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CA Form 410 David Bradley for RPV City Council 2022 RECEIVED CITY OF ` "r-• =•��z; ' - � - - Statement of Organization • `a CALIFORNIA 41 0 Recipient Committee AUG 0 8 2022 FORM Statement Type ® initial ❑ Amendment ❑ Termination—See Part 5 For Official Use Only 'Not yet qualified CITY CLERKS OFFICE or 0 Date qualification threshold met Date qualification threshold met Date of termination 1. Committee Information I.D. Number 2. Treasurer and Other Principal Officers (if applicable) NA ME OF COMMITTEE NAME OF TREASURER David Bradley for RPV City Council 2022 Gretchen S Carner STREET ADDRESS(NO P.O.BOX) STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 (310) 832-6477 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Rancho Palos Verdes CA 90275 (310) 832-6477 FAL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX) E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE bradley_4_rpv_cc@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) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 (310) 832-6477 3. Verification I have used all reasonable diligence in preparing this is true true and correct. Executed on `r l'U (22, By • �1 ATE ,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:advicec'fppc.ca.gov(866/275-3772) www.fppc.ca.gov Statement of Organization CALIFORNIA 41 0 Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 EU FIB1ITTEE NAME I.D.NUMBER Daviii Bradley for RPV City Council 2022 • All committees must list the financial institution where the campaign bank account is located. NAVE CF FINANCIAL INSTITUTION AREA CODE/PHONE CCOUNT NUMBER Malaga Bank (310) 784-2000 ADDRESS CITY STATE ZIP CODE 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 OFFCE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE David Bradley Rancho Palos Verdes City Council 2022 Nonpartisan Partisan (list political party below) V1 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:5)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(a@fnpc.ca.gov(866/275-3772) www.fopc.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 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: CITY Committee ❑ COUNTY Committee ❑ STATE Committee PFO4IDE BRIEF DESCRIPTION OF ACTIVITY Support the election of David Bradley to Rancho Palos Verdes City Council Sponsored Committee List additional sponsors on an attachment. NAME'Dr SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR S F.E-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:advice a fppc.ca.gov(866/275-3772) www.fppc.ca.gov