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CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Oct - Dec 2015) Jerry Duhovic Recipient Committee — COVER PAGE p Type or print in ink. Date Stamp Campaign StatementCALIFORNIA460 RECEIVED FORM • Cover Page (Government Code Sections 84200-84216.5) CITY CSF RANCHO PALOS VE' ___T_____ Statement covers period Date of election if applicable: Page of 10/18/15 (Month, Day, Year) FEB 0 1 2016 For Official Use Only from 12/31/15 November 3, 2015 - - SEE INSTRUCTIONS ON REVERSE through # -T-Y CLERK'' " rsF 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: V Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee I2 Semi-annual Statement ❑ Special Odd-Year Report O Recall O ControlledTermination Statement (Also Complete Part 5) ❑ 111 Supplemental Preelection O Sponsored (Also file a Form 410 Termination) Statement Attach Form 495 (Also Complete Part 6) Amendment(Explain ❑ General Purpose Committee ❑ ( p below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O 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 knowledge the contained 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 • , . / , Executed on 1/31/16 By _ Date Officer of Sponsor Executed on By Date Signature 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 '11of 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 RANCHO PALOS VERDES CITY COUNCIL MEMBER ❑ OPPOSE RESIDENTIAL/BUSINESS 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 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of 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 11] YES [111 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 Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page IF-115-p CALIFORNIA 460from _Ib/ FORM G through1213 q/S-...— Page 3 of SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMB LIT-4--q j3J EtuLtnvtc. R? / crr -N 21:5ro i Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions Schedule A Line3 $ gRq $ 4-4 ciP1 1 General Elections 1 0 /1 through 6/30 7/1 to Date 2. Loans Receive Schedule B,Line 3 0 •i 57). 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 3_ $ l 4PV1 20. Contributions Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 2J\ 2.51 450 1_5 2_5 •t 21. Ex enditures ` P S �11 i Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ ���� i $ ✓ ' Expenditures Made , Expenditure Limit Summary for State 7 ZO2. .40 6. Payments Made ScheduleE,Line4 $ $ Candidates 7. Loans Made Schedule H,Line 3 V o 141 Z 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ tiT i 4t 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 0 — 0 p PQQ Date of Election Total to Date 1 10.NonmonetaryAdjustment Schedule C,Line 3 2. L51 �,'Z i57) (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 1 a 4o31V $ 1, cc, 13! c1.o ______I 1 $ Current Cash Statement / $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ '7 3n, il(�^ To calculate Column B, 13.Cash Receipts Column A,Line 3 above 3-1,"� add amounts in Column 14. Miscellaneous Increases to Cash Schedule 1,Line 4 A amounts to the corresp fromCondingolumn B *Amounts in this section may be different from amounts reported in Column B. 15.Cash Payments Column A,Line 8 above 414rof your last report. Some amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 1 3 ©5I i I be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 filed for this calendar year,only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if ro any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ )I FPPC51:50 (Jan/2016) Form 4 60(Jan/20 6) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received CALIFORNIA 460 from tOitEPC FORM through 1213 1Page of -7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1 I.D.NUM ER LtVLCU C1. ' 04- 014 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.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) .ter419/6-- �AliOLPIff—K._ C O M . ElOTH T7/2EL41 DinRP ❑P ❑ �1 V �� SCC (4rTty ititi_. eb --K9-7-,DA)V x7s-- rcND OM (Oficoc ❑PTY &ikg:V3aS--- ❑SCC fiON �ND '�f/ f - f❑COM � _It 1.00 t I arc � , HpioTyli _ ��- �/ �--� owea6_ (VA4- .?,bric-- 0 scc S' \ I-f-Ai dtP,05E. 6i/2/4-4D lI N D `M- ❑COM �� abtiti)-4- it-zco 7( ci, ltZiOn ID/Ir5 El PTY 6- JP-A-kb( . (2_P 1/( ult- qbx-zs---- ❑SCC n �sT1EE\hEFJ ❑COM ' A-7-1-004,,fEytDp..