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Police 460.Recipient ----'_-- Campaign Cover Page (Government Code Sections 84200-84216.5) 1152909 SEE INSTRUCTIONS ON REVERSE Statement cov rs period from 07/01/2017 through 12/31/2017 1. Type of Recipient Committee: All Committee - Complete Parts 1.2,o. and 4. O Officeholder, Candidate Controlled Committee • State Candidate Election Committee O Recall (Also Complete Part 5) General Purpose Committee • Sponsored L) Small Contributor Committee • Political Party/Central Committee 3. Committee Information Primarily Formed Ballot Measure Committee LJControlled (] Sponsored (Also Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) /.D. wumocn 1378319 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Alameda Police Officers Association PAC STREET ADDRESS (NO po. BOX) CITY STATE ZIP CODE Alameda CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX CITY STATE OPTIONAL: FAX/E-MAIL ADDRESS ssjreyes@comcast.net AREA CODE/PHONE (510)384-9091 ZIP CODE AREA CODE/PHONE COVER PAGE Date of election if applicable: - |�N�1 �M�0 °"'`~��u.v (Month, Day, Year) Page CITY OF ALAMEDA CITY CLERK'S OFFICE 11/06/2018 2. Type of Statement: � Preelection Statement Semi-annual Statement O Termination Statement (AIso file a Form 410 Termination) El] Amendment (Explain below) 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 For Official Use Only [] Quarterly Statemen E] Special Odd-Year Report LJ Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA o«5o1 STATE ZIP CODE CA o^soz 181.61•11 AREA CODE/PHONE (510)882-9536 AREA CODE/PHONE <510/384-9091 4. Verification 1 have used all reasonable diligence in preparing and reviewing this statement and to the bes of my knowledge the information contained herein and in the attached schedules is true and complete. |nortify under penalty of perjury unde the laws of the State of California that the foregoing is true and correct. Executed on Executed on Executed on Executed on _ 01/22/2018 pate 01/22/2018 Date 01/22/2018 Date Date By By By By Susan Reyes Tysen Siebert ' Signature of Controly Jeff Park Signature �rConlrolling Ofllcebolder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: (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 (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 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME CONTROLLED COMMITTEE? ❑ YES ❑ NO I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ 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 .::..FORM ❑ 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 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 ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fooc.ca.aov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS 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 o $ 2. Loans Received Schedule B, Line x 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 � 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines x~* $ .�------..------..~�~�- -'~-�-.'------'.,----------~.' Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTAL CASH PAYMENTS ��u � s+r Lines Schedule E, Line 4 Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 9. Accrued Expenses (Unpaid Bills) 10.Nonmona�ry Adjustment 11. TOTAL EXPENDITURES MADE � Current Camh Statement 12. Beginning Cash Balance Previous Summary Page, Line /e $ 13. Cash Receipts Columri A, Line 3 above 14. Miscellaneous Increases to Cash Schedule!, Line 4 15. Cash Payments Coiumn A, Line 8 above 16. ENDING CASH BALANCE Add Lines /x~/x~/4, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 11011161111111 0.00 0.00 0.00 0.00 0.00 275.00 0.00 275.00 0.00 0.00 275.00 10,354.11 0.00 0.00 275.00 10,079.11 17. LOAN GUARANTEES RECEIVED Schedule B, Part x $ ».»» Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts See instructions on reverse $ � Add Line 2 + Line 9 in Column B above q � Statement covers period from through Column B CALENDAR YEAR TOTALTO DATE 8,712.00 0.00 8,712.00 0.00 8,712.00 750.00 0.00 750.00 0.00 0.00 750.00 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). 07/01/2017 12/31/2017 SUMMARY PAGE CALIFORNIA FORM 3 Page m I.D. NUMBER 1378319 Calendar ¥ear 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. pPPC Form wm(Janmo6) FPPC Advice: advico@fppc.co.gnv(uVs07s'a772) m"ww.mou.va.00v Schedule E Payments Made ess/warnucnowaownsvsnas wAwsorF/LEn 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 07/01/2017 12/31/2017 CIMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate fi|ing/»onmf000 fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings ■■■■■■■■■■■1 NAME AND ADDRESS OF PAYEE (IF COMMIUEE, ALSO ENTER ID. NUMBER> Susan Reyes Alameda, CA 94501 MBR MTG OFC PET Pm POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research pnmago, delivery and messenger services professional services (legal, accounting) print ads CODE PRO RAD RFD SAL TEL TRC TRS Tor VOT WEB SCHEDULE E CALIFORNIA 460 FORM Page 4 of 4 /o.wumesn 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, |odging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) Ile0111■81■11■111111■010001111■0 OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 225.00 SUBTOTAL $ 225.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) � 2. Unitemized payments made this period ofunder$100 � 3. Total interest paid this period on loans. (Enter amount from Schedule 8. Part 1. Column (o)] ....... .......................... ........ ...... ............... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 225.00 50.00 0.00 275.00 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772 mxww.moon.oa.vov