CA Form 497 Contribution Report No. 3 - Jerry Duhovic 497 Contribution Report Type or print in ink.
p Amounts may be rounded to whole dollars.
497 CONTRIBUTION REPORT
NAME OF FILER Date of Date Stamp CALIFORNIA 497
JerryDuhovic for RPV CityCouncil 2015 This Filing 10/22/15 FORM
AREA CODE/PHONE NUMBER I.D.NUMBER(if applicable) or•'icia Ise •n y
( 1340074
3Report No. RECEIVED
STREET ADDRESS CITY OF RANCHO PALOS VEP's ES
0 Amendment
to Report No. OCT 2 2 2015
CITY STATE ZIP CODE (explain below)
No.of Pages 1
Rancho Palos Verdes CA 90275
1. Contribution(s) Received
GITYCLERKSOFFI E
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF P INDIVIDUAL, AMOUNT
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * ENTER OCCUUPATION AND EMPLOYER RECEIVED
(IF SELF-EMPLOYED,ENTER NAME OF BUSINESS)
10/21/15 Rosanne Duhovic X❑ IND $1008
❑ COM N/A
Rancho Palos Verdes, CA 90275 ❑ OTH ❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH 0 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(March/2011)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)