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HomeMy WebLinkAboutForm 460 - Police Association PAC (2012-06-30)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period Date of election if applicable:
from 01/01/2012 (Month, Day, Year)
SEE INSTRUCTIONS ON REVERSE ( through 06/30/2012
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
0 Recall Q Controlled
(Also Complete Part S) .� Q Sponsored
x❑ General Purpose Committee (Also complete Part 6)
® Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I I.D. NUMBER
NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
San Rafael Police Association Political Action Committee
STREET ADDRESS (NO P.O. BOX)
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
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael, CA 94915-1557
OPTIONAL: FAX / E-MAIL ADDRESS
2. Type of Statement -
Date Stamp
❑
Preelection Statement
❑
®
Semi-annual Statement
❑
❑
Termination Statement
❑
(Also file a Form 410 Termination)
❑
Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Ms. Beth Minks
MAILING ADDRESS
COVER PAGE
Page 1 of 198
For Official Use Only
Quarterly Statement
Special Odd -Year Report
Supplemental Preelection
Statement - Attach Form 495
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael, CA 94901
(415) 485-3000
NAME OF ASSISTANT TREASURER, IF ANY
Me. Rtar� F._ Owens
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
ts7nt r;��_-Innn
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 knowledget information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct. na I I,Al `M " i J
Executed on 07/31/2012
Date
Executed on 07/11 /2ol 2
Date
Executed on
Date
Executed on
Date
www.neffile.com
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of ControllingOffceholder,Candidate,StateMeasureProponent FPPC Foran 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Recipient Committee Type or print in ink. COVERPAGE-PART2
Campaign Statement CALIFORNIA
Cover Page — Part 2 FORM 460
6. Officeholder or Candidate Controlled Committee
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?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURERI CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfile.com
Page 2 of 198
6. Primarily Formed Ballot Measure Committee
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
DISTRICT NO. IF ANY
7. Primarily Formed 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
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 666/ASK-FPPC (666/2764772)
State of California
Campaign Disclosure Statement Type or print in Inic
Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from 01/01/2012
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 3 Of 198
NAME OF FILER I.D.NUMBER
San Rafael Police Association Political Action Committee 831553
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS.. ....................... Add Lines 1 +2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ...... ......................... Add Lines 8 + 9 + 10
Column A
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
$ 28,097.07
0.00
$ 28,097.07
737.59
Column B
CALENDAR YEAR
TOTALTO DATE
$ 28,097.07
0.00
$ 28,097.07
737.59
$ 28,834.66 $ 28,834.66
$ 19,000.00
0.00
$ 19,000.00
-18,362.40
737.59
$ 1,375.19
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 19,219.09
13. Cash Receipts ................................................... Column A, Line 3 above 28,097.07
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.07
15. Cash Payments .................................................. Column A, Line 8 above 19,000.00
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 28,316.23
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ 8,919.60
www.netfile.com
$ 19,000.00
0.00
$ 19,000.00
8,219.60
737.59
$ 28,657.19
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Gulumn 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)
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A Type or print in ink. SCHEDULE A
nnwm
unLs a us raunaea
Monetary Contributions Received
Statement COVerSperiod
I
to whole dollars.
LIFONI, I
CAR
a1
60
from 01/01/2012FORM
SEE INSTRUCTIONS ON REVERSE
through 06/30/2012
Page 4 Of 198
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
(IFCOMMITTEE,ALSOENTERI.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)
01/30/2012
Elisha Adams
®IND
Officer
39.85
410.72
❑ COM
Police Association
❑OTH
City of San Rafael
PTY
San Rafael, CA 94901
n❑n
Union member's dues received through intermedia
:`-San RafaEl
Police Association
San
Rafael CA 94901
01/30/2012
Elisha Adams
x❑IND
Officer
39.86
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTYn(�
San Rafael, CA 94901
Union member's dues received through intermedia
:`San Rafa
1 Police Association
San
Rafael CA 94901
02/09/2012
Elisha Adams
❑x IND
Officer
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PPr(TYY(�
Union member's dues received through intermedia
:[App` afa
1 Police Association,
MOM San
Rafael, CA 94901
02/21/2012
Elisha Adams
X❑IND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901❑
PTY
Union dues intermedia
member's received through
y:�—n6�3frrRafa
1 Police Association
San
Rafael, CA 94901
03/09/2012
Elisha A ams
QIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
MWW
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
:[1§9iCRafa
1 Police Association
n Rafael CA 94901
SUBTOTAL$ 177.76
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................ $
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................
www.netfile.com
27,782.67
314 .40
. TOTAL $ 28,097.07
*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 Farm 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
monetary GontripubonS Keceivea Amounts may be rounded
Statement covers period
I IIII
to whole dollars.
• RNIA / ,
III
from 01/01/2012
.
FORM
Page 5 of 198
through 06/30/2012
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)
03/20/2012
Elisha Adams
RIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's u received through i to dia
an SCC Rafael
Police As c' t'on.-IIIIIIIIN
San
Rafael. CA 94901
410.72
03/30/2012
Elisha Adams
QIND
Officer
32.57
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
(',
Union member's dues received through intermedia
:�an �2afae
Police Association
San
Rafael CA 9490
04/17/2012
Elisha Adams
RIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxvJ:;anRafael
Police Association
San
23.25
Rafael CA 9490
04/30/2012
Elisha Adams
xIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
City of San Rafael
San Rafael, CA 94901P
Union member's dues received through intermedia
:'-wan Tiafae
Police Association, diiiiiiii
San
Rafael CA 9490
05/16/2012
Elisha Adams
EE IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
Gr�
:Q§P§ Rafae
Police Association
San
Rafael CA 949011
SUBTOTAL$
148.96
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
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.)
ivio letc'if y Conil7DullonS KeceiVep Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• t
from 01/01/2012
•
Page 6 of 198
through 06/30/2012
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)
06/04/2012
Elisha Adams
❑x IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1PTYCity
of San Rafael
San Rafael, CA 94901
U 's es r ed'
SCC
PoliceRafael,
06/15/2012
Elisha Adams
® IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
ElPTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n
:''Sanr 3'tafae
Police Association
San
Rafael CA 9490
06/28/2012
Elisha Adams
❑x IND
Officer
28.00
410.72
COM❑
[:]COM
C/o: San Rafael Police Association
E] OTH
mommolonowma
PTY
City of San Rafael
San Rafael, CA 94901
❑
Union member's dues received through intermedia
:E4S 12afae
Police Association
San
Rafael CA 9490
01/30/2012
Raul Aguilar
❑ IND
Sergeant
g
39.85
410.72
❑ COM
C/o: San Rafael -Police Association
❑ OTH
❑ PTY
City of San Rafael
an Rafael, CA 94901
Union member's dues received through intermedia
(�I
:[;an Rafae
Police Associationaiiiiiiiiiiiiiiii
San
Rafael, CA 9490
01J30/2012
Raul Aguilar
rxIND
Sergeant
39.86
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.� afae
Police Association
S
n Rafael CA 949011
SUBTOTAL$
163.71
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.)
monetary UontriautionS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
,
from 01/01/2012
,
FPage
7 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
I.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
QF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
Raul Aguilar
❑X IND
Sergeant
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
ElTH
PTY
City of San Rafael
San Rafael, CA 94901
e dues received t h e
SCC
Sergeant
39.09
CA 0ion
02/21/2012
Raul Aguilar
[Z IND
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
;
(�2afae
Union member's dues received through intermedia
:E;S
Police Association
San
Rafael CA 9490
03/09/2012
Raul Aguilar
❑X IND
Sergeant
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:C;an'I2afae
Police Association
San
Rafael CA 9490
03/20/2012
Raul Aguilar
X ❑ IND
Sergeant g
32.57
410.72
❑ COM
C/o: San RafaePolice Association
❑ OTH
WWW
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;anRafae
Police Association,
San
Rafael, CA 9490
03/30/2012
Raul Aguilar
nIND
Sergeant
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ O'IH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia•
I �-8 # afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
163.19
'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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
monezary �onirmutionS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
•
,
from 01/01/2012
• •
Page B of 198
through 06/30/2012
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 ENTERI,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)
04/17/2012
Raul Aguilar
❑XIND
Sergeant
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
nn CCafael
o d inte
:�Sa
Police Association.4
San
Rafael,CA 94901
04/30/2012
Raul Aguilar
OIND
Sergeant
23.25
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedianv:qa"nCRafael
Police Association
MINIMMIL San
Rafael CA 9490
05/162012
Raul Aguilar
❑XIND
Sergeant
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
NOW
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;anKafael
Police Assoc i at ion,_AMMUMMUNNIOSE
n Rafael CA 9490
06/04/2012
Raul Aguilar
❑ IND
Sergeant
5
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
—11111110
PTY
City of San Rafael
San Rafael, CA 94901
(❑
CRafae
Union member's dues received through intermedia
:'-San
Police Association,
San
Rafael, CA 9490
06/15/2012
Raul Aguilar
FX -1
Sergeant
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ P n,
City of San Rafael
San Rafael, CA 94901
n C
nion member's dues received through intermedia
'--BT afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
139.82
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SGC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
monetary ContributlonS Kecelveq Amounts may pe rounded
Statement covers period
, ,
to whole dollars.
, ,
'
from 01/01/2012
• •
through 06/30/2012
Page 9 of 198
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
(ETITE,ALSENTERI.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)
06/28/2012
Raul Aguilar
QIND
Sergeant
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
a CCRafael
Union member's dues received through inter is
Police Association,
el CA 94901
01/30 / 2012
Anthony Augustyn
QIND
Officer
39.85
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
I�j C
Union member's dues received through intermedia
:`'San Ttafae
Police Association
San
Rafael CA 9490
01/30/2012
thong Auustyn
g
nXIND
Officer
39.86
410.72
❑ COM
C/o: San Rafael olice Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
union member's dues received through intermedia
n^t ,(
:q SCCRafae
Police Association
S
n Rafael CA 9490
02/09/2012
Anthony Augustyn
❑ RIND
Officer
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
n aTae , CA 94901(❑(
Union member's dues received through intermediary:`3an
� afael
Police Association
San
39.09
Rafael, CA 9490
02/21/2012
Anthony Augustyn
❑X IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
- ❑ OTH
PTY
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw h intermedia
•EQ `YRafae
Police Association
S
n Rafael CA 949011.
SUBTOTAL$
173.19
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.)
Ivionetary trontributionS K@ceived Amounts may oe rounaea
Statement covers period
III II
to whole dollars.
a '
from 01/01/2012
• •
Page 10 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
931553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSENTERI.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)
03/09/2012
Anthony Augustyn
QX IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Tinion member'sdues received t ter e
SCC
al'Assoc' t'
S
9
03/20/2012
thony Augustyn
©IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
F1PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
I�
:`'San Rafae
Police Association
San
32.57
Rafael CA 9490
03/30/2012
Anthony Augustyn
nxIND
Officer
410.72
[:]COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
n❑
:`-San Rafae
Police Association—I
n Rafael CA 9490
04/17/2012
Anthony Augustyn
x IND
❑
Officer
32.57
410.72
❑ COM
C s lice Association
❑OTHIIIIIIIIIIIIIIIIF
PTY
City of San Rafael
anRafael, CA 94901
Union member's dues received through intermedia
(❑I
:-San CRafael
Police Association,jIIIIIIIIIIIIII
San
Rafael, CA 9490
04/30/2012
Anthony Augustyn
❑x IND
Officer
23.25
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.El
Q afae
Police Association
n Rafael CA 9490
SUBTOTAL$
153.53
"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
www.nefflle.com
13
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK-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 '
ii
from 01/01/2012
• •
Page 11 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPD.N DEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/16/2012
Anthony Augustyn
QIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY—
City of San Rafael
San Rafael, CA 94901
SCC
Union member'sdues received through 'nte e 'a
Police Association.—AM
San
28.00
Rafael. CA 94901
06/04/2012
Anthony Augustyn
©IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
r] OTT
PTY
City of San Rafael
San Rafael, CA 94901
(;
Union member's dues received through intermedia
:�an �tafae
Police Association
n Rafael CA 9490
06/15/2012
Anthony Augustyn
[x IND
Officer
28.00
410.72
❑ COM
C/o: San Rae�Pglice Association
EIOTH
F❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`-San Rafael
Police Association
S
n Rafael CA 9490
06/28/2012
Anthony Augustyn
❑X IND
Officer
28.00
410.72
❑ COM
San Rafae P lice Association
❑ OTH
City of San Rafael
an Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
:qan �tafae
Police Association,
n Rafael, CA 9490
01/30/2012
Blair Auld
QX IND
Officer
39.86
410.72
[:]COM
C o: San Rafael Police Association
❑ OTH
of San Rafael
r-1 PTYCity
San Rafael, CA 94901
—j
Union member's dues received through intermedia
♦QP7r afaell
Police Association
n Rafael CA 949011
SUBTOTAL$
151.86
'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
www.neffile.com
FPPC Form 464 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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• '
from 01/01/2012
•
Page 12 of 198
through 06/30/2012
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)
01/30/2012
Blair Auld
RIND
Officer
39.85
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Unio member's a received o
gSCC
Police oXLRafael.
CA 94901
02/09/2012
Blair Auld
®IND
Officer
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
an Rafael, CA 94901
Union member's dues received through intermediaxv:E;anCR.fa.l
Police Association
San
39.09
Rafael CA 9490
02/21/2012
Blair Auld
RIND
Officer
410.72
❑ COM❑
C/o: San Rafael Police Association
OTH
1�
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermediarv:r;aSnKafael
Police Association
San
Rafael CA 9490
03/09/2012
Blair Auld
❑ RIND
Officer
32.57
410.72
❑ COM
_gLo: San Rafae Police Association
❑ OTH
City of San Rafael
an Rafael, CA 94901
PTY
Union member's dues received through intermedia
n❑
Sanafae
Police Association,
32.57
n Rafael, CA 9490
03/20/2012
Blair Auld
❑x IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.^
Q afae
Police Association
SaIn
Rafael CA 9490
SUBTOTAL$
170.47
*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
www.netfile.com
FPPG Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPG (8661276-3772)
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT)
monetary contrioutionS Keceiveci Amounts may be rounded
Statement covers period
to whole dollars.CALIFORNIA,
from 01/01/2012
FORM
through 06/30/2012
Page 13 of 196
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
(EFTACOMMITTEER, ALSO ENTERI.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)
03/30/2012
lair Auld
MIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
Unionmember's receivedt i to e
Rafael
Police Association,
San
Rafael. CA 9490L
04/17 / 2012
Blair Auld
MIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermediaxv:qanCCRafael
Police Association
San
Rafael CA 9490-
04/30/2012
Blair Auld
MIND
Officer
23.25
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
ON
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qaSnRafael
Police Association
San
Rafael CA 9490
05/16/2012
Blair Auld
❑ MIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]qPTY
City of San Rafael
a ae CA 94901
Union member's dues received through intermedia
:'-wan Ctafae
Police Association,
San
Rafael, CA 9490
06/04/2012
lair Auld
MX IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
�Sa,n
❑ PTY
City of San Rafael
Rafael, CA 94901
on member's dues received through intermedia
l!��ttCCl!��r(�
:'- § Rafae
Police Association
n Rafael CA 949011
SUBTOTAL$
144.39
"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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
monetary contrlautlonS Keceived Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
•
through 06/30/2012
Page 14 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO 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)
06/15/2012
Blair Auld
BIND
Officer
28..00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
r-1 PTY
City of San Rafael
San Rafael, CA 94901
ion member Is duesreceived throuah interediaxv:qanC(iafael
Police Association,
C A 94901
06/28/2012
Blair Auld
®IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received throw h intermedia
:`man
Police Association
San
Rafael CA 9490
02/21/2012
Valerie Avalon
❑x IND
Dispatcher
30.53
237.51
[:] COM❑
C/o: San Rafael Police Association
QTH
PTY
City of San Rafael
San Rafael, CA 94901
(❑
Union member's dues received through intermedia
:'-wan Rafael
Police Association
San
25.45
Rafael CA 9490
03/09/2012
Valerie Avalon
RIND
Dispatcher P
237.51
❑ COM
24o: San Rafael Police Association
El OTH
❑ PTY
City of San Rafael
an Ra ael, CA 94901
Union member's dues received through intermediaxy:qaSnRafael
Police Association,
San
Rafael, CA 9490
03/20/2012
Valerie Avalon
MIND
Dispatcher
25.45
237.51
❑ COM
C/o: San Rafael olice Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.�� afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
137.43
"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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.)
monetary ContriaubonS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
•
from 01/01/2012
•
15 of 198
through 06/30/2012l7age
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
QFCOMMITTEE, ALSO ENTER I.D.N
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Valerie Avalon
RIND
Dispatcher
25.45
237.51
[:] COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member'sdues received throucth intermediaiv:SCCafael
Policeoc'Rafael,
9490
04/17/2012
Valerie Avalon
❑RIND
Dispatcher
25.45
237.51
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n (;
:''San Rafael
Police Association,San
18.18
Rafael CA 9490
04/30/2012
Valerie Avalon
❑x IND
Dispatcher
237.51
❑ COM
C/o: San Rafael Police Association
❑ OTH
PT'
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑n
:`aan �afae
Police Association
Dispatcher P
S
21.75
n Rafael CA 9490
05/16/2012
Valerie Avalon
❑ RIND
237.51
[]COM
C/o: San Rafael olice Association
❑ OTH
IIIIIIIIIIIFF-1
PTY
City of San Rafael
an Rafael, CA 94901
Union member's dues received through intermedia
:n�an CRafae
Police Association,
San
21.75
Rafael, CA 9490
06/04/2012
Valerie Avalon
EM IND
Dispatcher
237.51
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw h intermediaxjy:Q§19(;zafaeI1
Police Association
Sain
Rafael CA 9490tL
SUBTOTAL$
112.58
*Contributor Codes
IND — individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.netf%/e.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
pp ,
from 01/01/2012
• RM
through 06/30/2012
Page 16 of 198
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
OF 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)
06/15/2012
Valerie Avalon
FDND
Dispatcher
21.75
237.51
n COM
C/o: San Rafael Police Association
n OTH
n PTY
City of San Rafael
San Rafael, CA 94901
SCC
U es received o h t
Police Association. 4W
San
Rafael, A 9490
06/28/2012
Valerie Avalon
®IND
Dispatcher
21.75
237.51
n COM
C/o: San Rafael Police Association
n OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia2:v:E;aS:CCRafael
Police Association
San
Rafael CA 9490
01/30/2012
James Bellamy
nXIND
Officer
39.86
410.72
n COM
C/o: San Rafael Police Association
n OTH
TY
City of San Rafael
San Rafael, CA 94901P
Union member's dues received through intermedia
:qanRafae
Police Association-iIIIIIIIIIIIIISan
Rafael CA 9490
01/30/2012
James Bellamy
RIND
Officer
39.85
410.72
n COM
C/o: San Rafael olice Association
n OTH
City of San Rafael
an Rafael, CA 94901
n PTY
n
Union member's dues received through intermedia
:'-San Cafae
Police Association,
S
n Rafael, CA 9490
02/09/2012
James Bellamy
RX IND
Officer
26.39
410.72
n COM
C/o: San Raf Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
Q§PP
Union member's dues received through intermedia
: afaejl
Police Association
S
n Rafael CA 9490
SUBTOTAL$
149.60
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866IASK-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
1
to whole dollars.
i
from 01/01/2012
AM
Page 17 of 198
through 05/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND 21P 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)
02/21/2012
James Bellamy
BIND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY—
City of San Rafael
San Rafael, CA 94901
Union member's dues receivedthrowintermediaxv:qanCCRafael
Police oci io
SIn
Rafael, CA 9490L
03/09/2012
James Bellamy
❑x IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`fan Rafae
Police Association
S
n Rafael CA 9490
03/20/2012
James Bellamy
RIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
CRafae
Union member's dues received through intermedia
:E;an
Police Association
S
n Rafael CA 9490
03/30/2012
`Tames Bellamy
RIND
Officer
32.57
410.72
❑ COM
C/o: San Ra a olice Association
❑ OTH
PTY
❑(n
City of San Rafael
an Rafael, CA 94901
Union member's dues received through intermedia
CR
:'-Saafae
Police Association,
San
Rafael, CA 9490
04/17/2012
James Bellamy
❑x IND
Officer
32.57
410.72
❑ COM
C/o: San Rafr .police Association
❑OTB
City of San Rafael
[-] PTY
San Rafael, CA 94901
nG�+�+
Union member's dues received through intermedia
.afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
159.37
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SGC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
IM t•r -.f�
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK-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.
from 01/01/2012
Page 18 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIPDEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT
(IF COMMITTEE, I.D.N
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)
04/30/2012
James Bellamy
❑X IND
Officer
23.25
410.72
[j COM
C/o: San Rafael Police Association
❑ OTH
PTYCity
of San Rafael
San Rafael, CA 94901
union 's dues received throucth i
aCC2a
Police oc'atio
San
Rafael, CA 9490L
05/16/2012
James Bellamy
®IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
('
Union member's dues received through intermedia
:`��11-San �2afae
Police Association
San
Rafael CA 9490
06/04/2012
James Bellamy
BIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael olice Association
❑ OTH
0 PTY
City of San Rafael
San Rafael, CA 94901
C1afae
Union member's dues received through intermedia
:n�an
Police Association
San
Rafael CA 9490
06/15/2012
James Bellamy
XIND ❑
Officer
28.00
410.72
❑ COM
C San Rafael Police Association
❑ OTH
E] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia2:y:qaSnCCR.fael
Police Association,
San
Rafael, CA 9490
06/28/2012
James Bellamy
nXIND
Officer
28.00
410.72
❑ COM
C o: San Rafael Police Association
❑ OTH
City of San Rafael
❑n PiY
San Rafael, CA 94901
Union member's dues received through intermedia
.�'-B 9'R afae
$
Police Associatian
San
Rafael CA 9490JL
SUBTOTAL$
135.25
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
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 01/01/2012
Page 19 of 198
through 06/30/2012
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
(ETCOMMITTEE, ALSENTERI.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)
01/30/2012
Todd Berringer
❑x IND
Corporal
39.85
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
union member's dues received t rou
afa
Police Association.jew
iiiiCA
9490L
01/30/2012
Todd Berringer
❑X IND
Corporal
39.86
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
(���- CCRafae
Union member's dues received through intermedia
:EA
Police Association
San
Rafael CA 9490
02/09/2012
Todd Berringer
❑x IND
Corporal
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
(❑
CRafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael CA 9490
02/21/2012
Todd Berringer
RIND
Corporal P
39.09
410.72
❑ COM
C/o: San Raf lice Association
❑ OTH
PTY
City of San Rafael
n R 94901
(❑
Union member's dues received through intermedia
:EanKafae
Police Association,
San
Rafael CA 9490
03/09/2012
Todd Berringer
EOIND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
F-1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.n+
'-B P(` afaell
Police Associationj
San
Rafael CA 9490
SUBTOTAL$
177.76
`Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SGC - Small Contributor Committee
www.netfile.com
FPPC Form 464 (January/06)
FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
monetary contnout onS Keceiveci Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
•'
Page 20 of 198
through_ 06/30/2012
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
(E COMMITTEE, ALSENTERI.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)
03/20/2012
Todd Berringer
BIND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
aCCRafael
Union member's received h i to e
PoliceAssociation,
Rafael. 9
03/30/2012
Todd Berringer
©IND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
((�� (;
Union member's dues received through intermedia
:`-San 1 afae
Police Association
San
Rafael CA 9490
04/17/2012
Todd Berringer
❑x IND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑(
Union member's dues received through intermedia
:`-aan Iafae
Police Association
San
Rafael CA 9490
04/30/2012
Todd Berringer
❑ MIND
Corporal P
23.25
410.72
❑ COM
C o: San Lafa olice Association
❑ OTH
City of San Rafael
an a ael, 94901
PTY
n❑
Union member's dues received through intermedia
:`-San 12afae
Police Association,
San
Rafael, CA 9490
05/16/2012
Todd Berringer
❑X IND
Corporal
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:Qh9Pgftafae
Police Association
San
Rafael CA 949011
SUBTOTAL$
148.96
*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
www.netfile.com
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.
CALIFORNIA
II
460
from 01/01/2012
FORM
Page 21 of 198
through 06/30/2012
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Todd Berringer
F-xj IND
Corporal
28.00
410.72
E]COM
C/o: San Rafael Police Association
nOTH
17� PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received throucth intermediaxv:qaSrC1
Rafael
Police Association,
I_&
n Rafael. CA 9490L
06/15/2012
Todd Berringer
FA IND
Corporal
28.00
410.72
El COM
C/O: San RafgjL.Police Association
n OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
C
—
Union member's dues received through intermedia xv:`San
Rafael
Police Association,
San
Rafael. CA 9490R
06/28/2012
Todd Berringer
nx IND
Corporal
28.00
410.72
MCOM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901C
—
Union member's dues received through intermedia 2:v:E;anC
Rafael
Police Association,
San
Rafael, CA 9490
01/30/2012
Geoffrey Bowker
nx IND
officer
39.85
410.72
El COM
C/o: San RafAe_l_police Association
E] OTH
FIPTY
City of San Rafael
4901
Union member's dues received through intermedia ty:E;'C(�afael
San
Police Association,
San
39.86
Rafael, CA 9490L
01/30/2012
Geoffrey Bowker
[MIND
officer
410.72
f --j COM
C/o: JRafael Police Association
I
F -I OTH
City of San Rafael
EIPTY
lSap Rafael, CA 94901
Union member's dues received through intermediaxiy:QP;zafaell
Police Association,
S
Rafael, CA 949011.
SUBTOTAL$
1 1
163.71
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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.
� �
from 01/01/2012
FORM
through 06/30/2012
Page 22 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOAND
.D.N
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)
02 09 2012
/ /
Geoffrey Bowker
❑x IND
Officer
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
a I
El PTY
City of San Rafael
San Rafael, CA 94901
SCG
Union dues c 'v inter ed'
a
Police Association.-IIIIIIIIIIIIIIIII9490L
02/21/2012
Geoffrey Bowker
❑x IND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ Y
PTY
City of San Rafael
San Rafael, CA 94901
jj��
Union member's dues received through intermedia
:`-San �2afae
Police Association
Se
n Rafael CA 9490
410.72
03/09/2012
Geoffrey Bowker
❑x IND
Officer
32.57
[-] COM
C/o: San Rafael Police Association
n
Y
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qaSnRafael
Police Association
S
n Rafael CA 9490
03/20/2012
Geoffrey Bowker
RIND
Officer
32.57
410.72
❑ COM
C/O: San Rafael Pplice Association
❑ OTH
❑n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`-San i afael
Police Association,
San
32.57
Rafael, CA 9490
03/30/2012
Geoffrey Bowker
❑X IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
nGrr
.afae
Police Association
San
Rafael CA 949011.
SUBTOTAL$
163.19
"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
www.neffile.com
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 ICALIFORNIA
to whole dollars.460
,
from 01/01/2012
FORM
Page 23 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
IT
(IF COMMITTEE, 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)
04/17/2012
Geoffrey Bowker
❑X IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY—
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received
of
o ice Association
011OL&-n
Rafael, CA 9490L
04/30/2012
Geoffrey Bowker
❑X IND
Officer
23.25
410.72
❑ COM
C o: San Rafael Police Association
❑ OTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`fan
Police Association
San
Rafael CA 9490
05/16/2012
Geoffrey Bowker
❑X IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qan RafaelPolice
Association
S
n Rafael CA 9490
06/04/2012
Geoffrey Bowker
❑X IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael -Police Association
❑ OTH
City of San Rafael
ana ae 1, CA 94901
❑ PTY
Union member's dues received through intermedia
:`-nSan Rafae
Police Association,
mommmmmmmmmlmmkS
28.00
n Rafael, CA 9490
06/15/2012
Geoffrey Bowker
❑X IND
Officer
410.72
❑ COM
C/o: San Rafael MI�olice Association
El OTH
City of San Rafael
-!
❑ PTY
San Rafael, CA 94901
ner
pion member's dues received through intermedia
•Q§17 afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
139.82
*Contributor Codes
IND – Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY– Political Party
SCG – Small Contributor Committee
www.netfile.com
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.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
*
,
from 01/01/2012
page 24 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
pFCOMMITTEE, ALSO I.D.N
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)
06/28/2012
Geoffrey Bowker
MIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
afae�
ElCA-94901 PTS(
City of San Rafael
San R®—
,
aC
Union member's dues v
f e
Police Associati n.
San
Rafael.4 001/30/2012
Lynn Bracken
MIND
Records Clerk
30.53
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
[-] PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`fan Rafae
Police Association
San
Rafael CA 9490
01/30/2012
Lynn Bracken
MIND
Records Clerk
30.55
319.28
❑ COM
C o: San Rafael o Association
ElOTH
--lice
PTY
City of San Rafael
San Rafael, CA 94901
(❑
Union member's dues received through intermedia
:`-San Rafae
Police Association
San
Rafael CA 9490
02/09/2012
Lynn Bracken
xIND
❑
Records Clerk
20.69
319.28
❑ COM
q 0; San RaL&&Lp&lice Association
❑ OTH
City of San Rafael
an a ael, CA 94901
Pte,
❑ Y
�n
Union member's dues received through intermedia
:`;an'Rafae
Police AssociationLONSan
Rafael, CA 9490
02/21/2012
Lynn Bracken
❑x IND
Records Clerk
30.53
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.�-ST17 afae
c-SatiR
Police Association
San
Rafael CA 9490
SUBTOTAL$
140.30
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SGC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
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.
/ � '
from 01/01/2012
• RM
Page 25 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPD.N DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EETACOMMITTEE,RALSAND
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)
03/09/2012
Lynn Bracken
❑x IND
Records Clerk
25.45
319.26
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SCC
union e er's dues ed through inte d'
Association,
San
Rafael. CA 0
03/20/2012
Lynn Bracken
©IND
Records Clerk
25.45
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
II�� (;
Union member's dues received through intermedia
:'-San Rafael
Police Association -411111111111111--
n Rafael CA 9490
03/30/2012
Lynn Bracken
❑X IND
Records Clerk
25.45
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑
Iilafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael CA 9490
04/17/2012
Lynn Bracken
❑ iND
Records Clerk
25.45
319.28
❑ COM
C/o: S ael Police Association
❑ OTH
City of San Rafael
❑ PTY
Y(;
e , 94901
nn
Union member's dues received through intermedia
:`-San-Rafae
Police Association,
San
Rafael, CA 9490
04/30/2012
Lynn Bracken
❑X IND
Records Clerk
18.18
319.28
❑ COM
C/o: San Rafael Police Association
El OTH
City of San Rafael
miliIIIIIIIIIIIIII❑
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
II��IICR��ff^^
:�-Bai afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
119.98
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 8661ASK-FPPC (866/276-3772)
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
III ,
from 01/01/2012
FORM
Page 26 of 198
through 06/30/2012
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
OF 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)
05/16/2012
Lynn Bracken
❑X IND
Records Clerk
21.75
319.28
❑ COM
C/o: San Raf olice Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SanC Gafael
Union ereceived through
Police Association,0
06/04/2012
Lynn Bracken
©IND
Records Clerk
21.75
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
E
❑ PTY(;
City of San Rafael
San Rafael, CA 94901
j�lj
Union member's dues received through intermedia
:`;an_Rafae
Police Association
San
Rafael CA 9490
06/15/2012
Lynn Bracken
❑X IND
Records Clerk
21.75
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'-SaSn Z2afae
Police Association
San
Rafael CA 9490
06/28/2012
Lynn Bracken
❑X IND
Records Clerk
21.75
319.28
❑ COM
-C/o: San Rafael Police Association
❑ OTH
City of San Rafael
an Rafael, CA 94901n❑
PTY
CRafae
Union member's dues received through intermedia
:`-San
Police Association,
San
Rafael, CA 9490
01/30/2012
Michael Byers
❑X IND
Corporal
39.85
410.72
❑ COM
C/O: San Rafael Police Association
❑ OTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
rr
Union member's dues received through intermedia
.Q P('Rafae
Police Association
S
n Rafael CA 9490
SUBTOTAL$
126.85
*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
www.netfile.com
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 ICALIFORNIAto
whole dollars.
i
460
from 01/01/2012
• T
Page 27 of 198
through 06/30/2012
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
OF 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)
01/30/2012
M ichael Byers
RIND
Corporal
39.86
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SCC
receivedunion member's dues intermedia
fael
Police Association,
13an
Rof el CA 9490
02/09/2012
Michael Byers
©IND
Corporal
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ Pte,
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:�an �afael
Police Association
San
Rafael CA 9490
02/21/2012
Michael Byers
RIND
Corporal
39.09
410.72
❑ COM
C/o: San Rafael -Police Association
❑ OTH
❑PTY
Y
City of San Rafael
ana ae , 94901
r�
Union member's dues received through intermedia
:`-San i2afae
Police Association
San
Rafael CA 9490
03/09/2012
Michael Byers
[MIND
Corporal
32.57
410.72
❑ COM
C n Rafael Police Association
❑ OTH
City of San Rafael
-,94901
PTY
an Rafael
r❑
Union member's dues received through intermedia
:` an 7 afae
Police Association,
San
Rafael, CA 9490
03/20/2012
Michael Byers
❑RIND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
II.Sla.
F-1 PTY
Rafael, CA 94901
nion member's dues received through intermedia
(t��ICC��((��
:c -SPP afae
Police Association
Satn
Rafael CA 9490
SUBTOTAL$ 170.48
*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
www.neffile.com
FPPC Form 464 (January/06)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661276-3772)
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 01/01/2012
•
Page 28 of 198
through 06/30/2012
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)
03/30/2012
M ichael Byers
RIND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
-
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union 's dues received t
fael
Police Association,S
fa 0
04 17 2012
/ /
Michael Byers
RIND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`;an
Police Association
S
n Rafael CA 9490
04/30/2012
Michael Byers
RIND
Corporal
23.25
410.72
❑ COM
c/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:[;aSnCCRafael
Police Association
28.00
n Rafael CA 9490
05/16/2012
Michael Byers
RIND
Corporal
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
PTY
City of San Rafael
San Rafael, CA 94901
((��
Union member's dues received through intermediary:
3an 7 afael
Police Association,
S
n Rafael, CA 9490
06/04/2012
Michael Byers
RIND
Corporal
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
n Gr+r
Union member's dues received throu h intermedia,
afae
Police Association
S
n Rafael CA 9490lL
SUBTOTAL$ 144.39
`Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCG — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
,
from 01/01/2012 1
FORM
through 06/30/2012
Page 29 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EETACOMMITTEE,RALSAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
-
06/15/2012
M ichael Byers
❑x IND
Corporal
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union e received through interSanCCRafaPI
Policeoc' do
PP.f1 ra 9490L
06/28/2012
Michael Byers
©IND
Corporal
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermediaxv:E;aSnC9zafael
Police Association
San
Rafael CA 9490
01/30/2012
Shelly Cade
❑x IND
Dispatcher
30.55
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
Now
PTY
City of San Rafael
San Rafael, CA 94901
n❑
Union member's dues received through intermedia
:`-San �2afae
Police Association
S
n Rafael CA 9490
01/30/2012
Shelly Cade
QIND
Dispatcher P
30.53
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
, 94901
PTY
n❑n
Union member's dues received through intermedia
:`-San 12afae
Police Assoc iat ion,lIIiiiiiiiii
San
Rafael, CA 9490
02/09/2012
Shelly Cade
❑X IND
Dispatcher
20.69
319.28
❑ COM
.C/O; San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
n Rafael, CA 94901.Wert+ion
In
member's dues received throu h intermedia
afae
Police Association
'San
Rafael CA 9490
SUBTOTAL$
137.77
"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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (6661276-3772)
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
/ ,
from 01/01/2012
• `
Page 30 of 198
through 05/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET 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)
02/21/2012
Shelly Cade
BIND
Dispatcher
30.53
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
��-
❑ PTY
City of San Rafael
San Rafaell,, CA 94901
Union member's dues received throucth intermediaxv:q.SrCNZafae1Police
Association,
San
Rafael.A 9490L
03/09/2012
Shelly Cade
X ❑ IND
Dispatcher
25.45
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
El PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`San 72afae
Police Association
S
n Rafael CA 9490
03/20/2012
Shelly Cade
BIND
Dispatcher
25.45
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
I❑I
Union member's dues received through intermedia
:'-San Rafael
Police Association
S
n Rafael CA 9490
03/30/2012
Shelly Cade
DIND
Dispatcher
25.45
319.28
❑ COM
C/o: San Rafa olice Association
❑ OTH
City of San Rafael
IF ae , CA 94901
❑ PTY
E
Union member's dues received through intermediary:
-SanKaf ael
Police Association,
Se
n Rafael, CA 9490
04/17/2012
Shelly Cade
❑x IND
Dispatcher
25.45
319.28
❑ COM
C/o: San Rafae olice Association
❑ OTH
City of San Rafael
❑ PTY
4901.rr
San Rafael, CA 94901----
Union member's dues received through intermedia
Q 9(;Zafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
132.33
*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
www.netfile.com
FPPG Form 460 (January/06)
FPPG Toll -Free Helpline: 8661ASK-FPPG (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
/ ,
from 01/01/2012
FORM
through 06/30/2012
Page 31 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
IT
(IF COMMITTEE, .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Shelly Cade
❑x IND
Dispatcher
18.18
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SPC
union member's es received through to ed'
e
Police Association.1
bililILgEn
Rafael. CA 9490L
—
05/16/2012
Shelly Cade
MND
Dispatcher
21.75
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
n
CRafael
Union member's dues received through intermedia
:`San
Police Association
San
Rafael CA 9490
06/04/2012
Shelly Cade
❑x IND
Dispatcher
21.75
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;aSnKafael
Police Association
San
Rafael CA 9490
06/15/2012
Shelly Cade
❑x IND
Dispatcher
21.75
319.28
❑ COM
C olice Association
❑ OTH
of San Rafael
CA 94901
❑ PTYCity
n (�
CRafae
Union member's dues received through intermedia
:'--3an
Police Association,
S
n Rafael, CA 9490
06/28/2012
Shelly Cade
❑X IND
Dispatcher
21.75
319.28
❑ COM
C/O: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.nGr�+
afae
Police AssociationAllillill
gift San
Rafael CA 9490
SUBTOTAL$
105.18
*Contributor Codes
IND — individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCG – Small Contributor Committee
www.netfile.com
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
i
from 01/01/2012
FORM
through 06/30/2012
Page 32 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
QF COMMITTEE, ALSO 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)
01/30/2012
Joseph Camins
RIND
Officer
39.86
410.72
❑ COM
C/o: San Rafael olice Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues v o i ter a
Association
CA 9490L
01/30/2012
Joseph Camins
®IND
Officer
39.85
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
❑
City of San Rafael
San Rafael, CA 94901
Union member's dues received thrgucrh intermedia
:`'San CCRafael
Police Association
San
Rafael CA 9490
02/09/2012
Joseph Camins
RIND
Officer
26.39
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑
Union member's dues received through intermedia
:`-San -tafae
Police Association,A_
n Rafael CA 9490
02/21/2012
Joseph Camins
RIND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
Y(;
City of San Rafael
SanRafael, CA 94901
II��
Union member's dues received through intermedia
:'-San'Rafae
Police Associati2a-11111111111111111San
Rafael, CA 9490
03/09/2012
Joseph Camins
❑X IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
[Union member's dues received through intermedia
.QPTr afaell
Police Association
San
Rafael CA 9490
SUBTOTAL$
177.76
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCG)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfite.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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 01/01/2012
FORM
Page 33 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
IT
(IF COMMITTEE, 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)
03/20/2012
Joseph Camins
MIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCG
member'sUnion s received t o
Police Association,
San
Rafael. CA 9490L
03/30/2012
Joseph Camins
MIND
Officer
WWNIW
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
(� r-Rafae
Union member's dues received through intermedia
:`'San
Police Association
San
Rafael CA 9490
04/17/2012
Joseph Camins
MIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
I❑PTY
Union member's dues received through intermedia
:`-San 72afae
Police Association
San
Rafael CA 9490
04/30 2012
J
Joseph Camins
[EIND
Officer
23.25
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
94901
PTY
a ae ,
(❑
Union member's dues received through intermedia
:`-San Ttafae
Police Association,
San
Rafael, CA 9490
05/16/2012
Joseph Camins
®IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael olice Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received through intermediany:Q§PrRafaell
Police AssociationA
1111110 San
Rafael CA 9490
SUBTOTAL$
148.96
`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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 6661ASK-FPPC (666/275-3772)
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• '
from 01/01/2012
FORM
page 34 of 198
through 06/30/2012
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
pFCOMMITTEE,ALSENTERI.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)
06/04/2012
Joseph Camins
RIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
a CC
member's— Union dues received through inter ed'
a ae
i e Association,
San
Rafael.CA 9490L
06/15/2012
Joseph Camins
❑X IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
-
��
El PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
San afael
Police Association
S
n Rafael CA 9490
06/28/2012
Joseph Camins
❑x IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
(❑PTY
:`-San Z2afae
Police Association
San
Rafael CA 9490
01/30/2012
David Casalnuovo
X IND
Officer
39.84
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
a e , CA 94901
Union member's dues received through intermedia
n❑r
:`-San �Zafae
Police Association,A1111110--
n Rafael, CA 9490
01/30/2012
David Casalnuovo
❑X IND
Officer
39.86
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
.'8'-$a"17`R afae
Police Association
San
Rafael CA 9490iL
SUBTOTAL$ 163.70
"Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY– Political Party
SCG – Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275-3772)
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 01/01/2012
FORM
Page 35 of 198
through 06/30/2012
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)
02/09/2012
David Casalnuovo
NIND
officer
26.39
410.71
EICOM
C/o: San Rafael Police Association
[_1 OTH
E]PTY
City of San Rafael
San RaTfae-1-7777- 94901
SCC
union member's dues received throucfh inter diayv!q
an Rafael
P,
of atce Associion
N11ftSgn
Rafael, CA 9490L
02/21/2012
David Casalnuovo
r_X1 IND
officer
39.09
410.71
ncom
C/o; San Rafael Police Association
F] OTH
El PTY
City of San Rafael
San Rafael, CK_ 94901
Union member's dues received through intermedia rv:E;anKafael
Police Association
San
Rafael, CA 9490L
03/09/2012
David Casalnuovo
FX -1 IND
officer
32.57
410.71
El COM
C/o: San Rafael Police Association
[:1 OTH
E] PTY
City of San Rafael
San Rafael, CA 94901
—
Union member's dues received through intermediaxv:E;a'nRafael
Police Association—
an
Rafael, CA 9490L
03/20/2012
David Casalnuovo
[MIND
officer
32.57
410.71
E]COM
C/o:anRafagI Police olice Association
[:]OTH
IF0
[:] PTY
City of San Rafael
an Rataei, CA 94901
Union member's dues received through intermedia iy:E;aSnCCRafa.l
Police Association,
San
Rafael, CA 9490L
03/30/2012
David Casalnuovo
RIND
Officer
32.57
410.71
ncom
C/o: San Rafael 1.Police Association
-.,
n OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
jUnion member's dues received through intermedia
•Q$$
Police Association
San
Rafael, CA 949011
SUBTOTAL$
1
163.19
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
'
from 01/01/2012
FORM
Page 36 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
L (E COMMITTEE, ALSO 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)
04/17/2012
David Casalnuovo
❑RIND
Officer
32.57
410.71
❑ COM
San Rafael Police Association
❑ OTH
❑P.T.Y
City of San Rafael
San Rafael, CA 94901
`SCPolice
Union member's es received through er
Association.
I San
Rafael.CA 9490L
04/30/2012
David Casalnuovo
Rx IND
Officer
23.25
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]94901 PTY
City of San Rafael
San Rafael94901
Union member's dues received through inte mediaxv:qaSnKafael
Police Association
San
Rafael CA 9490
05/16/2012
David Casalnuovo
RX IND
Officer
28.00
410.71
❑ COM
C o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:'uan
Police Association
San
Rafael CA 9490
06/04/2012
David Casalnuovo
RX IND
Officer
28.00
410.71
❑ COM
C San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, 94901
Union member's dues received through intermediaxy:qanCRafael
Police Association,
San
Rafael, CA 9490
06/15/2012
David Casalnuovo
❑RIND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901.I—iG(^.(^.
nion member's dues received through intermedia
afae
Police Association
San
Rafael CA 9490IL
SUBTOTAL$
139.82
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netflle.com
FPPG Form 460 (January/06)
FPPG Toil -Free Helpline: 8661ASK-FPPG (866/276-3772)
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 01/01J2012
Uj
Page 37 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/28/2012
David casalnuovo
❑x IND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SCC
union received m e me
an
Police Association.
San
Rafael.CA 9490L
01/30/2012
Allan Castaneda
RIND
Officer
39.86
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
low❑
PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
: qan �afae
Police Association
San
Rafael CA 9490
01/30/2012
Allan Castaneda
❑x IND
Officer
39.84
410.71
❑ COM
C/o: San Rafael Police Association
n OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑
CRafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael CA 9490
02/09/2012
llan Castaneda
RIND
Officer
26.39
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
n a ae , CA 44901
❑ PTY
(;
nion member's dues received through intermedia
:�an �2afae
Police Association
San
Rafael, CA 9490
02/21/2012
llan Castaneda
❑x IND
Officer
39.09
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
40
El PTY
San Rafael, CA 94901
�+r
Union member's dues received throu h intermedia
.Q 1T`Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
173.18
"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
www.netfite.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
monetary t;ontnputionS Keceiveu Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
,
from 01/01/2012
• •
through 06/30/2012
Page 38 of 198
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,ALSOENTERI.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)
03/09/2012
Allan Castaneda
QIND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PT`(
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv!qanCCRafael
Police Association,Rafael,
CA 9490L
03/20 / 2012
Allan Castaneda
QIND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucth intermedia
:anCCR.fa.fL
Police Association
San
Rafael CA 9490
410.71
03f30/2012
llan Castaneda
❑x IND
Officer
32.57
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑n
:`-San CRafae
Police Association
Sen
Rafael CA 9490
04/17/2012
Allan Castaneda
❑ IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
City of San Rafael
San Rafael, CA 94901P
Union member's dues received through intermedia
:'—San � afael
Police Association,jIIIIIIIIIIIIIIIII
W San
Rafael CA 9490
04/30/2012
Allan Castaneda
❑x IND
Officer
23.25
410.71
❑ COM
C/ : San Rafa 1 olice Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
��II
Union member's dues received through intermedia
:' §P� afaell
Police Association
San
Rafael CA 949011
SUBTOTAL$
153.53
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
ivwneiar ConiriouzionS Keceivea Amounts mayDorounaea
Statement covers period
I I
to whole dollars.
CALIFORNIA� �
from 01/01/2012
•
page 39 of 198
through 06/30/2012
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)
05/16/2012
Allan Castaneda
BIND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
ElPTY
City of San Rafael
San Rafael, CA 94901
Uni e e e ed t di
an SCCa ePolicec'
28.00
90
06/04/2012
Ilan Castaneda
❑x IND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
ElPTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
I�I (;
:'-San ZRafae
Police Association
San
Rafael CA 9490
410.71
06/15/2012
Ilan Castaneda
RIND
Officer
28.00
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
❑
Union member's dues received through intermedia
:�an Rafael
Police Association
San
Rafael CA 9490
06/28/2012
Allan Castaneda
RIND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
�■11�City
❑ PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:�an CRafae
Police Association,
S
n Rafael, CA 9490
01/30/2012
Edward Chiu
❑X IND
Officer
39.84
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
�-8
.Q }y17 -R afae
Police Association
Sain
Rafael CA 949011.
SUBTOTAL$
151.84
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
www.netflle.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.)
monetary c.:ontnouvonS Kecelvea Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• ,
from 01/01/2012
•
through 06/30/2012
Page 40 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPD.N DEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EETACOMMITTEE,RALSAND
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
Edward Chiu
❑x IND
Officer
39.86
410.71
❑ COM
CIO: San Rafael Police Association
❑ OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
SanCCRafael
Un' 's dues receivedthrough i
Police s oc' n
n Rafael, CA 9490
02/09/2012
Edward Chiu
[ZIND
Officer
26.39
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
:`'SanC T2afae
Police Association
San
Rafael CA 9490
410.71
02/21/2012
Edward Chiu
❑x IND
Officer
39.09
❑ COM
C : San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
❑
Union member's dues received through intermedia
:qan Z2afae
Police Association
S
n Rafael CA 9490
03/09/2012
Edward Chiu
❑ RIND
Officer
32.57
410.71
❑ COM
C o: Sand Police Association
❑ OTH
❑ PTY
City of San Rafael
94901
Union member's dues received through intermediazy:qaSnCCkafael
Police Association,
San
Rafael, CA 9490
03/20/2012
Edward Chiu
❑X IND
Officer
32.57
410.71
❑ COM
Ra a Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nion member's dues received through intermedia
.� afae
Police Association'A
San
Rafael CA 949011
SUBTOTAL$
170.48
*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
www.neffile.com
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
illi / ,
from 01/01/2012
FORM
Page 41 of 198
through 06/30/2012
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
(E COMMITTEE, ALSENTERI.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)
03/30/2012
Edward Chiu
❑x IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union e e' s received through intermedianv:q2PC-fael
Police Association,
San
Rafael.CA 9490L
04/17/2012
Edward Chiu
x IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
El Y
❑
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:''San i2afae
Police Association
San
Rafael CA 9490
04/30/2012
Edward Chiu
❑x IND
Officer
23.25
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;aS nKafael
Police Association
S
n Rafael CA 9490
05/16/2012
Edward Chiu
[ZIND
Officer
28.00
410.71
❑ COM
0C o: San Rafael Police Association
❑ OTH
City of San Rafael
Y
El PTY
an a ae , 94901
Union member's dues received through intermediazy:ElanRafael
Police Association,
San
Rafael, CA 9490
06/04/2012
Edward Chiu
❑x IND
Officer
28.00
410.71
❑ COM
C : Sa �R�affaae1 Police Association
❑OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia.
n G
Q§ r itafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
144.39
"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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 8661ASK-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.
/ '
from 01/01/2012
O RM
Paye 42 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT LD.N
(IF COMMITTEE,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Edward Chiu
x IND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's received throucrh intermediaxv:qanCCRafae1
ice Association.
San
Rafael.0
06/28/2012
Edward Chiu
❑x IND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
nn CC
Union member's dues received through intermedia
:`'San afael
Police Association
S
n Rafael CA 9490L
01/30/2012
Richard Clary
❑x IND
Sergeant
39.86
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
n��-1t
Union member's dues received through intermedia
:E;SCl Rafael
Police Association
San
Rafael CA 9490
01/30/2012
Richard Clary
❑ IND
Sergeant
g
39.84
410.71
❑ COM
C o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Ra ae 94901
Union member's dues received through intermediaxy:[;aSnCCRafael
Police Association,
San
Rafael, CA 9490
02/09/2012
Richard Clary
❑X IND
Sergeant
26.39
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
�Sn
❑ PTY
Rafael, CA 94901
on member's dues received through intermedia
tt--tt
:'-SWY afaell
Police Association
San
Rafael CA 9490
SUBTOTAL$ 162.09
*Contributor Codes
IND - individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toil -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
CALIFORNIA
to whole dollars.
/ � '
from 01/01/2012
FORM
Page 43 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Richard Clary
X IND
Sergeant eant
39.09
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
��
❑ PTY
El
City of San Rafael
San Rafael, CA 94901
union 's dues received ou h inte mediary:qaSnC
Rafael
PoliceSan
Rafael. A 94901
03/09/2012
Richard Clary
nx IND
Sergeant
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
�.
❑ PTY
City of San Rafael
San Ra.ae 94901
n
Union member's dues received through intermediaiv:
San Rafae
Police Association
S
32.57
n Rafael CA 9490
03/20/2012
Richard Clary
RIND
Sergeant
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
n
union member's dues received through intermedia
:`-San Rafae
Police Association
S
n Rafael CA 9490
03/30/2012
Richard Clary
QIND
Sergeant
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
�'
El PTY
LamI.�
94901
nn
Union member's dues received through intermedia
:`3an Rafae
Police Association,
San
Rafael, CA 9490
04/17/2012
Richard clary
❑X IND
Sergeant
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
tt--�I
:'-S Rafaell
Police Association
San
Rafael CA 9490
SUBTOTAL$ 169.37
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.
I ,
from 01/01/2012
• RM
through 06/30/2012
Page 44 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
QF COMMITTEE, ALSO I.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Richard Clary
❑M IND
Sergeant
23.25
410.71
❑ COM
C an Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCR
member's— Union received rou
e Association.smf
90
05/16/2012
Richard Clary
[ZIND
Sergeant
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
�j
Union member's dues received through intermedia
:`-San Rafae
Police Association
San
Rafael CA 9490
06f04/2012
Richard Clary
❑x IND
Sergeant
28.00
410.71
❑ COM
C o: San Rafael Police Association
❑ OTH
F]PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermediaxv:E;aSnCCRafael
Police Association
S
n Rafael CA 9490
06/15/2012
Richard clary
❑MIND
Sergeant
28.00
410.71
❑ COM
C San Rafael Police Association
❑ OTH
of San Rafael
El PTY
Tan a 94901
n
Union member's dues received through intermedia
:'-San Rafae
Police Association,
San
28.00
Rafael, CA 9490
06/28/2012
Richard Clary
[MIND
Sergeant
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
��II
:QhW� afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
135.25
"Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SGC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 464 (January/06)
FPPG Toil -Free Helpline: 8661ASK-FP1PG (8661276-3772)
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.
I i+ ,
from 01/01/2012
FORM
through 06/30/2012
Page 45 of 198
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
(E COMMITTEE, ALSENTERI.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)
01/30/2012
Robert Cleland
[EIND
Officer
39.84
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member'sc tintermediaxv:qanKafael
Police c'
0
01/30/2012
Robert Cleland
❑%IND
Officer
39.86
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ P -n,
Y
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:San afael
Police Association
San
Rafael CA 9490
02/09/2012
Robert Cleland
RIND
Officer
26.39
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
nn (^
Union member's dues received through intermedia
;[fan �2afae
Police Association
San
Rafael CA 9490
02/21/2012
Robert Cleland
RIND
Officer
39.09
410.71
❑ COM
C/o. --San Rafael Police Association
❑ OTH
City of San Rafael
Y
El PTY
i a ae 94901
n
Union member's dues received through intermedia
:`-SanRafae
Police Association,
IIIIIIIIIIIIIIIIIIIIIIISEn
Rafael, CA 9490
03/09/2012
Robert Cleland
❑X IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
f+
♦Q 'Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
177.75
`Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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.
from 01/01/2012
•
page 46 of 198
through 06/30/2012
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
(E COMMITTEE, ALSENTERI.D.NUMBER}
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/20/2012
Robert Cleland
BIND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's e v t o nter
an Rafael1'c
t'
Rafael,
03/30/2012
Robert Cleland
❑RIND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qanCRafael
Police Association
n Rafael CA 9490
04/17/2012
Robert Cleland
❑5IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:E;an(; 72afae
Police Association
n Rafael CA 9490
410.71
04/30/2012
Robert Cleland
xiND
❑
,_Am
Officer
23.25
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
Y
E]PTY
❑
an Rafael, CA 94901
Union member's dues received through intermedia
: gaaK(l afael
Police Association,
San
Rafael, CA 9490
05/16/2012
Robert Cleland
®IND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
II-��
:'-B�YCf2.afae
Police Association
San
Rafael CA 9490
SUBTOTAL$ 148.96
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/06)
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 01/01/2012
through 06/30/2012
page 47 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT I.D. NUMBER)
(IF COMMITTEE,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Robert Cleland
Rx IND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received h ou i
an Rafael
Police Association.San
Rafael,CA 9490L
06/15/2012
Robert Cleland
❑XIND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTYCity
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:n
�aSn Rafael
Police Association
San
Rafael CA 9490
06/28/2012
Robert Cleland
XIND
❑
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`;anC �2afae
Police Association
San
Rafael CA 9490
01/30/2012
Christopher Coale
❑XIND
Sergeant
39.84
410.71
❑ COM
C o: San Rafae Police Association
❑ OTH
City of San Rafael
FIFTY
an a ael, CA 94901
Iizafae
San
Union member's dues received through intermedia
: qan
Police Association,
Rafael, CA 9490
410.71
,
39.86
01/30/2012
Christopher Coale
MX IND
Sergeant
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
❑r-�
San Rafael, CA 94901
[Union member's dues received through intermedia
:'-BW afaell
Police Association
San
Rafael CA 949011.
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
SUBTOTAL$ 163.70 I 1
FPPC 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.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I
from 01/01/2012
•
Page 48 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
CODE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT I.D.
(IF COMMITTEE,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
Christopher Coale
❑
Sergeant cant
26.39
410.71
❑COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
(('''�� C
union member's due receivedthrough inter
:`9Sn a a
Police
San
Rafael, CA 9490L
02/21/2012
Christopher Coale
RIND
Sergeant
39.09
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
[j Pte,
City of San Rafael
San Rafael, CA 94901
(;
Union member's dues received through intermediaxv:qaSnCRafael
Police Association
S
n Rafael CA 9490
03/09/2012
Christopher Coale
RIND
Sergeant
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:[;aSnKafael
Police Association
San
Rafael CA 9490
03/20/2012
Christopher Coale
❑X IND
Sergeant
32.57
410.71
[]COM
C o• 1 Police Association
❑ OTH
City of San Rafael
El
E('�l PTY
San Rafael, CA- 94901
Union member's dues received through intermedia
:qa'P Rafa.l
Police Association
San
Rafael, CA 9490
03/30/2012
Christopher Coale
❑RIND
Sergeant
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received through intermedia
• n Grr
afae
Police Association glillilillill
S
n Rafael CA 9490
SUBTOTAL$ 163.19
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPG Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) TVDe or print In Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA A
to whole dollars.
aT60
from 01/01/2012
FORM
Page 49 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL, NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AENTER
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/17/2012
Christopher Coale
Fx_j I N D
Sergeant
32.57
410.71
EICOM
C/o: San Rafael Police Association
❑ OTH❑
City of San Rafael
San Rafael, CA 94901.PTY
------
union member's dues received through interm,-dia
v: aSnClafaeL
Police Association.AgM
011001100 San
Rafael, CA 9490L
04/30/2012
Christopher Coale
Rx IND
Sergeant
23.25
410.71
RCOM
C/o: San Rafael Police Association
DOTH
- -
R PTY
City of San Rafael
Sian Rafael, CA 94901
Union member's dues received through intermediaxv:
qSC
an Rafael
Police Association
San
28.00
Rafael, CA 9490L
05/16/2012
Christopher Coale
[OIND
Sergeant
410.71
RCOM
C/o: San Rafael Police Association
ROTH
-
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaSnCCRafa.l
Police Association—AM
San
Rafael, CA 9490L
06/04/2012
Christopher Coale
[MIND
Sergeant
28.00
410.71
RCOM
Cjo: San Rafael Police Association
E] OTH
City of San Rafael
No
EIPTY
Tan Rafael, CA 94901
Union member's dues received through intermedia ry:qanC�afael
Police Association, AM
San
Rafael, CA 9490L
06/15/2012
Christopher Coale
[9 IND
Sergeant
28.00
410.71
RCOM
C/o: San Rafael Police Association
R OTH
City of San Rafael
F1 PTY
Sap Rafael, CA 94901
Union member's dues received through intermediany:Q29CRafaell
Police Association
110W San
Rafael, CA 9490IL
SUBTOTAL$ 139.82
1
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
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.
• ,
from 01/01/2012
• RM
Page 50 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/28/2012
Christopher Coale
Rx IND
Sergeant
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucrh intermediaxv:E;anCCRafael
Police Association.Rafael.
9490-
01/30/2012
Lori Coen
®IND
Records Clerk
30.56
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
do
Y
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`-fan Rafael
Police Association
San
Rafael CA 9490
01/30/2012
Lori Coen
Mx IND
Records Clerk
30.53
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
Y(^
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;an Rafael
Police Association
San
Rafael CA 9490
02/09/2012
Lori Coen
❑x IND
Records Clerk
20.69
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
�
San Ra-fae , 94901
El PTY
n
Union member's dues received through intermediaxy:qanK.fael
Police Association,soSan
Rafael CA 9490
02/21/2012
Lori Coen
[MIND
Records Clerk
30.53
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
•(err
� B 27'Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$ 140.31
*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
www-neffile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
41^00
from 01/01/2012
FORM
through 06/30/2012
Page 51 Of 198
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
0
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/09/2012
Lori Coen
f_xj IND
Records clerk
25.45
319.29
ocom
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received thro i
.:CCRafael
Police Association.
— San
Rafael. A 9490L
03/20/2012
Lori Coen
Rx IND
Records Clerk
25.45
319.29
RCOM
C/o: San Rafael Police Association
E] OTH
R PTY
City of San Rafael
San Rafael, CA 94901
C
San
Union member's dues received throw intermediaxv:E;aSnC
Rafael
Police Association ,j-
Rafael. CA. 9490
319.29
25.45
03/30/2012
Lori Coen
Rx IND
Records Clerk
RCOM
C/o: San Rafael Police Association
[IOTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
nn
San
Union member's dues received through intermediary:;
JaSnRafael
Police Association_AIIIIIIIIIIII--
Rafael, CA 9490L
319.29
25.45
04/17/2012
Lori Coen
RIND
Records Clerk
RCOM
C/o: San Rafael Police Association
R OTH
City of San Rafael
F] PTY
San Rafaer—,CA 94901
Union member's dues received through intermedia
:qan[; Rafae
Police Association,
San
Rafael, CA. 9490L
319.29
JIM
18.18
04/30/2012
Lori Coen
RIND
Records Clerk
RCOM
C/o: San Rafael Police Association
R OTH
City of San Rafael
❑ PTY
San Rafael, 94901
n member's des received through intermediarly:Q§f
VRafaell
Police Association,
San
Rafael, CA 94901L
SUBTOTAL$ 119.98
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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 01/01/2012
page 52 of 198
through 06/30/2012
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)
05/16/2012
Lori Coen
QIND
Records Clerk
21.75
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
E-] PTY
City of San Rafael
San Rafael, CA 94901
Union member's es received throucch interediaxv:qanCCRafael
Police Association.
San
Rafael. 9490L
06/04/2012
Lori Coen
©IND
Records Clerk
21.75
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTYCity
of San Rafael
San Rafael, CA 94901
�
Union member's dues received through intermedia
:`'San 72afae
Police Association
San
Rafael CA 9490
06/15/2012
Lori Coen
MX IND
Records Clerk
21.75
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑
Union member's dues received through intermedia
:'-San Rafae
Police Association -Am
San
Rafael CA 9490
06/28/2012
Lori Coen
❑x IND
Records Clerk
21.75
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
IIl�lI
Union member's dues received through intermedia
:`-San[; 72afae
Police Association,
p San
Rafael, CA 9490
01/30/2012
Eric Cogbill
QIND
-Om
Officer
39.86
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.iT afae
iT-'R
Police Association
S
n Rafael CA 949011.
SUBTOTAL$
126.86
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in Ink.
SCHEDULE A (CONT.)
Statement covers period
Monetary Contributions Received Amounts may be rounded
to whole dollars.
from 01/01/2012
•
Page 53 of 198
through 06/30/2012
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
O(IF
AMOUNT
RECEIVEDIODTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
DATE
TOQUIR
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
ELLF-EMP SCUPATION ELF -EMPLOYED, END NTER NAME
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
Eric Cogbill
nxIND
Officer
39.84
410.71
❑ COM
C/o: San Rafael Police Association
EIOTH
PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union duesreceived t r int
jel
Police Association.
San
Rafael. CA 9490
410.71
02/09/2012
Eric Cogbill
IND
Officer
26.39
❑ COM
C/o: San Rafael Police Association
E]OTH
411111=11111111111
[:]PTY
City of San Rafael
San Rafael, CA 94901
(^
Union member's dues received through intermedia
:qan �2afae
Police Association
San
Rafael CA 9490
02/21/2012
Eric Cogbill
❑X IND
Officer
39.09
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
��
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union dues received through intermediaxv:E;anCRafael
Police Association
k San
Rafael CA 9490
410.71
03/09/2012
member's
Eric Cogbill
QX IND
Officer
32.57
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
ae1an a-- 94901
((��I (^
San
Union member's dues received through intermedia
:`-fan Ttafae
Police Association,
Rafael, CA 9490
410.71
32.57
03/20/2012
Eric Cogbill
[MIND
Officer
R COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
•i—)Cr(�
Q§i9 Rafae
Police Association
San
Rafael CA 9490
11.
SUBTOTAL$
170.46
'C riont butor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 6661ASK-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
CALIFORNIA A60'
to whole dollars.
from 01/01/2012
FORM
Page 54 of 196
through 06/30/2012
NAME OFFILER
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 .D.NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Eric Cogbill
Rx IND
officer
32.57
410.71
FICOM
C/o: San Rafael Police Association
El OTH
-
R PTY
City of San Rafael
San Rafael, CA 94901
throucth inter mediaxv:qanCCRafa
I Police Association.
