CA Form 410 Barbara Ferraro for Rancho Palos Verdes City Council 2022 Statement of Organization Date Stamp CALIFORNIA 41 0
RECEIVED Recipient Committee FORM
Statement TypeAmendment Termination—See PartCiT 'OF RANCHO PALOS V' •
Yp X Initial 0 Amend e ❑ For Official Use Only
O Not yet qualified JUL 2 9 2022
or
Q Date qualification threshold met Date qualification threshold met Date of termination
CITY CLERK'S OFFICE
1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers
(if applicable)
NAME OF COMMITTEE NAME OF TREASURER
PV
tirbrc- Fexrao are .,Fxraro
Q,, 1, C.,.o u-v c_t I i202_2_ STREET ADDRESS(NO P.O.BOX) .
35 ) SeagIeJAT
STREET ADDRESS(NO P.O.BOX) i CITY STATE ZIP CODE AREA CODE/PHONE
35 30Iehr, c.- ?aIo VC975-i 3/0 -37-/ -.
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY ,
�
ct.nci-)oPcthVe.rJe$ 2L'7 ' 3/0 577-1.5-v .
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
Ba rba..r . \ e,rt-r-u-r) e, hp'✓ a 0 V
COUNTY OF DOMICILE JURISDICTION HERE COMMITTEE4S.aTIVE NAME OF PRINCIPAL OFFICER(S)
5 A-nq ei e t oPa
hd - los Veal es
/ 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 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 C ' niha .s e foregoing is tr - .nd corre .
Executed on 7-.2 1 --..,v,.2 By •
1t41L. ,--'C'' ".s111"
al'
DATE ii IGNATURE OF TREASURER OR ASSISTANT TREASURER
Executed on 7- .1A-1-1,-/a By . , .1_,,..
DATE SIGNATURE 0'CeNTROLLING 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 CONTF.OLLING 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
rte._ e.- r-r.iro 60--)eilo .Palc_6 Verse s Co wo Ct
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER
MCA n ,. 9 / - 300c3
ADDRESS ,CITY STATE ZIP CODE
.2'7456 1-jau) 1�,D I/ li 11.5 LJkL ..scifif
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
eii-y of- Nonpar'sari Partisan (list political party below)
Barbam Cot/he.'1 rn r • 'Ranch o ea/051/044
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
CO MITTEE NAME I.D.NUMBER
.jri)/), r(cxE,r(i__ Fe,rra: v Th/c� 14_
l °� •
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 El 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 ❑ � /
Date qualified
5. Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or ponent 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:adviceifppc.ca.gov(866/275-3772)
www.fppc.ca.gov