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Home My WebLink AboutForm 460 - Firefighters' Association PAC (2013-12-31)Recipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) a= V, I &19 -.111110 9 101 11L Type or print in ink. Statement covers period Date of election if applicablo. (Month, Day, Year) 7/1/13 from U= 12/31/13 1. Type of Recipient Committee: All Committees — Complete Parts 1,, 2,3, and 4. Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) JZ General Purpose Committee (R) Sponsored 0 Small Contributor Committee 0 Political Party/Central Commifte,.-.., Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information■ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Firefighters Political Awareness CommitteiA. STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 2. Type of Statement: Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Page Of For Official Use Only Quarterly Statement Special Odd -Year Report Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER Jason Hatfield MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94912 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94912 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 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 corre5 AW ne 40, & Executed on By Date Signature of Treasurer or Assistant Treasurer Executed on Date Executed on Date Executed on _. Date 0 of Cg Officeholder, Candidate, State Measure Proponent or By Signature of 1Ccntroffing Officeholder, Candidate, State Measure Proponent By Signature of Controlling Oftehokier, Candidate, State Measure Pmponent FPPC Form 460 (January/05) FITC Toll -Free Helpline: 866/ASK-FPPC (866t275-3772) State of California Type or print in ink. %,Vampaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. NAME OF FILER San Rafael Firefighters Political Awareness Committee Expenditures Made, 6. Payments Made ....................................................... Schedule E, Line 4 $ Column A Contributions Received amounts in Column A to the TOTALTHIS PERIOD 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 6070 2. Loans Received ...................................................... Schedule 8, Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 6070 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED........................... Add Lines 3 + 4 $ 6070 Expenditures Made, 6. Payments Made ....................................................... Schedule E, Line 4 $ 20787r 7. Loans Made ............................................................. Schedule H, Line 3 amounts in Column A to the 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 20787 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 report. Some amounts in 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 20787 Current Cash Statement the first report being filed 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 for this calendar year, only 103389 13. Cash Receipts ................................................... Column A, Line 3 above 6070 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 any). 0 15. Cash Payments .................................................. Column A, Line 8 above FPPC Form 460 (January/05) 20787 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 88672 ff this is a termination statement Line 16 must be zero. 1111 11111111 1 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ on 0 1 1 Cash Equival nts and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 Statement covers period CALIFORNIA from 7/1/13 FORM 46( 12/31/13 through L Page of I.D. NUMBER 891308 Calendar Year Summary for Candidates Column B CALENDAR YEAR TOTAL TO DATE Running In Both the State Prilmary and General Elections 14557 1/1 through 6/30 7/1 to Date $ 14557 0 $ 14557 $ 21057 0 $ 21057 0 H, 0 21057 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Lilmlit Summary for State Candl 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ To calculate Column B, add amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. 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). FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866fPPC (866/275-3772) Aft Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Firefighters Political Awareness Committee DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT MEASURE NUMBER OR LETTER AND JURISDICTION, ORCOMMITTEE Friends of bete Colin for San Rafael City Monetary 9/12/13 Council Contribution Nonmonetary Contribution Independent Support 0 Oppose Expenditure Maribeth Bushey -Lang for Sen Rafael City 0 Monetary 9/13/13 Counci12013 Contribution Nonmonetary Contribution Independent Support 0 Oppose Expenditure Committee for a safer San Rafael - Yes an Monetary 3123/13 measure E Contribution Nonmonetary Contribution Independent Support 0 Oppose Expenditure i■_a It Statement covers period from 7/1/13 12131/3 1 �S_ through Rage of ? 891308 CUMULATIVEDATE PER ELECTION AMOUNT YEAR: PERIOD A '"" SUBTOTAL 13000 4,1 r 1. Itemized contributions and independent enditures made this period.(Include all Schedule D subtotals.) ....@s......a..a.....$.$.e ............................... 2. Unitemized contributionsindependent expendituresi ri r 1 3. r i expenditures this period. In 1 not enter t Total contributions independent .) ............ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: si S FRP (8661275-3772) oft Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Firefighters Political Awareness Committee DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Committee for a Safer San Rafael - Yes on Monetary 11/4/2013 measure E Contribution Nonmonetary Contribution Independent Support Oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent Support oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent Support Oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent Support Oppose Expenditure DESCRIPTION (IF REQUIRED) Mailer in support of neasure E Statement covers period from 7/1/13 through 12/31/13 Page - J,cit I.D. NUMBER 891308 CUMULATIVE TO DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (JAN. I - DEC. 31) (IF REQUIRED) SUBTOTAL $ 20459 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Payments Made NAME OF FILER San Rafael Firefighters Political Awareness Committee Type or print in ink. Amounts may be rounded to whole dollars. i i� 111 2�� I �� Ili � 111i 1 M=A 3=01 Statement covers period from 7/1/13 through 12/31/13 1,5 Page 11, v Of I.D. NUMBER 891308 lui C JNJ _1: 10 CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFIC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs RL candidate filing/ballot fees PF10 phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals ND independent expenditure supporting/opposing others (explain)* 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 costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO EWER J.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Firefighter Print and Design Mailer in support of measure E 1780 Creekside Oaks IND $2459.31 Sacramento, CA 95833 Jason Hatfield PET San Rafael CA 94912 Committee for a safer San Rafael - Yes on measure E 1000 4th St. Suite 600 CTB San Rafael CA 94901 WRI-tu-11:101 Snacks and refreshments for petition circulation in support of measure E. Wms 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 20787 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule 13, Part 1 , Column (e).) ............................................................................... $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 20787 FIPIPC Form 460 (January/05) 1 117 im ilk Schedule E (Continuation Sheet) Payments Made NAME OF FILER I Type or print in ink. Amounts may be rounded to whole dollars. Lo T1903ro =0011!I111ii'll I is] 41 Statement covers period from 7/1/13 through 12/31/13 Page Of 0 W♦ Maribeth Bushey -Lang for City Council 2013 San Rafael CA 94915 *1357514 - W O -TI 075111111111 �0' i Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772) ScheduleA Type or print in ink. SCHEDULE F Amounts may be rounded statement covers period Monetary Contributions ReceivedCALIFORNIAto whole dollars. from (/ FORM 460 3EE INSTRUCTIONS ON REVERSE through Z Page of VAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONANDEMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) EMIND ] CO ICOM ❑PTMA% ❑SCC ZIND��r []COM y / sC] OTH ®. h 7-P 9 [ PTY^ ®SCC [3Com ❑COM [:] OTH vr�vrc�.✓t� G"� , ❑ PTY. []SCC ,rsc /tai /r'ri r � c�,1 `-°''A OND r�[^]COM OTH ;r 47 [:] SCC []COM BOTH 6 21 PTY []SCC SUBTOTAL$ 5Z Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 60-70 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... .....I ................ $ 0 ...... TOTAL $ 6 2 ;70 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) W Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT. Monetary Contributions Received Amounts may be rounded to whole dollars. Statementeoversperiod CALIFORNIA / i /. i from FORM through Page of__L.�__ NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FcoMM TTEE, ALSO ENTER ZIP CODE R} CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) QF REQUIRED) OF BUSINESS) - ®IND r. ft .rsm ❑COM OTH ra st Z m �a� o ❑ PTY ❑ SCC a G lj,s 4 F []IND ❑COM r e`�°. IZ�ic r E] OTH }'=¢F .❑ PTY" ❑SCC A IND r ❑ OTH ` VIA A9 ? > t' ❑ PTY - [-]SCC []IND ❑OTHT ❑PTY ❑ SCC - — ❑IND [-]COM f llJf ❑ OTH G'_ 1v ❑ PTY.` si ❑SCC SUBTOTAL$ -- 'Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) CTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT. Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period /� CALIFORNIA / , _ from f ZI FORM through �Z �3 Page of NAME OF FILER I.D. NUMBER DATE ZIP CODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVEDER FcoMMIDRE,ALSAND CODE * IIF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ JZIf 1 ❑COM ❑OTH r-1 PTY ❑ SCC �j _ e ❑IND ❑COM ❑OTH PTY ❑ [3 SCC ❑IND ❑COM x' gyp. PTYrgt '� t ❑ c . []SCC - ----- -- -- � ❑COM L] OTH ❑ PTY ❑ SCC ,t. <a BIND COM <, ❑OTHC� /°'� PTY E] PTY SUBTOTAL$ / S� 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) CTH - Other (e.g., business entity) PTY - Political Party SCC- Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) R Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT. Monetary Contributions Received Amounts maybe rounded to whole dollars. Statement covers period CALIFORNIA / ' FORM from a through Page `'" of NAME OFFILER ;f � I.D. NUMBER �+y �+&e fide"O>`�g.szss�c.,_, � g,J_ I Ir DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EETAIF COMMITTEE,RALSAND O ENTER I.D. NUMB CODE * {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) IND ❑COM f1 ® OTH ' // []PTY W k�°°'4c',{ []SCC e ms`s: IND []COME] OTH E] PTY ,rOIND []COM a [] OTH D PTY []SCC d ef� [ 1ND �,� e on []COM E]OTH ` ❑PTY ,�t,Jsfe� ❑SCC '``� RIND ICOM - - r r s %"'P 15e, �� , PTY wl SCC 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL$ FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) N 12- 9 Z 9 Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE A (CONT. Monetary Contributions Received Amounts may be rounded Statement cover period CALIFORNIA to whole dollars. _ 4160 from through Pae of NAME OF FILER s NUMBE FULL NAME, , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPD. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) (IND [❑COM �. 6 ❑ OTH*T V.,'`'" [] PTY ❑SCC eOND l r . e, ' ' ".r ❑COM �� -e . t r [j OTH Cf❑ PTY []SCC ' may., ❑,IND ❑COM OTH - w PTY t is .. [j SCC IND r" x = ❑OTHPTY �. []SCC ❑COMOTH ❑❑PTY n b r` ❑ SCC *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT. Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. _ 46Q from M through d Page_ of NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE ZIP CODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE. ALSOAND CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Joe Vasco JOIND Firefighter 12-1-13 Fcdtdiuina CA 94954-5352 ❑coM OTH San Rafael PTY ❑ Scc Minhacl waar%/ka ®IND Firefighter 12-1-13 [:]Com San Rafael Rancho Cordova CA 95670-6987 ❑OTH ft'' ❑ PTY ❑ SCC Bill Waskyke ®IND Firefighter 12-1-13 ❑coM San Rafael FI Dorado Hills CA 95762-5980 ❑OTH ❑ PTY ❑ SCG Gabriel Wiliams 12IND Firefighter 12-1-13 Mill Valley CA 94941-1441 [-]COM ❑OTH San Rafael `' ' ❑ PTY ❑ SCC Matt Windrem 01ND Firefighter 12-1-13 Windsor CA 95492-9447 ❑coM ❑OTH San Rafael ❑ PTY ❑ SCC SUBTOTAL$ ' , *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvneornrintinink. SCHEDULEA (CONT. Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period , CLIFORNIA * i whole -ry ;•`1 . from FORM E t through Page of NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Miguel Padilla 01ND Firefighter 12-1-13 1— ..__- -J ❑COM San Rafael Dublin CA 94568 ❑OTH ❑ PTY ❑SCC ArthurPhillips IV JAIND Firefighter 12-1-13 "c" "...j --- ` & ❑coM San Rafael Sonoma CA 95476-7146 ❑OTH ❑ PTY ❑SCC KvIR RAutar OIND Firefighter 12-1-13 - - - --..-- - --- .._ ❑COM San Rafael EI Sobrante CA 94803-2306 ❑ OTH . PTY SCG Andrew Rogerson OIND Firefighter 12-1-13 --- ❑COM San Rafael 7,7Y Rohnert Park CA 94928-8172 ❑OTH ❑ PTY ❑SCC Grant S,VSAttA OIND Firefighter 12-1-13 ❑COM San Rafael -17 6, 73 San Francisco CA 94133-2459 ❑OTH .5 ❑ PTY ❑ SCC *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee SUBTOTAL$ ( fr FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvve or print in ink. SCHEDULE A (CONT. Monetary Contributions Received Amounts may be rounded to whole dollars. Statementcoverspenod CALIFORNIA 460 7 j # / /- _ from Page of ' through — NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Andrew Schifando JaIND Firefighter 12-1-13 ❑COM San Rafael 1 Fresno CA 93720-4292 OTH p PTY [3scC Jason Schmitt QIIND Firefighter 12-1-13 []Com San Rafael Livermore CA 94550-8503 pTH Q ❑ sec Mark Sedlack JaIND Firefighter 12-1-13 ❑COM ❑OTH San Rafael IVIVIVal I I till vr% tiu037-5004 [3 PTY [3 SCC Dave Shubin QJIND Firefighter 12-1-13 []COM OTH San Rafael Napa uA y4u58-3810 p PTY [] SCC Dan Su_ the_ rli_n 01ND Firefighter 12-1-13 [3Com San Rafael CI uorauc rims CA 95762-5529 [30TH ❑ PTY ❑ SCC *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $;+„ FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT. Monetary Contributions Received Amounts maybe rounded Statementov rsneriod CALIFORNIA to whole dollars. / r —7 " l _ I • i from 3' ' 3 through Page of NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE ZIP CODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSOAND CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BU5INESS) naviri I nnpc MIND Firefighter 12-1-13 ❑COM San Rafael San Rafael CA 94903 ❑ OTH PTY C] SCC narran I nvacchi� MIND Firefighter 12-1-13 ❑COM ❑OTH San Rafael Monterey CA 93940-1157 ❑ PTY ❑ SCC Eric MacAusland MIND Firefighter 12-1-13 .. San Anselmo CA 94960-1003 pcOM ❑OTH San Rafael ,1(� 1=A0 3 ❑ PTY ❑SCC Michael McCarthy MIND Firefighter 12-1-13 ivim vaney um 94941-1540 ❑COM ❑OTH San Rafael C / ❑ PTY ❑ SCC Evan Minard MIND Firefighter 12-1-13 J " ❑COM San Rafael Dublin UA 94568-2730 ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) TvDe or print in ink. SCHEDULE A (CONT. Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period - ' whole /' �' RM from Page of through NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 O , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, E CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED COMMITTEE,ALSOEDZIPNTER D.NUMB (IFCODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) James Kieffer ®IND Firefighter 12-1-13 ❑COM San Rafael Greenbrae CA 94904-1240 n OTH ❑ PTY ❑ SCC Rvan Kirkpatrick 01ND Firefighter 12-1-13 ❑COM San Rafael San Francisco CA 94123-1423 ❑ OTH ❑ PTY ❑ SCC Anael Landaverde OIND Firefighter 12-1-13 pcoM San Rafael Redwood City CA 94063-3759 OTH Q PTY ❑ $CC ®IND Firefighter 12-1-13 1 ❑COM San Rafael Livw i i ui G vn 94550-6123 ❑ OTH ❑ PTY ❑ SCC Matthew Locatelli JZIND Firefighter 12-1-13 ❑COM San Rafael p Scotts Valley CA 95066-3456 ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ _.S *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT. Monetary Contributions Received Amounts may be rounded Statementcovers veriod CALIFORNIA to whole dollars. I i from FORM Page I / through of NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE CODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPER CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSOAND CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Joseph Morel 01ND Firefighter 12-1-13 — — ' A_ EICO OTH San Rafael IVIM valley uH 94941 PTY (] SCG Mike Moraenlaender ®IND Firefighter 12-1-13 Petaluma CA 94954-7414 pcOM PTH San Rafael Q TY p scC Cameron Mrsny ®IND Firefighter 12-1-13 ❑COM D OTH San Rafael Redwood City CA 94061-4209 ❑ PTY E]SCC Rich Nettelman QJIND Firefighter 12-1-13 Novato CA 94947-2069 pcoM ❑ OTH San Rafael ,r d t ❑ PTY [] SCC Garrett Northern ®IND Firefighter 12-1-13 [3Com San Rafael Forestville CA 95436-9274 OTH PTY ❑ SCC *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT. Moneta Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. ' from FORM through Page i " of NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE AND ZIPCODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO L CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Graham Winkelman RIND Firefighter 12-1-13 ❑COM San Rafael aarna rlosa U/.% 95404-1714 E] OTH �� ❑ PTY ❑ SCC Robert Winner RIND Firefighter 12-1-13 ❑COM ❑OTH San Rafael Vallejo u/A 94590-3054 ❑ PTY ❑ SCC Ivan 7hiik RIND Firefighter 12-1-13 ❑COM [] OTH San Rafael aaUF aI i iG1 ILU %a , ❑ PTY ❑ SCC []IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND []COM ❑ OTH ❑ PTY ❑ SCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) CTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)