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Roland Velasco - Form 460 - 2016/02/16 - 2016/06/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200.84216.5) Type or print in ink. Statement covers period from 2/16/2016 SEE INSTRUCTIONS ON REVERSE Ithrough 41 'ad -1. to 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2,3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Alm Complele Part 5) O Sponsored (Alm Compere Parts) ❑ General Purpose Committee Q Sponsored m Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (MSO Complete Part r) 3. Committee Information I D. NUMBER 1383384 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO CDMMITTEE) Roland Velasco for Mayor 2016 STREET ADDRESS (NO PO. BOX) 9720 Bunting Court CITY STATE ZIP CODE Gilroy Ca 95020 408 710 -8508 MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Data of election if appll (Month, Day, Year) Date Stamp AUG 11 2016 of'4 7. For Official Use Only 11/8/2016 2. Type of Statement: V Preelection Statement ❑ Quarterly Statement ❑ 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 Joan M. Lewis MAILING ADDRESS 8130 Oak Courst CITY STATE ZIP CODE AREA CODE /PHONE Gilroy Ca 95020 408 842 -8698 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS roland @rolandvelasco.com joaniemiewis @charter.net 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing Executed on 8/1012016 Executed on 8/10/2016 Darn Executed Executed on By Sigarreol COrtlrdlvg Oemtgltler ,Candidate, Stale MeamrePnxialerG By Se�arCmboreg011r >dalder.Cendeale. Stale MeamveRqpaere FPPC FOnn 460(January/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (86812763772) State of California Recipient Committee Type or print In ink. COVER PAGE - PART 2 Campaign Statement a '1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Roland Velasoo OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) AUUKtbb INV.ANUJIKtt I) 9720 Bunting Court Gilroy Ca 95020 Related Committees Not Included in this Statement: Listanycommittees not included in this statement that are contmiled by you or are primarily formed to receive contributions or make expenditures on behat of your candidacy. CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO S I Ktt I AUUKtSJ (NU Y.U. BUA) CITY STATE ZIP CODE AREA CODE/PHONE Page ?— of Z 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER IJURISUIU I IUN I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER CANDIDATE, OR PROPONENT DISTRICT NO IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets If necessary FPPC Form 460 (January106) FPPC Toll-Free Helpline: 8661ASK -FPPC (86612763772) State of California Campaign Disclosure Statement Type or in ink. Amounts may be rounded Summary Page to whole dollars. REVERSE Statement covers period from 2/16 /2016 through 6/30/2016 NAME OF FILERV V Roland Velasco for Mayor 2016 Column Column Contributions Received T TAi�sv m �EN RYF (rreauATFn DSCNEa S) TOTA TODAM 3 $ 23569.00 $ 23569.00 1. Monetary Contributions ... ............................... schedule A. Line 1000.00 1000.00 2 Loans Received .............. .............................. schedule B. Line 3 $ 24569.00 $ 24569.00 3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines i+2 0 0 4. Nonmonetary, Contributions.... ....... ............ schedule C. Lim 3 $ 24569.00 $ 24569.00 5. TOTAL CONTRIBUTIONS RECEIVED. Add Lines 3 +4 Expenditures Made .............. . 6. Payments Made .................. ........... Schedule E. Lim 4 $ 1917.65 $ 1917.65 0 0 7. Loans Made ......................... ............................... ScheduleH.UM3 8. SUBTOTAL CASH PAYMENTS ............ ................. .. Add Lines 6 +7 $ 1917.15 $ 1917.65 0 0 9. Accrued Expenses (Unpaid Bills ) . .. .............. .. . ... ..Schedule F. Lim 3 0 0 10. Nonmonetary Adjustment ..................... .......... Schedule C, Line 3 11 TOTAL EXPENDITURES MADE ............................Add Lines a +g +lo $ 1917.65 $ 1917.65 Current Cash Statement 12 Beginning Cash Balance ................ Prevaus Summary Page, Line 16 13. Cash Receipts ................ ............................... ColumnA.Line3above 14 Miscellaneous Increases to Cash ...................... Schedule r, Line 4 15. Cash Payments .... .............................. ......... Column A, Line 8abow 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, Men subtract Line 15 ff this is a termination statement, tine 16 must be zero. $ 0 1917.65 $ 22651.35 17. LOAN GUARANTEES RECEIVED .......................... Schedule e. Part 2 $ in Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....... see instructions on reverse $ 0 19. Outstanding Debts ....................... AddLme 2 +Line g in Column a above $ 1000.00 To calculate Column B. 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). Page 3 ofd ID NUMBER 1383384 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 20 Contributions Received $ $ - 21. Expenditures Made $ $ - Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (eSugact roWun ry EapendxUMLJ t) Date of Election Total to Date (mm/dd/yy) d Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/88) FPPC Toll -Free Helplins: 8661ASK -FPPC (8661278 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary ontributions Received Amounts may be rounded ry Statement covers period 1.421 to whole dollars. 10 ifflW1 o . from 2/16/2016 1 C through �0 ��6 Page 4 SEE INSTRUCTIONS ON REVERSE _of NAME OF FILER 10 NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOM1AI E,MSOENIERI D NLMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPLOYED, ENTER NOME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) OFEIMINES) VIIND 2/16/2016 Joan Lewis DOO EICO M Retired 750.00 750.00 8130 Oak Court ❑ OTH Gilroy Ca 95020 ❑ PTY OSCC IND 3/05/2016 Susan & Mike Mister D COM Retired 100.00 100.00 9265 Braquet Lane 00TH Gilory Ca 95020 ❑ PTY ❑SCC OIND 3/13/2016 K Phuon Phuonin DcoM Self Employed 750.00 750.00 40 Court 0OTH Garlic City Club Gilroy Ca 95020 ❑PTY ❑SCC Sharon & Don Hordness IaIND ❑ COM Business Owner 3/22/2016 157 Old Adobe Road D OTH Countryside Mushroom 500.00 500.00 Watsonville, Ca 95073 0 PTY ❑ SCC William Faus ®IND OCOM Retired 3/19/2016 7360 Thayer Court 00TH 150.00 150.00 Gilroy, Ca 95020 ❑ PTY 0 SCC_ SUBTOTALS 2250.00 ti '' s= nFnyit e y,," 1 77 - @F tl j. *';� xr"t'-. -y2 ri, t Schedule A Summary 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.) .............. $ as4 9.1� e — ....... TOTAL $ 7.00 FPPC Form 460 (JanuaryM I FPPC Toll -Free Heipline: 8661ASK -FPPC (8661275 -3772) `Contributor Codes (ND-individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee Schedule A (Continuation Sheet) Type or print in ink SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA" , U from 2/16/2016 0 - through Page _ of NAME OF FILER I D NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED prcoNrnlrTER.ALSO ENrEalO NtIMeER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSERF OYM,E RN E PERIOD (JAN 1 -DEC 31) (IF REQUIRED) OFBIISINESSI m Greg Edgar ❑�OM Morgan Stanley . 3/19/2016 1911 St Andrews ❑OTH Vrc� Prew.dsv4 350.00 350.00 Gilroy Ca 95020 ❑ PTY ❑SCC Liete Dacosta MIND House Wife 3/19/2016 1911 St Andrews �COOMI 350.00 350.00 Gilory, Ca 95020 ❑ PTY ❑SCC Clorinda Sergi Oct Farmer 3/22/2016 1820 Barrett Avenue ❑O1N ; 150.00 150.00 Morgan Hill, Ca 95037 ❑PTY ❑SCC Dr. & Mrs. Phil Buchanan MIND Retired 3/22/2016 7440 Miller Avenue �pOM 100.00 100.00 Gilroy, Ca 95020 El PTY ❑SCC Latina L. Sandoval V]IND Retired 3/24/2016 6460 Barron Place OoOM 25000 250.00 Gilroy, Ca 95020 El PTY ❑SCC SUBTOTALS 1200.00 *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 FPPC Form 460 (January/06) FPPC Toll -Free Helplins: 8661ASK -FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedoRars. e- i �' 2/16/2016 from e- 1; i1i / through Page _ of j';)' NAME OF FILER I D NUMBER Roland Velasco for Mayor 20110 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFCONrI)T KW EN RID NUMBER) CODE* Or BEIF KOY ,EWERN E PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBMNEW) VI Bill Retrial Reimal Family Limited 3/23/2016 8010 Wayland Ste 1 -C ❑OTH Partnership Ow.ler 50.00 50.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Kathy Farrell MIND Nurse 3/23/2016 1420 Pheasant Drive �OTM 25.00 25.00 Gilroy Ca 95020 ❑ PTY ❑ SCC Joseph A. Filice {RIND ❑COM CPA OL.�1Jet 3/2412016 751 B First Street ❑OTH Gy1°66v- �rlic¢ 100.00 100.00 Gilroy, Ca 956020 ❑ PTY ❑SCC McCarthy Gilroy, LLC ❑IND ❑COM 3/24/2016 15425 Los Gatos Blvd -Suite 102 m OTH 750.00 750.00 Los Gatos Ca 95032 ❑ PTY ❑SCC Louis Masoni FIND ❑❑COMi Retired 3/25/2016 262 Robin Place 750.00 750.00 Gilroy Ca 95020 ❑ PTY ❑SCC SUBTOTALS 1675.00 *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 FPPC Form 480 (January/65) FPPC Toll -Free Helpline: 8WASK -FPPC (88812753772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 2/16/2016 �. • J 0 0 from s through ZL- LJ1o16 Page 7 of NAME OF FILER I D NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMNITFEE,R EN 10 NUMBER) CODE • pFS F -EMP OTED.E RW E PERIOD (JAN 1 -DEC 31) IF REQUIRED) of eustMESSI VJD Lynda Trelut E]COM Retired 3/25/216 701 Fourth Street ❑OTH 100.00 100.00 Gilroy Ca 95020 ❑ PTY ❑SCC Albert & Mary Silva MIND ❑]COM Farmer 3/25/2016 3665 Pacheco Pass Hwy 200.00 200.00 Gilroy Ca 950200 ❑ PTy ❑SCC Roland Velasco JIND U TH Refund from City of 3/25/2016 9720 Bunting Court �OT H Gilroy from 2015 146.00 146.00 Gilroy, Ca 95020 ❑PTY Campaign ❑SCC Gennaro & Kathy Filice MIND ❑❑O Retired 3/28/2016 777 Gary Street 100.00 100.00 Gilroy Ca 95020 ❑ PTY ❑ SCC Verne Freeman 01ND Consultant 3/2912016 994 San Antonio Road �pT Freeman Associates 750.00 750.00 Palo Alto, Ca 94303 -4917 ❑ PTY ❑SCC SUBTOTALS 129600 '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 FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (86612753772) Schedule A (Continuation Sheet) Type or print in ink SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded StatemeMcovers period e. to whole dollars. 2/162016 e- A a from through G /��ot� pages of Z NAMEOFFILER ID NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMnTEE,ALBDEN RID NUMBER) CODE* (IF BELF- EMRLOYED. ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OFBUBINEBB) ®❑LOOM Rachel Munoz Community Service 3/28/2016 7330 Hagen Court ❑OTH Officer, City of Gilroy 250.00 250.00 Gilroy, Ca 95020 F1 PTY ❑SCC Ignacio Magana ®IND Mission Powder Coating 4/2/2016 7660 Rea Street EICpTH (Owner) 750.00 750.00 Gilory, Ca 95020 ❑ PTY ❑SCC Steven F. Coombs �COM Self Employed Engineer 3/26/2016 1565 Las Canoas Road ❑OTH 750.00 750.00 Santa Barbara, Ca 93105 ❑ PTY ❑SCC David J. Lima L lIND ❑COM Retired 3/31/2016 2335 Olea Court ❑OTH 750.00 750.00 Gilroy, Ca 95020 El PTY ❑ SCC Marsha Becht 01ND ❑❑CO House Wife 4/1/2016 2410 Country Lane OTH 25.00 25.00 Gilroy, Ca 95020 El PTY ❑SCC SUBTOTALS 252500 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8881275-3772) Schedule A (Continuatlor, Sheet) Type or pri it In ink. SCHEDULE A (CONT) Monetary Contributions F eceived Amounts me) be rounded to whole killers. Statement rovers period from 216/2016 am — Recipe It Committee through Peg.._ 9 of NAME OF FILER —ID. I UMBER Roland Velasco for Mayor 2016 138 1384 �� FULL NAME, STREET ADDI ESS AND ZIP CODE OF COI TRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. El' rER OCCUPATION AND EMPI DYER AMOUNT RECEIVED THII CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOrwm E, nLSOENiFRID NIAI6ERI CODE* (IFBELFFI P OYED,ENn26 "IF PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) _ OFBMNESSI Bettsy Lima ElCOM Retired 3/31/2016 2335 Olea Court 00TH 750.0(1 750.00 Gilroy, Ca 95020 ❑ PTY ❑Scc Heartwood Cabinet a (Dave & Eileen 80119 MIND Owner Heartwood 3/3112016 5860 Obata Way OCOM ❑ OTH Cabinet's 100.00 100.00 Gilroy, Ca 95020 ❑PTY OSCC Randy L. Scianna MIND ❑COM CEO SeeGrins RV 4/05/2016 1528 Bowden Court 00TH 750.00 750.00 Morgan Hill, Ca 96*037 ❑ PTY ❑ SCC Howard Justus W1 [NO DACA 4/15/2016 710 Amiford Drive OCpOM Land Developer 750.00 750.00 San Diego, Ca 92107 ❑PTY ❑SCC Andrea Justus Community Volunteer 4/15/2016 710 Amiford Drive []COM ❑OTH 750.00 750.00 San Diego, Ca 92107 El PTY ❑ SCC *Contributor C, des IND— Indivtdue COM — Recipe It Committee (other t tan PTV or SCC) OTH - Other I! g., business entity) PTY — Political 'arty SCC —Small G etributor Committee SUB'OTAL$ 310000 a ✓ °' a ''. Y1. a 0 U�i� i,t, �.N .F1,�^. �3n z �.)L- . "�,� ". l� FPF C Form 400 (January/05) FPF : Toll-Free Hetplins: 888U.SK -FPPC (8881275.3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers period a , a. , towholedollars. 2/1612016 1- 0 from through / I30 �Mllp Page 14 of NAME OF FILER I D NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFC0M4ArREE. WENrERID UU.feeil CODE • OF SEIF EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) 0F NEW) IND MH engineering Co OCOM MH engineering Co 4/18/2016 16075 Vineyard Blvd. ®OTH 250.00 250.00 Morgan Hill Ca 95037 ❑ PTY []SCC Ann Filice JZIIND Retired 4/22/2016 8710 Wild Iris Dr. ❑DTN 100.00 100.00 Gilroy, Ca 95020 El PTY ❑SCC Janet Sleipness Espersen V]IND ❑COM Retired 4/22/2016 9780 Linnet Court ❑ OTH 100.00 100.00 Gilroy Ca 95020 ❑ PTY ❑SCC Lisa R. Magana 01ND OCOM Wells Fargo 4/22/2016 7660 Rea Street ❑❑PTTY cr�rl+v>` Il+a� ¢r 750.00 750.00 Gilroy, Ca 95020 []SCC MIND Guadalupe Lopez ❑TM 4/2212016 aseorou ❑o o W uar 750.00 750.00 Newark, Ca 94560 -1319 El PTY Ava- e.tyaq's - .rocLerj []SCC SUBTOTALS 1950.00 `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 FPPC Form 460 (January105) FPPC Toll-Free Helpline: 86WASK -FPPC (86612763772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period towholedollars. e- ! 0 from 2/16/2016 • - 1 through ��io k J.O 1 (e Pam // of e2� NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFO ITTEE,aso ENTER I D NUMBER) CODE OCCUPATION AND EMPLOYER (IF BELF£ KOYED, ENTER NMME RECEIVED THIS PERIOD CALENDAR YEAR (JAN 1 - DEC. 31) TO DATE (IF REQUIRED) OFBUBINEBB) Peggy K. Thompson []Cat Rancher 5!7/2016 3745 Old Yerba Buena Road ❑OTH 100.00 100.00 San Jose, Ca 95135 -1514 ❑ PTY ❑SCC Terry Feinberg MIND ❑COM Business Owner Moxxy 5/9/2016 6990 Angelo Lane ❑❑PTTYY Marketing 750.00 750.00 Gilroy, Ca ❑SCC Hewell & Sheedy Construction, Inc ❑IND ❑COM 5/18/2016 430 First Street JZI OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Zanker Road Resource Management, Ltd. ❑IND 5/18/2016 1500 Berger Drive VIoTH 500.00 500.00 San Jose, Ca 95112 ❑ PTY ❑SCC Sharon Albert V1IND Retired -6-4t 00 SO•cd 5/2412016 9075 Ridgeway Drive ❑❑CO �— 140-W Gilroy, Ca 95020 ❑ PTY ❑SCC SUBTOTALS 1000 `Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTV — Political Party SCC —Small Conbibutor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helplins: 86SIASK -FPPC (86612753772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers periotl to whole dollars. 2/16 12016 O '0 from e- through Page —IX of I NAME OF FILER D NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMM . P WEN ID NUMBER) CODE * (IFSEU- EMKOVED,ENrERN E PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF2USINEbS) ❑COM Ruggeri - Jensen -Azar & Associates (RJA) 5/26/2016 8055 Camino Arroy ®OTH 500.00 500.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Doug I. Reyholds IaIND ❑❑cO� Retired 5/24/2016 9075 Ridgeway Drive 50.00 50.00 Gilroy, Ca 95020 ❑PTY ❑SCC South Valley Suzuki Music Foundation, Inc IIND ❑Q OM 6/3/2016 824 Festa Aglio Drive (Jr vTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑SCC John &Dolores Kent VIIND Real Estate 6/4/2016 15590 Via Veneto [30TH Pacific Oak Property 100.00 100.00 Morgan Hill, Ca 95037 ❑PTY ❑SCC Don Alvarez OIND Contractor Noah 614/2016 180 Cox Avenue San Martin Ca 95046 ❑ OTH Concrete 750.00 750.00 ❑ PTY ❑ SCC SUBTOTALS 1500.00° '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 FPPC Form 460 (January/05) FPPC Toll -Free Helpiins: 8661ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded statement covers period I CALIFORNIA towholedollars. 2/16/1016 • tl from r, through _ % _) 8 01 �� Page 13 of NAME OF FILER I D NUMBER Roland Velasco for Mayor 2016 1383384 �� ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFC@ADDRE SAND I O NUMBER) CODE + (IFS - EMKOYED,ENIER E PERIOD (JAN 1 - DEC 31) (IF REQUIRED) OFau51N ) Ronald Lacy EIcad G.M. Noah Concrete 6/4/2016 5900 Rossi Lane ❑OTH (x„e <pt_ q 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑SCC J. Isabel Calixtro ®IND D OOM Self Employed Handy 6/4/2016 7071 Hanna Street ❑ OTH Man 500.00 500.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Robert Mccroy DCO Self Employed Machinist 6/4!2016 1950 Port Monark Street OoaH 500.00 500.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Deb Smith MIND DOOM Self EmployedTrainer 6/612016 1079 Clark Way ❑ OTH 99.00 99.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC ❑IND 6/6/2016 Fate Training EICOH 99.00 99.00 1079 Clark Way Gilroy, Ca 95020 ❑ PTY ❑SCC SUBTOTALS 1448.00 ._r,. -.� °. _� 'Contributor 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 450 (January/05) FPPC Toll -Free Helpline: 86 6/ASK -FPPC (55112753772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers Period I CALIFORNIA to whole dollars. 216,20,6 . • • a from through Page of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF CT ADDRE.SLSANDZII DODEOI CODE* (IF SELF- EMFLOYED, EN N E PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) DFBMNEBB) ® IND Maureen M. Hunter ❑O Retired 6/8/2016 1190 Princevalle Street ❑TH TH 25.00 25.00 Gilroy, Ca 95020 El PITY ❑SCC Reid Lerner IaIND ❑❑OTTHH Self employed Architect 6!8/2016 7680 Monterey Street #105 ABA Raid I_ o. u e r 750.00 750.00 Gilroy, Ca 95020 E] PTY ❑SCC Greg Martinez WIND DOOM Gilroy Vet. Owner 6/8/2016 7170 Utica Place I et ci 250.00 250.00 Gilroy, Ca 95020 El PTY "Os 'e'A' PX laos p•r� a� ❑ SCC Luca Rutigliano WJEIIND CEO Cordevalle Golf 618/2016 1510 Goldfinch Court ❑OTH Club 250.00 250.00 Gilroy, Ca 95020 E] PTY ❑SCC Pamela Garcia MIND Business Owner Simmitri 6/10/2016 1910 Day Road opTH Inc 25.00 25.00 Gilroy, Ca 95020 El PTY ❑SCC SUBTOTAL$ 1300.00 "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 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 86WASK -FPPC (86612764772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 2/16/2016 FOR M • 0 from through /D 1.3/? N-;kDtb Paged of Ad NAME OF FILER I D NUMBER Roland Velasco for Mayor 2016 1383384 �� SAND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFOTADDRE, NUAEO CODE (IF SELF- INIKOYED, ENTER NAME PERIOD (JAN.1 -DEC 31) (IF REQUIRED) OF'SUSINESS) Arline Silva E]coM Self employedAllstate 6/10/2016 7821 Princevalle Street ❑OTH Agency 20.00 20.00 Gilroy, Ca 95020 El PTY ❑SCC Joanne Jones VIIND ❑❑OOH Retired Nurse 6!1312016 869 Sorrento Drive 50.00 50.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Janet Peat V]IND Business Owner 6/13/2016 1953 Saint Andrews Circle ❑OTH McDonald's 500.00 500.00 Gilroy, Ca 95020 ❑PTY ❑SCC Stephen Peat MIND Business Owner 6/13/2016 1953 Saint Andrews Circle �pTH McDonald's 500.00 500.00 Gilroy, Ca 95020 ❑PTY ❑SCC Emilio and Angela DeSousa MIND ❑COM Retied 6/13/2016 1975 Mantelli Drive ❑ OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑SCC SUBTOTALS 1170.00 'Contributor Codes IND— Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g, business entity) PTY — Political Parry SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK- FPPC (8661275 772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. 2/16!2016 FORm 460 from through 4 /301 a.0 t6 Page ova of NAME OF FILER I.D NUMBER Roland Velasco for Mayor 2016 1383384 �-� ADDRESS ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFCT D NUMBER) CODE * pFSELF- DAELOYED,ENIER E PERIOD (JAN I -DEC. 31) (IF REQUIRED) OF BUSINESS) David & Stefanie Pinheiro E]�OM Self employed Farmers 6/13/2016 9748 Hopi Lane ❑OTH Agent 100.00 100.00 Gilroy, Ca 95020 ❑PTY ❑ SCC At Pinheiro IND m❑COM Self employed Insurance 6/13/2016 190 1 St Street ❑OTH Broker Farmers 250.00 250.00 Gilroy, Ca 95020 ❑PTY Insurance ❑SCC Justin Pinheiro �COM Owner Self Employed 6/13/2016 1463 Ousley Drive ❑OTH Backflow Unlimited 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Fernando Rocha MIND ❑COM Retired 6/13/2016 2630 Dunlap Avenue ❑ OTH 250.00 250.00 Gilroy, Ca 95020 []PTY ❑SCC Linda West MIND College Teacher Deanza 6/13/2016 1402 Logepole Court E]pTH College 100.00 100.00 Gilroy, Ca 95020 ❑PTY ❑SCC SUBTOTAL$ 80000 'Contributor Codes IND— individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — PoliBcal Party SCC —Small Contributor Committee FPPC Form 488 (January/85) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612754772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I tovdloledollars. 2/16 /2016 CALIFORNIA 4 • from FORM through l2L of (b Page 1Z of_�i__ NAME OF FILER I D. NUMBER Roland Velasco for Mayor 2016 1383384 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pFCOMMITIEE, nLSO ENiERID NUNaERI CODE pFS - EMKOYED,EH RN E PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OF BU&NESS) David Peoples EIcOM Owner Garlic City 6113/2016 1176 Hacienda Drive ❑OTH Mercantile 200.00 200.