISTANT TREASURER Executed on / I By IL/0 it--L NAT I A 5;9ef DATE , SIGNATU CO OILING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on /1.( C By, ----- DATE S NA URV6F TROLLING 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 A n Recipient Committee FORM iht I tj INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME 1.D,NUMBER JIM KNIGHT FOR RANCHO PALOS VERDES COUNCIL 2015 1379750 * All committees must list the financial institution where the campaign t 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 4T0oftoffirttiOte::Comiitoto the*Of:able sO:ctiOns,, 2 2 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 0 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 DEJ su,%, Ofn FPPC Form 410(Dec/2012) FPPC Advice:advice,fppc.ca.gov(866/275-3772) www.fppc.ca.gov