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Roland Velasco - Form 460 - 2016/07/01 - 2016/09/24Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 7/1/2016 through 9/24/2016 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 (Also Complete Part 5) O Sponsored (Also Complete Part s) ❑ General Purpose Committee Q Sponsored ® Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information 11/8/2016 I.D. NUMBER 1383384 (OR CANDIDATE'S NAME IF Roland Velasco for Mayor 2016 STREET ADDRESS (NO P.O. BOX) 9720 Bunting Court CITY STATE ZIP CODE AREA CODE /PHONE Gilroy Ca 95020 408 710 -8508 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE Date Stamp OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS roland @rolandvelasco.co joaniemlewis @charter.knet 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and Executed on y ��` Date Executed on Date Executed on Date By Signature ofContrdling Officetwlder, Candidate, State Measure Proponent Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/276.3772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Roland Velasco for Mayor 2016 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) &�c .n e- RESIDENTIAUBU ESS ADDRESS (NO. AND STREET) CITY STATE ZIP 9720 Bunting Court Gilroy Ca 95020 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page _-2, of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275.3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2016 SUMMARY PAGE Expenditures Made 6. Payments Made ..... ............................... 7. Loans Made ........... ............................... 8. SUBTOTAL CASH PAYMENTS ............. 9. Accrued Expenses (Unpaid Bills) ........ 10. Nonmonetary Adjustment .................... 11. TOTAL EXPENDITURES MADE ............ .......... Schedule E, Line 4 $ .......... Schedule H, Line 3 .............. Add Lines 6 + 7 $ .............. Schedule F, Line 3 ............. Schedule C, Line 3 ........... Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, 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, Part 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 $ 13842.84 $ 0 13842.84 $ 0 0 1 1301+4.01+ $ 15760.49 0 15760.49 0 0 15760.49 22651.35 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 19625.00 0 9/24/2016 page of SEE INSTRUCTIONS ON REVERSE period amounts. If this is through the first report being filed NAME OF FILER for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if I.D. NUMBER Roland Velasco for Mayor 2016 1383384 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) TOTALTODATE 7 General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 00 $ 19625. $ 43194.00 O 1000.00 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... Schedule e. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 19625.00 $ 44194.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED • ...... ....................AddLines3 +4 $ 19625.00 $ 44194.00 Made $ $ Expenditures Made 6. Payments Made ..... ............................... 7. Loans Made ........... ............................... 8. SUBTOTAL CASH PAYMENTS ............. 9. Accrued Expenses (Unpaid Bills) ........ 10. Nonmonetary Adjustment .................... 11. TOTAL EXPENDITURES MADE ............ .......... Schedule E, Line 4 $ .......... Schedule H, Line 3 .............. Add Lines 6 + 7 $ .............. Schedule F, Line 3 ............. Schedule C, Line 3 ........... Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, 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, Part 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 $ 13842.84 $ 0 13842.84 $ 0 0 1 1301+4.01+ $ 15760.49 0 15760.49 0 0 15760.49 22651.35 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 19625.00 0 13842.84 report. Some amounts in Column A may be negative figures that should be subtracted from previous 28433.51 period amounts. If this is the first report being filed 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 1000.00 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) J *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) I Schedule A Type or print in ink. x SCIDULE A Monetary Contributions Received Amounts may be rounded ry dollars. statement covers period CALIFORNIA A to whole from 7/1/2016 • ' _ through 9/24/2016 Page_ of 2�2'_ SEE INSTRUCTIONS ON REVERSE 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) V] IND 7/5/2016 Ronald Pray ❑COM Pray Ronald G Co 250.00 250.00 ❑OTH Investments Giroy, Ca 95020 ❑ PTY ❑ SCC O IND 7/5/2016 Jamie Shelton ❑COM Pinnacle Bank, Vice 100.00 100.00 ❑OTH President Prunedale Ca 93907 ❑ PTY ❑ SCC ®IND n, 9/14/2016 Chet Hudson ❑COM Machinist Morgan Hill g 250.00 250.00 ❑OTH Plastics Gilroy, Ca 95020 ❑ PTY ❑ SCC ®IND 9/16/2016 Lisa Faria EIOTH Realtor Coldwell Banker 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Barton Hechtman ®IND ❑COM Attorney Norman E 9/20/2016 ❑OTH Mattesoni 100.00 100.00 San Jose, kCa 95126 ❑ PTY ❑ SCC SUBTOTAL $ 800.00 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.) ...... r� TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business envy) PTY — Political Party SCC —Small Contributor CommitRe 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 • 460 - from • through �a —� Page of J-a NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE ET A FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSOENTERi.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Grow Elect EICO 7/5/2016 750.00 750.00 Sacramento, Ca 95814 -3986 ❑ PTY ❑ SCC Marc Lucatuorto ®IND ❑COM Energy Electric ML Inc 7/7/2016 E] OTH Executive 750.00 750.00 Orangevale, Ca 95662 -3628 ❑ PTY ❑ SCC Gloria G Cerda W]COM Retired 7/8/2016 ❑OTH 100.00 100.00 Fresno, Ca 93727 ❑ PTY ❑ SCC Renee Bettencourt W]IOM Educator Gilroy Unitied 7/15/2016 ❑❑ OTH School Distrist 75.00 75.00 Gilroy, Ca 95020 TY ❑ SCC Neil Mussallem ®❑IOM Self - Employeed 7/18/2016 ❑OTH Mussallem Construction 500.00 500.00 Gilroy Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 2175.00 *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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONY.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 2/16/2016 CALIFORNIA • FORM through a-4 — I Page 4, of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 GATE EET DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) John A. Andreini ZCOM Insurance Agent 7/18/2016 ❑OTH 250.00 250.00 San Mateo, Ca 94402 ❑ PTY ❑ SCC Recology Inc.(Phil Couchee) BIND ❑COM General Manager 7/2016 ❑❑ Recolo Inc. General 300.00 300.00 Gilory Ca. 95020 PTY Manager ❑ SCC Sandie Silva (Millard) ®❑COD Farmer Silva Farms 7/18/2016 ❑OTH '� Ow �e�' 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Gregory Giusiana ®IND ❑COM So. Bay Regional. 7/18/2016 ❑ OTH Director 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Joe Lovecchio ®IND ❑COM Silver Creek Electrical 7/18/2016 ❑ OTH Electrician 100.00 100.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC SUBTOTAL$ 1000.00 r *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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 2/16/2016 CALIFORNIA 460 from FORM 1 through 1 a�-= b Page of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE ZIP DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN !INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Cariste Blase ❑coM Realtor Gillmor & Assoc. 7/19/2016 ❑ OTH 750.00 750.00 Gilroy, Ca 95020 ❑ PTY ❑SCC James Haden ®IND ❑coM FJM Mechanic 7/19/2016 ❑❑ 750.00 750.00 Gilroy, Ca 95020 pTy ❑ SCC Linda Polk W]COM Retired 7/20/2016 ❑OTH 750.00 750.00 Santa Clara, Ca 95051 -6243 E] PTY ❑ SCC Buck Polk LZ] IND Retired 7/20/2016 ❑OTH 750.00 750.00 Santa Clara, Ca 95051 ❑ PTY ❑ SCC Toni Ferreira ®IND ❑COM Human Resource The 7/21/2016 ❑❑OPTY VAS Companies p 75.00 75.00 Gilroy, Ca 95020 ❑ SCC SUBTOTAL$ 3075.00 "y '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 (8661275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONY.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 2/16/2016 , from through - �-`f —� 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Jeff and Barbara Orth �COM Financial Planner 7/21/2016 ❑OTH Integrated Financial 250.00 250.00 Gilroy, Ca 95020 ❑ PTY Benefits ❑ SCC Eleanor Villarreal V]IND ❑COM Realtor Windemere 7/21/2016 ❑❑ Valle Properties y P 250.00 250.00 Gilroy, Ca 95020 PTY ❑ SCC Raul Vega V]COM Budget Analist EMOFF 7/21/2016 ❑CO 150.00 150.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Nick J. Livak ®IND ❑COM Attorney Santa Clara y 7/22/2016 ❑ OTH 750.00 750.00 Santa Clara, Ca 95020 ❑ PTY ❑ SCC Mary Ellen Livak ®IND ❑COM Retired 7/22/2016 ❑ OTH 750.00 750.00 Santa Clara, Ca 95050 ❑ PTY ❑ SCC SUBTOTAL$ 2150.00 '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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 2/16/2016 CALIFORNIA i • from FOR through �� — �4 '� �' Page of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE EET FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RALSAND ZIP DE O CONTRIBUTOR IF AN iINDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, CO. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® Elizabeth Gillmor ❑COM Housewife 7/22/2016 []OTH 750.00 750.00 Los Gatos, Ca 95023 -4850 ❑ PTY ❑ SCC Graceann Blase W]IND ❑COM Merchandiser Revlon 7/22/2016 ❑ OTH 750.00 750.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Mike Ternasky W]CoM Retired 7/22/2016 ❑OTH 50.00 50.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Gary Gillmor MIND ❑COM Retired 7/23/2016 E] OTH 750.00 750.00 Los Gatos Ca 95032 ❑ PTY ❑ SCC Rob Hyde ®❑IOM Kaiser Permanente 7/31/2016 [-] OTH Management 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL$ 2400.00 *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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONY.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 711/2016 CALIFORNIA - , from Page / -0 of through 9 /24/2016 NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE EET A DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Diana Sanchez Bentz �COM Legal Specialist VLP Law 8/2/2016 []OTH Group LLP 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑SCC Eleanor Villareal ®IND ❑coM Realtor Windemere 8/4/2016 EJOTH Valley erties y p 100.00 350.00 Gilroy Ca 95020 ❑ PTY ❑ SCC Oak Meadow Plaza, LLC ❑IND 8/9/2016 ❑coM W] OTH 300.00 300.00 Cupertino, Ca 95015 ❑ PTY ❑ SCC George Chiala ®IND ❑coM Farmer 8/9/201 E] OTH ��`0— t�' 4a.r rv%,S 250.00 250.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Don & Sharon Hordness ®IND ❑coM Business Owner 8/9/2016 E] OTH Countryside Mushroom rY 250.00 750.00 Watsonville, Ca 95076 El PTY ❑ SCC SUBTOTAL$ 1150.00 '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: 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 to whole dollars. CALIFORNIA 7/1/2016 from FOR • through 9/24/2016 Page // of 2 2-- NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET A DE O RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF IT I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND LJB FARMS ❑COM 8/9/2016 ®OTH 500.00 500.00 San Martin, Ca 95046 ❑ PTY ❑SCC Craig Van Keulen ®COM Van Keulen Attorney 819/2016 EIOTH 99.00 99.00 Morgan Hill Ca 95037 ❑ PTY []SCC John Telfer W]IND South County Realty 8/9/2016 ❑OTH 200.00 200.00 Morgan Hill Ca 95037 ❑ PTY ❑SCC Fountain Oaks Ranch, LLC Chiala Properties ❑IND 8/9/2016 ❑COM ®OTH 500.00 500.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Kawahara Nursery, Inc ❑IND 8/9/2016 coM ®OTH 750.00 750.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC SUBTOTAL$ 2049.00 '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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period - to whole dollars. 460 from 7/1/2016 • - through 9 /24/2016 Page /oZ of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE ZIP DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE,ALSAND .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) VI IND Richard Oliver Developer Dividend 8/9/2016 []OTH Homes, Inc 99.00 99.00 Carmel, Ca 93923 ❑ PTY ❑ SCC Molly Long W]IND ❑❑OTH Attorney Greentree 8/9/2016 Holdings, L.P. 99.00 99.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Bob Martin W]IND Foreman Const. Dividend 8/9/2016 ❑OTH Homes, Inc. 99.00 99.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC Jim Pedicine ®IND ❑IoM CFO Dividend Homes, 8/9/2016 E] OTH Inc. 99.00 99.00 Saratoga, Ca 95070 ❑ PTY ❑ SCC Manual Mobedshatti ®IND ❑COM Retired 8/9/2016 ❑ OTH 150.00 150.00 Morgan Hill, Ca 95037 ❑ PTY ❑ SCC SUBTOTAL$ 546.00 *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 (8661275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 7/1/2016 CALIFORNIA - • 1 from • through 9/24/2016 page -- /�6. of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Joe & Sheila Giancola WJCOM Self Contractor Giancola 8/18/2016 ❑OTH Const. 200.00 200.00 Morgan Hill Ca 95037 ❑ PTY ❑SCC Adria Spano ®IND ❑COM Retired 8/20/16 OTH ❑❑ 300.00 300.00 Gilroy, Ca 95020 PTY ❑ SCC Mark Sanchez ®IND ❑COM Real Estate Sales 8/23/2016 ❑ OTH Colliers 150.00 150.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Mike Mister MIND ❑COM Retired 8/24/2016 ❑ OTH 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Jeff Bentz ®IND ❑❑OTH Retired 8/24/2016 100.00 100.