CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2018) - Jerry Duhovic • COVER PAGE
Recipient Committee Date Stamp
Campaign StatementRECErVEDCALIFORNIA 460Cover Page FORM- g CrY OF RANCHO PALOS
State t covers period Date of election if applicable: A
Page of
JUL 3 1 2018
(Month,Day,Year) For Official Use Only
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SEE INSTRUCTIONS ON REVERSE
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CLERK'S OFFICE
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1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement El Statement
• State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled
❑ Termination Statement
(Also Complete Part 5)
Sponsored (Also file a Form 410 Termination)
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment(Explain 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.NU134,frocri et. Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME•F TREASURER
1
AK A 0''4° 01 'usg,_
(.7.0W,-btlievic_,Rx /cYWvcuzc� MAIL NGAID-E':
CITY
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ZIP CODE A c -VD grail
CITY -TATE ZIP C•DE AREA CODE ONE NAME OF ASSISTANT TREASURE ,_TIFF ANY
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CITY STATE ZIP CODE AREA CODE/PHONE CITY ST TE ZIP CODE A A C E NE
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OPTIONAL: rJ1.0
/E- AIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
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4. Ve if' ation
I have used all reasonable diligence in preparing and reviewing this state
oponent
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)
COVER PAGE-PART 2
Recipient Committee CALIFORNIA 460
Campaign Statement FORM
Cover Page — Part 2
Page of
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
_‘7"—EIRRV'Ci-
OFFICE SOUGHT OR L UDED(INCLUDE AND DISTRICT NUMBER IF APPLICABLE'&-cy&ALI\ ) BALLOT NORolexbr24, .OR LETTER JURISDICTION
❑ SUPPORT
fzo1/4.01Dipalts vw-des ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY TATE ZIP
r Identify the controlling officeholder,candidate,or state measure proponent,if any.
c. 11.> NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any commi ees
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
❑ YES ❑ NO ID 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(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
fromaard Cap
I FORM
throu sS V3(0 Page of
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER \ I.D.NUMBER
N t
LTe.y. b rvi Ci,i-GIE_Le:Lee:Eb/auui\dt Zot,,,c_____ [340671-
Column A Column B Calendar Year Summary for Candidates
Contri butio s Received TOTAL THIS PERIOD CALENDAR YEAR(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
0
General Elections
1. Monetary Contributions Schedule A,Line 3 $ $ (C)
1/1 through 6/30 7/1 to Date
2. Loans Received Schedule B,Line 3 Itp C:)
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ 0
20. ContributionsReceived $ $
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 $ Candidates
7. Loans Made Schedule H,Line 3 0 ?
0 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 0 (If to VoluntaryExpenditure Limit)
$ $ Subject P
9. Accrued Expenses(Unpaid Bills) Schedule F Line 3 0 0 p � p � 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 $ 0 $ ° _i_i $
Current Cash Statement $
12. BeginningCash Balance Previous Summary Page,Line 16 $
ISO54-11
To calculate Column B,
13. Cash Receipts Column A,Line 3 above Vadd 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 of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE Add +1 +14,thenbe negative figures that
Lines 12 3 subtract Line 15 $ 9
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 $ 0 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 AL F RN A c I o I 460
Loans Received CZo1, ' FORM
fro
SEE INSTRUCTIONS ON REVERSE througA wecocwai Page of
NAME OF FILER I.D.NUMBER
v.
01"TeAiry Nkkbvii`C.-Li L V _ I. :A i a i5-- I 31-1)611-,IF AN INDIVIDUAL ENTER ia b) (c) (d) (e) (f)
FULL NAME,STR ET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT
OF LENDER ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED, BEGINNING THIS * CLOSE OF THIS
NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE
N
TC-VIII
� ibvr c/ "r kccs-i--,,,,4,, ❑PAID CALENDAR YEAR
liD .4441.11"*NCIJA*11U--.5 1>e7 . $ 0 stlf- o .
RATE 4 49:1+ 0 $ C.)
�4 43Le El FORGIVEN PER ELECTION
PkIC 02404Sec C* '2"40t.0 tAAVI \I
$ v ttrlouS $15-b°
IND ElCOM ElOTH ElPTY ❑ S tiaqS UkdallArtk5 $11051 $ ° $-t- 4DE064164
DATE DUE DATE INCURRED
Kiutitaalitc.
PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION**
$ $ $ $ $
t El IND ❑ COM El OTH El PTY El SCC DATE DUE DATE INCURRED
El PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION**
t IND C $ $ $ DATE DUE $ DATE INCURRED $
El ❑ OM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ 0 $ $ $ 0
Schedule B Summary
(Entle E,)Lin
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—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 $ DSCC—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