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HomeMy WebLinkAboutForm 460 - Police Association PAC (2013-06-30)Campaign
CoverPage
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of
election if applicable:
from o 1101 / 2 013 (Month, Day, Year)
1. Type of RecipientCamm......i
through 06j30/2013
ttee: AllCommittees - Complete Parts
ED Officeholder, Candidate Controlled Co , and 4.
0 State Candidate Election Committee mittee
Q Recall
0 Primarily Formed Ballot Meas ure
Quarterly Statement
Committee
(Also Complete Part 5)
0 Controlled
General Purpose Committee
0 Sponsored
0 Sponsored
(Also Complete Part 6)
Small Contributor Committee
Primarily Formed Candidate/
0 Political Party/Central Committee
Officeholder Committee
(Also Complete Part 7)
3. Committee Information
I.D • NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF No CO 8-2553
MMITTEE}
San Rafael Police Association Political
.Action Committee
J
1520 Fifth Avenue
CITY
STATE ZIP CODE
San Rafael AREA CODE/PHONE
01
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX (4 15) 485-300o
P.Q. Bax 152557
CITY
NATE ZIP CODE
San Rafael CA 94915-1557 AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
. I IILA YW U'-">ttU aii reasonable diligence in preparing and reviewingthis statement
under penalty of perjury under the laws of the State Cement and to the best of m
of California that the foregoing is true and correc
Executed on
D By
Executed on
By
Executed on
Date
Executed on
Date
i
., z
Page 1 of 190
For Official Use Only
4s
2. Type of Statement:
[3 Preelection Statement D N
g
Semi-annual Statement
Quarterly Statement
Termination Statement
Special Odd -Year Report
(Also file a Form 410 Termination)
El Amendment (Explain
Supplemental Preelection
Statement - Attach Form
below)
495
Treasurer(s)
NAME OF TREASURER
Ms. Beth Minka
MAILING ADDRESS
1520 Fifth Avenue
CITY
San Rafael,
STATE ZIP CODE
CA 94 9 1 AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
�415� 485-3{�t�p
5940 Calle e Avenue
CITY
STATE ZIP CODE
klan (- QA C-, AREA CODE/PHONE
y or
y .. ...... ... ...........
Satre of Coto �o�r, Candidate, State Measure I proponent
oat�re otC t�I� �o�e�-, Canate, State Mea
neat
true and complete. I certify
COO^ ---.. - FPPC Forrn AAA t � ...,-. � .� _•
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?
R YES � NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D.NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[:] YES NO
COMMITTEE ADDRESS STREET ADDRESS NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfile.com
CALIFORNIA
460
FORM
Page 2 Of 190
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION F1 SUPPORT
[:1 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 Can d idate/6ff1ce holder 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
F1 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
E] SUPPORT
[:1 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
Attach continuation sheets if necessary
FPPC Forrn 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
State of alio is
Campaign Disclosure Statement Type or print in Ink.
Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from 01/01/2013
SEE INSTRUCTIONS ON REVERSE through 06/30/2013 Page 3 of 190
NAME OF FILER I.D.NUMBER
San Rafael Police Association Political Action Committee 831553
Contributions Received
Column A
TOTAL THIS PERIOD
6. Payments Made .......................................................
Schedule E, Line 4 $
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ...........................................
Schedule A, Line 3
$ 14,767.88
2. Loans Received ......................................................
Schedule B, Line 3
0.00
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines i + 2
$ 14,767.88
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
5. TOTAL CONTRIBUTIONS RECEIVED ..........................
Add Lines 3 + 4
$ 14,767.88
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4 $
935.00
7. Loans Made .............................................................
Schedule H, Line 3
0.00
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6 + 7 $
935.00
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F, Line 3
0.00
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
0.00
11. TOTAL EXPENDITURES MADE ................................Add
Lines 8 + 9 + 10 $
935.00
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 31,918.77
13. Cash Receipts ................................................... Column A, Line 3 above 14 1767. 88
14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 117.02
15. Cash Payments .................................................. Column A, Line 8 above 935.00
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 45,868.67
ff this is a termination statement, Line 16 must be zero.
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00
Column B
CALENDAR YEAR
TOTALTO DATE
$ 14,767.88
0.00
$ 14,767.88
0.00
E.
14,767.88
$ 935.00
0.00
$ 935.00
0.00
0.00
$ 935.00
To calculate Column B, add I
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should
f-
. •. 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).
1 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/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
bcF1e{ ule A Type or print in ink.
SCHEDULE A
Utru
nnoil 'Cary Cao11trlbUtlom Received
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
F RM
SEE INSTRUCTIONS ON REVERSE
through 06/30/2013
Page 4 of 190
NAME OF FILER
San Rafael Police Association Political Action Committee
I.D. NUMBER831553
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)
01/01/2013 Elisha Adams
IND
Officer
16.80
218.40
❑COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:` anRafa
l Police Association 1520
Fifth .Avenue S
n Rafael C.A. 94901
01/15/2013 Elisha. Adams
IND
Officer
16.80
218.40
❑COM
C/o: San Rafael Police Association
[1OTH
1520 Fifth Avenue
[] PTY
Cit of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
01/31/2013 Elisha Adams
:;SCRafael
Police Association 1520
Fifth .Avenue San
Rafael C.A. 94901
®IND
Officer
16.80
218.40
COM
C/o: San Rafael Police Association
1520 Fifth Avenue
DOTH
City of San Rafael
San Rafael., CA 94901
0 PTY
Union member's dues received through intermedia
y:Q afa
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013 Elisha Adams
®IND
Of
16.80
218.40
M COM
C/o: San Rafael Police Association
1520 Fifth Avenue
DOTH
Cit of San Rafael
y
San Rafael, CA 94901
❑ PTY
Union member's dues received through intermedia
y:E `{R.afa
l Police Association, 1520
Fifth Avenue, Scan
Rafael, CA 94901
02/28/2013 Es a A ams
BIND
Officer
16.80
218.40
COM
C/o: San Rafael Police Association
QOTH
1.520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901.
❑ PTY
Union member's dues received throe h znterme i
: P;Zafa
l Police Association 152
Fifth Avenue San
Rafael CA 94901
SUBTOTAL $ 84.00
SIS' eau e A Summafy
. Amount received this period — itemized monetary contributions..
(Include all Schedule A subtotals.)........................................................................................................ 14, 597.09
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
170.79
IND—individual
Recipient..
(other
business entity)
PTY — Political Party
SCC — Small Contributor
FPPC Foran 460 (January/05
FPPC Toll -Free Helpline: $551AS1 -EPPC (8561275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (C{JNT)
IWI%0111Mmly %-0%J11L111,.r UL1W11* F%WLot:jVt:U AU11VUHlb may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
4 0
from 01/01/2013
b4w&
FORM
through - 06/30/2013
Page 5 of 190 -
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)
Officer
03/15/2013
Elisha Adams
rx-1 IND
R COM
16.80
218.40
C/o: San Rafael Police Association
r_1 OTH
.
1520 Fifth Avenue
San
F1 PTY
City of San Rafael
Rafael, CA 94901
membelLIg dues received throucfh interm!2dia-ry:L�l
Elisha Adams
F-1
SnRa.faeUnion
Police Association, 152Q
Fifth Avgnue, San
Rafagl, CA 94901
03/30/2013
[2 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
Elisha Adams
E; an �]SCQ Rafael
Police As
Association 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Rx IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
R PTY
Union member's dues received through intermediaxy:qa'nKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Elisha Adams
[21 IND
Officer
RCOM
16.80
218.40
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermediary:E;
SC
Rafaeanl
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
05/15/2013
Elisha Adams
®IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
[] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901of-,
Union member's dues received throjL�h intermediaAv:Q9P�
afae[I
Police Association, 15201
Fifth Avenue San
Rafael CA 9490�L
- - ----- SUBTOTAL$ 84.00
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
FPPC Form 460 Januar los)
FPPC Toll -Free Helpline: 866/ASI -FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
RA a
U"CLOFY Contributions meceliveo .Amounts may De rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/ 3 0/ 2013
Page 6 of 190
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
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)
218.40
05/31/2013
Elisha Adams
Fx_j IND
Officer
16.80
F-1 COM
C/o: San Rafael Police Association
[IOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs received -through intgrmediaxv:
SC
q an Rafae
l Police Association. 1520
Fifth Ave njje San
Rafael CA 94901
06/15/2013
Elisha Adams
Q IND
Officer
I
16.80
218.40
© COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
member's dues received -through intermedia-rv:
�zUnion
anafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Elisha Adams
BIND
Officer
16.80
218.40
F� COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
D
member's dues received through intermediazy:
qUnion anscRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Raul Aguilar
Fx� IND
Sergeant
16.80
218.40
QCOIVI
C/o: San Rafael Police Association
❑ OTH
1520 Fifth AvenueCity
of San Rafael
San Rafael, CA 94901
F-1 PTY
Union member's dues received through intermedia ry:qaSn"R'afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
01/15/2013
Raul Aguilar
FX -1 IND
Sergeant
16.80
218.40
F�COIVI
C/o: San Rafael Police Association
FLOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
lSan
Rafael, CA 94901
Union member's dues received through intermedia&:Q§P;,afa,eL
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 94901
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 84. 00
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)
RAo%aftgkf*ftwmz L.. . . &:........r. �r% — — — ! - — — —1 A_ ___ . _a
IWIV11111CWHY %-0W11L11UUL1V1`IIb MeGelVeU AMO is may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 7 of 190
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)
01/31/2013
Raul Aguilar
MIND
Sergeant
16.80--
218.40
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receiv!2d thrgugh interLnediaxy:
9 aCRa fael
P!21ice Associa:Lio—n, 1520
Fifth AvenLip., San
Rafae_1, CA 94901
02/15/2013
Raul Aguilar
F_x1 IND
Sergeant
16.80
218.40
�COIVI
C/o: San Rafael Police Association
❑ OTH
1520 Fifth AvenueCity
El PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received throuqh intermediarv:qan
:qan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Raul Aguilar
®IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermediaxy:qaSnKafael
Police Association, 1520
Fifth Aytnue, San
Rafael, CA 94901
03/15/2013
Raul Aguilar
®IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received throe intermedia zy:E;
I anSCRa.fae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Raul Aguilar
®IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:LAi9qZafaeE
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490E
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
im
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline:1 /ASI[-1=PPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
monetary UontrioutionS Kecelvea Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06Z30/2013
Page 8 Of 190 -
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)
04/15/2013
Raul Aguilar
RIND
Sergeant
16.80
218.40
El COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues rggeivgd through j_ntermediaxv:9aSCCn
Rafael
Pglice Association, 1520
Fif:Lh Aygnue. San
Rafael, CA 94901
04/30/2013
Raul Aguilar
EZ IND
Sergeant
16.80
218.40
T COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
_ISCQ�
Union member's dues received throucrh intermediaxv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Raul Aguilar
nx IND
Sergeant
16.80
218.40
FICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
anqsoRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Raul Aguilar
[Z IND
Sergeant
16.80
218.40
[-1 COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received throe intermedia xy:
an Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Raul Aguilar
nx IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia d
V: LAP�Zafaeli
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL$
84. 00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.* 866/ASIC-PPP{ (8661275-3772)
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06Z30/2013 Page 9 of 190
E
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)
06/30/2013
Raul Aguilar
®IND
Sergeant
16.80
218.40
F� COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth AvenueCity
F-1 PTY
of San Rafael
San Rafael, CA 94901
Unioi.11 member's dues receiyed through inter =d_ia-rv:1
Sad Ra ael
Police- Ass-!2ciation, 1520
Fifth Avenu . San
Rafael, CA 94901
01/01/2013
Anthony Augustyn
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throucrh intermediarv:an
TUnion� afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Anthony Augustyn
[3fl IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
M OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[-]
Union member's dues received through intermedia1V:E;a'nKafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Anthony Augustyn
[21 IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
El
Union member's dues received throu2h intermediary:E;I
S
CRafaeanl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Anthony Augustyn
BIND
Officer
16.80
218.40
DCOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe interme,di,a:dy:L-9,RiY;,afaeL
^ #-%
Police 'Alls'sociation, 152101
Fifth Avenue, S
Rafael, CA 94901
*Contributor Codes
IND — Individual
COM — Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
Small Contributor Committee
SUBTOTAL$
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)
M M .M1 a
monetary �onirwuvonS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA 460
from 01Z01/2013
FORM
through 06/30/2013
Page 10 Of 190
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)
02/28/2013 Anthony Augustyn
IND
Officer
16.80
218.40
F�COIVI
C/o: San Rafael Police Association
-
F1 O TH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediay-v:`man
Ra fael
Polig!2 Associatign. 1520
Fifth Avenue. San
Rafael, CA 94901
03/15/2013 Anthony Augustyn
[Z IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
-I
Union member's dues received through intermedia-rv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
03/30/2013Anthony Augustyn
®IND
Officer
16.80
218.40
[-]COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
❑
Union member's dues received through intermedia rv:qaSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
04/15/2013 Anthony Augustyn
[IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
GOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw intermediary:
E;anRfae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013 Anthony Augustyn
FX -1 IND
Officer
16.80
218.40
E]COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Gion member's dues received through intermedia&:[�§P;,afaeL
Police Association, 1.520
Fifth Avenue, S
n Rafael, CA 949011
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
SUBTOTAL 4 84.00
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
to whole dollars.
CALIFORNIA
460
from 01/01Z2013
FORM
t
through 06/30/2013
Page 11 Of 190
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)
05/15/2013
ltl,,y Augustyn
IND
Officer ,
16.80
218.40
Com
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qSCR
afael
Police Associatign, 1520
Fifth AveLiLig. San
Rafjjel, CA 94901
05/31/2013
Anthony Augustyn
rX INDOfficer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
_ISCQ�
Union member's dues received throe intermedia
:`man Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
06/15/2013
Anthony Augustyn
rx-1 IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
anqscRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Anthony Augustyn
FX -1 IND
Officer
16.80
218.40
© COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[�
Union member's dues received throe intermediary:
anSCRafae
Police Association, 1520
Fifth Avenue, San
Rafael-, CA 94901
01/01/2013
Blair Auld
EM IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
An
Union meer's dues received through intermedia
mbiv
: Q§P;�afaell
Police Association, 1520
Fifth Avenue,
Rafael, CA 9490L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
19f1f1___SA_1?_ 1(iK, III
SUBTOTAL'S
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
r:v't
Mi aw - a
MMOM M 07 n MOTAT I
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
I i F IrsMiM
through 06/30Z2013 Page 12 _ of 190
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)
01/15/2013
Blair Auld
[21 IND
Officer
16.80
218.40
E]COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union —migmberIg dues rgggived through intg1mgediazy:
aqSnCC Rafael
Polige Associalign, 1520
Fifth J�_ygnue, San
Rafsjgl, CA 24901
01/31/2013
Blair Auld
M IND
Office`
16.80
218.40
EICIM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
G
Union member's dues received through intermediarv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Blair Auld
®IND
officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:E;Rafael
anPTY
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Blair Auld
NX IND
Officer
16.80
218.40
nCOM
C/o: San Rafael Police Association
QQTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qaSnCCRaf ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Blair Auld
[MIND
Officer
16.80
218.40
nCOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
ollill
Union member's dues received through intermediady:Q
afae
Police Association, 1520
FifthAVenue, S
Rafael, CA 9490[L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
84.00
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.)
1V1V11VLdUy %ountrioutions meceivea Amounts may De rounded
Statement covers period
to whole dollars.
CALIFORNIA
4b0% -O
from 01/01/2013
FORM I
through 06Z30/2013
Page 13 of 190
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
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)
03/30/2013
Blair Auld
BIND
Officer
16.80
218.40
r-1 M
C/o: San Rafael Police Association
CO
F� TH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union mgmber's dues received through intgrm diary:
E;S
an CC Rafael
Police Assogiation. 1520
FiftLi Avgnue. San
Rafael, CA 94901
04/15/2013
Blair Auld
EZ IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia-rv:[SC
Q
;an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
04/30/2013
Blair Auld
[Z IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
M
Union member's dues received through intermediaxy:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Blair Auld
®IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
PTY
Union member's dues received through intermediary:
q(
:an` afael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 9490
05/31/2013
Blair Auld
BIND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
PTY
City of San Rafael
JUnion
San Rafael, CA 94901
member's dues received through intermedia dv:Q§P;�afaeli
Police Association, 1520,
Fifth Avenue, Sin
Rafael, CA 94901
...
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
tt'*41"aciWAn'
SUBTOTAL $ 84.00
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)
IVIV1111CL41y %-#V[1LU1L)U110"5 MeCeWeG Amounts may Do rounaeu_1111W
Statement covers period
to whole dollars.
CALIFORNIA 460
from 01/01/2013
FORM
through ---26/30/2013
Page 14 _ of 190 -
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
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)
06/15/2013
Blair Auld
MIND
Officer
16.80
218.40
F jCOIVI
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Unionmember'sdues received through intgrmedia zy:9
S
anCC Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA94901
06/30/2013
Blair Auld
Rx IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
]OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throucfh intermedia lv:qanSC
:qan Ql
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
James Bellamy
®IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
0
Union member's dues received through intermedia'rV:qaSnKafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
James Bellamy
BIND
Officer
16.80
218.40
EICUM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901❑
Union member's dues received through intermediary
E;S(
anC" afael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
01/:31/2013
James Bellamy
RIND
Officer
16.80
218.40
EICUM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediad
V: af aeL
Police Association, 1520,
Fifth Avenue, Sin
Rafael, CA 94901L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661275-3772)
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
through 06/30/2013 Page 15 - of 190
I.D. NUMBER
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)
02/15/2013 James Bellamy
BIND
Officer
16.80
218.40
T COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
UnionE;
_ member's dues received throjjgh Intermed
a�D
Rafael
Police Aggociatign, 1520
Fifth AvenLie, San
Rafael, CA— 94901
02/28/2013 James Bellamy
IND
Officer
16.80
218.40
r-1 com
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
_ISCQ�
Union member's dues received through intermedia iv:qan
I-Zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013 James Bellamy
MIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
M OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
sc(
member's dues received through intermediaiv:
q�Union
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013 James Bellamy
FX -1 IND
Officer
16.80
218.40
E]COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediary:EASnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013 James Bellamy
®IND
Officer
16.80
218.40
F]COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§P:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
UXPR,,
SUBTOTAL $ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/AS1 FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
M _ — - -
monAmounts may be rounded
monetary uontrwutionS Keceivea
Statement covers period
to whole dollars.