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC SUBTOTAL $ 850.00 '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 1ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 711/2016 - • , from • through 9/24/2016 Page _�:�Z_ of NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND CalAtlantic Group, Inc ❑COM 8/29/2016 ®OTH 750.00 750.00 Pleasanton Ca 94588 ❑ PTY ❑ SCC Charles Buckley V]IND ❑COM Retired 8/30/2016 ❑OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY []SCC Pumpkin Park, LLC ❑IND 8/30/2016 COM ®OTH 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC John Filice ®IND EICO Real Estate 8/31/2016 Glen Loma Corp. 300.00 300.00 LaSelua Ca 95076 ❑ PTY ❑ SCC Phil Roloff ®IND ❑COM CFO Alum Technologies 9/1/2016 E] OTH Cor p 200.00 200.00 Gilroy, Ca 95020 E] PTY ❑ SCC SUBTOTAL$ 1750.00 '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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 7/1/2016 CALIFORNIA , from FORM through 9/24/2016 Page /:5— 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 (IF COMMITTEE,ALSO ENTER IDNUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND ®❑COD Kent Miller Self Employed Miller 9/2/2016 ❑OTH Systems 250.00 250.00 Gilroy, Ca 95020 ❑ PTY ❑ SCC Kevin Cunningham ®IND ❑COM Real Estate Cornish& 9/6/2016 ❑OTH Carre Y 300.00 300.00 Orinda, Ca 94563 -3104 F-1 PTY ❑ SCC Fred Lico ®❑IOM Retired 9/8/2016 ❑OTH 300.00 300.00 San Jose, Ca 95125 -4638 ❑ PTY ❑ SCC Frank Lico V IND Real Estate Glen Loma 9/8/2016 ❑OTH 300.00 300.00 San Jose, Ca 95125 ❑ PTY ❑ SCC Terrie Berry OIND ❑ COM Retired 9/8/2016 ❑ OTH 30.00 30.00 San Martin, Ca 95046 -0748 ❑ PTY ❑ SCC SUBTOTAL$ 1180.00 *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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 7/1 /2016 460 from FOR M through 9/24/2016 Page /4 of �- NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 DATE EET A RALSAND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Brookfield Mataro LLC 9/21/2016 ®OTH 500.00 500.00 Danville, Ca 94526 ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 500.00 `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 (866/275 -3772) SCHEDULER -PART1 Scneaule t3 — Part 7 'unt �m may b � r ou Amounts may be rounded Statement covers period P Loans Received to whole dollars. 7/1/2016 CALIFORNIA 4 • from FORM SEE INSTRUCTIONS ON REVERSE through 9/24/2016 Page /7 of 22— NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 FULL NAME, STREET ADDRESS AND ZIP CODE F AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST ( ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN • BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAMEOFBUSINESS) PERT D PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Roland Velasco District Aide Supervisor ❑ PAID CALENDAR YEAR 9720 Bunting Court Mike Wasserman $ $ 1000.00 1000.00 $ 1000.00 % $ E] FORGIVEN PER ELECTION- Gilroy, Ca 95020 RATE 1000.00 $ $ — $ $ 2/16/201 $ to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION *` RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S S $ DATEDUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ 14' 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 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.) ............................. 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. $ $ NET $ 1000.00 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor 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 (866/275 -3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. from 7/1/2016 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 2016 through 9/24/2016 Page - /C of _ -�- I.D.NUMBER 1383384 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CW campaign paraphernalia /misc. MBR member communications RAID 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 IND 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID The Claddagh Irish Restaurant & Pub Paid by Check 1300 1st Street FND Fundraising Event 66.79 Gilroy Ca 95020 Garlic City Car Show (Gilroy Chamber of Commerce) Paid by Check 7471 Monterey Street FND Table at Fundraising Event 1000.00 Gilroy, Ca 95020 Political Data Inc. Paid by Check P.O. Box 59570 LIT Field & Mail Campaign Access List 1900.00 Norwalk, Ca 90652 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2966.79 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).) ................................................ ............................... $ adz 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: 8661ASK -FPPC (866/275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Web SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 460 Payments Made 2131 Capitol Ave Ste 306 Sacramento Ca 95816 -5755 towholedollars. from 7/1/2016 FORM through 9/24/2016 Page of Z L SEE INSTRUCTIONS ON REVERSE 420.00 Salinas, Ca 93901 Design Yard Signs —? NAME OF FILER Ballot Fees 7351 Rosanna Street I.D. NUMBER Roland Velasco for Mayor 2016 900.00 Gilroy, Ca 95020 1383384 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /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 PEr 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 IND 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Web Transaction Fees eFundraining Connections WEB 5.00 2131 Capitol Ave Ste 306 Sacramento Ca 95816 -5755 Moxxy Marketing 380 Main Street LIT Paid by Check 420.00 Salinas, Ca 93901 Design Yard Signs City of Gilroy Ballot Fees 7351 Rosanna Street FIL 900.00 Gilroy, Ca 95020 IPC Publishing Paid by Check 7446 Rosanna Street PRT Ad Campaign 1/2 Page 650.00 Gilroy, Ca 95020 Legacy Print Inc Paid by Check 3310 Woodward Avenue CMP Lawn signs 3563.74 Santa Clara, Ca 95054 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5538.74 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 Payments Made from 7/1/2016 • - 9/24/2016 ^� SEE INSTRUCTIONS ON REVERSE through Page a4� of ��- NAME OF FILER I.D. NUMBER Roland Velasco for Mayor 2016 1383384 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAID 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 PEr 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 IND 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Moxxy Marketing Paid by Check (ad design & Brochure design) 380 Main Street LIT 465.00 Salinas Ca 93901 Legacyl Print, Inc Paid by Check (Tri -fold Brochures) 3310 Woodward Avenue LIT 865.65 Santa Clara, Ca 95054 New SV Media, Inc. Paid by Check (Stickers for Newspaper) P.O. Box 516 LIT 1599.00 Gilroy Ca 95021 Roland Velasco Paid by Check (Postage Stamps) 9720 Bunting Court POS 47.00 Gilroy, Ca 95020 Roland Velasco Paid by Check (Lumber,stakes, bolts, etc for large 9720 Bunting Court CMP signs) 348.66 Gilroy, Ca 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,325.31 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Leadership Gilroy SCHEDULE E (CONT.) (Continuation Sheet) or print in ink. Amounts may be rounded Statement covers period • ' � ' Payments Made Gilroy, Ca 95020 to whole dollars. from 7/1/2016 • - • Paid by Check 2016 General Election Program 1954 W Carson, Suite B through 9/24/2016 g Page ;?- of Z SEE INSTRUCTIONS ON REVERSE Torrance, Ca 90501 - NAME OF FILER Paid by Check 2016 General Election Program 1954 W Carson, Suite B LIT I.D. NUMBER Roland Velasco for Mayor 2016 Torrance, Ca 90501 1383384 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CI VIP campaign paraphernalia /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 IND 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 VVEB 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 Leadership Gilroy Paid by Check Duckie Derby Fundraising 7471 Monterey Street FND 200.00 Gilroy, Ca 95020 Election Digest G2016 Paid by Check 2016 General Election Program 1954 W Carson, Suite B LIT (Absentee Version and Poll Voter Version Mailing) 548.00 Torrance, Ca 90501 Cal Sal Paid by Check 2016 General Election Program 1954 W Carson, Suite B LIT ( Absentee Version and Poll voter Version Mailing) 290.00 Torrance, Ca 90501 Budget Watchdogs Paid by Check 2016 General Election program 1954 W Carson, Suite B LIT (Mailings to Absentee Ballot Voters) 675.00 Torrance, Ca 90501 California Voter Guide Paid by Check 2016 General Election Program 1954 W Carson, Suite B LIT (Absentee Version & Poll Voter Version Mailing) 224.00 Torrance, Ca 90501 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,937.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTI, NAME OF FILER ON REVERSE Roland Velasco for Mayor 2016 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2016 through 9/24/2016 SCHEDULE E (CONT.) Page -I— of I.D. NUMBER 1383384 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /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 IND 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gil Pac 7471 Monterey Street Gilroy, Ca 95020 FND Paid by Check (Fund raising event) 75.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 75.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)