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Police 460• Recipient Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1089416 SEE INSTRUCTIONS ON REVERSE Statement u Statement nnv ers period ou from 01/01/2016 through 06/30/2016 1' Type of Recipient Committee: All Committee — Complete Parts 1.�3, and 4. [] Officeholder, Candidate Controlled Committee {] State Candidate Election Committee L)Recall (Also Complete Part 5) m General Purpose Committee UGponsored L) Small Contributor Committee Political Party/Central Committee 3. Committee Information [] Primarily Formed Ballot Measure Committee 0 Sponsored (Also Complete Part m Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 1.M /.o NUMBER 1378319 r oszo COMMITTEE NAME (OR CANDIDATE'S NAME /pwoCOMMITTEE) Alameda Police Officers Association PAC STREET ADDRESS (NO RO. BOX) CITY STATE ZIP CODE Alameda CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS ssjreyes@comcast .net AREA CODE/PHONE (510)384'9091 AREA CODE/PHONE Date of e!ection if applicable: (Month, Day, Year) 2. Type of Statement: Preelection Statement Semi-annual Statement COVER PAGE CALIFORNIA Ann o O Termination Statement (Also file a Form 410 Termination) E] Amendment (Explain below) Treasurer(s) NAME OF TREASURER Susan Reyes MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY Tysen Siebert mx/uwoAooneoa CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS oojzaveo@comcaat .net CITY OF ALAMEDA C/TV [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE ARsxonos/P*ows CA 94501 (510)882-4536 STATE ZIP CODE AREA CODE/PHONE CA 94501 (510)384'9091 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inforrnation contained herein and in the attached schedules is true and complete. |nertify under penalty of perjury under the laws ofthe State of California that the foregoing is true and correc Executed on Executed on Executed on Executed on 07/13/2016 Date Date By Susan Reyes Responsible omcermoponso, By By Signature of Controlling Oflicehotder, Candidate, State Measure Proponent Signature of Controiing Officeholder, canmda*atat.w°=urepm»on°m FPPC Form 460 (Janm06) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 0.081.1116110 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any commiffees 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 BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA A an FORM Page 2 of 7 0 SUPPORT 0 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 COMMITME? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 0 YES 0 NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 YES 0 NO 0 OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Police Officers Association PAC Contributions Received 1. Monetary Contributions Schedule A, Line 3 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 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Schedule F, Line 3 Schedule C, Line 3 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!, 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 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above Amounts may be rounded to whole dollars. $ $ $ Schedule B, Part 2 $ $ 11111EMZIMI ..111111 Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 8,811.00 0.00 8,811.00 0.00 8,811.00 1,267.55 0.00 1,267.55 0.00 0.00 1,267.55 883.66 8,811.00 0.00 1,267.55 8,427.11 0.00 0.00 0.00 Statement covers period from through Column B CALENDAR YEAR TOTALTO DATE 8,811.00 0.00 8,811.00 0.00 8,811.00 1,267.55 0.00 1,267.55 0.00 0.00 1,267.55 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative 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). 01/01/2016 06/30/2016 SUMMARY PAGE 460 CAL-IFC)11NIA FORM Page 3 of 7 I.D. NUMBER 1378319 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions Received 21. Expenditures Made 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) / / $ Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule 1�� Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Police Officers Association PAC DATE RECEIVED Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR vpcoMwnTs�^�oc�c I.D. u�o�� CODE * 01/e0/2016 Alameda Police Officers Association 2027 Clement Ave., Ste B Alameda, CA 94501 O|ND OTH PTY USCC LJ|ND 000N OOTH UPTY []oCC []|ND OCOM 00TH OPTY []ncc []|wo 000M 00TH OPTY []SCC []|ND []COM 00TH OPTY []oCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTE NAME OF BUSINESS) SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) � 2. Amount received this period — unitemized monetary contributions of less than $100 � 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ Statement covers period from 01/01/2016 through 06/30/2016 AMOUNT RECEIVED THIS PERIOD 8,811.00 GCMEoULEA CALIFORNIA A FORM Page 4 of /.owumasn 1378319 ~-------' CUMULATIVE noDATE CALENDAR YEAR (JAN. 1 - DEC. 31) 8,811.001;', � h� 8,811.00 0.00 8,811.00 7 PER ELECTION TO DATE (IF REQUIRED) 8,811.00 G2016 $8'811.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) pTY— Po|iUoo|Party GCC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPo Advice: odvixo@fppx.xu.gnv(DO0275-3773) ule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Police Officers Association PAC DATE 05/14/2016 NAME OF CANDIDATE, OFFICE, AND DISTRIC1 OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Rob Bonta for State Assembly 2016 Support 0 Oppose 03/23/2016 Malia Vella for Alameda City Council 2016 05/04/2016 Eg Support 0 Oppose Marilyn Ezzy Ashcraft for City Council 2016 Support 0 Oppose Amounts may be rounded to whole dollars. TYPE OF PAYMENT ta Monetary Contribution [D Nonmonetary Contribution p Independent Expenditure ID Monetary Contribution Nonmonetary Contribution [] Independent Expenditure 00 DESCRIPTION (IF REQUIRED) Alameda Island Brewing Food & Beverage for Fundraising Event Nob HIll Food - Food [1 Monetary Refreshments for Contibufion Fundraising Event Nonmonetary • Independent Expenditure a SUBTOTAL $ Statement covers period from 01/01/2016 through 06/30/2016 AMOUNT THIS PERIOD 750.00 250.00 117.55 1,117.55 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) SCHEDULE D Page 5 of 7 Lb.wumasn 1378319 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF REQUIRED) 750.00 P2016 e50.00o2016 117.55 G2016 $750.00 $250.00 $117.55 � 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 $ www.netfile.com 1,117.55 0.00 1,117.55 rPPC Form wm(Jamom6) FPPCAdvico:odviuo@fppo.co.8ov(0hU/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Police Officers Association PAC CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Amounts may be rounded to whole dollars. Statement covers period from through 01/01/2016 06/30/2016 CMP CNS CTB CVC AL FND ND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others legal defense campaign literature and mailings Susan Reyes Alameda, CA 94501 Alameda Island Brewery Alameda, CA 94501 Nob Hill Foods Alameda, CA 94501 MBR MTG OFC PET PHO POL (explain)* POS PRO PRT NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE PRO CTB CTB RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E CALIFORNIA 46 FORM 0 Page 6 of 7 I.D. NUMBER 1378319 radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) 101■11■181. OR DESCRIPTION OF PAYMENT AMOUNT PAID Accounting and Treasurer Services 150.00 Food Donation to Melia Vella for City Council- 250.00 FPPC#1381924 Food Donation for Marilyn Ezzy Ashcraft#1350030 117.55 Fundraiser * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 517.55 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.) TOTAL $ 1,267.55 0.00 0.00 1,267.55 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alameda Police Officers Association PAC Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the avD CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia /misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing /ballot fees fundraising events independent expenditure supporting /opposing others legal defense campaign literature and mailings MBR MTG OFC PET Po POL (explain)* POS PRO FRT NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Rob Bonta for State Assembly 2016 (ID# 1353796) Alameda, CA 94501 Statement covers period from through 01/01/2016 06/30/2016 payment, you may enter the code. Otherwise, member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE CTB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E (CONT.) CALIFORNIA FORM Page 7 of 7 I.D. NUMBER 1378319 describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID 750.00 SUBTOTAL $ 750.00 FPPC Form 460 (Jan /2016) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)