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Peter Leroe-Munoz - Form 460 - 2014/10/01 - 2014/10/18Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period Date of election if applicable from October 1, 2014 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through October 18, 2014 , 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee Q Recall (Also Complete Pert 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee Q Primarily Formed Q Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also complete Part 7) 3. Committee Information I.D. NUMBER 1327985 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Peter Leroe -Munoz for City Council 2014 STREET ADDRESS (NO P.O. BOX) 8200 Kern Avenue, 1 -202 CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 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 November 4, 2014 Date mP I�j � � 2o ®r S` d1 dam® 2. Type of Statement: ® Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement ❑ Amendment (Explain below) COVER PAGE Page 1 of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Peter Leroe -li MAILING ADDRESS 8200 Kern Avenue, 1 -202 CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 - 427 -4697 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 pejury under the laws of the State of California that i EXecutedOn Date By Signeture ofControl iingDitceholder,Canddate,State .Proponent Executed on Date By signaturaofControlling011iceholder, Canchdate, State Measure Proponent FPPC Form 460 (Junelot) FPPC Toll -Free Helpline: 8661ASK -FPPC State of California Recipient Committee Campaign Statement Cover Page— Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Peter Leroe -Munoz OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Type or print in Ink. Member, Gilroy City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 8200 Kern Avenue; 1 -202 Gilroy, CA 95020 Related Committees Not Included In this Statement: Listanycommlttess 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. NAME NAME OF TREASURER I.D. NUMBER YES ❑ NO CITY STATE ZIP'CODE AREA CODE/PHONE COMMITTEE NAME NAME OF TREASURER ADDRESS (NO P.O. I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE PAGE -PART2 Page - 2 of 6 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 NO. IF ANY 7. Primarily Formed Committee Ust names of ofticaholder(s) or cand(date(#for which this committee Itprimerily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD C] 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 N necessary FPPC'Fonn 460 (JunaMl) FPPC Toll -Free Helpilne: 866 /ASK -FPPC State of CelHomia Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summary Page to whole dollars. ON REVERSE NAME OF FILER Peter Leroe -Munoz Statement covers period from October 1, 2014 through October 18, 2014 SUMMARY PAGE Page - 3 of 6 I.D. NUMBER Contributions Received ColumnA Column a Calendar Year Summary for Candidates schedule H, Line 3 8. SUBTOTAL CASK PAYMENTS ..... ............................... TOTALTHISPERM (FROMATTACHEDSCHEDULE9) CALENDARYEAR TOMMOATE Running in Both the State Prima and g Primary 10: Nonmonetary Adjustment ........... ............................... schedule Line 3 11. TOTAL EXPENDITURESMADE . ............................... Add Lines e + 9 + 10 $ General'Electlons 1. Monetary Contributions ............ ............................... Schedule A, Linea $ 2,450 $ 8,110 from Column B of your last 2. Loans Received .......... ............................... .. schedule A Line 3 0 6,239.14 1/1 through 8130 7H to Date 3. SUBTOTAL CASH CONTRIBUTIONS ........................ Add Lines f + 2 2,450 $ $ 14 349.14 20. Contributions Received $ 4. Nonmonetary Contributions ..... ............................... schedule c Line 3 _ 0 0 $ 21. Expenditures period amounts. If this is the first report being filed 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 2,450 $ 14,349.14 Made $ $ ........................... Expenditures Made 6. Payments Made ........................ ............................... schedule E Line 4 $ 7. Loans Made... ........................ I ........ .............. ......... schedule H, Line 3 8. SUBTOTAL CASK PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line:3 10: Nonmonetary Adjustment ........... ............................... schedule Line 3 11. TOTAL EXPENDITURESMADE . ............................... Add Lines e + 9 + 10 $ 0 $ 0 0 0 $ 0 $ 3,385.05 0 3,385.05 -- 0 0 3,385.05 Current Cash Statement 12. Beginning Cash Balance ................. . Previous summary Pow, Line fe 9 9 ��" $ 8,514.09 To calculate Columm8, add 13. Cash Receipts ............. ............................... ....... Column A, Line 3 above 2,450 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... schedule t, Line 4 from Column B of your last 15. Cash Payments..........., Column A, Line 8above " " " " "" " "" "" " "" '"" ' " 0 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 10,964.09 figures that should be subtracted from previous ff this is a termination statement lane 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED schedule e, Part $ 0 for this calendar year, only ........................... cant' over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ - 19. Outstanding Debts ......................... Add Line 2 +Line 9 In column a above $ 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (K Subject to Voluntary Expenditure Llmiq Date of Election Total to Date (mm/ddryy) $ "Since