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Roland Velasco - Form 460 - 2017/01/01 - 2017/06/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/1/2017 through 6/30/2017 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 6) ❑ 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 I.D. NUMBER 1383384 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 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 OPTIONAL: FAX / E -MAIL ADDRESS roland @rolandvelasco.co Date of election if applicable: (Month, Day, Year) j I viii llkwrii!!N_ 2. Type of Statement: ❑ Preelection Statement V Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE I _ of eA For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Joan M. Lewis MAILING ADDRESS 8130 Oak Court CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 408 842 -8698 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E -MAIL ADDRESS joaniemiewis @charter.net STATE ZIP CODE AREA CODE /PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowlec�e 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 is true and correct. ' I Executed on Executed on V uew Executed on Date Executed on Date By By By Signature of Controlling 0lficehdder, Candidate, State Measure Proponent By signahxe of controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) State of California Type or print in ink. COVERRAGE -PART 2 Recipient Committee . Campaign Statement ®- 460 Cover Page— Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Roland Velasco OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor RESIDENTIAUBUSINESS 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 ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page a 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 Roland Velasco Mayor ❑ 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 (6661275 -3772) State of Callfomia Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 1/1/2017 SUMMARY PAGE through 6/30/2017 Page 3 of 4,— SEE INSTRUCTIONS ON REVERSE NAME OF FILER ID NUMBER Roland Velasco for Mayor 2016 1383384 A B Calendar Year Summary for Candidates Contributions Received To olluimn SCHEDULES) column TOTAL TO DATE Running in Both the State Primary and (FROM ATTACHED General Elections 1 Monetary Contributions Schedule A, Line 3 $ 61102.50 $ 1000.00 1/1 through 6130 7/1 to Date 2 Loans Received Schedule 8, Line 3 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ $ 62102.50 20 Contributions Received $ $ 4 Nonmonetary Contributions Schedule c, Line 3 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 +4 $ $ 6210250 Made $ $ Expenditures Made Expenditure Limit Summary for State 6 Payments Made . . Schedule E, Line 4 $ 3331.37 $ 56819.86 Candidates 7 Loans Made Schedule H, Line 3 8 SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 3331 37 $ 56819.86 22• Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limrt) 9 Accrued Expenses (Unpaid Bills) Schedule F, Line 3 Date of Election Total to Date 10 Nonmonetary Adjustment Schedule C, Line 3 (mm /dd /yy) 11 TOTAL EXPENDITURES MADE Add Lines 6 + 9 + 10 $ 3331 37 $ 56819.86 $ $ Current Cash Statements 12 Beginning Cash Balance Previous Summary Page, Line 16 $ 8613.51 To calculate Column B, add 13 Cash Receipts column A, Line 3 above amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14 Miscellaneous Increases to Cash Schedule 1, Line 4 from Column B of your last reported in Column B 15 Cash Payments Column A, Line s above 3331.37 report Some amounts in Column A may be negative 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 5282.14 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero period amounts If this is the first report being filed 17 LOAN GUARANTEES,RECEIVED Schedule e, Part 2 $ for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts v 18 Cash Equivalents See instructions on reverse $ 19 Outstanding Debts Add Line 2 + Line 9 in Column B above $ 1000.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276 -3772) SCHEDULEB -PART1 Schedule B —Part 1 Amo'unr- ts �m' a"y y ­be ' ro­u_ nded Statement covers period _ , Loans Received to Whole dollars. 1/1/2017 9 _ ' • �� from . 6/30/2017 page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER ID NUMBER Roland Velasco for Mayor 2016 1383384 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT (�) AMOUNT PAID (d) OUTSTANDING (e) INTEREST r) ORIGINAL (g) CUMULATIVE OF LENDER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE C THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER ID NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD* PE OD PERIOD LOAN TO DATE Roland Velasco District Aide Supervisor ❑ PAID CALENDAR YEAR 9720 Bunting Court Mike Wasserman $ 8 1000.00 % E 1000.00 8 1000.00 ❑ FORGIVEN PER ELECTION** Gilroy, Ca 95020 RATE E 1000.00 E E E 2/16/16 8 t� IND ❑ COM [-I OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR 8 8 % 8 8 ❑ FORGIVEN PER ELECTION ** RATE 8 8 8 8 8 DATEDUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION- RATE 8 8 8 E E DATEDUE DATE INCURRED t❑ ❑ ❑ OTH El El IND COM SUBTOTALS $ $ $ $ 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 ET $ 1000.00 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContnbutor 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 Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF'FILER Roland Velasco for Mayor 2016 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2017 through 6/30/2017 CODES: If one of the following codes accurately describes the payment, you may enter the code Otherwise, describe the payment Page _67 of AP—_ ID NUMBER 1383384 CMP 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 AL 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 AMOUNTPAID New SV Media Gilroy Dispatch Issue Thanking Members of the P.O. Box 516 PRT Community for his vote. 611.00 Gilroy Ca 95020 Miller Systems Computer Set up for office 320 First Street OFC 497.89 Gilroy, Ca 95020 Moxxy Marketing Website and social media clean up services 380 Main Street WEB 180000 Salinas Ca 93901 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1 Itemized payments made this period. (Include all Schedule E subtotals.). . 2. Unitemized payments made this period of under $100 ........... 3. Total interest paid this period on loans (Enter amount from Schedule B, Part 1, Column (e).) ........ ............. . 4. Total payments made this period (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6 ) SUBTOTAL$ 2908.89 $ TOTAL $ 3331.37 3331 37 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E T or SCHEDULE in ink. E7(CQNT) yPe print Statement covers period (,Continuationi.Sheet), Amounts may, beroundedi a CALIFORNI �i ' to whole dollars. 1'/1 /2017 ra ' Payments (Made, from!, - - '6130/ 2017 through [Page�� of�— SEEIINSTRUCTIONS ON REVERSE NAME OF FILER I'D NUMBER iRoland' 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 iparaphemalla/misc MBR member communications [RAD radio airtime and production costs CNS, campaign consultants IMTG imeetings andi 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 candldate,filmg /ballot fees PFIOi ,phone banks TRC , candidate, travel, lodging, and meals FIND ifundralsmg events 'POL ,pollingi and survey research TRS staff /spouse travel; lodging, and meals IND� Independent expenditure supporting /opposing[ others (explain)* iPOS, ipostage, delivery and messenger services TSF transfer between committees of the ,same candidate /sponsor LEG ilegal defense iPRO ,professional services (legal, accounting)' VOT voter i registration LIT campaign Iderature�and mailings PRT print ads 1WEB information dechnology costs (Intemet, e-mail), iNAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 10 NUMBER)' CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID - Legacy, Pint Inc 33310'Woodward Street Santal Clara, Ca 95054 CMP 11 oz White Coffee -Cups "Coffee with 'the Mayor' 172.48, CalAtlantic Group, Inc. 4:750, Willow Roadi Suite 150 Pleasanton,, Ca 94588 IT- - -- RFD[ Overpayment (refund) for 2016 Mayor,Campaign 25010E I I i I i " Payments that are contributions or independent expenditures must also be summarized on'Schedule'D. SUBTOTAL $ 422.48 FPPC,Form 460 (January/06), FPPC Toll-Free Helpline: 866/ASK- FPPC,,(8661275 -3772)