CA Form 410 David Chura for RPV City Council 2024 . RCJEO
Statement of Organization ate St 'ej pALOS' CALIFORNIA 41 0
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Recipient Committee C OF FORM
Statement Type ® Initial ❑ Amendment ❑ Termination—See Part 5 3U\_ o g 2024
For Official Use Only
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RKS ®r'FICE
0 Date qualification threshold met Date qualification threshold met Date of termination ITY C LE
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1. Committee Information ¶1DNnber 2. 'Treasurer and Other Principal Officers
applicable)
NAME OF COMMITTEE NAME OF TREASURER
Bob Daly
David Chura for RPV City Council 2024 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE
6844 Vallon Drive Rancho Palos Verdes CA 90275
EMAIL ADDRESS OF TREASURER(REQUIRED) AREA CODE/PHONE
STREET ADDRESS(NO P.O.BOX) churatreas@icloud.com 310-377-3299
6847 Vallon Drive NAME OF ASSISTANT TREASURER,IF ANY
CITY STATE ZIP CODE AREA CODE/PHONE Marie Chura
Rancho Palos Verdes CA 90275 310-345-4418 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE
FULL MAILING ADDRESS(IF DIFFERENT) 6847 Vallon Drive Rancho Palos Verdes CA 90275
EMAIL ADDRESS OF ASSISTANT TREASURER(REQUIRED) AREA CODE/PHONE
E-MAIL ADDRESS OF COMMITTEE(REQUIRED)/FAX(OPTIONAL) mchura5678@aol.com 310-462-6791
davechura4rpvcc@gmail.com NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Los Angeles Rancho Palos Verdes STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE
EMAIL ADDRESS OF PRINCIPAL OFFICER(S)(REQUIRED) 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 California that the foregoing is true and correct.
07/03/2024
Robert C Daly Digitally signed by Robert C Daly
Executed on By Date:2024.07.03 09:52:53-07'00'
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURER
07/03/2024 Dave Chura Digitally signed by Dave Chura
Executed on By Date:2024.07.03 10:36:10-07'00'
DATE SIGNATURE 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(October/2023)
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 l.D.NUMBER
David Chura for RPV City Council 2024
• All committees must list the financial institution where the campaign bank account is located and the person(s)authorized to obtain bank records.
NAME OF FINANCIAL INSTITUTION AND PERSON(S)AUTHORIZED TO OBTAIN BANK RECORDS AREA CODE/PHONE BANK ACCOUNT NUMBER
Malaga Bank 310-541-3000 03-114518-08
ADDRESS OF FINANCIAL INSTITUTION CITY STATE ZIP CODE
27450 Hawthorne Blvd. Rolling Hills Estates CA 90274
wwortommittee4. 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
Nonpartisan Partisan (list political party below)
David Chura City Council,City of Rancho Palos Verdes CA ✓
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(October/2023)
FPPC Advice:advice@fppc.ca..go r(866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA 41 0
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D.NUMBER
David Chura for RPV City Council 2024
4.Type of Committee (Continued) :.T. . ..:.
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
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(October/2023)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppcca.gov