Police 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
1191113
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
through
01/01/2017
06/30/2017
1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
El Primarily Formed Ballot Measure
Committee
0 Controlled
o Sponsored
(Also Complete Part 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1378319
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Alameda Police Officers Association PAC
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
Alameda CA 99501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE
OPTIONAL: FAX / E-MAIL ADDRESS
ssjreyes@comcast.net
AREA CODE/PHONE
(510)389-9091
ZIP CODE AREA CODE/PHONE
Date of election if applicabl
(Month, Day, Year)
2. Type of Statement:
Preelection Statement
Semi-annual Statement
El Termination Statement
(Also file a Form 410 Termination)
Ei Amendment (Explain below)
Date Stamp
I LE
JUL 27 2017
COVER PAGE
r!ALIFORNIA 460
-ORM•
CITY OF ALAMEDP
ZITY CLERK'S OFFICE
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
ssjreyes@comcast.net
1
of 6
For Official Use Only
Ej Quarterly Statement
El Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA 99501
STATE ZIP CODE
CA 99501
MHOWSPEMISMI
AREA CODE/PHONE
(510)882-456
AREA CODE/PHONE
(510) 389-90 () 1
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
07/19/2017
Date
07/19/2017
Date
Date
Date
By Susan Reyes
By Mike Sapinoso
Signature of Controlling
Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCL(JDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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
CONTROLLED COMMITTEE?
• YES NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
O YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY 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 A a
FORM 1.111 %IF
Page 2 of 6
SUPPORT
11 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
4■■■■■=11116111
Attach continuation sheets if necessary
• SUPPORT
• OPPOSE
0 SUPPORT
O OPPOSE
El SUPPORT
[1] OPPOSE
Lil SUPPORT
O OPPOSE
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Campaign Disclosure Statement
Summary Page
SEE NSTRUCTIONS ON REVERSE
NAME OF FILER
Alameda Police Officers Association PAC
Contributions Received
Amounts may be rounded
to whole dollars.
1. Monetary Contributions Schedule A, Line x $
2. Loans Received Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines /+x $
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $
Expenditures Made
O. Payments Made Schedule E, Line 4 $
7. Loans Made Schedule H, Line 3
D. SUBTOTAL CASH PAYMENTS Add Lines o+r $
9. Accrued Expenses (Unpaid Bills) Schedule F, Line o
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 Co/umn A, Line 3 above
14. Miscellaneous Increases to Cash Schedule 1, Line *
15. Cash Payments Co/umn 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 u $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents
19. Outstanding Debts Add Line 2 + Line 9 in Column B above $
See instrucfions on reverse $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
8,712.00
0.00
8,712.00
0.00
8,712.00
475.00
0.00
475.00
0.00
0.00
475.00
2,117.11
u'71x.00
0.00
475.00
10,354.11
0 00
0 00
�
Statement covers period
from
through
Column B
CALENDAR YEAR
TOTALTO DATE
8,712.00
0.00
8,712.00
0.00
8,712.00
MIMPOSIISIMMIIMMOI
475.00
0.00
475.00
0.00
0.00
475.00
To calculate Column 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 2, 7, and 9 (if
any).
01/01/2017
06/30/2017
SUMMARY PAGE
CALIFORNIA Ann
FORM 164'
3 Page m
/.uwuMoex
1378319
6
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
!
Expencliture Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
- *Amounts in this section may be different from amounts
reported in Column B.
pppc Form 4no(Jan/2o16)
FPPC Advice: advice@f pc.ca.gov (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alameda Police Officers Association PAC
Amounts may be rounded
to whole dollars.
DATE ruuNAME, ara��ADDRESS AND opCODE orcowrnuuru* CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE *
RECEIVED
01/20/2017 Alameda Police Officers Association
Alameda, CA 94501
Omm
OTH
▪ PTY
UGCC
[]|wD
Oc0M
OOTH
UPTY
LJSCC
[]|wo
OCOm
[]oTH
▪ PTY
[]aCC
[]|No
[]oom
VT*
▪ PTY
[]occ
[]|ND
OCOm
OOTH
[]PTY
[]GCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER 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
01/01/2017
through 06/30/2017
AMOUNT
RECEIVED THIS
PERIOD
8,712.00
8,712.00
n'nz.on
0.00
8,712.00
SCHEDULE A
CALIFORNIA 460
FORM -
Page 4
/o.mumosn
1378319
CUMULATIVE ToDATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
of
6
PER ELECTION
TO DATE
(IF REQUIRED)
8,712.00 G2016 oo'uo.uo
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
occ — amaoCnnmuumrcommxteo
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from
01/01/2017
SCHEDULE D
CALIFORNIA Agn
FORM %IF
through 06/30/2017 Page 5 of 6
'
/.owuwasx
Alameda Police Officers Association PAC 1378319
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER 0E6 LEUER AND JURISDICTION,
OR COMMITTEE
05/26/2017 Rob Bonta for State Assembly 2016
Support Oppose
[] Support 0 Oppose
• Support 0 Oppose
TYPE OF PAYMENT
Monetary
Contribution
• Nonmonetary
Contribution
O Independent
Expenditure
O Monetary
Contribution
Nonmonetary
Contribution
LJ
Independent
Expenditure
[]Monetary
Contribution
L]
Nonmonetary
Contribution
[] Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
CUMULATIVE TO DATE PER ELECTION
AMOUNT THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
250.00
SUBTOTAL $ 250.00
250.00 P2016
G20] 6
G2018
Schedule E) 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 pedod 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 $
$750.00
$250.00
$250.00
250.00
0.00
250.00
FPPC Form 460 (Jam2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alameda Police Officers Association PAC
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
01/01/2017
06/30/2017
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
oMP campaign Mon member communications
CNS campaign consultants MTG meetings and appearances
CTB contribution (explain nonmonetary)* OFC office expenses
CVC civic donations PET petition circulating
FIL candidate fi|ing/uaUotfuno PHO phone banks
FND fundraising events POL polling and survey research
IND independent expenditure supporting/opposing others (explain)* POS pvstaga, delivery and messenger services
LEG legal defense PRO professional services (legal, accounting)
LT campaign literature and mailings pRT print ads
NAMEANDADDRESS OF PAYEE
(IF COMMITFEE, ALSO ENTER 1.0. NUMBER)
Rob Bonta for State Assembly 2016 (ID# 1353796)
Alameda, CA 94501
Susan Reyes
Alameda, CA 94501
CTB
PRO
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SCHEDULE E
CALIFORNIA A an
FORM 'IT 141'
6 Page 6
/.o.wumasn
1378319
^---~'--
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL tx or cable airtime and production costs
TRC candidate travel, |odOing, and meals
TRS staff/spouse travel, mdsing, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (intemet, e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
250.00
225.00
SUBTOTAL $ 475.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) �
2. Unitemized payments macie this period of under $1 00 �
3. Total interest paid this period on Ioans. (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 $
475.00
0.00
0.00
475.00
pppoForm 460 (Jan/2016)