CALIFORNIA
4 bAft 0
from__01/01/2013
FORM
through 06Z30/2013
Page 16 _ of 190 -
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)
04/30/2013 Names Bellamy
rx-1 IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's Lies received through intelzmediazy:
qanRa fael
Police Assggialign, 1520
Fifth AvenLig, San
Rafael, CA 94901
05/15/2013 James Be . llamy
EZ IND
officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
:jSCC_
Union member's dues received through intermedia iv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013 James Bellamy
RIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCRafae
Union member's dues received through intermediarv:qanl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013 James Bellamy
[2] IND
Officer
16.80
218.40
ncom
L
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received throe intermediary:
an Rafae
Police Association, 1.520
Fifth Avenue, Sn
Rafael, CA 94901
06/30/2013 James Bellamy
RIND
Officer
16.80
218.40
F-1COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
jV:Q§i9(;,afaeL
Union member's dues received throuqh intermedia
Police Association, 1520,
Fifth Avenue, Sin
Rafael, CA 9490[L
Individual
COM — Recipient Committee
(other than PTY or SCC)
*TH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ I
84. 00
I
,OMEN
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
IND
W 9-9 2 a IL a Ina 9 W
1400
from 01/01/2013 FORM
*Contributor Codes
Individual
Recent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
--- ---- ----- A
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline., 866/ASK-FPPC (8661275-3772)
through 06Z30 /2013
1
Page 17 _ of 90
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)
01/01/2013
Todd Berringer
rx-1 IND
Corporal
16.80
218.40
F]COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
nion member's due ,!� received :Lhrough intelzmediazy:
qaCR
nafael
Police Association, 1520
Fifth .Avenue San
Rafael, CA 94901
01/15/2 013
Todd Berringer
[0 IND
Corporal
16.80
218.40
COM
C/o C/o: San Rafael Police Association
F1 OTH
1..520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedia-rv:qanl
:qan RafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Todd Berringer
[Z IND
Corporal
16 .80
218 .40
F] COM
C/o: San Rafael Police Association
R OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, C.A. 94901
Union member's dues received through intermediary:
�aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Todd Berringer
[Z IND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
[-] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:�
anSCR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Todd Berringer
rx-1 IND
Corporal
16.80
218.40
Ej COM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucfh intermediaj'V:Q§P;ZafaeL
Police Association, 1520,
Fifth Avenue, S
Rafael CA 949011
SUBTOTAL
_7777
84.00
*Contributor Codes
Individual
Recent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
--- ---- ----- A
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline., 866/ASK-FPPC (8661275-3772)
monetary t;ontnnutionS Keceive(j Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01Z2013
FORM
Page 18 Of 190
through 06/30/2013
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)
03/15/2013
Todd Berringer
rx-JIND
Corporal
16.80
218.40
® COM
C/c: San Rafael Police Association
Fj OTH
1520 Fifth AvenueCity
F� PTY
of San Rafael
San Rafael, CA 94901
Union mgmber's dues received through interm diary:qSC
Rafae nl
Po ice Asgociation, 1520
Fifth Avygeniie, San
Rafael, CA 94901
03/30/2013
Todd Berringer
[01ND
Corporal
16.80
218.40
F-1 Com
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
EISC
member's dues received through intermediaxy:
Rafaenion
;anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Todd Berringer
Fx_j IND
Corporal
16.80
218.40
El COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:
:`Tanl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Todd Berringer
IND
Corporal
16,80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
L_4 sc(�
Union member's dues received throe h intermediaiy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Todd Berringer
F IND
Corporal
16. 80
218 .40
ICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§PRafak
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490[L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
11,� #A if d *_ I I
SUBTOTAL$
84.00
FFP C 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 t;ontrioutionS Keceived Amounts may be rounded
Statement covers period
Im
to whole dollars.
CALIFORNIA
4 6 0
from 01/01/2013
FORM
through 06/3022013
Page 19 - Of 190 -
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)
05/31/2013
Todd Berringer
BIND
Corporal
16.80
218.40
❑COIVI
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;SCR
Union member -Is dugs received thizouoh int ermediaiv-
anafael
PQlice Aggociatign, 1520
Fifth Avenue, San
Rafael, CA 94_901
06/15/2013
Todd Berringer
RIND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:afael
�an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Todd Berringer
MIND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
s(�Union
member's dues received through intermedia ry:q
ancafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Geoffrey Bowker
rx-1 IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermediaiy:
`-"an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2023
Geoffrey Bowker
EZIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
EJOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§P:�afaeli
Police Association, 1520,
Fifth Avenue, SL
Rafael, CA 94901L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
Sf
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Type or print in ink. A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period -------SCHEDULE
to whole dollars. CALIFORNIA
460
from 01/01/2013 FORM
through 06Z30/2013 Page 20 of 190 -
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)
01/31/2013
Geoffrey Bowker
Fx-] IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
ion memberla dues receive throucfh iritermediayv:
qUnRafae
l Police Ass!2giation, 1520
Fifth .Avenue. San
Rafael, CA 94901
02/15/2013
Geoffrey Bowker
[Z IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermedia iv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Geoffrey Bowker
BIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
R OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaSn"Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Geoffrey Bowker
Fx] IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediary:
q(
an�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Geoffrey Bowker
RX IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
[_1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediadv:Q§P:�afaeL
Police Association, 1520,
Fifth Avenue, S
Rafael, CA 9490
SUBTOTAL -S
'77 77
84.00
*Contributor Codes
Individual
IND
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
........ . ... .... .........
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
monetary uontrloutionS Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460'!
from 01Z01/2013
FORM
through 06/30/2013
Page 21 of 190
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)
04/15/2013 Geoffrey Bowker
IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues regeived L—hrough Jinterm dia-rv:
an Rafael
Police Association, 1520
Fifth Lv_enue. San
Rafael, CA 94901
04/30/2 013 Geoffrey Bowker
[Z IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94.901
E
-
Limon member's dues received through intermediarv:
asnKafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013 Geoffrey Bowker
EZ IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[;
U
Linton member's dues received through intermedia
aSnl
V Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013 Geoffrey Bowker
nx IND
Off icer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
1SC(�Union
member's dues received throu h intermediary
-:; an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013 Geoffrey Bowker
[ZIND
Of f icer
16.80
218.40
nCOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
El PTY
City of San Rafael
,San Rafael, CA 94901
minion member's dues received throuqh intermedia�
V: LAP;,afaell
Police Association, 1.520
Fifth Avenue, S
n Rafael, CA 9490
Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
S_ 4Wd4j1_Jh - -
SUBTOTAL $ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpfine: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
.. A lmft, A an �w
ivionexary tponirwuvonS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
Page 22 _ of 190 -
through 06/30/2013
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)
06/30/2013
Geoffrey Bowker
rx-1 IND
Officer
16.80
218.40
Com
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union Lnember's dues received 1hrough intermediaxv:q
anSCRaf ael
Poligg Asgocialion. 152Q
San
FifthR01/01/2013
afael, CA 94901
Lynne Bracken
Fx_1 IND-Avgnue
Records Clerk
13.05
169.65
[]COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediaxv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Lynne Bracken
[5fl IND
Records Clerk
13.05
169.65
®COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
E;SC
an Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Lynne Bracken
nx IND
Records Clerk
13.05
169.65
nCOM
C/o: San Rafael Police Association[BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
El
member's dues received through intermedia -ry:
qUnion an scRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Lynne Bracken
[21 IND
Records Clerk
13.05
169.65
ncom
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia jV:Q§PCRafaeL
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490�
SUBTOTAL$
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
W-LOA1104-1
FPPC Form 460 (January/05)
FPLC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
monetary UontrlbUtlonS Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
from 01Z01/2013
FORM
through 06/30Z2013
Page 23 . of 190 -
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)
02/28/2013
Lynne Bracken
IND
Records Clerk
13.05
169.65
Q COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union membeLrls dues 12eggived through interm diaxv:Tang
Rafael
Police Asgociation, 1520
Fifth Lvyenue, San
Rafael, CA 94901
03/15/2 013
Lynne Bracken
IND
Records Clerk
13.05
169.65
❑COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
FIPTY
City of San Rafael
San Rafael, CA 94901
E]SCQ,
Union member's dues received throuqh intermedia rv:
;an Rafael
Police Association ,_ 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Lynne Bracken
[5d IND
Records Clerk
13.05
169.65
El COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:[;
anSCRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2 013
Lynne Bracken
-1 IND
Fx
Records Clerk
13.05
169.65
nCOM
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
(
Union member's dues received through intermedia ry:E;
anSC` afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Lynne Bracken
nx IND
Records Clerk
13.05
169.65
El COM
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediajv:Q
afaeli
Police Association, 1520,
Fifth Avenue, S�n
Rafael, CA 94900
-
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL$ 65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: AS -FPI (866/275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06/30/2013 1 Page 24 - of 190 -
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)
05/15/2013
Lynne Bracken
FX -1 IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union memberIg dues regeiLred throucth intermedia zy:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Lynne Bracken
IND
Records Clerk
13.05
169.65
COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
EI SCQ�
Union member's dues received through intermedia rv:
; an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Lynne Bracken
nX IND
Records Clerk
13.05
169.65
ncom
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[:;aSnCRafael
Union member's dues received through intermediary:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Lynne Bracken
Fxj IND
Records Clerk
13.05
169.65
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E�S(�
Union member's dues received through intermedia zy:
ancafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Michael Byers
FX -1 IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediady:Q§PRafaeli
Police Association, 1520,
Fifth Avenue, S
Rafael, CA 9490[L
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
SCC — Small Contributor Committee
SUBTOTAL$
69.00
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)
nnonezaty k;ontrimnonS Ke elves Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
t
through 06/30/2013
Page 25 of 190
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)
01/15/2013
Michael Byers
rx-1 IND
Corporal
16.80
218-.40
EICOM
C/o: San Rafael Police Association
MOTH
1520 Fifth AvenueCity
El PTY
of San Rafael
San Rafael, CA 94901
SCC
Union member's dues receivgd through intermediaxv:
qan Rafael
Police agsocia:Lion, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Michael ByersFZ
IND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
Ej OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
:J
Union member's dues received throw intermediaiv:SC
Rafaeanl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
02/15/2013
Michael Byers
IND
Corporal
16.80
218.40
❑COM
C/o: San Rafael Police Association
M OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through intermediazy:
anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Michael Byers
®IND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throu2h intermediazy:
E�Union
:`man Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Michael Byers
[E IND
Corporal
16.80
218.40
FICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediadv:Q§P:�afaeL
Police Association, 1520
Fifth. Avenue, S
n Rafael, CA 949011
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCG — S
SUBTOTAL$
84. 00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01Z01/2013
FORM
through 06Z30/2013
Page 26 _ of 190
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)
03/30/2013
Michael Byers
Fx_j IND
Corporal
16.80
218.40
F] COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs receiyed throucth iiiterm diarv:
qSCC
an Rafael
Police ssggiation, 1524
F'Avenue. San
Rafael, CA 94901
04/15/2013
Michael Byers
Fx_1 IND
Corporal
16.80
218.40
] COM
C/o: San Rafael Police Association
F] OTH
1.520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
DSC
member's dues received throuqh intermediarv:
RafaeUnion
;anl
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
04/30/2013
Michael Byers
®IND
Corporal
16.80
218.40
r-1 Com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermedia rv:[:-Sa'PRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Michael Byers
[Z INC}
Corporal
16.80
218.40
nCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
S(�Union
member's dues received through intermedia ry:E;
anCafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
45/31/2013
Michael Byers
®INC)
Corporal
16.80
218.40
nCOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediar1y:Q§P�ZafaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490
NJ -�l WWA F!
*Contributor Codes
Individual
COM — Reent Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
a
murveLairy %,ountriouxions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06Z30/2013
Page 27 of 190
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)
06/15/2013
Michael Byers
Rx IND
Corporal
16.80
218.40
F] COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth AvenueCity
F-1 PTY
of San Rafael
San Rafael, CA 94901
member's dues receive d through intermediary:
qUnion anR Rafael
Police Ass!2cia:Ljon, 1520
Fifth Avenue. San
Rafael, CA 94901
06/30/2013
Michael Byers
FZ IND
Corporal
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
ROTH
1520 Fifth AvenueCity
F� PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received throu-gh intermediarv:q71SCan
Q, Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Shelly Cade
[5fl IND
Dispatcher
13.05
169.65
[:]COM
C/o: San Rafael Police Association
F� OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
F-1
Union member's dues received through intermediary:
E;S
anCRafae'
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
01/15/2013
Shelly Cade
IND
Dispatcher
13.05
169.65
COM
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
E; anSC(� afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490�
01/31/2013
Shelly Cade
FX -1 IND
Dispatcher
13.05-
169.65
FCOIVI
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
[6nion
San Rafael, CA 94901
member's dues received through intermedia jv:[AP:�afaeL
Police Association, 1520
Fifth Avenue, An
Rafael, CA 9490[L
ii III
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
72.7S-10,00MENEEM
FPPC Form 460 (January/06)
FPPC Toll -Free Helpfine: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
monetary t;ontrioutlonS Kecelve(j Amounts may be rounded
Statement covers period
to whole dollars.
ow A
from 01/01/2013
through 06/30/2013
Page 28 _ of 190
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)
02/15/2013 Shelly Cade
MIND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
R OTH
-
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union mgmberlg dues receivgd through intgrm diary:E;
an Rafae
!Qlice Agsociation, 1520
Fifth Avyenue. San
Rafael, CA 94901
02/28/2013 Shelly Cade
MIND
Dispatcher
13.05
169.65
F-1 COM
C/o: San'Rafael Police Association
[LOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013 Shelly Cade
Fx_j IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedia ry:[�
�Union
anSoafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013 Shelly Cade
Fxj IND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
(�
Tanafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA94901
04/1S/2013 Shelly Cade
RIND
Dispatcher
13.05
169.65
El COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901 -
.Union member's dues received through intermediaijy:Q§Ff(;,afae1l
Police Association, 1520,
Fifth Avenue, Sin
Rafael, CA 949011
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 6 5 2" S
FFP C Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A
to whole dollars.
from 01/01/2013
through 06/30Z2013
Page 29 . of 190
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)
04/30/2013
Shelly Cade
r_xj IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermed' axv:qaSnCCRafae1
Police Assogiation. 1520
Fifth Ave ue. San
Rafael, CA 94901
05/15/2013
Shelly Cade
[ZIND
Dispatcher
13.05
169.65
RCUM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
MSCQ_
Union member's dues received through intermediarv:--san
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Shelly Cade
MIND
Dispatcher
13.05
169.65
EICUM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Shelly Cader_xj
IND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
�an�afaeUnion
member's dues received through intermediary:l
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Shelly Cade
[21 IND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia dy:QW:�afaeL
Police Association, 1520,
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661ASK-FPPC (866/275-3772)
4^1k
• Ak liffiTMIM Miwli
t reTAT I
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01Z01/2013
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
t
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/276-3772)
through 06/30/2013
Page 30 _ of 190
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)
01/01/2 013
Joseph Camins
IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
qSnR
Unionmembe22'a dues received through intejZLn diazy:
afael
Poligg Association, 1520
Fifth Avenue. San
Rafagl, CA 94901
01/1-5/2013
Joseph Camins
rx-1 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E -I
Union member's dues received through intermediary:
; anSCRa.fael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Joseph Camins
BIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
_1
Union member's dues received through intermedia ry:`-San
Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Joseph Camins
Fxj IND
Of f icer
16.80
218.40
El COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received through intermedia ry:�
aRafaenl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Joseph Camins
nx IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia jV:Q§19(;zafae�
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901L
SUBTOTAL $
7777771'',
84.00
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
t
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/276-3772)
Monetary GontribUtions Received Amounts may be rounded
Statement covers period '
to whole dollars.
CALIFORNIA 460
from 01/01/2013
FORM
through 06234Z2013
Page 31 . of 190 -
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)
03/15/2013 Joseph Gamins
❑IND
Officer
16.80
218.40
CO
F -1M
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's LiLies received through i diary:
Rafael
qanntgrm
Police Association, 1520
Fift-ja ALrenue. San
Rafael, CA 94901
03/30/2013 Joseph Gamins
RIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediarv:
�aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013 Joseph Camins
N IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
[�
Union member's dues received through intermediary:JSHCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013 Joseph Camins
FX -1 IND
Of f icer
16.80
218.40
r-1 com
C/o: San Rafael Police Association
EJOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, C.A. 94901
��Union
member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013 Joseph Gamins
nx IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermedia xly:Q§P:�afaeL
Police Association, 1.524
Fifth Avenue, S
Rafael, CA 9494
Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASI' -FPLC (8661275-3772)
bAft
chedule 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 01201/2013
FORM
through 06/30/2013
Page 32 of 190
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)
0-5/31/2013
Joseph Camins
MIND
Effacer
16.80
218.40
F] COM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member'qSCC
s dues received through int-grm, diary:
an Rafael
Police A-sgociation, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Joseph Camins
Fx_j IND
Officer
16.80
218.40
0 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
�]_
Union member's s dues received through intermediarv:
qanSccRaf ael
Police Association.,_ 1520
Fifth. Avenue, San
Rafael CA 94901
06/30/2013
Joseph Camins
M IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
[� SC
Union member's dues received through intermediaiv:
an Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
David Casalnuovo
®IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[�
Union member's dues received through intermediary:
anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
David Casalnuovo
nx IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia jV:Q§9CZafaeil
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL,P
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
MHEAUMULEMEM
7
Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee I
- -- ------------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-1~PPC (8661275-3772)
through 06/30/2013
n Ij
Page O.D of 190
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)
01/31/2013
David Casalnuovo
IND
Officer
16..80
218.40
F-1 COM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
meMbgr's dues receiypd :LLirough intejzmdiaxy:
�ancUnion
Rafael
Policg Aasociation, 1520
Fifth Aygnue. San
Rafael, CA 94901
02/15/2013
David Casalnuovo
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Q_Union
member's dues received through intermediaxJ
;an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
David Casalnuovo
RIND
Off icer
16.80
218.40
RCOM
C/o: San Rafael Police Association
0TH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[;Union SC
member's dues received through intermedia rv:
an Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
David CasalnuovoFX-1
IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PT)(
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through iintermediayy:
aSnCR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
David Casalnuovo
EZ IND
Officer
16.80
218.40
EICUM
C/o: San Rafael Police Association
RUTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901'L
' t_CZafael
'
Union meer's dues received through intermedia
mblly:L4gly
Police Association, 1520
Fifth Avenue, S�n
Rafael, CA 94901L
SUBTOTAL. w
84.00
7
Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee I
- -- ------------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-1~PPC (8661275-3772)
a I I ki!
ViRrOT17-:11IN9 P*ago 0
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
99MMERINKNEW
through 06/30/2013 Page 34 _ of 190
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 AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
'CONTRIBUTOR
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
David Casalnuovo
04/15/2013
[21 IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
a�CUni
on mgmber's dues rgceiygd through intermdiazy:
n Rafael
Police Association, 1520-Fiflh.Avenue.
