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Peter Leroe-Munoz - Annual 2016101500115 —NFH -0115 Date Initial Filing Received CALIFORNIA • - 700 STATEMENT OF ECONOMIC INTERESTS Official Use Only POLITICAL FAIR • • E -Filed A PUBLIC D. CUMENT COVER PAGE 01643377 Filing ID: Please type or print in ink. 164587793 NAME OF FILER (LAST) (FIRST) (MIDDLE) Leroe- Munoz, Peter 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position City Council Councilmember ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑x City of Gilroy ❑ Other 3. Type of Statement (Check at /east one box) ❑ x Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left I I -or- December 31, 2016 (Check one) The period covered is 1 through O The period covered is January 1, 2016, through the date of December 31, 2016 leaving office. ❑ Assuming Office: Date assumed I I O The period covered is I through the date of leaving office. ❑ Candidate: Election Year and office sought, if different than Part 1: 4. Schedule Summary (must complete) P. Total number of pages including this cover page: 3 Schedules attached ❑ x Schedule A -1 - Investments — schedule attached ❑Q Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -or- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 7351 Rosanna Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS ( 408 ) 427 -4697 peter .leroe- munoz @cityofgilroy.org 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 acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 04/04/2017 (month, day, year) Signature Peter Leroe —Munoz (File the originally signed statement with your filing official.) FPPC Form 700 (2016/2017) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 101500115 -NFH -0115 SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY Coca -Cola GENERAL DESCRIPTION OF THIS BUSINESS Beverage company FAIR MARKET VALUE ❑X $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ModuleQ GENERAL DESCRIPTION OF THIS BUSINESS Information Technology & Services FAIR MARKET VALUE ❑X $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Volkswagon GENERAL DESCRIPTION OF THIS BUSINESS Motor Vehicles FAIR MARKET VALUE ❑X $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: Name ► NAME OF BUSINESS ENTITY Bank of America Leroe- Munoz, Peter GENERAL DESCRIPTION OF THIS BUSINESS Bank and financial services FAIR MARKET VALUE [Z] $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Pandoodle GENERAL DESCRIPTION OF THIS BUSINESS Information Technology FAIR MARKET VALUE ❑X $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on schedule C) IF APPLICABLE. LIST DATE: ACQUIRED DISPOSED FPPC Form 700 (2016/2017) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov 101500115 —NFH -0115 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Silicon Valley Leadership Group ADDRESS (Business Address Acceptable) 2001 Gateway Place San Jose, CA 95110 BUSINESS ACTIVITY. IF ANY OF SOURCE YOUR BUSINESS POSITION Vice President, Technology & Innovation Policy GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 X❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) Name Leroe— Munoz, Peter NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY. IF ANY OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov