CA Form 410 Termination Lewis for RPV City Council 2024 Statement of Organization Date Stamp CALIFORNIA 41 0
Recipient Committee RECEIVE.' FORM
Statement Type El Initial [] Amendment ® Termination—See Part
CITY OF RANCHO PALOS VERDE6°T OTECI l Use Only
0 Not yet qualified
°f JAN 31 2025
o Date qualification threshold met Date qualification threshold met Date of termination
/ 12 / .3 1 / 2 U L L ---- ._-.�.
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4. Committee Information I.D. Number 2, Treasurer and Other Principal Officers
Of applicable)
NAME OF COMMITTEE NAME OF TREASURER
George Lewis
Lewis for RPV City Council 2024 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE
6465 Via de Anzar RPV CA 90275
EMAIL ADDRESS OF TREASURER(REQUIRED) AREA CODE/PHONE
STREET ADDRESS(NO P.O.BOX) rpvgearge@gmail.com 707-975-7024
6465 Via de Anzar
NAME OF ASSISTANT TREASURER;IF ANY
CITY STATE ZIP CODE AREA CODE/PHONE
Rancho Palos Verdes CA 90275 707-975-7024
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE
FULL MAILING ADDRESS(IF DIFFERENT)
EMAIL ADDRESS OF ASSISTANT TREASURER(REQUIRED) AREA CODE/PHONE
EMAIL ADDRESS OF CO1vIIVIITTEE(REQUIRED)/FAX(OPTIONAL)
rpvgeorge@gmail.com
NAME OF PRINCIPAL OFFICER(S)
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Los Angeles Los Angeles County
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.
01/31/24
Executed on By
DATE SIGNAT,I,IRE of TREASR'ASSISIANI IREASURER
01/31/24 , ..-,,',,, ' "
Executed on By
DATE SIGNATURE( CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
UAIL 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:adv(cecfppc.ca.gov(866/275-3772)
www.fppc.ca.gvv