CA Form 410 Termination Perestam for RPV City Council 2019 Statement of OrganizationRECEIVE.gCALIFORNIA d 1 n
Recipient Committee CITY OF RANCHO PALOS FORM _
Statement Type 0 Initial 0 Amendment ® Termination—See Part 5 CITY drfic)04o0 Not yet qualified
JUN 2 9 2022 ��� PALOS VERDES
or
..... -- JUN 8 2022
o Date qualification threshold met Date qualification threshold met Date of termination OFFICEC/ / / / / / lTY CLERK'S
CITY CLERK'S OFFICE
1. Committee Information I•D. Number 2. Treasurer and Other Principal Officers
(if applicable) 1420123
NAME OF COMMITTEE NAME OF TREASURER
Perestam for RPV City Council 2019 William Pratley
STREET ADDRESS(NO P.O.BOX)
2701 San Ramon Drive
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
30565 Palos Verdes Drive East Rancho Palos Verdes CA 90275 310-488-7666
CITY STATE ZIP CODE AREA CODE/PHONC NAME OF ASSISTANT TREASURER,IF ANY
Rancho Palos Verdes CA 90275 310-600-7906
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
sperestam@yahoo.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Los Angeles Los Angeles Stephen Perestam
STREET ADDRESS(NO P.O.BOX)
30565 Palos Verdes Drive East
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. Rancho Palos Verdes CA 90275 310-600-7906
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that the foregoi is true and correct.
Executed on 61— 2 ,2 )-- By ''' .1.-47,,,e.-3.-„
7TE Zo2Z SI T E OF T ASURER OR ASSISTANT TREASURER
0
Executed on By ,�.
DATE GNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE 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(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
41 0
Statement of Organization Date Stamp CALIFORNIA
Recipient Committee FORM
Statement Type El Initial 0 Amendment ® Termination-See Part 5 For Official Use Only
O Not yet qualified
or
Q Date qualification threshold met Date qualification threshold met Date of termination
06 02/ 2022
-I-/-.
I.D.i fNumber 1420123 2. Treasurer and Other Principal Officers
1.
Committee Information
NAME OF TREASURER
NAME OF COMMITTEE
Perestam for RPV City Council 2019 William Pratley
STREET ADDRESS(NO P.O.BOX)
2701 San Ramon Drive
CITY STATE ZIP CODE AREA CODE/PHONE
STREET ADDRESS(NO P.O.BOX)
30565 Palos Verdes Drive East
Rancho Palos Verdes CA 90275 310-488-7666
CITY
STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rancho Palos Verdes CA 90275 310-600-7906
STREET ADDRESS(NO P.O.BOX)
FULL MAILING ADDRESS(IF DIFFERENT)
CITY STATE ZIP CODE AREA CODE/PHONE
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL)
sperestam@yahoo.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Los Angeles Los Angeles Stephen Perestam
STREET ADDRESS(NO P.O.BOX)
30565 Palos Verdes Drive East
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets. Rancho Palos Verdes CA 90275 310-600-7906
T.Tre ri cation
'' preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
1 have used all reasonable diligence inp p g
penalty of perjury under the laws of the State of California that the foregoi 's true and correct.
Executed on ,2 By 1-14..e.4-., /4,--‘ -
iDTE , SI T E OF T ASURER OR ASSISTANT TREASURER
f, 2 202.2.
Executed on By
DATE NATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE 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(August/2018)
FPPC Advice:advice@?fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
1
i