San
Rafael. A 9490L
410.71
04/17/2012
union member's es received
Eric Cogbill
Rx IND
officer
32.57
RCOM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union dues received throucth interm,ediaxv:E;aSnCCRafael
Police Association,
-- -:n
Rafael, CA 94901
410.71
04/30/2012
member's
Eric Cogbill
❑ IND
officer
23.25
❑ COM
C/o: San Rafael Police Association
❑ OTH❑
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:E;anKafael
Police Association
S
n Rafael, CA 9490L
05/16/2012
Eric Cogbill
[21IND
Officer
28.00
410.71
El COM
C/O: San Rafael Police Association
E]OTH
City of San Rafael
-Rafael, 0=94901
EIPTY
Sanf
nion member's dues received through intermedia xv:E4a:P(Z2afael
Police Association, �----MMN�SEn
28.00
Rafael, CA 9490
06/04/2012
Eric Cogbill
RX IND
Officer
410.71
RCOM
C/o: qan_RafatL Police Association
❑ OTH
City of San Rafael
a❑PTY
San Rafael, CA 94901
Union member's dues received through intermedia 33v:Q§PCRafae1l
Police Association
S
Rafael, CA 9490M
*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
www.netfile.com
SUBTOTAL$ 144.39 t I
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 888/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) TVoe or orint In Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2012
FORM i
through 06/30/2012
Page 55 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
0
RECEIVED THIS
CALENDAR YEAR
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)
06/15/2012
Eric Cogbill
RIND
Officer
28.00
410.71
RCOM
C/o: San Rafael Police Association
MOTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
Un dues received through intermedia
y:qaSnCCZaf.el
Police Associatio
28.00
of CA 9490L
06/28/2012
on member's
Eric Cogbill
Fx-11ND
Officer
410.71
EICOM
C/o: San Rafael Police Association
MOTH
E-] PTY
City of San Rafael
San Rafael, CA 94901
E;aSnCCRaf
Union dues received through i
a
I P,1j Association,
an
39.84
Rafael, CA 9490L
01/30/2012
member's
Ryan Cogbill
RIND
-ICOM
Corporal
410.71
F
C/o: San Rafael Police Association
MOTH
City of San Rafael
M PTY
San Rafael, CA 94901
Union member's dues received .through intermediaxv:1;aSnCCR.fae1
Police Association.
IS
Rafael, CA 94901
410.71
En
39.86
01/30/2012
Ryan Cogbill
Mx IND
Corporal
E]COM
C/o: San Rafael--Eolice Association
MOTH
City of San Rafael
El PTY
n a ael-, CA 94901
Union member's dues received through intermedia xy:qaSnCCRafael
Police Association, AM
F San
Rafael, CA 9490L
410.71
26.39
02/09/2012
Ryan Cogbill
7Rafael
FX� IND
Corporal
EI COM
C/o: San Police Association
Fj OTH
City of San Rafael
E]PTY
San Rafael, CA 94901
Union member's dues received thrgjLqh intermedia
xly-Q§P;�afaell
Police Association, mommmommona
Sain
Rafael, CA 9490�
SUBTOTAL$ 162.09
1
*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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in Ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT)
Statement covers period CALIFORNIA
from 01/01/2012 FORM 4 611'
through _06/30/2012 Page 56 of 198
NAME OF FILER
W. NUMbt:K
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
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN, 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Ryan Cogbill
Cor oral
39.09
410.71
FICOM
C/o: San Rafael Police Association
❑ OTH❑
PTY
City of San Rafael
San Rafael, CA 94901
SCC
San
Union member's dues received toucih intermediaxv:[;
afaek
Police Association.
Rafael. CA 9490L
410.71
— P
32.57
03/09/2012
Ryan Cogbill
®IND
Corporal
EICOM
C/o; San Rafael Police Association
nOTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union dues received through intermedia xv:qaSnRafael
Police Association
S
Rafael, CA 9490L
410.71
03/20/2012
member's
Ryan Cogbill
[50IND
Corporal
32.57
r-1 COM
C/o: San Rafael Police Association
El OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia
:[;an Rafael
Police Association,
- San
32.57
Rafael, CA 9490L
03/30/2012
Ryan Cogbill
MIND
Corporal
410.71
EICOM
C/o: San Rafael Police Association
n OTH
City of San Rafael
-an
E]PTY
9 Rafael, CA 94901
jUnion member's dues received through intermediaiv:14S:C(�afael
Police Association,41111111111111111
Rafael, CA 9490L
410.71
San
32.57
04/17/2012
Ryan Cogbill
rx-1 IND
Corporal
ncom
C/o: San Rafael Police Association
n OTH
City of San Rafael
MW
n PTY
San Rafael, CA 94901
M.qr.r- -
- . 1. -
- __ __
On OAQnl
*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
www.neffile.com
SIUBTOTAL$ 169.37
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) TvDe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
,
from 01/01l2012
_
Page 57 of 198
through 06/30/2012
NAME OF FI LER
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)
04/30/2012
Ryan Cogbill
Rx IND
Cor oral
p
23.25
410.71
RCOM
C/o: San Rafael Police Association
❑OTH
PTY
of San Rafael
San Rafael, CA 94901
SCC
MOM
Union member's es received through r e
: an Rafaelce
AssQCiation. 4111111111111
Rafael.CA 9
410.71
San
28.00
05/16/2012
Ryan Cogbill
IND
Cor oral
p
MCOM
C/o: San Rafael Police Association
❑OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
nn (;
Union member's dues received through intermedia
:''San Rafael
Police Association
San
28.00
Rafael CA 490
06/04/2012
Ryan Cogbill
FxIND
Corporal
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
Y
[:] PTY
San Rafael, CA 94901
n
Union member's dues received through intermedia
:'-San Ztafae
Police Association
San
Rafael CA 9490
06/15/2012
Ryan Cogbill
nIND
Corporal
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
PTY
an Ra ae , CA 94901
nn r
San
Union member's dues received through intermedia
:`-San �2afae
Police Association,
Rafael, CA 9490
410.71
28.00
06/28/2012
Ryan Cogbill
rX-IND
Corporal
❑ COM
C/o: San Rafael slice Association
ROTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
pion member's dues received through intermedia
•t-1G(�f^
afae
Police Association
San
Rafael CA 9490
SUBTOTAL$ 135.25
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodCALIFORNIA
to whole dollars.
/ '
from 01/01/2012
FORM
Page 58 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Ol/30/2 012
Thomas Collins
❑ IND
Officer
39.84
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
[-]PTY—
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received through a
e
olio Association,
of CA 9490L
Thomas Collins
R❑ND IND
Officer
39.86
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
�
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:�an Rafae
Police Association
San
26.39
Rafael CA 9490
02/09/2012
Thomas Collins
FZ IND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Qn((;;
Union member's dues received through intermedia
:`;aSnCC2afae
Police Association
San
Rafael CA 9490
02/21/2012
Thomas Collins
❑%IND
Officer
39.09
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
Y
F-1 PTY
an a ae , 94901
Union member's dues received through intermediaxy:E;anCRafa.l
Police Association,do
San
32.57
Rafael, CA 9490
03/09/2012
Thomas Collins
❑x IND
Officer
410.71
❑ COM
C/o: San Rafael 'uolice Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received throu h intermedia
�1('�f�
•'B i7`Rafae
Police Association
San
Rafael.,.CA 9490
SUBTOTAL$ 177.75
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) 1\rDe or print In ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2012
•
through 06/30/2012
Page 59 of 198
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
(E COMMITTEE, ALSENTERI.D.NUMBER)
CODE*
(IF SELF•EMPLOYED,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/20/2012
Thomas Collins
❑x IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:] PTY
of San Rafael
San Rafael, CA 94901
SCC
-
Union member's dues received through e iedia
v;,q-fael
PoliceAssociation,
Rafael. 9490
03/30/2012
Thomas Collins
©IND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
��
-I.Y
❑ PTY
El
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'-San 12afae
Police Association
San
Rafael CA 9490
04/17/2012
Thomas Collins
xIND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n
CRafae
nion member's dues received through intermedia
:`-San
Police Association
San
Rafael CA 9490
04%30/2012
Thomas Collins
❑_IND
Officer
23.25
410.71
❑ COM
C o: Sawn RaPfae. Police Association
❑OTH
City of San Rafael
PTY
an Rafael, CA 94901
n
Union member's dues received through intermedia
Union
:`-San Rafae
Police Association, 1=100MONIMM
San
28.00
Rafael, CA 9490
05/16/2012
Thomas Collins
❑RIND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
i-IGr�(�
.afae
Police Association
San
Rafael CA 9490
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SGC - Small Contributor Committee
www.netfile.com
SUBTOTAL$ 148,96 ( 1
FPPG Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPG (8661275-3772)
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.
I '
li
from 01/01/2012
• RM
Page 60 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
F
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
OF COMMITTEEALSENTERI.D.NUMBER)
,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Thomas Collins
�INp
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union dues iv d through intermediaxv:qaSn'CR.fa.lice
Association.
San
Rafael.90
06/15/2012
Thomas Collins
❑X IND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
W
❑ PTY
City of San Rafael
San Rafael, CA 94901
jj��(;
Union member's dues received through intermedia
:`A Rafae
Police Association
San
Rafael CA 9490
06/28/2012
Thomas Collins
RIND
Officer
28.00
410.71
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
of San Rafael
San Rafael, CA 94901
n
Cf'afae
Union member's dues received through intermedia
:`-San
Police Association
n Rafael CA 9490
01/30/2012
tonette Cook
❑X IND
Dispatcher
30.55
319.28
❑ COM
C.( agfaeL.Lolice Association
❑OTH
of San Rafael
■■ ■
❑ PTY
San Rafael, CA 94901
nn rr
Union member's dues received through intermedia
: San Rafae
Police Association
San
Rafael, CA 9490
01/30/2012
Antonette Cook
❑X IND
Dispatcher
30.53
319.28
❑ COM
C/o: San Rafeel Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.(-1 G(^(�
afae
Police Association
S
n Rafael CA 9490
SUBTOTAL$ 145.08
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCG — Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.
/
60
from 01/01/2012
• RM
through 06/30/2012
Page 61 of 198
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
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
tonette cook
❑x INDp
Die atcher
20.69
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
unionmember'sdues received throucth inter ediaxy.9nia-f-a-elPolice
Association
SFnCA
30.53
9490.
02/21/2012
tonette Cook
❑ IND
Dis atcher
p
319.28
❑COM
C/o: San Rafael Police Association
❑ OTH
P-�
❑ Y
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received throw h intermedia
:`'San iRafael
Police Association
S
n Rafael CA 9490
03/09/2012
tonette cook
RX IND
Dispatcher
p
25.45
319.26
❑ COM
C/o: San Rafael Police Association
❑ OTH
_.
Y
❑ PTY
City of San Rafael
San Rafael, CA 94901
i�j
Union member's dues received through intermedia
:`-San(; Rafae
Police Association
S
25.45
n Rafael CA 9490
03/20/2012
tonette Cook
RIND
❑
Dispatcher
p
319.28
❑ COM
C/o: San Rafae Police Association
❑ OTH
City of San Rafael
❑PTY
n a as , CA 94901
nn
Union member's dues received through intermediaiy:qanRafael
Police Association,
INNIINNIMMSFn
25.45
Rafael, CA 9490
03/30/2012
Antonette Cook
RX IND
Dispatcher
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
pion member's dues received throw h intermedia
.r—i(�(�
Q 9(:Rafae
Police Association
S
n Rafael CA 9490
SUBTOTAL$ 127.57
*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
www.netflle.com
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 GontributionS Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA ,
from 01/01/2012
FORM
Page 62 of 198
through 06/30/2012
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
(JAW 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/17/2012
tonette Cook
MIND
Dispatcher
25.45
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
member's— union dues received o ter ed'a
Police Association,
San
Rafael. CA 9490L
04/30/2012
tonette Cook
HIND
Dispatcher
18.18
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
��jj
Union member's dues received through intermedia
:`��'''San Rafae
Police Association
S
n Rafael CA 9490LI
05/16/2012
tonette Cook
BIND
Dispatcher
21.75
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
mom
❑nn PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;an Rafae
Police Association
S
n Rafael CA 9490
06/04/2012
tonette Cook
❑MIND
Dispatcher
21.75
319.28
❑ COM
C/o: San Rafael olice Association
NNOWEl
❑ OTH
City of San Rafael
San CA 94901
PTY
Y
n
Union member's dues received through intermedia
:'-San �2afae
Police Association,
San
Rafael, CA 9490
06/15/2012
Antonette Cook
[MIND
Dispatcher
21.75
319.28
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
n�+�+
Union member's dues received through intermedia
.'8 IT'Rafae
Police Association
S
n Rafael CA 949011.
SUBTOTAL$
108.88
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SGC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period1,
CALIFORNIA
to whole dollars.
I
A
_r60
from 01/01/2012
FORM
Page 63 of 198
through 06/30/2012
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. I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/28/2012
Antonette cook
Rx IND
Dispatcher
21.75
319.28
❑Com
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
---MNML
union member's dues received t inter edjaxy:!]dSCC
R Lzagl
Police ssociation.
__,-,,n
Rafael. CA 9490L
01/30/2012
Jaime Correa
Fx_1 INDSergeant
39.86
410.73
MCOM
C/o: San Rafael Police Association
FJOTH
-Rafael,
El PTY
City of San Rafael
San CA 94901
San
Union member's dues received through intermedia
v':E;aSnCCRafaeLL
Police Association.
Rafael, CA 9490L
410.73
39.84
01/30/2012
Jaime Correa
Fx� IND
Sergeant
[j Com
C/o: San Rafael Police Association
F� OTH
El PTY
City of San Rafael
San Rafael, CA 94901
--MMMMMNMNMM
Union member's dues received through intermedia xv:qanRafael
Police Association,
San
26.39
Rafael, CA 9490�
02/09/2012
Jaime Correa
[EIND
Sergeant
410.73
[:] COM
C/o: San Rafael Police Association
E] OTH
City of San Rafael
El
San Rafael, CA 94901
Union member's dues received through intermediaiy:qPTY
aSnRafae1
Police Association,
San
39.09
Rafael, CA 94901
02/21/2012
Jaime Correa
FX1 IND
-
Sergeant
410.73
EICOM
C/o: San Rafael Police Association
E]OTH
City of San Rafael
WNW
F-1 PTY
San Rafael, CA 94901
.ion member's dues received through intermedia xIy:Q
§9(:kafaeil.
Police Association
San
Rafael, CA 9490,
SUBTOTAL$ 166.93
1
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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.
/
from 01/01/2012
•
page 64 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
OF COMMITTEE, ALSO I.D.N
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)
03/09/2012
Jaime Correa
FXIND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTH
City of San Rafael
San Rafael, CA 94901
SanCCRafael
n member's dues receivedthroucth i ter e
Police i
San
Rafael. CA 9490L
03/20/2012
Jaime Correa
R IND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTH
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:qaSnCCRafael
Police Association
San
Rafael CA 9490
03/30/2012
Jaime Correa
QxIND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
EJOTH
4111111111111111111
❑PTH
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermediary:[:;an
Police Association
n Rafael CA 9490
04/17/2012
Jaime Correa
[N IND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael olice Association
❑OTH
City of San Rafael
PTY
Y
❑ TH
San Rafael, CA 94901
I�I
Union member's dues received through intermedia
:` an 12afae
Police Association,
San
Rafael, CA 9490
04/30/2012
Jaime Correa
QX IND
Sergeant
23.27
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received throu h ,intermedia.QP(;Zafae
(�(t
Police Association
San
Rafael CA 9490
SUBTOTAL$ 153.55
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (6661275-3772)
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.
/ i
T
from 01/01/2012
•
through 06/30/2012
Page 65 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT
(IF COMMITTEE, 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)
05/16/2012
Jaime Correa
❑x IND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
M
Unionmember's r t to e is
a s
Police s ciati
San
Rafael.94901
06/04/2012
Jaime Correa
❑%IND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
�P�,
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`man Rafael
Police Association
San
Rafael CA 9490
06/15/2012
Jaime Correa
BIND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
nn
:`-San(; Rafael
Police Association
San
Rafael CA 9490
06/28/2012
Jaime Correa
BIND
Sergeant
28.00
410.73
❑ COM
Vo: San Rafael Police Association
❑ OTH
City of San Rafael
[-] PTY
San Rafael, CA 94901
I� ((;;
Union member's dues received through intermedia
:[;anCGRafae
Police Association,
San
Rafael, CA 9490
01/30/2012
David Cron
❑x IND
Sergeant
39.84
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
("1G
.Q§ CRafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
151.84
*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
www.neffile.com
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.
from 01/01/2012
•
through 06/30/2012
page 66 of 199
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO .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)
01/30/2012
David Cron
Rx IND
Sergeant
39.86
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
SC
uniondues received through to
PoliceAssociation-
02/09/2012
David Cron
©IND
Sergeant
26.39
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
Pte,
❑ Y
City of San Rafael
San Rafael, CA 94901
jj��
Union member's dues received through intermedia
:gaSn Rafael
Police Association
San
Rafael CA 9490
02/21/2012
David Cron
❑RIND
Sergeant
39.09
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`;an Rafae
Police Association
San
Rafael CA 9490
03/09/2012
David Cron
❑x IND
Sergeant
32.57
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
an Rafael, CA 94901
Union member's dues received through intermedia
:`3nan Rafae
Police Association
San
Rafael, CA 9490
03/20/2012
David Cron
❑RIND
Sergeant
32.57
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
, n�+
'6 'Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
170,48
*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
www.netfile.com
FPPC Form 464 (Januaryt05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
■-■..■
NY ...+..L .wuawr 1aa FNW%,W: V WU _11iWuu.a 111ay oe rounaea
Statement covers period
1
to whole dollars.
CALIFORNIA
from 01/01/2012
FORM
through o6/3012012
page 67 of 198
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)
03/30/2012
David Cron
❑x IND
❑ COM
Sergeant
32.57
354.73
C/o: San Rafael Police Association
❑ OTH
San Rafael, CA 94901
El PTY
City of San Rafael
Union e r'dues re iv th n e e
David Cron
.[ SCC
e
c oc' t'
n Rafael, 9490
04/17/2012
RIND
❑ COM
Sergeant
32.57
354.73
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
David Cron
�
:'('wan Rafae
Police Association
San
Rafael CA 9490
04/30/2012
❑ x IND
Sergeant
23.27
354.73
_
❑ COM11111110
C/o: San Rafael Police Association
❑ OTH
San Rafael, CA 94901
❑ PTY
City of San Rafael
Union member's dues received through intermedia
:�an Rafael
Police Association
S
n Rafael CA 9490
05/16/2012
David Cron
❑X IND
Sergeant
❑ COM
28.00
354.73
C/o: San Rafael Police Association
❑ OTH
San Rafael, CA 94901
PTY
City of San Rafael
Union member's dues received through intermediary:`
n❑
-San (;zafae
Police Association,
S
28.00
n Rafael, CA 9490
06/04/2012
David Cron
❑RIND
Sergeant
354.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.� afae
Police Association
S
n Rafael CA 9490
"Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neffile.com
SUBTOTAL $ 144.41 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 666/ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print In ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars.
rvMIVIC Ur n Lr -K _
San Rafael Police Association Political Action Committee
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
06/28/2012
David Cron
❑ IND
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
0.00
❑ COM❑
Sergeant
C/o: San Rafael Police Association
OTH
S
39.86
San Rafael, CA 94901
❑ PTY
City of San Rafael
Rafael CA 9490
U n m—b-1- s ece' o h to e 'aSCC
Ryan De Marta
ae
Polic Association,
01/30/2012
39.84
©IND
Officer
San
[]COM
26.39
C/o: San Rafael Police Association
i�
❑ OTH
39.09 1
San Rafael, CA 94901
[:] PTY
City of San Rafael
Union member's dues received through intermedia
:�an afae
Police Association
01/30/2012
Ryan De Marta
RIND
Officer
C/o: San Rafael police Association
�
❑ COM
❑ OTH
San Rafael, CA 94901
City of San Rafael
Union member's dues received through intermedia
n❑PTY
:`-San Kafae1
Police Association
02/09/2012
Ryan De Marta
❑X IND
Officer
❑ COM
C o: San Rafael Police Association
❑ OTH
San Ra ae A 94901
El PTY
City of San Rafael
Union member's dues received through intermedia
V:[;.SnCCRafael
Police Association
02/21/2012
Ryan De Marta
❑RIND
Officer
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Tni nn mcmhcr A.,e �. ,-,..,,.: ....,a ��...... _.__ti _ , ,
-1,
SUBTOTAL$
"Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCG)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
www.neffile.com
SCHEDULE A (CONT.)
Statement covers period
from 01l01/201 .
CALIFORNIA
FORM •
Page 68 of 198
through 06/30/2012
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
0.00
354.73
a elCA 94901
S
39.86
410.73
Rafael CA 9490
San
410.73
39.84
Rafael CA 9490
San
410.73
26.39
ININNININM S4.
Rafael, CA 9490
39.09 1
410.73
141 1A
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet)- Type or print in Ink.SCHEDULE A (CONT.)
rnvu iaGily %0W"L11L.FUL1%j"0 RC16C1YCu miummiamay oerounuea
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
• '
through 06/30/2012
Page 69 of 198
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)
03/09/2012
Ryan De Marta
xIND
Officer
❑ COM
32.57
410.73
C/o: San Rafael Police Association
❑ OTH
S�
❑PTY
City of San Rafael
San Rafael, CA 94901
Un' member's ..dues receivedthrough to
OinK.f..1
Policet'
S
CA 9490L
03/20/2012
Ryan De Marta
[ZIND
Officer
❑ COM
32.57
410.73
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
jj��I
:`'San Rafae
Police Association
San
32.57
Rafael CA 9490
03/30/2012
Ryan De Marta
FR IND
Officer
410.73
❑ COM
■lolice Association
CLO:_ San Raf�ae
F-1 OTH
PTY
City of San Rafael
San Rafael, CA 94901
❑
Union member's dues received through intermediaiw-qanKafael
Police Association
San
32.57
Rafael CA 9490
04/17/2012
/
Ryan De Marta
❑X IND
Officer
410.73
❑ COM
C olice Association
❑ OTH
City of San Rafael
an Ra ael, CA 94901
f-1 PTY
Union member's dues received through intermedia
: E;S Rafae
Police Association
San
Rafael CA 9490
04/30/2012
Ryan De Marta
IND x
❑
Of
23.27
410.73
❑ COM
e...l._police Association
❑ OTH
PTY
TY
TY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.� afae
Police Association
S
n Rafael CA 9490
SUBTOTAL$
153 55
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCG — Small Contributor Committee
www.netfile.com
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.)
ivloneiary ContrIDUllonS Kecelved Amounts may us rounded
Statement covers period
to whole dollars.
CALIFORNIA• ,
from 01/01/2012
FORM
Page 70 of 198
through 06/30/2012
NAME OF FILER
LD.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
OF 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)
05/16/2012
Ryan De Marta
RIND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union e dues received throucfh interm,-riiaxY_9ff_C_HAfd9l
Police Association
NNINNNOMMIK Sg
n Rafael, C A 9490
L
06/04/2012
Ryan De Marta
RIND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
IIIIIIIIIIIIIFPTY
City of San Rafael
San Rafael, CA 94901
r
Union member's dues received through inter ediaxv:E;aSnCRafael
Police Association
San
28.00
Rafael CA 9490
06/1S/2012
Ryan De Marta
❑XIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
City of San Rafael
San Rafael, CA 94901P
Union member's dues received through intermedia
:`('San Rafae
Police Association
San
Rafael CA 9490
06/28/2012
Ryan De Marta
❑ IND
Officer
2$.00
410.73
❑ COM
C/o: San R olice Association
❑ OTH
Imo®
❑ PTY
City of San Rafael
an Rafael, CA 94901
{{;;
Union member's dues received through intermedia
:`-San-l2afae
Police Association,
San
Rafael, CA 9490
01/30/2012
Christian Diaz
[MIND
Officer
39.86
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.'6'-6a''R afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
151.86
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
monetary ContributlonS Keceived Amounts may be rounded
Statement covers period
to whole dollars.CALIFORNIA
� •
from 01/01/2012
FORM
Page 71 of 198
through 06/30/2012
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
(E COMMITTEE, ALSO ENTER LD. 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)
01/30/2012
Christian Diaz
x IND
Officer
39.84
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
-
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union e e' d eceiv d th ou i to
SCC eAssociation.
f 9490L
02/09/2012
Christian Diaz
❑x IND
Officer
26.39
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
low
El PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`fan Rafae
Police Association
S
n Rafael CA 9490
410.73
02/21/2012
Christian Diaz
x IND
Officer
39.09
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
Sar, Rafael, CA 94901
Union member's dues received through intermedia
�❑II
:-5an 72afae
Police Association
San
Rafael CA 9490
03/09/2012
Christian Diaz
❑ IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n(—�
:`3an CRafae
Police Association,
San
Rafael CA 9490
03/20/2012
Christian Diaz
QIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
�-BeiT'R
.i�++�� afae
Police Association
San
Rafael CA 9490
0
SUBTOTAL$
170.46
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Tail -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A (CONT)
Monetary contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2012
FORM
Page 72 of 198
through 06/30/2012
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
OF 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)
03/30/2012
Christian Diaz
Rx IND
officer
32.57
410.73
EICOM
C/o: San Rafael Police Association
EIOTH
El PTY
City of San Rafael
San Rafael, CA 94901
I
SanKafael
—
Union member's dues received through inter ediaxv:q
Police Association.
S
n Rafael, CA 9490L
04/17/2012
Christian Diaz
®IND
officer
32.57
410.73
Ej COM
C/o: San Rafael Police Association
F-1 OTH
F-� PTY
City of San Rafael
San Rafael, 94901
—
Union member's dues received through intermedia xv:'Sanafael
Police Association,
.WWWWMMWI�
n Rafael CA 94901
04/30/2012
Christian Diaz
[ZIND
Officer
23.27
410.73
FlCOM
C/o: San Rafael Police Association
ROTH
i
F-1 PTY
City of San Rafael
San Rafael, CA 94901
—
Union member's dues received through intermedia xv:qanCCRaf.el
Police Association —IIIIIIIIIIIIIII
San
Rafael, CA 9490L
05/16/2012
1 Christian Diaz
nx IND
officer
28.00
410.73
[:] COM
C/o: San Rafael Police Association
E]OTH
F-1 PTY
City of San Rafael
S`a-ff-Rafael, CA 94901
Union member's dues received through intermedia xy:qanRafael
Police Association,jiIIIIIIIIIIIIII
San
Rafael, CA 9490L
—
06/04/2012
Christian Diaz
FX_j IND
Officer
28.00
410.73
EICOM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1W
El PTY
San Rafael, CA 94901
JUnion member's dues received through intermedia xIy:Q§19(:�afae[l
Police Association.
San
Rafael, CA 94900,
SUBTOTAL$
1
144.41
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) 7Vpe or print in Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA ^0
410
from 01/01/2012
FORM
Page 73 of 198
through - 06/30/2012
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
(JAW I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Christian
'i"ian Diaz
RIND
officer
28.00
410.73
F-1COM
C/o: San Rafael Police Association
—
El OTH
I
El PTY
City of San Rafael
San Rafael, C 94901
E;SCC
—
Union member's dues received throucrh inter ediaxv:
an Refs.
I Police Association,
Sari
Rafael, CA 94901
06/28/2012
Christian Diaz
RIND
officer
28.00
410.73
EICOM
C/o: San Rafael Police Association
[] OTH
El PTY
City of San Rafael
San Rafael, CA 94901
—
Unkon member's dues received through intermediaxv:qanKafael
Police Association
San
Rafael. CA 9490�
01/30/2012
Christopher Duncan
RIND
officer
39.84
410.73
MCOM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
CRafael
—
union member's dues received through intermedia xv:E;aSnC
Police Association,_jillililill
San
Rafael, CA 9490L
01/30/2012
Christopher Duncan
gIND
officer
39.86
410.73
[]COM
C/o: San Rafael Police Association
E]OTH
I
[:] PTY
City of San Rafael
_Ta—n_7aT_a_e_F_,CA— 94901
Union member's dues received through intermedia xy:qaSnCCRafael
Police Association,
San
Rafael, CA 94901
02/09/2012
Christopher Duncan
FX� IND
Officer
26.39
410.73
FjCOM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
Sa Rafael, CA 94901
CRafaeil
Union member's dues received thL211 �hinte�rmediagy
.QP
Police Association,
San
Rafael, CA 94901
SUBTOTAL$
1
162.09
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 666/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statementcovers period
to whole dollars.
CALIFORNIA 460 ,
;
from 01/01/2012
FORM
Page 74 of 198
through 06/30/2012
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
(E COMMITTEE, ALSND.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)
02/21/2012
/
Christopher Duncan
MIND
Officer
39.09
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC—
Union e s e'ved t to edia
Police c' t'
San
Rafael, CA 9490L
03/09/2012
Christopher Duncan
MIND
Officer
.32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermedia
:'n
San
Police Association
San
Rafael CA 9490
03/20/2012
Christopher Duncan
❑X IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑l PT`(
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;aSnCCRafael
Police Association
San
32.57
Rafael CA 9490
03/30/2012
Christopher Duncan
MIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
n
Ckafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael, CA 9490
04/17/2012
Christopher Duncan
❑x IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nrr
(:Rafae
Union member's dues received through intermedia
.Q-8
Police Association
NOWEEN& San
Rafael CA 9490
SUBTOTAL$
169.37
*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
www.netfile.com
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.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA ,
from 01/01/2012
!
Page 75 of 198
through 06/30/2012
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)
04/30/2012
Christopher Duncan
[ZIND
Officer
23.27
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, C4-94901
U received through intermediaxy:E;anNzafaelAssociation.
05/16/2012
Christopher Duncan
©IND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`'SanKafae
Police Association
San
Rafael CA 9490
06/04/2012
Christopher Duncan
❑x IND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
EIOTH
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
J;an afae
Police Association
San
Rafael CA 9490
06/15/2012
Christopher Duncan
FxIND
Officer
28.00
410.73
❑ COM
C/o: San Rafae olive Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑PTY
n
CRafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael, CA 9490
06/28/2012
Christopher Duncan
QIND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
Union member's dues received throw h intermedia
�+"�+
.Q 11Rafae
Police Association
San
Rafael CA 949011.
SUBTOTAL$
135.27
'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
www.neffile.com
FPPC Form 460 (January/06)
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
CALIFORNIA
to whole dollars.
,
from 01/01/2012
•
through 06/30/2012
Page 76 of 198
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 ENTERI.D.NUMBERy
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)
01/30/2012
Scott Eberle
❑x IND
Sergeant
39.84
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SCCRafael
member'sunion received o
PoliceAssociation,
Rafael. 4
01/30/2012
Scott Eberle
® IND
Sergeant
36
9.8
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
am
❑ PTY
City of San Rafael
San Rafael, CA 94901I�I
C
Union member's dues received through intermedi
:'-San Rafael
Police Association
S
n Rafael CA 9490
02/09/2012
Scott Eberle
❑x IND
Sergeant
26.39
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
���
❑ PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through inter ediaxvJ;aannCRafael
Police Association
San
Rafael CA 9490
02/21/2012
Scott Eberle
❑ IND
Sergeant
g
39.09
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
an Rafael, CA 94901
PTY
n❑n
CRafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael, CA 9490
03/09/2012
Scott Eberle
❑xiND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
94901S
San Rafael, CA 94901.rr
Union member's dues received throe h intermedia
Q R'Rafae
Police Association
an
Rafael CA 9490
SUBTOTAL$ 177.75
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be roundedStatement
Covers period
to whole dollars.
CALIFORNIA
,
from01/01/2012
•
Page 77 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
IPo.NUMB O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
pFcoMMITTEE,aLSND
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/20/2012
Scott Eberle
❑x IND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
member'sunion u received through inter ediaxv:qaSnCCRafae1
Police Associatio
C 94901
03/30/2012
Scott Eberle
❑X IND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
n
CRafae
Union member's dues received through intermedia
:`'San
Police Association
San
Rafael CA 9490
04/17/2012
Scott Eberle
❑x IND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑n
Union member's dues received through intermedia
:'-San Kafae
Police Association
San
Rafael CA 9490-
04/30/2012
Scott Eberle
ENIND
Sergeant
23.27
410.73
❑ COM
C/O: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermediaxyJ;anKaf.el
Police Association,
San
Rafael, CA 9490
05/16/2012
Scott Eberle
❑X IND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
El OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received throw h intermedia
nn C��r�f�
:-Ban CRafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
148.98
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form Aho (Januaryt05)
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.
CALIFORNIAi
from 01/01/2012
•
Page 78 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO ENTER
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Scott Eberle
❑XIND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
E]OTH
PTY
City of San Rafael
San Rafael, CA 94901
union member's dues receivedo inte e i
: gSCC
Police oc'ation. AM
SEn
Rafael. CA 94901
06/15/2012
Scott Eberle
MIND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
El OTH
M PTY
City of San Rafael
San Rafael, 94901
CA
n
Union member's dues received through intermedia
:-San Rafae
Police Association
San
Rafael CA 9490
06/28/2012
Scott Eberle
MIND
Sergeant
28.00
410.73
❑ COM
CJo: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
n�PTY
Union member's dues received through intermedia
:`-San Rafae
Police Association
San
Rafael CA 9490
01/30/2012
Justin Graham
XIND
Officer
39.86
370.89
❑ COM
C_[o.,San Rafael lice Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
Y
�
❑ PTY
nn
Union member's dues received through intermedia
:`3an Ttafae
Police Associati2nliIIIIIIIIIIII
IIIIIIIIIIIIIIIIIg San
Rafael, CA 9490
02/09/2012
Justin Graham
[MIND
Officer
26.39
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received throu h intermedia
�-$IT
.QPjR afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
150.25
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary ContributionS Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2012
Page 79 of198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
I.O.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Justin Graham
R IND
Officer
39.09
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
��i♦�
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union dues received ou h intermediarv:qaSnRafael
Police Association_�_Rafael.
CA 9490L
03/09/2012
Justin Graham
❑x IND
Officer
32.57
370.89
❑ COM
C o: San Rafael Police Association
❑ OTH
❑
City of San Rafael
San Rafael, CA 44901
nPTY
Union member's dues received through inte mediaxy-aSnCRafael
Police Association
S
n Rafael CA 9490
03/20/2012
Justin Graham
QIND
Officer
32.57
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;anCCRafael
Police Association
San
Rafael CA 9490
03/30/2012
Justin Graham
[MIND
Officer
32.57
370.89
❑ COM
SiL olice Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;an Kafae
Police Association,
San
Rafael, CA 9490
04/17/2012
Justin Graham
❑X IND
Officer
32.57
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
(—I oT+r
Union member's dues received through intermedia
.afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
169.37
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (666/276-3772)
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
,
from 01/01/2012
•
Page 80 of 198
through 06/30/2012
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 ENTERI.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)
04/30/2012
Justin Graham
❑x IND
Officer
23.27
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
r-1 PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member'sdues received throuc[hinter
Association.-
CA 9490
05/16/2012
Justin Graham
RIND
Officer
28.00
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn (;
Union member's dues received through intermedia
:`man RafaelPolice
Association
S
n Rafael CA 9490
370.89
06/04/2012
Justin Graham
RIND
Officer
28.00
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
City of San Rafael
San Rafael, CA 94901P
Union member's dues received through intermedia
:'-San Kafae
Police Association—_1111111111111111
San
Rafael CA 9490
06/15/2012
Justin Graham
QX IND
Officer
28.00
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
■
PTY
City of San Rafael
.� <-�ael® CA 94901
n❑
Union member's dues received through intermedia
:`-San Kafae
Police Association,
San
Rafael, CA 9490
06/28/2012
Justin Graham
❑X IND
Officer
28.00
370.89
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received through intermedia
'-B afaell
.17 "R
Police Association
hiiiiiiiiiii San
Rafael CA 9490
SUBTOTAL$
135.27
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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
/ ,
from 01/01/2012
FORM
through 06/30/2012
Page 81 of 198
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
(E 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)
01/30/2012
Julie Griffith
❑x IND
Records Clerk
30.55
275.45
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues ec e throucrh in
y:E;aSnNZafaelPolice
Association
9490
01/30/2012
Julie Griffith
®IND
Records Clerk
30.53
275.45
❑ COM
C/o: San Rafael Police Association
❑ OTH
-NNW❑
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;anCRafael
Police Associati
an
Rafael CA 9490
02/09/2012
Julie Griffith
RIND
Records Clerk
20.36
275.45
❑ COM
C/o: San Rafael Police Association
❑ OTH
ElPTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qanKafae
Police Association
San
Rafael CA 9490
02/21/2012
Julie Griffith
❑x IND
Records Clerk
30.53
275.45
❑ COM
C o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
Y(;
((''
Union member's dues received through intermedia
:`;an'Rafae
Police Association, 111111111110
San
Rafael, CA 9490
03/09/2012
Julie Griffith
❑5 IND
Records Clerk
25.45
275.45
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PlY
San Rafael, CA 94901�—I
Union member's dues received through intermedia
8��afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
137.42
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCG)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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 I
to whole dollars.
CALIFORNIA
460
from 01/01/2012
FORM
Page 82 of 198
through 06/30/2012
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
OF 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)
03/20/2012
Julie Griffith
[EIND
Records Clerk
25.45
275.45
E]COM
C/o: San Rafael Police Association
F-1 OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SCC
—
Union member's dues received throuc[h intermed' aiv:qan
Rafa
1 Poli e Association-IIIIIIIIIIIN
k San
Rafael. CA 9490L
03/30/2012
Julie Griffith
rx-1 IND
Records Clerk
-
25.45
275.45
EICOM
Cho: San Rafael Police Association
nOTH
PTY
City of San Rafael
San Rafael, CA 94901
—
Union member's dues received through intermedia rv:[;aS
nCCRafael
Police Association,-j�OMMENSINOW
San
Rafael. CA 9490L
04/17/2012
Julie Griffith
EZIND
Records Clerk
25.45
275.45
[:] COM
C/o: San Rafael Police Association
EIOTH
San
n PTY
City of San Rafael
Rafael, CA 94901
—
Union member's dues received through intermedia xvJ:;aSnCRafa.l
Police Association,
San
Rafael, CA 9490L
04/30/2012
Julie Griffith
[MIND
Records Clerk
18.18
275.45
[-] COM
C/o: San Rafael Police Association
n OTH
1
El PTY
City of San Rafael
San Rafael, C!�_ 94901
—
Union member's dues received through intermedia xy:qaSnC�afael
Police Association 4111011111
San
Rafael, CA 9490L
05/16/2012
Julie Griffith
rX-1 IND
Records Clerk
21.75
275.45
EICOM
C/o: San Rafael Police Association
El OTH
City of San Rafael
IOU
n PTY
San Rafael, CA 94901
jUnion member's dues received through intermedia
,Q
Police Association
S
n Rafael, CA 949011.
SUBTOTAL$
1 1
116.28
*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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
IYIDneicary Coni(7buxionS Received Amounts may Do rounaeo
Statement covers period IIII
to whole dollars.
CALIFORNIA•
from 01/01/2012
FORM
through 06/30/2012
Page 83 of 198
NAME OF FILER
LD.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)
06/04/2012
Julie Griffith
xIND
Records Clerk
21.75
275.45
COM❑
[:]COM
C/o: San Rafael Police Association
nOTH
❑ PTY
City of San Rafael
San Ra ae CA 94901
a Ilafael
io es ve o h e e
Police Association.S
0.00
Rafael.C 90
06/15/2012
Julie Griffith
❑x IND
Records Clerk
275.45
❑ COM
C/o: San Rafael Police Association
❑ OTH
mmummow
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
nn
:`fanrZafae
Police Association
San
0.00
Rafael CA 9490
06/28/2012
Julie Griffith
QIND
Records Clerk
275.45
❑ COM❑
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
PTY('�
Union member's dues received through intermedia
n❑i�
:'uan Rafae
Police Association
San
30.53
Rafael CA 9490
Ol/30j2012
Lori Hendricks
[EIND
Dispatcher
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
ElPTY
City of San Rafael
San Raf aei, 94935
Union member's dues received through intermediary:�an
�afael
Police Association,
San
Rafael, CA 9490
01/30/2012
Lori Hendricks
QX IND
Dispatcher
30.55
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
El PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received t11 h intermedia
.� afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
82.83
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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
60
from 01/01/2012
FORM
through 06/30/2012
Page 84 of 198
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 LD. 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)
02/09/2012
Lori Hendricks
[ZIND
Dispatcher
20.36
318.95
EICOM
C/o: San Rafael Police Association
El OTH
F� PTY
City of San Rafael
San Rafael, CA 94935
SCC
q
Union member's dues received through inter ediaxv:
an Rafael
Police Association.
=�.00066�.
n Rafael,C 490L
02/21/2012
Lori Hendricks
rx-1 IND
Dispatcher
30.53
318.95
[:] COM
C/o: San Rafael Police Association
R OTH
FjPTY
City of San Rafael
San Rafael, CA 94935C
Union member's dues received through intermediaiv:qaSnC
12afael
Police Association,101111111111
SSEn
Rafael, CA 94901
—
03/09/2012
Lori Hendricks
Rx IND
Dispatcher
25.45
318.95
RCOM
C/o: San Rafael Police Association
R OTH
El PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received through intermedia
:'-San
Police Association
San
Rafael, CA 9490L
03/20/2012
Lori Hendricks
RIND
Dispatcher
25.45
318.95
RCOM
C/o: San Rafael Police Association
❑ OTH❑
City of San Rafael
-
PTY
San Ratael, CA 94935
Union member's dues received through intermediaxy:qanRafael
Police Association,
San
Rafael, CA 9490L
03/30/2012
Lori Hendricks
RX IND
Dispatcher
25.45
318.95
[:] COM
C/o: San Rafael Police Association
E] OTH
City of San Rafael
R PTY
San Rafael, CA 94935
. ion member's dues received through intermediaily:QW:
Rafael
Police Association,
San
Rafael, CA 94900,
SUBTOTAL$ 127.24
L
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
monetary 4ontnouvonS Keceived Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA'
from 01/01/2012
FORM
through 06/30/2012
Page 85 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
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)
04 17 2012
/ /
Lori Hendricks
[j]IND I
Dispatcher
25.45
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
r-1PTYCity
of San Rafael
San Rafael, CA 94935
n'O e d S ceiV r0 d'a
,_^1
. an PSCC
Pol'ce s c'Rafael.
04/30/2012
Lori Hendricks
©IND
Dispatcher
18.18
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
am
❑ PTY
City of San Rafael
San Rafael, CA 94935
�nj ((;;
Union member's dues received through in 6rmedia
:` .S,C(Rafae
Police Association
San
Rafael CA 9490
05/16/2012
Lori Hendricks
❑x IND
Dispatcher
21.75
318.95
❑ COM❑
C/o: San Rafael Police Association
OTH
❑ PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received through intermedia
:qan 72afae
Police Association
San
Rafael CA 9490
06/04/2012
Lori Hendricks
®IND
Dispatcher
21.75
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received through intermediazy:[;aSnCCRafael
Police Association
San
21.75
Rafael, CA 9490
06/15/2012
Lori Hendricks
RIND
Dispatcher
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94935tr--�I
Union member's dues received through intermedia
:'- h Rafaell
Police Association
iiiiiiiiiiiiiiiiiiiiiISan
Rafael CA 9490
SUBTOTAL$
108.88
*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
www.nefile.com
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.)
IYlofletary ContributlonS Keceived Amounts may ne rounaea
Statement covers period
to whole dollars.,
CALIFORNIA '
from 01/01/2012
•
Page 86 of 198
through 06/30/2012
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)
06/28/2012
Lori Hendricks
QxIND
Dispatcher
21.75
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
���I�
❑ PTY
City of San Rafael
San Rafael, CA 94935
Union e d receivedro i ter
SCC a e
is t'
Rafael. CA 9 4901
01/30/2012
Robert Henkle
nXIND
Officer
39.84
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
F] PTY
City of San Rafael
San Rafae, , C 94901
Union member's dues received through intermedia
j� (�
:`'San T2afae
Police Association
San
39.86
Rafael CA 9490
01/30/2012
Robert Henkle
❑x IND
Officer
410.73
COM❑
[:]COM
C/o: San Rafael Police Association
[IOTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
(❑
:-Sanafae
Police Association
San
26.39
Rafael CA 9490
02/09/2012
Robert Henkle
❑ IND
Officer
410.73
❑ COM
C/o: San Rafae.14lice Association
❑ OTH
❑n PT[Y;
City of San Rafael
an a ael, CA 94901
Union member's dues received through intermedia
:'--San Ttafae
Police Association,
San
Rafael, CA 9490
02/21/2012
Robert Henkle
❑XIND
Officer
39.09
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]GPTYR
City of San Rafael
San Rafael, CA 94901
nion member's dues received throw h intermedia
.QR:PTY
�31
Police Association
San
Rafael CA 949011
SUBTOTAL$
166.93
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
■. _ __ _ ___ _ .. _ ..... .. .., Type or print in ink. SCHEDULE A {CONT.}
1V1Vfi1WL Fjf VC7rltFibutlons mecelvea Amounts may Berounoeo
Statement covers period
II
to whole dollars.
,
'
from 01/01/2012
O •
Page 87 of 198
through 06/30/2012
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
(IFCOMMITTEE,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)
03/09/2012
Robert Henkle
❑_IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union er'sE;andues ived through ter e
SC a
Association.
Rafael.CA 0
03/20/2012
Robert Henkle
❑x IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, cA7 94901
(❑(
Union member's dues received through intermedia
:'-San Rafae
Police Association
San
32.57
Rafael CA 9490
03/30/2012
Robert Henkle
❑x IND
Officer
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
PTY
City of San Rafael
San Rafael, CA 94901
El
Union member's dues received through intermedia
n r
:'-San �tafae
Police Association
San
Rafael CA 9490
04/17/2012
Robert Henkle
❑ _IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
San
PTY
Cit of San Rafael
y
a,�ae�� 94901
Union member's dues received through intermedia
n❑n
: SanCRafael
Police Association,_AMONSOMMINOW
San
23.27
Rafael, CA 9490
04/30/2012
Robert Henkle
OIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
•� afae
Police Association
S
n Rafael CA 9490
SUBTOTAL$
153.55
*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
www.neffile.com
FPPC Form 464 (January/05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet)
a M �. . , _ - Type or print in ink. SCHEDULE A (CONT.)
rrw11OL421y VV/11f11JUL1Uf15 MUG@IV@Q Amounts may usrounaeo
Statement covers period
to whole dollars.
CALIFORNIA
J : ,
from 01/01/2012
• '
Page 88 of 198
through 06/30/2012
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)
05/16/2012
Robert Henkle
❑x IND
Officer
28.00
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
ElPTY
City of San Rafael
San Rafael, CA 94901
Union member's e t
SCC
—
ei e
Association,a
90
06/04/2012
Robert Henkle
❑5 IND
Officer
❑ COM
28.00.
410.73
C o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedia
nn CUnion
:`;an 2afae
Police Association
Sz
28.00
n Rafael CA 9490
06/15/2012
Robert Henkle
QIND
Officer
410.73
El COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑PTY
Union member's dues received through intermedia
:1ruan itafae
Police Association
San
28.00
Rafael CA 9490
06/28/2012
Robert Henkle
❑ RIND
Officer
410.73
❑ COM
C n Raf e Police Association
❑ OTH
City Of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
n❑
:'-San �afae
Police Association,
San
39.84
Rafael, CA 9490
01/30/2012
J. Alexander Holm
[ZIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw h intermedia
•El
Q afae
Police Association
02010ft S
n Rafael CA 949011
SUBTOTAL $
151.84
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SGC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (666/276-3772)
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 01/01/2012
•
page 89 of 199
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
OF COMMITTEE, ALSO I.O.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)
01/30/2012
J. Alexander Holm
MIND
Officer
39.86
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SCCPo
Union member's dues received th
an Rafael
i A c' on
0
02/09/2012
J. Alexander Holm
❑x IND
Officer
26.39
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
P-�,
❑ Y
City of San Rafael
San Rafael, CA 94901
�I
Union member's dues received through intermedia
:`?anKafae
Police Association
San
Rafael CA 9490
02/21/2012
J. Alexander Holm
MIND
Officer
39.09
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qan RafaelPolice
Association
San
Rafael CA 9490
03/09/2012
J. Alexander Holm
RIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
an a ae 94901
Union member's dues received through intermediazy:E;anKafael
Police Association,
NNW, San
Rafael, CA 9490
03/20/2012
J. Alexander Holm
MIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of 'San Rafael
❑ PTY
San Rafael, CA 94901
r+
Union member's dues received through intermedia
.'-B'-B�t1i afae
'R
Police Association
San
Rafael CA 949011
SUBTOTAL$
170.48
*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
www.netfile.com
FPPC Form 464 (Januaryl06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
ivwllCLa/ VV171d1LJUL1UF15 McGeWeQ Hmoumsmay oerounaeaStatement
covers period
�
to whole dollars.
.II
� '
from 01/01/2012
' •
Page 90 of 198
through 06/30/2012
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)
03/30/2012
S. Alexander Holm
❑x IND
Officer
❑ COM
32.57
410.73
C/o: San Rafael Police Association
❑ OTH
❑ PT,
City of San Rafael
San Rafael, CA 94901
SCC
Union edues received throucch
Police o
San-Rafael,0
04/17/2012
J. Alexander Holm
RIND
❑ COM
Officer
32.57
410.73
C/O: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
I❑
:`-San Rafae
Police Association
San
23.27
Rafael CA 9490
04/30/2012
J. Alexander Holm
❑x IND
Officer
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
n❑�
:`-San �2afae
Police Association
San
Rafael CA 9490
05/16/2012
J. Alexander Holm
QIND
Officer
❑ COM
28.00
410.73
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
(❑
^
Ban Rafae
Police Association,
San
28.00
Rafael CA 9490
06/04/2012
J. Alexander Holm
RIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
so
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
Q§19(�afaejl
Police Association
Ssin
Rafael CA 9490
SUBTOTAL$
144 41
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
u- --�- - ^- ._ .�
rrwnCLOly %0UnLr1uuuUnS rtecelvea mmounismay oerounaea
Statement coversperiod
II• I'
to whole dollars.
I '
from 01/01/2012
.
page 91 of 198
through 06/30/2012
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)
06/15/2012
J. Alexander Holm
❑x IND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
NNW❑
P��,
City of San Rafael
San Rafael, CA 94901
omember's dues received through intermediayv:SCC
ce Association,
S
Rafael, C 9 4901
06/28/2012
J. Alexander Holm
©IND
Officer
❑ COM
28.00
410.73
C/o: San Rafael Police Association
❑ OTH
PTM
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
j❑
(;
:'-uan RafaelPolice
Association
S
39.86
n Rafael CA 9490
01/30/2012
Lisa Holton
RIND
Sergeant
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
:EnSan i2afae
Police Association
San
Rafael CA 9490
01/30/2012
Lisa Holton
RIND
Sergeant g
39.84
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
[-] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
((��
:`-San 72afae
Police Association,
San
26.39
Rafael, CA 9490
02/09/2012
Lisa Holton
❑X IND
Sergeant
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
am
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
n
:Q§YCRafae
Police Association
S
n Rafael CA 9490IL
SUBTOTAL$
1
71
162.09
*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
www.netfile.com
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.)
11IIv11WL01 %✓v116r1(, ULlVns lXUGe1Ve0 Amounismay oerounaeap
Statement covers eriod
III
'
to whole dollars.
� . ,
01
from 01/01/2012
•' •
Page 92 of 198
through 06/30/2012
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
OF 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)
02/21/2012
Lisa Holton
❑x IND
Sergeant
39.09
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
—
union member's u ed throucth intermedia:tv:SCO
o doRafael.9
03/09/2012
Lisa Holton
RIND
Sergeant
32.57
410.73
❑ COM
CC/o: San� olice Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:ganafae
Police Association
San
32.57
Rafael CA 9490
03/20/2012
Lisa Holton
xIND
Sergeant
410.73
❑ COM[:1
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
:qan 12afae
Police Association
San
32.57
Rafael CA 9490
03/30/2012
Lisa Holton
xIND
Sergeant g
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
: [;S �2afae
Police Association,
S
n Rafael, CA 9490
04/17/2012
Lisa Holton
BIND
Sergeant
32.57
410.73
❑ COM
C/o: San Rafael. Police Association.
❑ OTH
Ir
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.Q afae
�i7'R
Police Association
S
n Rafael CA 9490iL
SUBTOTAL$
169.37
*Contributor Codes
IND–individual
COM – Recipient Committee
(other than PTY or SGC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
www.nefflle.com
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 666/ASK-FPPC (666/276-3772)
Schedule A (Continuation Sheet) Type or print In Ink.
RA A-- n _--i..: V ..i: — _ _ -•-- _ _ -_ _ _ _- SCHEDULE A (CONT.)
... MANY vv11N1iJY6IVI1.9 ITG6t;jVV 1 '+mvwna may oe rounaeu
Statement covers perlod
III
to whole dollars.CALIFORNIAT1,
'
from 01/01/2012
FORM
Page 93 of 198
through 06/30/2012
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)
04/30/2012
Lisa Holton
xIND
❑ COM
Sergeant
23.27
410.73
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
❑
Union e 's e ce' o i t
Lisa Holton
SCC
Police o' o
f C94901
05/16/2012
©IND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qan T2afae
Police Association
San
Rafael CA 9490
06/04/2012
Lisa Holton
RX IND
Sergeant
28.00
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
wow
San Rafael, CA 94901
El PTY
City of San Rafael
Union member's dues received through intermedia3:v:[;anKafael
Police Association
Scn
Rafael CA 9490
06/15/2012
Lisa Holton
QIND
Sergeant
❑ COM
28.00
410.73
C/o: San Rafael Police Association
❑ OTH
-
City of San Rafael
San ai—e , CT 94901
DPW
Union member's dues received through intermedia
:E;an Rafa.l
Police Association,
San
28.00
Rafael, CA 9490
06/28/2012
Lisa Holton
[EIND
Sergeant
410.73
[—ICOM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.� afae
Police Association
IIIIIIlt Sin
Rafael CA 9490
SUBTOTAL$
135.27
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCG)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
a... , , _ - - Type or print in ink. SCHEDULE A (CONT.)
1V1U11CL4►y %oU11CfIFJU1I0fl5 K@GelVeO Amounts may Dorounaea
Statement covers period
to whole dollars.
I ` �,
,
from 01/01!2012
• . F •
Page 94 of 198
through 06/30/2012
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)
01/30/2012
Kyle Hornstein
X IND
Corporal
39.86
410.73
❑COM
C/o: San Rafael Police Association
❑ OTH
III M
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's a iv intermedia
y,SCR
Police Association.
39.84
n Rafael. CA 9490L
01/30/2012
Kyle Hornstein
❑xiND
Corporal
410.73
[:]Com
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑n
:'--San Z2afae
Police Association,San
26.39
Rafael, CA 9490
02/09/2012
Kyle Hornstein
QIND
Corporal
410.73
❑ COM[]
C/o: San Rafael Police Association
OTH
PTY
City of San Rafael
San Rafael, CA 94901
❑(
Union member's dues received through intermedia
:`San 12afae
Police Association
San
39.09
Rafael CA 9490
02/21/2012
Kyle Hornstein
RIND
❑
Corporal
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;anRafa.1
Police Association,
San
32.57
Rafael, CA 9490
03/09/2012
Kyle Hornstein
Mx IND
Corporal
410.73
❑ COM
C/o:. San Rafael Police Association
❑ OTH
TY
El PN
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
•� afae
Police Association
S
n Rafael CA 9490
SUBTOTAL$
177.75
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars.
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
03/20/2012
Kyle Hornstein
❑x IND
El COM❑
Corporal
C/o: San Rafael Police Association
OTH
San Rafael, CA 94901
r-1 PTY
City of San Rafael
llnign member,s u ce've t
Kyle Hornstein ntermedia
CC
A, Rafael..
Rolice Association,
03/30/2012
❑x IND
❑ COM
Corporal
C/o: San Rafael Police Association
me
OTH
San Rafael, CA 94901
❑ PTY
City of San Rafael
Union member's dues received through intermedia
Kyle Hornstein
J; fan Kafae
Police Association
04/17/2012
❑X IND
Corporal
C/o: San Rafael Police Association
[:] COM
OTH
❑ OTH
San Rafael, CA 94901
El
City of San Rafael
Union member's dues received through intermedia
:`-San Cafae1
Police Association
04/30/2012
Kyle Hornstein
❑X IND
Corporal
❑ COM
C/o: San Rafael Police Association
❑ OTH
n Rafael, CA 94901
❑ PTY
City of San Rafael
Union member's dues received through intermediaxy:EianRafael
Police Association
05/16/2012
Kyle Hornstein
❑RIND
Corporal
❑ COM
C/o: San Rafael Police Association
❑ OTH
F] PTY
❑
City of San Rafael
San Rafael, CA 94901
7n4-- moroL. r.rr� I—- -,'___...I —
1 ICr('
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
www.neffile.com
SCHEDULE A (CONT.)
Statement covers period CALIFORNIA —
from— 01/01/2012 FORM
• ,
through 06/30/2012 Page 95 of 198
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
32.57 410.73
San Rafael, 49
32.57 410.73
San Rafael CA 9490
32.57 410.73
S n Rafael CA 9490
23.27 410.73
S4. Rafael, CA 9490
28.00 1 410.73
SUBTOTAL$ 148.98
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink.
Mnngatnrw 0^,h,_A A SCHEDULE A (CONT)
y a fritifigultu
Statement covers periodIt
to whole dollars.
CALIFORNIA
460
from 01/01/2012
FORM
through . .... O06/30/2012012
Page 96 of 198
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
OFBUSINESS)
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
06/04/2012
Kyle Hornstein
_RIND
410.73
OCom
Corporal
28.00
C/o: San Rafael Police Association
El CITH
San Rafael, CA 94901
[:] PTY
City of San Rafael
Union member's.diigs receivg-d thrgugh intermedia
Kyle HornsteinMilo
y:[QSqnEafa
Assoc'atio
L_Rglicen,
San
Rgafael. CA 9490
06/15/2012
©IND
410.73
EICOM
Corporal
28.00
C/o: San Rafael Police Association
nCTH
San Rafael, CA — 94901
[:] PTY
City of San Rafael
—
Union member's dues received through intermedia
y: anqSCC Rafa
1 Police Association
mw�
06/28/2012
Kyle Hornstein
nX IND
San
Rafael, CA 94901
EICOM
Corporal
28.00
410.73
C/o: San Rafael Police Association
nOTH
San Rafael, CA 94901
n PTY
City of San Rafael
Union member's dues received through intermedia
y.:.qanCI4Zafa
I Police Association
a a �mmsommamw W M
01/30/2012
Carl Huber
nX IND
Corporal
n Rafael, CA 94901
39.84
410.73
El COM
San Rafael Police Association
nOTH
W
San Rafael, CA 94901
n PTY
City of San Rafael
Union member's dues received intermedia
'y:EASP�afael
Police
.through
Carl Huber
Association,
San
Rafael, CA 94901
01/30/2012
XIND
Corporal
39.86
410.73
ocom
C/o: San Rafael Police Association
nCTH
El PTY
City of San Rafael
San Raf=;er% du9e49.01r.ceived through intermediaxly:Q§P
Union me
afaell
Police Association,
Sin
Rafael, CA 9490L
*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
www.neffile.com
SUBTOTAL$ 163.70 1 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
r•rvr.Ii<ar VVIfl,111JULOV110 RGVCIVtr"U Mowullas may ue rounueo
Statement covers period
to whole dollars.
CALIFORNIA
4•i
from 01/01/2012
FORM
Page 97 of 198
through 06/30/2012
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)
02/09/2012
Carl Huber
FIND
COMr
Corporal
26.39
410.73
C/o: San Rafael❑
Police Association
DOTH
San Rafael, A 94901
❑ PTY
City of San Rafael
Un'member's d received
'SCR
eI
12olices o 'at'
San
02/21/2012
Carl HuberIles
FIND
❑ COM❑
Corporal
39.09
410.73
C/o: San Rafael Police Association
OTH
OTH
I�
❑ Y
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:San �2afae1
Police Association
San
Rafael CA 9490
03/09/2012
Carl Huber
FIND
Corporal
32.57
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
San Rafael, CA 94901n❑
PTY
City of San Rafael
Union member's dues received through intermedia
:`-San CRafae
Police Association
San
32.57
Rafael CA 9490
03/20/2012
/
Carl Huber
❑x IND
Corporal
410.73
❑ COM
C o: San Rafael olice Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTYYr
Union member's dues received through intermedia
:�an Rafae
Police Association,
San
32.57
Rafael, CA 9490
03/30/2012
Carl Huber
❑ IND
Corporal
P
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediai1y:Q§iY�afaej1
Police Association
S
n Rafael CA 9490
SUBTOTAL$
163 19
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 8661ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
:rwr Wear vv/14171JULIVf1, MUGelYeU Amounts may oeroundeaSt
-
atement covers period
'
to whole dollars.
, ,
'
460
from 01/01/2012
• •
Page 98 of 198
through 06/30/2012
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)
04/17/2012
Carl Huber
X IND
❑
Corporal
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑OTA
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union e' dues ece' d t ou nter a
aCC el.
Police Association.el
CA 94901
04/30/2012
Carl Huber
FX] IND
Corporal
23.27
410.73
❑ COM❑OTH
C/o: San Rafael Police Association
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;aSn"Rafael
Police Association
S
28.00
n Rafael CA 9490-
05/16/2012
Carl Huber
QIND
Corporal
410.73
❑ COM❑OTH
C/o: San Rafael Police Association
City of San Rafael
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
:[;aS nCCzafael
Police Association
S
28.00
n Rafael CA 9490
06/04/2012
Carl Huber
❑X IND
Corporal
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑n
San Ftafae
Police Association,
San
28.00
Rafael, CA 9490
06/15/2012
Carl Huber
❑X IND
Corporal
410.73
❑ COM
C/o: San Rafael Police Association
❑OTA
❑ PTY
City of San Rafael
San Rafael, CA 94901
nion member's dues received through intermedia
rr��
:�hW� afaell
Police Association
S
n Rafael CA 9490
SUBTOTAL$
139.84
'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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
IYlonetar'y k.ornributlorl5 meceivea Amounts may nerounaea
Statement covers period
IIII
to whole dollars.;
• j '
from 01/01/2012
1 •
Page 99 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
GATE
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)
06/28/2012
Carl Huber
RIND
Corporal
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
.Union's
dues received throucth intermediaxv![-�-AlaSnKafael
Police Association
111111111111IMS
39.86
n Rafael,9490
01/30/2012
Eric xuot
❑X IND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
�''j (;
:''San �Rafael
Police Association
San
Rafael CA 9490
01/30/2012
Eric xuot
QIND
Officer
39.84
410.73
[:] COM❑
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
❑PTY
Union member's dues received through intermedia
n (;
:'-San Rafae
Police Association
San
Rafael CA 9490
02/09/2012
Eric xuot
❑ RIND
officer
26.39
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY^^
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:ga'P12afae
Police Association,
San
Rafael CA 9490
02/21/2012
Eric Huot
®IND
Officer
39.09
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
so
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
-afae
�
Police Association
S
n Rafael CA 949011
SUBTOTAL$
71
173.18
`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
www.netfile.com
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.)
RA
oneta Conti 1LJU Lions Received Amounts may be rounded
covers periodCALIFORNIA
to whole dollars. to
,
460
from 01/01/2012
FORM !
Page 100 of 198
through 06/30/2012
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
(IFCOMMITTEE, ALSO ENTERLD. 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)
03/09/2012
Eric Huot
DIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PN
City of San Rafael
San Rafael, CA 94901
11nion member'sd throucth intermPdiaxv:qSCCRafae1
Policean t
S94901
32.57
03/20/2012
Eric Huot
©IND
Officer
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
El PTY
Union
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedia
nn Y
:`'San2afae
Police Association,San
32.57
Rafael CA 9490
03/30/2012
Eric Huot
®IND
Officer
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
(❑( an
:'-SZ2afae
Police Association
San
Rafael CA 9490
04/17/2012 17
/ /
Eric Huot
❑X IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
San Rafael,
PTY
City of San Rafael
CA 94901
Union member's dues received through intermedia
(❑
:`-San 12afae
Police Association,
San
Rafael, CA 9490
04/30/2012
Eric Huot
❑ZIND
Officer
23.27
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia.
� afae
Police Association
S
n Rafael CA 9490il
SUBTOTAL$
153.55
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SGC - Small Contributor Committee
www.nefile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Type or print in ink. SCHEDULE A (CONT.)
IYIVIICL4II %1U11LF1L7ULIV1I5 ReGe1VeQ mmountsmay beroundeoStatement
covers period
to whole dollars.
' • ' '
from 01/01/2012
O' i
through 06/30/2012
page 101 Of 198
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)
05/16/2012
Eric Huot
❑X IND
Officer
28.00
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member,S...dues received through
SCC afael
Police Asati
28.00
Rafael. 9490Eric
06/04/2012
Huot
❑X IND
Officer
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
ElPTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
nn
:'Sanafae
Police Association
San
Rafael CA 9490
410.73
06/15/2012
Eric Huot
❑RIND
Officer
28.00
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`-San Kafae
Police Association
S
n Rafael CA 9490
06/28/2012
Eric Huot
❑ RIND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
r❑
:`-San CRafae
Police Association,.
San
Rafael, CA 9490
410.73
01/30/2012
Scott Ingels
❑X IND
Corporal
39.84
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
.� afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
151.84
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Type or print in Ink. SCHEDULE A (CONT.)
1W1W"W4Q1 VVII111LPUL1W115 r%VUVlVCQ minuuma may as roundeqp
Statement covers period
to whole dollars..
