CA Form 497 Contribution Report No. 1 - Jerry Duhovic 497 Contribution Report Type or print in ink.
Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
-
NAME OF FILER Date of Date Stamp CALIFORNIA
Jerry Duhovic for RPV City Council 2015 This Filing 10/6/15 RECEIVEII FORM
AREACODE/PHONE NUMBER I.D.NUMBER(If applicable) MY OF P' +`i:A1(.1 PALO LO o •.cial Use Only
( 1340074 Report No. •
STREET ADDRESS
OCT 0 6 2015
❑Amendment
to Report No.
CITY STATE ZIP CODE (explain below) _ _LERKS OFFICE
___
Rancho Palos Verdes CA 90275 No.of PagesCITV
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR 1FUP I INDIVIDUAL, AMOUNT
RECEIVED (�cow,Luso ENTER i.o.NUMBER) * ENTER QCCUPATIa�I AND EMPLOYER
CODE (IF SELF-EMPLOYED.ENTER NAME OF BUSINESS) RECEIVED
❑ IND
10/6115 Centaurus Financial, Inc. 2500COM
❑
Anaheim,CA 92806 . E) 0Th 0 Check if Loan
D MY
❑ SCC Bio
Provide interest rate
10/6/15 Jerry&Rosanne Duhovic I IND 7500
❑ COM Centuarus c ancial, Inc. _
Rancho Palos Verdes,CA 90275 0 CTS7P14izri1'LEl Check if Loan
❑ PTY
• ❑ SCC 0 %
Provide interest rate
❑ IND
❑ COM
❑ OTH 0 Check if Loan
PTY❑ SCC
Provide interest rate
*Contributor Codes
IND—Individual
COM—Recipient Committee(other than PTY or SCC)
OT H--Other(e.g.,business entity)
PTY—Political Party
Reason for Amendment: SCC—Small Contributor Committee
FPPC Form 497 (November/07)
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