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CA Form 410 Paul Seo for RPV City Council 2022 Statement of Organization Date Stamp CALIFORNIA 41 0 Recipient Committee FORMRECEIV w �! Statement Type [x]Initial 0 Amendment El Termination--See Part 5 For Official Use Only CITY OF RANCHO PA OS VERDES Not yet qualified or FEB 1 � 21'z2 0 Date qualification threshold met Date qualification threshold met Date of termination / / / / / / •- DIY aEnKis OFFICE.... _ : ______ Committee Information I.D. Number 2. Treasurer and Other Principal Officers (if applicable) NAME O.TREASURER NAME OF COMMITTEE Paul Seo for RPV City Council 2022 Gary Crummitt STREET ADDRESS(NO P.O.BOX) 249 E. Ocean Blvd., #670 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 249 E. Ocean Blvd., #670 Long Beach CA 90802 (562)983-0815 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Long Beach CA 90802 (562)983-0815 Paul Seo STREET ADDRESS(NO P.O.BOX) FULL MAILING ADDRESS(I.DIFFERENT) 5419 Whitefox Dr. CITY STATE ZIP CODE AREA CODE/PHONE E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) Rancho Palos Verdes CA 90275 (562)983-0815 COUNTY OF DOMICILE 'JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Los Angeles Rancho Palos Verdes STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. 3. Verification I have used all reasonablediligence in preparing this statement and to th• of n "edt- e information contained herein is true and complete. I certify under Walt of perjury under the laws of the State of California that the for-:of►:is e a • ' A penalty p 1 rY 1 Executed on 2/3/2022 By /0OF ----- DATE S..ATURE OF TREASURER OR ASSISTANT TREASURER Executed on 2/3/2022 By DATE SIGNATURE OF CONTR• LING OFF NO ANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT Executed on By DATE SIGNATURE CF CONTROLLNG OFFICEHOLDER.CANDIDATE,OR STATE MEASURE PROPONENT FPPC Form 410(August/2018) FPPC Advice:advice@fppc.ca.gov 1865/275-3772) www.fppc.ca.gov netfile.com Statement of Organization CALIFORNIA 41 0 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 of 3 I.D.NUMBER COMMITTEE NAME Paul Seo for RPV City Council 2022 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 (562)983-0815 WILL OPEN WHEN COMMITTEE QUALIFIES CITY STATE ZIP CODE ADDRESS 550 S. Hope St., #100 Long Beach CA 90802 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 City Council Member Rancho Palos Verdes Nonpartisan Partisan (list political party below) Paul Seo 2022 X 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 APPLICABI E) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(August/2018) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov 41 0 Statement of Organization CALIFORNIA Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 3 of 3 I.D.NUMBER COMMITTEE NAME Paul Seo for RPV City Council 2022 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: 0 CITY Committee 0 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 ❑ __ I / 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