071921 Form 460 POA PAC\
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Recipient Committee
Campaign Statement
Corer Page - Part 2 slatemord covers period
from 0110112021.
through 06/30/2021
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Hallot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RE5IDENTIALOUSINESSADDRESS( NO.ANDSTREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listanycommittees
not included in this statement Oat aro controlled by you or are primarily formed to
receive cenMbutions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I I.D. NUMBER
NAME OF TREASURER CONTROLLED CIOhY FUEE ?
Q YES ❑ NO
UUMMI I €tt S1xEET ADLMFMS5 ( NO P.O. BOX)
CITY
COFAWTTEE NAME
NAME OF TREASURER
COMMITTEE STREET ADDRESS ( NO P.O. BOX)
CITY
STATE ZIP GORE AiEACADEIPHONE
I.D. NUMBER
CONTROLLED COMMrrFEE 7
❑ YES ❑ NO
COVER PAGE - PART 2
Page 2 of 5
BALLOTNO.ORLETTER JURISDICTION
SUPPORT
OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, Ifany.
NAME OF OFFICEHOLDER OR CANDIDATE OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7 Primarily Formed GandidaWOfficeholder Committee
Liz,' names of ofi7cehoWr(s)ar car%fidatetsj for which this Cornmrft4ee is prfmaMy formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
OPPOSE
NWE OF OFFICEHOLDER OR CANDIDATE CFI=ICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAIVE OF OFFICEHOLDER OR CANDIDATE I OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
STATE ZIPCOQE AREACODEjPHpNE NAS OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
FPPC Form 460-(JANl20.1e)
State of Califamisusi
Campaign DiscSIIMMRRY PAGElosure Statement Statement cavarsperiodCALIFORNIA
Summary Page from 01/01/2021 FORM
NAME OF FILER CYPRESS POLICR 07FICFRS ASSOCIATION PAC
Expenditures Made
12. Beginning Cash Balance - .Prvvwus Summary Page, tine 16
Column A
Contributions
Received
200.00
7. Loans Made ...........
T9TA1 rHseEFroo
0.00
S. SUBTOTAL CASH PAYMENTS ..............
Add VA" 6+7
FROM KFIAOKLO SCHEDUES)
1.
Monetary Contributions ..
SchedweA. Lara 3
$
0.00
2.
Loans Received ..................
. .. . . . . Schedwe B, Llrre 3
0100
0.00
3.
SUBTOTAL CASH CONTRIBUTIONS
_ _ ,AddLkw 1+2
$
0.00
4.
Nonmonetary Contributions ..... ....
SchedWeC,Llne3
0.00
5.
TOTAL CONTRIBUTIONS RECEIVED
.. Addcines344
$
0.00
Expenditures Made
12. Beginning Cash Balance - .Prvvwus Summary Page, tine 16
B. Payments Made ....... ......
...... Schadura F. Line 4
$
200.00
7. Loans Made ...........
Schedule H. Line 3
0.00
S. SUBTOTAL CASH PAYMENTS ..............
Add VA" 6+7
S
204.00
9. Accrued Expenses (Unpaid Bills)
Sebe&(& F, Lane 3
17. LOAN GUARANTEES RECEIVED ............ SdmdL,*B,Part 2
2,500.00
10. Nonmonetary Adjustment .........
Schedule C. Line 3
0100
11. 70TAL EXPENDITURES MADE
.......... Add anesa+s+lo
$
2,700.00
Current Cash Statement
12. Beginning Cash Balance - .Prvvwus Summary Page, tine 16
$
41, 450.37
13. Cash Receipts .... _ .... .. ....... Getumn A. Line 3 above
0.0 C
14. Misoellaneous Increases to Cash .. .....s mdule 1, Line 4
0.00
15. Cash Payments ........... . Column A, Line 8 above
2 0 0. 00
16. ENDING CASH BALANCE Add Lines 12413 * 14. ffmrrsubbiadLine 15
$
41, 250.37
17. LOAN GUARANTEES RECEIVED ............ SdmdL,*B,Part 2
$
7.00
Cash Equivalents and Outstanding Debts
18. Gash Equivalents ....................................
$
0.00
19. Outstanding Debts.. .AddLi,?es2+LbvaInCd mnsabove
$
2,500.00
through 08/30/2021
Column B
GALENDM YEAR
TOTAL TO oATE
$ 0.00
0.00
0.00
0.00
0.00
$ 200.00
0.00
$ 200.00
2,500.00
0.00
2,100.00
i -o- NUMBER
1287831
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections.
1 r1 through 6130 7n m bale
20. Contributions
Received $
21. Expenditures
Made $ $
Expenditure Limit Summary
for State Candidates
22. Cumulative Expenditures Made'
{ If Subject to Voluntary Expenditure Limits)
S
S
Amounts in this Section may be different from amounts
reported in Column B.
FPPC Form 460-(JANIZci 6)
State of Califa rn ia)5 I
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Schedule F SCHEOULE F
Statement covers period '
Accrued Expenses (Unpaid Bills) troin 01r0112021
pe'io FORM 460.
NAMEOF FILER CYP2ESS POLICE OFFICERS ASSOCIA^-0N PAC
through 06/30/2021 1 Page 5 of 5
I.C. NUMBER
1287831
CODES: If one of the following accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalialmisc.
MSR
member communicallons
RAD radio airtime and production costs
CNS
campaign consultants
WM
meetings and appearances
RFD mt"ed contributions
CT8
contribution (explain nonmonetary)
OFC
office expenses
SAL campaign workers' salaries
CVC
civiedonations
PET
petition circulating
TEL Im. or cable production costs
FIL
candidate filing I ballot fees
PHO
phone hanks
TRC m0lidate have!, lodging and meals
FN❑
fundraising expenses
PDL
polling and survey research
TRS statNspouse travel, lodging and meals
IND
independent expenditures supportinglopposing others
POS
postage, delivery and messenger services
TSF transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT voter registration
LIT
Campaign literature and mailings
PRT
print ads
WEB information technology casts (intemet,e-mail)
SUBTOTALS $ b.0D $ 2,500.00 $ 0-00 $ 2,500.00
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) .... INCURRED TOTALS $ 2-500.100
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
3. Net change this period, (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) . .
PAIL] TOTALS $ 0.00
........ .NET �_ 2,500.00
FPPC Form 460-(JAN72016)8I
(a)
(b7
(c}
(d)
NAME AND ADDRESS OF CREDITORCR[TOR
CODE OR
DESCRIPTION OF PAYMENT
Wr3TANDING
BALANCE BEGINNING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
RALANCE AT CLOSE
OF THIS PERIOD
THIS PERIOD
THIS EERiOD
OF THIS PERIOD
GOULD E ORELLANA LLC
PRID
D
2,500.00
0.0f
2,500.00
Long Beach, CA 90802
SUBTOTALS $ b.0D $ 2,500.00 $ 0-00 $ 2,500.00
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) .... INCURRED TOTALS $ 2-500.100
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)
3. Net change this period, (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) . .
PAIL] TOTALS $ 0.00
........ .NET �_ 2,500.00
FPPC Form 460-(JAN72016)8I