San
Rafagl, CA 94901
04/30/2013 David Casalnuovo
®IND
Off icer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:
`Tan afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013 David Casalnuovo
[3fl IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[-] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
TanUnion Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2 013 David Casalnuovo
[IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue ,
El PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia r
:Tan afael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013 David Casalnuovo
BIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
IPTY
City of San Rafael
San Rafael, CA 94901
Union meer's dues received throe intermedia
mbdy
:afaell
L -Ar 9(,
Police Association, 1520
Fifth Avenue, S�n
Rafael, CA 949011
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL
FPPC Form 460 (January/05)
1= SPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 35 Of 190
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)
06/30/2 013
David Casalnuovo
IND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
sc
member's dues received. through intermediary:
qUnion Ra fael
Police Assgciation, 1520
Fifth Avenug, San
Rafael, CA 94901
01/01/2013
Allan Castaneda
IND
Officer
16.80
218.40
❑COM
C/o: San Rafael Police Association
]OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received throe intermediarv:
Rafaeqanl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Allan Castaneda
N IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xV:E;dSnCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Allan Castaneda
®IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth AvenueCity
F-1 PTY
of San Rafael
San Rafael, CA 94901
;an
Union member's dues received through intermediary:
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Allan Castaneda
®IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediajy:Q§iP�ZafaeL
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 94901l
ii LOW fill �46 W ff, I
Individual
COM — Recipient Committee
(other than PTY or SCC)
*TH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $ 8 4 0 0 1111111111111011101111111111
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers periodimm�
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 3 6 . of 190
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
C U M U LATIVE 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)
02/28/2013
Allan Castaneda
Fx IND
Officer
16.80
218.40
F 1COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's des received throe inntermediaxv:ganSC
Rafae
l Police Association, 1520
Fifth Avenue. San
Rafael, CA. 94901
03/15/2013
Allan Castaneda
RIND
Officer
16.80
218.40
1
C/o: San Rafael Police Association
❑COM
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
SCQ_
Union member's dues received through intermediarv:[;an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Allan Castaneda
[Z IND
Officer
16.80
218.40
000M
C/o: San Rafael Police Association
0TH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediaxv:
TanGUnion
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Allan Castaneda
[Z IND
Of f icer
16.80
218.40
ncom
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue0
PTY
City of San Rafael
San Rafael, CA 94901
(
Union member's dues received through intermediary:[;
:` -Baan �afae
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Allan Castaneda
®IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia jV:afae1i
Police Association, 1.520
Fifth Avenue, S
Rafael, CA 9490L
Tontributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Iwo
INVATI"5*91=101M
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06/30/2013 1 Page 3 7 . of 190
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)
05/15/2013
Allan Castaneda
r_X1 IND
Officer
16.80
218.40
F-1 Com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
qSCC
Union member's dugs received through intg1m diary:
an Rafael
Pglice Associatign. 1520
Eifth venue San
Rafael, CA 94901
05/31/2013
Allan Castaneda
FX_1 IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OATH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
[�SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Allan Castaneda
nX IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
[;(�
Union member's dues received through intermediaiv:
anSCafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Allan Castaneda
r_x1 IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia ry:`—San
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Edward Chiu
FX_1 IND
Officer
16.80
218.40
[]COM
C/o: San Rafael Police Association
OTH
11520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901L4§P;,
lUnion
F--1
member's dues received through intermedia d
V: .f a
I -Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490�l
*Contributor Codes
IND—individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
19r1G____19nU2jW10 i'llf dbj1tnLr1ft1U_1ULffe2ft_
SUBTOTAL$ 84.001
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-1=PPC (8661276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
monetary Uonirmutions t eceivecl Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/3OZ2013
Page 3 8 _ of 190 -
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
C U M U LATIVE 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)
01/15/2013
Edward Chiu
Rx IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth AvenueCity
F1 PTY
of San Rafael
San Rafael, CA 94901
SC
nion member's dues receivgd throuQh iLitermediarv:
Raf
qaael
Police Asgociatign, 1520
Fifth Aygnue, San
Rafael, CA 94901
01/31/2013
Edward Chiu
[21 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
_1 SCQ_
Union member's dues received through intermedia rv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Edward Chiu
IND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
[;anl
member's dues received through intermediary:
�afaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Edward Chiu
FX -1 IND
Officer
16.80
218.40
F]COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
E; anRafa.el
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Edward Chiu
IND
Officer
16.80
218.40
COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
0 San Rafael, CA 94901
nion member's dues received through intermediajy:Q§P:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94900-
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —
'77
SUBTOTAL$
84.00
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 Uon rioutionS Keceivea Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/3OZ2013
Page 39 of 190
NAME OF FILERC
M
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,, LSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF -EMPLOYE©, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2 013
Edward Chiu
rxj IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union Membej:ls dues received thrLi
rogh in1ermediaxv:
qac
Police Ass!2ciation, 1520
Fifth Avyenue. San
Rafael, CA 94901
04/15/2013
Edward Chiu
nx IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throuah intermediaiv:l
ganRafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Edward Chiu
rx-1 IND
Officer
16.80
218.40
EI❑COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:
�aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Edward Chiu
BIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received intermediaxy:
Ra.faethrough
anl
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
05/:31/2013
Edward Chiu
nx IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia d
V: afaell
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 94900,
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SUBTOTAL $
84. 0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661ASK-FPPC (866/276-3772)
through 06/30/2013
Page 40 _ of 190
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)
06/15/2013 Edward Chiu
IND
Of f icer
16.80
218.40
COM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inter mediazy:[;aSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013 Edward Chiu
Fx_1 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
EIOTH
I520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
-I
Union member's dues received through intermedia rv:qanSC
Rafael
Police Associatiog, 152,0
Fifth Avenue, San
Rafael, CA 94901
01/01/2013 Robert Cleland
[5fl IND
Officer ,16.80
218.40
T COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
ITdSnRafael
Union member's dues received through intermediary:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013 Robert ClelandFX-1
IND
Officer
16.80
218.40
F1 Com
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:[;
anSoRafae
Police Association, 1520
Fifth Avenue, Si:,:.n
Rafael, CA 94901
01/31/2013 Robert Cleland
[21 IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw intermediar1y_L.Q§Ff(:�afae5_
Police Association, 1520,
Fifth Avenue, S�n
Rafael, CA 94901L
SUBTOTAL -S
8 4 0 0
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661ASK-FPPC (866/276-3772)
• Ire
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 41 . of 190 -
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)
02/15/2013
Robert Cleland
❑IND
Officer
16.80
218.40
r-1 com
C/o: San Rafael Police Association
®OTH
1520 Fifth Avenue
F1PTY
City of San Rafael
San Rafael, CA 94901
R
Union member's diies rggeived through intgrm diaxy:E;aSnCafael
Police Aggggiation, 1520
Fifth venue San
Rafael, CA 94901
02/28/2013
Robert Cleland
]IND
Fx
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
TOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
C Q_
Union member's dues received throucrh intermediaxv:qan
:qan Kafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Robert Cleland
[Z IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
C_Union
member's dues received through intermediaxy:
Tan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Robert Cleland
M IN
Of f icer
16.80
218.40
ncom
C/o: San Rafael Police Association
FIOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received threw intermedia ry:E;aSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Robert Cleland
ZINC)
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
.
1520 Fifth Avenue
PTY
City of San Rafael
.San Rafael, CA 94901
lUnion member's dues received through intermedia
&:Q§P:RafaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
----------------------------
SUBTOTAL$ 834. 00
FPPC Form 460 (January/05)
FFP C Toll -Free Helpline.- 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
nnoneiary k;on1nDuVonS Kecelvecl Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06Z3OZ2013
Page 42 _ of 190 -
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)
04/30/2013
Robert Cleland
r_xj IND
Officer
16.80
218.40
r_1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:
qanRa fael
Eolice Association, 1520
Fifth Avenue. San
Rafael, CA 94901
05/15/2013
Robert Cleland
BIND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw .intermedia -rv:qanSC
Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Robert Cleland
xIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
r ISKafael
Union member's dues received through intermediay-V:L-Aan
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Robert Cleland
[ffl IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
E; anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Robert Cleland
FIND
Officer
16.80
218.40
E]COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
1Union
San Rafael, CA 94901
member's dues received through intermediady:Q§P:�afak
Police As-sociation, 1520
Fifth Avenue, S
Rafael, CA 9490�L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASI -FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 43 _ of 190 -
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)
01/01/2013
Christopher Coale
Fx� IND
Sergeant
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
r -j PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediary:
qSCC
an Rafael
Pog Aasociation, 1520
Fifth Avg ue. San
Rafael, CA 94901
01/15/2013
Christopher Coale
[Z IND
Sergeant
16.80
218.40
El COM
C/o: San Rafael Police Association
[] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Christopher Coale
[Z IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:�anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Christopher CoaleFX-1
IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
1.520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[�JsnRaf
Union member's dues received through intermediary:
ael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
02/28/2013
Christopher Coale
FX_1 IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xIy:QW;,afae[L
Police Association, 1520,
Fifth Avenue, S
Rafael, CA 94900.
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
C1 J_LGD11krRhWnLC_Q1"[riA'fte_
SUBTOTAL$ 84.00
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Aft
zschedule A (Continnuation Sheet)
111�� 111111111111111 1
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460'�i
from 01/01/2013
FORM
t
through 06/30Z2013
Page 44 of 190
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)
03/15/2013
Christopher Coale
IND
Sergeant
16.80
218.40
F] COM
C/o: San Rafael Police Association
❑OTH
1.520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
qaCCUnion
member's duesreceived throligh intelmediazy:
n Rafael
Police ss dation 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Christopher Coale
FX_1 IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuqh intermediaxv:
;an Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Christopher Coale
[Z IND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:
Taan Kafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Christopher Coale
[2] IND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑OTH
1.520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
So
Union member's dues received through intermedia xy:Tanl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Christopher Coale
®IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member I s dues received through intermedia dv:
Q§P:�af aell
Police Association, 1520
Fifth Avenue, S
n Rafael CA 9490L
Aftl AV%-VWA-1k-WWA I A*
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
A, Ab Ak a
•
fop
FORM
from 01/01/2013
-- - ---------
through 06Z30/2013 Page 45 of 190
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)
05/31/2013 Christopher Coale
®IND
Sergeant
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's _d1jes received through intermediazy:qaSnKafael,
Police Association, 1520
Fifth AvenLie. San
Rafa!21, CA 94901
06/15/2013 Christopher Coale
[j] IND
Sergeant
16.80
218.40
r_1 COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
fl%fl%
Union member's dues received through intermediarv:[;aSn""'Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013 Christopher Coale
®IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
G
Union member's dues received through intermedia-rv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013 Lori Coen
FRI IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediary:
TaanKafael
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 94901
01/15/2013 Lori Coen
[EIND
Records Clerk
13.05
169.65
El COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
QiY g"';,af aeL
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 94901
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
76.50
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661A-FPPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
6:101 z 1:1 111im MOKMEW
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS -FPI' (866/275-3772)
through 06/30/2013
Page 46 of 190
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)
01/31/2013
Lori Coen
Fx1 IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
C
Union mgmh2r1s dues received throe intermedict
qSCRafael
Police Ags!2ciation, 1520
Fifth Avenjag, San
of el CA_ 94901
02/15/2013
Lori Coen
[0 IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received throuqh intermedia yv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Lori Coen
®IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
�Union an Rafae
Police As'sociation, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Lori Coen
nx IND
Records Clerk
13.05
169.65
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
:
Union member's dues received throw intermedia xy:`-San
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Lori Coen
nx IND
Records Clerk
13.05
169.65
F]COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw intermedia
&:E:�§191;'afae�
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAI-w
65.25
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS -FPI' (866/275-3772)
Monet" ry Contributions Receiv d Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46 0
from 01/01/2013
FORM
through 06/30/2013
Page 4? . of 190
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)
04/15/2013
Lori Coen
IND
Records Clerk
13.05
169.65
F] COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
T PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues rgcgived through jntermediary:qaSnCCRafae1
Police Asgggiation. 1520
Fifth Aven—ue, San
Rafagl, CA 94901
04/30/2013
Lori Coen
[0 IND
Records Clerk
13.05
169.65
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:panCR
af ael
Police Association 1520
P ation,Union
Fifth Avenue San
Rafael, CA 94901
05/15/2013
Lori Coen
BIND
Records Clerk
13.05
169.65
MCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
_1G_
Union member's dues received through intermedia ry:E
;anSCxafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Lori Coen
r_xj IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member I s dues received throe throe intermedia xy:
4aSnKaf ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Lori Coen
[IND
Records Clerk
13.05
169.65
COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
'mbd
y:QP :�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9494
U7 , 7 "'77'rr47
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
1 OTH — Other (e.g., business entity)
Political Party
Small Contributor Committee
MEN,
SUBTOTAL$
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8£f/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2013
through 06Z30Z2013
pale 48 of 190
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)
06/30/2013
Lori Coen
F-xl IND
Records Clerk
13.05
169.65
F]COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intgrmediazy:
qSCC
gn Rafael
Police Association, 1S20
Fif:Lh Av San
Rafael, CA 94901
01/01/2013
Eric Cogbill
IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:qan
:qan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Eric Cogbill
[Z IND
officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:`man
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
01/31/2013
Eric Cogbill
FX -1 IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
nOTH
CitV of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Eric Cogbill
nX IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia rly:Q§19CRafae�
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
511'13TE)TAL $
80.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
ri : � M111111111 ;I;
MonetaIny Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2013
through 06/30/2013
Page 4 9 of 190
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)
02/28/2013
Eric Cogbill
rx-1 IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
E4SCC
Uni
II EMWWjL0 MORIM z WRM mt T: I Rz.
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
F I Y — Political Party
S C C — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06Z30Z2013
Page 50 - Of 190
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)
05/15/2013
Eric Cogbill
Ti IND
officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union memberIg dues received through intgjm diary:
qSCC
an Rafael
Police Association, 1520
Fifth AyygnLae, San
Rafael, CA 94901
05/31/2013
Eric Cogbill
E IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
Ej OTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
71
Union member's dues received through intermedia ry:E
;anSCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Eric Cogbill
®IND
Officer
16.80
218.40
M COM
C/o: San Rafael Police Association
F_� OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received through intermedia rv:
an Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Eric Cogbill
FRI IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
E�SC
Union member's dues received throu2h intermediary:
anR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Ryan Cogbill
FX -1 IND
Corporal
16.80
218.40
� COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
';,afaeli
Union meer's dues received throuintermedia
mbqh dyiY
:QY"
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL
7`777"" 77-77
77
'7 777777
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
F I Y — Political Party
S C C — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
�aej W 1:4 oil] I juj��
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/A-FPPC (8661275-3772)
through 06/30/2013
Page 51 - Of 190
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)
01/15/2013
Ryan Cogbill
RIND
Corporal
16.80
218.40
F] COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's diies receiygd throuc-th i.Utgrm diary:
qSCC
an Rafael
Police Aggogiation.
1520
Fif1ja Avenue San
Rafagl,
CA 94901
01/31/2013
Ryan Cogbill
nx IND
Corporal
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:14anSC
_
Rafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2013
Ryan Cogbill
[Z IND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia ry:1:�
anSCafael
Police Association,
1520
Fifth Avenue, S
Rafael,
CA 94901
02/28/2013
Ryan Cogbill
Fxj IND
Corporal
16.80
218.40
F1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
(
Union member's dues received throw intermedia ry:1:;
anSC` afael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
03/15/2013
Ryan Cogbill
nx IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarlv:Q§P:.afaeL
Police Association,
1520
Fifth Avenue, S
n Rafael,
CA 9490L
SUBTOTAL$
84 .00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/A-FPPC (8661275-3772)
11111111q,
Monetalany Contributions Received Amounts may be rounded
Statement covers period
limb,
to whole dollars.
LIFORNI
CAA
46U
from 01/01/2013
FORM
through 06/30/2013
Page 52 _ of 190
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)
03/30/2013
Ryan Cogbill
rx-1 IND
Corporal
16.80
218.40
FICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe crh 'rater mediaxv:q5SjnCCRafael
P!21i!g!-e Aggogiat_joLi, 1520
Fifth Avenue . San
Rafael, CA 94901
04/15/2013
Ryan Cogbill
r-xl IND
Corporal
16.80
218.40
FICOM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
71SCQ�
Union member's dues received through intermediaiv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Ryan Cogbill
[INC}
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
PTY
city of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:EI
anSCRafae
lPolice Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
05/15/2013
Ryan Cogbill
IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
F1 OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
S
Union member's dues received through intermedia ry:�
anCR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Ryan Cogbill
nx IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received through intermediarly:QPRafaeli
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
1`77" 777,
7' 7
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
SCC — Small Contributor Committee
11 1 W i IN WE I IN I i
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
11111 111 111111
0 MAI I U
MonetaContributionReceived Amounts may be rounded
ry s
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 53 of 190 -
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/lS/2013
Ryan Cogbill
N IND
Corporal
16.80
218.40
F-1 Com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F-1 PTY
❑
City of San Rafael
San Rafael, CA 94901
Union member's awes received thrg_ugh intgrmediazy:
anqSCRaf ael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
06/30/2013
Ryan Cogbill
Fx_j IND
Corporal
16.80
218.40
F] COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
'City of San Rafael
San Rafael, CA 94901
F-ISCQ_
Union member's dues received through intermedia rv:qan
xafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Thomas Collins
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:E;aSnKafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Thomas Collins
r_xj IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F� 4TH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
L-4
L-45SnRafael
member's dues received through intermediary:
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Thomas Collins
[21 IND
Officer
16.80
218.40
F�COIVI
C/o: San Rafael Police Association ation
[:] OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermediadv:Q§P:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
S -r- �r_ WijiWil
SUBTOTAL$ *4 0 0
FPPC Form 460 Januar /05
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06/30/2 13 Page 54 _ of 190
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2013
Thomas Collins
FX_1 IND
Officer
16.80
218.40
F� COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael -
San Rafael, CA 94901
Union member's dues receiygd th—rQucth interm, diazv':q
aSnCRa fael
Policg AgggciatiQLI, 1520
Fifth Avenug. S
n Rafael, CA 94901
02/28/2013
Thomas Collins
[Z IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
�anUnion afael
Police Association, 1520
Fifth Avenue, Sc"'n
Rafael, CA 94901
03/15/2013
Thomas Collins
FIND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:[;anSC
Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Thomas Collins
FRI IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received intermediary:
anl
�afaethrough
Police Association, 1520
Fifth Avenue., San
Rafael, CA 94901
04/15/2013
Thomas Collins
nx IND
Officer
16.80
218.40
[:] COM
C/o: San Rafael Police Association
n OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
QP;,
mb
Union meer's dues received through intermedia ry
: 9'iafaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490�
SUBTOTALIS
11 7!111/11"'_
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPI C (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2013
through 06/30/2013
Page 55 of 190
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)
04/30/2013
Thomas Collins
IND
Officer
16.80
218.40
[]COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue .
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues rgceived through inter medict zy:
qscRaf
anael
P!Qlice Association, 1520
Fifth A—v!Qnu-e, S
n Rafael, CA 94901
05/15/2013
Thomas Collins
HIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
rjOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
[�Sc(�
Union member's dues received through intermedia rv:
Rafael
Police Association, 1520
Fifth Avenue ff San
Rafael, CA 94901
05/31/2013
Thomas Collins
BIND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Thomas Collins
[IND
Officer
16.80
218.40
®COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
qUnion
member's dues received through intermediayy:
anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Thomas Collins
FIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
[_1 OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
afaeL
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9490k
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
_111g; !1111 e i i l�! 1 1 1 l�il l�i liiiii�ii " Oil imim��ijjjli: iiiiii , 11
.51BT0TAL$ I i
84. 00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Oft
Schedule A (Continuation Sheet)
Monetary Contributions Receiv&f_
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 01/01/2013
through 06Z30Z2013 Page 56 _ of 190
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/01/2013
Antonette Cook
rX-1 IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union meMhgr1g dues received throe gh intgrmedia zy:
qSCC
an Rafael
Pglice Association, 1520
Fifth Ave iiue, San
Rafael, CA 94901
01/15/2013
1�
Antonette Coo,
IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
r] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throe intermedia rv:ql
anRafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Antonette Cook
[Z IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
1:�S
Union member's dues received through intermediaiv:
anCRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Antonette Cook
Fxj IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SoRafae
Union member's dues received throe intermediaxy:
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Antonette Cook
BIND
Dispatcher
13.05
169.65
®CCDM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediady:Q§P:�afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
65.2S
7
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
I OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/3OZ2013
Page 57 _ of 190 -
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)
03/15/2013
Int,nette Cook
IND
Dispatcher
1.3.05
169.65
EICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received t1algilgLi interm diazy:
an afael
Police AEigggiation . 1520
Fifth Aven1je, S
R_afael, CA 94901
03/30/2013
Antonette Cook
[Z IND
Dispatcher'
13.05
169.65
El COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
iqsc(�
Union member's dues received throe intermedia iv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Antonette Cook
[Z IND
Dispatcher
1 - 3.05
169.65
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:[;dSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Antonette Cook
FX -1 IND
Dispatcher
13.05
169.65
COM
C/o C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Tan (�
Union member's dues received through intermediary:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/l5/2013
Antonette Cook
®IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
n OTH
City of San Rafael
1.520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediar1V:Q§P;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL$
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC(866/275-3772)
, 0 IR -10 kiff a, ^
Type or print in ink. -
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC) 1
OTH — Other (e.g., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30Z2013
Page 58 _ of 190
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)
05/31/2013
Antonette Cook
Fxj IND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
SCRion
Membgrls dues 22ec�ivedthrough intgrm diary:
afael
Police Association, 1520
Fifth kvgnuge. S
n Ra el CA 94901
06/15/2013
Antonette Cook
RX IND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[;Union SC
member's dues received through intermediarv:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
06/30/2013
Antonette Cook
®IND
Dispatcher
13.05
169.65
F1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
city of San Rafael
San Rafael, CA 94901
S C G
Union member's dues received through intermediary:
Tan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Jaime Correa
IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[;(�
Union member's dues received through intermediary:
anSCafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Jaime Correa
FX -1 IND
Sergeant
16.80
218.40
[:] COM
JC/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iIv:Q§i9(;,afaeL
Police Association, 1520,
Fifth Avenue, S
Rafael, CA 94901
SUBTOTAL $
777
72.75
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC) 1
OTH — Other (e.g., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A {CONT.}
Monetary Contributions Received Amounts may be rounded Statement covers period �
to whole dollars. / !
i
from 01/01/2013
through 06/30/2013 Page 59 of 190
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
D. NUMBER}
(IF COMMITTEE, ALSO ENTER I.D.ODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
{IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2013
Jaime Correa.
