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Peter Leroe-Munoz - Candidate 2010 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Date Received Official Use Only STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. A Public Document NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Leroe-Munoz Peter Bernard ( 510 ) 867-6300 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS (Business Address Acceptable) 8200 Kern Avenue, Apt. 1-202 Gilroy CA 95020 peterforgilroy@gmail.com 1. Office, Agency, or Court Name of Office, Agency, or Court: City of Gilroy Division, Board, District, if applicable: City Council Your Position: Candidate ~ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) o State rg] County of Santa Clara ~ City of Gilroy o Multi-County o Other 3. Type of Statement (Check at least one box) o Assuming Office/Initial Date: __L__..1_ o Annual: The period covered is January 1, 2009, through December 31, 2009. -or- a The period covered is ----.l----.l_, through December 31,2009. o Leaving Office Date Left: ----.l----.l_ (Check one) a The period covered is January 1, 2009, through the date of leaving office. -or- a The period covered is ----.l----.l_, through the date of leaving office. ~ Candidate Election Year: 2010 4. Schedule Summary ~ Total number of pages including this cover page: :1. ~ Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A-1 0 Yes - schedule attached Investments (Less than 10% Ownership) Schedule A-2 0 Yes - schedule attached Investments (10% or Greater Ownership) Schedule BOYes - schedule attached Real Property Schedule C 0 Yes - schedule attached Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) Schedule D 0 Yes - schedule attached Income - Gifts Schedule E 0 Yes - schedule attached Income - Gifts - Travel Payments -or- ~ reportable interests on any schedule 5. Verification I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any 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 correct. Date Signed August 10, 2010 (month, day, year) '------ - ~ . "- Sig~ '+ (File Helpline: 866/ASK-FPPC www.fppc.ca.gov