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COVER PAGE <br /> Recipient Committee Date Stamp A I RN IA F <br /> Campaign Statement c � o460RECD FORM <br /> Cover Page <br /> OF RANCHO PALOS - <br /> Page 1 of 6 <br /> Statement covers period Date of election if applicable: <br /> (Month,Day,Year) 2 <br /> 2016 For Official Use Only <br /> from <br /> January 1,2016 � 9 <br /> SEE INSTRUCTIONS ON REVERSE through July 31, 2016 11-8-2005 -,. <br /> EfES OFFICE <br /> 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: <br /> ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement 0 Quarterly Statement <br /> O State Candidate Election Committee Committee RI Semi-annual Statement ❑ Special Odd-Year Report <br /> O Recall 0 Controlled El Termination Statement <br /> (Also Complete Part 5) 0 Sponsored <br /> (Also file a Form 410 Termination) <br /> (Also Complete Parte) <br /> ❑ General Purpose Committee ❑ Amendment(Explain below) <br /> O Sponsored ❑ Primarily Formed Candidate/ <br /> O Small Contributor Committee Officeholder Committee <br /> 0 Political Party/Central Committee (Also Complete Pad 7) <br /> 3. Committee Information I.D.NUMBER Treasurer(s) <br /> 991064 <br /> COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER <br /> Barbara Ferraro for Rancho Palos Verdes City Council Charles V. Ferraro <br /> MAILING ADDRESS <br /> <br /> TREET DRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> � <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> <br /> MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS <br /> CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE <br /> OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS <br /> 4. Verification <br /> I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I <br /> certify under penalty of perjury under the laws of the State of California that the foregoing is tru d tylia <br /> 7-29-16 • <br /> Executed on Date <br /> <br /> Date 'gnature of Controlling Officeholder,Candidate - Measure Proponent or Responsible Officer of Sponsor <br /> Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> Executed on By <br /> Date Signature of Controlling Officeholder,Candidate,State Measure Proponent <br /> FPPC Form 460(Jan/2016) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br />