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CA Form 410 David Bradley for RPV City Council 2022Statement of Organization Recipient Committee Statement Type .----------r----------r------------; D Termination -See Part 5 RECEIVED Ill Initial Q"'Not yet qua li fied or D Amendment ---------------1 LEAK'S OFFICE 0 Da te qua li ficat ion thres hold met I Date qua li ficat ion t hresho ld met --.1--1-- I.D. Number /if applicab~ N.• ME OF COMMITTEE David Bradley for RPV City Council 2022 STREET ADDRESS (NO P.O. BOX) 2809 Via El Miro CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 (310) 832-6477 FU LL MA ILING ADDRESS (IF DIFFERENT) E·vlAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) bradley _ 4_rpv _cc@earthlink.net COJNTY OF DOM ICILE JURISDICTION WHERE COMMITTEE IS ACTIVE Los Angeles Rancho Palos Verdes Attach additional information on appropriately labe led continuation sheets. 3 . Verification "0 a onao 1e a oreoan ng pena lty of perjury un d er the laws of the ~ 0 1R rn m e _oe iitn>rfgomg Date of term ination NAME OF TREASURER Gretchen S Carner STREET ADDRESS (NO P.O . BOX) 2809 Via El Miro CITY Rancho Palos Verdes NAME OF ASS ISTANT TREASURER , I F ANY STREE T ADDRESS (NO P.O. BOX) CITY NAM E OF PRINCIPAL OFFICER(S) David Bradley STREET AD CRESS (NO P.O. BOX) 2809 Via El Miro CITY Rancho Palos Verdes 0 ow1eag 0 a co Execu t ed on 0~ (I By {,t<p,~ /,/'> 1 \ ==.:::::-:· ii'.rJ1.1AT~Ri:ti.~11 R ~R n R ac;c;1c::;TA!\ITTRi=A,;;11Rrn 0 becuted on e,/10/zz DATE By V ) ,=;;:e ?:> -----1' .._ >< c :::::;:: -----.. ------.. ···----.--.. -· -~---------. ---..... . . Executed on By "0 DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT STATE ZIP CODE AREA CODE/PHONE CA 90275 (310) 832-6477 STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE CA 90275 (310) 832-6477 a como 1"T" 0 " Executed on DATE By ------------------------------------=--:-~=:-c---:--,,----------------s1GNATURE OF CONTROLLING OFFl:EHOLDER, C~NDIDATE, 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 Recipient Committee CALIFORNIA 41 0 FORM IN,TR UCTIONS ON REVERSE Page 2 0:1\il\illTTEE NAME 1.0 . NUMBER David. Bradley for RPV City Council 2022 • All committees must list the financial institution where the campaign bank account is located . ~~M E CF FINANCIAL INSTITUTION B CCOUNT NUMBER I AREA CODE/PHONE Malaga Bank (310) 784-2000 S-\ \ 2Y~-ol . eDC Rcc S CITY STATE ZIP CODE 25700 Crenshaw Blvd Torrance CA 90505 Controlled Committee • List the name of each controlling officeho lder, candidate, or state measure proponent. If candidate or officeholder controlled, 31:o list the elective office sought or held, and district number, if any, and the year of the election. • List the po litical party with which each officeholde r or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptab le • lf this committee acts jointly with another controlled committee, list the name and id entification number of the other controlled comm ittee. NAME OF CANDIDATE/OFFICE H OLDER/STATE MEASURE PROPONENT ELECT IVE OFF I CE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE David Bradley Rancho Palos Verdes City Council 2022 Nonpartisan ./ Nonpa rti san Primarily Formed Committee Primarily formed t o support or oppose spec ific candidates or measures in a single election . Lis t be low : CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE O FFI CEHOLDER'S NAME. CAN DI DATE [S) OFFICE SOUG HT OR HELD OR MEASURE(S) JUR ISDICTI ON (INCLUDE D I STRICT NO., CITY OR COUNTY, AS AP PLIC ABLE) Partisan Partisan (list political party be low) (list political party below) CHECK ONE SUPPORT OPPOSE SUPPORT SUPPORT OPPOSE FPPC Form 410 (August/2.018) FPPC Advice : advice@fppc.ca.gov (866/2.75-3772.) www.fppc.ca .gov Statement of Organization Recipient Committee IN5TRLJ ,:TIONS ON REVERSE CC'r.11.lllTTEE NAME CALIFORNIA 410 FORM General Purpose Committee Not formed to support or oppose specific candidates or measures in a single e lection. Check only one box : Ill CITY Committee O COUNTY Comm ittee O STATE Comm ittee PRO\"IDE BRIEF DESCRIPTION OF AC TIVITY Sup p ort the election of David Bradley to Rancho Palos Verdes City Council Sponsored Committee List additiona l sponsors on an attachment. NA ',E 0' SPONSOR INDUSTRY GROUP OR AFFILIAT ION OF SPONSOR s -R E£T A DDRESS NO. AND STREET CITY STATE ZlP CODE AREA CODE/PHONE Small Contributor Committee □--t---1-- 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 rece ive 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 rece ived, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclos ing 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 po li tical, leg islative 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