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Peter Leroe-Munoz - Form 460 - 2012/07/01 - 2012/12/31Recipient 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, from I+ - I - AOIX I (Month, Day, Year) through 12/31/2012 1 November a, �o I a 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. JZ officeholder, Candidate Controlled committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also COMPI&t& Patf,5) 0 Sponsored Olso Co pale Part 6) ❑ General Purpose Committee E) Primarily Formed Candidate/ • Sponsored Officeholder Committee • Small Contributor Committee (Aiso Complete Part 7) 0 Political Party/Central Committee F.D. NUMBER 3, committee Information 1,11,327985 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Peter Leroe-MuFloz for City Council 2014 STREET ADDRESS INO RO. BOX) 8200 Kern Avenue, #1-202 CITY STATE ZIP CODE AREA CODEiPHONE Gilroy CA 95020 (408) 427-4697 MAILING FERENTI NO AND STREET OR P.O. BOX CITY ZIP CODE AREA GCSDEtPHONE Date Stamp FEB 2013 C51 COKS CEC' X-C Q i 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Treasurer(s) Page Of For Official Use Only ❑ Quarterly Statement [:] Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 NAME CIF -ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE zip CODE AREA CODEIPHONE OPTIONAL FAX , E-MAIL ADDRESS OPTIONAL- FAX I E-MAIL ADDRESS peterforgilroy(Pgmaii.com eric,hernandezl Ca)gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statemen t and to the best of my knowledge the information contained herein and in the attached schedules is true and complete, Icertify under penalty of perjury under the laws of the State of California that the foregoing January 30, 2013 Executed On Date January 30, 2013 Executed on Date Executed on �nale Executed On By FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) State of California • CALIFORNIA Type or print in Ink. Recipient Committee Campaign FORM Cover Page — Part 2 Page - of I I I I I ,1 _ 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. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COMMITTEE NAME I.Q NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMEI'TEENAME � J0, NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ OPPOSE ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO RO, BOX) CITY STATE ZIP CODE AREA CODE /PHONE BALLOT NO, OR LETTER ❑ 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 officeholders) or candidates) 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 (Januaryl06) FPPC Toll -free Helptine: 866/ASK-FPPC (8661276 -3772) State of California Summary Page SEE INSTRUCTIONS C ' ° , coce NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1 -1012- 12/31 /2012 through Column A Column B Contributions Received ArrATH18 SCHED CT01AL O YEAR tFR�'ah AirAC,fiEp �( HEDUi ES} �3TAk.TJ DATE Expenditures Made 0 1. Monetary Contributions., ............................ .... Schedule A. dine 3 $ —._._ — $ — 0 2, Loans Received ..................... ............................... Schedule B, Line 3 $ 0 0� 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines a + 2 $ $ 4. Nonrnonetary Contributions ............ ......... ... ...._....... Schedule G Line s 0 5, TOTAL CONTRIBUTIONS RECEIVED ___ ...... ............. Add Lines 3 + 4 $ _- - - - $ -- Expenditures Made 6, Payments Made ........................... ........... ...... Schedule . Line $ $ 0 7, Loans Made ..... _ ...................... ............................... Schedule H, Line 3 Ci 8. SUBTOTAL CASH PAYMENTS ...,. ....._. ........................ Add Lines 8+ 7 $ $ 0 9, Accrued Expenses (Unpaid Bills ) ... ......... Schedule F Line 3 10. Nonmonetary Adjustment . ......... .........................,..... Schedule C. Line 3 —.__ _ ..... 11, TOTAL EXPENDITURES MADE ..... ...........................Acid Lines S + 9 + 1Q $ Current Cash Statement 12. Beginning Cash Balance Previous Summary Page. Line 16 $ 13_ Cash Receipts .................... Column A, Line 3above 14. Miscellaneous increases to Cash ........................... SChedufe i, Luxe 4 15, Cash Payments ................... . Co umn A. Line 8 above 16. ENDING CASH BALANCE .......... Add Loves 12 + 13 + 14, then subtract tine 15 $ if this is a terrninatlon statement, Lime 16 mast be zero. Q I 0 17, LOAN GUARANTEES RECEIVED ........................... SChedufe P, Part 2 $ -- Cash Equivalents and Outstanding Debts 0 18, Cash Equivalents ......... See nstructansn reverse $ _. 0 19. Outstanding Debts__ ..... .............. Add tine 2 + Line 9 inColumn 8 above $ 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, T and 9 (it any), RMLI&W 3 4 Page of I.D. NUMBER 1327985 Calendar Year Summary for Candidates Running in Bath the State Primary and General Elections 1/1 through 6130 711 to Date 20. Contributions Received $ $ - 21. Expenditures Made Expenditure Limit Summary for state Candidates 22. Cumulative Expenditures Made* (If Subject to voluntary E"ndPturo Limit} Date of Election Total to Cate (mrnlddlyy) —_ $ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Januaryd05) FPPC Toll-Free Helpline. 866 #ASK -FPPC (8661275 -3772) SFF IN£TRI ICTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER QFCOrtMITIEE, ALSO ENTER LD- NUMBER) Peter Leroe- MuFiioz 8200 Kern Avnenue, #1 -242 Gilroy, CA 95020 $j? IND - -- [_GOM p OTH [I PTY El $CC t® IND [] COM © OTH ll PTY © SCC tEl IND ❑ COM © OTH El PTY © SCC Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE 6 - PART 1 Statement covers period CALIFORNIA from - 1 - ?.at L FORIVII 1213112012 4 4 through _ Rage of- I.D.NUMBER 1327985 IF AN INDIVIDUAL, ENTER 1a) OUTSTANDING ; (b) AMOUNT 10) AMOUNT 'IZ OUTSTANDING OCCUPATION AND EMPLOYER CIFSE.Lr- E#t,Pi.G7`EG, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS NAME OF80&!,NESSi P � PERIOD THIS PERIOD* $ C] PAID ^\( LL 612010 DATE INCURRED Scott Dale lax Co. i rl FORGIVEN $ RATE PER ELECTION — s $� DATE INCURRED DATE DUE .__.. CALENDAR YEAR PAID s $ __ RATE 3 $_ © FORGIVEN $ $ $ ._. DArE DUE i PAID © FORGIVEN $ $ ....__._._ DATE DUE INTEREST ORIGINAL CUMULATIVE PAID THIS AMOUNT OF I CONTRIBUTIONS PERIOD LOAN ._ TO GATE CALENDARYEAR 15,000 $ RATE PER ELECTION - 612010 DATE INCURRED .- CALENDAR YEAR _ ..., $ RATE PER ELECTION — s $� DATE INCURRED .__.. CALENDAR YEAR s $ __ RATE PER ELECTION " DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ........... ............................... (Total Column (b) plus uniternized loans of less than $100.) 2. Loans paid or forgiven this period ................ _............. ..._........................... (fatal 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. F ounts forgiven or paid by another party also roust be reported on Schedule A. f required_ ..... ............................... $ (Enter (e) on 5:1,�ck�4e E, Line''1 0 I 4 NET $ (Mayas ancgaty nurbeO TC:ontributor Codes IND-individual COM - Recipient Committee (other than PTY or SCC) (NTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Force 460 (January/06) FPPC Tali -Free Helpiine: $66 /ASK -FPPC (866t275 -3772)