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CA Form 410 Jim Knight for Rancho Palos Verdes Council 2015 , .., Statement of Organization STATEMENT OF ORGANIZATION Type or print in ink Recipient Committee Date Stamp CALIFORNIA RECEIVED FORM 410 - 4 A.....1 1(ATE SIGNATU`,. C.NT °LUNG OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT )'---- ,.........,......... Executed on By DATE .....,../ S G . ,1- OF Cs -OLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee CALIFORNIA 41 0 FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D.NUMBER JIM KNIGHT FOR RANCHO PALOS VERDES COUNCIL 2015 4.Type of Committee Complete the applicable sections. 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"non-partisan." • If this committee acts jointly with another controlled committee,list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY VB Non-Partisan JIM KNIGH CITY COUNCIL 2015 ❑ Non-Partisan • List the financial institution where the campaign bank account is located(controlled"candidate election"committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER ) 3(6/.3 s ADDRESS CITY STATE ZIP CODE 3 co q's 7) 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 SUPPORT OPPOSE FPPC Form 410(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)