CA Form 497 Contribution Report No. 2 - Jerry Duhovic Ort Type or print in ink.
497 Contribution Report Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
NAME OF FILER Date of Date StampCALIFORNIA 497
JerryDuhovic for RPV CityCouncil 2015 This Filing10/20/15 RECEIVED
FORM
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) CITY OF RANCHO PALOS
2 Report No. or Official Use Only
( 1340074
OCT 2 0 2015
STREET ADDRESS
0 Amendment
to Report No.
CITY STATE ZIP CODE (explain below) CITY CLERK'S OFFCE
Rancho Palos Verdes CA 90275 No. of Pages
1. Contribution(s) Received
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
Rosanne Duhovic IND $1921.50
10/19/15
111 COM N/A
Rancho Palos Verdes, CA 90275 ❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC %
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC %
Provide interest rate
❑ IND
❑ COM
❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC %
Provide interest rate
*Contributor Codes
IND—Individual
COM—Recipient Committee(other than PTY or SCC)
OTH—Other(e.g., business entity)
PTY—Political Party
Reason for Amendment:
SCC—Small Contributor Committee
FPPC Form 497 (November/07)
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