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Peter Arellano - Form 460 - 2012/10/01 - 2012/10/20 - AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable / (Month, Day, Year) from through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. XOfficeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part B) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp COVER PAGE Page 1 C - of For Official Use Only 2. Type of Statement: - Rg- .Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) [[Y Amendment (Explain below) ❑ Supplemental Preelection Statement - Attach Form 495 �bil'�-i+e St2G%f.t5u g Treasurer(s) 1,1$W NAME OF TREASURER MAILING AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE 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 information 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 Date By Signature of Contro6ing Officeholder, Candidate, State Measure Proponent Executed on By Date Signature ofContro6ngOlrioehoider, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/ SINESS A DRESS (N . AND STREET) CITY 4f STATE ZIP 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page_ of _ I ._ BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ID. le Contributions Received ColumnA TOTALTHIS PERIOD (FROMATTACHEDSCHEDULES) 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 2. Loans Received ....................... ............................... schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ l 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 ` 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ l�Q' •�l Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ fDDO. D D 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 +9 + 10 $ /ODD.DD Current Cash Statement 6 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... schedule I, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ l 3D.S`3 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ 0- Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse 19. Outstanding Debts ......................... Add tine 2 +Line 9 in Column 8 above $ iDrs oD SUMMARY PAGE Statement covers period i CALIFORNIA /D .- from /2 FORM � through v �� l•L Page of 1 I.D. NUMBER Column B CALENDAR YEAR TOTALTO DATE $ 7�OS, 8r/ .SQD. DD $ $ aI W, // i � w-901' s To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6 /30 7/1 to Date $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (N Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) _J_ / $ I J— / $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275,3772) Cd-harlula A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers eriod p CALIFORNIA , ' from O IZ FORM through /0 Z Page — of SEE INSTRUCTIONS ON REVERSE NAM OF FILER I.D. NUMBER A re 0 1-7918:525 �� ZIP DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED QFCOADDRE,ALSAND I.D. NUMBER) CODE * (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Oct. 4,2012 Susan Mckuhen ❑COM Realtor 25 3225 Dryden Ave. ❑OTH Green Valley Reality Gilroy,Ca 95020 ❑ PTY ❑ scC MIND Oct. 4,2012 Alexandra Esparza ❑COM 411 Director 50 1069 Saddlewood Dr. ❑ oTH United Way Gilroy,Ca 95020 ❑ PTY ❑SCC ® IND Oct. 4,2012 Maria M. Cid ❑COM Insurance Agent 100 2600 Sandies Dr. ❑oTH Farmer Insurance Gilroy,Ca 95020 ❑ PTY ❑ SCC ®IND Juan Carlos Gonzales ❑coM Self Employed 15 Oct. 4,2012 550 Mission St. ❑oTH Gonzales Electronics Gilroy,Ca 95020 ❑ PTY ❑SCC ®IND Greg Edgar g g ❑COM Financial 99 Oct. 4,2012 1911 St. Andrews Cir. ❑oTH Morgan Stanley Gilroy,Ca 95020 ❑ PTY ❑SCC SUBTOTAL $ p� CSq. 00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ....................................................................... ............................... 2. Amount received this period — unitemized monetary contributions of less than $100 ........................... $ $ 3. Total monetary contributions received this period. , ` (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $. '[ a $' j FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee Schedule A (Continuation Sheet) Type or print in ink SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 7- FORM 460 through � Page of NAME OF FILER I.D. NUMBER �e ��ce�lG.•n c, 3 S' .92-5 DATE ADDRESS ZIP DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Jeremy Barousse ❑COM Oct. 4,2012 4148 Snowbank Ct. ❑OTH 25 Gilroy,Ca 95020 El PTY G;iroY Pa ❑ SCC CA League of Conservation Voters Santa Clara ❑COD ❑ Club Oct. 4,2012 PO BOX 2079 ®OTH 250 San Jose, Ca 95109 FPPC# 951348 ❑ PTY ❑ SCC United & Commercial Workers Local 5 PAC ❑IND ®7OTH Oct.20,2012 240 S. Market St. 250 San Jose ,Ca 95113 FPPC# 1294035 p PTY ❑ SCC IBEW 332 Education Fund ❑IND LZCOM Oct.20,2012 2125 Canoas Garden Ave. Suite 100 ❑ OTH 250 San Jose,Ca 95125 FPPC# 1298069 ❑ PTY ❑ SCC Adam Escoto MIND 7CO School Administrator Oct.20,2012 17405 Del Monte Ave. Alum Rock Union School 50 Morgan Hill, Ca 95037 ❑ PTY District Board ❑ SCC SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275.3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period , to whole dollars. from lt7�l //� I ' � . • P through la f — Page of NAME OF FILER /� A llw��, I.D. NUMBER re 13 rC a Z5 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DRE,ALSANNTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EETA CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) IND El Grullense Jai Gilroy E]COM El Grullense Jai Oct.20,2012 251 1st Street ®OTH Business 250 Gilroy,Ca 95020 ❑ PTY ❑ SCC Reymundo Armendariz MIND ❑ Self Employed Oct.20,2012 8545 Suit A Monterey Rd [] OTH mermenCOM Adariz Legal 44.81 Gilroy,Ca 95020 ❑ PTY Documents ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 'Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC –Small Contributor Committee FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) SCHEDULE B - PART 1 Schedule B — Part 1 AmIuntsVmay" be rounded Statement covers eriod p CALIFORNIA 1 Loans Received to whole dollars. from /0�� /ZZ - • through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b), AMOUNT (c) AMOUNT PAID (d) OUTSTANDING gALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD" CLOSE OF THIS PERIOD PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE wol � y� (� y ��� /� PAID CALENDARYEAR 7y7G�3. aDreND�✓G Gam" /oN�� - - - - $ . co Cif y -V W SGT ❑ F�tt�IVEN RATE PER ELECTION— $ �y ov $ -r 8 i $ $ gp'o ' a6 t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE I DATE DUE DATE INCURRED to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ " $ co ,op$ T_ Schedule B Summary 1. Loans received this period ................................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .................................... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................ Enter the net here and on the Summary Page, Column A, Line 2. "Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. ..................... $ ............... $ NET $ (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from D SCHEDULE E SEE INSTRUCTIONS ON REVERSE through Zo Page _� of • +- NAME OF FILER Aoe I Lt ^ C> IIEY9325 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 RAID 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 * 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. $ IA90• OO 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 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 $ /ODd OD FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER ze�> Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from _,40/! through SCHEDULE F Page _ of t I.D. NUMBER -3 Z_ 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 RAID 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) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ _6-1y j'� a U $ 9 — $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100 .) ............................ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ...... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ...................................................................... ............................... ....... INCURRED TOTALS $ .. PAID TOTALS $ .......................... NET $ t9 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT OUTSTANDING BALANCE BEGINNING AMOUNTINCURRED THIS PERIOD AMOUNTPAID THIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD /N sT/ 6/,YT'on�5' � � 6 � S� N�} 19 d Y vs �� —� �D !�G 26,6 8 T�� �O • D 0 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ _6-1y j'� a U $ 9 — $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100 .) ............................ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ...... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ...................................................................... ............................... ....... INCURRED TOTALS $ .. PAID TOTALS $ .......................... NET $ t9 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)