Form 410 - 2011 AmendmentStatement of Organization
Recipient Committee Type or print in ink
/S� ttaatement Type [] Initial ® Amendment
/ / ] �( Not yet qualified [] or List I.D. number:
�(J # 1327985
06 1 , 10
Date qualified as committee Date qualified as committee
(If applicable)
1. Committee Information
NAME OF COMMITTEE
Peter Leroe -Munoz for City Council 2014
❑ Termination — See Part 5
List I.D. number:
— I
Date of Termination
ND F
the of the State of californ
MAY 2 4 2011
DEBRA BQW1
Secretary of S#
2. Treasurer and Other Principal Officers
NAME OF TREASURER
Eric Hernandez
STREET ADDRESS (NO P.O. BOX)
STATEMENT OF ORGANIZATION
FgLOfficial USe Wp ,,
JUN py2�011 �
U WU1t7 � 1
145 Oak Street
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE
8200 Kern Avenue, Apt# 1 -202
CITY
STATE ZIP CODE AREACODE/PHONE
Gilroy CA 95020 (408) 427 -4697
MAILING ADDRESS (IF DIFFERENT)
OPTIONAL: FAX/ E -MAIL ADDRESS
peterforgilroy @gmaii.com
COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE
County of Santa Clara
Attach additional information on appropriately labeled continuation sheets.
San Jose CA 95110 (408) 216 -3938
NAME OF ASSISTANT TREASURER, IF ANY
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of
perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 04/16/2011
DATE
Executed on 04/16/2011
DATE
Executed on
DATE
Executed on
DATE
_r
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (June /09)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
11
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
Peter Leroe -Munoz for City Council 2014
STATEMENT OF ORGANIZATION
Page 2
1327985
4. Type of Committee Complete the applicable sections.
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "non- partisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
Peter Leroe -Munoz
Member; Gilroy City Council
2014
Non- Partisan
®
❑ Non - Partisan
• List the financial institution where the campaign bank account is located (controlled "candidate election" committees only)
NAME OF
ADDRESS
IN5111 U I ION
AREA CODE/PHONE
CITY
STATE ZIP CODE
- . Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
CHECK ONE
OPPOSE
FPPC Form 410 (June /09)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/2753772)
Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
Date qualified as committee
1. Committee Information
NAME OF COMMITTEE
2/Amendment
List I.D. number:
t 3a W95-
_rN txlp
Date qualified as committee
(If applicable)
',b-Date Stamp CALIFORNIA
❑
Termination — See Part 5 For Official Use Only
g{ �
List I.D. U. number:
•,vo
��
Date of Termination
e-+P -( I_expe—M.Tno'L C L�
STREET ADDRESS (NO P.O. BOX)
8).Oc) K< f n Arc AP+ Z -aoa
CITY STATE ZIPCODE AREACODE /PHONE
2. Treasurer and Other Principal Officers
NAME OF TREASURER
_E(ic. HQrAf,,Aeir_1_
STREET ADDRESS (NO P.O. BOX)
(NS O G k S4- re_ert
CITY STATE ZIPCODE AREA CODE/PHONE
i
o[0-1 5o \0 („j t 'j�'L1 -401 Sc,\,\ ls
oe r.., ....� 0
MAILING ADDRESS (IF DIFFERENT) NAME OF ASSISTANT TREASURER, IF ANY
FAX/ E -MAIL ADDRESS
Attach additional information on appropriately labeled continuation sheets.
STREET ADDRESS (NO P.O. BOX) -- - _
CITY STATE ZIP CODE AREA CODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the State of California that ;he foregoing is true and correct.
Executed on :Z IC-1 l 2-0 By 7Gt
'7 OA�_— SIGNATVR E ER-0R ASSISTANT TREASURER
Executed on 7 / J a t By
DATE
SIGNATURE OF CONTROLLI G OFFICEHOLDE , CANDIDATE, OR STATE MEASURE PROPONENT
Executed on y
DATE / SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE - SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME
I.D. NUMBER
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE BANK ACCOUNT NUMBER
0' - (L4 ao(oo358i
ADDRESS CITY STATE ZIP CODE
7 1 M on %�f rc y_f- . (�� l �o ( A 9Sad v
4. Type of Committee Complete the'applicable sections.
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY
�-f e � eve - u
�
/l �u � 1 c e�
���`F
Nonpartisan
SUPPORT
❑ Nonpartisan
Committee Primarily Formed Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY. AS APPLICABLE)
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
SUPPORT
OPPOSE
SUPPORT
0[1
FPPC Form 410(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee I FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME
I.D. NUMBER
- Pc"'f�< - Iv1I '1C)'Z- �7 }1 C,, 4,1 i Z>,-),l<, I ;A of I 3D-
1
4. Type of Committee (Continued)
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
I 19 • • • • • List additional sponsors on an attachment.
NAME OF SPONSOR II NDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE
Small Contributor Committee
Date qualified
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and /or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
- Leftover funds of ballot measure committees maybe used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement.of organization
Recipient Committee
Statement Type, [] Initial
Not yet qualified ❑ or
--✓�
Date qualified as committee
Amendment
List List I.D. number:
(3a 7 V
- --(1 1i
Date qualified as committee
(If applicable)
❑ Termination —See Part 5
List I.D. number:
— �_�_
Date of Termination
NAME OF COMMITTEE
A,,AQ -L fl)( Q124 CT i .-)ACA\ U(1-
STREET ADDRESS (NO P.O. BOX)
S I OC) tc-c m Avc
CITY STATE ZIP CODE AREA CODE /PHONE
b0co-A 0,A (-i
MAILING ADDRESS (IF DIFFERENT)
FAX / E-MAIL ADDRESS
0)' .& ! yM ti � I . c-vAA,
IURI TION WHERE COMMITTEE IS ACTIVE
Attach additional information,on appropriately labeled continuation sheets.
NAME OF TREASURER
L
Date Stamp
FILED
in haoffice of the Secretary of
of the State of Califomia
AUG 0 4 2014
For Official Use Only
STREET ADDRESS (NO P.O. BOX)
INS O� ILSkre.�+
CITY _ STATE ZIP CODE AREA CODE /PHONE
SGT, 1OS4 r A 95i t o Nosa -24('-3 q 3V0
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIPCODE AREA CODE /PHONE
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the
penalty of perjury under the laws of the State of California that he foregoing is true and correct.
Executed on %L By
DATE c� _ SIGNATURE E ERCR ASSISI
Executed on 7 3 6 1 2 c? // By
DATE SIGNATURE OF CONTROLLIbrG OFFICEHOLDE , CANDIDA
Executed on
OF
contained herein is true and complete. I
TREASURER
STATE MEASURE
PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER; CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410,(Dec /2012)
FPPC Advice: advice @fppc.ca:gov(866 /275 -3772)
www.fppc.ca.gov
Staten ent of Organization CALIFORNIA.-
Recipient Committee ® -
INSTRUCTIONS'ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
o ac 85 '
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION AREA CODE /PHONE - BANK ACCOUNT NUMBER
v - QI1q o(C) 035 8i
ADDRESS /n► CITY STATE ZIP CODE
-7 M vn+e rcu rn�A 111-A
9soa0
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan:'
• If this committee acts jointly with another controlled, committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER`IF APPLICABLE) YEAR OF ELECTION PARTY
e +e- r
eooe - v
i vu 1 c 10c, 11�
9v14
Nonpartisan
SURPQB.Ti
,
❑ Nonpartisan
• Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURES) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURES) JURISDICTION
. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
FPPC Form,A10;(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 =3772)
www.fppc.ca:gov
SUPPORT
OPPOSE
EL
SURPQB.Ti
,
O
FPPC Form,A10;(Dec /2012)
FPPC Advice: advice @fppc.ca.gov (866/275 =3772)
www.fppc.ca:gov