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Statement of Organization Date Stamp <br /> g CALIFORNIA 41 0 <br /> Recipient Committee FORM <br /> Statement Type 0 Initial ❑ Amendment ❑ Termination—See Part 5 ' :Ae NCHO PALO v '1 t<br Official Use Only <br /> 0 Not yet qualified JUN 2 1 2O10 <br /> or <br /> 0 Date qualification threshold met Date qualification threshold met Date of termination <br /> CLERK'S OFFIC <br /> Committee n I.D. Number 2. Treasurer <br /> 1 C ttee I formation PENDING and Other Principal Officers <br /> (if applicable) <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> RANCHO PALOS VERDES GOOD LEADERSHIP COMMITTEE, SPONSORED BY LONG POINT <br /> DEVELOPMENT, LLC CARY DAVIDSON <br /> STREET ADDRESS(NO P.O.BOX) <br /> 515 S. FIGUEROA ST., STE. 1110 <br /> STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE <br /> 515 S. FIGUEROA ST., STE. 1110 LOS ANGELES CA 90071 (213)624-6200 <br /> CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY <br /> LOS ANGELES CA 90071 (213)624-6200 FLORA YIN <br /> FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX) <br /> 515 S. FIGUEROA ST., STE. 1110 <br /> E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE <br /> (213)623-1692 / cary@politicallaw.com LOS ANGELES CA 90071 (213)624-6200 <br /> COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) <br /> LOS ANGELES RANCHO PALOS VERDES TERRI A. HAACK <br /> STREET ADDRESS(NO P.O.BOX) <br /> 28625 S. WESTERN AVE., STE. 147 <br /> CITY STATE ZIP CODE AREA CODE/PHONE <br /> Attach additional information on appropriately labeled continuation sheets. <br /> RANCHO PALOS VERDES CA 90275 (213)624-6200 <br /> I have used all reasonable diligence in preparing this statement and to the best of my ,i.wledge the information contained herein is true and complete. I certify under <br /> penalty of perjury under the laws of the State of California that the foregoing is true d c• ect. <br /> Executed on 6/20/2019 By <br /> DATE SIGNA e F TR I' R OR ASSISTANT TREASURER <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> Executed on By <br /> DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT <br /> FPPC Form 410(August/2018) <br /> FPPC Advice:advice@fppc.ca.gov(866/275-3772) <br /> www.fppc.ca.gov <br /> netfile.00r77 <br />