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CA Form 410 Barbara Ferraro for Rancho Palos Verdes City Council 2019 Statement of Organization REGEAaVERgCALIFORNIA 41 0 Recipient Committee CITY OF RANCHO PALOS VER FORM Statement Type 14K initial 0 Amendment 0 Termination—See Part 5 JUL ...; 0 2019 For Official Use Only 0 Not yet qualified or ts.Date qualification threshold met Date qualification threshold met Date of termination o �oC1 / / ._,,,..............._....,,_ CITY CLERK'S OFFICL I.D. Number 1. Committee Information 2. Treasurer and Other Principal Officers (ifapplicable)(MJp :as:.y.?:- < .. ,,::�n.:: 5 3 > .r s c i.. f t <s -<.....,,,,.. < s .is >::.... ..... .......,...:::>:..,.3.......................s......s:i«,,;,.,;,:, 2 ,tYs ......,....f..,f.s> .,<. „c a.,.<? � >< ..,<...:;•:.:..:.:.:.,,..«..�..�.-f., s .......,. ....:.<.............< ..............,...................E.:.::...,......,.......................:..... ..::...,:.,.,.,:,:.. `y::s.::n>.. :.s,: ..s..3.... �.,.. .s•k,:•a: NAME OF COMMITTEE NAME OF TREASURER .?arbara,F". ir-r-ctro .-Gt- katicA0 ?'iOs Verdes aharies V -FerrarD 411/ 2c7 Cc!2CLc')c ( / / 9 STREET ADDRESS(NO P.O.BOX) ' STREET ADDRESS(NO P.O.BOX) , CITY STATE ZIP CODE AREA CODE/PHONE "- .1 tic,)10 Fa tnci Ve rrieS iCfl 907 3 io7/s32 CITY STATE ZIP CODE AREA CODE/PHONE NAME F ASSISTANT TREASURER,IF ANY Wa-r)c 110 PaltaSes ca_ 90,A27---- 3/0 37'7-'6---9 FULL MAILING ADDRESS(IF DIFFERENT) ) STREET ADDRESS(NO P.O.BOX) E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE jrs rj Vc2o/,e©rw►-1 COUNTY OF DONICILE JURISDICTION WHEREØcA ITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Av 5 A-1-(T / oRlas J o Fe,rra_ro STREET ADDRESS(NO P.O.BOX) .- Cil 19vb 5 3'1''-J 77-/3 CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 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I certify under penalty of perjury under the laws of the Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) 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 ffri-C/i^c) 2C2J1C_4(), fdaf, reet-ck"._.c /..20/ 9 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER Akda3a,- 5 / 3ooô - ADDRESS CITY STATE ZIP CODE j_117466 /-4 C g01-17� /i -I-/ /k1s-�� eSPr .....:...: ... ._.. > v.::....i.:•')>,>]]]:�)"s"'i:G:'•... .: ]lvY:!.i,}y-„]"J]-.:, .4Yn-{:.):v v.`]Y.i:!{U: '-Sv.,. v .. v :'�`........ .. ])�. ..vv....r.. 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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." Stating"No party preference"is acceptable. • 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 YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE COWhC f 1 •--C/ - Of Nonpartisan Partisan (list political party below) 'Hal-ta Ferrcrôe)/?. Nonpartisan Partisan (list political party below) 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 IF A RECALL,STATE"RECALL"IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OP E FPPC Form 410(August/2018) 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 3 COMMITTEE NAME I.D.NUMBER garbdt-a_ r arnc�o al e S errs r�} � � 4.Typsp,of Committee od} ........i�.:s., (cntinue ..................,.i�...<.<,,..,.............. ,...,..........r.,.......,..<.,...,... .,...... ........ ...,.... ,:..,..........,..::4 ....,...:Vr.?..... .,.........?is:::ft:>.,....... ....✓........,........,..,.,..,.«......s ... ,t s.,. ...... ...... s...,....,, <,..<s ,.,<.... General Purpose Committee No formed to support or oppose specific candidates or measures in a single election. Check only one box: CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY • Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Small Contributor Committee ❑ j Date qualified 5.Termination Requirements By signing the verification,the treasurer,assistant treasurer andjor candidate,officeholder,or proponent certify that,all of the following conditions have been met: - - .....STY a4;::. .:r�Y»ssr»�:vls,s6S>o»L.wss+»:e3Y?3d».&oil.',�i3rr3343diasxs�o$>�Sis>sJYDki'k�3:�ihsY:s.::. .?'a�tAA.tis?is'ivt•'s"w,x1o'i�k • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; 4110 • This committee has eliminated or has no intention or ability to discharge all debts, loans received,and other obligations; • This committee has no surplus funds;and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-89518,and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov