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Peter Leroe-Munoz - Form 460 - 2012/01/01 - 2012/06/30Recipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/1/2012 through 6/30/2012 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) F-1 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee F-1 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Par? 6) F-1 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information !.D. NUMBER 1 1327985 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Peter Leroe-Muhoz for City Council 2014 STREET ADDRESS (NO P.O. BOX) 8200 Kern Avenue, 1-202 CITY STATE ZIP CODE AREA CODE/PHONE Gilroy CA 95050 408-427-4697 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) P,, Date Stamp YL Page 2. Type of Statement: E] Preelection Statement [Z Semi-annual Statement E] Termination Statement (Also file a Form 410 Termination) Ej Amendment (Explain below) COVERPAGE of -) For Official Use Only Ej Quarterly Statement E] Special Odd-Year Report E] Supplemental Preelection Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER Eric Hernandez MAILING ADDRESS 145 Oak Street CITY STATE ZIP CODE AREA CODE/PHONE San Jose CA 95110 408-216-3938 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 Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature ofControllingOfficeholder, Candidate, State Maasure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA 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 Peter Leroe -Munoz NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT F-1 OPPOSE Council Member; City of Gilroy NAME OF OFFICEHOLDER OR CANDIDATE RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ❑ SUPPORT Identify the controlling officeholder, candidate, or state measure proponent, if any. 8200 Kern Avenue, I -202 Gilroy CA 95020 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 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. COMMITTEENAME 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 ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) 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 CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. ' from 1/1/2012 FORM Expenditures Made To calculate Column B, add 6. Payments Made ........................ ............................... 6/30/2012 Page �_ of SEE INSTRUCTIONS ON REVERSE Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... through 0 $ NAME OF FILER Schedule F, Line 3 0 10. Nonmonetary Adjustment ........... ............................... I.D. NUMBER Peter Leroe -Munoz for City Council 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ 0 $ 1327985 anv). Column Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0 $ 0 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0 $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ......• ...................•AddLines3 +4 $ 0 $ Made $ $ Expenditures Made To calculate Column B, add 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 2,226.28 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 0 $ 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ 0 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 2,226.28 To calculate Column B, add 0 amounts in Column A to the corresponding amounts 0 from Column B of your last report. Some amounts in Column A may be negative 0 0 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if anv). 0 I 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) '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 (866/275 -3772) SCHEDULEB -PART1 ryp� — Nrrrr, rrr rrr�. Schedule B — Part 1 Amounts may be rounded Statement covers period . ' Loans Received to Whole dollars. 1/1/2012 .. • from 6/30/2012 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I . NUMBER Peter Leroe -Munoz for City Council 1327985 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (o) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD' I PERIOD LOAN TO DATE Peter Leroe -Munoz Deputy District Attorney ® PAID CALENDARYEAR 8200 Kern Avenue, 1 -202 $ 2,226.28 $ , $ 15,000 $ PERELECTION- Gilroy, CA 95020 County of San Benito ❑ FORGIVEN RATE $ $ $ $ 6/2010 $ DATE DUE DATE INCURRED tm IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION- RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ 2,226.28 $ $ 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. I 2,226.28 NET $ 0 (May be a negative number) (inter tee on Schedule E, Line 3) r 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) SCHEDULEE Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Peter Leroe -Munoz for City Council Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2012 through 6/30/2012 Page of I.D. NUMBER 1327985 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /misc. MBR member communications RAD 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 W 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) Peter Leroe -Munoz 8200 Kern Avenue, 1 -202 Gilroy, CA 95020 r6Ii]y�i1V Repayment " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................... ............................... 2. Unitemized payments made this period of under $100 ................................................................ ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ..... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) AMOUNT PAID 2,226.28 SUBTOTAL$ 2,226.28 $ 2,226.28 $ 2,226.28 ............. $ TOTAL $ 2,226.28 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)