Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutForm 460 - Police Association PAC (2013-09-21)Recipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) ffgzu• Type or print in ink. Statement covers period Date of election if applicable: Page of 78 (Month, Day, Year) from 07/01/2013 For Official Use Only through. 09/21/2013 11/05/2013 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. F] Officeholder, Candidate Controlled Committee EJ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) F1 General Purpose Committee 0 Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) 1520 Fifth Avenue CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94901 (415) 485-3000 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 151557 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94915-1557 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 c under penalty of perjury under the laws of the State of California that the foregoing is true and corre I Executed on 09/26/2013 Date Executed on Q212E/2013 ® Semi-annual Statement Date Executed on Termination Statement F -I Date Executed on Statement - Attach Form 495 Date www.netfile.com 0 By __ Signatureof 2. Type of Statement: E] Preelection Statement Quarterly Statement ® Semi-annual Statement Special Odd -Year Report Termination Statement F -I Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Minka MAILING ADDRESS 1520 Fifth Avenue CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94901 (415) 485-3000 NAME OF ASSISTANT TREASURER, IF ANY Ms. SLac�4 R - Owens MAILING ADDRESS 5940 College Avenue CITY STATE ZIP CODE AREA CODE/PHONE Oakland. CA 94618 (CInl rc;9_10no iWr?lon contained herein and in the attached schedules is true and complete. I certify reasurer or Assistant Treasurer By Signature of Controlling Officeholder, Candidate, 1'_'3tate Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC For 460 (January/05) FPPC Toll -Free Helpline-, 866/ASK-FPPC (866/275-3772) State of California ..- ... •. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? Ej YES F-� 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? YES NO COMMITTEE ADDRESS STREET ADDRESS NO P.O. BOX) CITY STATE ZIP CODE AREA CGDE/PHONE CALIFORNIA law Ar& FORS 4bu of 78 6. Primarily Formed Ballot Measure Commift e NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Farmed 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 [] SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Q SUPPORT E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [:] SUPPORT E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE Attach continuation sheets if necessary FPPC Form 46 January/06 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be roundeffi-' Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Expenditures Made Column A Contributions Received Schedule E, Line 4 $ TOTAL THIS PERIOD 7. Loans Made ............................................................. Schedule H, Line 3 (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 3,984.40 2. Loans Received ..................................................... Schedule B, Line 3 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ 3,984.40 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 3,984.40 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 6,676.05 7. Loans Made ............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 6,676.05 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 6,676.05 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 45,868.67 13. Cash Receipts ................................................... Column A, Line 3 above 31984.40 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 0.57 15. Cash Payments .................................................. Column A, Line 8 above 6, 676 . 05 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 43,177.59 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES ----- ----- 0.00 ash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ................ ..... - Add Line 2 + Line 9 in Column B above Statement covers period from 07/01/2013 through 09/21/2013 Page 3 of 78 I.D. NUMBER 831553 Column B CALENDAR YEAR TOTALTO DATE $ 18,752.28 0.00 $ 18,752.28 0.00 0 18,752.28 $ 7,611.05 0.00 $ 7,611.05 0.00 0.00 $ 7,611.05 To calculate Column B, 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 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) J $ I J $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1-FPPC (866/275-3772) ScheduleA Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Statement covers period from 07/01/2013 through - 09/21/2013 Page 4 of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/201_3 Elisha Adams IND Officer 11.17 274.27 []COM C/o: San Rafael Police Association OTH City of San Rafael 1.520 Fifth Avenue PTY San Rafael, CA 94901 E4 SCC Union member's dues received through intermedia 2-v: an Raf4: ael Police Association, 1520 Fifth Avenue, Sin Rafael, CA 94901 07/31/2013 Elisha Adams ®IND Officer 11.18 274.27 ncom C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 E;SCC Union member's dues received through intermedia gy: an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Elisha Adams ®IND Officer 11.18 274.27 nCOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia ny:EINCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Elisha Adams nx IND Officer 11.17 274.27 F]COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia 2-y:EAPC.afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 ETTI-sFa A3ams nx IND Officer 11.17 274.27 000M C/o: San Rafael Police Association E] OTH City of San Rafael 1520 Fifth Avenue San Rafael, CA 94901 ,Union member's dues received through intermedia4V:[A9PTY CRafadl Police Association.. 152d Fifth Avenue, Sin Rafael, CA 94901 SUBTOTAL $ 55.87 1 1 Schedule A Summary *Contributor Codes 1. Amount received this period — itemized monetary contributions. IND -Individual (Include all Schedule A subtotals.) ........................................................................................................ $ 3,787.83 COM — Recipient Committee (other than PTY or SCC) 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 196.57 OTH - Other (eg., business entity) PTY — Political Party 3. Total monetary contributions received this period. SCC - Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 3,984.40 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) r-qWA OM rTA 73 Mw *�Iaao ffi. NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21/2013 Page 5 of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Raul Aguilar FRI IND Sergeant 11.17 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received thl:ough intermediaiv: anqSCRafae l Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Raul Aguilar [Z IND Sergeant 11.18 274.27 EICOM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue D PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throucrh intermedia 'ry qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael,- CA 94901 08/15/2013 Raul Aguilar ®IND Sergeant 11.18 274.27 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:E;aSnKafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Raul Aguilar [M IND Sergeant 11.17 274.27 EICOM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received threw intermedia ry:E;aSnC;,afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Raul Aguilar EZIND Sergeant 11.17 274.27 000M C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Qfl%(;� Union member's dues received through intermediadv:QYYY afaell Police Association, 1520 Fifth Avenue, Sin Rafael CA 9490L SUBTOTAL $ 55.87 *Contributor Codes IND — Individual 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) 1111 pliq Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA - - •460 to whole dollars. from 07/01/2013 FORM through 09021Z2013 Page 6 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Anthony Augustyn rx-1 IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermgdiaxy: qSCC an Rafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 07/31/2013 Anthony Augustyn [Z IND Officer 11.18 274.27 ❑Com C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue [:] PTY ❑ City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia iv: an qSCC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Anthony Augustyn Q IND Officer 11.18 274.27 F-1 COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue [:j PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediazy: qUnion anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Anthony Augustyn [2] IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 q SC Union member's dues received through intermedia :`-fan an(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Anthony Augustyn [Z IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 Union member's dues received through intermediady:Q§P:�afaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL* 55.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 556/ASIC-FFP C (866/275-3772) Type or print in ink. 'j Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21Z2013 I Page 7 _ of 78 _ I DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 07/15/2013 Blair Auld C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received throug,h intermediaxy:F;aSnCCRafae1 CONTRIBUTOR CODE 5XI IND ncom ❑OTH PTY IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Officer City of San Rafael Police Association, 1520 AMOUNT RECEIVED THIS PERIOD 11.17 Fifth Avenug, San CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 274.27 Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 07/31/2013 Blair Auld nx IND officer 11.18 274.27 EICOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv: anqSCRafae l Police Associ4tion, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Blair Auld nx IND officer 11.18 274.27 F1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SC Union member's dues received through intermedia r_v:E; an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Blair Auld nx IND officer 11�17 274.27 COM C/o: C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ( Union member's dues received throu h intermediary: anqsc"� afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Blair Auld nX IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association BOTH 1..520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia &:afaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party S SUBTOTAL$ 55. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/275-3772) • OM jX0 meniffilw-a Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09Z21Z2013 Page 8 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 James Bellamy Fx_j IND Officer 11.17 274.27 FICONI C/o: San Rafael Police Association MOTH 1520 Fifth Avenue ElPTY City of San Rafael San Rafael, CA 94901 Unionmember's dues received through intermediaxy:qaSnCl Rafae Police Association, 1520 Fifth AveLijj!2,_San Rafael, CA 94901 07/31/2013 James Bellamy [21 INC} Officer 11.18 274.27 MCOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received throuqh intermediaiv an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 James Bellamy [ZINC) Officer 11.18 274.27 C] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E; SC Union member's dues received through intermedia iv an Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 James Bellamy ®INC) Officer 11.17 274.27 000M C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;S Union member's dues received through intermedia iy: anCRafae Police Association, 1520 Fifth Avenue. Rafael, CA 94901 09/15/2013 James Bellamy nx IND Officer -San 11.17 274.27 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union meL mber's dues received through intermedia 9(;,afaell -01 Police Association, 1520 Fifth Avenue, S Rafael, CA 9490� SUBTOTAL $ 55.87 *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/AS1 -FPPC (866/276-3772) ALM, Uq mm Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21/2013 Page 9 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Todd Berringer ❑IND Corporal 11.17 274.27 []COM C/o: San Rafael Police Association r-1 OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through int ermediaxv: qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Todd Barringer[Z IND Corporal 11.18 274.27 EICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermedia'ry an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Todd Berringer ®IND Corporal 11.18 274.27 EICOM C/o: San Rafael Police Association OTH ❑PTY 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaa:v: `man Rafae l Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Todd Berringer FRI IND Corporal 11.17 274.27 EICOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia xy:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Todd Berringer ®IND Corporal 11.17 274.27 000M C/o: San Rafael Police Association DOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 E�§PCPafaeL Union member's dues received through intermedi,ady: Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL $ 55.87 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2013 FORM through 09/21Z2013 Page 10 - Of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2 013 Geoffrey Bowker IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue [--I PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia-rv: qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2 013 Geoffrey Bowker Fx� IND Officer 11.18 274.27 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 4 SCc Union member's dues received throe intermedia :`man Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Geoffrey Bowker [g IND Officer 11.18 274.27 000M C/o: San Rafael Police Association CATH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ( Union member's dues received throw intermedia xv:E; anSCRafe l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Geoffrey Bowker [Z INC} Of f icer 11.17 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:L-4anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Geoffrey Bowker [INC) Officer 11.17 274.27 EICCDM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 9490-1_L r%^ Union member's dues received throuqh intermedia §T P'�afaell Police Association, 1520 Fifth AvenueS4n _, Rafael CA 9490� SUBTOTAL$ 55.87 *Contributor Codes 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) MpgM I T-3 J, MITI ni URIMIRMRI Type or print in ink. Amounts may be rounded to whole dollars. 1 i ��JIII��j 14-140ME111111 i 111111 - Statement covers period from 07/01Z2013 through 09/21/2013 1 Page 11 . of 78 _ DATE RECEIVED 07/15/2013 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary CONTRIBUTOR CODE [_X1 IND ❑ COM MOTH F-1 PTY [;SCC an Rafael IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Records Clerk City of San Rafael Police Association, 1520 AMOUNT RECEIVED THIS PERIOD 8.69 Fifth Avenue. San CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 213.12 Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 07/31/2 013 Lynne Bracken rx] IND Records Clerk 8.70 213.12 F-1 COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2 013 Lynne Bracken BIND Records Clerk 8.70 213.12 F]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rv:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/20 13 Lynne Bracken nx IND Records Clerk 8.69 213.12 com C/o: San Rafael Police Association MOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 qUnion member's dues received throuqh intermediary: anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/20313 Lynne Bracken nx IND Records Clerk 8.69 21.3.12 000M C/o: San Rafael Police Association OTH 1.520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901§P; Union member's dues received through intermediady:E4 ,afae1l Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490� *Contributor Codes IND - Individual Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party 59fS, _-,Q"u2JJ_C_4AxJbh_WnLfac, SUBTOTAL $ 43.47 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07Z41Z2013 *Contributor Codes IND — Individual 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) through 09/21/2013 Page 12 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUTOR ONTRIB IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE M U LATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Michael Byers rx-1 IND Corporal 11.17 274.27 ❑COIVI C/o: San Rafael Police Association BOTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia-rv:qaSnCCRafael Police Association, 1520 Fifth. Avenue, an Rafael, CA 94901 07/31/2013 Michael Byers [Z IND Corporal 11.18 274.27 � COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv: qSCC an Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Michael Byers IND Corporal 11.18 274.27 E]COM C/o: San Rafael Police Association F�OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 E; Union member's dues received throe intermediaiv: anScRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Michael Byers FxjIND Corporal 11.17 274.27 Com C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 qUnion member's dues received through intermediayy: anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0.9/15/2013 Michael Byers EE IND Corporal 11.17 274.27 EICOM C/o: San Rafael Police Association E]OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901Paf Union member's dues received through intermedia L-49TY aeL--Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL. $ 55.87 *Contributor Codes IND — Individual 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) ME0 =A- i MiTj Le M*1@M Pion RTOTi " Oz. 0 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21Z2013 Page 13 - Of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNTCUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Shelly Cade IND Dispatcher 8.69 213.12 El COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received through intermedia xv:--san Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Shelly Cade EZ IND Dispatcher 8.70 213.12 r-1 Com C/o: San Rafael Police Association n CITH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 (LSCC Union member's dues received through intermedia :`man Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Shelly Cade N IND Dispatcher 8.70 213.12 El COM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 S Union member's dues received through intermedia"ry:E; anC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Shelly Cade [ffl IND Dispatcher 8.69 213.12 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 CRaf Union member's dues received throu h intermedia ly: q anSC a 1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 1 0.9//15/2013 Shelly Cade BIND Dispatcher 8.69 213a12 ncom C/o: San Rafael Police Association F] CITH 1520 Fifth Avenue [j PTY City of San Rafael San Rafael, CA 94901 -% I Union member's dues received throuqh intermedia d V: L-Alp'-p'afae Police Association, 1520 Fifth AvenueS Rafael, CA 9490 SUBTOTAL$ 43.47 *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) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07ZOl/2013 through 09/21/2013 NAME OF FILER San Rafael Police Association Political Action Committee CALIFORNIA FORM 460 Page 14 of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Joseph Camins IND Of f icer 11.17 274.27 []COM C/o: San Rafael Police Association [DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CC1� Union member's dues received through intermediarv:qaSn Rafael Police Association. 1520 Fifth Avenue, San Rafael,, CA 94901 07/31/2013 Joseph Camins ® IND Officer 11.18 274.27 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary qSCC an Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Joseph Camins BIND Officer 11.18 274.27 El COM C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 SC Union member's dues received through intermediary: q anRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Joseph Camins [ZIND Officer 11.17 274.27 EICOM C/o: San Rafael, Police Association BOTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 SC E;(� Union member's dues received through intermediary: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 09/15/2013 Joseph Camins ®IND Officer 11.17 274.27 ❑ COM C/O: San Rafael Police Association []OTH 1520 Fifth Avenue E:] PTY City of San Rafael San Rafael CA 94901 Union member's dues received through intermedia afaell Po Lice Association, 1520 ' Fifth Avenue, S Rafael, CA 94901l *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 $ 55.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 0 IMM11 N I J Are T ;71r a r a il I NMI � RMOU R t re ro r I Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07Z01/2013 *Contributor Codes 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 (8661275-3772) through 09/21Z2013 Page 15 - Of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 David Casalnuovo IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary:E; anSCRafae l Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 David Casalnuovo rx-1 IND Officer 11.18 274.27 000M C/o: San Rafael Police Association DOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermedia'ry:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 David Casalnuovo [3fl IND Officer 11.18 274.27 M COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [:] Union member's dues received through intermedia rv:`-San Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 David Casalnuovo ®IND Officer 11.17 274.27 []COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ry:q SC anRafael Police Association/ 1520 Fifth Avenue, San Rafael, CA 94901 09/15/201_3 David Casalnuovo ®IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 intermedia Union member's dues received through §F(;Zaf aell Police I ice Association 1520, Fifth Avenue, S�n Rafael CA 9490[L SUBTOTAL $ 55.87 *Contributor Codes 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 (8661275-3772) Ma WO W"MireTlIT-3 Rz. 0 San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 9 from 07ZOl/2013 through 09Z21/2013 Pana 16 of 78 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 07/15/2013 Allan Castaneda C/o: San Rafael Police Association 1520 Fifth AvenueCity San Rafael, CA 94901 Unionmember's dues received through intermediay_y:L�anl CONTRIBUTOR CODE EZ IND EICOM DOTH F-1 PTY F-1 C z;CRafae IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Officer of San Rafael Police Association, 1520 AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) 11.17 274.27 Fifth Avenue, San Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 07/31 /2013 Allan Castaneda IND Officer 11.18 274.27 ❑Com C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 [;SCC Union member's dues received throuc[h intermedia rv: an Rafael Police Association, 1520 Fifth Avenue, San CA 94901 08/15/2013 Allan Castaneda FRI IND Officer -Rafael, 11.18 274.27 EICOM C/o: San Rafael Police Association [ICON 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 'ry:q anscRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Allan Castaneda IND Officer 11.17 274.27 COM Clo: San Rafael Police Association QOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermediaxy:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Allan Castaneda, [MIND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 �v Unionmemember's dues received through intermedia r __A9;afae1l :L4 Police Association 1520, Fifth Avenue, An Rafael, CA 94901L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL$ 55.87 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) R A ft, A. Aft Ims a UJWA — 1V14J11t:LCX1y %oV11L11L)UL1VF15 MeGellVeCl Amounts may oe rounaea Statement covers period to whole dollars. from through 0922112013 NAME OF FILER San Rafael Police Association Political Action Committee CALIFORNIA FORM 460 Page 17 . of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Edward Chiu Fx_j IND Officer 11.17 274.27 F-1 COM C/o: San Rafael Police Association [JOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuah intermediaxv: E;1 anRafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Edward Chiu [BIND Officer 11.18 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:qan %.;Cc Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA94901 08/15/2013 Edward Chiu N IND Officer 11.18 274.27 [:]Com C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY Union member's dues received through intermedia-rV:qdSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/31/2013 Edward Chiu FX -1 IND Officer 11.17 274.27 ncom C/o: San Rafael Police Association LITH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY member's dues received throj��y:anC �Union Rafae Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Edward Chiu ®IND Of f icer 11.17 274.27 []COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union memb��.L_4 er's dues received through intermedia __AYCRafaell J Police Association, 1520 Fifth Avenue, San Rafael, CA 9490[L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL $ 5 .87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monellary t;on1r1Dut1onsKeceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01Z2013 FORM through 09/21/2013 Page 18 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Robert Cleland BIND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association f-] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received throu_qh intermediaxy: anqSCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Robert Cleland ®IND Officer 11.18 274.27 MCOM C/o: San Rafael Police Association nOTH 1.520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throqgh intermediaxy: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Robert Cleland ®IND Officer 11.18 274.27 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901T Union member's dues received intermedia-rv:l TanRafaethrough Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/31/2013 Robert Cleland ®IND Officer 11.17 274.27 F]COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 T Union member's dues received through intermedia zy: ( :Tan` afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Robert Cleland [21 IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901r_7§Pq Union member's dues received through intermedia y. afae L-4 Z1l Police Association , 1520 FifthAvenue, S4n Rafael CA 9490� Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) i PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21/2013 Page 19 - Of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Christopher Coale rx-1 IND Sergeant 11.17 274.27 FICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 E;aSnCCRafae1 Union member's dues received through intermediaxy: Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Christopher Coale RIND Sergeant 11.18 274.27 COM C/o: C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received throw gh_jnt.e��W.---,->an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Christopher Coale ®IND Sergeant 11.18 274.27 EICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazy: E; S - an "'Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Christopher Coale ®IND Sergeant 11.17 274.27 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia Ey:qaSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Christopher Coale BIND Sergeant 11.17 274.27 EICOM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael lSan Rafael, CA 94901 Union member's dues received through intermediaLLA afAeLPolice Association, 1.520 Fifth Avenue, S Rafael, CA 9490[L SUBTOTAL $ 55.87 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 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) AM — — _.L-- - 0% — I- - --C!!_ __ - r% a 0 IVIV111111WIFY %.vontriuuxions meceivea Amounts may De rounaed Statement covers period to whole dollars. from 07/01/2013 through 09/21/2013 CALIFORNIA FORM 460 Page 20 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Lori Coen [21 IND Records Clerk 8.69 213.12 MCOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia xy:q anSCRafa.e l Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Lori Coen IND Records Clerk 8.70 213.12 El COM C/o: San Rafael Police Association [10TH 1520 Fifth AvenueCity F] PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qanSC R.a.fae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Lori Coen N IND Records Clerk 8.70 213.12 COM C/o: San Rafael Police Association OC}TH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [:] Union member's dues received throe _qh intermediaxy: E;SC(� an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Lori Coen ®IND Records Clerk 8.69 213.12 EICOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu2h intermedia SC E;aRafn ae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0-9/15/20j_.3 Lori Coen ®IND Records Clerk 8.69 213.12 DCOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throll�hi�ntermedia afaeL Police Association, 1520, Fifth Avenue, Sin Rafael, CA 9490�1 Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL $ 43.47 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) IWI%0111�164AIY %OWNILKII&JULEW110 F-%W%ot:1V%2U /A111V 11M may wrounuea Statement covers period� to whole dollars. from 07/01/2013 through 09/21/2013 CALIFORNIA FORM 4b'dft 0 Page 21 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Eric Cogbill IND Officer icer F-1 COM 11.17 274.27 C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue San ❑ PTY City of San Rafael Rafael, CA 94901 Union member's dues received throe intermediary: Eric Cogbill E; an SCC Rafael Police Astgociation, 1520 Fifth Avenue, San Rafael. CA 94901 07/31/2013 FZ IND Officer 11.18 274.27 EICOM C/o: San Rafael Police Association r] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy,:, Eric Cogbill r -I San SCC Rafael Police Association, 1520 Fifth AvenLig�, S Rafael, CA 94901 08/15/2013 BIND Officer 11.18 274.27 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia ly:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafa,el, CA 94901 08/31/2013 Eric Cogbill Fxj IND Officer ncom 11.17 274.27 C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediary: �anSCR afae Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 09/l5/2013 Eric Cogbill BIND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue L] PTY City of San Rafael lUnion San Rafael, CA 94901 member's dues received through intermedia jV:QP;afaeP, Police Association, 15201 Fifth Avenue l San Rafael, CA 94901 Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee MUMMOM SUBTOTAL$ 55.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from - 07/01Z2013 through 09/21/2013 Page 22 of 78 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 07/lS/2013 Ryan Cogbill C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermedia -ry:qaSnCCRafael CODE [21IND El COM D OTH F] PTY IF IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Corporal City of San Rafael Police Association. 1520 AMOUNT RECEIVED THIS PERIOD 11.17 Fifth Avenue, San I CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 274.27 Rafael, CA 94901 I PER ELECTION TO DATE (IF REQUIRED) 07/31/2013 Ryan Cogbill ®IND Corporal 11.18 274.27 QCOIVI C/o: San Rafael Police Association ❑OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy: E;SC aCn Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Ryan Cogbill EZ IND Corporal 11.18 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 El Union member's dues received through intermedia-rv:[;anSC Rafae Police Association, 1520 Fifth Avenue, Sen Rafael, CA 94901 08/31/2013 Ryan Cogbill [Z IND Corporal 11.17 274.27 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 F� Union member's dues received through intermedia xy:[AnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Ryan Cogbill BIND Corporal 11.17 274.27 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union memher's dues received through intermedia]jy:Q�1 9(;'afaeE Police Association, 1520, Fifth Avenue, San Rafael, CA 949011 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) CITH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Commiltee SUBTOTAL$ 55.87 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) &A ^--A.-! r%- - - T_ __ -2 1V1V[1ULi2Uy %.*untriou-Lions meceivea Amounts may De rounclea Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2013 FORM through 09/21 2013 Page 23 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Thomas Collins [ZIND Officer 11.17 274.25 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia-ry:qSC Rafae anl Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Thomas Collins EZIND Officer icer 11.17 274.25 �COIVI C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:E; an %.)CC Rafael Police Association, 1,520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Thomas Collins NIND Officer 11.17 274.25 El COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901Q Unionr___' member's dues received through intermedia SC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2 013 Thomas Collins MIND Officer 11.17 274.25 []COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:L_4anC S Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490� 09/15/2013 Thomas Collins [ffl IND Officer 11.17 274.25 EICOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia jV:rL74§F�Zafae1l Police Association, 1520, Fifth Avenue, Sin Rafael, CA 9490[L IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 856-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21/2013 Page 24 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Antonette Cook IND Dispatcher 8.69 213.12 F]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuEISCC _qh intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Antonette Cook BIND Dispatcher 8.70 213.12 r-1 Com C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received throucrh intermediayv:--3an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Antonette Cook BIND Dispatcher 8.70 213.12 EICOM C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:qaSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Antonette Cook ®IND Dispatcher 8.69 213.12 F-1 COM C/o: San Rafael Police Association[BOTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ry:E; SC anR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Antonette Cook FRI IND Dispatcher 8.69 213.12 FICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediax1V:Q§19(;'afae1l Police Association, 1520, Fifth Avenue, S Rafael, CA 9490� SUBTOTAL $ 43.47 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) CITH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FFP C Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09Z21/2013 I Page 25 _ of 78 _ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Jaime Correa MIND Sergeant 11.17 274.25 E]COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 EISCC Union member's dues received throe c intermedia th intermed' San Rafael Eolice Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Jaime Correa M IND Sergeant 11.17 274.25 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Jaime Correa Fx IND Sergeant 11.17 274.25 F-1 COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy:Tan afael Police Association1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Jaime Correa [Z IND Sergeant 11.17 274.25 El COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue [] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia an :`-fan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Jaime Correa [MIND Sergeant 11.17 274.25 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 or% f"N I Union member's dues received throuqh intermedia Lggk"�afaell Police Association, 1.520 Fifth Avenue S Rafael, CA 9490L SUBTOTAL$ *Contributor Codes Individual COM — Recipient Committee Miftee (other than PTY or SCC) OTH — Other (e.g., business entit PTY — Political Party f FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) MAL: Type or print in ink. IWIWI 11� 16"Ey %0%011L11LJUL1%J11Z F%W%oWjVt:U PAmvutna may oe rounuea Statement covers period= to whole dollars. from- 07/01/2013 through 09/21/2013 CALIFORNIA FORM 460 Page 26 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) - OF BUSINESS) 07/15/2013 Ryan De Marta ®IND officer COM 11.17 274.25 C/o: San Rafael Police Association OTH 1520 Fifth Avenue San Rafael, PTY City of San Rafael CA 94901 Union member's dues received through, intermedia -rv:F Ryan De Marta I SanSCRafae l Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 [Z IND officer 11.17 274.25 EICOM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue San [-] PTY City of San Rafael Rafael, CA 94901 Union member's duesFISC received through intermediaiv: Ryan De Marta_ Snl Rafae Police Association, 1520 Fifth Av�nue, an a: Rafael, CA 949008/15/2013 [Z IND officer 11.17 274.25 [:]COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY Union member's dues received through intermedia xy:E;� :pan an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/31/2013 Ryan De Marta FRI IND officer icer EICOM 11.17 274.25 C/o: San Rafael Police Association BOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throuqh intermedia iy: E; an ScRafae Police Association, 1520 Fifth Avenue, SiAn Rafael, CA 94901 09/1-5/2013 Ryan De Marta BIND officer 11.17 274.25 EICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedig,. afae Police Association 2520 Fifth Avenue n Rafael CA 9490 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.85 FPPC Form 460 (Januar /05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) IWOWINW&CARY %A%J11L11LFUL1V11* F%Ct;VjVVU j&%mu "TZ may oe rounded Statement covers period to whole dollars. from 07/01/2013 through 09/21/2013 NAME OF FILER San Rafael Police Association Political Action Committee CALIFORNIA FORM 460 Page 27 of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Christian Diaz [ZIND Of f icer , FICOM 11.17 274.25 C/o: San Rafael Police Association F� O TH 1520 Fifth Avenue San F] PTY City of San Rafael Rafael, CA 94901 ,Union member's dues received through intermedia xy:E; Christian Diaz anSCRafae l Police Association, 1520 Fifth Avenue, S,.:.n Rafael, CA 94901 07/31/2013 ®IND Officer 11.17 274.25 EICOM C/o: San Rafael Police Association E]O TH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: Christian Diaz C %.;Cc qan Rafael Police Association1520 Fifth Avenue, S Rafael, CA 94901 08/15/2013 [Z IND Officer 11. 17 274.25 EICOM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 [:] PTY Union member's dues received through intermedia xv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Christian Diaz [8] IND Officer r-1 COM 11.17 274.25 C/o: San Rafael Police Association � OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediary:E; SC anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Christian Diaz I [ffl IND Officer 11.17 274.25 E]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw qh int intermedia §P(;af aeR Police ice Association, 1520 Fifth Avenue, Satn Rafael l CA 9490� IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-1=PPC (8661275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period through 09/21L2,013 - I Page 28 _ of 78 _ ftlEMIMIM DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Christopher Duncan MX IND EICOM Officer icer 11.17 274.25 C/o: San Rafael Police Association BOTH 1520 Fifth Avenue San Rafael, PTY City of San Rafael CA 94901 Union member's dues received throuah intermedia iv: Christopher Duncan FI San SCC Rafael Police Association. 1520 .Fifth Avenue,, San Rafael. CA 94901 -- 07/31/2013 Fx_j IND Officer icer 11.17 274.25 EICOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaivE;SC Christopher Duncan an Ra C fae l Police Association 20 Fifth Avenue, San Rafael, CA 94901 08/lS/2013 IND Officer 11.17 274.25 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia zy:E;aST'-l-'-"Rafael ^411% Police Association, 1520 Fifth Avenue,- San Rafael, CA 94901 08/31/2013 Christopher Duncan BIND Officer F]COM 11.17 274.25. C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediaxy:-4a lChristopher r % E'Kafael Sn Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Duncan 1 MIND Officer EICOM 11. 17 274.25 C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 lUnion member's dues received throe intermedia �V:L.4yly(�Rafaell Police AssociatLon, 1520, Fifth Avenue, San Rafael, CA 949,011 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Srta_��14, �t • SUBTOTAL$ 55.85 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. F-%=Lpt:jVt2U i6mmunib may ue rounaeo to whole dollars. Statement covers period from __07Z01Z2013 through_ 09/21Z2013 CALIFORNIA FORM 460 Page 29 _ of 78 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Scott Eberle IND Com Sergeant 11.17 274.25 C/o: San Rafael Police Association F -I OTH 1520 Fifth Avenue San F] PTY City of San Rafael Rafael, CA 94901 Union member's dues received through intermed.ia-ry:E;aSnCCRafae1 Scott Eberle Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 07/31/2013 [Z IND Sergeant 11.17 274.25 FICOM C/o: San Rafael Police Association F] O TH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy: Scott Eberle E;SCRafae -an lPolice Association 152 ue0 Fifth AvenSn Rafael, CA 949008/15/2013 Fxj IND Sergeant 11.17 274.25 ncom C/o: San Rafael Police Association DOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throuqh intermedia iy:qankRafore SC 1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/31/2013 Scott Eberle BIND Sergeant ncom 11.17 274.25 C/o: San Rafael Police Association E]4TH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia SC :E;anRafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 09/15/2013 Scott Eberle EE IND Ser geant11.17 274.25 El COM C/o: San Rafael Police Association 4TH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 lUnion member's dues received through intermedia22v: EA r-4 9(;,afaeE Police Association.. 1520, Fifth Avenue, San Rafael, CA _9490� IND — Individual COM — R- + Other (e.g., business entity) Political Party SCC — Small Contributor CommiXee SUBTOTAL $ 55.8S FPPC Form 460 (Januar /05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07Z01/2013 throuah- .09Z21/2013 NAME OF FILER San Rafael Police Association Political Action Committee Page 30 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 _'hristopher Fuller (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 07/15/2 13— 0 Christopher Fuller IND ... — OF BUSINESS) C/o: San Rafael Police Association Ej OTH FICOM Police officer 11.18 274.26 San Rafael, CA 94901 Jnion member's dues received through intermedia -dy - C/o: San Rafael Police Association F1 OTH .Rafts 1, CA 9490 1520 Fifth Avenue San Rafael, ❑ PTY City of San Rafael - CA 94901 Union member's dues received throuqh intermedia xv:q Christopher Fuller anSCRa.fae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 IND Police Officer 11.17 274.26 Com C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue San Rafael, n PTY City of San Rafael CA 94901 Union member's dues received through intermedia ry:q Christopher Fuller anSCRafae l Police Association, 1520 Fifth Avenue., San Rafael, CA 94901 08/15/2013 IND Police Officer 11.17 274.26 C/o: San Rafael Police Association F_1COM TH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediaiy:qaSnCRafael Christopher Fuller Police Association, 1520 Fifth Avenue, San Rafael, CA 9490� 08/31/2013 Fy--1 I Kin 4 Off 4 1 SUBTOTAL$ *Contributor Codes Individual 1 COM — Recipient Committee (other than P gb TY or SCC) 1 OTH — usiness ent I ity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 {January 05 FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/275-3772) El Comce cer 11.17 274.26 C/o: San Rafael Police Association MOTH 1520 Fifth AvenueCity San Rafael, CA 94901 PTY of San Rafael Jnion member's dues received throLigh intermediaiy:E;anl ISRa.fae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 _'hristopher Fuller [Z INDPolice Officer 11.17 274.26 F]COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Jnion member's dues received through intermedia -dy - L-4 : =§P(;af aeE Police Association, 15201 Fifth Avenue, San .Rafts 1, CA 9490 SUBTOTAL$ *Contributor Codes Individual 1 COM — Recipient Committee (other than P gb TY or SCC) 1 OTH — usiness ent I ity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 {January 05 FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) RA ^, *% ^, +,% wmr t"- o% w% 4 a.; Ift n s6;...,... M ., .ft� � -. - - —_j A ITIWI1107MARY %-#Wl ILII IL-PULIVIN-2% F'%V4.;V1VtjU iAMOLmis may be roundea Statement covers period to whole dollars. from, 07/0112013 through 09/21/2013 CALIFORNIA 4`0 FORM b Page 31 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Salvatore Garanzini rx-j IND DCOM Officer 11.18 24.23 C/o: San Rafael Police Association [BOTH1520 Fifth Avenue San Rafael, E] PTY City of San Rafael CA 94901 member's dues received throucrh intermediaiv: Salvatore Garanzini qUnion :an Rafae l Police Association, 1520 Fifth Avenue, San Rafael I CA 94901 07/31/2013 [Z IND Officer 11.17 274.28 DCOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue San [:] PT)( City of San Rafael Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnKafael Salvatore Garanzini Police Association.,_ 1520 Fifth Avenue,_ S Rafael, CA 94901 08/15/2013 [3fl IND Off icer 11.17 274.28 [ICOM C/o: San Rafael Police Association [-] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F] PTY Union member's dues received throuqh intermedia-tN: q anSC afael Police Association, 1520 Fifth Avenue, San RafaelCA 94901 08/31/2013 Salvatore Garanzini ®IND Officer EICOM 11.18 274.28 C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 Q PTY Union member's dues received through intermedia -zy:EASP afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09115/2013 Salvatore Garanzini 'I [Z IND Officer... fficer 11.18 274.28 EICOM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 TTri-n member's dues received throe intermediady:Q291:�afaell Police Association, 15201 Fifth Avenue, Sdn Rafael, CA 9490. IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.88 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) RAMI: Uf- t-ILtK San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01Z2013 through_ .... 09Z21L2013 Page 32 _ of 78 I.D. NUMBER 831553 I DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D, NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 07/15/2013 Michael Garrison FXJ IND— OF BUSINESS) [:] Com Officer 11.18 173.48 C/o: San Rafael Police Association EICITH 1520 Fifth Avenue San Rafael, El PTY City of San Rafael CA 94901 Union member's dues received throe intermedia xv:qaSnCCRafael Michael Garrison Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/31/2013 rZ IND Officer 11.17 173.48 EICOM C/o: San Rafael Police Association 00TH 1520 Fifth Avenue San Rafael, [:] PTY City of San Rafael CA 94901 Union member's dues received through intermediaiy:``fan Michael Garrison C Rafae Police Associatig-Ti,1520 Fifth Avenue, S n Rafa!��11, 2 4 9 0 1 08/15/2013 BIND Officer 'CA 11.17 173.48 [:]Com C/o: San Rafael Police Association [:1 CITH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F1 PTY Union member's dues received through intermedia iV:�an'"Rafael Michael Garrison . Police Association 1-520 Fifth Avenue San Rafael, CA 94901 '1 08/31/2013 IND Officer 11xLon, 18 173.48 EICOM C/o: San Rafael Police Association[RUTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F1 PTY Union member's dues received throe h intermedia _.:qaSPRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Michael Garrison EE IND Officer EICOM 173.48 C/o: San Rafael Police Association RUTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 lUnion memher's dues received throjj��: EAPCRafaell Police Association, 15201 Fifth Avenue S Rafael, CA 949011 *Contributor Codes I IND — Individual COM — Recipient Committee 17, (other than PTY or SCC) 0�' OTH — Other (e.g., business entity).! PTY — Political Party Small Contributor Committee =1 L SUBTOTAL$ P. A FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) I 14WIF-1 01 1 L-4 7 N ra 7 "em][11111110 0 1 1 NWRI NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period from07/01/2013 through 09/21/2013 Page 33 - Of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) — 07/15/2013 Justin Graham FX_1 IND OF BUSINESS) F�COIVI officer 11.18 274.28 C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue San Rafael, F] PTY City of San Rafael CA 94901 Union member's dues received throucrh intermedia zv:qaSnCCRafae1 Justin Graham Police Association, 152 Fifth -Avenue, San Rafael CA 94901 07/31/2013 [Z IND Of f icer 11.17 274.28 000M C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue San Rafael, El PTY City of San Rafael CA 94901 Union member's dues received throw h intermedia Justin Graham C :qan C Rafael Police Association152Q Fifth Avenue, S n Rafael ,, CA 94901 08/15/201-5 nx IND Officer - 11.17 274.28 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throw Justin Graham _qh intermediaxV:E;aSn'__"Rafae1 ^IN Police Association , 1520 Fifth Avenue , San Rafael , CA 94901 08/31/2013 BIND Officer 11.18 274.28 EICOM C/o: San Rafael Police Association QOTH 1.520 Fifth A-venueCity San Rafael, CA 94901 PTY of San Rafael Union member's dues received throw h intermedia :E;Rafae anl Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 0-9/15/2013 Justin Graham1 IND Officer []COM 11.18 274.28 C/o: San Rafael Police Association DOTH 11520 Fifth Avenue PTY City of San Rafael ISan Rafael, CA 94901 TTri n member's dues received through intermediga�_J:L�4 :rl§P:�afaeE Police Association, 1520 Fifth Avenue n Rafts l CA 9490 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/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tor print in ink. ype SCHEDULE A (CONT) - -- IWIWII�IMAKY %-#Wl ILE ILIFULIWIK's F-kW%wt:jVt:U j,%mv tjm may oe rounaeu Statement covers period to whole dollars.CALIFORNIA from 0 7Z01/2013 through 09/21/201334 NAME OF FILER San Rafael Police Association Political Action Committee 4 bA FORM 0 Page of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 (IF REQUIRED) OF BUSINESS) 07/15/2013 Julie Griffith Fx� IND [-] Com Records Clerk 8.70 213.13 C/o: San Rafael Police Association F� OTH 1520 Fifth Avenue San Rafael, El PTY City of San Rafael CA 94.901 Union member's dues received throucrh intermediaxv:qaSnC Jule Griffith Rafael Police Association. 1520 Fifth AvenueS, an Rafael, 94901 07/31/2013 [Z IND Clerk 8.69 213.13 [ICOM C/o: San Rafael Police Association BOTH BOTH1520 Fifth Avenue San [:] PTY City of San Rafael Rafael, CA 94901 Union member's dues received throe_erme Julie Griffith --gh intermedia E;SCRafael an.n Police Association, 1520 Fifth Avenue, Se Rafael, CA 94901 08/15/2013 BIND Records Clerk 8.69 213.13 [:j Com C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia xy:qaSn""Rafael Police Association, 1520 Fifth Avenue, San Rafael CA 94901 08/31/2013 Jule Griffith BIND Records Clerk 000M 8.70 213.13 C/o: San Rafael Police Association BOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia zy: E;'aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Julie Griffith [KIND Records Clerk 8.70 213.13 []COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia d�_L�_4 afaell Police Association 15201 Fifth h Aven ue S n Rafael CA 9490 Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee zgfl�� IWT SUBTOTAL$ 43.48 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) RAr%"g%*,%w%# A_._ .v.. A 1W1%0111W16"1y %OWI ILE 19JULI%J11*-2P F-%WtpCjVVU Amournz may De rounded Statement covers period to whole dollars. CALIFORNIA 4Aft 0 from 07/01Z2013 FORM b Page 3 5 _ of 78 through 09/21/2013 NAME OF FILER - I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Lori Hendricks IND COM Dispatcher 8.70 213. 13 C/o: San Rafael Police Association M OTH 1554 Fifth Avenue San F� PTY City of San Rafael Rafael, CA 94935 Union member's dues received through intermediaiv:q[SCan Lori Hendricks Rafae l Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 BIND Dispatcher 8.69 213.13 EICOM C/o: San Rafael Police Association F] OTH 1554 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94935 Union member's dues received through intermedia iy:E;aSnCCRafae1 Lori Hendricks Police AssociatigLi, 1520 Fifth Avenue, San Rafael. CA 94901 08/15/2013 ®IND Dispatcher 8.69 213.13 FICOM C/o: San Rafael Police Association [:] OTH 1554 Fifth Avenue City of San Rafael San Rafael, CA 94935 El PTY Union member's dues received through intermedia *ry:qaSnKafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Lori Hendricks BIND Dispatcher EICOM 8.70 213.13 C/o: San Rafael Police Association BOTH 1554 Fifth Avenue City of San Rafael San Rafael, CA 94935 ❑ PTY Union member's dues received through intermediaiy: E;SC an(�afael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 09/15/201_3 Lori Hendricks IND Dispatcher 8.70 213.13 El COM C/o: San Rafael Police Association BOTH 1.554Fifth Avenue Ej PTY City of San Rafael San Rafael, CA 94935 Union member's dues received thr,ough intermedia :dy:Q§P;,afaea Police Association, 1520, Fifth Avenue, San Rafael, CA 9490L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 43.48 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661275-3772) 0 MOT1 V NAME OF FILER San Raf ael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07201Z2013 through 09/21/2013 Page 36 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Robert Henkle ❑ IND Officer ❑ COM 11.18 274.28 C/o: San Rafael Police Association OTH 1520 Fifth Avenue San City of San Rafael Rafael, CA 94901❑PTY Union member's dues received throuh intermedia-ry:qSC Rafae anl Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Robert Henkle HIND Officer EICOM 11.17 274.28 C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv: Robert Henkle FISCRafae 8anl Police Association, 1520 Fifth Avenue, San Rafael,, CA 94901 08/15/2013 [IND Of f icer 11.17 274.28 000M C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY Union member's dues received through intermedia -rV: Tan afael Police Association, 1520 Fifth Avenue, San Rafael, C.A. 94901 08/31/2013 Robert Henkle [ffl IND Of f icer [I COM 11-18 274.28 C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901❑PTY -Union member's dues received throe h,_intermedia r.,E ;an�Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Robert Henkle [21 IND Of f icer 11.18 274.28 EICCDM c/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael lUnion San Rafael, CA 94901 member's dues received through intermediady :L-4=R:�afaeE Police Association, 1520, Fifth Avenue, San Rafael, CA 949011 SUBTOTAL$ 55.88 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 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) Monetary Contributions Received Amounts may be rounded Statement coversAN 6ALIFORNIA dMk to whole dollars. Ar -W 0 from 07/01/2013 FORM 4 too) through 09121L2023... Page 37 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 J. Alexander Holm ®IND Officer 11.18 274.28 FICOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia'ry.*qa'nCCRafae1 Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 J. Alexander Holm rx-1 IND Officer 11.17 274.28 F] COM C/o: San Rafael Police Association F] OTH 1520 Fifth AvenueCity M PTY of San Rafael San Rafael, CA 94901 member's dues received throe intermedia iv: qUnion anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2 013, J. Alexander Holm ®IND Officer 11.17 274.28 000M C/o: San Rafael Police Association 00TH Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [:] Union member's dues received through intermediaiv MSC :`man Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2-1013 J. Alexander Holm [IND Officer 11.18 274.28 MCOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:q SC an(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 J. Alexander Holm [Z IND Officer 11.18 274.28 EICOM C/o: San Rafael Police Association [:] OTH 1..520 Fifth Avenue [j PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermed4ladv:QP:�afaeR Police Assoc iat -ion . 1520�jFi�fth �Ave�nue�S�L Rafael CA 9490 SUBTOTAL $ 55.88 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee m7i oil FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) IWIWIIIQF164A§y %OWN ILE ILJUL1%J11%-31 r%t:W..;t21VIVU AMOunTs may be rounded to whole dollars. Statement cove covers period from 07Z0112013 through _0 9/2 1 /2 013 CALIFORNIA I FORM 4 b Page 3 8 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Lisa Holton BIND El COM Sergeant 11.18 274.28 C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue San Rafael, El PTY City of San Rafael CA 94901 Union mem]ber I s -dues received throuah intermediaiv: Lisa Holton qaSnCRafae l Police Association. 1520 Fifth Avenue, San Rafael CA 94901 07/31/2013 BIND Sergeant 11.17 274.28 EICOM C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue San Rafael, [:] PTY City of San Rafael CA 94901 member's dues received through intermediany.:, Lisa Holton SanSC Rafae [IUnion l Police Association, 1520 Fifth Avenue, S n Rafael CA a4 9 0 08/15/2013 N IND Sergeant 11.17 274.28 EICOM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY Union member's dues received through intermedia -rV:q[dSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, C.A. 94901 08/31/2013 Lisa Holton MIND Sergeant FICOM 11.18 274.28 C/o: San Rafael Police Association F�OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY Union member's dues received throi�2�� _(�afael -1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2.01_3 Lisa Holton IND Sergeant 11.18 274.28 --- Com C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaafae ,� Po] ice Po]ice Association, 1.5241 Fifth AvenueSan Rafael, CA 9490[L Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee SUBTOTAL $ 5S.88 FFP C Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 0 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 1111�11IIII:1911111 � 1111 �� T through 09Z21Z2013 Page 39 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 (IF REQUIRED) OF BUSINESS) 07/15/2013 Kyle Hornstein IND Corporal 11.18 274.28 000M C/o: San Rafael Police Association [:1 CITH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 CRafae1 Union member's dues received through intermedia iy:qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Kyle Hornstein RIND Corporal 11.17 274.28 DCOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received through intermediarv:--san Rafael Police Associg�tion, 15�20 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Kyle Hornstein [Z IND Corporal 11.17 274.28 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia "ry:`-fan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Kyle Hornstein [MIND Corporal 11.18 274.28 [I COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 s Union member's dues received through intermedia iy:q ancRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Kyle Hornstein [MIND Corporal 11.18 274.28 EICOM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediadv:Q§rVR afaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490k SUBTOTAL $ 55.88 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) CITH — 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) 1WI%JII1U1L4XIy %-#WI ILI ILMILIVIN-5 F'%t:4.;t:jVt:U NAME OF FILER San Rafael Police Association Political Action Committee mmu niz may oe rounded to whole dollars. Statement covers period from _07/01/2013 through. 09/21/2013 i -- CALIFORNIA FORM 4 0 Page 40 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTI N RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Carl Huber IND Corporal 11.18 274.28 El COM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue T PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia iv:q anSCRaf ael Police Association. 1520 Fifth Avenue, San Rafael. CA 94901 07/31/2013 Carl Huber [Z IND Corporal 11.17 274.28 EICOM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throqghMSCC Carl Huber San Rafael Police Association 1520 Fifth Avenue ,, S n Rafael , CA 94901 08/15/2013 ZINC} Corporal 11.17 - 274.28 [:]Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediaxv:qanSC Rafael Police Association, 1520 Fifth Avenue S n Rafael, CA 94901 08/31/2013 Carl Huber ZINC} Corporal EICOM 11.18 274.28 C/o: San Rafael Police Association nOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94.901 PTY Union member's dues received through intermediaxy:E;JSnKafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Carl Huber MIND Corporal 11.18 274.28 El COM C/o: San Rafael Police Pissociation E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe int ermediajv : 5 P;Z afaeE Police Association, 1520, Fifth Avenue, San Rafael, CA 9490[L SUBTOTAL$ 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: 8f6/ASIC-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) 4ft. ■A.- , . .. r%... — — -.- -.....J Ai_ --- — a 1W1%J11WLC11y %-#%J11L111JUL1U11b MIVGelVeU Amounts may be rounded Statement covers period to whole dollars. from 07/0122013 NAME OF FILER through 09Z21/2013 San Rafael Police Association Political Action Committee CALIFORNIA FORM 460 Page 41 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Eric Huot IND Officer 11.18 274.28 EICOM C/o: San Rafael Police Association [-] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:EAECCRafael Eric Huot Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 [Z IND Officer 11.17 274.28 []COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuE;SCC Eric Huot gh intermedia : an Rafael Police Association, 1520 Fifth Avenue, Sa ' n Rafael CA 94901 08/15/2013 ®IND Officer 11.17 274.28 r-1 Com C/o: San Rafael Police Association F -I OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 0 PTY Union member's dues received through intermedia 'rV:qdSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Eric Huot [BIND Officer F-1 COM 11.18 274.28 C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throe intermedia xy:qaSnKafael Police Association, Fifth Avenue, San Rafael, CA 9490 09/15/2013 Eric Huot [21 IND _1520 Officer 11.18 274.28 E]COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia&J-9 L--I PCR faell police Association, 1520, Fifth Avenue, S Rafael, CA 94901L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL $ 55.88 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460'� from 07/01/2013 FORM through 09/21/2013 Page 42 . of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Scott Ingels ®IND Corporal 11.18 274.28 Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 F] SCC Union member's dues received through intermedia-rv:--San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Scott Ingels [Z IND Corporal 11.17 274.28 [ICOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 F-I Union member's dues received through intermedia iv: :San Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Scott Ingels ®IND Corporal 11.17 274.28 F] COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 I Union member's dues received throuqh intermediary: anRafaeql Police Association, 1520 Fifth Avenue San RafaelCA 9490 , 08/31/2013 Scott Ingels IND Corporal 11.18 274.28 Com C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity Q PTY' of San Rafael San Rafael, CA 94901 member's dues received throe intermediary: qUnion an afael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Scott Ingels ®IND Corporal 11.18 274.28 000M C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 r --'§1 Union meer's dues received through intermedia mbdy.L-4 . 9(;, afaell Police Association, 1520 Fifth Avenue, SIn Rafael, CA 9490L Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.88 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/2122013 Page 43 _ of 78 I.D. NUMBER 831553 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEEALSO ENTER IDNUMBER) , .. ED CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIV (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/1-5/2 013 Lynette Keller FX -1 IND Community Service Officer 8.70 213.13 RCOM C/o: San Rafael Police Association F1 CITH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermedia my:—San Rafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Lynette Keller Rx IND Community Service Officer 8.69 213.13 RCOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, C.A. 94901 MSCC Union member's dues received through intermediarv:---san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Lynette Keller IND Community Service Officer 8.69 213.13 Com C/o: San Rafael Police Association 0TH ❑PTY 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 FI (�afael Union member's dues received through intermedia'ry: fanSC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Lynette Keller Fxj IND Community Service Officer 8.70 213.13 ICOM C/o: San Rafael Police Association ❑CITH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received throw intermediaiy:E;aSP�afael Police Association, 1..524 Fifth Avenue, San Rafael, CA 94901 09/15/20313 Lynette Keller RIND Community Service Officer 8.70 213.13 ❑ com C/o: San Rafael Police Association E] CITH City of San Rafael 1520 Fifth Avenue 0 PTY San Rafael, CA 94901 mbd,L-A Union meer's dues received through intermedia :AP:� afaek Police Association, 1520 Fifth Avenue, Sin Rafael Ck 9490L SUBTOTAL$ 43.4 8 *Contributor Codes Individual Recipient Committee COM (other than PTY or SCC) CITH — Other (e.g., business entity) 0 PTY — Political Party SCC — Small Contributor Committee A [OW FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 4 1 W�.A W � Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07L01/2013 through- 09/21/2013 NAME OF FILER San Rafael Police Association Political Action Committee Page 44 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 07/15/2013 Rebecca Kuga IND OF BUSINESS) F]COM YSB Supervisor 8.70 213.13 C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue San Rafael, El PTY City of San Rafael CA 94901 Union members dues received throucth intermedia-rv: Rebecca Kuga qSCRafae anl Police Association. 1520 Fifth Avenue, San Rafael CA 9 4 4901 07/31/2013 [Z IND Supervisor 8.69 213.13 ICOM C/o: San Rafael Police Association BOTH F] OTH 1520 Fifth Avenue San F1 PTY City of San Rafael Rafael, CA 94901 Unionmember's dues received through intermediaxy: a RebeccKuga ESCRafae 5anl Police Association, _1520 Fifth Avenue, S n Rafael , CA 9490 1 08/15/20 13 FRI IND YSB Supervisor 8.69 213.13 F�COIVI C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through .intermedia -rv:q anscRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Rebecca Kuga [Z IND YSB Supervisor E]COM 8.70 213.13 Clo: San Rafael Police Association ❑E] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throe ��y 2.E;a�P(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 lRebecca Kuga [Z IND YSB Supervisor 8.70 213.13 F�COIVI C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 lUnion member's dues received threw int intermedia 7 _.E_1§P:�afae1l Police Association, 15201 Fifth Avenue, San Rafael, CA 94901L SUBTOTAL$ 435.48 *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) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period through 09/21/2013 Page 45 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Marc Laplante ® IND Officer icer 11.17 274.27 COM C/o C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue O PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received throe h intermediaiv:--san Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Marc Laplante FIND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association OOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermedia'ry:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Marc Laplante [Z IND Officer 11.17 274.27 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Scq Union member's dues received through intermedia rv: an Karael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Marc Laplante RIND Officer 11.18 274.27 F] COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 I Union member's dues received through intermedia iy :pan` afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Marc Laplante [ZIND Officer 11.18 274.27 COM C/o: C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:[�§P:�afaell Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490L SUBTOTAL$ 55.87 *Contributor Codes 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: 8661ASK-1=PPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) RAo%*%g%*,ftvq# m..' . : . . r —A AA— --- — a IWIWIVUL401y %-PWIILI 19JULIUIIZP FXt:%.;t:1Vt:U j -Amu M5 may ue rounded Statement c Iovers period m- to whole dollars. CALIFORNIA 4 0 from 07/01/2013 FORM bA through 09/21/2013 Page 4 6 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Kimberly Larkey FRI IND ICOMOfficer 11.17 274.27 C/o: San Rafael Police Association BOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union — _member's dues received through intermediaiv: Kimberly Larkey qSCC an Rafael Police Association. 1520 Fifth Avenue. San - Rafael. CA 9490L 07/31/2013 rZ IND Officer 11.17 274.27 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:E;aSnC Kimberly Larkey CRafae1 Police Association on, ,1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Fx_j IND Officer 11.17 274.27 ICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 R PTY Union member's dues received throeinter qh intermedia E;SCRafaePolice an l A Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2 013 Kimberly Larkey [IND Officer OCOM 11.18 274.27 C/o: San Rafael Police Association BOTH Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throe gh-intermedia iy:E;aSnCRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/1-5/2013 Kimberly Larkey [KIND Officer 11.18 274.27 E]COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, C.A. 94901 11inion member's dues received throe intermediaiv: Q§P;Zafae[L Police AssociatLon, 1520 Fifth Avenue, An Rafael, CA 9490[L IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SGG — SUBTOTAL $ 55.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline., 866/ASK-1=PPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) M M .gal monelEaryk.0oninDutionS Kecelvea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460'� from 07/01/2013 FORM through 09Z21/2013 Page 47 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Anndora Lee IND Dispatcher 8.70 213.13 E]COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:EASP Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/31/2013 Anndora Lee EZ IND Dispatcher 8.69 213.13 EICOM C/o: San Rafael Police Association [BOTH 1.520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received throucrh intermedia-rv: an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Anndora Lee N IND Dispatcher 8.69 213.13 F�COIVI C/o: San Rafael Police Association F� OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedialv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Anndora Lee ®IND Dispatcher 8.70 213.13 F1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia y_y.:L_4anC�afae1 Sc Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 ndora Lee [IND Dispatcher 8.70 213.13 EICOM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia&:Q§P;,afae1l Police Association, 1520, Fifth Avenue, S Rafael, CA 9490[l SUBTOTAL. $ 43.48 i- Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Commiltee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) . �/ r: * =I- - 1 MM74A Le pme, re am San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. ipI JOE I iij �q� Ill Statement covers period from 07/01/2013 through 09/21/2013 1 Page 48 _ of 78 _ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Rogelio Leon IND Sergeant 11.17 274.27 CO C/o: San Rafael Police Association M OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's -dues received through intermedia ry:q anSCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Rogelio Leon [IND Sergeant 11.17 274.27 EICOM C/o: San Rafael Police Association 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: :Tan Rafae Police Association1520 Fifth .Avenue ,__-San Rafael, CA 94901 08/15/2013 Rogelio Leon a IND Sergeant 11.17 274.27 [:]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rV: Tan afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Rogelio Leon BIND Sergeant 11.18 274.27 MCOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY member's dues received through intermediary: E�Union an SCRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 lRogelio Leon EZIND Sergeant 11.18 274.27 EICOM C/o: San Rafael Police Association QOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediajv:Q§Pafal Police Association, 1520, Fifth Avenue..,_ Sin Rafael, CA 949011 *Contributor C••- • idu COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party _ -19 n uAl CA Ik3 L 01 11 14j- r- I � & R R' SUBTOTAL$ 55.87 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 k;ontriouvonS Keceiveci Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 4601 from 07/01/2013 FORM 1 through 09/21Z2013 Page 49 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2 013 Kevin Macdougald IND Officer 11.18 274.28 El COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Cmember's Uniondues received through intermediazy: �an Rafael Police Association, 1520 Fifth Avenue. San Rafael, C.A. 94901 07/31/2013 Kevin Macdougald Fx_j IND Officer 11.17 274.28 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received throqgh intermediaiy:--san,Rafael Police Association1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Kevin Macdougald BIND Officer 11�17 274.28 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received throe intermedia iv: E; anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Kevin Macdougald [ZINE Officer 11.18 274.28 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia iy:E; anSC fael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Kevin Macdougald [21 IND Officer 11.18 274.28 EICUM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia d V: LAP:�afaell Police Association, 1520, Fifth Avenue, S Rafael, C.A. 949011 SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business enti PTY — Political Party SCC — Small Contributor Cornmilttel FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. NAML OF t-ILtK San Rafael Police Association Political Action Committee Statement covers period from_--- 07/01/2013 through 09/21/2013 Page 50 - of 78 I.D. NUMBER 831553 A DAI-E FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 07/lS/2013 Mi chael Mathis ®IND OF BUSINESS) [:] Com Corporal 11.18 274.28 C/o: San Rafael Police Association F -I OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F] PTY member's dues received throucrh intermediaxv: Michael Mathis qUnion anRa.fael Police Association, 1520 Fifth Avenue, San Ra07/31/2013 CA 94901 FRI INDRafael MCOM Corporal 11.17 274.28 C/o: San Rafael Police Association OTH 1520 Fifth Avenue San Rafael, PTY City of San Rafael CA 94901 Union member's dues received through intermediaiv.:.-F-San Michael Mathis "]SCCRafael Police Association, 152,Q Fifth Avenue, San Rafael, CA 94901 08/15/2013 [j] IND Corporal 11.17 274.28 EICOM C/o: San Rafael Police Association E:1 OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throe intermedia iV:qSn'_"Rafael Michael Mathis Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 [ffl IND Corporal 11.18 274.28 El COM C/o: San Rafael Police Association ❑ CITH 1520 Fifth Avenue San Rafael, CA 94901 El PTY City of San Rafael Union member I s dues received throe intermediai� E; S anC Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2 01.3 Michael Mathis OIND Corporal El COM 11.18 274.28 C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 lUnion member's dues received through intermedia j �:-LQ��§JP_(:f.afae[L Police Association, 15201 Fifth Ave nue S n Rafael CA 9490 SUBTOTAL$ *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) Other (e.g., business entity) OTH Political Party Small Contributor Committee I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2013 FORM through 09/21/2013 Page 51 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Kelly Mauel ❑ IND Records Clerk 8.70 213.15 ❑ COM C/o: San Rafael Police Association FLOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received through intermediaiv:--San Rafael Police Association, 1520 Fifth Avenue, San Rafael, C.A. 94901 07/31/2013 Kelly Mauel [j] IND Records Clerk 8.70 213.15 El COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 F_1SCC Union member's dues received throe intermediaxv:—san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Kelly Mauel Fx_j IND Records Clerk 8.70 213.15 EICOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 E;SC Union member's dues received throe intermediaiv: anoRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Kelly Mauel [Z IND Records Clerk 8.70 213.15 F]COM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received through intermedia iy:E; anSCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Kelly Mauel ®IND Records Clerk 8.70 213.15 EICOM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, C.A. 94901 Union member's dues received through intermedia J_y:EAPCPafaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL$ 43.501 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) IWI%01 UUMME Y %A#%JI ILI I&JULIVIN.20 rXUt;V1VVU Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21Z,2013 CALIFORNIA FORM 4 (4ift 0 Page 52 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Abigail Mcelderry IND Dispatcher FICOM 8>70 213.15 C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member'srmedia'ry.:.. Ab igail Mcelderry dues received through intermedia E;SCRafae afel Poli Police Association, 1520 Fifth AvenueSan . . RafaelCA 9490 1 07/31/2013 Fx_1 IND Dispatcher 8.70 213.15 FICOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia Ab igail Mcelderry :`;an aja--- Police Association, 1520 Fifth Avenue San f Rafael, CA 94901 08/15/2013 N IND Dispatcher 8.70 213.15 EICOM C/o: San Rafael Police Association [_1 OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F]qPTY Union member I s dues received throuqh intermediaiN anSC 1�af ael Police Association, 1520 Fifth AvenueSan Rafael CA 94901 08/31/2013 Abigail Mcelderry BIND Dispatcher 1 ncom 8. 70 213.15 C/o: San Rafael Police Association 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY Union member's dues received through intermedia xy : qanl�afael SC Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 09/15/2013 Abigail Mcelderry BIND Dispatcher 8.70 213.15 F]COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 L Union member's dues received throuqh intermedia dV:Q§P;,afae1l Police Association, 1520, Fifth Ave,nue, San Rafael, CA 9490[L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL. $ 4 3.5 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period HT0171 go W"# WA I through 09Z21Z2013 pana- 5 3 _ of 78 I.D. NUMBER DATF_ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF -EMPLOYE©, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Phillip Melodia rx-1 IND Officer 11.18 274.30 [ICOM C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:E;aS nCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Phillip Melodia Fx_j IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 CICC SCG Union member's dues received throuqh intermediarv:q Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Phillip Melodia FRI IND Officer 11.18 274.30 EICUM C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 (� Union member's dues received through intermedia -rv:q anscafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Phillip Melodia BIND Officer 11.18 274.30 F-1 COM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 member's dues received intermediaiy: qUnion anRafaethrough l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Phillip Melodia ®IND Officer 11.18 274.30 EICUM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia &:Q§P;�afaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 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 Statement covers period to whole dollars. A A from 07/01/2013 0 through 09/21/2013 Page., 54 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 (IF REQUIRED) OF BUSINESS) 07/15/2013 Beth Minka IND Administrative Technician 8.70 213.15 EICOM C/o: San Rafael Police Association E]OTH 1.520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Beth Minka Fx] IND Administrative Technician 8.70 213.15 EI COM C/o: San Rafael Police Association OTH 1.520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermedlaiv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Beth Minka BIND Administrative Technician 8.70 213.15 FICOM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 SCRafae Union member's dues received through intermediaxy:qanl Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Beth Minka ®IND Administrative Technician 8.70 213.15 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia -ry:`-San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0.9/15/2013 Beth Minka ®IND Administrative Technician 8.70 213.15 000M C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia Q§P;,afae� Police Association, 1520 Fifth Avenue e, S Rafael CA 9490� *Contributor C•- da edua COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enti PTY — Political Party SCC — Small Conthbutor Committl SUBTOTAL$ 43.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07Z01/2013 through 09Z21/2013 Page 55 - Of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED (IF COMMITTEE, ALSO ENTER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF BUSINESS) PER ELECTION TO DATE (IF REQUIRED) 07/15/2013 Jorge Navarro FX� IND Evidence Technician 8.70 213.15 ocom C/o: San Rafael Police Association RUTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCRafael Police Association. 1520 Fifth Avenue, an Rafael, CA 94901 07/31/2013 Jorge Navarro Fx� IND Evidence Technician 8.70 213.15 com C/o: San Rafael Police Association RUTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermedia iv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Jorge Navarro RIND Evidence Technician 8.70 213.15 El COM C/o: San Rafael Police Association 0TH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 'ry:E; anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Jorge Navarro nx IND Evidence Technician 8.70 213.15 EICOM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermediary: qSC anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Jorge Navarro BIND Evidence Technician 8.70 213.15 EICUM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 r__1 (;,afaell Union member's dues received through intermedi_a �y _:L-4 §F Police Association, 1520 Fifth Avenue, SIn Rafael CA 9490� SUBTOTAL. $ 43.50 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 11 PTY — Political Party Small Contributor Committee f-111 FPPC Form 460 {January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAMt UI- t-ILtK San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. 0 Statement covers period from 07701/2013 through 09/21/2013 Page 5 6 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 07/15/2013 Alexis Nielsen IND OF BUSINESS) E]COM Dispatcher 8.70 213.15 _L C/o: San Rafael Police Association DOTH 1520 Fifth Avenue San Rafael, [:] PTY City of San Rafael CA 94901 ,Union member's dues received throuc[h intermediaiv:q Alexis Nielsen :`man Rafae l Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2 013 BIND Dispatcher 8.70 213.15 EICOM C/o: San Rafael Police Association [LOTH1520 Fifth Avenue San n PTY City of San Rafael Rafael, CA 94901 Union member's dues received through intermediaiy lexis Nielsen_1520 FISnRafaeSCPlice Association,08/lS/2013 Fifth Avenue,, S.n Rafae,l,,. CA 94901 nx IND Dispatcher 8.70 213.15 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY Union member's dues received through intermediaxV:qan"R'afael Police Association, 1520 Fifth Avenue, San Rafael CA 9490 08/31/2013 Alexis Nielsen OIND Dispatcher 000M 8.70 213.15 C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediazy qS anC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 lexis Nielsen IND Dispatcher 8.70 213.15 Com C/o: San Rafael Police Association BOTH 1520 Fifth Avenue Ll PTY City of San Rafael San Rafael, CA 94901 �Upion member's dues received throe h intermedia afae Police Association, 15201 Fifth Avenue, San Rafael, CA 9490[L SUBTOTAL $ 43.50 Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee FFP C 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 Statement covers period CALIFORNIA to whole dollars. 4o 0 from 07Z01/2013 FORM through 09/21/2013 Page 57 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Leslie O'Toole IND Officer 11.18 274.30 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 F-1 SCC Union member's dues received through intermediaiv:--San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2 013 Leslie O'Toole [2] IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received through intermediaiv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Leslie O'Toole [_xj IND Officer 11.18 274.30 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 FI Union member's dues received through intermediary: fanSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Leslie O'Toole BIND Officer` 11.18 274.30 El COM C/o: San Rafael Police Association E] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throu h intermediary: qaSnCCRaf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Leslie O'Toole nx IND Officer 11.18 274.30 ncom C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue Lj PTY San Rafael, CA 94901 mb=J:E_4 Union meer's dues received through intermedia §P;,afae1l Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490L *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SUBTOTAL $ 55.9 0 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) soft 4..:L.. r-% — --- !_ __ -1 ---- IWI%01 •x+6+4• y %0%01 1 ILE I IJU LIWI 1Z F'%W%oWj VWU Amumim iijdy De rounuea Statement covers period to whole dollars. from _,07/01/2013 through 09/21/2013 CALIFORNIA FORM 460ft 0 Page 5 8 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/1-5/2013 Meaghan Pang fx_� IND Dispatcher EICOM 8.70 213.15 C/O: San Rafael Police Association FIOTH 1520 Fifth Avenue San Rafael, F1 PTY City of San Raphael CA 94901 Union member's dues received throucrh intermediaxy:E; Meaghan Pang anSCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 BIND Dispatcher 8.70 213.15 F�COIVI C/o: San Rafael Police Association r] OTH 1520 Fifth Avenue [:] PTY City of San Raphael San Rafael, CA 94901 Union member's dues received through intermediaiv: Meaghan Pang :San Rafae l Police Association, 1520 Fifth Avenue. San Rafae_1, CA, 24901 08/15/2013 [Z IND Dispatcher 8.70 213.15 OCOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Raphael San Rafael, CA 94901 PTY Union member's dues received throeinter gh intermedia qsc(�afael an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Meaghan Pang FIND Dispatcher EICOM 8.70 213.15 C/o: San Rafael Police Association nOTH 1520 Fifth AvenueCity of San Raphael San Rafael, CA 94901 El PTY Union member's dues received through intermediaz�,: E;SC anl�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Meaghan Pang [Z IND Dispatcher 8.70 213 11 .15 - EICOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue F] PTY City of San Raphael San Rafael, CA 94901 Union memher's dues received through intermedia�_L'§P:�afaell Police Association, 15201 h Avenue Fift ue, San Rafael, CA 9490[L dvdua Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 43.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) moneXary tonlrl!DullonsKeceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460'� from 07/01/2013 FORM through 09/21/2013 Page 59 - Of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Nicola Pata Fx� IND Dispatcher 8.70 213.15 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throucrh intermedia xv: anqSCRa f el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Nicola Pata FIND Dispatcher 8.70 213.15 F-1 COM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediazy: �anCUnion Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/15/2013 Nicola Pata ®IND Dispatcher 8.70 213.15 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Nicola Pata BIND Dispatcher 8.70 213.15 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 nion meer's dues received through intermedia :ranafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490mbiy 09/15/2013 Nicola Pata [IND Dispatcher 8.70 213.15 0 Com C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedi :Q§i9(;,afaeE Police Association, 15201, Fifth Avenue, in Rafael, CA 9490[L *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 70M SUBTOTAL $ 43.50 FPPC Form 460 (January/05) FP PC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) A Me, IPWWO I Alk i qie I RVA - San Rafael Police Association Political Action Committel Type or print in ink. Amounts may be rounded to whole dollars. 029011��M Statement covers period from 07/01/2013 through 09/21Z2013 I Page 60 _ of 78 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Brian Patterson ❑[21 IND Officer 11.18 274.30 El COM C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Brian Patterson Fx_j IND Officer 11.18 274.30 F-1 COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E;anRafae Union member's dues received through intermediaiv: l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Brian Patterson ®IND Officer 11.18 274.30 OCOM C/o: San Rafael Police Association OTH ❑PTY 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 E; Union member's dues received through intermediaiv: anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/31/2013 Brian Patterson Fxj IND Officer 11.18 274.30 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 SC Union member's dues received throu h intermedialy:E; anR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Brian Patterson nx IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 (;ZafaeL—Police Union memher's dues received through intermedia Association, 1520 Fifth Avenue, S Rafael, CA 9490� *Contributor Codes IND — Indix.4dual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) 1V1U11VLC*1y %.#U11 UILMLIU11"115 meceivea Amounts may be rounded Statement covers period to whole dollars. from 07/01/2013 through 09/21/2013 NAME OF FILER San Rafael Police Association Political Action Committee CALIFORNIA FORM 460 Page 6 1 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Buffy Paxson IND Officer 11.18 274.30 F]COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 ----Union member's dues received :Lhr!gucrh intermediary:qaSnKafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2013 Buffy Paxson ®IND Officer 11.18 ... 274.30 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 'ry:q anSCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/l5/2013 Buffy Paxson Fxj IND Officer 11.18 274.30 FICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 [:] PTY Union member's dues received throw intermediaiy:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Buffy Paxson [2] IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union.. Uniomember's dues received through intermediaiy: E;S (� an afael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Duffy Paxson ®IND Officer 11.18 2274.30 EICOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia jy:E�P;,afaea Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.90 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) IWIWIVU16GIly %0%J11L119JUL1V11* FXVUV1VeU i4mounis may oe rounaea Statement covers period to whole dollars. from 07 /01Z 2013 through 09/21/2013 CALIFORNIA K-7 ( FORM 4aft) 0 Page 62 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Aaron Piomho [_x] IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association F_� OTH 1520 Fifth Avenue San [-� PTY City of San Rafael Rafael, CA 94901 Unionmember's dues received throuah intermediaiv: Aaron Piombo qSCRafae anl Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 [Z IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe ,c ntermedia-zv: ih j_ FISCC - San Rafael Police Association, 1520 Fifth Avenue, S n Rafael CA 94901 08/15/2013 Aaron Piombo [Z IND Officer 11.18 274.30 F-1 COM C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY Union member's dues received through intermedia iy:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Aaron Piombo r_x1 IND Officer ncom 11.18 274.30 C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia zy:q S anC Rafael Police Association, 1..520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Aaron Piombo IND Officer 11.18 274.3-0 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901iP(, Union member's dues received through intermedia :E_4 Police Association, 1520, Fifth Avenue, San Rafael, CA 9490[L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.90 FPLC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01Z2013 through 09/21/2013 Page 63 _ of 78 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Dennis Prince FRI IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association QOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: anqSCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Dennis Prince Rx IND Officer 11.18 274.30 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received throe intermedia iv: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/15/2013 Dennis Prince ®IND Officer 11.18 274.30 RCOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:[;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Dennis Prince ®IND Officer 11.18 274.30 El COM C/o: San Rafael Police Association E] OTH City of San Rafael 1520 Fifth Avenue [-] PTY San Rafael, CA 94901 E;SC(� Union member's dues received through intermediazy: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0.9/15/2013 Dennis Prince BIND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue L] PTY San Rafael, CA 94901Rk-P I Union member's dues received through intermedia& Qt-f-f- afaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL $ 55.90 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Snf,_—�, ivzll _Ca_*tdt_uAor Cottujiftee FFP' C Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) X%ri Amounts may be rounded monetary t;ontr1Dut1onsKeceive.. Statement covers period to whole dollars. CALIFORNIA 460 from 07Z01/2013 FORM through 09/21/2013 Page 64 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Ronda Reese IND Corporal 11.18 274.30 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 F-ISCC Union member's dues received through intermediaiv:--san Rafael- Police Association, 1-520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Ronda Reese Fx_1 IND Corporal 11.18 274�30 MCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia uc qSCC an. Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Ronda Reese [Z IND Corporal 11,18 274.30 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received intermedia. through intermedi: C aqSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Ronda Reese ®IND Corporal 11.18 274.30 F1 COM C/o: Sari Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received throw intermediary: E;SC anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Ronda Reese [Z IND Corporal 11.18 274.30 El COM C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue [-]PTY City of San Rafael San Rafael, CA 94901 Union memher's dues received through intermedia LQ§P:�afaell Police Association, 1520, Fifth Avenue, S�n Rafael, CA 949011 IND - Individual Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/0112013 through 09Z21/2013 Page 65 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Margo Rohrbacher [21 IND Civilian Supervisor 8.70 213.15 F]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F�PTY City of San Rafael San Rafael, CA 94901 UnionmemberIs dues received through intermediazy: Rafae qaSnCl Police Association, 1520 Fifth Avenue, an Rafael CA 94901 07/31/2013 Margo Rohrbacher IND Civilian Supervisor 8.70 213.15 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:an �SCC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Margo Rohrbacher nx IND Civilian Supervisor 8.70 213.15 nCOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: anqscRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/31/2013 Margo Rohrbacher ®IND Civilian Supervisor 8.70 213.15 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy: anqscR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Margo Rohrbacher nX IND Civilian Supervisor 8.70 213.15 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 DP:�afaeL Union member's dues received through intermedia iv Police Association, 1520 Fifth Avenue, S Rafael, CA 9490 SUBTOTAL$ 43.50 7 *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FFP C Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPLC (866/275-3772) ff*IM�heet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2013 FORM through 09/21/2013 Page 66 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 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 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) 07/15/2013 Peggy Ruge ®IND Community Service Officer 8.70 213.22 MCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 member's dues received thrQugh intermediaxy: Rafael qanUnion Police Association, 1520 Fifth Avenue San Rafael, CA 94901 07/31/2013 Peggy Ruge Fxj INC} Community Service Officer 8.70 213.22 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermedia xy: an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Peggy Ruge HIND Community Service Officer 8.70 213.22 EICOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:[;aSnRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Peggy Ruge ®IND Community Service Officer 8.70 213.22 EICOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 SRafael Union member's dues received through intermedia x Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Peggy Ruge BIND Community Service Officer 8.70 213.22 []COM C/o: San Rafael Police Association BOTH City of San Rafael 15'e'10 Fifth Avenue L] PTY San Rafael, CA 94901 Union member's dues received through intermedia Jy:Q§i9(:Rafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL $ 43.50 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Gotitdbutor CortinilXee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-I=I PC (8661275-3772) � . i a , Rie FI -A iy* R, 4 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21/2013 Page 67 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Thomas Sabido BIND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association El CITH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermediaiv:--san Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Thomas Sabido F_xj IND Officer 11.18 274.30 EI COM C/o: San Rafael Police Association DOTH 1.520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermediarv:--san Rafael Police Association, Fifth Avenue, San Rafael, CA 94901 08/15/2013 Thomas Sabido, BIND _1520 Officer 11.18 274.30 MCOM C/o: San Rafael Police Association F1 CITH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 E; SC (Rafael Union member's dues received through intermedlaiv: an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Thomas Sabido [2] IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association � CITH 1520 Fifth Avenue [-] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :`man" afael, Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Thomas Sabido ®IND Of f icer 11.18 274.30 000M C/o: San Rafael Police Association BOTH Fifth AvenuePTY City of San Rafael (15207`}an afael ' , CA 94901 __AV mbdv:E4 Vnion meer's dues received through intermedia afak Police Association, 1520 Fifth Avenue, SL Rafael, CA 9490L SUBTOTAL $ 55.90 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) CITH — Other (e.g., business entity) 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) 1V1V11%:L4F_y koWILUILM111011-115 MeCeiVeG Amounts may oe rouncleci to whole dollars. Statement covers period from 07Z01/2013 through 09/21/2013 CALIFORNIA FORM 460 Page 6 8 _ of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 George Schikore � IND Officer 11.18 274.30 FICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901❑PTY Union member's dues received through intermedia ry:qaSnKafael Police Association. 1520 Fifth Ly-enue. San Rafael. CA 94901 07/31/2013 George Schikore [Z IND Officer 11.18 274.30 ❑CCIIVI C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy: FI San SCRafae l Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 08/15/2013 George Schikore N IND Officer 11.18 274.30 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 El Union member's dues received through intermedia qsc (� an afore l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 George Schikore [2] IND Officer [_] COM 11.18 274.30 C/o: San Rafael Police Association ❑CITH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy:L-AancRafael SC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 George Schikore [KIND Officer 11.18 274,30 000M C/o: San Rafael Police Association E:1 CITH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 I Union member's dues received through intermediadv:L_4 §P; 'afaeL Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490[l IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -1=PPC (866/275-3772) : 1 to 15111trNfF Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2013 FORM through 09/21/2013 Page 69 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE 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) 07/15/2013 Justin Schraeder Fx� IND Of f icer 11.18 274.30 000M C/o: San Rafael Police Association DOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Justin Schraeder N IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 F_ SCC Union member's dues received through intermediaxv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Justin Schraeder Fx_j IND {officer 11.18 274.30 ICOM C/o: San Rafael Police Association F� OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 FIS Union member's dues received throe intermedia zy:--5anC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Justin Schraeder BIND Officer 11.18 274.30 F]COM C/o: San Rafael Police Association �] OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 CRafael Union member's dues received th -ough intermedia ry:E; anSC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Justin Schraeder FRI IND Officer 11.18 274•30 [-] Com C/o: San Rafael Police Association E]OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia dy:QP;afaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 9490� *Contributor Codes IND — Individual Reent Committee (other than PTY or SCC) OTH — Other (e.g., business entit PTY — Political Party SCC — Small Contributor Committel 'AW SUBTOTAL$ 55.90 FPPC Form 460 Januar /05 FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Ah • San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. 9091519019MM Statement covers period from 07/01/2013 through 09121/2013 I Page 70 _ of 78 _ 11511HINNFO.-M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEEALSO ENTER I.D.MBER) , . CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Wanda Spaletta Fxj IND Sergeant 11.18 274.30 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dLies received through intermediazy: qSCC an Raf el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Wanda Spaletta Fx� IND Sergeant 11.18 274.30 F]COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue [-] PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermedia rv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Wanda Spaletta [Z IND Sergeant 11.18 274.30 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 FISC Union member's dues received through intermedia 'ry: 5anlafael Police Association, 1520 Fifth Avenue, San Rafael, CA. 94901 08/31/2013 Wanda Spaletta -1 IND Fx Sergeant 11.18 274.30 COM C/o: Clo: San Rafael Police Association E]OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediaiy:an(�afael qUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Wanda Spaletta [MIND Sergeant 11.18 274.30 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia&:Q§19(;zafae1l Police Association, 1.520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enti PTY — Political Party SCC — Small Contributor Committel SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Amounts may be rounded I Monetary Contributions Received Statement covers period to whole dollars. CALIFORNIA 460 from 07/01Z2013 FORM through 09/21/2013 Page 71 of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Christopher Sweeney rx-1 IND Officer 11.18 274.30 [:] Com C/o: San Rafael Police Association DOTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throucrh intermediaiv: qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 Christopher Sweeney EZ IND Of f icer 11.18 274.30 EICUM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermediary: an Rafael Police Association1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Christopher Sweeney ®IND Of f icer 11.18 274.30 r-1COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: anqscR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Christopher Sweeney rx-1 IND Officer 11.18 274.30 EICUM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 r --- I SC Union member's dues received throe intermediazy:L-AanCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Christopher Sweeney [MIND Officer 11.18 274.30 000M C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia jV:QP;,afaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l______' Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Go,*tdbwtpr Co-ituttiTwee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661275-3772) dak I Vol San Rafael Police Association Political Action Committell Type lype or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/0112013 through 09/2112013 I Page 72 _ of 78 DATE RECEIVED 07/15/2013 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues throucth intermediarv:-15an CONTRIBUTOR CODE [21IND EICOM � OTH M PTY FISCC Rafael IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Civilian Supervisor City of San Rafael Police Association, 1-520 AMOUNT RECEIVED THIS PERIOD 8.70 Fifth Avenue. S;An CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 213.22 Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 07/31/2013 Charly Taylor [ZIND Civilian Supervisor 8.70 213.22 F�COIVI C/o: San Rafael Police Association E_]OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv: qSCC an Rafael Police Association, 1520 Fifth Avenue, an Rafael, CA 94901 08/15/2013 Charly Taylor [Z IND Civilian Supervisor 8.70 213.22 EICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 E;aSn"Rafael Union member's dues received through intermedia ry: Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Charly Taylor Fxj IND Civilian Supervisor 8.70 213.22 [-] Com C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermediary: qan RafPolice Association, 15201 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Charly Taylor nX IND Civilian Supervisor 8.70 213.22 ncom C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth AvenuePTY San Rafael, CA 94901 Union member's dues received through intermedia jy:QP;'afae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party nLclminiftee SUBTOTAL$ 43.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FITC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) M � d left, A - nnoneiLia ry tfonTrIDU ionsKeceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 4601 from 07/01/2013 FORM through 09/21/2013 Page 73 . of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2013 Henry Tirre FIND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 EI Union member's dues received throe intermedia -rv: SanSCRafae l Police Associatign, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2013 HenryTirre-1 Fx IND Of f icer 11.18 274.30 EICOM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throucTh intermediaiv:--tan EISCC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2013 Henry Tirre ®IND Officer 11.18 274.30 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermedia y-v:qaSn"Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Henry Time ®INC} Officer 11.18 274.30 ncom C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:qanCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Henry Tirre [21 IND Officer 11.18 274.30 El Com C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue F-1 PTY City of San Rafael lSan Rafael, CA 94901 Union member's dues received through intermedia dl: EAPRaf aell Police Association, 1520, Fifth Avenue, S Rafael, CA 9490[l Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55_90 1 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) Amounts may be rounded I moneicary t;ontr1Dut1onsKeceiveci Statement covers period to whole dollars. i CALIFORNIA 460' from 07/01/2-013 FORM through 09Z2112013 Page 74 . of 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/115/2 013 Michael Vergara � IND Sergeant 11.18 274.30 EICOM C/o: San Rafael Police Association Fj OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediaxy:qaSnCl RafaeUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Michael Vergara rxZ IND Sergeant 11.18 274.30 EICOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 MSCC, Union member's dues received through intermediarv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, '27'A 94901 08/15/2013 Michael Vergara TINA Sergeant 11.18 274.30 El COM C/o: San Rafael Police Association E] OOH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rv:qanSpRafae � Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Michael Vergara TINA Sergeant 11.18 274.30 M COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy:E; anSCRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Michael Vergara EZIND Sergeant 11.18 274.30 000M C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediajV.*Q§r9(;,afae1l Police Association, 1520, Fifth Avenue, S n Rafael, CA 9490� IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political - o • s Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) bAft chedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period Monetary Contributions Received i CALIFORNIA to whole dollars. 460 from 07Z01/2013 FORM through 09/21/2013 Page 75 of 78 NAME OF FILER I.D. NUMBER San Raf ael Police Association Political Action Committee 831553 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 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) 07/15/2013 Mark Wilkinson RIND Officer 11.18 173.50 F�COIVI C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediary: --San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2013 Mark Wilkinson [Z IND Officer 11.18 173.50 000M C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 MSCC Union member's dues received through intermediarv:--san Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/15/2013 Mark Wilkinson HIND {officer 11.18 173.50 [I COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 M Union member's dues received through intermedia ry:--SanSC Rafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 08/31/2013 Mark Wilkinson ®IND Officer 11.18 173.50 ncom C/o: San Rafael Police Association Ej OTH City of San Rafael 1520 Fifth Avenue [:]PTY San Rafael, CA 94901 E;SC CRafael Union member's dues received throu2h intermedia 'ry: an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2013 Mark Wilkinson [ZIND Officer 11.18 173.50 EICOM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 .Union member's dues received through intermedia&:Q§I9(;Zafae1l Police Association, 1520 Fifth Avenue, An Rafael, CA 9490� rI'll I I I I *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enti PTY — Political Party SGG — Sitall Contributor Committel- SUBTOTAL $ 55.90 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Summary of Fxpenclitures Type or print in ink. Statement covers period W Supporting/Opposing Other Amounts may be rounded to dollars. A 0 A i1sicu whole from 07/01/2013 010 Candidates, Measures and Committees through 09/21/2013 Page 76 of 78 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OR COMMITTEE 09/11/2013 Transactions and Use Tax E 5,000.00 5, 000. 00 G 13 5,000. Monetary Contribution City of San Rafael, CA E] Nonmonetary Contribution F1 Independent Support ❑ Oppose Expenditure Monetary Contribution E] Nonmonetary Contribution Independent E] Support ❑ Oppose Expenditure Monetary Contribution F1 Nonmonetary Contribution Independent Support Oppose Expenditure SUBTOTAL $ 5,000.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ......................................................... $ 4 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) M Schedule E Payments Made 51MIEW11 ......... .... on= NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2013 through 09/21/2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 77 Of 78 I.D.NUMBER 831553 CIVP 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 PFK) phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals W 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Committee for a Safer San Rafael (#1359556) CTE 5,000.00 1000 4th Street, Suite 600 San Rafael, CA 94901 The Henry Levy Group PRO 1,676.05 5940 Coll e e Avenue Oakland, CR 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6,676.05 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 6,676.05 3. Total interest paid this period on loans. (Enter amount from Schedule 13, Part 1, Column (e).) ................ ....... ............................................. ........ $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 6,676.0_ci FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTERNUMBER) Statement covers period CALIFORNIA from 07/01/2013 FORM 460 N= through 09/21/2013 Page 7 8 of 78 I.D. NUMBER 831553 DESCRIPTION OF RECEIPT AMOUNTOF I INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00 Schedule I Summary 1. Itemized increases to cash this period . ....................................................................................................................... $ 0.00 2. Uniternized increases to cash of under $100 this period . ............................................................................................ $ 0.57 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ 0.57 FPPC Form 460 (January/05) 'PPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)