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Peter Leroe-Munoz - Form 460 - 2014/10/19 - 2014/10/28Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) fro m Type or print in Ink. Stamp otj 201a Statement covers period (Date of election if applicable: 10/19/2014 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 10/28/2014 1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pen 5) 0 Sponsored General Purpose (Also Complete Pert s) ❑ rpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central 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 Ave., 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 11/04/2014 1 2. Type of Statement: ® Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVERPAGE Page 1 of S For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Peter Leroe -Mufioz MAILING ADDRESS 8200 Kern Ave., 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 , ! / _� FPPC Form 460 (January/05) FPPC Toll -Free Helpline: M61ASK -FPPC (88612783772) State of California 10/29/2014 Executed on By Date 10/29/2014 Executed on B Date Executed on /y �y Date Executed on By Dare FPPC Form 460 (January/05) FPPC Toll -Free Helpline: M61ASK -FPPC (88612783772) State of California Recipient Committee Type or print In Ink. COVER PAGE - PART 2 Campaign Statement FORM ° • Cover Page — Part 2 Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Peter Leroe -Mufioz OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Member, Gilroy City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 8200 Kern Ave., 1 -202 Gilroy CA 95020 Related Committees Not Included in this Statement: ust-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. •1. /4�Iy NAME OF TREASURER STREETADDRESS (NO P.O. I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA,CODE/PHONE NAME II.D. NUMBER NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE 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 OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candldoWs) 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 H necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpllne: 680 /ASK-FPPC (688/278.3772) State of California Campaign Disclosure Statement Type or print In Ink. SUMMARYPAGE Summa Pa a fy g Amounts may be rounded to whole dollars. Statement covers period o • 460 from 10/19/2014 e SEE INSTRUCTIONS ON REVERSE through 10/28/2014 Page 3 of NAME OF FILER I.D. NUMBER Peter Leroe- Mufloz 1327985 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHEDSCHEDULES) CALENDARYEAR TOVITODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 1, 000 $ 9,110 2. Loans R8C81Ved ....................... ............................... Schedule B, Line 3 0 6,239.14 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t + 2 $ 1,000 $ 15,349.14 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED • ..... .....................AddLines3 +4 $ 1,000 $ 15,349.14 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule e, Una 4 $ 0 $ 0 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 0 $ 0 22. Cumulative Expenditures Made" Qf Subject to Voluntary Expendlture Urnh) 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ..... Schedule C, Line 3 0 0 (mm /ddtyy) 11. TOTAL EXPENDITURES MADE .... ............................Add Linea 8 + 9 + 10 $ 0 $ 0 —J 1 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 10,964.09 13. Cash Receipts .......................... ......................... Column A, Line 3 above 1,000 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0 15. Cash Payments .................................................. Column A, Line 6 above 0 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, than subtract Line 15 $ 11,964.09 if this is a termination statement Una 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule s, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... Sao 'Instructions on reverse $ 19. Outstanding Debts ......................... Add Une 2+ Una gin Column B above $ 0 0 0 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, 7, and 9 (if any). —J— I $ `Amounts in this section may be different from amounts ,eported In Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8881ASK-FPPC (8881275 -3772) Schedule A Type or print In Ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded ry Statement covers period to whole dollars. from 10/19/2014 • . ff SEE INSTRUCTIONS ON REVERSE through 10/28/2014 Page 4 of NAME OF FILER I.D. NUMBER Peter Leroe- Mufioz 1327985 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF STREET ADDRESS ANDERI.D.NUMBER) 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. 31) (IF REQUIRED) OFBUSINESS) ® IND 10/20/2014 Dennis Liu 10377 Amistad Court, ❑COM ❑OTH Real Estate Agent, $250 $250 $250 Happy Realty Cupertino CA 95014 ❑ PTY ❑SCC EZTND 10/20/2014 Brent Lee 24168 Congress Spring Road, ❑COM ❑OTH Owner /Investor, Self- Employed $250 $250 $250 Saratoga CA 95070 ❑ PTY []SCC IND 10/20/2014 Hayes Shair 1150 Ripley St, Apt 312 ❑COM ❑OTH Architect, Descience Laboratories $250 $250 $250 Silver Spring MD 20910 ❑PN []SCC 10/22/2014 Vijay Rao 639 Clay Street, Apt 302 O ND ❑OTH M Product anagement, Management, $250 $250 $250 San Francisco CA 94111 El PTY Alpha Omega Financial ❑Scc ❑ IND ❑COM ❑OTH ❑ PTY ❑SCC SUBTOTAL $ 1,000 Schedule A Summary 1. Amount received1his period — itemized monetary contributions. (Include all Schedule A subtotals,) ......................................................................... ............................... $ 2. Amount received'this period— unitemized monetary contributions of less than $100 3. Total monetary contributions received this period, (Add!Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ *Contributor Codes IND - individual 1,000 COM - Recipient Committee (other than PTY or SCC) 0 OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee 1,000 FPPC Form 480 (January/05) FPPC Toll -Free Helpllne: 86WASK•FPPC (88812753772) SCHEDULEB -PART1 Schedule B — Part 1 Amourn"t �m' " ay " "b- ' ro"u'_n' ded Statement covers perlod . Loans Received to whole dollars. 10/19/2014 � . from 10/28/2014 5 g SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Peter Leroe -Munoz 1327985 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT (�) AR OUTSTA DING BALANCE AT a INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS FORGIVEN OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PERIOD THIS PERIODi PERIOD LOAN TO DATE Peter Leroe -Munoz In -House Counsel, ❑ PAID �S CALENDARYEAR 8200 Kern Ave., 1 -202 Dale Scott & Co., Inc. $ 0 s 19,012.8 0 % /�� s $ 19,012.8 Gilroy, CA 95020 ❑ FORGIVEN RATE PERELECTION" $ 19,012.8 $ 0 $ 0 N/A $ 0 ID $ 6,239.14 t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC _�'��- DATE INCURRED DATE DUE ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION ''� s s s s s DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION '"� RATE s s s a a DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 0 $ 19,012.8 $ 0 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 ....... .. ............ I —— $ ............................ $ 0 Q ............... NET $ 0 (May be a negative number) (tnter (a) on Schedule E, Line 3) 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)