CA Form 410 Dave Emenhiser for City Council 2017 - Statement of Organization I '2/ 51 Date Stamp CALIFORNIA n
Recipient Committee I / FORM INT1
Statement Type ®initial v ❑ Amendment 0 Termination—See Part5 R :CV/EDAND Fil,,,,E 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' (� FINANCE
Date qualified as committee Date of termination JUN 2 3 2u �
/� (If amending to provide this date)
ID Number J is hcabi" ,
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NAME OF COMMITTEE NAME OF TREASURER
DAVE EMENHISER FOR CITY COUNCIL 2017 ROBERT A. NELSON
STREET ADDRESS(NO P.O.BOX) '
6
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
6 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)
6
CITY .. STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. RANCHO PALSO VERDES CA 90275 310-988-8404
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I have use
TREASURER OR
IGNATURE 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 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"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 OPPOSE
_ ❑
SUPPORT OPPOSE
❑ ❑
FPPC Form 410(May/2017)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov