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t . <br /> Statement of Organization (IC • tib C' . CALIFORNIA 41 0 <br /> Recipient Committee TTY OF RANCHO PALOS VE'' FORM <br /> Statement Type 0 Initial 0 Amendment 0 Termination—See Part 5 JUL 11 zo;Q For Official Use Only <br /> Q Not yet qualified <br /> or <br /> Q Date qualification threshold met Date qualification threshold met Date of termination ,4 <br /> CLERK'S OFF C <br /> / / 07 / 09 / 2019 --/--/-- <br /> I.D. Number �: <br /> 1. Committee Information 1419325 2. Treasurer and Other Principal Officers <br /> `- (if applicable) <br /> _Maim& AL Aillitiiiiig .: <br /> NAME OF COMMITTEE NAME OF TREASURER <br /> PROTECT RANCHO PALOS VERDES & TERRANEA, 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. 133 <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 /> �. Veri 'cation ,, <br /> I have used all reasonable diligence in preparing this statement and to tht of nyf kno ledge/ e information contained herein is true and complete. I certify under <br /> penalty of perjury under the laws of the State of California that the for o' g is tr n. corre <br /> Executed on 7/9/2019 By <br /> DATE SI, .J;'•F TREASURER OR ASSISTANT TREASURER <br /> Executed on By <br /> DATE SIGNATURE F 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 /> rietfile.oom <br />