CA Form 410 David Bradley for RPV City Council 2019 Statement of Organization Date Stamp , CALIFORNIA 41 0
pReci ient CommitteeRECEIVEFORM Statement Type ®initial C] Amendment ElTermination—See Part 5 CITY OF RANCHO PALOS g For Official Use Only
0 Not yet qualified AUGI Iy. 9 2019
or
0 Date qualification threshold met Date qualification threshold met Date of termination
ITS'` CLERK'S OFFICE
1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers
(if applicable)
NAME OF COMMITTEE NAME OF TREASURER
David Bradley for RPV City Council 2019 Gretchen S Carner
STREET ADDRESS(NO P.O.BOX)
2809 Via El Miro
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
2809 Via El Miro Rancho PalosVere CA 3102- �
a Verdes 90275 83 6477 `
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rancho Palos Verdes CA 90275 310 832-6477
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
t,
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
dlbradley@earthlink.net
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Los Angeles Rancho Palos Verdes David Bradley
STREET ADDRESS(NO P.O.BOX)
2809 Via El Miro
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. ‘4
Rancho Palos Verdes CA 90275 310 832-6477
3. Verification - -
I have used all reasonable diligence in preparing • statement and to t e •- -y now e•ge • " formation contained herein is true and complete. I certify under
penalty of perjury under the laws of the State • it lifornia at the f• • •ing- t ue and correct.
4:3
Executed on BjS194/1
A _
di Ilim._„A...4 ....,_
ATE arooppr.__„iiiimili -
ATURE OF TREAS.•ER OR AS IS NT TREASURER
Executed on j4V V U Z019 By V _
.... d1W 7
ATF ' ATURE OF C!, " NG OFFICEHOLDER,C' DIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEH' DER,CANDIDATE,OR STATE MEASURE PROPONENT
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
INS1 RUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D.NUMBER
David Bradley for RPV City Council 2019
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
Malaga Bank 310 784-2000
11 og13 --tea
ADDRESS CITY STATE ZIP CODE
25700 Crenshaw Blvd, Torrance CA 90505
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." 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
Nonpartisan Partisan (list political party below)
David Bradley RPV City Council 2019
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 OPPOSE
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
David Bradley for RPV City Council 2019
4. Type of Committee (Continued)
General Purpose Committee Not 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
Support the election of David Bradley to the RPV City Council in 2019
Sponsored Committee List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO.AND STREET CITY STATF ZIP CODE AREA CODE/PHONE
Small Contributor Committee ❑
Date qualified
5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• 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