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Velasco, Roland - Form 460 - 20190101-20190630Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from 01 /01 /2019 SEE INSTRUCTIONS ON REVERSE through 06/30/2019 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 0 Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Como/ate Part fi) ❑ General Purpose Committee 0 Sponsored Q Small Contributor Committee Q Political Party/Central Committee ® Primarily Formed Candidate/ Officeholder 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 2020 STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date of election if appli (Month, Day, Year) el CITY CLEWS p 4 GILROY CADICE CiN 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 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 ofthe State of California that the foregoing is Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Slgnature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 6. 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 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 STREETADDRESS (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 .-4•1 Page _a of :K ❑ 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/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) 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 A Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED••.•••...•.................AddLines3+4 $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made .............................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ......... ...................... Schedule FLine 3 10. Nonmonetary Adjustment .......................................... ScheduleC, Line 11, TOTAL EXPENDITURES MADE .................. ............. 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 16. Cash Payments ................... Column A, Line 8above 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) 0 $ 0 $ 0 $ SUMMARY PAGE Statement covers period CALIFORNIA from 01 /01 /2019 FORM• through 06/30/2019 Page 3 of 4 I.D. NUMBER 1383384 Column B Calendar Year Summary for Candidates CALENDARYEAR TOTALTODATE Running in Both the State Primary and 0 General Elections 1/1 through 6/30 7/1 to Date 0 20. Contributions Received $ $ 21. Expenditures 0 Made $ $ Expenditure Limit Summary for State 0 $ 0 Candidates 0 0 22. Cumulative Expenditures Made* $ (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 0 $ 0 $ 2292.14 To calculate Column B, add 0 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. 0 report. Some amounts In Column A may be negative 2292.14 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 (8661275.3772) 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 t[z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Schedule B Summary Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2019 through 06/30/2019 IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING OCC(FSELF-EEMPLOYDED EMPLOYER BALANCEBALANEAT RECEIVED THIS OR FORGIVEN C NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD* CLOSE THIS PERIOD Retired ❑ PAID 1000.00 $ $ ❑ FORGIVEN 1000.00 $ $ $ DATE DUE F] PAID $ $ ❑ FORGIVEN $ $ $ DATE DUE ❑ PAID $ $ [] FORGIVEN DATE DUE 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. *Amounts forgiven or paid by another party also must be reported on Schedule A. I ** If required. NET $ 1000.00 (May be a negative number) (a) INTEREST PAID THIS PERIOD RATE o $ RATE $ SCHEDULEB-PART1 4 4 Page of I.D. NUMBER 1383384 (t) (9) ORIGINAL CUMULATIVE AMOUNTOF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR 1000.00 1000.00 $ $ PER ELECTION** 2/16/16 $ DATE INCURRED CALENDAR YEAR $ $ PER ELECTION ** $ DATE INCURRED CALENDARYEAR RATE PER ELECTION*" DATE INCURRED (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)