-KA- &- Ell OTH — ur ❑PTYOR_au � i-g-T4 , `' C) WI1 ❑SCC SNku-t.khi-Nsa_i)_ S TA L$ 300 1 11.0m1 1411 111 I Iliilo I,1114104 i,jIII DI ir,_!.m m 1Ii,,I P.91 li4,1IIIII IllsI SII dillI ainiiiN 0II Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. grD0IND—Individual COM—Recipient Committee (Include all Schedule A subtotals.) (other than PTY or SCC) OTH—Other(e.g.,business entity) 2. Amount received this period-unitemized monetary contributions of less than $100 $ CtCt PTY-Political Party 3. Total monetary contributions received this period. t- , SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE B-PART 1 Amounts may be rounded Schedule B - Part 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received from I bt 87/C' FORM SEE INSTRUCTIONS ON REVERSE through(2/3V/5— Page of j___ NAME OF FILER I.D.NUMBER .-712- btkt-+Nkr ((- -ft R- V LiTY UtAIC1 7-66V74 IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT OF LENDER (IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD CLOSE OF THIS PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE NTEP-P-q A, Pi. A.Aukr--bcti-tniti--�• ❑ PAID CALENDAR YEAR _-0Lowleir $ `���t�� �% $ -7. -r-;_���p RATEOV &YE CI6?Zac *,r ❑ FORGIVEN PER ELECTION t -----WirtaRa-5 'vino , $ o P6-ti-i t' IND El COM ❑ OTH El PTY ❑ SCC FiAlafrite-tALI-rike--$ $ 0 DATE DUE .b DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ - $ RATE ❑ FORGIVEN PER ELECTION** $ $ - $ $ $ 1-11 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ Q $ 0$ XI 9Z4$ 0 (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 $ 0IND—Individual (Total Column (c) plus loans under$100 paid or forgiven.) COM—Recipient Committee (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 $ t 1 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. FPPC Form 460(Jan/2016) ** If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C to whole dollars. ' Nonmonetary Contributions Received Statement covers period CALIFORNIA 460 from A Di/Vic— FORM SEE INSTRUCTIONS ON REVERSE throughc-- Page (L1 of 7 NAME OF FILER I.D.NUMBER j'- gP ..\1 '‘ 4 ini((- °I* P t-,' _A 111 - '4 i. C., 7-40/ i 3/ 00-74--• , IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE RECEIVED * OCCUPATION AND EMPLOYER FAIR MARKET TO DATE ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) (IF REQUIRED) PositivAIM.jiJj1jv/L. IND D OTH eqk 1/1 er 1612M tqZt, Itr° ici2 I, SD- A/I af-Rbaq-S ❑PTY ❑SCC Pesti-NNE itt,,t tLW VLC IND ~ ,_) co OMTH L-t7------ IDO8# S929ØS' 1) -- 7,c12,9 .- - cox-Ls- El PTY v jtf1 ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC -,- 0 ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$-250 is-E, Schedule C Summary *Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. Zil ,S32. IND-Individual (Include all Schedule C subtotals.) $ COM Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than $100 0OTH-Other(e.g.,business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. n SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ 1•5t 22.1 it FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov • Amounts may be rounded - - --- -- -- SCHEDULE E Schedule E Statement covers period CALIFORNIA 460 Payments4. from Made to whole dollars. fc-- FORM 124 through'` ///$ Page of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER c /F12-( 1\/ IYU-qt‘f i C FM kP V' 0-Ct"/ abaiueLL 2 )/:c-- (3 4-M74-- CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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) AIIMIIINEMSEMIIMMIIMMINV NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID w PEPJINS' „NI)11. 'AL I th ti ��� a IATF-- OMWAtkf\ .....„....... � ....r�ye�r�,..{,I i7V7 D75- ettiztip_ikc ti-1 M- D f et-?' *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1 4 i +- Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 7 4-16r 2. Unitemized paments made this period of under$100 $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $14-7 et---- - • FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov