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Statement of Organization rte "" . ,. <br /> CALIFORNIA 410 <br /> Recipient Committee '7 OF RANCHO PALOS VE' FORM <br /> Statement Type El Initial E1 Amendment 0 Termination—See Part 5 JUL 1 2019 <br /> For Official Use Only <br /> Q Not yet qualified <br /> or <br /> Q Date qualification threshold met Date qualification threshold met Date of termination !T..0 E R/ S OFF <br /> _/ 09 / 2019 <br /> I.D. Number N <br /> 1, Committee Information ; applicable) 1419323 2. Treasurer and tit er Prncipa 5kers <br /> (f PP ) <br /> NAME OF COMMITTEE NAME OF TREASURLIi <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 /> 3. Verification <br /> I have used all reasonable diligence in preparing this statement and :,:e best • kno dge the information contained herein is true and complete. I certify under <br /> penalty of perjury under the laws of the State of California that th- f. egoing;- • and r rrect. <br /> Executed on 7/9/2019 By <br /> DATE ,ATU• OF TREASURER OR ASSISTANT TREASURER <br /> Executed on By <br /> DATE SIGN• URE 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.corn <br />