CA Form 410 Jerry Duhovic for RPV City Council 2015Date Stamp
Statement of Organization CALIFORNIA
Recipient Committee
p ' M 410
Statement Type ❑ Initial 0 Amendment ❑ Termination — See Part 5 For Official
Not yet qualified ❑ or list I.D. number: List I.D. number:
Cl OAMS
OF RANCHO VERD S
# 1340074 # AUG O 6 2015
08 01 It 2015
Date qualified as committee Date qualified as committee Date of Termination ITY CLERK'S OFFIcq
(If applicable)
1,. Committee Information
2. Treasurer and Other
Principal Officers
NAME OF COMMITTEE
NAME OF TREASURER
JERRY DUHOVIC FOR RPV CITY COUNCIL 2015
ANGELA FELIX
STREET ADDRESS (NO P.O. BOX)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE
ZIP CODE AREA CODE/PHONE
RANCHO PALOS VERDES CA 90275 (
SAN PEDRO CA
90731 (
MAILING ADDRESS (IF DIFFERENT)
NAME OF ASSISTANT TREASURER, IF ANY
PAUL FELIX
FAX / E-MAIL ADDRESS
STREET ADDRESS (NO P.O. BOX)
(
COUNTY OF DOMICILE
JURISDICTION WHERE COMMITTEE IS ACTIVE
CITY STATE
ZIP CODE AREA CODE/PHONE
LOS ANGELES
LOS ANGELES
SAN PEDRO CA
90731 (
NAME OF PRINCIPAL OFFICER(S)
JERRY DUHOVIC
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
RANCHO PALOS VERDES CA
90275 (
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of
y k owledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California th forego' g is tr
a correct.
08/01/2015
Executed on By
DATE I
RE OF TR SURER OR ASSISTA T T EASURER
08/01/2015
Executed on By
DATE OFC RO
OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
08/01/2015
Executed on By
DATE TURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
ADDRESS
4 . Type of Committee Complete the applicable sections.
AREA CODE/PHONE
(
CITY
SAN PEDRO
BANK ACCOUNT NUMBER
STATE ZIP CODE
CA 90732
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CAN MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
JERRY DUHOVIC
Rancho Palos Verdes City Councilmember
2015
® Nonpartisan
SUPPORT
❑ Nonpartisan
.1y • - , Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHFCK nNF
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SUPPORT
1:1
OPPOSE
El
SUPPORT
O
11
FPPC Form 410 (Dec/2012)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov