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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