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CA Form 410 Dave Emenhiser for City Council 2017 - Statement of Organization I '2/ 51 Date Stamp CRI-,IFORNIA► n Recipient Committee I / FORM 1 vu Statement Type ®initial v 0 Amendment 0 Termination—See Part5 R :CV/ED AND FiL,,, D For Official Use Only f • Not yet qualified In he office of the Secretary of Stat9011 JUL —3 pm 14: 39, or of the State of California 0 Date qualified as committee --/—/ —/—/— p' (� �.. n Fa A , Date qualified as committee Date of termination J 1'1 2 3 2u � $i`t 4 /� (If amending to provide this date) 17 CA ID Number J is hcab" ,>< s 1 ir.0 i fci anon , 2.�Tre surer and:.0, er unci al ,, c` s 2 ,nr pmm flee i'in t:v ,, a r p er ,r -'edq ^..., _,. ,�""• ,4p`...° � " �.a o-?',,i�•6�,t� - - .s9, �.n °i rr ?,. s � r ,n;. ".A, t,:. ,Wt NAME OF COMMITTEE NAME OF TREASURER DAVE EMENHISER FOR CITY COUNCIL 2017 ROBERT A. NELSON STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE RANCHO PALOS VERDES CA 90275 310-544-4632 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY RANCHO PALOS VERDES CA 90275 310-988-8404 MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.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 P.O.BOX) CITY .. STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. RANCHO PALSO VERDES CA 90275 310-988-8404 IV.,erl canon y r> V have �� / DATE =' 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(May/2017) 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 DAVE EMENHISER FOR CITY(OOUNCIL 2017 • All committees must list the financiall 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 ROLLING HILLS ESTATES CA 90274 4.,Type ptcommittee 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"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 DAVE EMENHISER RANCHO PALOS VERDES CITY COUNCIL 2017 ❑ 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 MEASURES)JURISDICTION (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT _ ❑ SUPPORT OPPOSE ❑ ❑ FPPC Form 410(May/2017) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov