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Roland Velasco - Assuming Office 2014
Please type or print in ink. NAME OF FILER (LAST) Velasco 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy STATEMENT OF ECONOMIC INTERESTS COVER PAGE Roland 4k1� (FIRST) 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: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County © City of Gilroy Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) n County of ❑ Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left J I December 31, 2014. (Check one) .or- The period covered is , through O The period covered is January 1, 2014, through the date of December 31, 2014. leaving office. ❑ Assuming Office: Date assumed 12 / 08 / 2014 O The period covered is I I through the date of leaving office. ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." 0 Schedule A -1 - Investments - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached and office sought, if different than Part 1: ► Total number of pages including this cover page: 2 ❑ Schedule C - Income, Loans. & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- 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 uAY IMt IInLtl'MUNt NUMttK t- MAIL AUUKESS ( 408 ) 846 -0400 roland.velasco @cityofgilroy.org I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to herein and in any attached schedules is true and complete. I acknowledge this is a public docume t. I certify under penalty of perjury under the laws of the State of California that the originally signed statement with your filing official.) FPPC Form 700(2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. IS BUSINESS Technology and Services 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: _I / 14 _J_/ 14 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: / 14 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: � / 14 —J 14 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Roland - ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $10o'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: / 14 14 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: � / 14 _f� 14 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $10o,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ( Descrbe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � / 14 1 1 14 ACQUIRED DISPOSED FPPC Form 700 (2014/2015) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpiine: 866/275 -3772 www.fppc.ca.gov