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Peter Leroe-Munoz - Form 460 - 2016/07/01 - 2016/12/31ecipient Committee Date Stamp COVER PA( ampaign Statement �' • 1 over Page .E INSTRUCTIONS ON REVERSE Statement covers period 07/01116 from 12/31/16 through Data of election N applicable: (Month, Day, Year) 11/04/14 Page - of For Official Use Only Type of Recipient Committee: An Committees - Complete Parts 1, 2, a, and 4, 2. Type of Statement: 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ® Semi - annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (AWC W1*PM3) 0 Sponsored (�boComprrlsPetsl (Also file a Form 410 Termination) ❑ 0 General sponsored Committee ❑ Primarily Formed Candidate/ El Amendment (Explain below) 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (N80 C w*s Pm A Committee Information I.D. NUMBER 1327985 Peter Leroe-Mufloz for City Council 2014 STREET ADDRESS (NO P.O. BOX) 351 Fantail Way 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 COD HONE OPTIONAL: FAX/ E-MAIL ADDRESS Verification Treasurer(s) NAME OF TREASURER Peter Leroe- Mufioz MAILING ADDRESS 351 Fantail Way CITY STATE ZIP CODE AREA CO HONE 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 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct 01/28/17 Executed on Date 01/28/17 Executed on Date Executed on Date Executed on Date By contained herein and in the attached schedules is true and complete. 1 Ei or By of CoMrdkV Ofik etwlder, CwWkWe, Stals Memue Proporm t BY Signatexe of ConWWq OtFimWder, Candidate, State Marine Proponent FPPC Form 460 ()an /20: FPPC Advice: advice@fppc.ca.gov (8"/275 -37' wwwww fnnr m a tecipient Committee :aimpaign Statement %over Page — Part 2 Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Peter Leroe- Mufioz OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Member, Gilroy City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 351 Fantail Way Gilroy, CA 85020 Related Committees Not Included in this Statement: List any cornmW ss not Included In this stale nwd that are controlled by you or am pdnmrtly formed to rete/ve contributions or make axpenditw on behaff of your candldaey. OF V01ej 1;M%7M11 X I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE .Page 2 6. Primarily Formed Ballot 11Aeasure Committee NAME OF BALLOT MEASURE PAGE - PART of 6 BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT SOUGHT OR HELD NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee ust names oI officeholders) or cand/daWs) for which this committee Is prfmarlly 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 Hnecessary FPPC Form 460 ()an /20: FPPC Advice: advice@fppc.ca.gov (866/27S -3T. vwwvfppc.ca.e n aln ai Disclosure Statement Amounts may be rounded SUMMARY PAh P g to whole dollars. statement covers period uminary Page 07/01/16 � • �� '1 from ON REVERSE ME OF FILER Peter Leroe -Mufioz through Column A Column B ontributions Received TOTALTHI8PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 0 0 Monetary Contributions .................... ............................... Schedule s, Line 3 $ $ 0 0 Loans Received ................................. ............................... Schedule e, Line 3 SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ Nonmonetary Contributions ............. ............................... Schedule C, Line 3 0 0 TOTAL CONTRIBUTIONS RECEIVED ................................... Add Lines 3 +4 $ $ Kpenditures Made Payments Made ................................. ............................... Schedule E Line 4 $ 0 $ 0 Loans Made ................... ..................... ............................... Schedule H, Line 3 0 0 SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines e + 7 $ 0 $ 0 Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 Nonmonetary Adjustment ........ ............................... .................. Schedule C, Line 3 0 0 TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8+ 9+ 10 $ 0 $ 0 urrent Cash Statement 0 Beginning Cash Balance ............................ Previous Summary Page, Line 18 $ To calculate Column B, Cash Receipts ... ............................... ......................... Column A, Line 3 above 0 I add amounts In Column 0 Aio the corresponding Miscellaneous Increases to Cash ... ............................... Schedule r, Line 4 from Column amounts from Column B . Cash Payments .......................... ............................... Column A, Lhre 8 above 0 of your last report. Some amounts In Column A may ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, Wren subtract Line 1s $ 0 be negative figures that should be subtracted from /f this is a termination statement Line 16 must be zero. previous period amounts. ff this Is the first report being LOAN GUARANTEES RECEIVED., .... " ........................ schedule A Part 2 $ 0 filed for this calendar year, only carryover the amounts from Lines 2, 7, and 9 (N ash Equivalents and Outstanding Debts 0 any). Cash Equivalents .......................... I ......... ... ......... See Instructions on reverse $ 0 Outstanding Debts .............................. Add Line 2 + Line 9 I Column B above $ 12J31/16 3 6 Page of 1327985 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 111 through 8/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" IN autyeh:t to VWunt -Y awau ors UMM Date of Election Total to Date (mm/dd/yy) — I $ I $ 'Amounts in this section may be different from amounts reported in Column S. FPPC Form 460 (Jan /20: FPPC Advice: adviceflfppc.ca.gov (1166/275 -37, www.fppc.ca.e. :hedule A Amounts may be rounded SCHEDUL Dnetary Contributions Received w w.wro statement covers period . 07/01/16 o a from 12/31 /16 4 6 INSTRUCTIONS ON REVERSE through Page of AE OF FILER I.D. NUMBER Peter LeroeWurioz 1A327985 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED COMMnTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ ScC ❑ IND ❑ com ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑'OTH ❑ PTY ❑ scc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCc SUBTOTAL $ 0 m� chedule A Summary I •Contributor Codes Amount received this period - itemized monetary contributions. 0 IND - Individual (Include all Schedule A subtotals:) Recipient Committee .......................................................................... ............................... 0 (other than PTY or SCC) Amount received this period - unitemized monetary contributions of less than $100 ........................... $ OTH -Other (eg., business entity) PTY — Political Party Total monetary contributions received this period. 0 SCC - Small contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ FPPC Form 460 (Jan /20: FPPC Advice: adv)ce@fppc.ca.gov (866/275 -3T vwwrfppc.ca.l Amminfa m� bw —. f-A SCHEDULE R - PAR1 41101611UItII ® — r'arT "I to whole dollars. Statement covers period 'ans Received 07/01/16 from 12/31/16 5 6 INSTRUCTIONS ON REVERSE through Page of WE OF FILER I:D. NUMBER Aer Leroe- Mufloz 1327985 FULL NAME, STREET AND 21R CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER o OUTSTANDING AMOUNT la) AMOUNT PAID OUTSTANDING • INTEREST ORIGINAL 9 CUMULATIVI OF LENDRER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED. ENTER CE BEGINNING THIS RECEIVED THIS. OR FORGIVEN GLANCE AT CLOPERIOD HIS PAID THIS AMOUNT OF CONTRIBUTIO NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YV 0 19,012.8 0 15,000 $ $ % = $ ❑ FORGIVEN RATE PER ELECTIW 19,012.8 0 NIA 0 6110/10 ] IND [I COM [j OTH [3 PTY 13 SCC $ $ _ $ DATE INCURRED DATE DUE ❑ PAID CALENDAR YE/ ❑ FORGIVEN RATE PER ELECTIOI ] IND ❑ COM [30TH ❑ PTY ❑ SCC $ $ $ $ DATE INCURRED $ DATE DUE ❑ PAID CALENDAR YE/ $ $ % $ E ❑ FORGIVEN RATE PER ELECTIOI ] IND ❑ COM [3 OTH [3 PTY 13 SCC $ $ $ DATE DUE $ DATE INCURRED $ SUBTOTALS $ $ $ 19,012.8 $ :hedule B Summary Loans received this period. ...... .......... ......................................... ............................... .. .........$ (Total Column (b) plus unitemized loans of less than $100.) i -nw %w� un O Sd*dule E, Line 3) Loans, paid or forgiven this period ............ ............................... ............................ ..............................$ 0 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) Net change this period. (Subtract Line 2 from Line 1.) .................................... :......................... NET $ 0 Enter the net here and on the Summary Page, Column A, Line 2. WW be ar"Wiven —Wo Mounts forgiven or paid by another party also must be reported on Schedule A.-] ' If required. tContributor Codes IND - Individual COM – Recipient Committee (other than PTY or'SCQ OTH – Other (e.g., business entity PTY – Political' Party SCC – Small Contributor Commith FPPC Form 460 (Jan/20: FPPC Advice: advicetDfppcca.8ov (866/275 -37: www.fppc.ca.e Chedule E Amounts may be rounded Statement covers period ll to whole dollars. ayments Made 07/01116 from REVERSE Peter Leroe- Mufioz through 12/31/16 Page 6 of 6 1327985 )DES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. tP campaign peraphemalia/misc. MSR member communications RAD radio airtime and production costs IS campaign consultants MTG meetings and appearances RFD returned contributions B contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries 'C civic donations PET petition circulating TEL t.v. or cable airtime and production costs . candidate filing/ballot fees PHO phone banks TRIG candidate travel, lodging, and meals D fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals ) independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/spons( G legal defense PRO professional services (legal, accounting) VOT voter registration 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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 'ayments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ fthedule E Summary Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................. ............................... $ Unitemized payments made this period of under $100 ... ............................ .......................................................................................................... $ Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) .......................... ............................... $ .................... Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ Q FPPC Form 460 (1an/20:. FPPC Advice: advice@fppc.ca.gov 1866/275 -3T. www.fppc.ca.@