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Velasco, Roland - Form 460 - 20190701-20191231Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applicab ' from 07/01/2019 (Month, Day, Year "' r SEE INSTRUCTIONS ON REVERSE through 12/31/2019 q 1. Type of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement:VTJ Officeholder, Candidate Controlled Committee ❑ ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee V Semi-annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled (Also Complete Parts) Q Sponsored ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment (Explain below) Q Sponsored ® Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) COVER PAGE 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 Treasurer(s) IC��page p of _ r For Official Use Only NAME OF TREASURER Joan M. Lewis MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE 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 /a ,-.f� By � Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Date Signature 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 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 9720 Bunting Court Gilroy, Ca 95020 Type or print in ink. COVER PAGE - PART 2 CALIFORNIA•- 4601 Page off. of 5, 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE 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 STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODEIPHONE I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE BALLOT NO. OR LETTER I 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 Listnamesof 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 Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 20QV Contributions Received Column TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 0 $ 2. Loans Received...................................................... Schedule B, 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 $ 0 $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 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 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 $ 335.00 $ 335.00 $ 335.00 $ 2292.14 SUMMARY PAGE Statement covers period CALIFORNIA, A from 07/01 /2019 • - • through 12/31/2019 Page 3 of t I.D. NUMBER 1383384 Column B Calendar Year Summary for Candidates CTOTALT DATE Running In Both the State Primary and TOTALTO DATE g 0 General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures 0 Made $ $ Expenditure Limit Summary for State 335.00 Candidates 335.00 22• Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 335.00 J $ 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. 335.00 report. Some amounts in Column A may be negative 1957.14 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 (8661276-3772) Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 20$�4 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Roland Velasco Type or print in ink. SCHEDULEB-PART1 Amounts may be rounded Statement covers period to whole dollars. 07/01/2019 CALIFO •NIAFORM • from 12/31/2019 4 through Page of I.D. NUMBER 1383384 OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT BALANCE AMOUNT PAID DING (e) OUTSTANINTEREST (f) ORIGINAL CUMULATIVE U ATIVE (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS BALANCEAT 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 $ tW IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID ❑ FORGIVEN t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE ❑ PAID ❑ FORGIVEN t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE SUBTOTALS $ $ $ ) b tom: t 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. f *Amounts forgiven or paid by another party also must be reported on Schedule A. 1 Il ** If required. J NET $ d (May be a negative number) CALENDARYEAR $ $ RATE PER ELECTION ** DATE INCURRED CALENDAR YEAR RATE PER ELECTION" $ $ DATE INCURRED I $ J (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 E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Roland Velasco for Mayor 20A Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01 /2019 through 12/31 /2019 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULEE CALIFORNIA •- 1 Page— of I.D. NUMBER 1383384 CHIP campaign paraphernalialmisc. 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 AMOUNT PAID Gilroy Chamber of Commerce Chamber Membership 7471 Monterey Street MBR 150.00 Gilroy, Ca 95020 Gilroy Police Foundation Boots and Badges Dinner 7370 Rosanna Street MBR 95.00 Gilroy, Ca 95020 Gilroy Chamber of Commerce MBR Chamber Spice of Life Awards Dinner 90.00 7471 Monterey Street Gilroy, Ca 95020 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 335.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals......................................................... $ 335.00 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 SummaryPage, Column A, Line 6. TOTAL $ 335.00 FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)