CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Jerry Duhovic COVER PAGE
Recipient Committee Typeor print in ink. IEC1VED CALIFORNIA
460
Campaign Statement
_ Cover Page CITY OF RANCHO PALOS ORM
(Government Code Sections 84200-84216.5)
Page 1 of 6
Statement covers period Date of election if applicable: SEP 2 4 2015
from JULY 1, 2015 (Month, Day,Year) For Official Use Only
SEPT. 19, 2015 NOVEMBER 3,2015- OFFICE
9SEE INSTRUCTIONSON REVERSE throw hITY CLERKS
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 m Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
Q Recall 0 ControlledTermination Statement
(Also Complete Part 5) Sponsored ❑ 1:1 Supplemental Preelection
(Also file a Form 410 Termination) Statement-Attach Form 495
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored E 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 of my knowledge the infor •tion herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on By
Date ignature of Controlling Officeholder,Candidate,State Measure Proponent
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 6
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
RANCHO PALOS VERDES CITY COUNCIL MEMBER ❑ OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
RANCHO PALOS VER CA 90275 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
7. Primarily Formed Candidate/Officeholder Committee List names of
NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)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
❑ 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
❑ YES ❑ NO ❑ SUPPORT
❑ 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 Statement covers period CALIFORNIA
Summary Page to whole dollars. 460
from _ JULY 1, 2015 FORM
through
SEE INSTRUCTIONS ON REVERSE SEPT. 19, 2015 Page 3 of 6
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
700 700 General Elections
1. Monetary Contributions Schedule A,Line 3 $ $
0 0 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 700 $ 700 20. Contributions
Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 0 0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 700 $ 700 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 1220 $ 1220 Candidates
7. Loans Made Schedule H,Line 3 0 0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 1220 $ 1220 (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 $ 1220 $ 1220 _______/_/ $
Current Cash Statement $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 4011.11
To calculate Column B,add
13. Cash Receipts Column A,Line 3 above 700 amounts in Column A to the
0 corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash Schedule I,Line 4 from Column B of your last reported in Column B.
15.Cash Payments Column A,Line 8 above 1220 report. Some amounts in
Column A may be negative
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 3491.11 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 Outstanding Debts from Lines 2,7, and 9(if
18. Cash Equivalents See instructions on reverse $
0 anY)
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 20,000 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
MonetaryContributions Received Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA 460
- from JULY 1, 2015 FORM
through SEPT. 19, 2015 Page 4 of
SEE INSTRUCTIONS ON REVERSE6
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)
®IND
8/25/2015 MICKEY&BETH RODICH ❑COM RETIRED 200 200 200
❑OTH
RANCHO PALOS VERDES, CA 90275 ❑PTY
❑SCC
0 IND
BOB&SANDIE NELSON ❑COM RETIRED
9/18/2015 ❑OTH 150 150 150
RANCHO PALOS VERDES, CA 90275 ❑PTY
❑SCC
®IND
9/13/2015 JEREMY R. &PIPPA H. DAVIES ❑COM RETIRED 100 100 100
00TH
RANCHO PALOS VERDES, CA 90275 ❑PTY
❑SCC
LOWELL R. WEDEMEYER ®IND
9/19/2015 paw LAWYER/SELF 250 250 250
00TH
RANCHO PALOS VERDES, CA 90275 ❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 700
Schedule A Summary *Contributor Codes
1. Amount received this period—itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 700 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than$100 $ 0 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 $ 700
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Type or print in ink. SCHEDULE B-PART 1
Schedule B—Part 1 Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA460
- Loans Received from JULY 1, 2015 FORM
SEE INSTRUCTIONS ON REVERSE through SEPT. 19, 2015 Page 5 of 6
NAME OF FILER I.D. NUMBER
JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074
IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNTOUTSTANDING
INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT
OF LENDER RECEIVED THIS 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 BUSINESS ❑PAID CALENDAR YEAR
EXECUTIVE/OWNER $ 0 $ 20,000 0 % $ 20,000 $ 0
RANCHO PALOS VERDES, CA 90275 CENTAURUS ❑FORGIVEN RATE PER ELECTION'""'
FINANCIAL, INC. 20,000 0 0 DEMAND Various 20,000
$
tz IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
❑FORGIVEN RATE PER ELECTION**
$ $ $ $ $
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
0 PAID CALENDAR YEAR
$ $ % $ $
❑FORGIVEN RATE PER ELECTION''*
$ $ $ $ $
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ $ $
(Enter(e)on
Schedule B Summary Schedule E,Line 3)
1. Loans received this period $ 0
(Total Column(b)plus unitemized loans of less than$100.) tContributor Codes
2. Loans paid or forgiven this period $ 0 IND—IndividualCOM—Recipient Committee
(Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity)
PTY—Political Party
3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0 SCC—Small Contributor Committee
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)
•
' Type or print in ink. SCHEDULE E
Schedule E Statement covers period CALIFORNIA 460
Payments Made Amounts may be rounded
y to whole dollars. JULY 1, 2015 FORM
from
SEE INSTRUCTIONS ON REVERSE through SEPT. 19, 2015 Page 6 of 6
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
IND 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
CAMPAIGN LA
LIT 960
GARDENA, CA 90248
DALEY PROFESSIONAL WEB SOLUTIONS
OFC 260
MONTGOMERY, NY 12549
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 1220
2. U n item ized payments made this period of under$100 $ 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column(e).) $ 0
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 1220
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)