Police 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
1099273
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
07/01/2016
through
10/22/2016
Date of election if applicabItj
(Month, Day, Year)
11/08/2016
COVER PAGE
Date Stamp
▪ OCT 27 2016
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
El 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
LJ Primarily Formed Ballot Measure
Committee
o
Controlled
0 Sponsored
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
2. Type of Statement:
Preelection Statement
CITY OF ALAMED/
TV PTIK'S OFF(
• Semi-annual Statement
El Termination Statement
(Also file a Form 410 Termination)
E] Amendment (Explain below)
:Page
of 6
For Offici al Use Only
O Quarterly Statement
O Special Odd-Year Report
O Supplemental Preelection
Statement - Attach Form 495
3. Committee Information 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
Alameda
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
(510)384-9091
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
CITY STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
ssj reyes@comcast . net
Treasurer(s)
NAME OF TREASURER
Susan Reyes
MAILING ADDRESS
Alameda
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
(510) 882-4536
NAME OF ASSISTANT TREASURER, IF ANY
Tysen Siebert
MAILING ADDRESS
CITY
Alameda
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
(510) 384-9091
OPTIONAL: FAX / E-MAIL ADDRESS
ssj reyes@comcast . net
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
10/24/2016
Date
10/24/2016
Date
Date
Date
By Susan Reyes
By
By
By
Mike Sapinoso
Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Canctidate, 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 (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
CITY
CONTROLLED COMMITTEE?
❑ YES ❑ NO
STREETADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
CONTROLLED COMMITTEE?
❑ YES ❑ NO
STREETADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE /PHONE
COVER PAGE - PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
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
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
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
rom
07/01/2016
through
10/22/2016
Alameda Police Officers Association PAC
Contributions Received
Page 3 of
6
I.D. NUMBER
1378319
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
Column A
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
0.00
0.00
0.00
0.00
0.00
Column B
CALENDAR YEAR
TOTALTO DATE
8,811.00
0.00
8,811.00
0.00
8,811.00
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $
21. Expenditures
Made
Expenditures Made
6. Payments Made
7. Loans Made
Schedule E, Line 4 $
Schedule H, Line 3
Add Lines 6 + 7
8. SUBTOTAL CASH PAYMENTS
9. Accrued Expenses (Unpaid Bills) ........ ........ . . . ........ Schedule F, Line 3
10. Nonmonetary Adjustment Schedule C. Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $
4,150.00 $
0.00
4,150.00 $
0.00
0.00
4,150.00
5,417.55
0.00
5,417.55
0.00
0.00
5,417.55
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 1, 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.
8,427.11
0.00
0.00
4,150.00
4,277.11
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts . Add Line 2 + Line 9 in Column B above
0.00
0.00
To calculate Column 8, 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).
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)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Alameda Police Officers Association PAC
Amounts may be rounded
to whole dollars.
Statement covers period
from
07/01/2016
through 10/22/2016
DATE
10/21/2016
09/13/2016
10/17/2016
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
SCHEDULE D
AMOUNT THIS
PERIOD
I.D. NUMBER
1378319
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Alameda Firefighters Local 689 PAC
Support 0 Oppose
Rob Bonta for State Assembly 2016
Monetary
Contribution
o Nonmonetary
Contribution
O Independent
Expenditure
3,000.00
3,000.00
G2016 $3,000.00
PEI Support 0 Oppose
Marilyn Ezzy Ashcraft for City Council 2016
El
Monetary
Contribution
O Nonmonetary
Contribution
O Independent
Expenditure
250.00
1,000.00
P2016 $750.00
G2016 $250.00
Support 0 Oppose
Monetary
Contribution
• Nonmonetary
Contribution
O Independent
Expenditure
750.00
867.55
G2016 $867.55
SUBTOTAL $ 4,000.00
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 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.neffile.com
4,000.00
0.00
4,000.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule E
Payments Made
SEE NSTRUCTJONS 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 payment, you may enter the code. Otherwise, describe the payment.
GNP
CNS
CTB
CVC
FL
FND
ND
LEG
LIT
nompaignparaphema|ia/mivc
campaign consultants
contribution (explain nvnmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
MBR member communications
MTG meetings and appearances
OFC office expenses
nET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
FRO professional services (legal, accounting)
PpT print ads
RAD
RFD
SAL
TEL
TRS
TSF
VOT
wse
radio airtime and production costs
returned contributions
campaign workers' salaries
Lx nr cable airtime and production costs
candidate travel, |vdoing, and meals
sta#/svvusotmve|. /vuoino, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (in1emeu.emui|)
Susan Reyes
Alameda, CA 94501
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
CODE OR
DESCRIPTION opPAYMENT
AMOUNT PAID
Rob Bonta for State Assembly 2016 (ID# 1353796)
PRO
150.00
Ashcraft for city Council 201e (zo# 1350030)
Alameda, CA 94501
CTB
250.00
CTB
750.00
* Payments tha are contributions or irldepencjent expenditures must also be summarized on Schedule D.
SUBTOTAL $
1,150.00
�
Schedule E Summary
1. Itemjzed payments made this period. (Include all Schedule E subtotals.)
2. Unitemized payments niade this period of under $1 00
3. Tot l interest paid this period on Ioans. (Enter amountfrom Schedule B. Part 1. Column (a).L--'— ....... ............ —'— ....... .................... _ ......... -
4.lobdpayn�entsn1ode this per�d.�\ddL�oo1.2. and 3. Enter here and on the Sumnna�Page, Cnun�n/\Unefi)--'-------TO7�^L -
4,150.00
�
0.00
0.00
4,150.00
FPPC Form 460 (Jan/20 q
rppc Toll-Free noVlino:VsxwSK-FpPo(8seu7o-3r7u)
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
QVP
CNS
CTB
CVC
FIL
FND
IND
LEG
UT
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
rVTTG
OFC
FET
POL
(explain)* PO3
PRO
F'RT
Statement covers period
from
07/01/2016
through 10/22/2016
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
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E (CONT.)
describe the peymenL
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel lodging, d meals
^taff/vpvvxotrave|. |ouuimo, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
CODE
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Alameda Firefighters Local 689 PAC (zo# 890076)
Alameda, CA 94501
CTB
3,000.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
3,000.00
FPPC Form 460 (Jan/2016)