Roland Velasco - Annual 2015101500115 -NFH -0115
Date Initial Filing
STATEMENT OF ECONOMIC INTERESTS Received
• - • - official use only
FAIR POLITICAL PRACTICES COMMISSION E -Filed
A PUBLIC ..
CUMENT COVER PAGE 010:28 :036
Filing ID:
Please type or print in ink. 159932017
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Velasco, Roland
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:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County
❑% City Of Gilroy
3. Type of Statement (check at least one box)
❑x Annual: The period covered is January 1, 2015, through
December 31, 2015
-or-
The period covered is I I , through
December 31, 2015
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving office: Date Left I I
(Check one)
O The period covered is January 1, 2015, through the date of
leaving office.
❑ Assuming office: Date assumed —J_J 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) ► Total number of pages including this cover page: 2
Schedules attached
❑x Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule 8 - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
[I None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
Gil
rELEPHONE NUMBER
E-MAIL ADDRESS
CA 95020
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 03/29/2016 Signature Roland Velasco
(month, day, year) (File the ongina0y signed statement with your filing oftel.)
FPPC Form 700 (201512016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 8661275 -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.
General Electric
GENERAL DESCRIPTION OF THIS BUSINESS
Technology and Services
FAIR MARKET VALUE
❑R $2,000 - $10,0oo ❑ $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:
— %1 —1 1
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
❑ Stook ❑ 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 I m_1,
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,0o1 - $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 Sonedule C)
IF APPLICABLE, LIST DATE:
— /_i —��
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 an Schedule C)
IF APPLICABLE, LIST DATE:
1 1 m_1.
ACQUIRED DISPOSED
► NAME OF
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 (2015(2016) Sch. A -1
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 66612753772 www.fopc.ca.gov