!RNIA
�
from 01/01/2012
1 •
through 06/30/2012
Page 102 of 198
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)
01/30/2012
Scott Ingels
❑X IND
Corporal
39.86
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
U e 's ues ce'v t u e
a CCRafael..Police
Association,
t Sgn
26.39
Rafael, 9490
02/09/2012
Scott Ingels
®IND
Corporal
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucth intermedia
y:E;aSPIilafael
Police Association
San
39.09
Rafael CA 94901
02/21/2012
Scott Ingels
XIND
Corporal
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
n❑n
:`-San Kafae
Police Association,San
Rafael CA 9490
03/09/2012
Scott Ingels
IND
❑32.57
Corporal
410.73
❑ COM
C_[o: San Rafael Police Association
❑OTH
MW
San Rafael,
PT(Y�
City of San Rafael
CA 94901
Union member's dues received through intermedia
(❑jj
:`;S �2afae
Police Association,
San
32.57
Rafael, CA 9490
03/20/2012
Scott Ingels
BIND
Corporal
410.73
❑ COM
C/o: San Rafael Police Association
F-1OTHMW
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia:
^
t afaell
Police Association
S
n Rafael CA 9490
SUBTOTAL$
170.48
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
rnv. caw. y vv" L11uU Layla rtCGCI V Vtl minuunw may ue rounaeo
Statement covers period
IIII
to whole dollars.
CALIFORNIA
from_ 01/01/2012
FORM •
through 06/30/2012
page 103 of 198
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
(IFCOMMITTEE, ALSO ENTERI.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)
03/30/2012
Scott Ingels
BIND
❑ COM
Corporal
32.57
410.73
C/o: San Rafael Police Association
❑ OTH
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union e is u s receivg-d.througherm
Scott Ingels
SCC
1 Police Association,
S
R 0
04/17/2012
RIND
❑COM
Corporal
32.57
410.73
C/O: San Rafael Police Association
❑ OTH
OTH
❑ Y
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
(�I
:`man �2afae
Police Association
S
n Rafael CA 9490
04/30/2012
Scott Ingels
❑x IND
Corporal
23.27
410.73
❑ COM❑
C/o: San Rafael Police Association
OTH
San Rafael, CA 94901
PTY
City of San Rafael
Union member's dues received throu h intermedia
n❑
:`-Sanafae
Police Association,S
n Rafael CA 9490
05/16/2012
Scott Ingels
❑ IND
Corporal
p
❑ COM
28.00
410.73
CLO: San Rafael Police Association
❑ OTH
San Rafael, CA 94901P
TY
City of San Rafael;
Union member's dues received through intermedia
:'-San(Rafae
Police Association
San
Rafael CA 9490
06/04/2012
Scott Ingels
❑RIND
Corporal
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
amommommomo
❑ PTY
City of San Rafael
San Rafael, CA 94901
Onmember's dues received through intermedia
.� afae
Police Association
SaIn
Rafael CA 9490
SUBTOTAL$
144.41
'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
www.netflle.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
Irtvneaary trvni(ibutions Received Amounts may ne rounuea
Statement covers period
to whole dollars.
• ; ,
from 01/01/2012
IPage___1104
through 06/30/2012
of 198
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)
06/15/2012
Scott Ingels
❑x INDCorp
oral
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union er' dues received throucth intermediaTv!SCC
aJ.Police
Assoc' o
Rafael. CA 9490L
06/28/2012
Scott Ingels
QIND
Corporal
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw h intermedia
nn
:`"San CRafae
Police Association
San
30.53
Rafael CA 9490
01/30/2012
Lynette Keller
QIND
Police Service Specialist
324.98
❑ COM
C/o: San Rafael Police Association
❑ Ql-H
wpm
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
(❑
:`-San �afae
Police Association
Police Service Specialist
NNONSMONOMMS San
30.55
Rafael CA 9490
01/30/2012
Lynette Keller
[MIND
324.98
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia
(❑I
:Ewan Z2afael
Police Association,
San
Rafael CA 9490
02/09/2012
Lynette Keller
QIND
Police Service Specialist
26.39
324.98
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nion member's dues received through intermedia
nnr�rr�rr�
:'-§E Rafae
Police Association
Sin
Rafael CA 949011
SUBTOTAL$
143 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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink.
Mf%ntatnni SCHEDULE A (CONT)
ix fuutluvu
covers period
to whole dollars. to
CALIFORNIA
460
from 01/01/2012
FORM
Page 105 of 198
through 06/30/2012
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
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
02/21/2012
LynetteKeller
—TOND
nCOM
Police Service Specialist
30.53
324.98
C/o: San Rafael Police Association
E:1OTH
- - __mmmmmmm
San Rafael, CA 94901
n PTY
City of San Rafael
03/09/2012
911jon member,
Lynette Keller S _di4es receiye.d !;hroucfh i d*
S C
L.. ap Rafael
©IND
Rglice Association, 4M
011111SEIL-Rafael.
CA 49
324.98
nCOM
Police Service Specialist
25.45
C/o: San Rafael Police Association
[:1 OTH
San 94901
El PTY
City of San Rafael
Union member's dues received through intermedia
y_z_q.SnCRafa
1 Police Asso iationfiliIIIIIIIII
9
&
n Rqfael, CA 94901
03/20/2012
Lynette Keller
[ZIND
Police Service Specialist
25.45
324.98
nCOM
C/o; San Rafael Police Association
nOTH
111111111111110
San Rafael, CA 94901q
❑ PTY
City of San Rafael
-
Union member's dues received gh intermedia
aS
1
..throw
Lynette Keller
Y:_nKafa
Police Association, jIIIIIIIIIIIIIII
n..Rafael, CA 9490
03/30/2012
[x IND
Police Service Specialist
25.45
324.98
E]COM
C/o: San Rafael Police Association
DOTH
San Rafael, -CA 94901
[:] PTY
City of San Rafael
Union member's dues received through intermedia
y:qaSPI�afael
- Police Association, 1$0=
San
Rafael, CA 94901
04/17/2012
Lynette Keller
[KIND
Police Service Specialist
25.45
324.98
EICOM
C/O: San Rafael Police Association
nOTH
0
n PTY
City of San Rafael
. ..... .
San Rafael,
Union me dues received through intermediai3y:Q§YYCR
afaeil
Police Association
Sin
Rafael, CA 9490k
SUBTOTAL$
132 33
*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
www.netfile.com
FPPC 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.)
Monetary ContributlonS Keceived Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
,
from 01/01/2012
FORM •
Page 106 of 198
through 06/30/2012
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
QF COMMITTEE, ALSENTERI.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)
04/30 / 2012
Lynette Keller
RIND
Police Service Specialist
18.18
324.98
[3Com
C/o: San Rafael Police Association
EIOTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union memberlareceived through intermediaxv:qanRafael
Police Association,
e 490
05/16/2012
Lynette Keller
®IND
Police Service Specialist
21.75
324.98
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:E;a"nCCRafael
Police Association
San
Rafael CA 9490
06/04/2012
Lynette Keller
RIND
Police Service Specialist
21.75
324.98
❑COM❑
C/o: San Rafael Police Association
OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:�an 7Rafael
Police Association
SE
n Rafael CA 9490
06/15/2012
Lynette Keller
❑ IND
Police Service Specialist
P
21.75
324.98
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San a ae 94901
Union member's dues received through intermediary:-3an
(❑�
CCRafael
Police Association,
San
Rafael, CA 9490
06/28/2012
Lynette Keller
[MIND
Police Service Specialist
21.75
324.98
❑ COM
C/o: San Rafael Police Association
❑ OTH
4� -11111110❑
PTY
City of San Rafael
San Rafael, CA 94901
rr--��c��r�r�
Union member's dues received through intermedia
:'-. Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
105.18
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.nefite.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
monetary GontributlonS Keceived Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• ,
4
from 01/01/2012
FORM
Page 107 of 198
through 06/30/2012
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
(EETACOMMITTEE,RALSANDZI .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)
01/30/2012
/
Rebecca Kuga
x IND
YSB Supervisor
30.53
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
Union e u ed ed'a
Izafael
Police t'o
el 9
01/30/2012
Rebecca Kuga
FZ IND
YSB Supervisor
30.55
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
j(�� (;
Union member's dues received through intermedia
:`Klan Rafael
Police Association
San
Rafael CA 9490-
02/09/2012
Rebecca Kuga
RX IND
YSB Supervisor
20.36
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
am
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qaSnCRafael
Police Association
San
Rafael CA 9490
02/21/2012
Rebecca Kuga
❑ MIND
YSB Supervisor P
30.53
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑
:`San �Zafae
Police Association,
IIIIIIIIII111W San
Rafael CA 9490
03/09/2012
Rebecca Kuga
[MIND
YSB Supervisor
25.45
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.Qti' afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
137.42
"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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE (CONT.)
Monetary ConinbutionS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• ,
from 01/01/2012
•
through 06/30/2012
Page 108 of 198
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)
03/20/2012
Rebecca Kuga
❑x IND
YSB Supervisor
25.45
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's es received through nter ediayv-qaSnC(iafae1
Police Association,41iiiiiiiiii�Rafael.
CA 9490L
03/30/2012
Rebecca Kuga
[ZIND
YSB Supervisor
25.45
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
: gSCICRafae
Police Association
San
Rafael CA 9490
04/17/2012
Rebecca Kuga
❑x IND
YSB Supervisor
25.45
318.95
❑ COM❑
C/o: San Rafael Police Association
OTH
SIM
PT
❑`(
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'naan Iilafae
Police Association
San
Rafael CA 9490
04/30/2012
Rebecca Kuga
❑1ND
YSB Supervisor P
18.18
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:EAKCRafael
Police Association,
San
Rafael, CA 9490
05/16/2012
Rebecca Kuga
❑X IND
YSB Supervisor
21.75
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
IIIIIIIIIIIIF
❑ PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received _through intermedia
-Q afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
116.28
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.neffile.com
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.)
Ivioneiary ConinbutlonS Kecelvea Amounts may be rounded
Statement covers period
to whole dollars.
•M •
from 01/01/2012
•
jPag9___!1_0_9
of 198
through 06/30/2012
NAME OF FILER
LD.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)
06/04/2012
Rebecca Kuga
❑ x IND
YSB Supervisor
21.75
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's— Union dues receivedthrough t r ed'
-qSC e
s
Rafael.C 9
06/15/2012
Rebecca Kuga
❑x IND
YSB Supervisor
21.75
318.95
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'��""jj 'uan(; �2afae
Police Association
San
Rafael CA 9490
06/28/2012
Rebecca Kuga
RIND
YSB Supervisor
21.75
318.95
❑ COM❑
C/a: San Rafael Police Association
OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
r❑r
:`aan�2afae
Police Association
S
n Rafael CA 9490
01/30/2012
Marc Laplante
❑ IND
Officer
39.84
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
an a ae 94901
❑
Union member's dues received through intermedia
:`-nSan Kafae
Police Association,
San
Rafael, CA 9490
01/30/2012
IMarc Laplante
RIND
Officer
39.86
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑n PTY
City of San Rafael
San Rafael, CA 94901
SaIn
Union member's dues received through intermedia
Q8
.�-81'R afae
Police Association
Rafael CA 949011
SUBTOTAL$
144.95
*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
www.neffile.com
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.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4601
from 01/01/2012
• RM
Page 110 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
arc Laplante
X IND
Officer
26.39
410.73
❑ COM
C/o: San Rafael Police Association
TH
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
Un' member'se receivedou e di
Rafaele
Association,
39.09
CA 9490L
02/21/2012
arc Laplante
IND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑P.T.Y
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`fan
Police Association
Son
32.57
Rafael CA 9490
03/09/2012
arc Laplante
❑ IND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:qaSnRafaeL
Police Association
S
n Rafael CA 9490
03/20/2012
Marc Laplante
[EIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael_Police Association
❑ OTH
City of San Rafael
El PTY
an a ael, CA 94901
nn �^
Union member's dues received through intermedia
:` an'Rafae
Police Association,
NUMMONNIOW San
32.57
Rafael, CA 9490
03/30/2012
Marc Laplante
❑x IND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
r-1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia
i—I(�
•'-B9C Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$ 163.19
`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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (6661275-3772)
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.
I i
from 01/01/2012 •
through 06/30/2012 Page ill of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ET ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF .D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/17/2012
arc Laplante
❑RIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's ec 'v d through t
Police o
San
Rafael. CA 9490
04/30/2012
Marc Laplante
X IND
Officer
23.27
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
ONO*❑
PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
:`'Sanafae
Police Association
San
28.00
Rafael CA 9490
05/16/2012
arc Laplante
XIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
II ow❑PTY
Y
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
:`-San Ztafae
Police Association
San
Rafael CA 9490
06/04/2012
arc Laplante
BIND
Officer
28.00
410.73
❑ COM
C/o: San Rafael olice Association
❑ OTH
of San Rafael
��
aS 7-a ael, CA 94901
[:] PTY
Union member's dues received through intermedia
:EanCRafae
Police Association,
San
28.00
Rafael, CA 9490
06/15/2012
Marc Laplante
❑x IND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901..
.Union member's dues received through intermedia
-B 1T Rafae
Police Association
San
Rafael CA 9490
"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
www.netfile.com
SUBTOTAL$ 139.84
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (666/275-3772)
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.
I
from 01/01/2012
FORM
Page 112 of 198
through 06/30/2012
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)
06/28/2012
marc Laplante
❑x IND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's a received throucrh i t a
aSnCCRafaell
Police Association.
San
Rafael. 94901
01/30/2012
Kimberly Larkey
QIND
Officer
39.84
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
F] Pte,
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`manafae
Police Association
San
Rafael CA 9490
01/30/2012
Kimberly Larkey
❑x IND
Officer
39.86
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:qaSnRafael
Police Association
San
Rafael CA 9490
02/09/2012
Kimberly Larkey
❑x IND
Officer 26.39
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`3an �Zafae
Police Association San
Officer 39.09
Rafael, CA 9490
02/21/2012
Kimberly Larkey
❑X IND
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
nion member's dues received throw h intermedia
nI� ���r^�!!'�wmmwl�
:�-§ Rafae
Police Association San
Rafael CA 949011
SUBTOTAL$ 173.18
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCG —Small Contributor Committee
www.nettile.com
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-IIIIIIIIIIIIII
CALIFORNIA
to whole dollars.
/ � ,
from 01/01/2012
• `
Page 113 of 198
through 06/30/2012
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)
03f09/2012
Kimberly Larkey
5 ❑ND I
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues receivedthrough i ter i
fael
Police Association.
San
Rafael.CA 9490L
03/20/2012
Kimberly Larkey
R ❑ IND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association.
❑ OTH
PTY
El Y
❑
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'-San �Rafael
Police Association
San
Rafael CA 9490
03/30/2012
Kimberly Larkey
MIND
Officer
32.57
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n
:`?an Rafael
Police Association
San
32.57
Rafael CA 9490
04/17/2012
Kimberly Larkey
❑x IND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
((''��
Union member's dues received through intermedia
:`3an afae
Police Association,
San
23.27
Rafael, CA 9490
04/30/2012
Kimberly Larkey
[MIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
n(��^
-'-B 19(:Zafae
Police Association
San
Rafael CA 9490
SUBTOTAL$ 153.55
*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
www.netflle.com
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 6661ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodCALIFORNIA
to whole dollars.
I '
from 01/01/2012
• RM
Page 114 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND DEO
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
QF COMMITTEE, ALSO I.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/16/2012
Kimberly LarkeyIND
x
❑
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union e e 's received through t r e i
:[SCC f
lice Association.
San
Rafael.CA 94901
06/04/2012
Kimberly Larkey
FIND
Officer
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
.ganCafae
Police Association
San
28.00
Rafael CA 9490
06/15/2012
Kimberly Larkey
FIND
Officer
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
I�-1j
r
Union member's dues received through intermedia
:'-San �Zafae
Police Association
San
28.00
Rafael CA 9490
06/28/2012
Kimberly Larkey
❑X IND
Officer
410.73
❑COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑
Ej'l'j PTY
Sa�fael, 94901
(�
Union member's dues received through intermedia
:[;an 1Zafae
Police Association,
, San
30.55
Rafael, CA 9490
01/30/2012
Anndora Lee
FIND
Dispatcher
319.29
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received through intermedia
•r""1C/�!^.
afae
Police Association
Sin
Rafael CA 9490
IL
SUBTOTAL.$ 142.55
'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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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
• a
to whole dollars.
/ •
from 01/01/2012
FORM
Page 115 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
ndora Lee
X IND
❑
Dispatcher
30.53
319.29
❑ COM
C/o: San Rafael Police Association
[:1 OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union t ou i
an SCC
Polices ci
San
Rafael, CA 9490L
319.29
02/09/2012
member's v
Anndora Lee
©IND
Dispatcher
20.70
❑ COM
C/o: San Rafael Police Association
❑ OTH
E-] PTY
City of San Rafael
San Rafael, CA 94901
(;
Union member's dues received through intermediaxv:qaSnCRafael
Police Association
S
30.53
n Rafael CA 9490
02/21/2012
ndora Lee
EZIND
Dispatcher
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ P n,
City of San Rafael
San Rafael, CA 94901
n (�
Union member's dues received through intermedia
:`-San Rafae
Police Association
S
n Rafael CA 9490
03/09/2012
ndora Lee
❑X IND
Dispatcher
25.45
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
r-1 PTY
San Rafael, CA 94901
nnan((;;
San
Union member's dues received through intermedia
:`-Sitafae
Police Association,
Rafael, CA 9490
319.29
W
25.45
03/20/2012
Anndora Lee
MIND
Dispatcher
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑PTY
San Rafael, CA 94901
nion member's dues received through intermedia
•�Ir(�
Q i1="Rafae
Police Association
San
Rafael CA 9490il
SUBTOTAL$ 132.66
*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
www.netfile.com
FPPC Form 460 (Januaryi06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
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.
I � ,
from 01/01/2012
• RM
through 06/30/2012
Page 116 of 198
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)
03/30/2012
ndora Lee
fx IND
Dispatcher
25.45
319.29
❑ COM
C/o: San Rafael Police Association
E] OTIj
PTY
City of San Rafael
San Rafael, CA 94901
Union 's dues received throucth intermediaxv:qa'nCCRafaeLe
Association.
25.45
Rafael. CA 949
04/17/2012
ndora Lee
r_x1 IND
Dispatcher
319.29
[-] COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
(� C
Union member's dues received through intermedia
:`'San iRafael
Police Association
Rafael CA 9490
319.29
---San
18.18
04/30/2012
ndora Lee
Mx IND
Dispatcher
❑ COM
C/o: San Rafael Police Association
M OTH
F] P
City of San Rafael
San Rafael, CA 94901
UnionTY
member's dues received through intermediaxv:qaSnCCRafael
Police Association
S
21.75
n Rafael CA 9490
05/16/2012
AnnBora Lee
nxIND
Dispatcher
319.29
❑ COM
C o: San Rafael Police Association
CIOTH
City of San Rafael
0
El PTY
San Rafael, CA 94901
Union member's dues received through intermediaiy;E;aSnC"-Rafael
Police Association,
0000NOMMM San
21.75
Rafael, CA 9490
06/04/2012
71nndora Lee
❑x IND
Dispatcher
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1111WPTY
❑
San Rafael, CA 94901
Union member's dues received through intermedia
.r'TG(�(1
'-Br'S17-'Kafae
Police Association
S
n Rafael CA 9490
SUBTOTAL $ 112.5B
*Contributor Codes
IND - individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 666/ASK-FPPC (6661275-3772)
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.
460
from 01/01/2012
• RM
Page 117 of 198
through 06/30/2012
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
(E COMMITTEE, ALSENTERI.D.NUMBER)
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
AanBora Lee
X
❑ IND
Dispatcher
21.75
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
unione r's dues received throughn e e i
anC Rafael
Police oc'
San
21.75
Rafael, CA 9490L
06/28/2012
Anndora Lee
❑MIND
Dispatcher
319.29
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ Pte,
City of San Rafael
San Rafael, CA 94901
n�(
Union member's dues received through intermediaiv:
aSnKafaeu
Police Association
San
Rafael CA 9490
01/30/2012
Rogelio Leon
❑MIND
Sergeant
39.86
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermediaiv:qanKafael
Police Association
San
Rafael CA 9490
01/30/2012
Rogelio Leon
[MIND
Sergeant
39.84
410.73
❑ COM
C o: San Rafael Police Association
❑ OTH
City of San Rafael
IIIII"94901
r-1 PTY
San alae ,
n
Union member's dues received through intermediaiy:qanKafael
Police Association,
San
26.39
Rafael, CA 9490
02/09/2012
Rogelio Leon
❑MIND
Sergeant
410.73
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
MW
[:] PTY
San Rafael, CA 94901
Union member's dues received through intermedia
(BIZ
.'--88 P afae
Police Association__IM
San
Rafael CA 949011
SUBTOTAL$ 149.59
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 666/ASK-FPPC (6661275-3772)
Schedule A (Continuation Sheet) Tvve or print In Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4 6 0
from 01/01/2012
FORM
through 06/30/2012
Page 118 of 198
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)
02/21/2012
Rogelio Leon
Fxj IND
Sergeant 39.09
410.73
EICOM
C/o: San Rafael Police Association
El OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
union member's dues received throucth intermedia
v!qanCCRafael
Police Association. 411111111111111 San
Sergeant 32.57
Rafael. CA 9490L
03/09/2012
Rogelio Leon
410.73
[:] COM
C/o: San Rafael Police Association
❑ OTH
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;aSnCCRafa
1 Police Association, San
Sergeant 32.57
Rafael, CA 9490L
03/20/2012
Rogelio Leon
EZIND
410.73
EICOM
C/o: San Rafael Police Association
❑ OTH❑
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia3:v:[;aSnC'
Rafael
Police Association, San
Rafael, CA 9490L
03/30/2012
Rogelio Leon
[EIND
Sergeant
32.57
410.73
[:]COM
C/o: San Rafael Police Association
EJOTH
City of San Rafael
F�PTY
an Rafael, CA 94901
Union member's dues received through intermedia xy:qaS
nC�afael
Police Association
San
32.57
Rafael, CA 9490L
04/17/2012
Rogelio Leon
FX_1 IND
Sergeant
410.73
❑Com
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
go❑
PTY
San Rafael, CA 94901
lupion member's dues received through intermedia
.'B
Police Association
San
Rafael, CA 94901L
SUIBTOTAL$ 169.37
1
*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
www.netfile.com
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.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
�
CALIFORNIA
to whole dollars.
/ � ,
from 01/01/2012
Page 119 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE. ALSOAND
I.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Rogelio Leon
❑x IND
Sergeant
23.27
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union e th o
aC�Rafael
Police-Association,San
Rafael, CA 9490.
05/16/2012
Rogelio Leon
[OIND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
I��
❑ PTY
City of San Rafael
San Rafael, 94901
((;;
Union member's dues received through intermedia
:n�an RafaelPolice
Association
San
28.00
Rafael CA 9490
06/04/2012
Rogelio Leon
RIND
Sergeant
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
rr
:`-nanSRafael
Police Association
San
Rafael CA 9490
06/15/2012
Rogelio Leon
QIND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
_a X94901
FJ PTY
❑
San ae ,
(2afael
Union member's dues received through intermedia
:qaSnC
Police Association,
San
Rafael, CA 9490
06/28/2012
Rogelio Leon
❑X IND
Sergeant
28.00
410.73
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.i—I G(�(�
afae
Police Association
lk San
Rafael CA 9490
SUBTOTAL$ 135,27
*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 Tall -Free Helpline: 8661ASK-FPPC (8681275-3772)
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 01/01/2012
•
Page 120 of 198
through 06/30/2012
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)
01/30/2012
Kevin Macdougald
IND
Officer
39.84
410.71
MCOM
C/o: San Rafael Police Association
MOTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
union member's dues received through inter ediaxy:E;aS:CCRafael
Police Association.
OJEWilift, San
Rafael, CA 9490L
01/30/2012
Kevin Macdougald
MIND
officer
39.84
410.71
MCOM
C/o: San Rafael Police Association
MOTH
[:] PTY
City of San Rafael
San Rafael, CA 94901C
Union member's dues received through intermedia iv:qaiiSC
-Rafael
Police Association -AM
San
Rafael. CA 9490L
02/09/2012
Kevin Macdougald
MIND
officer
26.39
410.71
EICOM
C/o: San Rafael Police Association
EIOTH
❑MCity
PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:1;anCC
Rafael
Police Association,
San
Rafael, CA 9490L
02/21/2012
Kevin Macdougald
MIND
Officer
39.09
410.71
FICOM
C/o: San Rafael Police Association
MOTH❑
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received through intermedia xV:E;aS
nRafael
Police Association,
San
Rafael, CA 94901
03/09/2012
Kevin Macdougald
MIND
Officer
32.57
410.71
MCOIM
C/o: San Rafael Police Association
MOTH
City of San Rafael
n PTY
Sap Rafael, CA 94901
Union member's dues received through intermedia ny:Q§P+Rafaell
Police Association.
San
Rafael, CA 94901L
SUBTOTAL$ 177.73
1
*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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) TVDe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA '
to whole dollars.
from 01/01/2012
• RM
through 06/30/2012
Page 121 of 198
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
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)
03/20/2012
Kevin Macdougald
BIND
Officer
32.57
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SnC
Union member's des received throuc[hter
afael.
Police Association.
EMOOL—SEnRafael.
32.57
CA 9490L
03/30/2012
Kevin Macdougald
QIND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
jj��
Union member's dues received through intermedia
:"San Rafae1
Police Association
San
32.57
Rafael CA 9490
04/17/2012
Kevin Macdougald
RIND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
[-] PTY
City of San Rafael
San Rafael, CA 94901
n(�
Union member's dues received through intermedia
:`?anKafae
Police Association
San
23.27
Rafael CA 9490
04/30/2012
Kevin Macdougald
❑X IND
Officer
410.71
❑ COM
C o: San Rafael Police Association
❑OTH
City of San Rafael
[:] PTY
San Rafael, 94901
nion member's dues received through intermedia
:`;nanKafae
Police Association,
San
28.00
Rafael, CA 9490
05/16/2012
Kevin Macdougald
❑X IND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received throu h intermedia
P;Zafae
Police Association
San
Rafael CA 9490
*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
www.netfile.com
SUBTOTAL$ 148.98
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) TVoe or DrInt In ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
A
ftr60
from 01/01/2012
FORM
Page 122 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
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)
06/04/2012
Kevin Macdougald
RIND
Officer
28.00
410.71
RCOM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, 7A_ 94901
dues through inter edja2:y_;qaSkCRafael
Police Association,
n Rafael. CA 9490L
06/15/2012
Union member's received
Kevin Macdougald
rx-1 IND
Officer
28.00
410.71
MCOM
C/o: San Rafael Police Association
FJOTH
-
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
I Police Association,
San
28.00
Rafael, CA 9490L
06/28/2012
Kevin Macdougald
QX IND
officer
410.71
MCOM
C/o: San Rafael Police Association
F-1 OTH
111 1, I'll
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:q.S.RafaeL
Police Association
San
30.53
Rafael, CA 9490L
01/30/2012
Robin Mark -White
MIND
Dispatcher
213.75
E]COM
Cjo: San Rafael Police Association
F-1OTH
City of San Rafael
ow
[-] PTY
San Rafael, CA 94901
C
lUnion member's dues received through intermedia
:`-San Rafael
Police Association,
Mon iiiiiiii , San
30.53
Rafael, CA 9490L
01/30/2012
Robin Mark -White
FX� IND
Dispatcher
213.75
F -ICOM
C/o: San Rafael Police Association
DOTH
City of San Rafael
n PTY
San Rafael, CA 94901
Union member's dues received through intermediai1y:Q2YCRafaejL
Police Association,
San
Rafael, CA 9490.11
JIM
SUBTOTAL$ 145.06
1
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Tvpe or print In Ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460:
from 01/01/2012
FORM
through 06/30/2012
Page 123 of 198
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)
02/09/2012
Robin mark -White
NIND
Dispatcher
20.36
213.75
[:] COM
C/o: San Rafael Police Association
nOTH
n PTY
City of San Rafael
San Rafael, CA 94901
SCC
U nion member's dues received throucth inte e
eI
PoliceAsgociation. 4NEW
San
Rafael, rA 9490L
02/21/2012
Robin Mark -White
nx IND[:]
Dispatcher
30.53
213.75
COM
C/o: San Rafael Police Association
nOTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qanCCRafae1
Police Association
San
Rafael, CA 9490
03/09/2012
Robin Mark-WhitenX
IND
Dispatcher
25.45
213.75
ncom
C/o: San Rafael Police Association
nOTH
7
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia Tv:1;anCjR.fae1
Police Association—AIIIIIIIIIII
San
Rafael, CA 9490L
03/20/2012
Robin Mark -White
nx IND
Dispatcher
25.45
213.75
❑ COM
CJa: San Rafael Police Association
00TH
City of San Rafael
n PTY
San 94901 Rafael, CA
Union member's dues received through intermediaxy:qaSnO�.fael
Police Associati2aAIIIIIIIIIIII
San
25.45
Rafael, CA. 9490L
03/30/2012
Robin mark -White
[MIND
Dispatcher
213.75
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
n PTY
San Rafael, CA CA 94901
Union member's dues received through intermedia
:'8
Police Association,
S
Rafael, CA 94901L
I
*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
www.netfile.com
SUBTOTAL$ 127.24 L I
FPPC Form 460 (January/06)
F1PPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink. I— SCHEDULE A (CONT)
Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA 46011
from 01/01/2012 FORM
*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
www.netfile.com
SUBTOTAL$ 105.13 1 1
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
through 06/30/2012
Page 124 of 198
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
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)
04/17/2012
Robin Mark -White
FxJINDDispatcher
25�45
213.75
EICOM
C/o: San Rafael Police Association
❑ OTH
—
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received through intemedi
v:qa
l Police Association.
San
Rafael.. CA 9490L
06/04/2012
Robin Mark -White
FZ IND
Dispatcher
0.00
213.75
[:] COM
C/o: San Rafael Police Association
EJOTH
11111111110
[:] PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through inte mediaxv.-E;aSnC
Rafael
Police Association,
San
0.00
Rafael, CA 9490L
06/28/2012
Robin Mark-White[ZIND
Dispatcher
213.75
[:] Com
C/o: San Rafael Police Association
[IOTH
IIIIIIIIIIIF
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:EASP'�afaeL
Police Association
Corporal
— San
39.84
Rafael, CA 9490L
01/30/2012
IMichael Mathis
RIND
410.71
[:] Com
Clo; San Rafael Police Association
DOTH
City of San Rafael
n PTY
San Rafael, CA 94901
Union member's dues received through intermedia xv:EASPCf�afael
Police Association,
mmmw San
Rafael, CA 9490L
01/30/2012
M ichael Mathis
nX IND
Corporal 39.84
410.71
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
El PTY
San Rafael, CA 94901
lUpion member's dues received throuLh intermedia
&_Q§19(�afaeL..
Police Association, S
Rafael . CA 949011
.....
*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
www.netfile.com
SUBTOTAL$ 105.13 1 1
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA A
to whole dollars.
i
�rW
from 01/01/2012
FORM
Page 125 of 198
through 06/30/2012
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
Michael Mathis
[2]IND
Corporal
26.39
410.71
EICOM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SnCCafgel
union member's dues received throuah inte iedia
y:9a
Police Association.
n Rafael.C 490L
02/21/2012
Michael Mathis
nXIND
Corporal
39.09
410.71
ncom
C/o; San Rafael Police Association
EIOTH
El PTY
City of San Rafael
San Rafael, CA 94901
C
Unn
nion member's dues received through intermedia
:`-;anRafa
I Police Association -41M
' —Szn
32.57
Rafael CA9490—
03/09/2012
Michael Mathis
nx IND
Corporal
410.71
[-] Com
C/o: San Rafael Police Association
nOTH
City of San Rafael
7A
n PTY
San Rafael, 94901
Union member's dues received through intermedia iy:qanRafael
Police Association
San
32.57
Rafael, CA 9490L
03/20/2012
[Michael Mathis
MX IND
Corporal
410.71
[:] Com
C[o: San Rafael Police Association
F-1 OTH
City of San Rafael
F-1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy:qaSnP�afaeL
Police Association, 411111111
San
Rafael, CA 9490L
03/30/2012
Michael Mathis
r_x1 IND
Corporal
32.57
410.71
r_1 COM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
F-1 PTY
n Rafael,
On,noRa A 94901
e�;erc' S dues received through intermedia mediany:QNCRaf.ell
Police Association
San
Rafael, CA 94901L
SUBTOTAL$ 163.19
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink
SCHEDULE A (CONT.)
Statement covers period
CALIFORNIA
Monetary Contributions Received Amounts may be rounded
to whole dollars.
,
from 01/01/2012
O RM
through 06/30/2012
Page 126 of 198
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
O
AMOUNT
RECEIVED
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF ELF -EMP OY'ED,ENTERNAAMER
IODDTHIS
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/17/2012
Michael Mathis
❑x IND
Corporal
32.57
410.71
❑ COM
C/o: San Rafael Police Association
MOTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receivedthrough me i
anC afael
PoliceAssociation.
