Police 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
1108204
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
10/23/2016
through 12/31/2016
I, 1,1,1 It ,y1 14 I, y I y
RiDate Stamp
f.4
1A0 '"7,'
Date of election if applicable: 6 7
(Month, Day, Year)
11/08/2016
1. Type of Recipient Committee: All committees - Complete Parts 1, 2,3, and 4. 2. Type of Statement:
0 Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o
Recall
(Also Complete Part 5)
General Purpose Committee
0 Sponsored
o Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
0 Primarily Formed Ballot Measure
Committee
o
Controlled
0 Sponsored
(Also Complete Part 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1378319
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
Alameda Police Officers Association PAC
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
STATE
CA
ZIP CODE
94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE
OPTIONAL: FAX / E-MAIL ADDRESS
ssj reyes@comcast . net
ZIP CODE
AREA CODE/PHONE
(510)384-9091
AREA CODE/PHONE
0 Preelection Statement
Semi-annual Statement
Ei Termination Statement
(Also file a Form 410 Termination)
0 Amendment (Explain below)
COVER PAGE
CALIFORNIA 460
FORM
Page
1
of
5
criy OF i6J bt For Official Use Only
"TV e-s;
;
Treasurer(s)
NAME OF TREASURER
Susan Reyes
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
Tysen Siebert
MAILING ADDRESS
CITY
Alameda
OPTIONAL: FAX / E-MAIL ADDRESS
ssj reyes@comcast . net
0 Quarterly Statement
Special Odd-Year Report
LI Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA
94501
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
(510)882-4536
AREA CODE/PHONE
(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 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
Executed on
Executed on
Executed on
www.netfile.com
01/20/2017
Date
01/20/2017
Date
Date
Date
By
By
By
By
Susan Reyes
Sponsor
Signature of Controlling Officeholder, Candidate. State Measure Proponent
Signature of Controlling Officeholder, Candidate, Stale Measure Proponent
ROM
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS 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 CONTROLLED COMMITTEE?
E YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
0 YES ENO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MOM
www.netfile.com
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA 460
FORM
Page 2 of 5
E SUPPORT
fl 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
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
0 SUPPORT
El OPPOSE
O SUPPORT
E OPPOSE
O SUPPORT
O OPPOSE
O SUPPORT
O OPPOSE
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
2. Loans Received Schedule 0, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +o
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4
Expenditures Made
6. Payments Made Schedule E, Lin 4
7. Loans Made Schedule 1-1, Line 3
D. SUBTOTAL CASH PAYMENTS Add Lines o+r
S. Accrued Expenses (Unpaid Bills) Schedule F, Line 3
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTALEXPENDITURES MADE Add Lines o~o~m
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line /6
13. Cash Receipts Column A, Line xabove
14. Miscellaneous Increases to Cash Schedule I, Line 4
15. Cash Payments Column A, Line 8 above
16. ENDING CASH BAL.ANCE Add Lines 1o~/z~/4, then subtract Line /s
If this is a termination statement, Line 16 must be zero.
Amounts may be rounded
to whole doltars.
�
17. LOAN GUARANTEES RECEIVED Schedule u Pad c $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents
19. Outstanding Debts
See instructions on revers
Add Line 2 + Line 9 in Column B above
m
�
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0.00
0.00
0 00
0 00
0 00
2,160.00
0.00
2,160.00
0.00
0.00
2,160.00 $
�
�
m
m
s
«zn.zz
0.00
0.00
2,160.00
2,117.11
0.00 -
0.00
Statement covers period
from
through
10/23/2016
12/31/2016
SUMMARY PAGE
CALIFORNIA Agn
Page 3 of
/.owuwBsn
1378319
5
Column B Calendar ¥ear Summary for Candidates
CALENDAR YEAR
TOTALTO DATE Running in Both the State Primary and
- General Elections
8,811.00
0.00
8,811.00
0.00
8,811.00
7,577.55
0.00
7,577.55
0.00
0.00
7,577.55
To calculate Colum B, add
amounts in Column A to the
corresponding amounts
from Column B of your Iast
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 u.r. and y (if
any).
1/1 through 6/30
| 20. Contributions
Received $
Made
o
�
7/1 to Date
Expencflture Limit Summary for State
; Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
<mmmmy6
�
Total to Date
*Amounts in this section may be ditferent from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@f pc.ca.gov (866/275-3772)
wv*w,pp«.»a.gp«
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERS
NAME OF FILER
Alameda Police Officers Association PAC
DATE
NAME OF CANDIDATE, OFFICE, ANID DISTRIC1 OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
10/25/2016 Yes on Measure ul Alameda Utility
Modernization Act 206
Support 0 Oppose
11/10/e016 Yes on Measure nz Alameda Utility
Modernization Act 206
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
Monetary
• Nonmonetary
Contribution
El Independent
Expenditure
Monetary
Contribution
• Nonmonetary
Contribution
El Independent
Expenditure
[] Monetary
Contribution
• Nonmonetary
Contribution
[] Independent
Expenditure
�
DESCRIPTION
OF REQUIREM
Statement covers period
from
10/23/2016
SCHEDULE D
CALIFORNIA A an
through 12/31/2016 Page ^ of 5
uzNUmosn
AMOUNT THIS
PERIOD
1378319
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1'500.00 1'700.00u2016 $1'700.00
200.00 1,700.00G2016 $1,700.00
SUBTOTAL $ 1'700.00
Schedule D Summary
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) �
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
1,700.00
».^»
1,700.00
FPPC Form 460 (Jan/20 «)
FPPC Advice: advice@f pc.ca.gov (866/275-3772)
www.fppc.ca.gov
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
oM°
CNS
CTB
CVC
FIL
FND
wmLEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
canmumennngmonot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
carnpaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
Yes on Measure uz Alameda Utility Modernization Act 206
Alameda, CA 9*501
Susan Reyes
Alameda, CA 94501
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
10/23/2016
12/31/2016
the payment, you may enter the code. Otherwise, describe the payment.
MBR
MTG
OFC
FET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
nomuoe, delivery and messenger services
professional services Vena|, accounting)
print ads
CODE
(ID# 1392001) CTB
PRO
Yes on Measure mz Alameda Utility Modernization Act 206 (ID# 1392001) CTB
Alameda, CA 94501
RAD
RFD
SAL
TEL
TRC
TRS
Tar
VOT
WEB
SCHEDULE E
CALIFORNIA 460
FORM
Page 5 Of '
I.D. NUMBER
1378319
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, |vueino, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
information technology costs (internet,e-maiV
candidate/sponsor
OR DESCRIPTION OF PAYMENT
* Payments tha are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) �
2. Unitemized payments made this period of under $1 00 �
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 $
AMOUNT PAID
1,500.00
375.00
200 .00
2,075.00
a.ors.uo
85.00
0.00
2,160.00
FPPC Form 460 (Jan/2016)
rppc Toll-Free *o/pono:msmAaK-Fppc(osmora-3rre)
www.fppc.ca.gov