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CA Form 410 South Bay Women's Project, Sponsored by UNITE HERE Local 11 - Amendment No. 1 , Statement of Organization Date Stam CALIFORNIA RECEIVED Recipient Committee FORM Statement Type Amendment Termination_See Part CITY OF RANCHO PALOS VER'. ❑ Initial ® ❑ For Official Use Only Q Not yet qualified SEP 17 2019 or - Q4 / 13/ 2018/ / Q Date qualified as committee Date qualified as committee Date of termination _. CITY CLERK'S OFFIer ........._ t 1. Committee Information I. Number 2. Treasurer and Other Principal Officers (if applicable) 1404950 NAME OF COMMITTEE NAME OF TREASURER Yes on B - South Bay Women's Project, Sponsored by UNITE HERE Local Ada Briceno 11 STREET ADDRESS(NO P.O.BOX) 464 S. Lucas Avenue, Suite 201 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 464 S. Lucas Avenue, Suite 201 Los Angeles CA 90017 (213)481-8530 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Los Angeles CA 90017 (213)481-8530 Susan Minato MAILING ADDRESS(Ir DIFFERENT) STREET ADDRESS(NO P.O.BOX) 777 S. Figueroa Street, Suite 4050, Los Angeles, CA 90017 464 S. Lucas Avenue, Suite 201 EMAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE sshin©kaufmanlegalgroup.com/(213)452-6575 Los Angeles CA 90017 (213)481-8530 COUNTY OF TOMICII F JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICERS) Los Angeles City of Rancho Palos Verdes Ada Briceno STREET ADDRESS(NO P.O.BOX) 464 S. Lucas Avenue, Suite 201 CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. Los Angeles CA 90017 (213)481-8530 3. Veri 'cation . . in rearing this statem•r) and to the 'e of m knowledge the information contained herein is true and complete. I certify under I have used all reasonable diligencep p g y g , penalty of perjury under the laws of the State of California t at the foregoi is tru and correct. q14Executed on By _ DATE / SIGNATURE OF TREASURER OR ASSISTANT TREASURER Executed on By [)ATE. SIGNATURE Or CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNAL URE C)F CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(February/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 1.0.NUMBER Yes on B- South Bay Women's Project, Sponsored by UNITE HERE Local 11 1404950 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER California Bank&Trust (213)228-1700 5794357979 ADDRESS CITY STATE ZIP CODE 550 S. Hope Street, Suite 100 Los Angeles CA 90071 — ,�..M.. ,t _ ,:3. !!."lt. r- •Y•. .�._y.,r.1 :(', t "^'S% t.•1"riy. c! ..u' ttti.. ;'14.. ''!�i:.,r; r, . _ r. ! 1 ref^ r; .i _ .•i. .i: ii, t t . :I klY��o . II ww•.''i ..��r. .•ft'• 7 [�1•: ...� � -li. -;�11... r;t.{I•:']I).• .•.'f1 �L'/'� �,JI:+}J3p..Sw �•'� ., h' T...1. n•� 1, t I ( t M1S!� �•' ,1 r r 1 1' �(f ��li LL L .la.l� ..l:►�� — 1 iL�.I�It TYL 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) Nonpartisan Partisan (list political party below) El 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 LEITER) 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 Hospitality Working Conditions; Measure B City of Rancho Palos Verdes SUPPORT OPPOSE FPPC Form 410(February/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 Yes on B - South Bay Women's Project, Sponsored by UNITE HERE Local 11 1404950 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❑ Political Party/Central Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Sponsored Committee List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR UNITE HERE Local 11 Labor Organization STREET ADDRESS NO.AND STREET CITY STATE LIP CODE AREA CODE/PHONE 464 S. Lucas Avenue, Suite 201 Los Angeles CA 90017 (213)481-8530 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. Clear Page Print FPPC Form 410(February/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Attachment to California Form 410—Statement of Organization Yes on B - South Bay Women's Project, Sponsored by UNITE HERE Local 11 Part 2. Additional Principal Officer Name: Susan Minato Street Address: 464 S. Lucas Avenue, Suite 201 City, State, Zip Code: Los Angeles, CA 90017 Phone: (213) 481-8530 Name: Kurt Petersen Street Address: 464 S. Lucas Avenue, Suite 201 City, State, Zip Code: Los Angeles, CA 90017 Phone: (213) 481-8530