0 IND
Sergeant
16.80
218.40
[`] COM
C/o: San Rafael. Police Association
❑ OTH
1520 Fifth Avenue
T PTY
City of San Rafael
San Rafael, CA 34901
member's dues received t ou h 'nter edi
qSCCUnion
:an Rafael
Police .Association 1520
Fifth _Aygnue. San
Rafael, CA 9490
02/15/2013
Jaime Correa
RIND
Sergeant
16.80
218.40
COM
C/o: San Rafael Police Association
T OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
7
Union member's dues received throe h intermedia
:`Tan Rafae
Police Association 1520
Fifth Avenue San
Rafael CA 9490
02/28/2013
Jaime Correa
T IND
Sergeant
16.80
218.40
COM
C/o: San Rafael Police Association
❑ OTH
1.520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:qaSnCRafael
Police Association 1520
Fifth Avenue San
Rafael CA 9490
03/15/2013
Jaime Correa
X IND
Sergeant
g
16.80
218.40
❑ COM
C/o: San Rafael. Police Association
❑ OTH
City of San Rafael
1.520 Fifth Avenue
O PTY
San Rafael, CA 94901
qaSnRaf
Union member's dues received through intermediary:
ae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94.90
03/30/2013
Jaime Correa.
T IND
Sergeant
16.80
218.40
r-1 Com
C/o: San Rafael. Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
T PTY
San Rafael, CA 94901��
Union member's dues received. through intermedia
: afae
Police Association 1520
Fifth Avenue S
n Rafael CA 9490
SUBTOTAL.$
84.00
Codes
IND — Individual
Com Recipient
(other than PTY or
OTH — Other • business entity)PTY — Political .,
Small Contributor
4 J
FPPC Fort 460(January/05)
#=PPC Toll -Free Helpline: 866/ASK-FPPC 866/276-3772
It 1�ffl - NMI
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 60 of 190
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)
04/15/2013
Jaime Correa
Fx_j IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
qaCRa
Union member's duesregeivedthrough intermedia-rv:
nfael
Police Aggociation, 1520
Fifth Ayenue. San
Rafael, CA 94901
04/30/2013
Jaime Correa
[Z IND -
Sergeant
16.80
218.40
Q com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermedia"ry:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Jaime Correa
[Z IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
FlOTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:E;dSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Jaime Correa
[ffl IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
qsf,%f%
Union member's dues received through intermediary:
J%"tafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Jaime Correa
FX -1 IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
F1 OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia dv:Q§iV
afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Commiffee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866JA-FPPC (866/276-3772)
Wirp I -
TTI���Mi
Type or print in ink.
Amounts may be rounded
to whole dollars.
��BIIN
Miami mI���rk
ilillill II�� WCO in
1� '1111111[imil L or
Statement covers period
from 01/01/2013
through 06/30/2013 1 Page 61 _ of 190 -
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)
06/30/2013
Jaime Correa
FRI IND
Sergeant
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, C.A. 94901
.
Union memberIg dues rgcgived through in_termgdiaxy:E4aSnCCRafael
Police Assogiatign, 152Q
Fifth AvenUe, S
n Rafael, CA 94901
01/01/2013
Ryan De Marta
Fx_1 IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, C.A. 94901
Union member's dues received through intermedia iy:qdSnCCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Ryan De Marta
RIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
city of San Rafael
San Rafael, CA 94901
E;dSnCRafael
Union member's dues received through intermediary:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Ryan De Marta
FX -1 IND
Officer
16.80
218.40
r-1 Com
C/o: San Rafael Police Association
❑F-1 OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received throu2h intermedia ry:qansoR
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Ryan De Marta
[IND
Officer
16.80
218.40
M COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues.received through intermediady:
QRr'F%(;,af
lice Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
I
SUBTOTAL$
84.00
FPPC Form 460 Januar
FPPC Toll -Free Helpline.- 866/A-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 62 of 190, -
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)
02/28/2013
Ryan De Marta
❑IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
membber's dues jeceived thlough intermediaxy:
qanCUnion
Rafael
Police Aggggiation. 1520
Fifth Ayenue. San
Rafael, CA 94901
03/15/2013
Ryan De Marta
FX� IND
Officer
16.80
218.40
r-1 com
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
F-ISCC
Union member's dues received throucth intermediarv:--8an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Ryan De Marta
BIND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:[:;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Ryan De MartaFX-1
IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iy:E;JSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/201.3
Ryan De Marta
nx IND
Officer
16.80
218.40
F]COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
&:Qafaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
77 7 771.
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g'., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
1111piliq
Monetary Contributions Received Amounts may be rounded
Statement covers period
_1ES11M
A A
to whole dollars.
from 01/01/2013
through 06Z30Z2013
Page 63 . of 190
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)
05/15/2013
Ryan De Marta
Fx_j IND
Of f icer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
qS
on ember's dues received tj2rough intermediary:
anCC Rafael
Poligg Asgogiation, 1520
Fifth Avenue. San
Raf_agl, CA 94901
05/31/2013
Ryan De Marta
[21 IND
Officer
16.80
218.40
Q COM
C/o: San Rafael Police Association
ROTH
1.520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
EF;
Union member's dues received throuqh intermedia rv:
an Y-afael
Police Association. 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Ryan De Marta
[5fl IND
officer
16.80
218.40
El COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
M (�af
Union member's dues received throe intermediary:
--SanSC ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Ryan De Marta
BIND
Officer
16.80
218.40
0 COM
C/o: San Rafael Police Association
❑F-1 OTH
City of San Rafael
1S20 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
Union member's dues received throe intermediary:
an't-afael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
01/01/2013
Christian Diaz
IND
Officer
16.80
218.40
[]COM
C/o: San Rafael Police Association
F� OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy-Q§P:�afaell
Police Association, 15201
Fifth Avenue, S
Rafael, CA 9490L
V
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: S1 -IT (8661275-3772)
Pill
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06Z30/2013
Page 64 of 190
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)
01/15/2013
Christian Diaz
IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association[BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's L11jes received through intermedia xv:[;aiC1CRafael
P!21ice Association, 1520
Fifth A—venue. San
Raf!ael, CA 94901
01/31/2013
Christian Diaz
®IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Q_Union
member's dues received throuqh intermediarv:
Rafael
Tan
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Christian Diaz
[5d IND
.Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
OTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
1SC
:;(�
Union member's dues received through intermediaxy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Christian Diaz
[2] IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
[:]-PTY
San Rafael, CA 94901
1
Union member's dues received through intermedia
y::;aSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490L
03115/2013
Christian Diaz
FX -1 IND
Officer
16.80
218.40
RCOM
',C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received throuqh intermediaz1y:LAFf(;,afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor C•d-
• •
dedivid
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
IN I MEMO!;
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Contig" uation Sheet) Type or print in ink. SCHEDULE A (CONT)_
Monetary Contributions Received Amounts may be rounded Statement covers period OW CALIFORNIA
to whole dollars. t
460
from 01/01/2013 FORM
through 06/3OZ2013 Page 65 _ of 190 -
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)
03/36/2013
Christian Diaz
❑IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
nion member's dugs received throuc[h intermediaiv:
anR n Rafael
Police AssociatioLi. 1520
Fifth Avenue. SaLi
Rafael, CA 94901
04/15/2013
Christian Diaz
[Z IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
❑
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
:Tan R.afae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Christian Diaz
IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901❑
Union member's dues receivedthrough intermediary:l
TanRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Christian Diaz
®IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
qscRafae
Union member's dues received through intermediary:
anl
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
05/31/2013
Christian Diaz
FX-1 IND
Officer
16.80
218.40
E]COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermediadv-.L'AP:�afaeL
Police Association, 1520
Fifth Avenue, S4n
Rafael, CA 9490L
SUBTOTAL$
7 �77
777 7
84.00
*Contributor Codes
Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/276-3772)
I
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor C••-
• .
dedua
COM — Recipient Committee
(other than PTY or SCC) I
OTH — Other (e.g., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
L
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
through 06Z30/2013
Page 6 6 _ of 190
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)
06/15/2013
Christian Diaz
Fx_j IND
Officer
16.80
218.40
M COM
C/o: San Rafael Police Association
GOTH
1520 Fifth Avenue
Q PTY
City of San Rafael
San Rafael, CA 94901
Union membgrls d—jigs received through intermediaxv:qaSnCC
R afael
Pgjigg AsgogialiQu,
1520
Fifth Avenue. San
Rafael,
CA 94901
06/30/2013
Christian Diaz
rx-1 IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermediary:
an Rafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/01/2013
Christopher Duncan
N IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
:Tan Rafae
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/15/2013
Christopher Duncan
Fxj IND
.Officer
16.80
218.40
F]COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermedia ry:E;
anSC� afael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/31/2013
Christopher Duncan
FX_1 IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia x1y:Q§P:�afaeli
Police Association,
1520
Fifth Avenue, SL
Rafael,
CA 9490L
SUBTOTAL $
. . . . . . . . . . . . . . . . . . . . . . . . . .
"K
84.00
*Contributor C••-
• .
dedua
COM — Recipient Committee
(other than PTY or SCC) I
OTH — Other (e.g., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
L
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06Z30/2013
Page 6? _ of 190
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2013
Christopher Duncan
Fx_j IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs rete iyed thrL)ucfh interm diaxv:qa_'nCCRafael
Pglice Ass!2giatign. 1520
Fifth Avenjig, San
Rafael, CA 94901
02/28/2013
Christopher Duncan
rx-1 IND
Officer
16.80
218.40
r_1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Christopher Duncan
Fx_j IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:
qanSCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Christopher Duncan
BIND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Christopher Duncan
nx IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901f(;,
mbivL-4
Union meer's dues received through intermedia
.:afaeL
Police Association, 15201
Fifth Avenue, 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
ii i 1 migis all 1 1 11 ii i 1 ii� 1 ii 11
SUBTOTAL $
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
q
M.0 fiq I I I
Monetary Contributions Received Amounts may be rounded
Statement covers period
A A
to whole dollars.
0 1
1
from 0/01/2013
through 06/30/2013
Page 68 . of 190 -
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)
04/30/2013
Christopher Duncan
IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's duesrecgived throuc[h intermediaiv:
�anCUnion
Rafael
Rolicg Aggggiation, 1520
Fifth &venue. San
Rafael, CA_ 94901
05/15/2013
Christopher Duncan
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
anUnion Rafael
Police Association,, L520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Christopher Duncan
r_x1 IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qdSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Christopher Duncan
FIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Tan
Union member's dues received through intermediary:
afore
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Christopher Duncan
FX� IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
'-l§P(;,afae
mbrlyE4
Union meer's dues received through intermedia
.:
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 84.00
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Receivel
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
Ml OW11:11011 oluffamm
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FP SC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
through 06/30/2013
Page 69 _ of 190
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)
01/01/2013
Scott Eberle
IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:
qSCC
an Rafael
Police Associalion.
1520
Fifth Aygn1je. San
Rafagl,
CA 94901
01/15/2013
Scott Eberle
nx ❑IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
member's dues received through intermediarv:
qUnion an R.afae
l Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/31/2013
Scott Eberle
FIND
sergeant
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F1 PTY
City' of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:afael
Tan(;Union
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2013
Scott Eberle
RIND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary-
an afael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
02/28/2013
Scott Eberle
nx IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth.. Avenue.
PTY
San Rafael, CA 94901
Union member's dues received through intermedia J-v-.LA9(;,afaeL
Police Association,
1520
Fifth Avenue, SL
Rafael,
CA 9490L
SUBTOTAL$
77
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FP SC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
I'm r.-Mi"We 0 1
AM On
1111iI -M
San Rafael Police Association Political' Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
000 1:4 11111 1129010M
Statement covers period
from 01Z01Z2013
through 06Z3OZ2013 Page 70 . of•
I.D. NUMBER
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)
03/15/2013
Scott Eberle
rX_] IND
Sergeant
16.80
218.40
r -j Com
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs recgivgd tLirglIgh in_tgjmgdiaxy:
qanRa fael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Scott Eberle
rx-1 IND
Sergeant
16.80
218.40
FICOM
C/o: San Rafael Police Association
r] OTH
1520 Fifth Avenue
® PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throucrh intermediary:
�anUnion Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Scott Eberle
[Z IND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Gl
Unionmember's dues received through intermediay-v:
�an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/ 30 /2013
Scott Eberle
®IND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediary:
�
anqsoafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Scott Eberle
[KIND
Sergeant
16.80
218.40
r-1 com
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
r
d
lUnion member's dues receivethrough intermedia
]LL Q 9 afaeL
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9490�
777"l
7"T77,
*Contributor Codes
IND — Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
84.00
MEN=
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
11111q� I
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2X013
FORM
through 06Z30/2013
Page 71 of 190
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}
05/31/2013
Scott Eberle
Rx IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues Kgceiygd through intermgdiaxy:
n Rafael
qaCCUnion
Polige Agsociation, 1520
Fifth AvygnLie. San
Rafagl, CA 94901
06/15/2013
Scott Eberle
Fx_j IND
Sergeant
16.80
218.40
El COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediaiv:
afael
anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Scott Eberle
[Z IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:
Tan afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Christopher Fuller
RX IND
Police Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
city of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Tan
Union member's dues received throu2h intermedia ry:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490L
01/15/2013
Christopher Fuller
[KIND
Police Officer
16.80
218.40
DCOM
-
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
.Union member's dues received through intermediady:QP:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (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. 460':i
from 01/01/2013 FORM
through 06/30/2013 Page 72 of 190
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)
01/31/2013
Christopher Fuller
Fxj IND
Police Officer
16,80
218.40
FICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
SCC_
member's duesreceivedthrough intgrmediazy:
qUnion an Rafael
Police Asgociation. 1520
Fifth Aygnue. San
Rafael, CA 94901
02/15/2013
Christopher Fuller
[j] IND
Police Officer
16.80
218.40
Cl Com
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
C
member's dues received through intermediaxy:
qUnion anSCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Christopher Fuller
[Z IND
Police Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia'ry:
qsc(�
an afael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
0-5/15/2013
Christopher Fuller
Fxj IND
Police officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
❑F] OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
E; (�afael
Union member's dues received through intermedia iy:
anSC
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Christopher Fuller
FRI IND
Police Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
F�OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
,Union member's dues received through intermediadv:
Q§P(;, af aell
ice Association, 1520
Polio
Fifth Avenue, SAn
Rafael, CA 9490L
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Sr
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement covers period
CALIFORNIA
from 01/01Z2013 FORM 460
NAME OF FILER
San Rafael Police Association Political Action Committee
through 06Z30/2013 Page 73 of 190
I.D. NUMBER
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED)
OF BUSINESS)
04/15/2013 Christopher Fuller ❑ IND Police officer 16.80 218.40
F-1 COM
C/o: San Rafael Police Association F -I OTH
1.520 Fifth Avenue � PTY City of San Rafael
San Rafael, CA 94901 qSCR Union member's du received throucth intermediaiv: anafael Police Asgociation, 1520 Fifth Avenue, S n Rafael, CA 94901
04/30/2013 Christopher Fuller FXI IND Police Officer 16.80 218.40
F-1 COM
C/o: San Rafael Police Association F] OTH
1520 Fifth Avenue F-1 PTY City of San Rafael
San Rafael, CA 94901 E;SCC
Union member's dues received throucTh intermedia rv: anafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901
05/15/2013 Christopher Fuller N IND Police Officer 16.80 218.40
COM
C/o: San Rafael Police Association EI
1520 Fifth Avenue [:1 OTH City of San Rafael
San Rafael, CA 94901 F-1 PTY
Union member's dues received through intermediary: qanSC
Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901
05/31/2013 Christopher Fuller FX -1 IND Police Officer 16.80 218.40
MCOM
C/o: San Rafael Police Association Fj OTH
1520 Fifth Avenue City of San Rafael
San Rafael, CA 94901 El P -Ty
Union member's dues received throe intermediary: qanaf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901
06/15/2013 Christopher Fuller FX1 IND Police Officer 16.80 218.40
F] COM
C/o: San Rafael Police Association FJOTH City of San Rafael
1520 Fifth Avenue PTY
San Rafael, CA 94901
Union member's dues received through intermedia x1V:QP;,afae Police Association, 1520 Fifth Avenue,, S Rafael, CA 9490�
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
Political Party
I SCC — Small Contributor Committee
L W11
FPPC For 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
NAME OF FILER
San Rafael Police Association Political Action Committee
through 06Z30/2013 Page 73 of 190
I.D. NUMBER
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED)
OF BUSINESS)
04/15/2013 Christopher Fuller ❑ IND Police officer 16.80 218.40
F-1 COM
C/o: San Rafael Police Association F -I OTH
1.520 Fifth Avenue � PTY City of San Rafael
San Rafael, CA 94901 qSCR Union member's du received throucth intermediaiv: anafael Police Asgociation, 1520 Fifth Avenue, S n Rafael, CA 94901
04/30/2013 Christopher Fuller FXI IND Police Officer 16.80 218.40
F-1 COM
C/o: San Rafael Police Association F] OTH
1520 Fifth Avenue F-1 PTY City of San Rafael
San Rafael, CA 94901 E;SCC
Union member's dues received throucTh intermedia rv: anafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901
05/15/2013 Christopher Fuller N IND Police Officer 16.80 218.40
COM
C/o: San Rafael Police Association EI
1520 Fifth Avenue [:1 OTH City of San Rafael
San Rafael, CA 94901 F-1 PTY
Union member's dues received through intermediary: qanSC
Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901
05/31/2013 Christopher Fuller FX -1 IND Police Officer 16.80 218.40
MCOM
C/o: San Rafael Police Association Fj OTH
1520 Fifth Avenue City of San Rafael
San Rafael, CA 94901 El P -Ty
Union member's dues received throe intermediary: qanaf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901
06/15/2013 Christopher Fuller FX1 IND Police Officer 16.80 218.40
F] COM
C/o: San Rafael Police Association FJOTH City of San Rafael
1520 Fifth Avenue PTY
San Rafael, CA 94901
Union member's dues received through intermedia x1V:QP;,afae Police Association, 1520 Fifth Avenue,, S Rafael, CA 9490�
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
Political Party
I SCC — Small Contributor Committee
L W11
FPPC For 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
Political Party
I SCC — Small Contributor Committee
L W11
FPPC For 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 74 of 190
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)
06/30/2013
Christopher Fuller
IND
Police Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues receive through intermgdiaiv:
an Rafael
Police Aasociation, 1520
Fifth Avenue. San
Rafael, CA 94901
01/01/2013
Salvatore Garanzini
Fx_j IND
Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia y -v:
anqSCR.afae
l Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
01/15/2013
Salvatore Garanzini
Fx_j IND
Of f icer
16.80
218.40
MCOM
C/o: San Rafael Police Association
BOTH1520
Fifth Avenue
F_� PTY
city of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Salvatore Garanzini
FX -1 IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;
anSCRafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Salvatore Garanzini
Fx IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermedia
&:Q§i9(;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
[7777=777777717'"111
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
%j%jLj1W1r%L_W
84.00
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.)i
Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA
to whole dollars. 460
from 01/01/2013 FORM
through 06/30/2013 Page 75 . of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/28/2013
Salvatore Garanzini
Fx_j IND
Officer
16.80
218.40
000M
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union mgmber's dues received throe qh— irate rmedia yv:
qSCC
an Rafael
Police Association, 1520
Fifth AvenUe. San
Rafael, CA 94901
03/15/2013
Salvatore Garanzini
[Z IND
.Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Salvatore Garanzini
[Z IND
Officer
16.80
218.40
[]COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:qaSnCCRafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
04/15/2013
Salvatore Garanzini
r_xj IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
Union member's dues received throu h intermedia r_y:qanRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Salvatore Garanzini
®IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received throe intermedia
&:Q§P:�afak
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
-7, ,77,77" "777 77 '777' 777-77`7177
SUBTOTAL$
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661S-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary ContributionReceived Amounts may be rounded Statement covers period _I
s A A
to whole dollars.