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Barbara -Lea Granter ZIND EICO Administration Gilroy 6113/2016 870 Greenwich Drive OpTH Gardens Theme Park 750.00 750.00 Gilroy, Ca 95020 El PTY ❑SCC Karen Pogue MIND ❑COM Refired 6113/2016 969 Welburn Avenue ❑ OTH 75.00 75.00 Gilroy, Ca 95020 El PTY ❑SCC William Baxley MIND President, Legaey Print 6/13/2016 575 Victoria Drive OcCOOM 250.00 250.00 Gilroy, Ca 95020 ❑PTY ❑SCC Marie Blankley VIIND ❑❑CCOH Self Employed CPA 6/13/2016 2290 Coral Bell Court 100.00 100.00 Gilroy, Ca 95020 E] PTY ❑ SCC SUBTOTALS 1375 -00 *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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (86612753772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement COVe period ra to whole dollars. CALIFORN Q from 2/16 /2016 • through 6/30/2016 Page 17 of. -�� NAME OF FILER - I D NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMa�mEE,uso ENrER�D NUaeExl CODE* OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF - EMPLOYED, ENTER N E PERIOD (JAN 1 - DEC. 31) (IF REQUIRED) OFEUVNESS) ®❑ICOM Georgia Garfink Retired 6/2712016 7462 Hoylake Court ❑pTM 350.00 350.00 Gilroy Ca 95020 ❑ PTY ❑SCC Steven Seebart MIND ❑OTH Self Employed 6/28/2016 1730 Rancho Hills �t eve R 31�L �S L�r� 30.00 30.00 Gilroy Ca 95020 oPn ❑SCC Constance Rogers mca Retired 6/30/2016 7690 Santa Treresa Drive ❑� ❑OOH 100.00 100.00 Gilroy Ca 95020 El Pry ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY [-]SCC ❑IND ❑ COM ❑ OTH ❑ PTY [:]SCC SUBTOTALS 480.00 *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 FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866127&4772) SCHEDULEB -PARTi schedule B — Part 1 ' Vn- -r s'- '' ..._ Am nded Statement covers period Pe Loans Received whole dollars. 2/16/2016 from °. SEE INSTRUCTIONS ON REVERSE through l 1� Page -L!? of NAME OF FILER ID NUMBER Roland Velasco for Mayor 2016 1363384 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT (�) AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER (IFSELF- EMPLOYED,ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IFCOMMITTEE,Al50FNTERID NUMBER) NAMEOFEDSINESS) RIOD PERIOD THIS PERIOD' ER 0 PERIOD LOAN TO DATE Roland Velasco District Aide Supervisor PAID CALENDARYEAR 9720 Bunting Court Mike Wasserman s f 1000.00 x s 1000.00 f 1000.00 FORGIVEN PER ELECTION" Gilory, Ca 95020 RATE s s looO,0b s f 2/16/201(.0 f tm IND ❑ COM El ❑ PTY ❑ SCC DATEDUE DATE INCURRED PAID CALENDARYEAR E $ _% E $ L) FORGIVEN PER ELECTION" RATE S f E f S DATEDUE DATEINCURRED t❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC El PAID CALENDAR YEAR $ $ _x s s FORGIVEN PERELECTION" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s s s DATE DUE DATEINCURRED SUBTOTALS a a s Schedule B Summary 1. Loans received this period ................................................................................ ............................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ........................................................................ ............................... $ (Total Column (c) plus loans under $100 paid orforgiven.) (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 ) ............................... Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. if required. 1 000.00 .............. NET $ 1000.00 (Gar bea ne .