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Roland Velasco - Form 460 - 2018/06/30 - 2018/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applica from 6/30/2018 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE through 12/31 /2018 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 Pad5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ® Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) 3. Committee information I I.D. NUMBER 1383384 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Roland Velasco for Mayor 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Gilroy Ca 95020 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE mp I e EV D JAN 9 2019 07YCLERI '3 0A SILROY CA ��E 2. Type of Statement: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Joan M. Lewis MAILING ADDRESS CITY Gilroy NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY COVER PAGE of 7 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 95020 STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 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 is true and correct. Executed on j%�/� (O �i Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Roland Velasco for Mayor 2020 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? ❑ YES ❑ NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA .- .1 Page `Z of ❑ 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 (866/275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 2020 Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ Expenditures Made 6. Payments Made ...................................... 7. Loans Made ............................................ 8. SUBTOTAL CASH PAYMENTS ............... 9. Accrued Expenses (Unpaid Bills) .......... 10. Nonmonetary Adjustment ...................... 11. TOTAL EXPENDITURES MADE .............. Current Cash Statement ............ Schedule E, Line 4 $ ............ Schedule H, Line 3 ................ Add Lines 6 + 7 $ ................ Schedule F, Line 3 ........... I... Schedule C, Line 3 ....... ...... Add Lines 6+9+10 $ 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 e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) SUMMARY PAGE Statement covers period - .1 from 6/30/2018 • - through Column B CALENDARYEAR TOTALTO DATE $ $ 2480.00 $ 59909.86 12/31/2018 Page_ of I.D. NUMBER 1383384 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 2480.00 $ 59909.86 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 2480.00 $ 59909.86 _ J� $ 4672.14 To calculate Column B, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. 2480.00 report. Some amounts in Column A may be negative 2192.14 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). 1000.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Roland Velasco tw IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Schedule B Summary Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 6/30/2018 through 12/31/2018 SCHEDULEB-PART1 Page _:L/ of I.D. NUMBER 1383384 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (a) OUTSTANDING BALANCE (b) AMOUNT (C) AMOUNTPAID (d) OUTSTANDING BALANCEAT (a) INTEREST (f) ORIGINAL (9) CUMULATIVE (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE Retired ❑ PAID CALENDARYEAR 1000.00 1000.00 1000.00 $ $ , $ $ ❑ FORGIVEN RATE PER ELECTION** 1000.00 2/16/16 $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION ** $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION ** DATE DUE DATE INCURRED SUBTOTALS $ $ $ 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. f *Amounts forgiven or paid by another party also must be reported on Schedule A. I Il ** If required. ................. $ ................................. $ NET $ 1000.00 (May be a negative number) (Enter (a) 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 D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 2020 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 9/25/2018 Harney for Council 2018 ❑ Support ❑ Oppose ❑ Support ❑ Oppose ❑ Support ❑ Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT Q] Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure DESCRIPTION (IF REQUIRED) 2018 Campaign Statement covers period from 6/30/2018 through SUBTOTAL $ 12/31 /2018 _c- AMOUNT THIS PERIOD 100.00 100.00 SCHEDULED Page of I.D. NUMBER 1383384 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. 100.00 2. Unitemized contributions and independent expenditures made this period of under $100..................................................................................... $ 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 100.00 p p p ( rY g ) ............ 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 2020 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 6/30/2018 through 12/31/2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page Z of 7 I.D. NUMBER 1383384 CIW' 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Gilroy Chamber of Commerce Chamber Membership 7471 Monterey Street MTG 125.00 Gilroy, Ca 95020 The Miller Red Barn Association Barn Raising Dinner 777 First Street PMB-159 MTG 50.00 Gilroy, Ca 95020 Youth Alliance Fund Raiser 7351 Rosanna Street MTG 60.00 Gilroy, Ca 95020 * 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 $100............................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) SUBTOTAL$ ................................. $ ................................. $ ...........I ..................... $ .................... TOTAL $ 235.00 2380.00 2380.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 2020 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 6/30/2018 through 12/31/2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E (CONT.) Page 7 of _ I.D. 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 FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND 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 Gilroy Chamber of Commerce Gilroy Downtown Mural 7471 Monterey Street CVC 2000.00 Gilroy, Ca 95020 Gilroy Chamber of Commerce Hall of Fame Lucheon 7471 Monterey Street MTG 35.00 Gilroy, Ca 95020 Gilroy Exchange Club Exchange Fund Raiser MTG Secretary of State Annual Fee ID #1383384 1500 11th Street-Room495 FIL Sacramento, Ca 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. .M SUBTOTAL $ 2145.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)