ESIM3
from 01/01/2013
through 06/30/2013 Page 76 . of 190
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)
05/1-5/2013
Salvatore Garanzini
rx-1 IND
Officer
16.80
218.40
r-1 com
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qSCC
an Rafael
Poligg Aggggiation, 1520
Fifth Avenug, S
n R_afael, CA 94901
05/31/2013
Salvatore Garanzinirx-1
IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
FIOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
FISQ_
Union member's dues received throuqh intermediaiv:qanC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Salvatore Garanzini
[5fl IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;dSnKafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Salvatore Garanzini
Fx] IND
Of f icer
16.80
218.40
F] COM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901
qsc(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Michael Garrison
HIND
Officer`
16.80
117.60
MCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediajv:Q§P:�afae
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL
777,
............ ......... .......
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC) i
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
I nt U071,1111, Type or print in Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460"
from 01/01/2013
FORM
through 06/30/2013
Page 77 of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/15/2013
Michael Garrison
Fxj IND
Officer
16.80
117.60
FICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union membgr's dues received throiacfh intgrm diaxv:
qSCC
an Rafael
Pa ice Association, 1520
Fifth Aygnue. San
Rafael, CA 94901
04/30/2013
Michael Garrison
[Z IND
Officer
16.80
117.60
F-1 COM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Michael Garrison
®IND
Off icer
16.80
117.60
F] COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael,
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaSPRafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
05/31/2013
Michael Garrison
FX -1 IND
Officer
16.80
117.60
F-1 COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
[] PTY
San Rafael, CA 94901
Union member's dues received throe intermediary:
q anSC Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Michael Garrison
Z IND
Officer
16.80
117.60
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, 'CA 94901
Union member's dues received through intermedia jV:QP;,afaeL
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490�
17 77777=77'777717 "-7 -
m 1-111, 1", "77"'""77,77" 1 ',
11, '77 7
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
i 1 1!1 jail 1 !:! 1 1 i 1111slin 1
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: ASK- 'PPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
0.0 A
MONA
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
through 06/30/2013
Page 78 _ of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2013
Michael GarrisonIND
Officer
16.80
117.60
F1 COM
C/o: San Rafael Police Association
OATH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues rec ived through intermediayv:qaSnCCRafael
Police Agsociation,
1520
Fifth Avenug. San
Rafael,
CA 94901
01/01/2013
Justin Graham
nx IND
Officer
16.80
218.40
[:] COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuqh intermedia zy:
qanRafae
l Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/15/2013
Justin Graham
[Z IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
r-1
Union member's dues received through intermedia xv:L_4anSC
Rafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/31/2013
Justin Graham
Z IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermedlaiy:
qsc(�
an afael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2013
Justin Graham
HIND
Officer
16.80
218.40
[]COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediady
QeN
r%r%
ge-kafaell
I
Police Association_L
15201
Fifth Avenue, SAn
Rafael,
CA 9490�
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
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Statethent covers period
CALIFORNIA
FORM 460
1 from 01/01/2013
7
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
through 06Z30/2013
Page 79 _ of 190
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)
02/28/2013
Justin Graham
rx-1 IND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
SC C
Union member's dues reg ivied through intermediazy
q: an Rafae
o ice Association,
1520
Fifth Ayenue, San
R_af_a!21.
CA 94901
03/15/2013
Justin Graham
RIND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
❑City
F1 PTY
of San Rafael
San Rafael, CA 94901
SC
E;C
Union member's dues received through intermedia zy:
an Rafael
Police Association
1520
Fifth Avenue, S
n Rafael,
CA 94901
03/30/2013
Justin Graham
Fx_j INC)
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:dSnKafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
04/15/2013
Justin Graham
nx INC}
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑F�OTH
City of San Rafael
1520 Fifth Avenue❑
PTY
San Rafael, CA 94901
Union member's dues received throe intermediazy:LSCAanI;zafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
04/.30/2013
Justin Graham
HIND
Officer
16.80
218.40
QCOIVI
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
mbdv
L-4F__1
.-,afaeL
R;
Police Association,
1520
Fifth Avenue, SL
Rafael,
CA 9490L
SUBTOTAL$
. . . . . . . . . .
84.00
7
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
1 . I111111 111
Monetary Contributions Received Amounts maybe rounded
Statement covers period
CALIFORNIA
to whole dollars.
4601
from 01/01/2013
FORM
through 06/30/2013
Page 80 Of 190
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)
05/15/2013
Justin Graham
Fx_j IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
ion memberla dues received thrg],jgh intg1mediazy:
SCCRafael
Police Association, 1520
Fifth Avenug, S
n Rafael, CA 94901
05/31/2013
Justin Graham
[Z IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qscc
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael C.A. 94901
06/15/2013
Justin Graham
[Z IND
Of f icer
16.80
218.40
000M
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received throe intermedia iv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Justin Graham
[ffl IND
Off icer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
E;SC(�
Union member's -dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Julie Griffith
FX -1 IND
Records Clerk
13.05
169.65
ncom
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
'Union member's dues received through intermedia dy:Q§p';,afae�
Police Association, 1520
Fifth Avenuel, _SAn
Rafael, CA 9490
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH,— Other (e.g., business entity)
PTY — Political Party
21•D*butor Cotiraiiftee
SUBTOTAL$
80.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46011
from 01/01Z2013
FORM
through 06/30/2013
Page 81 - Of 190
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)
01/15/2013
Julie Griffith
rx-1 IND
Records Clerk
13.05
169.65
F] COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union m!2�grls due received thizmic[h interm diaxv:
q anR
n Rafael
P!21ice Asgoggiation, 1520
Fifth Avellue, San
Rafael, CA 94901
01/31/2013
Julie Griffith
Fx_1 IND
Records Clerk
13.05
169.65
❑COIVI
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;anR
Union member's dues received through intermediarv:
afael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
02/15/2013
Julie Griffith
RIND
Records Clerk
13.05
169.65
F1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:qdSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Julie Griffith
BIND
Records Clerk
13.05
169.65
ncom
C /o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received throu2h intermediary:
anl
RafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Julie Griffith
[IND
Records Clerk
13.05
169.65
ncom
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediajV:Q§P(;ZafaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
r "'77"777`77'
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (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. 460
from 01/01/2013 FORM
through 06/30Z2013 Page 82 _ of 190 -
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)
03/30/2013
Julie Griffith
IND
Records Clerk
13.05
169.65
® COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F� PTY
City of San Rafael
San Rafael, CA 94901
union mgmber's dues received through intermediazy:TaCC
Rafael
Police Agsociation, 1520
Fifth Lyenue. San
Rafael, CA 94901
04/15/2013
Julie Griffith
[Z IND
Records Clerk
13.05
169.65
F_1COM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
FISC
member's dues received through intermediary:E;
anl
KafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Julie Griffith
[5fl IND
Records Clerk
13.05
169.65
EICOM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
® PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Julie Griffith
IND
Records Clerk
13.05
169.65
COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
T PTY
San Rafael, CA 94901
1-7 SC (�af
Union member's dues received through intermediary:
L- -- an ael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Julie Griffith
[IND
Records Clerk
13.05
169.65
0 COM
C/o: San Rafael Police Association
E]OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia rI
V: LAP;,afaeli
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAL$
65.25
7
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
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.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SC
OTH — Other (e.g., business entity)
PTY — Political Party
'i SCC — Small Contributor Committee 1
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2013
Page 83 _ of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2013
Julie Griffith
IND
Records Clerk
13.05
169.65
FICOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union mgmber.'s du received tucth intermed' a-rv:[;aSnCCRafael
Police Ass!2cianon , 1520
Fifth Lyenue. San
Rafael,
CA 94901
06/30/2013
Julie Griffith
rx-1 IND
Records Clerk
13.05
169.65
r-1 Com
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[;dSnCCRafael
Union member's dues received through intermedia rV:
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/01/2013
Lori Hendricks
®IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
F-1 OTH
1554 Fifth Avenue
[--I PTY
City of San Rafael
San Rafael, CA 94935
E;anRafae
Union member's dues received through intermediarv:
l Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/15/2013
Lori Hendricks
[2] IND
Dispatcher
13.05
169.65
FICOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1554 Fifth Avenue
F1 PTY
San Rafael, CA 94935
member's dues received throw intermediary_L
_4l
anRafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 9490L
01/31/2013
Lori Hendricks
FRI IND
Dispatcher
13.05
169.65
DCOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1554 Fifth Avenue
PTY
San Rafael, CA 94935
,Union member's dues received through intermedia Ay:Q§P(;,afae1l
Police Association, 1520.
Fifth Avenue, SAn
Rafael,
CA 9490
SUBTOTAL $ 65.25 ... . . .....
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SC
OTH — Other (e.g., business entity)
PTY — Political Party
'i SCC — Small Contributor Committee 1
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
mom* "I"11,
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46 0
from 01/01/2013
FORM
through 06Z30/2013
Page 84 _ of 190
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)
02/15/2013
Lori Hendricks
Fxj INDDispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
BOTH
1554 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received throucth intermedia *rv:
qSCC
an Rafael
Police Assogiation, 1520
Fifth Avenue. San
Rafael, CA 94901
02/28/2013
Lori Hendricks
[Z IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
FIOTH
1554 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received through intermedia rv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Lori Hendricks
[Z IND
Dispatcher
13.05
169.65
r-1 COM
C/o: San Rafael Police Association
OTH
1554 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94935
E;SCRafae
Union member's dues received through intermediary:
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Lori Hendricks
®IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
FJOTH
City of San Rafael
1554 Fifth Avenue
PTY
San Rafael, CA 94935
Union member's dues received through intermedia xy:E;aSnKafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
04/15/2 013
Lori Hendricks
FIND
Dispatcher
13.05
169.65
El COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1554 Fifth Avenue
PTY
San Rafael, CA 94935
Union member's dues received through intermediai1y:Q§F(;,afaeL
Police Association, 1520,
Fifth Avenue, SL
Rafael, C.A. 9490L
-7
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
CITH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committ
SUBTOTAL$
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*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 I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
through 06Z30/2013
Page 85 of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2013
Lori HendricksIND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F-1 OTH
1554 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94935
CRafael
Union member's dues rec ived through intermedia yv:Tin
Police Asgociation, 1520
Fifth A_venue, San
Rafagl,
CA 94901
05/15/2013
Lori Hendricks
®IND
Dispatcher
13.05
169.65
F 1COM
C/o: San Rafael Police Association
Ej OTH
1554 Fifth Avenue
T PTY
City of San Rafael
San Rafael, CA 94935
E;SCI�
Union member's duos received throw intermediary
an afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
05/31/2013
Lori Hendricks
[5fl IND
Dispatcher
13.-05
169.65
MCOM
C/o: San Rafael Police Association
F] OTH
1554 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94935
member's dues received through intermediary:
�an(�Union afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/15/2013
Lori Hendricks
[ffl IND
Dispatcher
13.05
169.65
FICOM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1554 Fifth Avenue
F1 PTY
San Rafael, CA 94935
E;SC(�
Union member's dues received through intermedia ryi
an afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Lori Hendricks
FX -1 IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
1554 Fifth Avenue
PTY
San Rafael, CA 94935
lUnion member's dues received throe intermediajy:Q§Ff(;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael,
CA 949011
SUBTOTAL.$
65.25
*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 I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
*0,Mi1W11 41k1;fv;1Tr*TW1i a,
. gn .1
ARM -
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC) 11
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee I
FPPC Form 460 {January/ 5)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2013
Page 8 6 _ of 190
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)
01/01/2013
Robert Henkle
IND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues receive throuoLi intermedia'rV:qaSnC
Rafael
Police _AgsociatiL)n, 1520
Fifth Avenue, jS
n Rafael, CA 9490
1
01/15/2013
Robert Henkle
[Z IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
01/31/2013
Robert Henkle
®IND
Off icer
16.80
218.40
FICOM
C/o: San Rafael Police Association
0TH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
afael
anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Robert Henkle
BIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received throu2h intermedia ry:Eon
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Robert Henkle
[ZIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union memher's dues received throe intermedia&:Q9'1y";,afae1l
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490
SUBTOTAL$
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC) 11
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee I
FPPC Form 460 {January/ 5)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Moneta lanyr Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
4bO
from 01/01/2013
FORM
through 06/30/2013
Page 8 7 of 190
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)
03/15/2013
Robert Henkle
❑IND
Officer
16.80
218.40
COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
F] PTY
zN
City of San Rafael
San Rafael, CA 94901
Union mgmber's dues receivgd thrgligh intermediaxv:qa�C
Rafael
Po ice Asgo—ciation. 1520
FiftLi Avenue. San
Rafael, CA 94901
03/30/2013
Robert Henkle
r_xj IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:qdSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Robert Henkle
®IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
1520 Fifth Avenue
PTH
n TY
city of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
�an�Union afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Robert Henkle
BIND
Off icer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
GOTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
qan(�Union
member's dues received through intermediary:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Robert Henkle
nx IND
Officer
16.80
218.40
F]COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA94901
Union member I s dues received through intermedia
&: QW;,af aeL
Police Association, 1520
Fifth Avenue, S4n
Rafael CA 9490�
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
Other (e.g., business entity)
PTY — Political Party
SC
"-2 _CD-kitributor Cor-tatti-Itee
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline. 8661ASK-FPPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
60419 IN big] I 993[�W
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
0 — Other (e.g., business entity)
TH
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-1-PPC (8661275-3772)
through 06Z30/2013
Page 8 8 - Of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2013
Robert Henkle
IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
ni n member's dueargc iyed throucihintgj2ffi diazy:
Rafael
qanC
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 9490
06/15/2013
Robert Henkle
nX IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:an
TESCCUnion
Rafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Robert Henkle
®IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
4TH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xyJ:;aSnKafae1
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/01/2013
J. Alexander Holm
FX] IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received through intermedia ry:E;
SC(�Union
an afael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
01/15/2013
J_ Alexander Holm
ZIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
,Union member's dues received through intermedia xly:Q§NrY
afak
Police Association,
1.520
Fifth Avenue, S
Rafael,
CA 9490�
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
0 — Other (e.g., business entity)
TH
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-1-PPC (8661275-3772)
•§T11i1Pj1y 11011
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
L ai
I
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
Nth
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2013
Page 8 9 _ of 190
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)
01/31/2013
J. Alexander Holm
X IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues r!Qceiyed tLirollcrh inter medict -rv:qaSnCCRafael
Policg Asgociation, 1520
Fifth Ave
Rafael,
CA 94901
02/15/2013
J. Alexander Holm
N IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary
qSCC
an Rafael
Police Association, 1520
Fifth Avenue. San
Rafael,
CA 94901
02/28/2013
J. Alexander Holm
Fx_j IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:]PTS
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
03/15/2013
J. Alexander Holm
nX IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
Pw
San Rafael, CA 94901
Union member's dues received through intermedia ry:qaSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
03/30/201.3
J_ Alexander Holm
nX IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermedia x1V:
QP;,afaell
Police Association, 1520
Fifth Avenue SAn
Rafael,
CA 9490,�
SUBTOTAL $ 84.00
I
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
Nth
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
zsow chedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
MAmounts may be rounded Statement covers periodonearCoyntributions Received I CALIFORNIA 460
to whole dollars.
from 01/01/2013 FORM
through 06/30/2013 Page 90 - Of 190
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)
04/15/2013
J. Alexander Holm❑IND
Officer
16.80
218.40
F_1 COM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union meMbe es recgiv�d through interm2did
2:1s d YV:
an Rafae
I Pglicg Aggociation, 1520
Eifth Avenue San
Ave
R—afagl, CA 94201
04/30/2013
J. Alexander Holm
IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermedia rv:
an Rafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
05/15/2013
J. Alexander Holm
®IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
OPTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia YV:
qscafael
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
J. Alexander Holm
FX] IND
Officer
16.80
216.40
MCOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia
q
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/1.5/2013
J. Alexander Holm
BIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901 intermedia
Union member's dues received through
§P (:�a f aell
ice Association, 15201
Police
Fifth Avenue, SAn
Rafael, CA 949011
777-7"" 7777 77
SUBTOTAL$ 84.00
*Contributor Codes
I IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
111 SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
TI -re M rMy to Me,
0 =I -
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01Z01/2013
E
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
1i SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866-FPPC (8661276-3772)
through 06/3012013
Page 91 - Of 190
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2013
J. Alexander HolmFx_j
IND
officer
16.80
218.40
r-1 com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
union member's du—es received Lhrgough intermediary:qaSnCCRafael
Police Association, 1520
Fifth Avenue. San
Rafael,
CA 94901
01/01/2013
Lisa Holton
FRI INDSergeant
16.80
218.40
F] COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
(LSCC
Union member's dues received throe intermediaiv:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/15/2013
Lisa Holton
[Z IND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received through intermediaiv:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 9490
1
01/31/2013
Lisa Holton
BIND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throw intermediar_y.-E;JSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 9490L
02/15/2013
Lisa Holton
nX IND
Sergeant
16.80
218.40
000M
C/o: San Rafael Police Association
BOTH
City of San Rafael
11520 Fifth Avenue
PTY
San Rafael, CA 94901y
mbiv491
Union meer's dues received through intermedia
or, (
:;,afaell
Police Association, 1520
Fifth Avenue, S
Rafael,
CA 9490�
SUBTOTAL.$ 84.00
. .. . ...
