Velasco, Roland - Form 460 - 20200701-20201231 (termination)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
1
Statement covers period Date of election if applicabl !
from
07/01/2020 (Month, Day, Year) a
p
through 12/Z2020
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Pail 6)
❑ 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 2016
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE ZIP CODE AREA CODE/PHONE
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
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. �
Officer of Sponsor
Executed on By Date Signature of Controlling Officeholder, Candidate, Slate 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 (8661276.3772)
State of California
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Roland Velasco for Mayor 2016
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Mayor
Type or print in ink. COVER PAGE - PART 2
CALIFORNIA
.-
•1
Page of 5
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
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
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
NAME OF TREASURER
CONTROLLED COMMITTEE?
7. Primarily Formed Candidate/Office holder Committee L/stnamesof
officeholder(s) or candidate(s) for which this committee Is primarily formed.
❑ YES NO
❑
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY
STATE ZIP CODE AREA CODE/PHONE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME
I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF TREASURER
CONTROLLED COMMITTEE?
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO
❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS
STREETADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets If necessary
FPPC Form 460 (January/06)
FPPC Toll -Free Helpllne: 866/ASK-FPPC (8661276.3772)
State of California
Campaign Disclosure Statement
Type or print In ink.
SUMMARY PAGE
Summary Page
Amounts may be rounded
to dollars.
Statement covers period CALIFORNIA
whole
• '
from
1
07/01/209 • -
SEE INSTRUCTIONS ON REVERSE
through
12/W2019 Page — _ of
NAME OF FILER
I.D. NUMBER
Roland Velasco for Mayor 2016
1383384
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHIS PERIOD
(FROMATTACHEDSCHEDULES)
CALENDARYEAR
TOTALTO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions ........................................... schedule A, Line 3
$
$
2, Loans Received...................................................... schedule a, Line 3
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
$
$
20. Contributions
Received $ $
4, Nonmonetary Contributions .................................... Schedule C, Line 3
21, Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4
$
$
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ....................................................... schedule E, Line 4
$ 1907.14
$ 1957.14
Candidates
7. Loans Made............................................................. schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
$ 1907.14
$ 1957.14
22• Cumulative Expenditures Made*
(if Subject to Voluntary Expenditure Limit)
9, Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment .......................................... ScheduleC, Line
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+ 9 + 10
$ 1907.14
$ 1957.14
$
Current Cash Statement
_/_� $
12. Beginning Cash Balance ....................... Previous summary Page, Line 16
$ 1907.14
To calculate Column B, add
13. Cash Receipts ................................................... column A, Line 3 above
amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4
corresponding amounts
from Column B of your last
*Amounts in this section may be different from amounts
15. Cash Payments .................................................. column A, Line a above
1907.14
report. Some amounts in
reported in Column B.
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract line 15
$ 0
figures that should be
If this is a termination statement, Line 16 must be zero.
subtracted from previous
period amounts. If this is
the first report being filed
17, LOAN GUARANTEES RECEIVED ........................... Schedule A Part 2
$
for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts
from Lines 2, 7, and 9 (if
any).
18. Cash Equivalents ........................................ See instructions on reverse
$
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
$
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276.3772)
Schedule B - Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Roland Velasco for Mayor2028 a C)
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Roland Velasco
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Roland Velasco
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Schedule B Summary
Type or print in Ink.
SCHEDULEB-PART1
Amounts may be rounded
Statement covers period
to whole dollars.
07/01/2020
CALIFORNIA
from
FORM
12/10/2020
4
S
through
Page
of
I.D. NUMBER
1383384
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(a) (b)
OUTSTANDING AMOUNT
BALANCE
(c)
AMOUNT PAID
(d) (e)
OUTSTANDING INTEREST
BALANCEAT
p)
ORIGINAL
(9)
CUMULATIVE
(IF SELF-EMPLOYED, ENTER
BEGINNING THIS RECEIVED THIS
OR FORGIVEN
CLOSE OF THIS PAID THIS
AMOUNT OF
CONTRIBUTIONS
NAMEOFBUSINESS)
PEMOD 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
Retired
m PAID
CALENDARYEAR
1000.00
1000.00
0
$
$ %
$
$
❑ FORGIVEN
RATE
PER ELECTION **
$ $
$
$
2/16/16
$
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 orforgiven.)
(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.
l** If required.
CALENDARYEAR
$ $
RATE PER ELECTION **
DATE DUE DATE INCURRED
(Nter(e)on
Schedule E. Line 3)
0
-1000.00
NET $ 0
(May be a negative number)
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 (January105)
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 fladLt�
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULEE
Statement covers period
from 07/01/2020
through 12/10/2020 Page— of _ �L
I.D. NUMBER
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
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 (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT
Roland Velasco Pay back Campaign loan
Operation Freedom Paws Balance of Checking Account Donation
* 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 $100....................................................................................................................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ..........................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ....................
SUBTOTAL$
$
$
................ $
........ TOTAL $
AMOUNT PAID
1000.00
907.14
1907.14
1907.14
1907.14
FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)