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CA Form 460 Recipient Committee Preelection Campaign Statement No. 2 - Jerry Duhovic Recipient Committee IVEI COVER PAGE p Type orprint in ink. Yp r_ql_IFORNIA 460 Campaign Statement CI OF RANCHO PALOS Cover Page I-URM . (Government Code Sections 84200-84216.5) OCT 2 2 2015 1 7 Statement covers period Date of election if applicable: Page of SEPT 20, 2015 (Month, Day,Year) For Official Use Only from CITY CLERK'S OFFICE �`Ty � ir�+- SEE INSTRUCTIONS ON REVERSE through OCT 17, 2015 NOVEMBER 3, 2015 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: 2 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled ❑ Termination Statement E Supplemental Preelection (Also Complete Part 5) 0 SponsoredAlso file a Form 410 Termination)) Statement-Attach Form 495 (Also Complete Part 6) D General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1340074 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 ANGELA FELIX MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE SAN PEDRO CA 90731 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY RANCHO PALOS VERDES CA 90275 ( PAUL FELIX MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE SAN PEDRO CA 90731 ( OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best o Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page--Part 2 Page 2 of 7 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE JERRY DUHOVIC OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RANCHO PALOS VERDES CITY COUNCIL MEMBER RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP RANCHO PALOS VER CA 90 275 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not Included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER officeholders)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NO 0 SUPPORT YES 0 0 0 OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded SummaryPa a to whole dollars. Statement covers period CALIFORNIA460 g SEPT 20, 2015 FORM from throu h OCT 17, 2015 Page 3 of 7 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Runningin Both the State Primaryand (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions Schedule A,Line 3 $ 3398 $ 4098 General Elections 7500 7500 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 10898 $ 11598 20. Contributions Received $ $ 4. NonmonetaryContributions Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 10898 $ 11598 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 6508.40 $ 7728.40 Candidates 7. Loans Made Schedule H,Line 3 0 0 6508.40 7728.40 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0 0 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 6508.40 $ 7728.40 $ Current Cash Statement I $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 3491.11 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 10898 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments Column A,Line 8 above 6508.40 report. Some amounts in Y Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 7880.71 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and OutstandingDebts from Lines 2,7,and 9(if qu any). 18. Cash Equivalents See instructions on reverse $ 0 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 27500 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) 3:. • Schedule A Type or print in ink. ,•ULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CALIFORNIA 460 from SEPT 20, 2015 FORM SEE INSTRUCTIONS ON REVERSE through OCT 17, 2015 Page 4 of 7 NAME OF FILER I.D. NUMBER JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) John Freemen BIND ❑CoM Retired 100 100 100 9/20/156850 ❑OTH Rancho Palos Verdes, Ca 90275 ❑PTY El SCC R. Gene Dewey RIND Retired 9/23/15 ❑COM OTH 100 100 100 Rancho Palos Verdes, CA 90275 ❑❑PTY ❑SCC David Emenhiser ®IND ❑coM Executive 100 100 100 9/30/15 ElOTH Com. Partners Rancho Palos Verdes, CA 90275 ❑PTY ❑SCC Kathy&Al Edgerton FIND Retired 10/1/15 ❑COM 200 200 200 Rancho Palos Verdes, CA 90275 El OTH ❑PTY ❑SCC Centaurus Financial, Inc. ❑IND 10/5/15 ❑coM 2500 2500 2500 Anaheim, CA 82806 GOTH ❑PTY ❑SCC SUBTOTAL$ 3000 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ 3100 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ 298 0TH_Other(e.g., business entity) PTY Political Party 3. Total monetary contributions received this period. scc-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line 1.) TOTAL $ 3398 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. SEPT 20, 2015 FORM from through OCT 17, 2015 Page 5 7 of NAME OF FILER I.D.NUMBER JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE,ALSO ENTER ID.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) Thomas & Martha Redfield ®IND Retired 100 10/14/15 ❑COM 100 100 TH 0 Rancho Palos Verdes, CA 90275 ❑PTY ❑SCC ❑IND ❑COM ❑OTH 0 PTY 0 SCC 0 IND ❑COM ❑OTH 0 PTY ❑SCC 0 IND ❑COM ❑OTH ❑PTY 0 SCC • ❑IND 0 COM ❑OTH ❑PTY 0 SCC SUBTOTAL$ 100 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) r ,, Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA 460 Loans Received to whole dollars. SEPT 20, 2015 FORM from through OCT 17, 2015 Page 6 of 7 SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074 (a) (b) (c) (d) (0) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNTOUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS AMOUNT PAID BALANCE AT OF LENDER OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS (IF SELF-EMPLOYED,ENTER BEGINNING THIS CLOSE OF THIS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Jerry& Rosanne Duhovic ❑PAID CALENDAR YEAR Centaurus Financial, Inc. $ 0 $ 27500 0 ,� $ 7,500 $ 7500 Rancho Palos Verdes, CA 90275 Owner/Partner ❑FORGIVEN RATE PER ELECTION** $ 20,000 $ 7500 $ 0 DEMAND $ 10/6/15 $ 7500 t Q IND 0 COM ❑ OTH 0 PTY 0 SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ElFORGIVEN RATE PER ELECTION''"'"' $ $ $- $ $ t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ElFORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED SUBTOTALS $ 7500$ 0 $ 27500 $ 0 (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 7500 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 0 IND—Individual 2. Loans paid or forgiven this period $ COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) —(other than PTY or SCC) (Include loanspaid bya third partythat are also itemized on Schedule A.) OTH Other(e.g., business entity) PTY—Political Party 7500 SCC—Small Contributor Committee NET 3. Net change this period. (Subtract Line 2 from Line 1.) $ Enter the net here and on the Summary Page,Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE E Schedule E Type or print in ink. Statement covers period CALIFORNIA 460 Amounts may be rounded Payments Made to whole dollars. SEPT 20, 2015 FORM from through OCT 17, 2015 Page 7 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID MJM Graphics LIT 1482.40 San Pedro, CA 90731 Peninsula People/Beach Magazines LIT 399 Hermosa Beach, CA 90254-0745 Campaign LA LIT 4627 Gardena, CA 90248 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6508.40 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.) $ 6508.40 2. Unitemized payments made this period of under$100 $ 0 $ 0 3. Total interest paid this period on loans.(Enter amount from Schedule B, Part 1,Column(e).) TOTAL $ 6508.40 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A, Line 6.) FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)