012722 Form 460 POA PACRecipient Committee
Campaign Statement
Cover Page
(Government de Sections 84200 842
Date at lectern it applicable
th,:"Day, Year)
CALIFOFtN1A 460
FORNI
ICE
Type of Recipient m AS Cdr
Officeholder, Candidate Controlled Comm
State Candidate Election Comrrittee
0 Rasa
(Alto ert.
General Purpose CrrRltt-
O Sponsored
• at ontribratorCommittee
• tPartyt entr t Comm
Passel , 2,
El Primarily Formed
Committee
tnteotted
Sponsored;
644w Corr -Veto Parttj
2 Type of
Pr tttcan
-annual Stat ent
Te ii lion Statement
(Aura tale a Form 410 Thrall
"�sd€raent (Xptaln tldte
Quarterly Staternent
Special Odd Year Report
Supplemental Preelection
Statement m Attach Form 495
J PnmantyFormed Carid. t
Otlicei older Committee
(Aim Cbmorsto kiat 7)
COMMRTiEE NAME (OR CANDIDATE'S NAME RE NO COMM9R'
SSS POLICE OFFICERS ASSOCIATION PAC
NAME OF TREASURER
hard Ayers
SEET ADD ESS NO P.0. BOX)
STATE DP CODE AREA CODEIPHONE
630
CR STATE ZIP CODE
Lai
gel es CA 90630
AIUN DRESS (r DIFFERENT) NO, D STREET OR PO. BOX
STATE ZIP CODE- AREA cocErPuoNE
4„ Venfition
have lid all Raasonatrte lilt` e to preparing and rev
under penal tycatg bury and rthe to rat e State of
tats stat ant and to the best of krxo
;hdtthedrarz lstrue and corr
0PTBONAL. FAX f E<: RL ADDRESS
e iiia into
on n herein and
FPPC Farm 460 (taR d t 6)
PP Advice:: advice r" ppcec (8661275 772)
nppc. v:
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INELLIETEL CATION ANCDISTRICT NUMBER F AP—PT-CABLE)
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
NAME OF TREASURER
D NUMBER
CONTROLLED COMM IITTEE?
YES El NO
COMMI TE, ADDRESS STREET ADDRESS INO PO. BOX)
CIT v
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
- _
D NUMBER
NAME OF TREASURE
C MN' ETTFF ADDRESS
GONTROLIEDcomITESE
L Ys El NO
STREETRODRESS (50 PO BORE
CITY
www.nettile.com
STATE ZIP CODE
AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAVE QF BALLOT MEASURE
BALLOT NO OR LETTER
JURISDICTION
0
VER PAGE - PAR 2
CALIFORNIA
46
FORM
LOS S[ ppORT
OPPOSE
Identify the controlling officeholder, canclidath, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HEED
DISTRICT NO !F ANY
7. Primarily Formed CandidateiOfficeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEED
E SUPPORT
1 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
S• UPPORT
O• PPOSE
Li SUPPORT
OppOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
S• UPPORT
1-1 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
SEE [NSTRUCTIONS ON REVERSE
NAME OE FILER
CYPRESS POLICE OFFICERS ASSOCEART, ON PAC
Contributions Received
1 Monetary Contributions Schedule A, Line 3
2. Loans Received Schedule 8, Line 3
3, SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2
4. Nonmonetary Centriblations.,
Schedule C. Line 3
5. TOTALCONTR MOONS RECEIVED Add lines 3 4
Expenditures Made
6. Payments dI Ide..... „, .... ..„,„,.„„„.......
8, SUBTOTAL CASH PAYIVIENTS
Accrued Expenses (Unpaid Bills)... _pm
10. Normo et Adjustment me_
11. TOTAL EXPENDITURES MADE
Schedule E, Line 4
Schedule 1-1. Line 3
A*1 lines 6 7
. Schedule is une
, Schedule C Line 3
Add Lines 8 +9+ 10
Amounts may be rounded
to whole dollars.
5
-$
$
s
s
2,500.00
.2,600.00
0 .00
COILimn A
POTAttiKa PE RlEttr)
(rattaRAPPACUER EC RADLE-E.8)
0
0 . 00
0'.00
2,500.00
2,500.00
0.00
0,00
0.00
Current Cash Statement
12. Beginning Cash Balance mu, Promos Senenery Rage: Line 16 S.
13. Gash Receipts evens A, Line 3 above
14. Miscellaneous Increases to Cash Schedule 11 Litie 4
15, Cash Payments cioxiim A, Line 8 above
16. ENDING CASH BALANCE . Add Linen 12 + 13 + 4, then subtracf tine 15
if this is a termination statement, Line 16 mast be zero_
41,250,37
C 00
0.00
0,00
41,250,37
17. LOAN GUARANTEES RECEIVED Schedule 0, Pan 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents, See insinictions ch reverse 5
0.00
19, Outstanding Debts ..,„*,*.„*..5 Add Line 2 + Line 9 in rohimri a above $
www.netfilecorn
3.,00
Statement covers period
Column B
CAIVN RAE YEAR
0,%_ '51
0.00
0 . 011
125.9.95.00
2,500..00
10,347'.0
0.00
10,145-C°
0,00
2,500,00
12,845,00
To calculate Column B, add
amounts in Column A to tre
corresponding arnounts
from Column B of your Iasi
report Sorge 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 (11
any),
07/01/2321
1253112021
SUMMARY PAC3Et
CALIFORNIA
FORM
Page
1 ID. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1,1 through 6030
20. Contributions
Received 5
21. Expenditures
Made
711 to Date
Expenditure Unlit Summary for State
Candidates
22. Cumulative Expenditures Made
S unto ra to Voluntary Earn arta Ram Lint Al
Date of Election
(mmiddivy)
/ if
O
Total to Date
"Amounts ln this section may be different from nounts
reported in Colum7 B.
FPPC Form 460 pan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www,fppc,ca.gov
Schedule C
Nor monetary Contributions Received
SEE iustrRUCI1ON3 ON REVERSE
NAME OF WEE
Amounts may be rounded
to whole dollars,
CYPRESS POLICE OFEIGEES ASSOCSATION PAC
DATE
RECEIVED
071126202S rst
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
Cir COMMITTEE, ALSO ENTER I D. NOMBER)
Cypress, CA 9C6
cers Assoc ca tson
Statement covers period
from 07/01/202]
through 12/31/2021
11 0. INDIVIDUAL, ENTER
c0N5R mirroR DE,SCFBPTION OF
OCCUPATION AND EMPLOYER =
CODE * , GOODS OR SERVICES
Gs- SEF-EmP4 O f. NER
NIANIF„ OF BUS4NFOF)
ENG
EICOM
EOM
OPTY
r:SCC
DINE)
DOOM
071-1
DPP(
SCC
LIN)
LC
nosy
Ljsso
Caro
cisorttl
EOTH
EPPS
[7jSCO
0 PaidOyThird
?arty
AMOUNT/
FAIR TAARKE1
VALUE
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
2,500
2,500,0S
Schedule C Summary
1. Amount received this period - itemized nonmonetary contributions
(Include all Schedule C subtotals.)
2. Amount received this period a unitemized nonmonetary contributions of less than S100 S
3. Total nonmonetory contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 103 TOTAL $
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SetIEL-.t. ll Er
CALIFORNIA Agri
FORM
Raga 401 5
I.D, NUMBER
1287831
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 -DEC TAT)
2,50.0.001
PER ELECTION
10 13
(IS REQUIRED)
2,500-00
0.00
2,500,00
*Contributor Codes
ND-- Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY Political Party
SCC -Srnall Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc,ca:gov (666;275-3772)
www.fppc.ca.ge v
Schedule
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME Cr FILER
Amounts may be rounded
to whole dollars,
CYPRESS POLICE OFFICERS :ASSOCIATION PAC
CODES: If one of the following codes accurately describes the
04P campaign paraphemaliaimisc.
CNS Ca mg ai9 n consultants
CM contribution (explain nontrionetaryM
CVC civic donations
It candidate filing/ballot fees
RIO fundraising events
NO independent expenditure supporting/opposing ethers ;explain)
LEG legal defense
LH campaign literature and mailings
NAME AND ADDRESS OF CREUMOR
COMMEETEM M.S0 RATER 1,0, WEARER)
Long Beach, CA 90802-
payment, you may enter the code.
member communications
meetings and appearances
office expenses
pet tion circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE OR
DESCRPTION OF PAYMENT
1PRO
Statement covers period
from Cat /03n202:
through. ii2/31/2021
SCHEDU Ear
CAUFORtiiillA
FORM
460
Page 5 of 5
[.Si. NUMBER
1
OthenNise, describe the payment
RAID radio airtime and production costs
RFD returned contributions
SAL campaign workers" salaries
TEL tv. or cable aidirne ard production costs
TRC candidate travel, lodging, and meals
TRS staffispouse travel, lodging, and meals
TSF transfer between committees of the same candidateisponsoe
VOT voter registration
%NEB information technology costs (internet, e-mail)
(a)
OUTSEANDINC,
BALANCE BEGINNING
OF THIS PERIOD
2,503,00
(b)
AMOUNT INCURRED
THIS PERIOD
to)
AMOUNT PAID
THIS PERIOD
Kott barmy (3•N 9
-2,500,00 0
(d)
OUTSTANDleat
BALANCE AT CLOSE
OF THIS PERIOD
* Payments that ars contributions or indeperiderit expenditures mtist also be
summarized on Schedule, D.
5W9TOTALS $ 2,500,00$ 2,520,00$ 0 oo $
, 00
Schedule F Summary
1, Total accrued expenses incurred thD period, (Include all Schedule F, Column (h) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $1003 INCURRED TOTALS $
2, Total accrued expenses pad this period, (Include at Schedule Ft Column (c) subtotals for payments on
accrued expenses of 3100 or more, ptus total uniternizect payments on accrued expenses under $100.) PAID TOTALS $
Net change this period, (Subtract Line 2 from Line 1, Enter the difference here and
on the Summary Page, Column A, Line 9)
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-2,500.0
0,00
NET $ -2, SOO .00
nay eta negatve rumEer
FP PC Form 460 (Jan/2016)
FPPC Tell -Free Helpline 866/ASK-FPPC (866(275-3772)
www.fopc.ca„gov