--
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
1i SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866-FPPC (8661276-3772)
4 1 J11111!
9 Pea �
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
M
Statement covers period CALIFORNIA
46
from 01/01/2013 FORM
through 06/30Z2013 Page 92 of 190
I.D. NUMBER
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0228/2013
Lisa Holton
FX -1 IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throjigh intermediaiv:
qSCR
anafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Lisa Holton
Fx_j INDSergeant
16.80
218.40
FICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
s
Union member's dues received through intermediary:
q ancRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Lisa Holton
®INC?
Sergeant
16.80
218.40
®COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901:`
E S
Union member's dues received through intermediary:
anC Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Lisa Holton
Fxj IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
I
City of San Rafael
1520 Fifth Avenue
R P TY
San Rafael, CA 94901
member's dues received through intermediaryl
q
-. anRafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04%30/2013
Lisa Holton
ZINC)
Sergeant
16.80
218.40
[-] COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
U^
.inion member's dues received through intermedia
r--' r%L�RP;,
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAL $ 84.00
7
*Contributor Codes
1 IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committ
ee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661275-3772)
Alt
A,
1404 =I- � M r7m 111m,
=fIrldmo
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/0122013
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
1 OTH — Other (e.g., business entity)
1 PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06Z30/2013
Page 93 _ of 190
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
8,31553
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2013
Lisa Holton
M IND
Sergeant
16.80
218.40
F] COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
membel's duea rec ived throiiqh intermediaiv:
arcaUnion
nRfael
Rolice association, 1520
Fifth Avenue. San
R fael
C 94901
05/31/2013
Lisa Holton
Fx_j IND
Sergeant
16.80
218.40
[]COM
C/o: San Rafael Police Association
RUTH
-
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rV:E;aSnCCRafae1
Police Association,. 1520
Fifth Avenue, San
Rafael,
CA 94901
06/15/2013
Lisa Holton
[ZINC}
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediaiv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Lisa Holton
RIND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
RUTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
Union member's dues received through intermediary1l
�aan�afae
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 9490
01/01/2013
Kyle Hornstein
N IND
Corporal
16-80
218.40
F]CUM
C/o: `San Rafael Police Association
RUTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
,mbdyQ
19(:§�
:afaeL
Police Association, 1520,
Fifth Avenue,
5 Rafael,
CA 9490�
77
SUBTOTAL.$ 84. 00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
1 OTH — Other (e.g., business entity)
1 PTY — Political Party
SCC — Small Contributor Committee
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 0
46
from 01/01/2013 FORM 1
through 06Z30/2013 Page 94 _ of 190
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)
01/15/2013
Kyle Hornstein
Fx_j IND
Corporal
16.80
218.40
El COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
qSCC
Union member's dues rgceiygd throucfh intermediaiv:
an Rafael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
01/31/2013
Kyle Hornstein
[Z IND
Corporal
16.80
218.40
RCOM
4
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received throuqh intermediarv:
anl
Ra.fae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Kyle Hornstein
[Z IND
Corporal
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
PTY
City' of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:dSnKafael
qF-1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Kyle Hornstein
RIND
Corporal
16 .80
218.40
r-1 COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermedia ry:E;dSPRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Kyle Hornstein
EZIND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia jV:Q§F(;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
I OTH — Other (e.g., business entity) 1!
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 Januar /05
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A {CONT.}
Moneta'0 Contributions Deceived Amounts may be rounded Statement covers period CALIFORNIA
JY to whale dollars.460
from 01/01/2013 FORM O•
through 06/30/2013 Page 95 of 1.90
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
H
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
{IF COMMITTEEENTER I.D. NUMBER}
CODE
{IF SELF-EMPLOYED, ENTER NAME
PERIOD
{JAN. 1 -DEC. 31 }
(IF REQUIRED)
OF BUSINESS)
03/30/2013
Kyle Hornstein
x INDp
Cor oral
1.80
218.40
❑ CUM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union ember's dues received through int rm diaxv:qaSnCCRafael
Police Association, 1520
Fifth Ave ue San
Rafael, CA 9490
04/15/2013
Kyle Hornstein
QINDC
or oral
p
1.80
218.40
CUM
C/o: San Rafael Police Association
(❑OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901.
Union member's dues received through intermedia
:�anDRafae
Police Association 1520
Fifth Avenue San
Rafael CA 9490
04/30/2013
Kyle Hornstein
® IND
Corporal
16.80
218.40
CUM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw h intermedia
qsc(
: afae
Police Association 1520
Fifth Avenue San
Rafael CA 9490
05/15/2013
Kyle Hornstein
QIND
Corporal
16 .80
218.40
n CUM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
05/11/2013
Kyle Hornstein
[ZX IND
Corporal
16. 8 0
218.40
n CUM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received. throu h intermedia
j�(�(ti
: afae
Police Association 1520
Fifth. Avenue S
n Rafael CA 9490
SUBTOTAL
..-
r — Individual
RecipientCommittee
(other than PTY or SCC)
•
., business entity)
PParty
ContributorSCC — Small •
I=PPC Form 460 Januaryl05
FPPC Toll -Free helpline: 866/ASK-FPPC (8661275-3772)
1!
SCHEDULE A (CONT)
Tvpe or print In ink.
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 96 of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2013
Kyle Hornstein
X IND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
[-10TH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
SCC,
Union ember's dues regeived through interme-dia*rv:gan
Rafael
Policg Associatign, 1520
Eifth Avenue. 0an
Rafael, CA 94901
06/30/2013
Kyle Hornstein
Fx_j INC}
Corporal
16.80
218.40
®COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia r_V:qdSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Carl Huber
Fx] IND
Corporal
16.80
218.40
C] COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490L
01/15/2013
Carl Huber
FX -1 IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Carl Huber
[KIND
Corporal
16-80
218.40
COM
C/o: San Rafael Police Association
C/o:
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San -Rafael, CA 94901
nion meer's dues received through intermedia
,Umbdy
: EA (;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9494
M
Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
,z
,_� �2 • • or Goitityiffee
SUBTOTAL $
84. 00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
#V&
bchedule 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 01/01/2013 FORM
through 06/30Z2013 Page 9 7 _ of 190
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. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2013
Carl Huber
RIND
Corporal
16.80
218.40
FICOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union mgmberls dues received through intermedia ry:qS
anfael
_CRa
Police Ass!2gia_tion_, 1520
ifth Avgnue, San
R!afael, CA 94901
02/28/2013
Carl Huber
[j] IND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
S
Union member's dues received through intermedia ry:q
anCRafael
Police Association, 1520
FifthAvenue.. San
Rafael, CA' 94901
03/15/2013
Carl Huber[Z
IND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
® PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia 1V:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Carl Huber
IND
Corporal
16 .80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
E;
Union member's dues received throe intermediary-
anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Carl Huber
[ZIND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received through intermedia jV:QP;,afae1l
Police Association, 1520,
Fifth Avenue S
n Rafael, CA 9490�
,Union
SUBTOTAL$ 84.00 .. ... ......
*Contributor Codes
I IND — Individual
COM — Recipient Committee
(other than PTY or SCC) 11
OTH — Other (e.g., business entity) i
PTY — Political Party
Small Contributor Committee i
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 98 Of 190 -
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED}
OF BUSINESS)
04/30/2013
Carl Huber
Fx_j IND
Corporal
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermedia xy:
an Rafael
Police Agsociation, 1520
Fifth Avenue. San
Rafael, CA 94901
05/15/2013
Carl Huber
[Z IND
Corporal
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary
Rafaell
anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Carl Huber
N IND
Corporal
16.80
218 .40
[ICOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia -rv:
qs
ancRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Carl Huber
Fxj IND
Corporal
16.8 0
218.40
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
s
Union member's dues received through intermedia
q ancRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Carl Huber
EZ IND
Corporal
16 .80
218.40
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
[:]PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
'mb&
: E(
A9 ;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SC
, C,�SnmJLQoi,11db_u1or Ccawaittae
SUBTOTAL$
- --- ------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-1=PPC (866/275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
Illuffamm
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC) I
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30Z2013
Page 99 - Of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/01/2013
Eric Huot
rx-1 IND
-j
Officer
16.80
218.40
r COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs reggived through intermedia xv:qaSnC1afael
i2olive Asgggia:Lion, 1520
Fifth Avenue, San
Rafael,
CA 24901
01/15/2013
Eric Huot
N IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
[]OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through intermedia
: arCiCRafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 9490lv.
01/31/2013
Eric Huot
®IND
officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
afael
an(�Union
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2013
Eric Huot
[2] IND
Officer
16.80
218.40
COM
C/o: San Rafael Police Association
C/o:
OTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermedia ry_LqaSnCCkafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/28/2013
Eric Huot
®IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Kjnion member's dues received through intermedia
&:Q§F?;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael,
CA 9490L
SUBTOTAL $ 84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC) I
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 100 Of 190 -
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)
03/15/2013
Eric Huot❑IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received through int ermedialv:
an Rafael
Po lice Association, 1S20
Fifth Aveniie, San
Rafael, CA 9490
1
03/30/2013
Eric Huot
nx INC)
officer
16.80
218.40
El COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuc[h intermediaxv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Eric Huot
®IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia y_V:qdSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
04/30/2013
Eric Huot
BIND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Eon
Union member's dues received throe intermedia iy:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Eric Huot
nx IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§P:�afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contdbutor Committee
SUBTOTAL$
84.00
... .. . .. ... .
FFP C Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
?0TAT"Itm, Tvoe or orint in Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
460
to whole dollars.
from 01/01/2013
FORM
through 06/30/2013
Page 101 Of 190
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)
05/31/2013
Eric Huot
rx-1 IND
officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
[;SCCan
nion meniher I s dues received t1arough intermediaiv:
Rafael
Police Asgociation. 1520
Fifth Avenue. San
Rafael, CA 94901
06/15/2013
Eric Huot
®IND
Of f icer
16.80
218.40
r_1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
1
E;SCCRa
.
Union member's dues received through intermedia iv
: an fael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 949
06/30/2013
Eric Huot
[5fl IND
officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
E;SC CRafael
Union member's dues received through intermedia iv
: an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Scott Ingels
®IND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediayy:E;aSnKafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Scott Ingels
[IND
Corporal
16.80
218.40
QCOIVI
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:Q§P`RafaeE
Police Association, 1520,
Fifth Avenue, Sin
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
84.00
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. 460
from 01/01/2013
through 06/30/2013 Page 102 of 190
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}
CGDE
{IF SELF-EMPLOYED, ENTER NAME
PERIOD
{,IAN. 1 -DEC. 31}
(IF REQUIRED)
OF BUSINESS)
01/31/2013
Scott Ingels
X IND
Corporal
26.80
218.40
❑ COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:F;aSnCCRafael
Police ssoc ' :L on 1520
Fifth Avenue. San
Rafael, CA 9490
02/15/2013
Scott Ingels
RIND
Corporal
16.80
218.40
❑ COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throw h intermedia
qSCCUnion
: afae
Police Association 1520
Fifth Avenue San
Rafael CA 9490
02/28/2013
Scott Ingels
RIND
Corporal
16.80
218.40
❑ COM
C'/o: San.Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
(;
Union member's dues received through intermediary:�an
2afae
Police Association 1520
Fifth Avenue San
Rafael CA 9430
03/15/2013
Scott Ingels
IND
Corporal
26.80
218.40
Q COM
C/o: San Rafael Police Association
BOTH
Clay of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
: anRafaelPolice
Association, 1520
Fifth Avenue, San
Rafael, CA 9490
03/30%2013
Scott Ingels
RIND
Corporal
16.80
218.40
R COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
2520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe h intermediajy.Q§P*Rafae1l
�
Police Association 1520
Fifth Avenue S
n Rafael CA 9490
SUBTOTAL 84.00 .
Codes
IND — Individual
Recipient Coee
(other than PTY or
!(e.g., business entity)
Political Party
Small •Committee
FPPC Form 46 January/06
FPPC Tall -Free Helpline: 866/ASK-I`PPC 866/275-3772)
_=11 T,=0 E='w
111"
1! A
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06Z30/2013
Page 103_ of 190 -
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/15/2013
Scott Ingels
Rx IND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
r__1 SCC
Union mgmber'Q dues receivgd through intermediarv:L-Aan
Rafael
P!21ice Assoc iation, 1520
Fifth Lvenue. San
Rafagl, CA 94901
04/30/2013
Scott ingels
RIND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union member's dues received throucth intermediary
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Scott Ingels
[5fl IND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:E;aSn
Rafae
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
05/31/2013
Scott Ingels
RX IND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia zy:
qSC
anRzafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/1.5/2013
Scott Ingels
RIND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermediajV:Q§TP-Rafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
Goijitrtiffee
IN
SUBTOTAL$
84.00
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
k q,0 91.
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
nol W 1:3 Dili 4 gUILOLOM
*Contributor Codes
IND — Individual
COM — Recipient Committee !I
*C)
(other than PTY or SC
CITH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (8661275-3772)
through 06/30/2013
Page 104 of 190
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)
06/30/2013
Scott Ingels
IND
Corporal
16 .80
218.40
EICOM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
qSCC
Union Lnemberlg dues recti' ed thr!2Ljc[h_ intermedict xv:
an Rafael
Policg Association, 1520
Fifth Avenue, S
n Rafael,
CA 94901
01/01/201-3
Lynette Keller
®IND
Community Service Officer
13.05
169.65
F] COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
scc
member's dues received through intermedia iv:
qUnion an Rafael
Police Association, 1520
Fifth Avenue. San
Rafael,
CA 94901
01/15/2013
Lynette Keller
[IND
Community Service Officer
13.05
169.65
©cam
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
afael
an(�Union
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/31/2013
Lynette Keller
IND
Community Service officer
13.05
169.65
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermedia -r
anRa.fael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2 013
Lynette Keller
EZIND
Community Service Officer
13.05
169.65
E]COM
,C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through jntermedia&:LA91Y(;,afaeL
or"
Police Association, 1520
Fifth Avenue, SL
Rafael,
CA 9490
17,
SUBTOTAL $
69.00
*Contributor Codes
IND — Individual
COM — Recipient Committee !I
*C)
(other than PTY or SC
CITH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661AS1 -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 01/01/2013 FORM
through 06Z30/2013 Page 105. of 190
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)
02/28/2013
Lynette Keller
Fx_j IND
Community Service Officer
13.05
169.65
F]COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
Union memberla dues received.through interLa!aLliaxv:
qSCC
an Rafael
Pglice Agisociatign, 1520
Fifth A—venue, San
Rafael, CA 94901
03/15/2 013
Lynette Keller
FXI IND
Community Service Officer
13.05
169.65
[-] Com
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Lynette Keller
[Z IND
community service officer
13.05
169.65
ncom
C/o: San Rafael Police Association
STH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received through intermediazy:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Lynette Keller
®IND
Community Service Officer
13.05
169.65
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throw intermediary:E;aSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Lynette Keller
nx IND
Community Service Officer
13.05
169.65
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
I1520 Fifth Avenue
PTY
San Rafael, CA 94901'
Union member's dues received through intermedia dy:Q§i9(;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAL$
65.25
FV
r
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
Other (e.g., business entity)
OTH
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
iT*014
- - 4�6641
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661276-3772)
through 06/30Z2013
Page 106 of 190
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)
05/15/2013
Lynette Keller
FRI INDCommunity
Service Officer
13.05
169.65
RCOM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues rgceive!d throug—h int!2jmeL1ia*rv:
qaCC
n Rafael
Police Association, 1520
Fifth Lvenue. San
Rafael,
CA 94901
05/31/2013
Lynette Keller
®IND
Community Service Officer
13.05
169.65
EICOM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throucrh intermedia rv:
qsc(�
an afael
Police Association, 1520
Fifth Avenue San
Rafael,
CA 94901
06/15/2013
Lynette Keller
RIND
Community Service Officer
13.05
169.65
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediaiv:
afael
an(�Union
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Lynette Keller
RIND
Community Service Officer
13.05
169.65
MCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
1 �;JSn�2afae
Union member I s dues received through intermediazy:
l Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/01/2013
Rebecca Kuga
FRI IND
YSI3 Supervisor
13.05
169.65
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
[Union member's dues received through intermedia&JDA§P:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael,
CA 9490�
777
SUBTOTAL
65.25
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661276-3772)
ITIMMIPIEL:1- W.
AM U11
Monetary ContributionReceived Amounts may be rounded
s
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 107_ of 190
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)
01/15/2013
Rebecca Kuga
INDYSB
Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCRafae
Union member's dues received through intermediaxv:
l Polige Asaociation, 15_20
Fifth Avenue, San
Rafael, CA_ 94901
01/31/2013
Rebecca Kuga
Rx IND
YSB Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
RUTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;
Uct-ry
nion member's dues received throw h intermedia
: anSCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Rebecca Kuga
[Z IND
YSB Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:
qsc(�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Rebecca Kuga
®IND
YSB Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediary:qaSnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490L
03/15/2013
Rebecca Kuga
RIND
YSB Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
[Linion member's dues received through intermedia
-Q§P:�afaell
.
ice Association, 15201
Police
Fifth Avenue, S
Rafael, CA 94901l
Ck I /C ThTA I d%
777777
F
*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
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
E
F; -111
r
*Contributor Codes
IND — Individual
Com — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
—A
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASIS-FFP C (8661276-3772)
through 06/30/2013
Page 108 Of 190
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 COMMITTEEALSO ENTER I.D.MBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2013
Rebecca Kuga
IND
YSB Supervisor
13.05
169.65
EICOM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
r -j PTY
City of San Rafael
San Rafael, CA 94901
Union meMber's dues received through intermediary:
qSCC
an Rafael
Polige Asgocialion , 1520
Fifth AvenLig. San
Rafagl,
C.A. 94901
04/15/2013
Rebecca Kuga
rx-1 IND
YSB I Supervisor
13.05
169.65
[:] Com
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:
qsc(�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
04/30/2013
Rebecca Kuga
nx IND
YSB Supervisor
13.05
169.65
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia1'V:dSnKafael
q
Police Association, 1.520
Fifth Avenue, San
Rafael,
CA 94901
05/15/2013
Rebecca Kuga
nx IND
YSB Supervisor
13.05
169.65
COM
C/o: San Rafael Police Association
C/o:
nOTH
City I of San Rafael
1520 Fifth Avenue
❑PTY
San Rafael, CA 94901
'CA
Union member's dues received through intermedia ry:E;JSP
afael
Police Association, 1520
Fifth Avenue, San
Rafael,
94901
05%31./2013
Rebecca Kuga
IND
YSB Supervisor
13.05
169.65
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
,Union member's dues received through intermedia jy:Q§i9(;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael,
CA 9490
SUBTOTAL4
65.25
F; -111
r
*Contributor Codes
IND — Individual
Com — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
—A
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASIS-FFP C (8661276-3772)
. . R SCHEDULE A (CONI—)
W"A F TvDe or print In ink.