San
Rafael, CA. 9490
04/30/2012
ichael Mathis
IND
Corporal
23.27
410.71
❑nx
COM
C/o: San Rafael Police Association
E] OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn ((^^
nion member's dues received through intermedia
:` 2RCRafae
Police Association
San
28.00
Rafael CA 9490
05/16/2012
Michael Mathisp
BIND
Corporal
410.71
❑ COM
C/o: San Rafael Police Association
MOTH
El PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`-SanIilafae
Police Association
San
28.00
Rafael CA 9490
06/04/2012
Michael Mathis
BIND
Corporal
410.71
❑ COM
C/o: San Rafael Police Association
MOTH
City of San Rafael
��IiYIe
❑ PTY
an Rafael, CA 94901
Union member's dues received through intermediaxy:E;aSn'CRafael
Police Association,
San
28.00
Rafael, CA 9490
06/15/2012
Michael Mathis
❑x IND
Corporal
410.71
❑ COM
C/o: San Rafael Police Association
MOTH
City of San Rafael
M PTY
San Rafael, CA 94901
Union member's dues received through intermedia
.rt[�f1.
Q P7 afaell
Police Association MONIMINIONPINOW
San
Rafael CA 94.9011
SUBTOTAL$
139.84
*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
www.neffile.com
FPPC Form 464 (January/06)
FPPC Toll -Free Helpline: 866tASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print In Ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT)
statement covers period CALIFORNIA 04
from 01/01/2012 FORM 4^ 1
through 06/30/2012 Page 127 of 198
NAME OF FILER
Nut 1-
San Rafael Police Association Political Action Committee
831553I I
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/28/2012
Michael Mathis
Fxj IND
Corporal
28.00
410.71
[-] COM
C/o: San Rafael Police Association
EIOTH
El PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
U e tedia
7
v, . Rafael
Police Association,
n Rafael. A 9490L
319.27
30.53
M u
Kelly Mauel
Kelly
nx IND
Records Clerk
❑01/30/2012
COM
C/o: San Rafael Police Association
FJOTH
-Rafael,
El PTY
City of San Rafael
San CA 94901
Union dues received through intermedia
Y:q.SnCCRafa
1 Police Association,
San
30.53
Rafael, CA 9490L
01/30/2012
member's
Kelly Mauel
nx IND
Records Clerk
319.27
[-] Com
C/O: San Rafael Police Association
nOTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
Union member's dues received through intermediaxy:qaSnCCRafaeL
Police Association,
-:n
Rafael CA 9490L
319.27
20.70
02/09/2012
Kelly Mauel
nx IND
Records Clerk
nCOM
C/o: San Rafael Police Association
EIOTH
City of San Rafael
El PTY
San Rafael, CA 94901
member's dues received through intermedia xy:aSnCI4zafae1
qUnion
Police Association,
S
n Rafael, CA 9490L
319.27
30.53
02/21/2012
Kelly Mauel
nx IND
Records Clerk
ncom
,C/o: San Rafael Police Association
EIOTH
City of San Rafael
so
[:] PTY
San Rafael, CA 94901
4_,,4_.,A.ivPA throuah intermedia
'�0
v:Q�Rafae
Police...Association,
S
n Rafael CA 9490
k
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
www.netfile.com
140.29 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Tvoe or print In ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
460'
to whole dollars.
from 01/01/2012
O_ M
Page 128 of 198
through 06/30/2012
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
IT LD.NUMBER)
(IF COMMITTEE,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN, 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/09/2012
Kelly Mauel
QX IND
Records Clerk
25.45
319.27
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
SCC
e e' ad throucth int a
Police ci t'Rafael,
25.45
9
03/20/2012
member'sunion
Kelly Mauel
®IND
Records Clerk
319.27
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
of San Rafael
San Rafael, CA 94901
Union dues received through intermediazy:EASPRafael
Police Association
San
25.45
Rafael CA 9490
03/30/2012
member's
Kelly Mauel
QX IND
Records Clerk
319.2
❑ COM
C/o: San Rafael Police Association
n OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
��-y1
Union dues received through intermedia
:'SaIGl�afae
Police Association
San
25.45
Rafael CA 9490
04/17/2012
member's
Kelly Mauel
nxIND
Records Clerk
319.27
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901 1
Union member's dues received through intermediaiV:E;aSnCCRafaeL
Police Association,
M N iiii San
Rafael, CA 9490
04/30/2012
Kelly Mauel
rxIND
Records Clerk
18.18
319.27
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received throu h intermedia
�� afae
Police Association
San
Rafael CA 9490
*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
www.netfile.com
SUBTOTAL$ 119.98
FPPC Form 460 (January/05)
FPPG Toll -Free Helpline: 866/ASK-FPPG (8661275-3772)
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. from _01/ 01 /2012 FORM 460
through 06/30/2012 Page 129 of 198
NAME OF FILER
San Rafael Police Association Political Action Committee
831553I I
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)
05/16/2012
Kelly Mauel
BIND
Records Clerk 21.75
319.27
[:] COM
C/o: San Rafael Police Association
MOTH
IIIIIIIII -[:]
PTY
City of San Rafael
San Rafael, CA 94901
Union dues received through intermediaxv:qaSnCC.faeb
Police Association. San
Records Clerk 21.75
Rafael. CA 9490L
06/04/2012
member's
Kelly Mauel
MIND
319.27
E]COM
C/o: San Rafael Police Association
MOTH
i
[:] PTY
City of San Rafael
San Rafael, 7— 94901
lUnion member's dues received through inte.rmediaxv:qaSnCCRafa.l
Police Association. San
Records Clerk 21.75
Rafael, CA 9490L
06/15/2012
Kelly Mauel
rx-1 IND
319.27
EICOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
7-
El PTY
San Rafael, 94901
Union member's dues received through intermedia jy:qaSnC"2.fael
Police Association—jiliIIIIIIIiI— -- San
Records Clerk 21.75
Rafael, CA 9490L
06/28/2012
Kelly Mauel
RIND
319.27
E]COM
C/o: San Rafael Police Association
MOTH
City of San Rafael
El PTY
San Rafael, CA 94901
C
[Unjon member's dues received through intermediaiy:q§nC
Rafael
Police Association, San
Dispatcher 25.45
Rafael, CA 9490L
03/20/2012
igail Mcelderry
MX IND
181.53
EICOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
El PTY
San Rafael, CA 94901
TT-'- -111-11 All.. t-hrnl1CTh intermedia�v:Q§19(�afaell
Police Association,_ JWNW SaIn
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
www.netfile.com
SUBTOTAL$ 112.45
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
RECEIVED
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
03/30/2012
Abigail Mcelderry
Mx❑IND
Dispatcher
[:] COM
C/o: San Rafael Police Association
MOTH
El PTY
City of San Rafael
San Rafael, CA 94901
Eq;
Union member's dues received toucth int P f 'I i a T
aSC afael
v
Police Association.
04/17/2012
Abigail Mcelderry
[j]INDDispatcher
MCOM
C/o; San Rafael Police Association
❑ OTH❑
-
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
1 Police Association,
04/30/2012
igail Mcelderry
[ZIND ❑Dispatcher
MCOM
C/o: San Rafael Police Association
MOTH
-
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;aSnRafael
Police Association,—A
05/16/2012
Ab igail Mcelderry
MIND
Dispatcher
MCOM
C/o: San Rafael Police Association
[:]OTH
City of San Rafael
M PTY
San Rafael, CA 94901
E;
Union member's dues received through intermediaxy:JSP�2afael
Police Association,
06/04/2012
Abigail Mcelderry
MX IND
Dispatcher
MCOM
C/o: San Rafael Police Association
M OTH
City of San Rafael
-
M PTY
CA 94901 intp�mpdia
,ta�i_�afael,_ 4
---I, -I- a„e. ..... * ".,q t
V-Q§i9(;zafaeIl
Police Association,
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
www.neffile.com
SCHEDULE A (CONT.)
Statement covers period CALIFORNIA
460
from 01/01/2012 FORM
through 06/30/2012 Page 130 of 198
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. I - DEC. 31) (IF REQUIRED)
25.45 181.53
Rafael, CA. 9490L
25.45 181.53
San Rafael, CA 9490L
18.18 181.53
San Rafael. CA 9490L
21.75 181.53
MMMMONNIM San Rafael, CA 9490[L
21.75 1 181.53 1
11� GA I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) TvDe or print In ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46011
from 01/01/2012
FORM
Page 131 of 198
through 06/30/2012
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN, I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Abigail Mcelderry
NIND
Dispatcher
21.75
181.53
EICOM
C/O: San Rafael Police Association
[:1 OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SCC,
dues throucTh intermedia
y:9_d1L_hAL_d9l
Police Association.
—
an
Rafael. CA 9490L
06/28/2012 28/2012
Union member's received
Abigail Mcelderry
FZ IND
Dispatcher
21.75
181,53
F�COM
C/o: San Rafael Police Association
❑ OTH❑
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:E;anCRafael
Police Association,_411=
San
30.53
Rafael, CA 9490L
01/30/2012
Lisa Mcelroy
r_x1 IND
Dispatcher
214.09
EICOM
C/o: San Rafael Police Association
EIOTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qanCCzafaeL
Police Association,
San
30.53
Rafael, CA 9490L
01/30/2012
Lisa Mcelroy
FXJ IND
Dispatcher
214.09
EICOM
C/o; San Rafael Police Association
nOTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia xV:E;aSnC
"-Raf.e1
Police Association, jilliIIIIIIIIIIII
Dispatcher
JEW San
20.70
Rafael, CA 9490L
02/09/2012
Lisa Mcelroy
FX1 IND
214.09
EICOM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received .through intermediaily:Q§P:�afaelL
Police Association,
San
Rafael, CA 9490[L
*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
www.netfile.com
SUBTOTAL$ 125.26 1 1
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline, 866/ASK-FPPC (8661276-3772)
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.
i
from 01/01/2012
_
•
Page 132 of 198
through 05/30/2012
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Lisa Mcelroy
Fxj IND
Dispatcher
30.53
214.09
❑COM
C/o: San Rafael Police Association
❑OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union ember's dues received throucthme iedia
ganC a
ice Association.
Raf 1 C 9490
03/09/2012
Lisa Mcelroy
RIND
Dispatcher
p
25.45
214.09
❑COM
C/o: San Rafael Police Association
❑OTH
❑PTY
City of San Rafael
San Rafael, CA 94901 -
nn �^
San
Union member's dues received through intermedia
J fan Ttafae
Police Association
Rafael CA 9490
214.09
25.45
03/20/2012
Lisa Mcelroyp
BIND
Dispatcher
❑ COM
C/o: San Rafael Police Association
❑OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qanCRafaeL
Police Association
San
25.45
Rafael CA 9490
03/30/2012
Lisa Mcelroy
❑RIND
Dispatcher
214.09
❑ COM
C o: San Rafael Police Association
❑OTH
City of San Rafael
PTY
San Rafael, CA 94901I❑
Union member's dues received through intermedia
:`SanRafae
Police Association,
S
n Rafael, CA 9490
04/17/2012
Lisa Mcelroy
❑X IND
Dispatcher
25.45
214.09
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received through intermedia
I—ICt:(:.
:�- afaeil
Police Association
S
n 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
SCC — Small Contributor Committee
www.nettile.com
SUBTOTAL$ 132.33
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.)
Statement covers period
•_ M,
Monetary Contributions Received Amounts may be rounded
to whole dollars.
from 01/01/2012
•
Page 133 of 198
through 06/30/2012
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
OF COMMITTEE, ALSO ENTER I.D,NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Lisa Mceiroy
OIND
Dispatcher
0.00
214.09
M
C/o: San Rafael Police Association
❑OTH
PTY
E(�lj
City of San Rafael
San Rafael, CA 94901
Unio s received throuctht ed'
SSC
o Association,
0.00
n Rafael, 9490L
06/28/2012
Lisa Mcelroy
©IND
Dispatcher
p
214.09
E]COM
C/o: San Rafael Police Association
LIOTH
IIIIIIINP
[:] PTY
City of San Rafael
San Rafael, CA 94901
j'�
Union member's dues received through intermedia
:'"San(; ZRafae
Police Association
Officer
San
39.84
Rafael CA 9490
01/30/2012
Phillip Melodia
QIND
410.71
❑ COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
❑PTY
San Rafael, CA 94901
ff��11
Union member's dues received throu h intermedia
:`-San(: ZRafae
Police ASsociation1II11111111II1II1I
Officer
IIIIIIIIIIIIII11W San
39.84
Rafael CA 9490
01/30/2012
Phillip Melodia
BIND
410.71
❑ COM
C/o: San Rafae olice Association
❑OTH
City of San Rafael
El PTY
n a ael, CA 94901
Union member's dues received through intermediaxv-EASnK.fael
Police Association,
San
26.39
Rafael, CA 9490
02/05/2012
Phillip Melodia
QXIND
Officer
410.71
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
!'�l C(:(_
:'-$2YCzafae
Police Association 1520
Sain
Rafael CA 949011
SUBTOTAL$
106.07
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Anhadula A (Continuation Sheet) Tune or orint In ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
46011
to whole dollars.
from 01/01/2012
FORM
through 06/30/201.2.,—
Page 134 of 198
I.D. NUMBER
NAME OFFILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
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)
02/21/2012
Phillip Melodia
Fx_j IND
officer 39.09
410.71
[]COM
C/o: San Rafael Police Association
[] OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Sa:Ctilafael
Union dues received. throucih intermedia
y,q
Police Association, dommoommolft S
officer 32.57
n Rafael, CA 9490L
03/09/2012
member's
Phillip Melodia
Fx� IND
410.71
E]COM
C/o: San Rafael Police Association
F] OTH
[] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
: qaSnCCRafae
1 Police Association San
officer 32.57
Rafael, CA_ 9490L
410,71
03/20/2012
Phillip Melodia
FxI IND
MCOM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑PTY
San Rafael, CA 94901
Rafael, CA 9490L
Union member's dues received through intermedia
:[;aSnCRafa.L
Police Association, 01111111111111111111 San
officer 32.57
410.71
Phillip Melodia
nX IND
03/30/2012
[-] COM
C/o: San Rafael Police Association
[-I OTH
City of San Rafael
El PTY
M-mr-Rarae-L, = 94901
[Union member's dues received through intermedia Tv:qanC�afa.L
Police Association, San
Rafael, CA 9490L
04/17/2012
Phillip Melodia
BIND
officer 32.57
410.71
EICOM
C/o: San RafaelPoliceAssociation
E]OTH
City of San Rafael
R PTY
San Rafae�;�A 94901
e .r . dues received through intermedia
Unionmember's
:Q§P(7Rafae
� Police Association, molms Sain
Rafael, CA 94901L
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Patty
SCC — Small Contributor Committee
www.netfile.com
SUBTOTAL$ 169.37 1 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) TV[* or print In ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460'!
from 1/01/2012
FORM
through 06/30/2012
Page 135 of 198
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Phillip Melodia
f_xj IND
officer
23.27
410.71
EICOM
C/o: San Rafael Police Association
EJOTH
[-] PTY
City of San Rafael
San Rafael, CA 94901
SC
dues received in i
1 Police Asaociatio
28.00
afael. A 9490L
IUnion
05/16/2012
member's -through
Phillip Melodia
BIND
Officer
410.71
❑Com
C/o: San Rafael Police Association
n OTH
r --i PTY
City of San Rafael
San Rafael, CA 94901
E;SCCRafaeL
Union member's dues received throw gh intermedia
y an
Police Association,
give San
28,00
Rafael, CA 9490L
06/04/2012
Phillip Melodia
Fxj IND
officer
410.71
FICOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received gh intermedia xy:[;an"Rafael
Police Association, AMMENEENOW
San
28.00
Rafael, CA 9490L
06/15/2012
....throw
Phillip Melodia
r_XjIND
Officer
410.71
[:] COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
E] PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:`-San SCCRafaeL
an
Police Association,
IIIIJIMINNIMM S
28.00
n Rafael, CA 9490L
06/28/2012
Phillip Melodia
FX� IND
officer
410.71
FICOM
C/o: San Rafael Police Association
EIOTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
Union member's dues received ..throw _qh intermediai1y:Qh4PCRafaell
Police Association,
San
Rafael, CA 94.900.
I
*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
www.neffile.com
SUBTOTAL$ 135.27 1 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.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
/ ,
from 01/01/2012
FORM
through 06/30/2012
Page 136 of 199
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
(E COMMITTEE, ALSENTERI.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)
01/30/2012
Beth Minks
[ZIND
Administrative Technician
30.53
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received through m
of
o 'ce oci t'
0
01/30/2012
Beth Minks
❑x IND
Administrative Technician
30.53
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
me
❑PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
:`wan[; �2afae
Police Association
San
Rafael CA 9490
02/09/2012
Beth Minka
R IND
Administrative Technician
20.36
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
ow
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:ganafae
Police Association
San
Rafael CA 9490
02/21/2012
Beth Minks
❑x IND
Administrative Technician
30.53
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
El
City of San Rafael
an -Rafael, CA 94901
Union member's dues received through intermedia
:�II��I 3an(^ i2afae
Police Association,
San
Rafael, CA 9490
03/09/2012
Beth Minks
❑X IND
Administrative Technician
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
nrr
Union member's dues received throw h intermedia
•Q§P afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
137.40
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCG)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toil -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
Statementcoversperiod
to whole dollars.
CALIFORNIA / '
from 01/01/2012
•
Page 137 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP COOS OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO 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)
03J20/2012
Beth Minka
X ❑ IND
Administrative Technician
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucth inter ediaxv:qanKafaele
Association,an
Rafael, CA 9490L
03/30/2012
Beth Minka
Rx IND
Administrative Technician
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
jj��jj
Union member's dues received through intermedia
:'-San Rafae
Police Association
San
Rafael CA 9490
04/17/2012
Beth Minka
❑x IND
Administrative Technician
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`-SanKafae
Police Association
San
Rafael CA 9490
04/30/2012
Seth Minka
❑XINO
Administrative Technician
18.18
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
an a ae CA 94901
❑ PTY
Y
Union member's dues received through intermediaxy:EASnRafael
Police Association,
San
Rafael, CA 9490
05/16/2012
Beth Minka
ENIND
Administrative Technician
21.75
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
n
Union member's dues received throw h intermedia
.'8 PTr Zafaell
Police Association
San
Rafael CA 949011.
SUBTOTAL$
116.28
"Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SGC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netflle.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period I
to whole dollars. 1 CALIFORNIA 460'
from 01/01/2012 FORM
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2012 -
Page 138 of 198
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)
06/04/2012
Beth Minks
Fxj IND
Administrative Technician
21.75
318.93
MCOM
,C/o: San Rafael Police Association
MOTH
F� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:qaSnCCRafael
Police Association An
--:n
Rafael. CA 9490L
06/15/2012
Beth Minks
[j]IND
Administrative Technician
21.75
318.93
EICOM
C/o: San Rafael Police Association
MOTH
no
[]PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucth intermedia iv:14SnC'
Rafael
Police Association,
MONNOWINWO, San
Rafael. CA 94901
06/28/2012
Beth Minks
[5flIND
Administrative Technician
21.75
318.93
[:] COM
C/o: San Rafael Police Association
El OTH
.-W
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'-San
Police Association,
00000kIIIIIIIIIIIIIIII, San
Rafael, CA 9490L
01/30/2012
Jorge Navarro
[AIND
Evidence Technician
30.53
318.93
[:] COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
[:] PTY
San Ralael, CA 94901
Union member's dues received through intermediaxy:qa'nRafael
Police Association,
San
Rafael, CA 9490
01/30/2012
Jorge Navarro
BIND
Evidence Technician
30.53
318.93
FlCOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
M PTY
San Rafael, CA 94901
Union member's dues received through intermediaxjy:Q�R
U
afaell
Police Association,
San
Rafael, CA 94901L
SUBTOTAL$
126.31
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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 --
IIIIIII
CALIFORNIA
to whole dollars.
-
4601
from 01/01/2012
FORM
Page 139 of 198
through 06/30/2012
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)
02/09/2012
Jorge Navarro
Fxj IND
Evidence Technician
20.36
318.93
[:] Com
C/o: San Rafael Police Association
F-IOTH
El PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through inte mediarv:
a
1 Police Association . 40-
Sa
n Rafael . CA 9490
02/21/2012
Jorge NavarroEZIND
Evidence Technician
30.53
318.93
El COM
C/o; San Rafael Police Association
DOTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:[;aSnCRafael
Police Association
San
Rafael, CA 9490L
03/09/2012
Jorge Navarro
Q IND
Evidence Technician
25.45
318.93
r --i COM
C/o: San Rafael Police Association
Fj OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaSnCCRafael
Police Association,411111111111111
0 San
Rafael, CA 9490L
03/20/2012
Jorge Navarro
[21IND
Evidence Technician
25.45
318.93
❑ Com
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
-
PTY
San Rafael, CA 94901
(2afael
Union member's dues received through intermedia xy:E;aSnC
Police Association,
iiiiiiiiiiiiiiii1p San
Rafael, CA 9490L
03/30/2012
Jorge Navarro
BIND
Evidence Technician
25.45
318.93
EICOM
C/o: San Rafael Police Association
[_1 OTH
City of San Rafael
El PTY
San Rafael, CA 94901
tUnion member's dues received intermedia yy:Q§i9C�afaeLL
Police Association,
S
Rafael, CA 949011,
_Lhrough
SUBTOTAL$ 127.24
1
*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
www.netfile.com
FPPC Form 460 (January/06)
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.
+ / '
from 01/01/2012
• RM
Page 140 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
S AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, .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)
JOrge Navarro
XND IND
Evidence Technician
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SCC
Unione d received th ou ter ed•a
an Rafael
Police Association,
S
n Rafael 9490L
04/30/2012
Jorge Navarro
X ❑ IND
Evidence Technician
18.18
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
No
❑ PTY
City of San Rafael
San Rafael, CA 94901(�j
C
Union member's dues received through intermedia
:`-San 7Rafael
Police Association
San
Rafael CA 9490
05/16/2012
Jorge Navarro
❑X IND
Evidence Technician
21.75
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑nn PTY
City of San Rafael
San Rafael, CA 94901
CRafae
Union member's dues received through intermedia
:`-San
Police Association
San
Rafael CA 9490
06/04/2012
Jorge Navarro
❑ IND
Evidence Technician
21.75
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
n Y
❑
San Rafael, CA 94901
Union member's dues received through intermedia
:'-San � afael
Police Association,
San
Rafael, CA 9490
06/15/2012
Jorge Navarro
❑X IND
Evidence Technician
21.75
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia:
�I G�^r
'-Si1T`Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
108.88
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neffite.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.
460
from 01/01/2012 FORM
through 06/30/2012 Page 141 of 198
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
OF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/213/2012
Jorge Navarro
Fx� IND
Evidence Technician
21.75
318.93
nCOM
C/o: San Rafael Police Association
❑OTH
❑1 PTY
City of San Rafael
San Rafael, CA 94901
C
union member's dues received through intermediaiv:qaSnC
Rafael
Police Association.
Raf el. CA 94901
01/30/2012
Alexis Nielsen
Fx� IND
Dispatcher
30.53
318.93
[:] COM
C/o: San Rafael Police Association
FJOTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:[Wn"
Rafael
Police Association,
San
Rafael. CA 9490L
01/30/2012
Alexis Nielsen
Fx_j IND
Dispatcher
30.53
318.93
❑COM
C/o: San Rafael Police Association
EJOTH
lm��l I lineCity
F� PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:[;anKafae1
Police Association,
San
Rafael, CA 9490L
02/09/2012
Alexis Nielsen
FXJIND
Dispatcher
20.36
318.93
RCOM
C/o; San Rafael Police Association
F-1 OTH
City of San Rafael
[]PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;anCCRafael
Police Association,
San
Rafael, CA 9490L
02/21/2012
Alexis Nielsen
[_X� IND
Dispatcher
30.53
318.93
r-1 COM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
EIPTY
San Rafael, CA 94901
jUnion member's dues received !���termediaijy:Q��afaell
Police Association,
San
Rafael, CA 94901L
SUBTOTAL$ 133.70
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
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)
unts may be rounded
Monetary Contributions Received Amoto
Statement covers period
CALIFORNIA
whole dollars.
460
from 01/01/2012
FORM
through 06/30/2012
Page 142 of 198
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
0
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/09/2012
Alexis Nielsen
[KIND
Dispatcher
25.45
318.93
[:] COM
C/o: San Rafael Police Association
ROTH
0 PTY
City of San Rafael
San Paf 94901
Union member's dues received through inter ediaxv:E;aSnCCafael
Police Association-dIIIIIIIIIII
San
Rafael. CA 9490.
03/20/2012
Alexis Nielsen
Rx ❑IND
Dispatcher
25.45
318.93
RCOM
C/o: San Rafael Police Association
ROTH
-
[:]PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia
:qan Rafael
Police Association,
San
Rafael CA 9490L
03/30/2012
Alexis Nielsen
RIND
Dispatcher
25.45
318.93
RCOM
C/o: San Rafael Police Association
ROTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:E;aS
nCCRafael
Police ASsociation,_�llllllllllllll
llI1l1l1111111k San
Rafael CA 9490L
04/17/2012
Alexis Nielsen
RX IND
Dispatcher
25.45
318.93
EICOM
C/o: --- SanRafaelPolice Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia xV:E;aSnCCZafael
nn
Police Association,
San
Rafael, CA 9490L
04/30/2012
Alexis Nielsen
RIND
-
Dispatcher
18.18
318.93
[:] COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1100000MONNEW
[:) PTY
San Rafael, CA 94901
Union member's dues received through intermedia
72T
Police Association
San
Rafael, CA 94901L
SUBTOTAL$
1
119.98
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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.
from 01/01/2012
•
through 06/30/2012
Page 143 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
P CODE OF CONTRIBUTOR
FULL NAME, STREET ADDRESS AND ZII.D.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
OF COMMITTEE, ALSO ENTER NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/16/2012
Alexis Nielsen
nx❑IND
Dispatcher
21.75
318.93
[:] Com
C/o: San Rafael Police Association
nOTH
PTY
City of San Rafael
San Rafael, CA 94901❑
SanCCRafael
Union member's dues received through intermediaiv:q
Police Association, gIIIIIIIIIIII
San
Rafael, CA 9490L
06/04/2012
Alexis Nielsen
[ZIND
Dispatcher
21.75
318.93
ncom
C/o: San Rafael Police Association
EIOTH❑
PTY
City of San Rafael
San Rafael, CA
Union member's dues received through intermedia
:`'San[[;; Rafae
Police Association
San
Rafael, CA 9490L
06/15/2012
Alexis Nielsen
nx IND
Dispatcher
21.75
318.93
nCOM
C/o: San Rafael Police Association
EJOTH
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;aSnKafael
Police Association,
San
Rafael, CA 9490L
06/28/2012
Alexis Nielsen
NIND
Dispatcher
21.75
318.93
[:] Com
C/o: San Rafael Police Association
E]OTH
City of San Rafael
-9-an -Rafael _0�
n PTY
94901
'
union member's dues received through intermediaxy:qanC(
afael
Police Association, siIIIIIIIIIIII
San
Rafael, CA 9490L
01/30/2012
Leslie O'Toole
nX IND
Officer
39.84
410.72
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
[-] PTY
SanRafael, CA 94901
Union member's dues received through intermediwdy-Q§P�afae[L
Police Association
NOMINM San
Rafael, CA 94901L
SUBTOTAL$ 126.84
1
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in Ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period CALIFORNIA
to whole dollars. from 1/01/2012 FORM 4601
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
through 06/30/2012 —
Page — 144 of 198
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
OCCUPATION AND EMPLOYER RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
.D. NUMBER
(IF COMMITTEE, ALSO ENTER I)
CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
Leslie O'Toole
[21IND
Officer 39.84
410.72
FICOM
C/o: San Rafael Police Association
MOTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:qaSnKafael
Police Association, 4111111111111111 San
Officer 26.40
Rafael. CA 9490L
02/09/2012
Leslie O'Toole
Fx_j IND
410.72
MCOM
C/o: San Rafael Police Association
MOTH❑
PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia
:`an Rafael
Police Association, San
Rafael, CA 9490L
02/21/2012
Leslie O'Toole
r_xj IND
Officer 39.09
410.72
EICOM
C/o: San Rafael Police Association
MOTH
E] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaSn"R.f.el
Police Association, WORINNOMMiSMS
Rafael, CA 9490L
03/09/2012
Leslie O'Toole
[MIND
Officer 32.57
410.72
EICOM
61, San Rafael Police Association
MOTH
City of San Rafael
- 0
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy:qaSnCCRafael
Police Association, ==W San
Officer 32.57
Rafael, CA 9490L
03/20/2012
Leslie O'Toole
EZIND
410.72
E]COM
C/o: San Rafael Police Association
MOTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia ijy:Q§P�afaell
Police Association, San
Rafael, CA 9490R
SUBTOTAL$ 170.47
1
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) type or print In Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
460
to whole dollars.
from 01/01/2012
FORM
Page 145 of 198
through 06/30/2012
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Leslie O'Toole
RIND
officer 32.57
410.72
E]COM
C/o- San Rafael Police Association
C/o: San
[:IOTH
171 PTY
City of San Rafael
CA 94901
�
S(�C
'on member's dues received through inter edjazy:
e
gan fal
Polie Aat, ----an
cssociion
Officer 32.57
Ra CA 490
el. 9L
04/17/2012
Leslie O'Toole
[23IND
410.72
[:] COM
C/o; San Rafael Police Association
[IOTH
R PTY
City of San Rafael
San Rafael, CA 94901
(1
Union member's dues received through intermedia zy:
anqSC
afaeL
Police Association, San
Rafael, CA 9490L
04/30/2012
Leslie O'Toole
F_x1 IND
officer 23.27
410.72
r -ICOM
C/o: San Rafael Police Association
ROTH
ICity
of San Rafael
El PTY
San Rafael, CA 94901
LInion
member's dues received through intermediaxy:E;SCC
an Rafael
Police Association, San
Rafael, CA 9490L
05/16/2012
Leslie O'Toole
[91ND
Officer 28.00
410.72
F-1COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
P
-San
❑PTY
Rafael, CA 94901
Union member's dues received through intermedia xy:E;§nKafael
Police Association, San
Officer 28.00
Rafael, CA 9490L
06/04/2012
Leslie O'Toole
r_x1 IND
410.72
F-1 COM
C./o: San Rafael Police Association
EJOTH
City of San Rafael
EIPTY
San Rafael, CA 94901
San
member's dues received through intermedia&:Q§PCk
afae�
Police Association, momommmmommamm S
RafaelCA 949011.
,
*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
www.netfile.com
SUBTOTAL$ 144.41 1 1
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print In ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT)
Statement covers period CALIFORNIA A
from 01/01/2012 FORM 4
through 06/30/2012 Page 146 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
1 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, SAND Io. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAW 1 - DEC, 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Leslie O'Toole[j]IND
Officer
28.00
410.72
RCOM
C/o: San RafaelPoliceAssociation
EIOTH
EJ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inte ieJISCC
f
Lan R ae
L Police Association.
Il San
28.00
Rafael, CA 9490L
06/28/2012
Leslie O'Toole
Fx_1 IND
officer
410.72
RCOM
C/o; San Rafael Police Association
EIOTH
-w
[] PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermediaiv:qanC
Police Association,
San
30.53
Rafael, CA 9490L
01/30/2012
N icola Pats.Rx
IND
Dispatcher
318.92
mcom
C/o: San Rafael Police Association
EIOTH
[-� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv-qanKafael
Police Association,
San
30.53
Rafael, CA 9490L
01/30/2012
Nicola Pata
FRI I IN D
Dispatcher
318.92
❑ com
C/o: San Rafael Police Association
❑ OTH
city of San Rafael
❑ PTY
94901
Union member's dues received through intermedia ry:qaS:C(�2afael
Police Association,
MEMO San
20.37
Rafael, CA 9490L
02/09/2012
INicola Pats,
FX_1 IND
Dispatcher
318.92
EICOM
C/o: San Rafael Police Association
EIOTH
City of San Rafael
El PTY
San Rafael, CA q949 1 -1—n—In inti�rmpdiarlv
I - ---I, _,� —.01.1-1—A t
:Q§PqZafaeL
Police Association,
San
Rafael, CA 94901L
SIUBTOTAL$
-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
www.netfile.com
137.43 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.
i
from 01/01/2012
.
FORM
through 06/30/2012
Page 147 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
NENTER DILD.NUMBER)
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
QFCOMMITTEE, ALSO
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Nicola Pats
IND
Dis atcher
p
30.53
318.92
Q
C/o: San Rafael Police Association
BOTH
PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues receivedt me a
afael
Police As.gociation.Rafael.
CA 9490L
03/09/2012
Nicola Pata
Dispatcher
25.45
318.92
QIND
C/o: San Rafael Police Association
❑OTH
goom
El PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
:`;anafae
Police Association
S
n Rafael CA 9490
03/20/2012
Nicola Pats.
QIND
Dispatcher
25.45
318.92
❑ COM
C/o: San Rafael Police Association
FJOTH
mowPTY
El
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`;anCRafae
Police Association
San
Rafael CA 9490
03/30/2012
kola Pata
[91ND
Dispatcher 25.45
318.92
❑ COM
C/o: San Rafael Police Association
❑OTH
of San Rafael
[:] PTY
San Rafael, CA 94901
�j (^
Union member's dues received through intermedia
:'-San Ztafae
Police Association, San
Dispatcher 25.44
Rafael CA 9490
04/17/2012
Nicola Pata
[FIND
318.92
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
, r"'1 C(1(^
afae
Police Association San
Rafael CA 9490
'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
www.neffile.com
SUBTOTAL$ 132.32
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.
,
from 01/01/2012
* RM
Page 148 of 198
through 06/30/2012
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
Q(I
AMOUNT
HIS
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
FSELLF-EMP SELF-EMPLOYED, ENTER NAME
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Nicola Pata
nx IND
Dis atcher
p
18.18
318.92
❑COM
C/o: San Rafael Police Association
❑ OTH
[:] PTY
of San Rafael
San Rafael, CA 94901
SCC
unio e r' s v t e
Police Association.
21.75
CA 9490L
05/16/2012
Nicola Pats.
Dispatcher
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
no
❑PTY
City of San Rafael
San Rafael, CA 94901
(�
CRafae
Union member's dues received through intermedia
:`'San
Police Association
S
21.74
n Rafael CA 9490
06/04/2012
Nicola Pats.
❑RIND
Dispatcher
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
n C
Union member's dues received through intermedia
:'-San ZRafael
Police Association
San
21.75
Rafael CA 9490
06/15/2012
N icola Pats.
❑X IND
Dispatcher
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
r❑PTY
(�afae
Union member's dues received through intermedia
San
Police Association
San
Rafael, CA 9490
06/28/2012
Nicola Pats.
❑X IND
Dispatcher
21.75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
cc��r�
� Rafae
Police Association
S
n Rafael CA 949011
SUBTOTAL$ 105.17
'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
www.neffile.com
FPPC Form 450 (January/05)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
01/30/2012
Brian Patterson
[OIND
officer
El COM
C/o: San Rafael Police Association
OTH
--- EMEMMMMMOMM
PTY
City of San Rafael
San Rafael, CA 94901
E ;22Cafael
Union member's dues received through inter edi
1
Police Association,
01/30/2012
Brian Patterson
[5flIND
officer
r-1 COM
C/o: San Rafael Police Association
OTH
momm
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:[;aSnCCRafaeL
Police Association,
02/21/2012
Brian Patterson
Q IND
Officer
MCOM
C/o: San Rafael Police Association
M OTH
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:qanKafael
Police Association, 0
03/09/2012
Brian Patterson
FXJ IND
officer
MCOM
C/o: San Rafael Police Association
Ej OTH
City of San Rafael
M PTY
San Rafael, CA 94901
Union member's dues received through intermedia iy:qanC(
Iafael
Police Association,
03/20/2012
lBrian Patterson
Mx IND
Officer
MCOM
S/2: San Rafael Police Association
MOTH
City of San Rafael
FIPTY
San Rafael, C 94901 -mPriiai1v-E
-4 - ,.,....,b,®, -It A—. t -�l ilt
§PqZafaeLL
Police Association, 41
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
www.netfile.com
SCHEDULE A (CONT)
Statement covers period CALIFORNIA A
from 01/01/2012 FORM -v60
through 06/30/2012 Page 149 of 198
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED)
39.84 384.32
Rafael, CA 9490L
39.84 384.32
11 S Rafael, CA 9490L
39.09 384.32
San Rafael, CA 9490L
32.57 384.32
MONOWMENW, S Rafael, CA 9490R
32.57 1 384.32 1
183.91
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Tvoe or print in Ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
,
from 01/01/2012
_
FORM
Page 150 of 198
through 06/30/2012
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
FULL NAME, AND ZIP
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
{E COMMITTEE, ALSO I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Brian Patterson
❑RIND
Officer
32.57
384.32
❑COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCO
union e s dues received through t e 'a
fael
Police Association.
Officer
32.57
of CA 9490L
04/17/2012
Brian Patterson
❑X IND
384.32
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia
:`'fan RafaeI
Police Association
Officer
San
23.27
Rafael CA 9490
04/30/2012
Brian Patterson
nIND
384.32
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
((��1 CC::
Union dues received through intermedia
:`-San Rafae
Police Association
Sen
Rafael CA 9490
05/16/2012
member's
Brian Patterson
❑xIND
Officer 28.00
384.32
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
n❑
:`-San Zafae
Police Association, San
Officer 28.00
Rafael, CA 9490
06/04/2012
Brian Patterson
❑X IND
384.32
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received throw h intermedia
�, afae
Police Association , ----6S
n Rafael CA 9490
*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
www.netfile.com
144.41 1 1
FPPC Foran 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
CALIFORNIA
to whole dollars. � � '
from 01/01/2012 FORM
through 06/30/2012 Page 151 of 198
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
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Brian Patterson
RIND
Officer
28.00
384.32
❑ COM
C/o: San Rafael Police Association -
E] OTH
4111111111111
-M
PTY
City of San Rafael
San Rafael, CA 94901
Union me s receiveda
.SC Rafaeloli
oci
fael. CA 9490L
384.32
28.00
06/28/2012
Brian Patterson
®IND
Officer
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:Qanafae
Police Association
San
39.84
Rafael CA 9490
01/30/2012
Buffy Paxson
Mx IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
((;;
Union member's dues received through intermedia
:`-San-ttafae
Police Association
San
Rafael CA 9490
01/30/2012
Buffy Paxaon
QIND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Ra ae , 94901
nn
Union member's dues received through intermediary:
anRafae
Police Association, doWN000100000M,
San
26.40
Rafael, CA 9490
02/09/2012
Buffy Paxson
[EIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
I'—I G(�(:.
,afae
Police Association
Sain
Rafael CA 9490
11
SUBTOTAL$ 162.oa
.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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Tall -Free Helpline: 866/ASK-FPPC (6661275-3772)
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.
460
from 01/01/2012
• RM
through 06/30/2012
Page 152 of 198
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
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D,NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Buffy Paxson
[ZIND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
onewEl
PTY
City of San Rafael
San Rafael, CA 94901
SCC
on member's d received nter e
an ae1
Police As& ciati
32.57
n Rafael.CA 9490L
03/09/2012
Buffy Paxson
Ox IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
mmima
EIPTY
City of San Rafael
San Rafael, CA 94901
��jj
pion member's dues received through intermedia
:"San(, �Rafae
Police Association
San
32.57
Rafael CA 9490
03/20/2012
Buffy Paxson
BIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
((�� (;
Union member's dues received through intermedia
:`;an Rafae
Police Association
San
32.57
Rafael CA 9490
03/30/2012
Buffy Paxson
BIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:qan( 72afae
Police Association
San
32.57
Rafael CA 9490
04/17/2012
Buffy Paxson
rxIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received throu h intermedia
f'"l(�(`
afaefl
Police Association
San
Rafael CA 949011.
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCG)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.netfile.com
SUBTOTAL$ 169.37 1 1
FPPG Form 460 (January/05)
FPPG Toll -Free Helpline: 666IASK-FPPG (6661275-3772)
Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
'
from 01/01/2012
• RM
Page 153 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Buffy Paxson
BIND
Officer
23.27
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union e' s received through inter e
fael
Police Association.
San
Rafael, CA 9490L
05/16/2012
Buffy Paxson
©IND
Officer
28.00
410.72
[❑ COM
C/o: San Rafael Police Association
n OTFj
PT Y
Y
City of San Rafael
San Rafael, CA 94901
I�j
Union member's dues received through intermedia
:pan itafae
Police Association
S
28.00
n Rafael CA 9490
06/04/2012
Huffy Paxson
QIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
n OTH
of San Rafael
❑ PTY
San Rafael, CA 94901
r
pion member's dues received through intermedia
:pan Z2afae
Police Association
San
Rafael CA 9490
06/15/2012
Buffy Paxson
BIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
n OTH
City of San Rafael
PTY
S=Rafael,94901
nnn
dues received through intermedia
:`;an �afae
Police Association,
San
28.00
Rafael, CA 9490
06/28/2012
Buffy Paxson
QX IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of Sari Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through. intermedia
I—i Cf�f�
:�-83'if-'Kafae
Police Association
S
n Rafael CA 9490
SUBTOTAL$ 135.27
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
www.netfile.com
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
CALIFORNIA
to whole dollars.
I
from 01/01/2012
• RM
through 06/30/2012
Page 154 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,AISAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT .D.N
(IF COMMITTEE,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
Aaron Piombo
rxIND
Officer
39.84
370.88
n COM
C/o: San Rafael Police Association
OTH
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union e e 's dues receivedh
Police Association.
San
Ra e 9
02/09/2012
Aaron Piombo
rxIND
Officer
26.40
370.88
❑ COM
C/o: San Rafael Police Association
n OTH
PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through intermedia
: San afael
Police Association
San
Rafael CA 9490
02/21/2012
Aaron Piombo
❑x IND
Officer
39.09
370.88
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`aan
Police Association
Officer
San
32.57
Rafael CA 9490
03/09/2012
Aaron Piombo
[MIND
370.88
❑ COM
C/o: San Rafael Police Association
n OTH
City of San Rafael
F] PTY
San Rafael, CA 94901
n
Union member's dues received through intermedia
:E;ASArr Rafae
Police Association,
San
32.57
Rafael, CA 9490
03/20/2012
Aaron Piombo
(MIND
Officer
370.88
n COM
C/o: San Rafael Police Association
n OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
�fcam(^
afae
Police Association
San
Rafael CA 949011
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www.neffile.com
SUBTOTAL$ 170.47 ( I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In ink. SCHEDULE A (CONT.)
Statement covers period Amounts may be rounded d ., r
R
to whole dollars. , CALIFONIA A
from 01/01/2012 FORM -r60
*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
www.netfile.com
SUBTOTAL$ 144.41 1_ I
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
through 06/30/2012 -
Page 155 of 198
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Aaron Piombo
[j]IND
officer
32.57
370.88
EICOM
C/O: San Rafael Police Association
EJOTH
-
PTY
City of San Rafael
San Rafael, CA 94901
'�
SCaM.
received throucfh intemedia
v.gfeL
,
Police Association.
San
32.57
Raf, A_ 9490L
ael
04/17/2012
nion member's es
aron Piombo
nx IND
officer
370.88
E-] COM
C/o: San Rafael Police Association
nOTH
El PTYCity
of an Rafael
San Rafael, CA 94901
hlg dues receivedrouAssociation,
1111111110, San
23.27
Rafael, CA 9490L
04/30/2012
Dig,
aron Piombo
©IND
officer
370.88
E]COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
Union dues received through intermedia rv:E;anCCRafael
Police Association,
San
28.00
Rafael, CA 94901
05/16/2012
member's
Aaron Piombo
FX -1 IND
officer
370.88
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
-Rafael,
n PTY
San CA 94901
Union dues received through intermedia xy:E;anCilafael
Police Association,
San
28.00
Rafael, CA 9490
06/04/2012
member's
aron Piombo
nX IND
Officer
370.88
nCOM
7Un
C/o: San Rafael Police Association
nOTH
City of San Rafael
n PTY
San Rafael,
on member's dues received through. intermedia
Police Association,
S
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
SCC — Small Contributor Committee
www.netfile.com
SUBTOTAL$ 144.41 1_ I
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink.
SCHEDULE A (CONT.)
Statement covers periodCALIFORNIA
, i
Monetary Contributions Received Amounts may be rounded
dollars.
to whole
from 01/01/2012
• RM
through 06/30/2012
Page 156 of 198
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
ND
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
pFCOMMRTEE,ALSO I.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Aaron Piombo
❑5IND
Officer
28.00
370.88
❑ COM
C/o: San RafaelPolice Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union s received t ed'
:[SGC
Police Association.Rafael,
CA 9490L
06/28/2012
aron Piombo
❑x IND
Officer
28.00
370.88
❑ COM
c/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia:`
-San Rafae
Police Association
San
39.84
Rafael CA 9490
01/30/2012
Kenneth Poehlman
BIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
OTH
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received through intermediaxv:qa:CCRafaeL
Police Association
San
39.84
Rafael CA 9490
01/30/2012
Kenneth Poehlman
BIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received through intermediaxy:qaSnCR.fael
Police Association,
San
26.40
Rafael, CA 9490
02/09/2012
Kenneth Poehlman
nxIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
CCtt^^r
§Pr afae
Police Association
n Rafael CA 9490
SUBTOTAL$
162.oe
-Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCG — Small Contributor Committee
www.netfile.com
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
CALIFORNIA
to whole dollars.
/ '
from 01/01/2012
• RM
Page 157 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
GATE
ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
I.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/21/2012
Kenneth Poehlmanrx-1
IND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member'sa received ou ediaxy;9KI—fael
Polices o o
San
32.57
Rafael, CA 9490
03/09/2012
Kenneth Poehlman
QX IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qaSnC Rafael
Police Association
San
Rafael CA 9490
03/20/2012
Kenneth Poehlman
MIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
f�
❑PTY�
City of San Rafael
Sawn Rafael, CA94901
n
Union member's dues received through intermedia
:'-San Kafae
Police Association
San
Rafael CA 9490
03/30/2012
Kenneth Poehlman
MIND
Officer
32.57
410.72
❑ COM
C o: SanRafael Police Association
❑ OTH
of San Rafael
PTY
El PTY
San Rafael,94901
n
Union member's dues received through intermedia
: 3an'Rafae
Police Association,
San
32.57
Rafael, CA 9490
04/17/2012
Kenneth Poehlman
❑X IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
r—ifs
.Q9(^ Rafae
Police Association
San
Rafael CA 9490IL
*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
www.netfite.com
SUBTOTAL$ 169.37 1 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.
I ,
from 01/01/2012
• RM
Page 158 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO .D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2012
Kenneth Poehlman
rXIND
Officer
23.27
410.72
❑ COM
C/o: San Rafael Police Association
OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SC
U 's dues receivedo terme 'a
e
Police Asso.iation.SMSan
Rafael. CA 9490L
05/16/2012
Kenneth Poehlman
®IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
M PTY
City of San Rafael
San Rafael, CA 94901
t�I
Union member's dues received through intermedia
:`-SanC ZZafae
Police Association
San
Rafael CA 9490
06/04/2012
Kenneth Poehlman
[ZIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
r
Union member's dues received through intermedia
:Ean "tafae
Police Association
S
n Rafael CA 9490-
06/15/2012
Kenneth Poehlman
RIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, 94901
n SC
Union member's dues received through intermedia
an�afael
Police Association
San
Rafael, CA 9490
06/28/2012
Kenneth Poehlman
MX IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901II��II9GPr�(r^�
Union member's dues received through intermedia
:Eah Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
135.27
'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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
'
from 01/01/2012
FORM
through 06/30/2012
Page 159 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
Dennis Prince
Rx IND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
s received throughe 'a
Police sso o
Officer
San
39.84
Rafael.
01/30/2012
member'sUnion
Dennis Prince
RIND
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
IIIIIIIIIIIIF
El PTY
City of San Rafael
'
San Rafael, CA 94901
nn [[;;
nion member's dues received through intermedia
:`"San�T2afae
Police Associati
INIONNOW San
26.40
Rafael CA 9490
02/09/2012
Dennis Prince
❑X IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
(''� C-Rafae
Union member's dues received through intermedia
:`-San
Police Association
San
39.09
Rafael CA 9490
02/21/2012
Dennis Prince
QIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
[]OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
(an
Union member's dues received through intermedia
Z2uafae
Police Association,
Officer
San
32.57
Rafael, CA 9490
03/09/2012
Dennis Prince
RIND
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
nion member's dues received through intermedia
•HCC
8317 afae
Police Association
San
Rafael CA 9490
SUBTOTAL$ 177.74
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 666/ASK-FPPC (666/276-3772)
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.
/ '
from 01/01/2012
•
Page 160 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
{E COMMITTEE, ALSOAND
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/20/2012
Dennis Prince
❑X IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTfj
❑ PTY
City of San Rafael
San Rafael, CA 94901
n
Union me es received throu i t d'
:'SSCRafael
Police Association. jIIIIIIIIIIIIII
San
32.57
Rafael,CA 9490L
03/30/2012
Dennis Prince
©IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`fan
Police Association
San
32.57
Rafael CA 9490
04/17/2012
Dennis Prince
BIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
Y
City of San Rafael
San Rafael, CA 94901
I�I
Union member's dues received through intermedia
:`uan(; tRafae
Police Association—JEWSan
Rafael CA 9490
04/30/2012
Dennis Prince
MIND
Officer
23.27
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermediary:�an
afael
Police Association,
SE
28.00
n Rafael, CA 9490
05/16/2012
Dennis Prince
❑X IND
Officer
410.72
❑COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
[:] PTY
San Rafael, CA 94901
Union member's dues received throu h intermedia
-I-1(�(�
Q 17'Rafae
Police Association
111111111111111ft San
Rafael CA 949011.
SUBTOTAL$ 148.98
`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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 6661ASK-FPPC (666/276-3772)
Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA A
to whole dollars.
-r60
from 01/01/2012
FORM
through 06/30/2012
Page 161 of 198
I.D. NUMBER
NAME OF FILER
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Dennis Prince
RIND
Officer
28.00
410.72
❑Com
C/o: San Rafael Police Association
[:] OTH
-
r-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucth inter edjax5L.q.SnK
faeL
Police Association.
MnMb—szn
Rafael, CA 9490L
06/15/2012
Dennis Prince
Fx1 IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
EJOTH
Willow
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qaSnCCRafael
Police Association,
- am San
28.00
Rafael. CA 9490
06/28/2012
Dennis Prince
[5flIND
Officer
410.72
E]COM
C/o: San Rafael Police Association
F-1 OTH
r-1 PTY
City of San Rafael
San Rafael,' CA 94901
Union member's dues received through intermedia iy:E;aSnC
�afaeL
Police Association,
IssIssIss' San
39.84
Rafael, CA 9490L
01/30/2012
Marius Ramos
FXJ IND
Officer
353.88
FICOM
C/o: San Rafael Police Association
EJOTH
City of San Rafael
El PTY
94901
nion Is dues received through intermedia xv;qaSnC�.fael
Police Association,
San
39.00
Rafael, CA 9490L
01/30/2012
arius Ramos
MX IND
Officer
353.88
FICOM
C/o: San Rafael Police Association
EIOTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermediany:Q§P;Zafaell
Police Association.
San
Rafael , CA 9490k
*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
www.netfile.com
SUBTOTAL$ 162.84
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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
CALIFORNIA
to whole dollars.e
,
from 01/01/2012
.
through 06/30/2012
Page 162 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
ND DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
pFCOMMITTEE, ALSO .D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
Marius Ramos
x IND
Officer
26.40
353.88
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member'sdues received throucth inter
fagl
PoliceAssociation.
San
Rafael, CA
02/21/2012
Marius Ramos
RIND
Officer 39.09
353.88
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`'fan
Police Association San
Officer 32.57
Rafael CA 9490
03/09/2012
Marius Ramos
xIND
❑
353.68
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
nn Y(;
Union member's dues received through intermedia
:`-San R.fae
Police Association
Officer 32.57
n Rafael CA 9490
03/20/2012
Marius Ramos
RIND
353.88
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901❑n
Union member's dues received through intermedia
:`5an �afae
Police Association, San
Officer 32.57
Rafael, CA 9490
03/30/2012
Marius Ramos
RIND
353.88
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901•
Union member's dues received through intermedia
rI R(�(:
afae
Police Association S
n Rafael CA 9490
11
`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
www.netfile.com
SUBTOTAL$ 163.20
FPPC Form 464 (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 01/01/2012
•
through 06/30/2012
page 163 of 198
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
OFCOMMITTEE,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)
04/17/2012
Marius Ramos
nxIND
Officer
32.57
353.88
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union is dues ec through intermediary:E;aSnRafael
Police Association.41IIIIIIIIIIIIII
iiiiiiiiiiiiiiiIg . San
Rafael.CA 9490
04/30/2012
Marius Ramos
❑RIND
Officer
23.27
353.88
n COM
C/o: San Rafael Police Association
n OTH
F] PTY
City of San Rafael
San Rafael, CA 94901
(;
Union member's dues received through intermedia
:�an �.afae
Police Association
San
Rafael CA 9490
05/16/2012
Marius Ramos
[RIND
Officer
28.00
353.88
n COM
C/o: San Rafael Police Association
n OTH
n PTY
City of San Rafael
San Rafael, CA 94901
((��I
Union member's dues received through intermedia
:`-San i2afae
Police Association
San
Rafael CA 9490
06/04/2012
Marius Ramos
[IND
Officer
28.00
353.88
n COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
n TM
PTY Y(;
San Rafael, 94901
CA
ni�
Union member's dues received through intermedia
:`-San"Rafae
Police Association
San
Rafael, CA 9490
06/28/2012
arius Ramos
[RIND
Officer
0.00
353.88
n coM
C/o: San Rafael Police Association
n OTH
City of San Rafael
n PTY
San Rafael, CA 94901
Union member's dues received through intermedia
n G�+r
. afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
111.84
*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
www.netfile.com
FPPG Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPG (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
from 01/01/2012
FORM
Page 164 of 198
through 06/30/2012
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
OFCOMMITTEE,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)
01/30/2012
Ronda Reese
[ZIND
Corporal
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑P.i-Y
City of San Rafael
San Rafael, CA 94901
anK.fa.11
Union e e' s dues received through e e
Policeoc ' i
San
Rafael. CA 9490L
01/30/2012
Ronda Reese
QIND
Corporal
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
of San Rafael
San Rafael, CA 94901
��""jj cc
Union member's dues received through intermedia
:'"San TRafael
Police Association
San
Rafael CA 9490
02/09/2012
Ronda Reese
❑xIND
Corporal
26.40
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
NowCity
F(�-1j PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:` AS � afael
Police Association
San
Rafael CA 9490
02/21/2012
Ronda Reese
❑X IND
Corporal
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
(❑(
Union member's dues received through intermedia
:`-5an'12afae
Police Association,
NOW San
Rafael, CA 9490
03/09/2012
Ronda Reese
❑RIND
Corporal
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
n Gr
nion member's dues received through intermedia
, '-ST P afae
Police Association
10iiiiiiiiiiiiiiii San
Rafael CA 9490
SUBTOTAL$
177.74
*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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period,
to whole dollars. ' CALIFORNI
from 01/01/2012 FORM 4 (5 0
*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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2012 —
Page 165 of 198
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)
03/20/2012
Ronda Reese
[21IND
Corporal
32.57
410.72
EICOM
C/o: San Rafael Police Association
E]OTH
no
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inter ediaxv:qaS:CCRaf.el
Police Association,
San
32.57
Rafael. CA 94901
03/30/2012
Ronda Reese
®IND
Corporal
410.72
E-] COM
C/O; San Rafael Police Association
FIOTH
0WCity
El PTY
of San Rafael
San Rafael, CA 94901
—
Union member's dues received through intermedia
:`'fan Rafael
Police Association,
San
32.57
Rafael. CA 9490L
04/17/2012
Ronda Reese
RIND
Corporal
410.72
EICOM
C/o: San Rafael Police Association
❑ OTH
oft
PTY
City of San Rafael
San Rafael, CA 94901q
Union member's dues received through intermedia xy:aSnCCRaf..l
Police Association,
San
Rafael, CA 9490L
04/30/2012
Ronda Reese
[MIND
Corporal
23.27
410.72
QCOM
C/o: San Rafael Police Association
❑OTH
E] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;JSP"Rafael
Police Association
San
Rafael, CA 9490L
05/16/2012
Ronda Reese
[MIND
Corporal
28.00
410.72
EICOM
C/o: San Rafael Police Association
EIOTH
City of San Rafael
E]PTY
Sap Rafael, CA 94901
Union member's dues received throw intermedia ny:Q§P�afaell
Police Association,
San
Rafael, CA 94901l
SUBTOTAL$
1
148.98
*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
www.neffile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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 01/01/2012
`I
through 06/30/2012
page 166 of 198
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
{ETCOMMITTEE, ALSOENTERIDNUMBER)
I.D.
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
{IF SELF-EMPIOYED,ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Ronda Reese
QIND
Corporal
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union e ou inter ediaxv:E;aSnCCRafael
Police A c'at'
1 C 90
06/15/2012
Ronda Reese
FZIND
Corporal
NW
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
111111111111111W
n PTY
City of San Rafael
San Rafael, CA 94901
{�
Union member's dues received through intermedia
:`'fanC �2afae
Police Association
San
Rafael CA 9490
06/28/2012
Ronda Reese
RIND
Corporal
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑�—I PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'Sdn iRafael
Police Association
San
Rafael CA 9490
01/30/2012
Margo Rohrbacher
[EIND
Civilian Supervisor
30.53
318.93
❑ COM
C/o: San Rafael Police Association
IIIIIII&City
n OTH
of San Rafael
San Rafael, CA 94901
n�PTY
Union member's dues received through intermedia
:`-San iafae
Police Association,
San
Rafael, CA 9490
01/30/2012
Margo Rohrbacher
OR IND
Civilian Supervisor
30.53
318.93
❑ COM
C/o: San Rafael Police Association
EIOTH
City of San Rafael
PTY
San Rafael, CA 94901
nCef+
Union member's dues received through intermedia
safae
Police Association
San
Rafael CA 949011
SUBTOTAL$
145.06
*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
www.netfile.com
FPPC Form 464 (January/06)
FPPC Toll -Free Helpline: 8661ASK-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.
,
'
from 01/01/2012
•
through 06/30/2012
Page 167 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
pFCOMMIT(EE,ALSND.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
Margo Rohrbacher
nIND
Civilian Supervisor
20.37
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
El
City of San Rafael
San Rafael, CA 94901
aCC
i received through ter d'a
Police Associati
SanCA
9490
02/21/2012
Margo Rohrbacher
❑X IND
Civilian Supervisor
30.53
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
IIIIIIIIIIIIP❑
PTY
City of San Rafael
San Rafael, CA 94901
nn
CRafae
Union member's dues received through intermedia
:`5an
Police Association
San
Rafael CA 9490
03/09/2012
Margo Rohrbacher
❑x IND
Civilian Supervisor
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
�
PTY
City of San Rafael
San Rafael, 94901❑nn
Union member's dues received through intermedia
:qan Kafae
Police Association
San
Rafael CA 9490
03/20/2012
Margo Rohrbacher
RIND
❑
Civilian Supervisor
P
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
f�—,yI
Union member's dues received through intermedia
:—SaSPG afael
Police Association,
111111111111111100Szn
Rafael, CA 9490
03/30/2012
Margo Rohrbacher
MIND
Civilian Supervisor
25.45
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
S Rafael, CA 94901
nion member's dues received through intermedia
. �an
Q afae
Police Association
001M San
Rafael CA 9490
SUBTOTAL$
127.25
*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
www.ne+ffile.com
FPPG Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPG (866/276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink. SCHEDULE A (CONI)
Amounts may be rounded Statement covers period I
to whole dollars. I CALIFORNIA
from 01/01/2012 FORM 46li iii 0
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
through 06/30/2012 -
Page 168 of 198
NAME OFFILER
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)
04/17/2012
Margo Rohrbacher
Fx_j IND
Civilian Supervisor
25.45
318.93
EICOM
C/o: San Rafael Police Association
❑ OTH
1
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received through intermediazy:qa
Rafael
Police Associati
jn
Rafael. CA 9490L
04/30/2012
Margo Rohrbacher
[_Xj IND
Civilian Supervisor
18.18
318.93
EICOM
C/o: San Rafael Police Association
r-1 OTH
IW
El PTY
City of San Rafael
San Rafael, CA 94901
S
—
Union member's dues received through intermedia
:`-San
Police Association,
MINOMENNENSURgEn
Rafael, CA 9490L
05/16/2012
Margo Rohrbacher
Fxj IND
Civilian Supervisor
21.75
318.93
EICOM
C/o: San Rafael Police Association
F-IOTH
elmommommoono
PTY
City of San Rafael
San Rafael, CA 94901❑
C
—
Union member's dues received through intermedia xv:E;aSnCRafael
Police Association,
San
Rafael, CA 94901
06/04/2012
Margo Rohrbacher
nX IND
Civilian Supervisor
21.74
318.93
[:] COM
C/o: San Rafael Police Association
EIOTH
Sam
El PTY
City of San Rafael
Rafael, CA 94901
Union member's dues received through iy
:`;anintermedia zafael
Police Association,_
San
Rafael, CA 9490L
06/15/2012
Margo Rohrbacher
nX IND
Civilian Supervisor
21.75
318.93
❑ Com
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, C7 94901
Union member's dues received through intermedia rly:Q29(7kafaell
Police Association.
IIIIIIII San
Rafael, CA 949011
SUBTOTAIL$
1
108.87
*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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
monetary contribution$ Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
,
from 01/01/2012
FORM ,
Page 169 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06 28 2012
/ /
Margo Rohrbacher
HIND
Civilian Supervisor
21.75
318.93
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PT,
City of San Rafael
San Rafael, CA 94901
SCC
Union member's received me i
an afael
Police ssociatio
el,CA
01/30/2012
Peggy Ruge
BIND
Police Service Specialist
30.53
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
El PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
:`;an �tafae
Police Association
San
Rafael CA 9490
01/30/2012
Peggy Ruge
[ZIND
Police Service Specialist
30.53
318.92
[:]COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑n
pion member's dues received through intermedia
:`wan Rafael
Police Association
San
Rafael CA 9490
02/09/2012
/
Peggy Ruge
RIND
Police Service Specialist
P
20.37
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
me
PT Y
Y
City of San Rafael
San Rafael, CA 94901
((��
Union member's dues received through intermedia
:-aan 72afae
Police Association,
San
Rafael, CA 9490
02/21/2012
Peggy Ruge
❑RIND
Police Service Specialist
30.52
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
n
nion member's dues received through intermedia
.Q afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
133.70
"Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SGC - Small Contributor Committee
www.netfile.com
FPPG Form 460 (January/05)
FPPG Tall -Free Helpline: 8661ASK-FPPG (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
ivionetary Contr=11011S Keceived Amounts may ne rounded
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
FORM
Page 170 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/09/2012
Peggy Ruge
RIND
Police Service Specialist
25.45
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
now
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receivedthrouc[h intermediaxv:E;aSnCCRafael
PoliceRa
25.45
CA 0
03/20/2012
Peggy Ruge
®IND
Police Service Specialist
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
Now❑
PTY
City of San Rafael
San Rafael, CA 94901
jr��
Union member's dues received through intermedia
:`man(; 72afae
Police Association
Police Service Specialist
San
25.45
Rafael CA 9490
03/30/2012
Peggy Ruge
❑X IND
318.92
[:] COM❑
C/o: San Rafael Police Association
OTH
PTY
Y(;
City of San Rafael
San Rafael, CA 94901
❑
El
Union member's dues received through intermediaiv:qan
RafaelPolice
Association
San
Rafael CA 9490
04/17/2012
Peggy Ruge
RIND
Police Service Specialist
25.45
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑n
:`-fan (�afae
Police Association
San
18.18
Rafael, CA 9490
04/30/2012
Peggy Ruge
RIND
Police Service Specialist
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw h intermedia
nn
:�-SazCfCl2afae
Police Association
S
n Rafael CA 949011
SUBTOTAL$
119.98
"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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
monetary c:ontriautionS Keceived Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA, '
from 01/01/2012
•
through 06/30/2012
Page 171 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
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)
05/16/2012
Peggy Ruge
❑X IND
Police Service Specialist 21.75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Unign member's dues receivedthroucth intermediaxv:qaSnC(iafa1'ce
Association,a
CA 9
06/04/2012
Peggy Ruge
©IND
Police Service Specialist 21.74
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`mjj��I
an Rafae
Police Association San
Rafael CA 9490
06/15/2012
Peggy Ruge
OIND
Police Service Specialist 21.75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inter ediaxv:[;aSnCCRafael
Police Association San
Rafael CA 9490
06/28/2012
Peggy Ruge
❑ RIND
Police Service Specialist P 21.75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
City of San Rafael
San Rafael, CA 94901P
Union member's dues received through intermedia
:`mn an 72afae
Police Association, San
Rafael, CA 9490
01/30/2012
Thomas Sabido
❑XINO
Officer 39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
-
sap Rafael, CA 94901
n
nion member's dues received through intermedia
• '8 afae
Police Association San
Rafael CA 9490
SUBTOTAL$
126.83
`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
www.neffi/e,com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-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.
from 01/01/2012
•
page 172 of 198
through 06/30/2012
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
(E COMMITTEE, ALSAENTERI.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)
01/30/2012
Thomas Sabido
❑RIND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
SCC
Unign member's esreceived t inter a
e
Association.9490L
02/09/2012
Thomas Sabido
N IND
Officer
26.40
410.72
[3Com
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
II��II
Union member's dues received through intermedia
:`-San(; 72afae
Police Association
San
Rafael CA 94901
02/21/2012
Thomas Sabido
EZIND
Officer
39.09
410.72
❑ COM❑
C/o: San Rafael Police Association
OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:EASnRafael
Police Association
S
n Rafael CA 9490
03/09/2012
Thomas Sabido
xIND
Officer
32.57
410.72
❑ COM
C/o.: San Rafael Police Association
❑ OTH
7A94901
❑ PTY
City of San Rafael
San Rafael,
((��(( (
Union member's dues received through intermedia
:`-San �afae
Police Association,
ONNIISSen
Rafael, CA 9490
03/20/2012
Thomas Sabido
❑x IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
mommon�wSan
[-] PTY
Rafael, CA 94901
n
niOn member's dues received throw h intermedia
.Q afaell
Police Association
MOM San
Rafael CA 9490
SUBTOTAL$
170.47
`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
www.netfile.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
monetary contriautionS Keceivea Amounts may be rounded
Statement covers period
�
to whole dollars.
• '
�
from 01l01/2012
� •
page 173 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Thomas Sabido
❑X IND
Officer 32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael 94901
Sn C
Union member's u ceived through inter
afael
Police Association.Rafael,
9490L
04/17 / 2012
Thomas Sabido
QIND
Officer 32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
_NWEl
PTY
City of San Rafael
San Rafael, CA 94901
nn
Union members dues received through intermedia
:-Sanafae
Police Association San
Officer 23.27
Rafael CA 9490
04/30/2012
Thomas Sabido
❑x IND
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
,
❑n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'-San Cafae
Police Association San
Rafael CA 9490
05/16/2012
Thomas Sabido
❑ IND
Officer 28.00
410.72
❑COM
C/o: San Rafael Police Association
❑ OTH
F PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;anCCRafael
Police Association, San
Rafael CA 9490
06/04/2012
Thomas Sabido
❑RIND
Officer 28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
�-811'-R
.afae
Police Association San
Rafael CA 9490
SUBTOTAL$
144.41
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
WWW.netf%le.com
FPPC Form 464 (January/05)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period I
to whole dollars. CALIFORNIA
from 01/01/2012 FORM 460
*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
www.nettile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
through 06/30/2012 —
Page 174 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORMMITTEE,
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
DA
TO TE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2012
Thomas Sabido
Fxj I IN D
Officer
28.00
410.72
F -ICOM
C/o: San Rafael Police Association
F-1 OTH
M PTY
City of San Rafael
—
San Rafael, CA 94901
Union member's dues received throuah intermediaxy:qaSnC
afael
Police Association, 31111111111
San
Rafael. CA 9490L
06/28/2012
Thomas Sabido
Fx_j IND
Officer
28.00
410.72
F-1 COM
C/o: San Rafael Police Association
nOTH
n PTY
City of San Rafael
San Rafael, CA 94901
—
Union member's dues received through intermedia xv:qanCCRafael
Police Association,
San
Rafael. CA 9490L
01/30/2012
George Schikore
nX❑IND
Officer
39.84
410.72
r-1 COM
C/o: San Rafael Police Association
r_1 OTH
sommmommmoommCity
❑ PTY
of San Rafael
San Rafael, CA 94901
—
Union member's dues received through intermedia xv-.qanCRafae1
Police Association,
San
Rafael, CA 94901
01/30/2012
George Schikore
MIND
Officer
39.84
410.72
EICOM
C/o: San Rafael Police Association
FJOTH
0 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:EASERafael
Police Association,
San
Rafael, CA 94901
02/09/2012
George Schikore
FX] IND
Officer
26.40
410.72
EICOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
E-] PTY
San Rafael, CA 94901
jUnion member's dues received through intermedia ny:Q§P:�afaell
Police Association looMMINEIIIIINOW
San
Rafael, CA 94901L
SUBTOTAL$
1 1
162.08
*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
www.nettile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
moneiary uontrioutionS Keceivea Amounts may be rounded
Statement covers period, ----]
to whole dollars.CALIFORNIA•
,
from 01/01/2012
•
Page 175 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPD.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
OF COMMITTEE, ALSOAND
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)
02/21/2012
George Schikore
nIND
Officer 39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
[-] PTY
City of San Rafael
San Rafael, CA 94901
(I��
Uniondu received i ter
:'SSCCan afael
P Association.Rafael,CA
0
03/09 / 2012
George Schikore
[ZIND
Officer 32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
('�
Union member's dues received through intermedia
:`Ij��I an �tafae
Police Association San
Officer 32.57
Rafael CA 9490
03/20/2012
George Schikore
nIND
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qan Ztafae
Police Association San
Rafael CA 9490
03/30/2012
George Schikore
RIND
Officer 32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;anRafael
Police Association, , San
Rafael, CA 9490
04/17/2012
George Schikore
[ZIND
Officer 32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
[]PTY
City of San Rafael
San Rafael, CA 94901
c��r�
Union member's dues received through intermedia
:QhcWrZafae
Police Association San
Rafael CA 9490
SUBTOTAL$
169.37
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 866tASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
monetary GontnnutionS Received Amounts may be rounded
- Statement covers period
to whole dollars.
CALIFORNIA ,
from 01/01/2012
FORM
through 06/30/2012
Page 176 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
IT
(IF COMMITTEE, 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)
04/30/2012
George Schikore
❑X IND
Officer
23.27
410.72
❑COM
C/o; San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
SC
n'member's dues received through
afael
Police Association,Rafael,
28.00
CA
05/16/2012
George Schikore
❑x IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
[:] PTY
City of San Rafael
San Rafael, CA 94901
j� (;
Union memher's dues received through intermedia
:`'San i2afae
Police Association
San
Rafael CA 9490
06/04/2012
George Schikore
❑g IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, C 94901
I❑
Union member's dues received through intermedia
:`aan �afae
Police Association
San
Rafael CA 9490
06/15/2012
George Schikore
❑RIND
Officer
28.00
410.72
❑COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Ra ae 94901
F❑ PTY
Union member's dues received through inter ediaxy:[;aAC�afael
Police Association, 40M
San
Rafael, CA 9490
06/28/2012
George Schikore
❑x IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
[-] PTY
San Rafael, CA 94901
nGr r
pion member's dues received throe h intermedia
•'-BMY Rafae
Police Association
San
Rafael CA 949011
SUBTOTAL$
135.27
*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
www.netfite.com
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.)
MonetaFy GontributlonS Keceived Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
•
Page 177 of 198
through 06/30/2012
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)
01/30/2012
Justin Schraeder
❑x IND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑PTY
City of San Rafael
San Rafael, CA 94901
—
union member's received through intermediaxv:1;aSCn9zafae1
Police AssociatiQn.CA
9490L
01/30/2012
Justin Schraeder
©IND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTYCity
of San Rafael
San Rafael, CA 94901
n�I
CRafae
Union member's dues received through intermedia
:`-San
Police Association
S
n Rafael CA 9490
02/09/2012
Justin Schraeder
QIND
Officer
26.40
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
r❑r
CRafae
Union member's dues received through intermedia
:`San
Police Association
San
Rafael CA 9490
02/21/2012
Justin Schraeder
❑ RIND
Officer
39.09
410.72
❑ COM
C n Rafael Police Association
❑ OTH
EI PTY
City of San Rafael
San Ra ae , 94901
Union member's dues received through intermediaxy:E;a'nCI41afael
Police Association,
San
Rafael, CA 9490
03/09/2012
Justin Schraeder
❑X IND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
MMNNNW
[-] PTY
San Rafael, CA 94901
II--��CC((^^(�
Union member's dues received throw h intermedia
:�-§PCRafae
Police Association
San
Rafael CA 949011.
SUBTOTAL$
177.74
`Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
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 01/01/2012
FORM
through 06/30/2012
Page 178 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(ETCOMMITTEE,ALSENTERI.D.NUMB
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/20/2012
Justin Schraeder
[ZIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
aC
—
Union member's dues received through
li
San
32.57
Rafael. CA 9490L
03/30/2012
Justin Schraeder
❑x IND
Officer
410.72
❑ COM
C/o; San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
�j
Union member's dues received through interme is
:`'San Ra£ae
Police Association
San
32.57
Rafael CA 9490
04/17/2012
Justin Schraeder
nXIND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
we
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
nCCRafael
:E;aS
Police Association
San
Rafael CA 9490
04/30/2012
Justin Schraeder
RIND
Officer
23.27
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
MSan Rafael, CA 94901
❑PTY
nn rr
Union member's dues received through intermedia
an
: SRafae
Police Association,
San
Rafael, CA 9490
05/16/2012
Justin Schraeder
[KIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia
(�
.QPTr afaell
Police Association
IIIIIIIIIIIIIIIIIIM San
Rafael CA 9490
SUBTOTAL$
148,98
*Contributor Codes
IND – Individual
COM – Recipient Committee
(other than PTY or SGC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 6661ASK-FPPC (6661275-3772)
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• i
from 01/01/2012
•
Page 179 of 198
through 06/30/2012
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
(IFCOMMnTEE,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)
06/04/2012
/
Justin Schraeder
BIND
Officer
28e00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
Unign member's dues received through e
Rafael, o
06/15/2012
Justin Schraeder
©IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
.
PTY
❑ Y
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia
:` an 7Rafael
Police Association
n Rafael CA 9490
06/28/2012
Justin Schraeder
❑X IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
No
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`nfan 72afae
Police Association
San
Rafael CA 9490
01/30/2012
Wanda Spaletta
❑ IND
Sergeant
g
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑
Union member's dues received through intermedia
:"'5dnCRafae
Police Association,
San
Rafael, CA 9490
01/30/2012
Wanda Spaletta
❑RIND
Sergeant
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
SaRafael, CA 94901
err
Union member's dues received through intermedia
•n afae
Police Association
San
Rafael CA 949011.
SUBTOTAL$
163.68
"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
Www.neffile.com
FPPC Form 480 (January/05)
FPPC Toll -Free Helpline: 8881ASK-FPPC (8881275-3772)
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.
`0 * A
,
from 01/01/2012
�
Page 180 Of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO ENTER I.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/09/2012
Wanda Spaletta
RIND
Sergeant
26.40
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
qan Iizafael
unionmember's dues received through to e
Police As o t'
San
Rafael.9490L
02/21/2012
Wanda Spaletta
RIND
Sergeant
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
moommommomma
❑ PTY
City of San Rafael
San Rafael, CA 94901
n
CRafae
Union member's dues received through intermedia
:`'San
Police Association
San
32.57
Rafael CA 9490
03/09/2012
Wanda Spaletta
RIND
Sergeant
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
MW
PTY
City of San Rafael
San Rafael, CA 94901
j❑j
Union member's dues received through intermedia
:'-San'12afae
Police Association
n Rafael CA 9490
03/20/2012
Wanda Spaletta
RIND
Ser eant
9
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
doommoommoom
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;aSnKafael
Police Association,
San
Rafael, CA 9490
03/30/2012
Wanda Spaletta
RIND
Sergeant
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
r
Union member's dues received through intermedia
•Qy*l afae
Police Association
San
Rafael CA 94900.
SUBTOTAL$
163.20
*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
www.netflle.com
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink. SCHEDULE A (CONI)
Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA A
from 01/01/2012 FORM -r60
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
through 06/30/2012 —
Page 181 of 198
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, SAND 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)
04/17/2012
Wanda Spaletta
[5flIND
Sergeant
32.57
410.72
EICOM
C/o: San Rafael Police Association
r-1 OTH
1
F-1 PTY
City of San Rafael
San Rafael, CA 94901
—
union member's dues received throuc[h intermediaTv:[;1CQRafael
Police Association,
San
Rafael. CA 94901
04/30/2012
Wanda Spaletta
FZ IND
Sergeant
23.27
410.72
❑COM
C/o: San Rafael Police Association
r-1 OTH
El PTY
City of San Rafael
San Rafael, CA 94901
E;
—
Union member's dues received through intermedia xv:
InCCRafael
Police Association,
San
28.00
Rafael. CA 9490L
05/16/2012
Wanda Spaletta
©IND
Sergeant
410.72
[:] Com
C/o: San Rafael Police Association
nOTH
NoCity
n PTY
of San Rafael
San Rafael, CA 94901
(12afael
Union member's dues received through intermedia xv:E;anC
Police Association,
MINNOW San
Rafael, CA 9490L
—
06/04/2012
Wanda Spaletta
nx IND
Sergeant
—
28.00
410.72
nCOM
C/o: San Rafael Police Association
M
nOTH
City of San Rafael
-0
San Rafael, CA 94901
[:] PTY
Union member's dues received through intermediaxyJ:;.SnC(�afael
Police Association,
Now San
Rafael, CA 9490L
—
06/15/2012
Wanda Spaletta
nX IND
Sergeant
28.00
410.72
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
n PTY
San Rafael, CA 94901
ARM
jUnion member's dues received through intermediai1y:Q§1Rafae[L
Police Association -
nommom��S
Rafael, CA 94901L
SUBTOTAL$
1
139.84
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
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 ,
from 01/01/2012
•
Page 182 of 198
through 06/30/2012
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
OF 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)
06/28/2012
Wanda Spaletta
QIND
Sergeant
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
momEl
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiy:qaSnCSZafael
PoliceAssociation,
San
Rafael.CA 9490L
01/30/2012
Christopher Sweeney
©IND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
(;
Union member's dues received through intermedia
:qan RafaelPolice
Association
San
Rafael CA 9490
01/30/2012
Christopher Sweeney
RIND
Officer
39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
r❑r�P Y
Union member's dues received through intermedia
:'-5an �tafae
Police Association
S
n Rafael CA 9490
02/09/2012
Christopher Sweeney
BIND
Officer
26.40
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
PTY
n❑(
Union member's dues received through intermedia
:`-San �afae
Police Association,
San
Rafael CA 9490
02/21/2012
Christopher Sweeney
❑%IND
Officer
39.09
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
nGrr
Union member's dues received through intermedia
.afae
Police Association
San
Rafael CA 9490
SUBTOTAL$
173.17
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
monetary luontr outionS Received Amounts may be rounded
Statement covers period
to whole dollars.CALIFORNIA•
,
from 01/01/2012
•
Page 183 of 198
through 06/30/2012
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)
03/09/2012
Christopher Sweeney
BIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
CC
Union member's dues receivedt u t
.a
Police Association, jiIIIIIIIIIIII
— San
32.57
Rafael.CA 9490L
03/20/2012
Christopher Sweeney
❑x IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
,
❑ PTY
City of San Rafael
San Rafael, CA 94901
((;;
Union member's dues received throucfh intermedia
:E;an Rafael
Police Association
San
Rafael CA 9490
03/30/2012
/
Christopher Sweeney
DIND
Officer
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
NIIIIIIIIFCity
❑ PT`(
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:E;anCCRafael
Police Association
San
Rafael CA 9490
04/17/2012
/
Christopher Sweeney
x ❑ IND
Of
32.57
410.72
[]COM
C/o: San Rafael Police Association
❑ OTH
�an
[-]PTY
City of San Rafael
a ae C 44401
Union member's dues received through intermediaxy:qanKafael
Police Association,
01aft San
23.27
Rafael, CA 9490
04/30/2012
Christopher Sweeney
®IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
NNW
❑ PTY
City of San Rafael
San Rafael, CA 94901
r
Union member's dues received through intermedia
.Q i9(T+Rafae
Police Association
1110san
Rafael CA 9490
SUBTOTAL$
153.55
*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
www.nei'.file.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
monetary contrioutions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
•
Page 184 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
QF COMMITTEE, ALSO 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)
05 16 2012
/ /
Christopher Sweeney
QIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCCRafael
Union member's du received intermedia
ice A c' o
S
1 CA 9490L
06/04/2012
Christopher Sweeney
®IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qan Rafae
Police Association
San
Rafael CA 9490
06/15/2012
Christopher Sweeney
❑x IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
n❑n
CRafae
Union member's dues received through intermedia
:`;an
Police Association
San
Rafael CA 9490
06/28/2012
Christopher Sweeney
Mx IND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, CA 94901
I❑
Union member's dues received throu h intermedia
:`San Z2afae
Police Association,
San
Rafael CA 9490
01/30/2012
Charly Taylor
❑x IND
Civilian Supervisor
30.53
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
❑ PTY
San Rafael, CA 94901
r
Union member's dues received through intermedia
Rafae
•Q 1j`r
Police Association
San
Rafael CA 9490
SUBTOTAL$
142.53
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 666/ASK-FPPC (6661275-3772)
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,
from 01/01/2012
FORM
through 06/30/2012
Page 185 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
pFCOMMITTEE,ALSND .O.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/30/2012
Charly Taylor
QIND
Civilian Supervisor
30.53
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC
Unionmember's e received through e ed`a
an afael
Policedo
ae CA 94901
02/09/2012
Charly Taylor
QIND
Civilian Supervisor
20.37
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTEj
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:ganafae
Police Association
San
Rafael CA 9490
02/21/2012
Charly Taylor
❑x IND
Civilian Supervisor
30.53
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
1111
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;an iRafael
Police Association
San
Rafael CA 9490
03/09/2012
Charly Taylor
❑ KIND
Civilian Supervisor P
25.45
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
Y
F] PTY
nn
Union member's dues received through intermedia
:`-San i2afae
Police Association,
San
Rafael, CA 9490
03/20/2012
Charly Taylor
❑x IND
Civilian Supervisor
25.45
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of Sari Rafael
El PTY
San Rafael, CA 94901
n ef+
Union member's dues received through intermedia
•Q§if afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
132.33
*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
www.netfile.com
FPPC Form 480 (January/08)
FPPC Toll -Free Helpline: 8881ASK-FPPC (8881275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2012
• r
Page 186 of 198
through 06/30/2012
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
OF COMMITTEE,
IT .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
-
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2012
Charly Taylor
x IND
❑
Civilian Supervisor
25.44
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
nn C
1
Union receivedt in e e
:`San Rafael
Police
CA 9490L
04/17/2012
Charly Taylor
©IND
Civilian Supervisor
25.45
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
nn
Union member's dues received through inter ediaxv.qaSnCCRafael
Police Association
San
Rafael CA 9490
04j30/2012
Charly Taylor
❑X IND
Civilian Supervisor
18.17
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:'uan �2afae
Police Association
San
21.75
Rafael CA 9490
05/16/2012
Charly Taylor
[MIND
Civilian Supervisor
p
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
ElP Y
San Rafael, CA 94901
�^
Union member's dues received through intermedia
:�an Rafae
Police Association,
WNW, San
Rafael, CA 9490
06/04/2012
Charly Taylor
❑X IND
Civilian Supervisor
21.75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
NWWEW
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia.
n�+
'-8 `Rafae
Police Association
San
Rafael CA 9490
SUBTOTAL$
112.56
*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
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 8661ASK-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.
CALIFORNIA / '
from 01/01/2012
FORM
Page 187 of 198
through 06/30/2012
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, ALSOENTERLD.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)
06/15/2012
Charly Taylor
x ❑ IND
Civilian Supervisor 21.75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received r0 interm djaiv:qanKaAssociation.
Rafael,
06J28/2012
Charly Taylor
©IND
Civilian Supervisor 21,75
318.92
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
❑ Y
City of San Rafael
San Rafael, CA 94901
I�:]i
Union member's dues received through intermedia
: wanqAfae
Police Association San
Rafael CA 9490
01/30/2012
Chuck Tirre
❑x IND
Officer 39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:[;an TRafael
Police Association San
Rafael CA 9490
01/30/2012
Chuck Tirre
❑x IND
Officer 39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
am
El Pel,
San Rafael, CA 94901
nn
CRafae
pion member's dues received through intermedia
:`fan
Police Association, AMW San
Rafael, CA 9490
02/09/2012
Chuck Tirre
❑x IND
Officer 26.40
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
. QP7r afaelL
Police Association San
Rafael CA 9490
SUBTOTAL$ 149,58
*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
www.netfile.com
FPPG Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPG (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in Ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period I
to whole dollars. ICALIFORNIA 460
1 from 01/01/2012 FORM
through 06/30/2012 —
Page 188 of 198
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
OF 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)
02/21/2012
Chuck Tirre
nX IND
Officer
39.09
410.72
EICOM
C/o: San Rafael Police Association
❑ OTH
E PTY
City of San Rafael
San Rafael, CA 94901
Union member's ues received through inter ediaxv:E4aS:C9zafael
Police Assoc iat ion.
09MMUN00010ft—Sz
n Rafael. CA 94901
03/09/2012
Chuck Tirre
MND
Officer
32.57
410.72
ncom
C/o: San Rafael Police Association
nOTH
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaSnRafael
Police Association,qiIIIIIIIIIIIIIIIIIIIIIIII
Officer
San
32.57
Rafael. CA 9490L
03/20/2012
Chuck Tirre
nX IND
410.72
E]COM
C/o; San Rafael Police Association
n OTH
-
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv;E;anCCRafae1
Police Associatioal-JIIIIIIIIIIIIII
San
Rafael, CA 9490L
03/30/2012
Chuck Tirre
[MIND
Officer
32.57
410.72
ncom
C/o: San Rafael Police Association
-
❑ OTH
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermedia xy:[;anKafael
Police Association,
San
Rafael, CA 9490L
04/17/2012
Chuck Tirre
nX IND
Officer
32.57
410.72
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
El PTY
San Rafael, CA 94901
jUnion member's dues received through intermedia
•'8
Police Association,
NOMMOMM San
Rafael, CA 9490fL
SUBTOTAL$
1
169.37
*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
www.netfile.com
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.)
ivlonexary ConinbutionS Kecelved Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA• '
from 01/01/2012
•
through 06/30/2012
Page 189 of 198
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
(E 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)
04/30/2012
Chuck Tirre
[KIND
Officer
23.27
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
Union e e' dues received through t
a
1 Police Association,San
28.00
C 90
05/16/2012
Chuck Tirre
©IND
Officer
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
El PTY
City of San Rafael
San Rafael, CA 94901
n
Union member's dues received through intermedia
:`San Rafae
Police Association
San
Rafael CA 9490
06/04/2012
Chuck Tirre
© IND
Officer
28.00
410.72
❑ COM❑
C/o: San Rafael Police Association
OTH
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
n❑
:`-San Ctafae
Police Association
S
n Rafael CA 9490
06/15/2012
Chuck Tirre
XIND
Officer
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
PTY
City of San Rafael
San Rafael, 94901
Union member's dues received through intermediaiy:[;anRafael
Police Association,
San
Rafael CA 9490
06/28/2012
Chuck Tirre
QX IND
Officer
28.00
410.72
❑ COM
Co: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu h intermedia
n
.'-8 afae
Police Association
San
Rafael CA 949011
SUBTOTAL$
135.27
"Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCG - Small Contributor Committee
www.netfl/e.com
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.CALIFORNIA
� i
from 01/01/2012
FORM
through 06/30/2012
Page 190 of 198
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
(E COMMITTEE, ALSO ENTER .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)
01/30/2012
Michael Vergara
❑X IND
Sergeant 39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
11111111111111111WF1
PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union e u i ed thro t d'
Police Association.
ae CA 9490L
01/30/2012
ichael Vergara
❑x IND
Sergeant 39.84
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
Y
El Pn,
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:E;anCCRafael
Police Association San
Rafael CA 9490
02/09/2012
Michael Vergara
❑X IND
Sergeant 26.40
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inter ediaxv:E;anKafael
Police Association San
Rafael CA 9490
02/21/2012
Michael Vergara
❑X IND
Sergeant 39.09
410.72
❑ COM
C o: San Rafael Police Association
❑ OTH
City of San Rafael
San Rafael, CA 94901
❑ PTY
n
Union member's dues received through intermedia
. San Rafae
Police Association, San
Rafael, CA 9490
03/09/2012
Michael Vergara
MIND
Sergeant 32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
El PTY
San Rafael, CA 94901
nion member's dues received through intermedia
.�Crr
afae
Police Association San
Rafael CA 9490
SUBTOTAL$
177.74
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCG — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
ivioneiLaary ContributionS KeCelved Amounts may ne rounuea
Statement covers period
II II
to whole dollars.
CALIFORNIA.
R A,
from 01/01/2012
_ .
through 06/30/2012
Page 191 of 198
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)
03/20/2012
Michael Vergara
RIND
Sergeant
32.57
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
F-1PTYCity
of San Rafael
San Rafael, CA 94901
Unign member'ses received through to
SCG a
ce Association.
San
32.57
Rafael. CA 9490L
03/30J2012
03/30/2012
ichael Vergara
Sergeant
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
NIMW
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`nn
;an Rafael
Police Association
San
Rafael CA 9490
04/17J2012
Michael Vergara
BIND
Sergeant
32.57
410.72
❑ COMDOTH
C/o: San Rafael Police Association
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
I❑
:'-San 1Rafael
Police Association
San
23.27
Rafael CA 9490
04/30/2012
Michael Vergara
❑ IND
Sergeant
J
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
MEMEW❑
PTY
City of San Rafael
an Ra ae CA 94901
Union member's dues received through inter ediaxy:qanRafae1
n
Police Association,
San
Rafael, CA 9490
05/16/2012
Michael Vergara
RIND
Sergeant
28.00
410.72
❑ COM
C/o: San Rafael Police Association
❑ OTH
TY
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
.� afae
Police Association
San
Rafael CA 9490EL
SUBTOTAL$
148.98
"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
www.nefite.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA
from 01/01/2012 FORM 460
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
through 06/30/2012 —
Page 192 of 198
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/04/2012
Michael Vergara
nX IND
Sergeant
28.00
410.72
EICOM
C/o: San Rafael Police Association
EIOTH
!!1! 11
El PTY
City of San Rafael
San afael,–= 94901
C
—
Union member's dues received throucth intermediaxv:E;a"nC
Rafael
Police Association–i�
San
Rafael, CA 94901
06/15/2012
Michael Vergara
®IND
Sergeant
28.00
410.72
ncom
C/o: San Rafael Police Association
F-1 OTH
[:]PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermediaxv:qanC
Rafael
Police Association,
San
Rafael, CA 9490L
06/28/2012
M ichael Vergara
[91ND
Sergeant
28.00
410.72
[:] Com
C/o: San Rafael Police Association
EIOTH
NNW
❑PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia my:qanKafael
Police Association
ii S
n Rafael, CA 9490L
E-IIND
E]COM
nOTH
EIPTY
[:j SCC
EIIND
EICOM
El OTH
FlPTY
El SCC
SUBTOTAL$ 84.00
*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
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Schedule C Type or print in ink.
______ _ ____ _ ____ _ SCHEDULEC
Nonmoneta Contributions Received HI110untu fiflay UO fou11uou
�( to whole dollars.
Statement covers eri
period
,
from 01/01/2012
• '
through 06/30/2012
Page 193 Of 198
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
GATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUSINESS)
(JAN 1 - DEC 31)
(IF REQUIRED)
01/01/2012
San Rafael Police Association
❑IND
Bill Paid By
390.00
737.59
❑COM
Third Party
+
MOTH
San Rafael, CA 94901
❑ PT(Y�
CStutan
Le al services payment made b committee s on
orQo
Tucker LLP,
04/05/2012
San Rafael Police Association
MIND
Bill Paid By
347.59
❑COM
Third Party
MOTH
❑
San Rafael, CA 94901
�P�TY
Accounting services payment made by committee
spQ99CI-o: Benry
C. Levy & CompanyAWW
❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
[:]IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 737.59
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions.
(Include all Schedule C subtotals.)..................................................................................................................... $
2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
www.netfile.com
5
0.00
737.59
*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 464 (January/46)
FPPC Toil -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULEE
Statement covers period
from 01/01/2012
through 06/3 0/2 012 page 194 of 198
I.D. NUMBER
831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIDP
campaign paraphernalia/mise.
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
PEr
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
UT
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 AMOUNTPAID
Inc. IND Mailer including production and postage in support of Gary 4,648.66
Phillips for San Rafael Mayor.
IND (Mailer including production and postage in support of ( 4,648.67
Andrew McCullough for San Rafael City Council
c Affairs, Inc. IND Mailer including production and postage in support of Damon 4,648.67
Connolly for San Rafael City Council
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 13,946.00
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ 19, 000.00
2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, 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 $ 19, 000.00
FPPC Form 484 (January/05)
FPPC Toll -Free Helpline: 888/ASK-FPPC (888/275-3772)
www.ne1file.com
Schedule E
(Continuation Sheet)
Payments Made
IM
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 01/01/2012
through 06/30/2012
SCHEDULE E (CONT.)
Page 195 of 198
I.D. NUMBER
831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise,
describe the payment.
CX+r1P
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
CVG
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
Ili
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 technoloqv costs (internet. e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Freeman Public Affairs, Inc.
Now
IND
Mailer including production and postage in support ol
Phillips for San Rafael Mayor.
Gary
5,054.00
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5,054,00
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 666/ASK-FPPC (866/276-3772)
www.netfile.com
�
�
8CHEUULEF
Schedule F Type or print In Ink.
Amounts may be rounded Statement covers period A 0. A
Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2012 0. 0
SEE INSTRUCTIONS ON REVERSE through 06/30/2012 Page 196 of 198
NAME OF FILER I.D. NUMBER -
San Rafael Police Association Political Action Committee 831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PEr
petition circulating
TEL
tv. or cable airtime and production costs
FIL
candidate filing/ballot fees
PFIO
phone banks
TIRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
Lrr
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
* Payments that are contributions or Independent expenditures must also be
summarized on Schedule D. SUBTOTALS $ 13,946.00 $ 0.00 $ 13,946.00$ 0.00
Schedule F Summary
1 . Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total uniternized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 637.60
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total uniternized payments on accrued expenses under $1OO]................... ............. PAID TOTALS $ 19,000.00
3.Net change this period. (Subtract Line 2from Line 1. Enter the difference here and
cmthe Summary Page, Column A, Line 9.) ......................... —........... .......... --............. ---......... —_---...... —_—_............... NET$ -18,362.40
may be a negative n5mber
FPPC Form 460(January/05)
pPPCToll-Free Helpline: 086/ASK-FPPC(V6W12?6-3772)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Freeman Public Affairs, Inc.
IND Mailer including
4,648.67
0.00
4,648.67
0.00
production and postage
in support of Andrew
McCullough for San
Rafael City Council
Freeman Public Affairs, Inc.
IND Mailer including
4,648.67
0.00
4,648.67
0.00
production and postage
in support of Damo
Connolly for San Rafael
City Council
Freeman Public Affairs, Inc.
IND Mailer including
4,648.66
0.00
4,648.66
0.00
production and postage
inisupport of Gary
Ph Ilips for San Rafael
* Payments that are contributions or Independent expenditures must also be
summarized on Schedule D. SUBTOTALS $ 13,946.00 $ 0.00 $ 13,946.00$ 0.00
Schedule F Summary
1 . Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total uniternized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 637.60
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total uniternized payments on accrued expenses under $1OO]................... ............. PAID TOTALS $ 19,000.00
3.Net change this period. (Subtract Line 2from Line 1. Enter the difference here and
cmthe Summary Page, Column A, Line 9.) ......................... —........... .......... --............. ---......... —_---...... —_—_............... NET$ -18,362.40
may be a negative n5mber
FPPC Form 460(January/05)
pPPCToll-Free Helpline: 086/ASK-FPPC(V6W12?6-3772)
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
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 01/01/2012
through 06/30/2012
SCHEDULE F (CONT.)
Page 197 of 198
I.D. NUMBER
831553
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
CNS
campaign paraphernalia/misc.
campaign consultants
MBR
member communications
RAD
radio airtime and production costs
CTB
contribution (explain nonmonetary)*
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
FIL
civic donations
candidate filing/ballot fees
PEr
petition circulating
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
FND
fundraising events
PHO
POL
phone banks
polling and survey research
TRC
TRS
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
IND
LEG
independent expenditure supporting/opposing others (explain)*
legal defense
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LIT
campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
print ads
VOT
voter registration
*
WEB
information technology costs (internet, e-mail)
Payments that are contributions or independent expenditures must also
be summarized
on Schedule D.
Freeman Public Affairs, Inc.
NAME AND ADDRESS OF CREDITOR
CODE OR
(a)
(b)
W
(d)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CRIPTION OF PAYMENT
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
FIND
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
Freeman Public Affairs, Inc.
Mailer including
ction and
6,473.00
0.00
5,054.00
1,419.00
Ein sup ort of
Gary Phillips for San
Rafael Mayor.
Freeman Public Affairs, Inc.
IND Mailer including
production and
6,473.00
0.00
0.00
6,473.00
fostage in opppposition
Ore Br-Mank
o for
San Ra ael Mayor.
Rutan & Tucker LLP
PRO
390.00
-390.00
0.00
0.00
Henry C. Levy & company
PRO
0.00
1,027.60
0.00
1,027.60
SUBTOTALS $ 13, 336.00 $ 637.60$ 5,054.00$ 8,919.60
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 666/ASK-FPPC (6661276-3772)
www.netfile.com
Schedule 1
T...... — ..A-* f.. iwi.
Sr.HFnI11 F I
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2012
through 06/30/2012
CALIFORNIA �• 1
•'
Page 198 Of 198
NAME OF FILER
San Rafael Police Association Political Action Committee
LD.NUMBER
831553
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
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. Unitemized increases to cash of under $100 this period ................. ... $ 0.07
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 $ 0.07
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
www.netfile.com