�w t*r) (EMW (e) M StlletLe E, Lme 3) tContributor Codes IND-Individual COM- Rea ptent 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 NAME OF FILER Roland Velasoo for Mayor 2016 Type or print in Ink. Amounts may be rounded to whole dollars. from t covers period 2/16/2016 through /3a��,Ul� I Pape of d ID NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1383384 CMP campaign paraphematia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)• OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs RL candidate filingthallot fees PI-O phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research Ti stafUspouse travel, lodging, and meals TD Independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE vrcomum�,nrso eNreai D NDMBIR) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Moxxy Marketing Paid by Check Logo Design 380 Main Street LIT 311.01 Salinas Ca 93901 Moxxy Marking Paid by Check Website 380 Main Street LIT 500.00 Salinas Legacy Print, Inc Paid by Check Campaign Envelopes 3310 Woodward Avenue CMP 107.16 Santa Clara, Ca 95054 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 918.17 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 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 $ \91.A1 • U FPPC Form 460 (January108) FPPC Toll -Free Helpline: 8661ASK -FPPC (868,2783772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Website Fees SCHEDULE E (CONTI (Continuation Sheet) Type or print in ink. Amounts may be rounded web Statement covers period ' Payments Made to whole dollars. from 2/1612016 a • Website Fees r— F-- nL'rArb I r:.( through �0 13 U! 1.12 is. ,, ll Page a.'-1' SEE INSTRUCTIONS ON REVERSE web 98.50 egRa- rr�vvvewt�.o � Y s'SS�b � of NAME OF FILER Private Spring Water I.D. NUMBER Roland Velasco for Mayor 2016 13240 Llagas Avenue Cmp Printed water bottles 1383384 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OMP campaign paraphernalia/misc. MER member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances f;FD returned contributions CTB contribution (explain nonmonetary)- OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FPD fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals PD independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE IF COWrrME. M ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Website Fees Transaction fees E Fr.wd rf +' b I ti °a l= nr.J.�i -acme web 7.00 3-131 e- �f.td AUe Sb Y' +Mftk {rd 444 9l5714-6 Website Fees r— F-- nL'rArb I r:.( Transaction fees • 3� CH Q r WL RII r✓ web 98.50 egRa- rr�vvvewt�.o � Y s'SS�b Private Spring Water Paid by Check 13240 Llagas Avenue Cmp Printed water bottles 335.36 San Martin, Ca 95046 Secretary of State Paid by Check FPPC #1383384 fil FPPC # 50.00 Roland Velasco Paid by Check 9720 Bunting Court pos Postage (stamps) V 339.00 Gilroy, Ca 95020 'Payments that are contributions or Independent expenditures mustalso besummarized on Schedule D. SUBTOTALS 829.86 ✓ FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 8881ASK -FPPC (888/2783772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Roland Velasco 9720 Bunting Court Gilroy, Ca 95020 LIT Paid by Check Printing, labels and software _ SCHEDULE E (CONT) (Continuation Sheet) T ype or print in ink. Amounts may be rounded Statement covers p period .- ' 0 Payments Made to whole dollars. 2/16/2016 e • • from through 6�30�2016 Page Z 2_ SEE INSTRUCTIONS ON REVERSE of 'ID, NAME OF FILER I D. NUMBER Roland Velasco for Mayor 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t v or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals 1,D independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PIRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Roland Velasco 9720 Bunting Court Gilroy, Ca 95020 LIT Paid by Check Printing, labels and software 169.62 "Paymentsthatare contributions or independent expenditures mustalso besummarized on Schedule D. SUBTOTAL$ 169.62 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)