January 1, 2001. Amounts in4his section may be different4rom amounts reported in Column!B. FPPC Form 460 (June/01). FPPC Toll -Free Helplins, 866 1ASK -FPPC Schedule A Type or print in Ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded rj/ to whole dollars. Statement covers period from October 1., 2014 Page 4 of 6 through October 18, 2014 SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1113. NUMBER Peter Leroe -Munoz 1 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF EET AD TEE ALSO ENTER ZIP CODE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IFSEIF- EMPUDY N�NTERNAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) 10/06/2014 South County Democratic Club ❑CO $250.00 $250.00 $250.00 15231 Perry Lane []OTH Morgan Hill, CA 95037 ❑ PTY ❑ SCC 10/06/2014 Craig Filice ®MIND Investor, $200.00 $200.00 $200.00 7888 Wren Avenue, #D143 MOTH Self- Employed Gilroy, CA 95020 El PTY SCC 10/06/2014 Thomas Leroe - Munoz ®IND ❑COD National ESOP Advisor, $250.00 $250.00 $250.00 2915 Marshall St U.S. Department of Falls Church, VA 22042 p PTY Labor, Employee Benefits []SCC Security Administration 1O/07/2014 The James Group ! ❑IND COM $250.00 $250.00 $250.00 2950 Soma Way MOTH Gilroy, CA 95020 ❑ PTY ❑ SCC 10/07/2014 Carolyn Dodd DCOM Business Manager, $250.00 $250.00 $250.00 9761 Zuni Lane MOTH Next Pharmaceuticals Gilroy, CA 95020 ❑ PTY El SCC SUBTOTAL$ $1,200 Schedule A'Summary 1. Amounttreceived this period — contributions of $100 or more. (Include all Schedule subtotals.) ...... ....... ........................................................ ............................... $ 2. Amount +received this period— unitemized contributions of less than $100 .............. ............................... $ 2,450 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter heretand on the Summary Page, Column�A, Line 1.) ...... TOTAL $ 2,450 `Contributor Codes IND— individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — PoliticalParty SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Tall -Free Helptine: 86WASK -FPPC Schedule A (Continuation Shoot ) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions 'Received Amounts maybe rounded Statement covers period � 6 to whole dollars. dJ ®' from October 1, 2014 q through October 18, 2014 Page 5 of 6 NAME OF FILER I,D. NUMBER Peter Leroe -Munoz �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR QFCOMMIDRE,SS AND CODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 91) (IF REQUIRED) OF BUBINEW 07/07/2014 Jim Griffith MIND ❑OTH Senior iOS Software $250.00 $250.00 $250.00 540 Saco Terrace, ❑O� Engineer, Sunnyvale CA 94089 El PTY Apple Inc. ❑ SCC 10/07/2014 Carolyn Dodd MIND ❑COM Business Manager, $250.00 $250.00 $250.00 9761 Zuni Lane, ❑OTH Next Pharmaceuticals Gilroy CA 95020 ❑ PTY ❑SCC 10/07/2014 Associated Engineering Surveying Services, Inc. p❑COM $250.00 $250.00 $250.00 MOTH ❑ PTY ❑sec 10/08/2014 Katherine McCullough MIND ❑❑GOTH Attorney, $250.00 $250.00 $250.00 2915 Marshall St, White & Case LLP Falls Church VA 22042 ❑:PTY ❑ SCC 10/14/2014 Sophia Liu MINDM Accountant, $250:00 $250.00 $250.00 807 Bounty Drive, Apt 101 ❑OTH Maxim Integrated Foster City, CA 94404 ❑ PTY ❑SCC SUBTOTAL $ 1 „250 Codes IND— Individual COM — Recipient Committee (other than! PTY or SCC) OTH — Other PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Junelol) FPPC Toll -Free Helpline: 666 /ASK -FPPC SCHEDULE a - PART 1 Schedule B — Part 1 ' "` _' " " "' "' " "" Amounts may be rounded Statement covers period P Loans Received to whole dollars. October 1,2014 a from ®® 6 6 October 18, 2014 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I,D. NUMBER Peter Leroe -Munoz FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (at AMOUNT PAID OUTS ANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE OF LENDER QFCOMMITTEE,AL80ENIERLD.NUMBER) pFBF.LF�IdFLOYED�ENrER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF 'THIS PAID THIS AMOUNTOF CONTRIBUTIONS NANIEOFSWINEW PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Peter Leroe -Munoz In -House Counsel, ❑ PAID CALENDARYEAR 8200 Kem Ave., 1 -202 Dale Scott & Co., Inc. y 0 a 19,012.84 0 % a 0 a 19,012.84 Gilroy, CA 95020 ❑ FORGIVEN RATE PER ELECTION** s 19,012.84 s 0 s 0 N/A s 0 N/A a DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION** a a S a 3 DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑PTY ❑SCC ❑ PAID CALENDAR YEAR $ a % a a PER ELECTION ❑ FORGIVEN RATE t❑ IND ❑ CQM ❑ OTH El PTY ❑ SCC s a $ s DATEINCURRED s DATE DUE SUBTOTALS $ $ $ $ Schedule B Summary (E� 6fiedule E, WIe3) 1. Loans received this period ..................................................................................... ............................... $ 0 (Total Column (b) plus unitemized loans less than $100.) *Amounts forgiven or paid by another party also must be 2. Loans paid orforgiventhis period .......................................................................... ............................... $ 0 reported an Schedule A. (Total Column (c) plus -loans under $100 paid or forgiven.) ** n required. (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net chan a this period. Subtract Line 2 from Line 1. .... NET $ 0 Enter the net here and on the Summary,Page, Column A, Line 2. (May be amgatnnurrbe4 t Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY —Political Party SCC — Small ContributorCommittee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 /ASK -FPPC