CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - June 2018) - Jerry Duhovic • COVER PAGE
Recipient Committee Date Stam
Campaign StatementRECErVEDCALIFORNIA 4 6 0
Cover Page CrY OF RANCHO PALOS FFORM_.
State t covers period Date of election if applicable: A
Page of
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(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 MeasureElPreelection Statement CI 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,frocriE et. Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME•F TREASURER
1
AK i 0's I� 'usg,_
(.7.0W,btlievic_,Rx /cYWvcu zc4 MAIL NGA�D-E':
STREET ADDRESS(NO P.O.BOXCITY TA ZIP CODE AREA CODE/PHONE
e�../ - aii-D CA- 6
CITY TATE ZIP C DE AREA CODE ONE NAME OF ASSISTANT TREASURE ,ZANY
9163‘..."
A.47:
_ F i ‘
MAILING AD R SS(IF DIFFERENT)NO.AND STREET OR PI.BOX MAILING ADDRE S
'
CITY STATE ZIP CODE AREA CODE/PHONE CITY ,,,,l& P- 0 cST TE ZIP CODE A AC E NE
saqt)-13 i L .4
OPTIONAL: F' /E-AAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
411 4 :r 0 14 Pit' I -. IL
4. Ve if' ation
I have used all reasonable diligence in preparing and reviewing this statement and to the
• 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)
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 LD(INCLUDE OCATION 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.
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
SEE INSTRUCTIONS ON REVERSE throng Page of
44
NAME OF FILER \ I.D.NUMBER
Li-ey-v- b vi C,-P0 ri- (ZPv a4ye.tuui\df zac_____ is,3400-71-
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 tp 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 $ ro 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 Date of Election Total to Date
10. Nonmonetary J 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 $
I S O 5 i7 1
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,then . be 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 20 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 ALF RN A
c I o I 460
Loans ReceivedCZo1, '. FORM
fro g
—�
SEE INSTRUCTIONS ON REVERSE througAi Page of
NAME OF FILER I.D.NUMBER
v.
6
07eAfr _11Arkbvite.-4-y- 1 kZe IF AN INDIVIDUAL,ENTER
R1b L -s(c) (d) (e) (fl (g
FULL NAME,STR ET ADDRESS AND ZIP CODEOUTSTANDING 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
i,/ /191kin el jAilbVIC..• "rkcei--L,4g,fr ❑PAID CALENDAR YEAR
';ettcNaid(* :4c.e_ e.
44,41.04... $ 0 stlf. 0 % ai_t_ o $____t›
El
FORGIVEN PER ELECTION
Pkti: 02404Sec C* '24)1'44°6414 eC)
\IttrIOLL-5 $15bo
qbaqs- 0,6404/0,15 $110= $ 0 s_t_ ikeutka
$
IND El COM ❑ OTH ❑ PTY ❑ S DATE DUE DATE INCURRED
Kiktuftaailetc.
PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION**
$ $ $ $ $
t ElIND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
El PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION**
$ $ $ $ $
t❑ IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED
SUBTOTALS $ 0 $ $ $ 0 .
Schedule B Summa (Enter e,Lin
Schedule E,Line 3)
1. Loans received thisp eriod $ 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