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
460,1
to whole dollars.
from 01Z01/2013
FORM
through 06/30/2013
Page 10 9. Of 190 -
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
ZIP DE OF CONTRIBUTOR
FULL NAME, STREET ADDRESS AND ZIP CO
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR -
TO DATE
RECEIVED
(IF COMMITTEE, ALSO NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2013
Rebecca Kuga
Fx_j IND
YSB Supervisor
13.05
169.65
FICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
memberIg dues received through int-erm, diary:
Rafael
anCUnion
Police Agsociation. 1520
Fifth Avgenue. San
Rafael, CA 94901
06/30/2013
Rebecca Kuga
Rx IND
YSB Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuqh intermediary:
Tan afael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
01/01/2013
Marc Laplante
RIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael,, CA 94901
(�afael
Union member's dues received through intermediary:
anqSC
Police Association, 1520
Fifth Avenue, San
Rafael, CA_ 9490L
01/15/2013
Marc Laplante
[E IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
Union member's dues received through intermedia
Tan:afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490ry
01/31/201.3
Marc Laplante
RIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediajy-.L-4
U
P:� afae�
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490�
77—
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contributor Commiftee
SUBTOTAL$
76.50
FFP C Form 460 (January/05)
FFP' C Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
j [ � H M FT MeT W �,, h e e t) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4 6U
from 01/01/2013
FORM
through 06/30/2013
Page 110 Of 190
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)
02/15/2013
Marc Laplante
IND
Of f icer
16.80
218.40
FICUM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
sc
Union member's diies recgiyed through intermedia-rv:q
Rafaeanl
Police Asgocia:Lion, 1520
Fifth AvenLie, 0
z Rafael, CA 94901
02/28/2013
Marc Laplante
EZ IND
Of f icer
16.80
218.40
❑COIVI
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Marc Laplante
[Z IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe intermediaxv:
qanRafae(ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Marc Laplante
BIND
Officer
16.80
218.40
EICUM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received through intermediary:qaSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Marc Laplante
®IND
Officer
16.80
218.40
[-] Com
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
'mbdv
r_7P;,
:L-8 af aeli
Police Association, 1520
Fifth Avenue, S
Rafael, CA 949011
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 84.00
FPPC Form 460 Januar los)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (ContinuMtion Sheet)
Monetary Contributions Receiveii
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC))
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2013
Page 111 Of 190
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)
04/30/2013
Marc Laplante
IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
© PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receivg!j thlough inte_rmediarv:
qSCRa
aLifael
Police Ass!2cia:Lion, 1520
Fifth Avenug. San
Rafael, CA 94901
05/15/2013
Marc Laplante
®IND
Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
[;SCCl
Union member's dues received through intermedia r
v an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Marc Laplante
[Z IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qscRafae
anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Marc Laplante
®IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received throw intermediary:
qsc(�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Marc Laplante
nX IND
Officer
16.80
218.40
F-1CUM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throuqh intermediajV:Q§iP;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9494
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 Contdbutor Committee
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. 460
from 01/01/2013 FORM
through 06/3022013 Page 112. of 190
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
CUM U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/01/2013
Kimberly Larkey
rx-1 IND
officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
Fj 4TH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union memh_er's dLigs received throllgh intermediazy:
qSCC
an pafael
Police Agsociatign. 1520
Fifth Avenue, S
n Rafael, C.A. 94901
01/15/2013
Kimberly Larkey
Fx_j IND
officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
Rafael
anCUnion
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
01/31/2013
Kimberly Larkey
IND
Officer
16.80
218.40
Com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue.
F] PTY
City of San Rafael
San Rafael, CA 94901
E;SCCR
Union member's dues received through intermediazy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
02/15/2013
Kimberly Larkey
BIND
Officer
16.80
2 . 18.40
F] COM
C/o: San Rafael Police Association
QOTH
City of San Rafael
1520 Fifth Avenue
[:] PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
E; anafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Kimberly Larkey
BIND
Officer
16.80
218.40
© COM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
member's dues received through intermedia dy:QP-RafaeL
r,
Police Association, 1520
Fifth Avenue S
Rafael CA 9490�
'Union
7777-77�7�
SUBTOTAL$
84. 00
*Contributor Codes
I IND — Individual
H
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
L
*Ht
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
A a 0 Soft a Amounts may be rounded
Monetary ContrmutionS Keceived
Statement covers period
CALIFOR
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 113_ of 190
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)
03/15/2013
Kimberly Larkey
Fx_j IND
Officer
16.80
218.40
©COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inter medict -ry:qaS:CCRafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
03/30/2013
Kimberly Larkey
r_X1 IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union member's dues received through intermediary
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Kimberly Larkey
IND
Of f icer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
E-] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediar-v:
qsc(�
an afore
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Kimberly Larkey
nx IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
qsc(�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Kimberly Larkey
®IND
Officer
16.80
218.40
ICOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia jy:QP;,afae1l
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 949011
77=7.
77"7771
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
i___1 LWA F., I me 1 No= III III INS winiiiIIIII 1 IiIII Nomi
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661A-FPPC (866/275-3772)
Schedule A (Continuation :sheet) Type or print in ink. SCHEDULE A {CONT.}
'
Contributions Received Amc�#u/�n`t�myaryy.�b}�er�ounded statement covers period
MonetaryCALIFORNIA
460';RM
(�iJ i�hL/�e dollars.
from 01/01/2013 FO
through 06/30/2013 Page 114 of 190
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)
05/31/2013
Kimberly Larkey
❑X IND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
T OTH
1520 Fifth Avenue
❑ PTY
of San Rafael
San Rafael, CA 94901
Union memberIg dues rec ' ved t rou irate me is
: `-USCG Rafael
Police Agsociation 1520
Fifth Avenue
n Rafael, CA 9490
06/15/2013
Kimberly Larkey
T IND
Officer
16.80
218.40
Q COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
T PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
qSCC
:an Rafael
Police Association 1520
Fifth Avenue San
Rafael CA 9490
06/30/2013
Kimberly Larkey
T IND
Of f icer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
C]OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:Tanafae
Police Association 1520
Fifth Avenue San
Rafael CA 9490
01/01/2023
ndora Lee
rax IND
Dispatcher
13.0 5
169.6S
❑COM
C/o: San Rafael Police Association ❑OTH
1520 Fifth Avenue PTY City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediay_y:E;aSnCCkafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490
01/15/2013 Anndora Lee ®IND Dispatcher 13.05 169.65
❑COM
C/o: San Rafael Police Association QOTH City of San Rafael
1520 Fifth Avenue T PTY
San Rafael, CA 94901. �(;
'r.-, : __ .V. .,L, , i e, r�„r� r r i -1r i-'nY-'�iiry*h i of t=-rmp(ii A V •_ rT af aell Police Association, 1520 F .f th Avenue S n Rafael CA 9490
*Contributor Codes
Individual
Recipient (otherPTYor
OTH — Other (e.g., business entity)
PTY — Political Party
ContributorSCC — Small s _'
1=PPC Farm 460 (January/05)
1=P'PC Toll -Free Helpline: 6 ► i -FPPC (866/275-3772)
0 Alk
• ITOM01MIRMST11M
L
7r*rt?-TR7VM 0
San Rafael Police Association Political Action Committee
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
through 06Z30/2013 I Page 115 of 190
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)
01/31/2013
Anndora Lee
F_xj IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
F _�SCCRafael
Union memberIg dugs received through jntermgdiar_y:
Po ice Association, 1 520
. an
Fifth Avenue O
Ra eel CA 9490
.
1
02/15/2013
Anndora LeeEZ
IND
Dispatcher
13.05
169.65
FICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermedia rv:
`man
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Anndora Lee
BIND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia r_y:qdSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Anndora Lee
[M IND
Dispatcher
13.05
169.65
COM
C/o: San Rafael Police Association
C/o:
ROTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received through intermediry:
an(';a-afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Anndora Lee
FX -1 IND
Dispatcher
13.05
169.65
COM
C/o: San Rafael Police Association
C/o:
Ej OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
,Union member's dues received through intermedia&:L4Rk`Rafae1l
= r% ^ f-%
I
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor Codes
Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
— Sitall Ca*tributor Committee
SUBTOTAL$
65.25
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Co'ntributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06Z30/2013
Page 116. of 190
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)
04/15/2013
Anndora Lee
Fx� IND
Dispatcher
13.05
169.65
r-1 com
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
F-1 PTY
❑
City of San Rafael
San Rafael, CA 94901
c
Union member's dues receiv!gd through in_termediazy:qsc
an Rafael
Police AssociatiQn, 1520
Fift_h Avenue. San
Rafael, CA 94901
04/30/2013
Anndora Lee-1IND
Fx
Dispatcher
13.05
169.65
❑Com
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermedia
:Tan
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490ry
05/15/2013
Anndora Lee
®IND
Dispatcher
13.05
169.65
[]COM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;dSnKafore
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Anndora Lee
[M IND
Dispatcher
13.05
169.65
F_1COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
E;sc(�
Union member's dues received through intermediary:
an afael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Anndora Lee
nX IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia d
Y: LAP:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Gotirtiffee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
*MiiW * 1: - -
.1 W Im
J, rTIT
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee I
- - --------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
through 06/30/2013
Page 117 of 190
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 COMMITTEEALSO ENTER I.D.MBER)
, .
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2013
Anndora Lee
[S]IND
Dispatcher
13.05
169.65
MCOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receivgd throLigh intgrmediaxv:
TaanSCC
Rafael
Polige Aggggiation. 1520
Fifth Avenug, San
Rafagl, CA 24901
01/01/2013
Rogelio Leon
[Z IND
Sergeant
16.80
218.40
MCOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia rv:
anqSCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Rogelio Leon
HIND
Sergeant
16.80
218.40
OCOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
©PTY
City of San Rafael
San Rafael, CA 94901
E;80�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Rogelio Leon
[MIND
Sergeant
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received throe throe intermedia ry:
qaSnRafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Rogelio Leon
nX IND
Sergeant
16.80
218.40
[:] Com
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia x1y:QP;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAL $ 80.25
-,77
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee I
- - --------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
OPP
*Contributor Codes
IND — Individual
1 COM — Recipient Committee
I I
(other than PTY or SCC) I
OTH — Other (eg., business entity)
Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30Z2013 Page 118 of 190
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)
02/28/2013
Rogelio Leon
FB IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
[-]PTY
City of San Rafael
San Rafael, CA 94901
Union meffib_erlg dues received throuah interMediayv:
qSCC
an Rafael
tign. 1
Police Associa 520
Fifth Avenjj!Q_. San
Rafael CA 94901
03/15/2 013
Rogelio Leon
[ZIND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
[] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through. intermedia -rv:qaSnCCRafael
Police Association,- 1520
Fifth Avenue., S
n Rafael, CA 94901
03/30/2013
Rogelio Leon
HIND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia-ry
qsK afael
: an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Rogelio Leon
[ffl IND
Sergeant
16.80
218.40
F_1COM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
Union member's dues received throe intermediary
:qansRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Rogelio Leon
[KIND
Sergeant
16.80
218.40
000M
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
nion meer's dues received throe intermedia
Lmb&
or%(:�afaell
Q gly
Police Association _t_ 1520
Fifth Avenue
n Rafael, CA 9490�
z"
SUBTOTAL$ 84.00
OPP
*Contributor Codes
IND — Individual
1 COM — Recipient Committee
I I
(other than PTY or SCC) I
OTH — Other (eg., business entity)
Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
J11111 I a^
nq=effi. R�W�M, ®r1HM9ir0T91T_1Wk- 0 a Ak
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (866/275-3772)
through 06/30/2013 Page 119 Of 190
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831.553
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)
05/15/2013 Rogelio Leon
RIND
Sergeant
16.80
218.40
FICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues rgceived through inter mg iary:
qSCR
anafael
Police Ass !2gialion , 1520
Fifth Avenue. San
Rafael, CAA -94901
05/31/2013 Rogelio Leon
RIND
Sergeant
16.80
218.40
F1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
�]SCQ�
Union member's dues received through intermedia
:`Tan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013 Rogelio Leon
BIND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermedia ry:E;
anSCafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2 013 Rogelio Leon
[IND
Sergeant
16.80
218.40
El COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu2h intermedry:
ia
q�
ansoafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013 Kevin Macdougald
EZIND
{officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia Jy:L=AP;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490k
SUBTOTAUP
7, 7,
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 120_ of 190
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)
01/15/2013
Kevin Macdougald
rx-1 IND
Officer
16.80
218.40
T COM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
C
Union me-m-berl-s dues recgiv!2d through inteLcmedia-rV:qaSnC
Rafael
Po is Association, 1520
Fifth Avenu!2,' S
n Rafael, CA 94901
01/31/2013
Kevin Macdougald
r_X1 IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
r] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
02/15/2013
Kevin Macdougald
[Z IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
E;SCRafae
Union member's dues received through intermediary:
ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Kevin Macdougald
FRI IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
member's dues received through intermediary:
afael
anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Kevin Macdougald
QIND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
MOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
,Union member's dues received through intermediady
§P:�afaell
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9494
r
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
84.00
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 t;ontributionsKeceiveci Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2013
through 06/30/2013
Page 121 of 190
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)
03/30/2013 Kevin Macdougald
®IND
Officer
16.80
218.40
r-1 Com
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
[-] PTY
City of San Rafael
San Rafael, CA 94901
dues receiv!2-d thlZough interm diaxv:
a��Unionmembeiz's
Rafael
Police Agsociation, 1520
Fift]2 Avenue, San
Rafagl, CA 94901
04/15/2013 Kevin Macdougald
®IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
-1
Union member's dues received through intermediaxv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
04/30/2013 Kevin Macdougald
®IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
�[ anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013 Kevin Macdougald
FX -1 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received intermedia-ry:l
anRafaethrough
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013 Kevin Macdougald
[Z IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
&:Q§Ff(;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL. ;P 84.00
FPPC Form 460 (January/05)
FPLC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA f;
from 01/01/2013
FORM
through 06/3012013
Page 122_ of 190
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)
06/15/2013
Kevin Macdougald
Rx IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intgrm diaxy:qaSnCCRafael
Police Association, 1520
Fifth Aven1je, San
Rafael, CA 94901
06/30/2013
Kevin Macdougall
r_x1 IND
Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
M SCQ
Union member's dues received through intermedia iv:
1--7san Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Michael Mathis -
IND
Corporal
16.80
218.40
COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Michael Mathis
Fxj IND
Corporal
16.80
218.40
MCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through intermediazy:
ansoRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Michael Mathis
[Z IND
Corporal
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia
&:QP;,afaeL
Police Association, 1.520
Fifth Avenue, S
Rafael, CA 9490L
Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
CC - 211-C-atitributor Comirtiftee
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
A
1�
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 12 3. of 190
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)
02/15/2013
Michael Mathis
Fx_1 IND
Corporal
16.80
218.40
M COM
C/o: San Rafael Police Association
FROTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through interm, diazy:
qSCC
an Rafael
Policg Agsogiation , 1520
Fifth Ly-en—ug
n Rafael, CA 94901
02/28/2013
Michael Mathis
EZ IND
Corporal
16.80
218.40
❑ COM
C/o: San Rafael Police Association
FIOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
--1 S C Qxafael
Union member's dues received through intermedia iv:qan
_
Police Association, 1520
Fifth Avenue, Sen.
Rafael, CA 94901
03/15/2013
Michael Mathis
[IND
Corporal
16.80
218.40
nCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
SC
E;(�
Union member's dues 'received throw intermediaiv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Michael Mathis
FX -1 IND
Corporal
16.80
218.40
nCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediaiy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Michael Mathis
EM IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia jy:Q§i9(;ZafaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
7 7
7 -777777'77
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL$ E,
84.00 1 i ii
im
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
11
14JIRTIT:.ilmmff� PMRM@7�Wn1RTr*T1M11W. N -o
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
7
*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
L- -------- -
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2013
Page 124 of 190
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)
04/30/2013
Michael Mathis
Fx_j IND
Corporal
16.80
218.40
COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through interm diary:
qSCC
an Rafael
Police Association,
1520
Fifth AvenLie, San
Rafagl,
CA 94901
05/15/2013
Michael Mathis
[j] IND
Corporal
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
__I
Union member's dues received through intermediarv:qanSC
Rafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
05/31/2013
Michael Mathis
BIND
Corporal
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qan
Rafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
06/15/2013
Michael Mathis
®IND
Corporal
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
(
Union member's dues received through intermediary:[;
anSC" afael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Michael Mathis
RIND
Corporal
16.80
218.40
COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia jy:Q§P:�afae�
Police Association,
1520
Fifth Avenue, S
Rafael,
CA 9490L
. . . .. ..
SUBTOTAL$
..
84.00
7
*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
L- -------- -
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
1111 1111, 111, 111 �
R:N ;TTo r Iff,",
I I
111HU111
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 125_ of 190 -
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)
01/01/2013
Kelly Mauel
IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901 0
Union member's dues receivedthrough interm diaxy:
a�D Rafael
Police Association, 1520
Fifth A_vgnLje, San
Rafael, CA 94901
01/15/2013
Kelly Mauel
Rx IND
Records Clerk
13.05
169.65
F-1 com
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw intermedia xv:[;
anScRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Kelly Mauel
N IND
Records Clerk
13.05
169.65
El COM
-
C/o: San Rafael Police Association
R OTH
1520 Fifth Avenue
F1❑pan PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
�Union afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Kelly Mauel
rx-1 IND
Records Clerk
13.05
169.65
-
r-1 com
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
LJ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:
anscafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Kelly Mauel
FIND
Records Clerk
13.05
169.65
F� COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediadv:Q§P�RafaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490L
Individual
Recipient Commiftee
(other than PITY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA A)
to whole dollars.
4 6 0
from 01/01/2013
FORM
through 06Z30/2013
Page 126. of 190
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)
03/15/2013
Kelly Mauel
M IND
Records Clerk
13.05
169.65
FICOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Lngmbgr's dgs recgived through intgrm diazy:
SCCUnion
n Rafael
Po ice Aagogiatign, 1520
Fifth Avenue. San
Rafael, CA 94901
03/30/2013
Kelly Mauel
[j] IND
Records Clerk
13.05
169.65
COM
C/o C/o: San Rafael Police Association
OTH
1.520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Kelly Mauel
rx-1 IND
Records Clerk
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:[:
aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Kelly Mauel
®IND
Records Clerk
13. . 05
169.65
FICOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received throu2h intermediaiy:
anafaeUnion
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Kelly Mauel
[IND
Records Clerk
13.05
169.65
CCDM
C/o: C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediajy:Q9K";,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
IL JL Jjjj t
L
SUBTOTAL$ 65.25
FC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
gmmgfisllu��
Statement covers period
from 01/01/2013
through 06/30/2013 , Page 12 7. of 19#
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)
05/31/2013
Kelly Mauel
IND
Records Clerk
13.05
169.65
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through ilItgrm diazy:
qSCC
an Rafael
Polige Associatign, 1520
Fifth AvenLie, S
n Rafael, CA 94901
06/15/2013
Kelly Mauel
Fx
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throu!gh intermediaxy:
qanscc_Union
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Kelly Mauel
[5d IND
Records Clerk
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
FI OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:
Tan Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
f
Abigail Mcelderry
BIND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth AvenueCity
F-1 PTY
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iy:E;
anSCRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Abigail Mcelderry
[MIND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
I PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
&:Q§I91;zafPolice
Association, 1.520
Fifth Avenue, SL
Rafael, CA 9490k
*Contributor Codes
Individual
COM — Recipient Commiffee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
I -it
1kildid jhkLr_' # 11fu
SUBTOTAL$
65.25
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
460
from 01/01/2013 FORM
through 06Z30/2013 Page 128_ of 190 -
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)
01/31/2013
Abig' il Mcelderry
Fx-JIND
Dispatcher
13.05
169.65
F1 COM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
'San
Union memb—grIg d1igg receive through intermediaxy:qaSnCCRafae1
Poligg Ass!2giatjoa, 1520
Fifth Avenue,
Rafael, M 94901
02/15/2013
Abigail Mcelderry
[Z IND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
--1 S C CRafael
Union member's dues received through intermedia rv:qan
_
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Abigail Mcelderry
Fx� IND
Dispatcher
13.05
169.65
R COM
C/o: San Rafael Police Association
MOTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
E;SCG
Union member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Abigail Mcelderry
FRI IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
SnC(�
Union member's dues received through intermedia r
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Abigail Mcelderry
FX -1 IND
Dispatcher
13.05
169.65
nCOM
C/o: San Rafael Police Association
[] OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901L
I rN (:�af
mbd
Union meer's dues received through intermedia
V: -49k a eL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAU-0
65.25
*Contributor Codes
Individual
Reent Committee
(other than PTY or SCC)
OTH — Other (e.g., business enti
ty)
PTY — Political Party
Small Contributor Committee
. .... .....
