Roland Velasco - Form 460 - 2014/10/29 - 2014/12/05 TerminationRecipient Committee
'Campaign Statement
Cover Page
0 , 111mmil 0000 Soctlons 84200 - 84216.5)
J I Itl'dIOWT'IONS ON REVERSE
Type or print in ink.
Statement covers period Date of election if applicable:
from /40— a &r — "`/ I (Month, Day, Year)
through _/ al- 5--/ Z/ I
rypn of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4.
(kj Officeholder, Candidate Controlled Committee []
Primarily Formed Ballot Measure
0 Slate Candidate Election Committee
Committee
0 Recall
Q Controlled
(Also ConADtete Pan 5)
O , Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
0 Sponsored ❑
Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Corrlptete Part 7)
3. Committee Information I.D. NUMBER
I 3 (, -7 7
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
of Vz-,i KI s e
STREET ADDRESS (NO P.O. BOX)
Cl
�p /] ZIP CODE AREA
t y r I Y`n vl l" 14 ( 57—OXCL)
MAILING ADDRES (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
Q81e Stamp
IDS
COVER PAGE
Page _I _ of Z_
For Official Use Only
2. TTPreelection e of Statement:
Statement ❑ Quarterly Statement
j] Semi - annual Statement ❑ Special Odd -Year Report
® Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER`
_V r0 0_ 3 M - 1r� 0 2 . I � S
MAILING ADDRESS
f?l_3 o 0,a K. en u. �r
CITY STATE ZIP CODE AREA CODE /PHONE
t v C s4 . — o rr-
NAME OF ASSISTANIF 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
Executed on t-4-- <- — /V
Do
Executed on ' r) t1 I q
Date
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 480 (January/05)
FPPC Toll -Free Helpline: 888 /ASK.FPPC (86612753772)
State of California
Type or print in Ink.
Recipient Committee
Campaign Statement
Cover Page — Part Z
5. officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HE L (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
w,n+Awn • , REETI CITY $TATS ZIP
A- -
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
(,t)VI Iti 'At 4 I AI41
Pago --- of —7—
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
- 1
Committees Not Included in this Statement: L►st any committees
to receive
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
Related
not included In this statement that are controlled by you or are primarily formed
behalf of your candidacy.
contributions or make expenditures on
I.D. NUMBER
COMMITTEE NAME
committee
formisnames of
Candidate/Officeholder
CONTROLLED COMMITTEE?
i. officeholders) oricandJdate(s foawhlcOh H►CS
committee pr<marlly
NAME OF TREASURER
❑ YES ❑ NO.
OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD SUPPORT
NAME OF
OPPOSE
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CODEIPHONE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
[SUPPORT
STATE ZIP CODE AREA
❑ OPPOSE
CITY
,I
I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
�I
7
=OFTREASU
OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD ❑ SUPPORT
CONTROLLED COMMITTEE?
NAME
C] OPPOSE
NAME RER
❑ YES ❑ N O
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
it
Attach continuation sheets if necessary
II
STATE ZIP CODE AREA CODE /PHONE
CITY
�i
i
FPPC Form 480 (January/05)
I
I1{
FPPC Toll -Free Helpline: 888 /ASK -FPPC (8881275.3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
Statement covers period
from
through 4,2 - S --i,/ I Page .3 — of ?_
NAME OF FILER
I.D. NUMBER
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHISPERIOD
CALENDAR YEAR
TOTALTO DATE
g Primary
Running In Both the State Prima and
(FROM ATTACHED SCHEDULES)
General Elections
1. Monetary Contributions ............ ...............................
Schedule A, Line
$ 900.00
$ 4t84-4..00
—'x.$QO —
1/1 through 8130 711 to Date
2. Loans Received ....................... ...............................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 + 2
$
a, �a��.
$ g
20. Contributions Received $ $
4. Nonmonetary Contributions ..................... .
Schedule C, Line 3
$�
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED •••.... ...••..••••••.•••.••
Add Lines 3 +4
$ C1
$
Made $ $
Expenditures Made
6. Payments Made ........................ ............................... Schedule E, Line 4
7. Loans Made .............................. ............................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines e+ 7
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3
10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea
11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 + 9 + 10
$
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 3a 4 !97'/
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4
15. Cash Payments ................... ............................... Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Parr 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
r=
E. ., .
J
To calculate Column 8, 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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If subject to Voluntary Expenditure Limit)
Date of Election ' Total to Date
(mm /dd /yy)
I $
`Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January /05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
SChedtileA
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTR18UTOR CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
/d
5.""
E OTH
x•4.,7 J-os�, Q,a 4S.rL
[3 PTY
p SCC
%
O A-) cl- ZA)Nt'N 8 y.
MND
❑OTH
PTY
0
s c
///
l_ �j Y► -�v X A e:r V ►J e-
I�IND
❑COM
❑OTH
�° �� o
❑ PTY
❑SCC
�j
Q.tU &3 c Le_" rJ I h�n " `
2IND
o
❑ OTH
v-� l r o :� L° s �7 5 0 o
❑ PTY
❑ SCC
❑IND
❑ COM
❑OTH
❑ PTY
❑ SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF- EMPLOYED, ENTER NAME
OF BUSINESS)
C. P /a
L°Td /r„yeFo
V^ v [, Proms
ev
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) ..................................................... ...............................
2. Amount received this period — unitemized monetary contributions of less than $100 .............
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................
SUBTOTAL$
SCHEDULE A
Statement covers period
from /0 -24- ly
through �a. - S - / y� page .,$// _ of 7
I.D. NUMBER
/Zb7VY?
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
�-D v J
................ $ - .n
.............. $
v.
ov o
*Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
TOTAL $-94& '
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
kncartritn R _ Pmrf 4 Type or print in Ink. SCHEDULEB -PART1
Loans Received
Amounts may be rounded
Statement covers period
• '
to whole dollars.
I '
from �U - �9
-�5�
•r'
SEE INSTRUCTIONS ON REVERSE
through
Page ,.L_
of 'I
NAME OF FILER
Q I. J
�
I.D. NUMBER
a a0 3
/.3 e- 7
Y 7
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
BALANCE
(b
AMOUNT
(c)
AMOUNT PAID
OUTSTANDING
a
INTEREST
ORIGINAL
y)
CUMULATIVE
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
BALANCEAT
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
THIS PERIOD'
PERIOD
LOAN
TO DATE
9"C o P-.,.
1
Sr PAID
CALENDAR YEAR
,- v1t'e0_3
s974A -'17
-- x
sue_
FORGIVEN
RATE
PER ELECTION"'
t5yIND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
$ -S% Q3
S
S
DATE DUE
DATE INCURRED
y- e� v_r
PAID
CALENDAR YEAR
$ 424
S1417,0.-
s _e_
� t1.� Cam. gs U ��
y -J
❑ FORGIVEN
RATE
PER ELECTION *"
t5JIND
s —
$
❑ COM [30TH ❑ PTY ❑ SCC
f
DATE INCURRED
1
DATE DUE
❑ PAID
CALENDAR YEAR
s
s
x
s
s
❑ FORGIVEN
RATE
PER ELECTION"'
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S 3
$
DATE DUE
$
DATE INCURRED
$
SUBTOTALS $ $
$ _, $
Scneauie b Summary
1. Loans received this period ..................................................................................... ............................... $
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period .......................................................................... ............................... $ 3 i Y_ a 17
(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.) ................................ ............................... NET $
Enter the net here and on the Summary Page, Column A, Line 2. (May ne °nege "e number)
`Amounts forgiven or paid by another party also must be, reported on Schedule A.
If required.
(enter (e) on
Schedule E, Line 3)
tContdbutor 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 (8661275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
lk")
Type or print in ink.
Amounts may be rounded
to whole dollars.
ESE
Statement covers period
from z,:!�— 1 9 — /5/
through - /;L - `; - *"Y I Page � of :_
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
C P
CNS
campaign paraphemalia /misc.
MBR
member communications
RAD
radio airtime and production costs
CTB
campaign consultants
contribution (explain nonmonetary)•
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
civic donations
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FIL
FND
candidate filing /ballot fees
fundraising events
PHO
phone banks
TRC
candidate travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)'
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF ,
staff /spouse travel, lodging, and meals
transfer between committees of the same candidate /sponsor
LEG
LIT
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, ALSOENTERIA.NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Lj
yo 4O S:) — �er_s !:� -1 ✓d.
I
P j
C4m V 4, n.X-f
y- e)
�Y t � �4�.c,
? 5 It S
GT,(Y-t, Crt �a ao
" Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 6L 9/ IC-Al
2. Unitemized payments made this period of under $100 ....................................... ............................... .
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e))
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
A- rJ Le") 16
$1 'a.p Q A K. e�
� •I �o �
SCHEDULEE(CONT.)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period ■
Payments Made
t"��p•4 -1.�,
to whole dollars.
• 1
�n
from
-al`i — !
F
SEE INSTRUCTIONS ON REVERSE
through
�— 144
of
NAME OF FILER
I� / 14.E �.
&- -I D"D I V
I.D. NUMBER
� , 7
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP campaign paraphernalia /misc.
CNS campaign consultants
WSR
member communications
RAID
radio airtime and production costs
CTB contribution (explain nonmonetary)•
IVffG
OFC
meetings and appearances
office expenses
RFD
SAL
returned contributions
campaign workers' salaries
CVC civic donations
FIL candidate filing /ballot fees
PE:?
PFK)
petition circulating
phone banks
TEL
Lv. or cable airtime and production costs
FND fundralsing events
POL
polling and survey research
TRC
TRS
candidate travel, lodging, and meals
staff /spouse travel, lodging, and meals
IND independent expenditure supporting /opposing others (explain)'
LEG legal defense
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LIT campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
ads
VOT
voter registration
print
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
A- rJ Le") 16
$1 'a.p Q A K. e�
� •I �o �
`�
`�6 AJA-r,1c��oc��T
t"��p•4 -1.�,
`7 y a • q 7
" Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL a t��, `T
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)