CA Form 410 Jerry Duhovic for RPV City Council 2015 Amendment Statement of Organization Date Stamp CALIFORNIA 41 0
Recipient Committee RECEIVED FORM
Statement TypeTermination—See Part 5 CITY OF RANCHO PALO -For Official Use Only
0 Initial ® Amendment 0 e
O Not yet qualified JAN 312023
or
Q Date qualification threshold met Date qualification threshold met Date of termination
08 01 2015 CITY CLERK'S OFFICE
/
1. Committee Information I.D. Number 1340074 2. Treasurer and Other Principal Officers
i a..licable
NAME OF COMMITTEE NAME OF TREASURER
Jerry Duhovic for RPV City Council 2015 Jerry Duhovic
STREET ADDRESS(NO P.O.BOX)
32415 Nautilus Drive
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE
32415 Nautilus Drive Rancho Palos Verdes CA 90275 (310)502-8036
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Rancho Palos Verdes CA 90275 (310)502-8036
FULL MAILING ADDRESS(IF DIFFERENT) STREET ADDRESS(NO P.O.BOX)
E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE
jduhovic@hotmail.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)
Los Angeles Rancho Palos Verdes Jerry Duhovic
STREET ADDRESS(NO P.O.BOX)
32415 Nautilus Drive
CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
Rancho Palos Verdes CA 90275 (310)502-8036
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California to. - - fo i.'•:44 rue and correct.
AA.Executed on 1/28/23 By
DATE S FM. %Ir-.ATURE OF TREASURER OR ASSISTANT TREASURER
1/28/23 lc fir b
Executed on By
DATE NATURE 0 CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,OR STATE MEASURE PROPONENT
FPPC Form 410(August/2018)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov