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HomeMy WebLinkAboutForm 460 - Firefighters' Association PAC (2013-06-30)a Recipient committee %.oarnpaig n Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/1/2013 through 6/3012013 Date of election if applicable: (Month, Day, Year) 4 Vic W, W a T Received[ Page of For Official Use Only JUN 2 8 T Iry. 10 e, 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: City of San Rafael El officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure ❑ Preelection Statement Gje�Semi-annual Statement [:1 Quarterly Statement Report 0 State Candidate Election Committee Committee Executed on E] Special Odd -Year 0 Recall 0 Controlled Executed on EJ Termination Statement Supplemental Preelection (Also cornplete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 FPPC Toll -Free Helpline: 866lASK- FPPC (8661275-3772) (Also Complete Parts) F-1 Amendment (Explain below) Gen rap Purpose Committee VSponsored E] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Firefighter's Political Awareness Committee STREET ADDRESS (NO P.O. BOX) San Rafael CA 94901 CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX San Rafael. CA 94912 CITY STATE ZIP CODE AREA CODE/PHONE 11 11,1111171 I'll 1, 1111 T.00MIAMi Treasurer(s) I 1, 01 IT, I WOUS- IN MEN N a 0 Eric Jennings MAILING ADDRESS CITY STATE 21P ODE AREA CODE/PHONE San Rafael CA 94912 NAME OF ASSISTANT TRE#SURER, IF ANY el_5�00 leiolf MAILING ADDRESS ) CITY STATE Zi!5 CODE 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. B y Executed on tiganatureo lr�easur�eror �sststa�ntre�asure�r Executed on ate By Executed on By Executed on at By fA FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866lASK- FPPC (8661275-3772) SEE IN.qTRLJCTIONS ON REVERSE NAME OF FILER San Rafael Firefighters' Political Awareness Committee Statement covers period I CALIFORNIA 4 A bO'6 6 UO% 1/1/13 FORM f rom — I through 6/30/13 f 1 . Page 2. o9- Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 270 2 7. Loans Made ............................................................. Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 270 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 270 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 95157 13. Cash Receipts ................................................... Column A, Line 3 above 8487 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 15 15. Cash Payments .................................................. Column A, Line 8 above 270 — 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 103,389 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED... ... ................. Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 19. Outstanding Debts AddLine 2 +Line gin Column Babove $ 0 $ 270 $ 270 $ 270 To calculate Column 13, 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 •- • -• 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). I.D.NUMBER 891308 .,alendar Year Summary for Candidates kunning in Both the State Primary and 30% eneral Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ . 21. Expenditures Made $ Expenditure Limit Summary for State Candidates (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Column A Column B Contributions Received TOTALTHIS PERIOD (FROM CALENDAR YEAR ATTACHED SCHEDULES) TOTALTO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 8487 $ 84B7 2. Loans Received ...................................................... Schedule 13, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 8487 $ 8487 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 8487 $ 8487 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 270 2 7. Loans Made ............................................................. Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 270 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 270 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 95157 13. Cash Receipts ................................................... Column A, Line 3 above 8487 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 15 15. Cash Payments .................................................. Column A, Line 8 above 270 — 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 103,389 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED... ... ................. Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 19. Outstanding Debts AddLine 2 +Line gin Column Babove $ 0 $ 270 $ 270 $ 270 To calculate Column 13, 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 •- • -• 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). I.D.NUMBER 891308 .,alendar Year Summary for Candidates kunning in Both the State Primary and 30% eneral Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ . 21. Expenditures Made $ Expenditure Limit Summary for State Candidates (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule D Summary of Expenditures Supportiong/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILEk____ SAN RAFAEL POLITICAL AWARENESS COMMITTEE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2013 through 6/30/2013 Page of I.D. NUMBER 891308 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION 1 AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OR COMMITTEE 6/19/2013 Friends of Kate Collins for San Rafael City CouncilMonetaCampaign breakfast rXI ry 1270X270 Contribution [3 Nonmonetary Contribution Independent Support Oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent E3 Support ❑ Oppose Expenditure Monetary Contribution E] Nonmonetary Contribution E] independent Support Oppose Expenditure W". • llmumcl 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ......................................................... $ 270 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 enteron the Summary Page.) TOTAL $ 270 F6 FPPC Toll -Free Helpline: 86 P/ADW-?Pdjg4gfffta SVz� Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER SAN RAFAEL FIREFIGHTER'S POLITICAL AWARENESS COMMITTE1 from 1/1/2013 through 6/30/2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page of I.D.NUMBER 91308 CNP 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)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND 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 (internet, e-mail) 7,1#.Tn- W CODE OR DESCRIPTION OF PAYMENT ��ff Campaign breakfa%71, Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $270 1. Itemized payments made this period. (include all Schedule E subtotals.) .... ................................................................................................... ..... $ 270 2. Uniternized payments made this period of under $100 ........ ...................... ............................ ...... .......... .......... ......... ....................... $ 0 3. Total interestpaid this period on loans. (Enter amount from Schedule B, 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 $ 270 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule 1 Type or print in ink. � SCHEDULE 1 Miscellaneous Increases to Cash Amounts may be rounded Statement covers period CALIFORNIA A 01% 0%1 to .Thole dollars. FORM from 6/30/12 I through 1/ 1/ 13 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Firefighters Political Awareness Committee 891308 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH RECEIVED (IF COMMITTEE, ALSO ENTER c.©. NUMBER) � 6/1/13 113ank of America lInterest 15.00 10004 Street, San Rafael CA 94901 i Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule I Summary . Itemized increases to cash this period. ............. ................................................... _ ......................... ............... . Unitemized increases to cash of under $100 this period....... .....s................................................................................ 0 3. Total of all interest received this period on leans made to gathers. (Schedule H, Column (e).) ................................. 0 . Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.)........................................................................................................................... TOTAL. $ 15 FPPo Form 460 (January/05) FPPO Toll -Free Helpline: 86 A -FPP'O 66/275-3772) Ct-hnrli ilia O Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CALIFORNIAA60 from 1/1/13 FORM 1/1/12 th�g rough 6/30/13 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DATE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE iFcoMMiTTEE,ALsoENTERi,D.NUMeER) RECEIVED * CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD I (JAN. (IF REQUIRED) OFBUSINESS) --- ---- —�--- 6/1/2013 — -� ®IND Firefighter 69— 169 Barnes, Daniel ❑COM oPTY (City of San Rafael I a ev, ❑scc 6/1/2012 [?ND!Firefighter 1138 138 Barrow, Justin ❑COM Wonomna, MW TH ❑P i ❑PTY it of San Rafael � y ❑scc -- --- -- - 6/1/2012 E?tfND (Firefighter 138 138 Bernard,Paul ❑coM ❑OTH City San Rafael ❑ PTY of Elk Grove, CA 95624 ❑scc 6/1/2012 [yfND Firefighter 138 138 Bowermaster Paul ❑coM ❑OTH City of San Rafael Dr. Concord, scc --- 6/1/2012-�-- — -- ----------- --- ' C��--_--I�Firefighter 138 138 Brown, Richard i ❑coM ❑❑PTY City of San Rafael Oaklev, CA 94561 ❑SCC Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................... 2. Amount received this period - unitemized monetary contributions of less than $100 ............... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) - .................... SUBTOTAL$ $ 8487 $ 15 '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 TOTAL $ 8502 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-) Monetary Contributions Received Amounts may be rounded ( — Statementcovers period CALIFORNIA to whole dollars. 111 4.1 from 1/1/13 through 6/30/13 - Page '7 of --- — ------------- ------ - LD. NUMBER NAME OF FILER San Rafael Firefighters' Political Awareness Committee 891308 I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR' CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE I OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE DATE RECEIVED (IFCOMMITTEE,ALSOENTERLD.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 12/1/12 iClark, Nathan ND Firefighter 138 138 ❑ COM imm DOTH it of San Rafael Y ❑ PTY '195404 ❑SCC 12/1/12 IConover,Jeffery D Firefighter 9 9 ❑COM (Petaluma, CA 94954 DOTH �scc Cit of San Rafael Y 12/1/12 Coo per,Chris Firefighter .138 138 ❑[ COM oPTY ity of San Rafael ❑SCC 12/1/12 �iCornell, David &ND Firefighter 138 138 ❑ COM DOTH of San Rafael Roseville, CA 95678 ❑PTY �ity ❑SCC � 12/1/12 ICrimmins,Paul D it Y of San Rafael 115 115 [:]COM ❑ OTH D PTY !CA 94931 ❑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 460 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Statement covers period from 1/1/13 • through 6/30/13 Page NAME OF Fu FR I.D. NUMBER San Rafael Firefighters' Association Political Awareness Committee 891308 DA FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR ANTERI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PE RECEIVED (IF COMMITTEE, ALSO NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 GoodwinR an Firefighter 138 138 COM PTY City of San Rafael SCC 6/1/13 Gordon, Shawn William 0ND Firefighter 138 138 COM Dublin, Ca, 94568 OT PTY City of San Rafael SCC 6/1/13 -IND Firefighter 138 138 COM 4 PTY City of San Rafael SCC 6/1/13 Hamilton, Kyle 4ND Firefighter 138 138 COM Folsom, CA 95630 Pn ity of San Rafael CTH SCC 6/1/13 Hamilton, Richard "�D City of San Rafael 138 138 COM Ripon, CA 95366 OT PTY scc_ SUBTOTAL$ lox Schedule A (Continuation Sheet) Statement covers period CALIFORNI, Monetary Contributions from 111/13 • through 6/30/13 r Page I o-t NAMF nF FII FR I.D. NUMBER San Rafael Firefighters' Political Awareness Committee R913nR �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PE RECEIVED (IF COMMITTEE, I.D. NUMBER) IT CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 Hatfield, Jason ND Firefighter 138 138 COM Santa Rosa, CA 95409 OT PTY City of San Rafael SCC 6/1/13 Hax, Gary AND Firefighter 9 69 COM Novato, CA 94947 Pn, City of San Rafael SCC 6/1/13 Kadzielawa, Steve t-IIND Firefighter 138 138 COM an Anselmo, CA 94960 OTCity of San Rafael PTY SCC 6/1/13 Kelleher, Kevin - 4ND Firefighter 138 138 COM Fairfield, CA 94534 PT, City of San Rafael SCC 6/1/13 BIND City of San Rafael 138 138 COM 0TH PTY SCC SUBTOTALS F 4 M Schedule A (Continuation Sheet) Statement covers period • Monetary Contributions from 1/1/13 • through 6/30/13 Page) NAME OF FILER I.D. NUMBER San Rafael Firpfiahtprs' Association Political Awareness Committpp 891308 DATE 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 PE RECEIVED D. QFCOMMIT E,ALSO ENTER I. DNUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF OF BUSINESS) 6/1/13 Kieffer, Jim —IND Firefighter 138 138 COM Pn City of San Rafael SCC 6/1/13 Kirkpatrick, Ryan ✓IND Firefighter 138 138 COM San Francisco, CA 96123 PTYCity of San Rafael scc 6/1/13 An el ✓IND Firefighter 138 138 COM OT City of San Rafael PTY scC 6/1/13 wis, Michael Syl Levain BIND Firefighter 138 138 COM (Livermore, CA 94550 PTYCity of San Rafael scc 6/1/13 'Locatelli, Matthew OND City of San Rafael 138 138 COM Scotts Valley, CA 95066 PTY I scc SUBTOTAL$ R Schedule A (Continuation Sheet) Statement covers period • _ Monetary Contributions from 1/1/13 • through 6/30/13 Page 0 NAME OF FILER San Rafael Firefighters'Association Political Awareness CommitteeDATE 891308 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PE RECEIVED (ETIF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 Lovecchio, Darren ✓1ND Firefighter 138 138 COM PTY City of San Rafael SCC 6/1/13 MacAusland, Eric %IND Firefighter 138 138 Com n Anselmo, CA 94960 PTY City of San Rafael SCC 6/1/13 IND Firefighter 138 138 COM anta Ro*CA09 Pn, City of San Rafael SCC 6/1/13 McCarthy, Michael AND City of San Rafael 138 138 COM Mill Valley, CA 94941 OTH PTY SCC SUBTOTAL 1552 IP is SUBTOTALS 107" .X t g Statement covers period CALWORNIi from 1/1/13 FORM through 6/30/13 Page Z a NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 DA FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDZII. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PE RECEIVED DNUMBER) (COMMITTEE, ALSOAENTER D. CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 Minard, Evan —*D Firefighter 138 138 COM Dublin, CA 94568 PTY City of San Rafael SCC 6/1/13 Northern, Garrett "fND Firefighter 138 138 COM T P PTY City of San Rafael SCC 6/1/13 Phillips, Artie ✓1ND Firefighter 138 138 COM Sonoma, CA 95476 OT City of San Rafael PTY SCC 6/1/13 Mor enlaender, Mike wiND Firefighter 138 138 COM eta uma, OTIi PTY City of San Rafael SCC 6/1/13 Mrsn Cameron �D City of San Rafael 138 138 COM East Palo Alto, CA 94303 oTH PTY SCC SUBTOTALS 107" .X t g SUBTOTALS �-Ig Statement covers period from 1/1/13 FORM Page Is G through 6/30/13 NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A ZIP RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PE RECEIVED (EET IT ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 %AD Firefighter 138 138 COM PTY City of San Rafael SCC 6/1/13 Reuter, Kyle oM Firefighter 138 138 EI Sobrante, CA 94803 OT PTY City of San Rafael SCC 6/1/13 Rogerson, Andrew -ND Firefighter 138 138 COM Rohnert Park, CA 94928 OT City of San Rafael PTY SCC 6/1/13 40 Firefighter 138 138 COM OTH City of San Rafael PTY SCC 6/1/13 Sedlack, Mark C (City of San Rafael 138 138 COM 'Morgan Hill, CA 95037 Pte, SCC SUBTOTALS �-Ig Schedule A (Continuation Sheet) Statement covers period • . Monetary Contributions from 111113 • —` through 6130113 Page NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 DATE 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 PE RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE * (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 vi `IND Firefighter 138 138 COM PTY City of San Rafael SCC 6/1/13 Sutherlin, Daniel MND Firefighter 138 138 COM EI Dorado Hills, CA 95762 PTY City of San Rafael SCC 6/1/13 Schifando Andrew -IND Firefighter 138 138 COM resno, Ca, 93720 OT City of San Rafael PTY SCC 6/1/13 Schmitt, Jason w ND Firefighter 138 138 COM Livermo�W50 Pn of San Rafael PTH TY SCC 6/1/13 Vasco, Joe OND City of San Rafael 138 138 COM OTH PTY SCC SUBTOTAL vg Schedule A (Continuation Sheet) Statement covers period Monetary Contributions from 1/1/13 • through 6/30/13 Page S < NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 DATE 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 PE ENTER I.D. NUMBER RECEIVED (IF COMMITTEE, ALSO.D.) CODE I (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF OF BUSINESS) 6/1/13 Shubin David '-IND Firefighter 138 138 COM Napa, CA 94558 CITH of San Rafael PTY ;City SCC 6/1/13 Sutherlin, Daniel AND Firefighter 138 138 COM EI Dorado Hills, CA 95762 per, City of San Rafael ScC 6/1/13 Schifando Andrew %.,nvD Firefighter 138 138 EW COM Fresno, Ca, 93720 OTH City of San Rafael PTY SCC 6/1/13 Schmitt Jason -4ND Firefi hter g 138 138 COM v OTH City of San Rafael PTY SCC 6/1/13 Vasco, Joe VND 'City of San Rafael 1138 138 COM OTH PTY SCC SUBTOTAL 90 Schedule A (Continuation Sheet) Statement covers period • . from 1/1/13 Page !(0!1 Monetary Contributionsthrough 6/30113 NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 DATE 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 PE (IF COMMITTEE,ALSOENTERW.NUMBER) RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF OF BUSINESS) 6/1/13 Wasd ke Bill " fND Firefighter 138 138 COM OTH City of San Rafael PTY SCC 6/1/ .AND Firefighter 138 138 COM Rancho Cordova, CA 95670 PTY City of San Rafael SCC 6/1/13Winkelman, Graham OND Firefighter 138 138 COM nta Rosa, CA 95403 OTCity of San Rafael PTY SCC 6/1/13 Winner, Rob vIND Firefighter 138 138 COM allejo, CA 94590 San Pn City of Rafael SCC 6/1/13 !Miguel Padilla VND Firefighter 138 138 COM OTH ity of San Rafael PTY SCC SUBTOTAL$ s -P 14 Schedule A (Continuation Sheet) Statement covers period from 1/1/13 FORM Monetary Contributions i through 6/30113 Page NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 DATE 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 PE RECEIVED (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 Joseph More "IND Firefighter 138 138 COM Mill Valley CA 94941 PTY City of San Rafael scc 6/1/13 David Lopes Firefighter 138 138 M San Rafael CA 94903 PTY City of San Rafael SCC 6/1/13 eff Endaya-,'fND Firefighter 138 138 COM Rocklin CA 95677 Pn City of San Rafael scc 6/1/13 Randall Ainsworth %4ND Firefighter 138 138 COM Auburn CA 95603 PTY of San Rafael PTH TY scc 6/1/13 Ivan Zhuk oM Firefighter 138 138 :Sacramento CA 95827 POTTY City of San Rafael SCC byU SUBTOTALS Schedule A (Continuation Sheet) Statement covers period CALIFORN from 1/1/13 FORM Monetary Contributions through 6!30/13 Page 1� NAME OF FILER I.D. NUMBER San Rafael Firefighters' Political Awareness Committee 891308 �� 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 PE RECEIVEDCODE (EFTAIF COMMITTEE,RALSAND I.D.NUMB * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF OF BUSINESS) 6/1/13 Alvarez, Jimmy 14ND Firefighter 46 46 COM PTY City of San Rafael SCC 6/1/13 Alviso, Anthony ✓ ND Firefighter 46 46 COM 1 OT PTY City of San Rafael SCC 6/1/13 Preckwinkle, Scott vtND Firefighter 46 46 coM OTH City of San Rafael PTY SCC 6/1/13 Millspaugh, Melissa .4ND Firefighter 4 46 COM OTH City of San Rafael PTY SCC 6/1/13 Rojo, Richard -JND Firefighter 46 6 COM OT PTY Icity of San Rafael SCC j SUBTOTAL$ !230 -� 18