HomeMy WebLinkAboutLeroe-Munoz, Peter (Assembly 2018) - Form 410 TerminationStatement of Organization
Recipient Committee
Statement Type 0 initial Amendment
O Not yet qualified
or
O Date qualification threshold met Date qualification threshold met
0�4 / 15 / 2017
1. Committee Information I.D. Number
(if applicable) 1395908
NAME OF COMMITTEE
Peter Leroe—Munoz for Assembly 2018
STREET ADDRESS (NO P.O. ROX)
5429 Madison Avenue
CITY STATE ZIP CODE
Sacramento CA 95841
FULL MAILING ADDRESS (IF DIFFERENT)
5429 Madison Avenue Sacramento, CA 95841
EMAIL ADDRESS (REQUIRED) / FAX (OPTIONAL)
campaignsQrcbs.us
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE
Sacramento I Santa Clara County
N
0 Termination — See Part 5 y
N
AREA CODE/PHONE
(916)348-9100
Attach additional information on appropriately labeled continuation sheets.
Date of termination
12 1 31 / 2019
I2. Treasurer and Otl
NAME OF TREASURER
REGtMU
FEB - 4 2020
CITY CLERK'S OFFICE
GILROY, CA
Peter Leroe-Munoz
STREET ADDRESS (NO P.O. BOX)
5429 Madison Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95841 (916)348-9100
NAME OF ASSISTANT TREASURER, IF ANY
STREET ADDRESS (NO P.O, BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF PRINCIPAL OFFICER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
3. Verification.:,
I have used all reasonable diligence in preparing
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
neifile.com
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Peter Leroe-Munoz for Assembly 2018
• All committees must list the financial institution where the campaign bank account is located.
NAME OF FINANCIAL INSTITUTION
First Foundation Bank
ADDRESS
AREA CODE/PHONE BANK ACCOUNT NUMBER
(916)724-2424
CITY STATE ZIP CODE
CALIFORNIA
•-
'
Page 2 of 3
I.D. NUMBER
1395908
2250 Douglas Boulevard, Suite 190 Roseville CA 95661
4. Type of Committee Complete the applicable sections'
s
r d- --
• 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." Stating "No party preference" is acceptable.
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECKONE
State Assembly Person: Assembly District �0 Nonpartisan Partisan (list political party below)
Peter Leroe-Munoz 2018 X Democratic Party
Nonpartisan Partisan (list political party below)
■�.ruuul�.l.,.u�a.rl.uiu„ In 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)
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME.
CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE
SUPPORT I OPPOSE
SUPPORT : OPPOSE
FPPC Form 410(August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization CALIFORNIA
Recipient Committee FORM
INSTRUCTIONS ON REVERSE
Page 3 of 3
I.D. NUMBER
COMMITTEE NAME
Peter Leroe-Munoz for Assembly 2018 'I1grgOC
4. Type of Committee (continued)
General Purpose Committee I 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
—.7.uulani" n..uui.+{ ✓ List additional sponsors on an attachment.
NAME OF SPON50R (INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE
Small Contributor Committee F1 -/-/
Date qualified
S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• 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(August/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov