Peter Leroe-Munoz - Form 410 - 2017 AmendmentStatement of Organization
Recipieot Committee
Statement Type ❑ Initial [Amendment
Q Not yet qualified
or
Q Date qualified as committee- / —�— /—�
Date qualified as committee
(If amending to provide this dale)
NAME OF COMMITTEE
PCt«L_«0P_-M -Jitda ;OrG�)GoO„ul aQ18
❑ Termination — See Part 5
Date of termination
STREET ADDRESS (NO P.O. BOX)
COUNTY OF DOMICILE I JURISDICTION WHERE COMMITTEE IS ACTIVE
Ctii .C- L,:
Attach additional information on appropriately labeled continuation sheets.
NAME OF TREASURER
STREET ADDRESS (NO P.O. BOX)
Date Stamp
ECEIVED AND FI
the office of the Secretary of
of. the State of Califomia
NOV 17 2011
415020
For Official Use Only
CITY I , STATE ZIP CODE _
Statement of Organization CALIFORNIA '
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 2
COMMITTEE NAME I.D. NUMBER
P /firf �C_R.r _ N. nn1 4ftr /Au u i 1 An I A I:& 2:W85
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
LUD1A *S1
AREA CODE /PHONE
4ov -t„l.o -,1430
CITY
BANK ACCOUNT NUMBER
STATE ZIP CODE
A T s iro
���a�P ,��v�+��ii�k�i9,�?��1�?�� *a4 Nw.ru ,_�zz i,s�� < i.�S,.:.,..,: = 4:�R�•ifE�aa?4:�'XAii�•i'tLr ,r, as4�i:. ,. s� ";!4'i�#�,t..M?ii:`ai��.:�+�Ti xu:.;k .;:�
4.
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE /OFFICEHOLDER /STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION
PARTY
Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE)
rwrry nNF
-
SUPPORT
OPPOSE
SUPPORT
❑
OPPOSE
❑
FPPC Form 410 (May /2017)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Reoipier4t Committee FORM
INSTRUCTIONS ON REVERSE
Page 3
COMMITTEE NAME I.D. NUMBER
Pe-+ -cam I. cc« - ROA01 %G CA10"ci f 01018 13 �� R sS
A'::aTur. .� T, .0 >rP...,#;.,r —All
:
Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
List additional sponsors on an attachment.
NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE /PHONE
Small Contributor Committee F
Date qualified
p ht9ns have i1Bt3tl Rlet;.. .
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (May /2017)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov