CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2016) - Jerry Duhovic COVER PAGE
Recipient Committee Date Stamp
CALIFORNIA 460
Campaign Statement RECEIVED FORM
Cover Page
CtN pF RANCHO PALOS --sage ge of 4
Statement covers period Date of election If applicable:
•
from
January 1, 2016 (Month,Day,Year) AUG 0 1 2016 For Official Use Only
SEE INSTRUCTIONS ON REVERSE through June 30, 2016 November 3, 204Cr—.--s
Cli Y CLERK'S OFFICE
i ,
1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement:
0 Officeholder,Candidate Controlled Committee 0 Primarily Formed Ballot Measure 0 Preelection Statement 0 Quarterly Statement
O State Candidate Election Committee Committee ® Semi-annual Statement 0 Special Odd-Year Report
O Recall 0 Controlled 0 Termination Statement
(Also Complete Part 5) 0 Sponsored
(Also file a Form 410 Termination)
(Also Complete Part 6)
0 General Purpose Committee 0 Amendment(Explain below)
O Sponsored 0 Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Parr 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
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
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
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
•
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(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
Recipient Committee CALIFORNIA 460
Campaign Statement FORM
Cover Page -- Part 2
Page 2 of 4
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 0 OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
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 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 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
El YES 0 NO
12 SUPPORT
0 OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period
Summary Page CALIFORNIA 460
from January 1, 2016 FORM
throw h June 30,2016 Page 3 of 4
SEE INSTRUCTIONS ON REVERSE 9
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 PERIOD CALENDAR
R
(FROM ATTACHED HEDULES� AL TO DATERunning in Both the State Primaryand
0 0 General Elections
1. Monetary Contributions Schedule A,Line 3 $ $ 1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3 0 0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 0 Received
4. Nonmonetary Contributions Schedule C,Line 3 0 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ 0 $ 0 Candidates
7. Loans Made Schedule H,Line 3 0 0
Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0 $ 0 22. (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/ddlyy)
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 0 $ 0 $
Current Cash Statement $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 1345.71
To calculate Column B,
13.Cash Receipts Column A,Line 3 above 0 add amounts in Column
0 A to the corresponding *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B.
15.Cash Payments Column A,Line 8 above 0 of your last report. Some
1305.71 amounts in Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 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
any).
18. Cash Equivalents See instructions on reverse $
0
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 27,500 FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE B-PART 1
Schedule B — Part 1 to whole dollars. Statement covers period
CALIFORNIA 460
Loans Receivedfrom January 1, 2016 FORM
SEE INSTRUCTIONS ON REVERSE through June 30,2016 Page 4 of 4
NAME OF FILER I.D.NUMBER
JERRY DUHOVIC FOR RPV CITY COUNCIL 2015 1340074
IF AN INDIVIDUAL ENTER °) (b) (c) (d) (e) (fl (9)
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 LOAN TO DATE
PERIOD THIS PERIOQ PERIOD
Jerry& Rosanne Duhovic - Business Executive 0 PAID CALENDAR YEAR
Centuarus Finacial, Inc. ❑FORGIVEN RATE PER ELECTION"
$ 27,500 $ 0 $ 0 Demand $ 0 Various $ 7500
to IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION"
$ $ $ $ $
t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION"
t IND COM OTH PTY SCC $ $ $ DATE DUE $ DATE INCURRED $
SUBTOTALS $ 0$ 0 $ 27,500 $ 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.) tcontnbutor Codes
2. Loans paid or forgiven this period $ 0 IND-Individual
COM-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 $ n 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