A A I'"tlil
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (866/276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
=7=7317=
San Rafael Police Association Pocal Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06/30/2013 Page 129_ of 190
I.D. NUMBER
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)
04/15/2013
Abigail Mcelderry
TND
Dispatcher
13.05
169.65
r-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth AvenueCity
PTY
of San Rafael
San Rafael, CA 94901
Un' on member's dugg received through interMgdiaxy:
q anR afael
Police Agsociation, 1520
Fifth Avygnug, San
Rafael, CA 94901
04/30/2013
Abigail Mcelderry
rX_1 IND
Dispatcher
13.05
169.65
r-1 COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
71 SCC_
Union member's dues received through intermedia
:`;an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Abigail Mcelderry
[A IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:[-f
anSoRafae
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
05/31/2013
Abigail Mcelderry
[21 IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
�anRafaethrough
Union member's dues received intermediary:l
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Abigail Mcelderry
nx IND
Dispatcher
13.05
169-65
ncom
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
&:QRiY-RafaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490k
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
utor C*witiftfee
SUBTOTAL$
65.25
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASIC-FFP C (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC) 1
Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FFP C Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
through 06/30/2013
Page 130 of 190
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)
06/30/2013 Abigail Mcelderry
IND
Dispatcher
13.05
169.65
F]COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dugg received 1hrough inte.1m, dia-ry:
an�nion
Rafael
Police Associatign. 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013 Phillip Melodia
®IIT
officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, C.A. 94901
-ISCQ_
Union member's dues received throuqh intermediaxv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013 Phillip Melodia
[5fl IND
.officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:[-fJSHCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013 Phillip Melodia
BIND
officer
16.80
218.40
M COM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received throu2h intermedia zy:E;
Rafae
anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013 Phillip Melodia
BIND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
[:]PTY
City of San Rafael
San Rafael, CA 94901P;,
Union meer's dues received through intermedia
mbiv
: QR^afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
SUBTOTAL$
7
80.25
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC) 1
Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FFP C Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period A
to whole dollars. 0 1
from 01/01/2013
through 06/30/2013 Page 131_ of 190 -
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)
02/28/2013 Phillip Melodia
IND
Officer
16.80
218.40
❑COM
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
® PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedi_ary:
qSCC
an Rafael
Police Agsogialion, 1520
Fifth Avenue, S
n Rafael, CA 94901
Phillip
03/15/2013
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
nn
Union
Union member's dues received throe intermedia zv:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013 Phillip Melodia
nx IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:�aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013 Phillip Melodia
FX -1 IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
anSR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013 Phillip Melodia
®IND
Officer
16.80
218.40
F]COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
Union member's dues received through intermediaJV:QW;,afaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490L
SUBTOTAL$
84.00
*Contributor Ca-
• +
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity) 1
PTY — Political Party
SCC — Small Contributor Committee
A
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
I�NNI Wall
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06Z30/2013
Page 132_ of 190
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
(IFCOMM 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)
05/15/20135
Phillip Melodia
®IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union memberIg dues receivg!d through interLn diaxv:qaSnCCRafael
Police Association, 1520
Fifth Avenug, S
n Rafael, CA 94901
05/31/2013
Phillip Melodia
rx-1 IND
Officer
16.80
218.40
COM
C/o: C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of an Rafael
San Rafael, CA 94901
1
Union member's dues received through intermediaiv:
aSnCCRafael
Police Association, 1520
Fifth Avenue l San
Rafael, CA 94901
06/15/2013
Phillip Melodia
Fx_j IND
Officer
16.80
218.40
C] COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:
an afae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Phillip Melodia
[2] IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth AvenueCity
F-1 PTY
of San Rafael
San Rafael, CA 94901
[;S�
Union member's dues received through intermediazy:
anoafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Beth Minka
Q IND
Administrative Technician
13.05
169-65
F] COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
C PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediajV:Q§i9(;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490k
IND — Individual
COM — Recipient Commiftee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SGC — Sitall Cottributtor Gortitiftee
SUBTOTAL$ 80.'25
, " , , , , i ........ E01011111111011111111111110MM
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
6".161P 1:4 Big] I T
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06Z30/2013
Page 133 of 190
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)
01/15/2013
Beth Minka
IND
Administrative Technician
13.05
169.65
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[;
Union meMber's dues jzggeivgd through interm diazy:
nafael
aC R
Policg Association, 1520
Fifth Zk_v_enu!Q. S
a Rafael,
CA 94901
01/31/2013
Beth Minka
[Z IND
Administrative Technician
13.05
169.65
El COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
EISCQ�
Union member's dues received through intermediary:
;an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2013
Beth Minka
®IND
Administrative Technician
13.05
169.65
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:
�an�afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/28/2013
Beth Minka
nx IND
Administrative Technician
13.05
169.65
ncom
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Sa
Union member's dues received through intermediary:E;
anR afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
03/15/2013
Beth Minka
QIND
Administrative Technician
13.05
169.65
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia jV:Q§Ff(:�afae1i
Police Association, 1520
Fifth Avenue, S
Rafael,
CA 9490L
SUBTOTAL.$
65.25
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
monetary ContribUtionS Received Amounts may be rounded
Statement covers period�
� -
to whole dollars.
• �
1
from 01/01/2013
., .0
through 06/30Z2013
page 134 of 190 -
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)
03/30/2013 Beth Minka
Rx INC}
Administrative Technician
13.05
169.65
DCOM
C/o: San Rafael Police Association
R OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
qaCCUnionmember'sdues
regeived thloughintgrM diary:
n Rafael
Police Asg!2ciation, 1520
Fifth L%venue . San
Rafael, CA 94901
04/15/2013 Beth Minka
ZINC}
Administrative Technician
13.05
169.65
M COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
-1 SCQ_
Union member's dues received through intermediarv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013 Beth Minka
BIND
Administrative Technician
13.05
169.65
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia-ry:aSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013 Beth Minka
IND
Administrative Technician
13.05
169.65
F] COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
E;aSnKafael
Union member's dues received through intermediary:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013 Beth Minka
®INC}
Administrative Technician
13.05
169.65
[]COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuqh intermedia�y:Q§P;,afaeL
Police Association, 1520
Fifth Avenue, S4n
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
I ---
SUBTOTAL$ I
FPPC Form 460 (January/ 5)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
Ask
M r7SLOM MTF. FWMIN 2
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06/30/2013 1 Page 135_ of 190
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)
06/15/2013
Beth Minka
❑IND
Administrative Technician
13.05
169.65
COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dugs received throLigh i_nterm diary:E;
an Raf ael
Police Associatign_, 1520
Fifth Aygnue. S
n Rafael, CA 94901
06/30/2013
Meth Mina
❑IND
Administrative Technician
13.05
169.65
COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
E-ISCQ_
Union member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Jorge Navarro
IND
Evidence Technician
13.05
169.65
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;aSnKafael
Union member's dues received through intermedia rv:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Jorge Navarro
[M IND
Evidence Technician
13.05
169.65
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received intermediary:
Rafaethrough
anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Jorge Navarro
®IND
Evidence Technician
13.05
169.65
FICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901R
Union member's dues received through intermediar1y:QR'afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
li�iiii��iiii;ili milig 1 01i i�: m 1 1 ii 1! 11111a� i jim 1
SUBTOTAL$
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-1=PPC (866/275-3772)
III � I 17�Z�l =1111111!!1110'
Ot
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA 12- 0
from 01/01/2013
FORM
through 06/30/2013
Page 136. of 190
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)
02/15/2013
Jorge Navarro
Fx_j IND
Evidence Technician
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union mgmherlg dues received through intermediary:
qSCRa afael
Police Association, 1520
Fifth Avenue San
Rafael, C.A. 94901
02/28/2013
Jorge Navarro
Fx] IND
Evidence Technician
13.05
169.65
RCOM
C/o: San Rafael Police Association
❑ CITH
1520 Fifth Avenue©
PTY
City of San Rafael
San Rafael, CA 94901
SCIG
Union member's dues received throe intermedia rv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Jorge Navarro
IND
Evidence Technician
13.05
169.65
Com
C/o: San Rafael Police Association
CITH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E�Union
member's dues received through intermediary:
anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Jorge Navarro
[2] IND
Evidence Technician
13.05
169.65
000M
C/o: San Rafael Police Association
❑ OTH
1.520 Fifth AvenueCity
PTY
of San Rafael
San Rafael, CA 94901
[:;JSnKaf
Union member's dues received through intermediary:
ael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
04/15/2013
Jorge Navarro
RIND
Evidence Technician
13.05
169.65
E]COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia dv:Q§P:�
afar
ll Police Association, 1520
Fifth Avenue, S
Rafael, C.A. 9490L
6
*Contributor Codes 0
Individual
1 COM — Recipient Committee
(other than PTY or SCC)
Other'(e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 65.2s
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06/30/2013 Page 137 of 190
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
©F BUSINESS)
04/30/2013
Jorge Navarro
FXj IND
Evidence Technician
13.05
169.65
MCOM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
nion member's dues recgivgd throucTh iLitgrm�diaxy:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
CA 94901
05/15/2013
Jorge Navarro
[Z IND
Evidence Technician
13.05
_Rafa!21,
169.65
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
-1 SCQ_
Union member's dues received throucrh intermedia iv:qan
Rafael
Police Association
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Jorge Navarro
IND
Evidence Technician
13.05
169.65
EICOM
C/o: San Rafael Police Association
nOTH
❑PTY
1520 Fifth Avenue
❑
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Jorge Navarro
RIND
Evidence Technician
13.05
169.65
EICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
S�Union
member's dues received through intermedia ry:E;
anC(afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Jorge Navarro
nx IND
Evidence Technician
13.05
169.65
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
&:QY'i'Y;afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490k,
SUBTOTAL$
7
65.25
*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
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661AS1 -FPPC (8661276-3772)
F;Rrs: MIK
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
from 01/01Z2013
FORM
through 06/30/2013
Page 138_ of 190
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-EMPLC}YE©, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
41/41/2413
Alexis Nielsen
IND
Dispatcher
13.05
169.65
com
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union memo .'s dues received through intermediazy:qaSnKafael
Police Assggiation. 1520
Fifth AveLiu_g, S
n Rafael, CA 94901
01/15/2013
Alexis Nielsen
[Z IND
Dispatcher
13.05
169.65
mcom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
gaanUnion Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Alexis Nielsen
®IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Sc
[;(
Union member's dues received through intermediary:
an � afael
Police Association, 1520
Fifth,Avenue, San
Rafael, CA 94901
02/15/2013
Alexis Nielsen
FX] IND
Dispatcher
13.05
169.65
r-1 COM
C/o: San Rafael Police Association
� OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
E;
Union member's dues received throu2h intermediary:
anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Alexis Nielsen
FX IND
Dispatcher
13.05
169.65
[-] com
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermedia
&.Q§19afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 6 5. 2 5
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
q vill 1;q jil I �1111
Monetary Contributions Received Amounts may be rounded
Statement covers period
A
to whole dollars.
0 1
from 01/01/2013
through 06Z3O12013
Page 139. of 190 -
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)
03/15/2013
Alexis Nielsen
Fx_j IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throllcrh intermediazy:qaSnCCRafael
Police Association, 1520
Fifth AvgLiug, S
a Rafael, CA 94901
03/30/2013
Alexis Nielsen
® IND
Dispatcher
13.05
169.65
El COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
7]C,
Union member's dues received through intermedia rv:[;anSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Alexis Nielsen
BIND
Dispatcher
13.05
169.65
R COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E-1
C_Union
member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Alexis Nielsen
®IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
❑F] OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received throu2h intermediary:
ana.fae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Alexis Nielsen
RIND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia dv:Q§191;'afae�
Police Association, 1520
Fifth Avenue, SJn
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Sf'S,�1;_wJLGsn*hib_Lj_tor aartntiftee
SUBTOTAL$ 65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01Z2013
FORM
through 06Z30/2013
Page 14 0_ of 190
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)
05/31/2013
Alexis Nielsen
nx IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
[4scc
Union member's dues receives through intermedia
an Rafael
Poligg Associatign, 1520--.F.1fth
A—venue, San
Rafael, CA 94901
06/1.5/2013
Alexis Nielsen
[j] IND
Dispatcher
13.05
169.65
COM
C/o: San Rafael Police Association
C/o
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
EFISCQ_
Union member's dues received throe intermediarv:
; an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Alexis Nielsen
®IND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Leslie O'Toole
MIND
Off icer
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Leslie O'Toole
nX IND
Officer
16 .80
218.40
EICOM
C/o: San Rafael Police Association
FJOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received throe intermedia rly:Q§P:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
iLzu-71 _1#adW4A_ jJt*_r_r1 -Imilm
SUBTOTAL$ 72.75
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
TOM=- I II
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
t
through 06Z30/2013
Page 141 of 190
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)
01/31/2013
Leslie O'Toole
r-xl IND
officer
16.80
218.40
QCOM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union mgm—ber's dues received th-rgligh intermediary:
q an Rafael
Pc ice Aggggiation. 152Q
-Fifth Avenue. San
Rafael, CA 24901
02/15/2013
Leslie O'Toole
FX_1 IND
officer
16.80
218.40
r-1 Com
C/o: San Rafael Police Association
nOTH
-
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
71
Union member's dues received through intermediarv:qanSC
R.a.fa.el
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Leslie O'Toole
BIND
officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
(�
Union member's dues received through intermediary:[;
anSCafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Leslie O'Toole
[2] IND
officer
16.80
218.40
El COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Leslie O'Toole
Fx IND
off icer
16.80
218.40
T COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
union member's dues received throe intermedia jy:LAi9(;,afaeI1l
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Sciall Cottribirtor Cantatittee
SUBTOTAL$ 8 L4. 0 0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
AI I I M, ffe
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01/2013
FORM
through 06/30/2013
Page 142. of 190 -
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)
04/15/2013
Leslie O'Toole
MIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receivgd through interm diary:
;aCCRafael
Policg A-s9ggiatioLl. 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Leslie of
FX -1 IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:[;anSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/25/2013
Leslie O'Toole
nx IND
Officer
16 .80
218.40
COM
C/o: C/o: San Rafael Police Association
OTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
SC(�Union
member's dues received through intermediary:[;
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Leslie O'Toole
IND
Officer
16.80
218.40
com
C/o: San Rafael Police Association
OTH
of San Rafael
1520 Fifth AvenueCity
PTY
San Rafael, CA 94901
SC(�Union
member's dues received throe intermedia ry:[�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Leslie O'Toole
nX IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA94901
Union member's dues received through intermediady:QRk
_afae�
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Sr
, A*hjbntDLQo,
SUBTOTAL$ 84. 00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (8661275-3772)
0 a I
I'M N ^ ao ON*
�qy, reyT;i
Irl I M% S M r, H 07 n i r TIT I
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
I IND — Individual
1 COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (8661275-3772)
through 06230Z2013
Page 143 of 190
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)
06/30/2013
Leslie O'Toole
[5fl IND
Officer
16.80
218.40
❑ COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throuah intgrmediaxv:
�a�CUnion
Rafael
Police Association, 1520
Fifth Avgnue. San
Rafael, CA 24901
01/01/2013
Meaghan Pang
BIND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
[:] PTY
City of San Raphael
San Rafael, CA 94901
Union member's dues received through intermediary:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, SiAn
Rafael, CA 94901
01/15/2013
Meaghan Pang
N IND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
F1 OTH
❑PTY
1520 Fifth Avenue
City of San Raphael
San Rafael, CA 94901
Union member's dues received throuqh intermedia
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Meaghan Pang
[21 IND
Dispatcher
13.05
169.65
COM
C/o:
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Raphael
San Rafael, CA 94901
qan
Union member's dues received through intermediary:
RafPolice
Association, 1520
Fifth Avenue, S
Rafael, CA 94901
02/15/201:3
Meaghan Pang
[IND
Dispatcher
13.05
169.65
El COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Raphael
San Rafael, CA 94901
Union member's dues received throw gh-intermedia d
V: L�§P;,afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490k
SUBTOTAL$
69.00
*Contributor Codes
I IND — Individual
1 COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 866/ASK-FPPC (8661275-3772)
1 J , RrOTIT. III EMYNIL0 M*oo Mpuwn qF6T1Tff-1zW- SA. W. 0
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
bTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FFP C Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASI -FPPC (866/275-3772)
through 06/30Z2013
Page 144 of 190
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)
02/28/2013
Meaghan Pang
IND
Dispatcher
13.05
169.65
M COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
M PTY
City of San Raphael
San Rafael, CA 94901
S
Union member's dues receive thrgLicrh intermediary
q: anCC Eafael
Rolice Aggogiation, 1520
Fif:Lh Avenue. San
Rafael, CA 94901
03/15/2013
Meaghan Pang
EZ IND
Dispatcher
13.05
169.65
M COM
C/o: San Rafael Police Association
MOTH
1.520 Fifth Avenue
n PTY
City of San Raphael
San Rafael, CA 94901
�](�_
Union member's dues received throe intermedia iv:qanSC
Rafael
Police Association 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Meaghan Pang
BIND
Dispatcher
13.05
169.65
F_1COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Raphael
San Rafael, CA 94901
(�
Union member's dues received through intermediazy:
Tan afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Meaghan Pang
[MIND
Dispatcher
13.05
169.65
ncom
C/o: San Rafael Police Association
MOTH
City of San Raphael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
E;S
Union member's dues received through intermediazy:
anC� afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Meaghan Pang
nx IND
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
PTY
City of San Raphael
San Rafael, CA 94901
Union member's dues received throe intermedia&:Q§PP;�afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAL$
65.25
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
bTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FFP C Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASI -FPPC (866/275-3772)
NI& =1 Clio,* •
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1
46 0
from 01/01/2013 i
FORM
through 06/30/2013
Page 145. of 190 -
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)
05/15/2013
Meaghan Pang
r_x] IND
Dispatcher
13.05
169.65
T COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Raphael
San Rafael, CA 94901
Union member's dues received,112rough interm diazy:
qSCC
an Rafael
Police Aasociation, 1520i
Fifth Avgnue, San
Rafael, CA 94901
05/31/2013
Meaghan Pang
[21 IND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Raphael
San Rafael, CA 94901
EI
Union member's dues received throe intermedia
v: ;anSCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 9490
06/15/2013
meaghan Pang
BIND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
❑El
City of San Raphael
San Rafael, CA 94901
S C G
Union member's dues received through intermedia rv:
;an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Meaghan Pang
IND
Dispatcher
13.05
169.65
Com
C/o: San Rafael Police Association
OTH
City of San Raphael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
SC(�Union
member's dues received through intermedia r
n afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
()1/01/201,3
Nicola Pata
[21 IND
Dispatcher
13.05
169.65
F]COM
C/o: San Rafael Police Association
QOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dv:Q§P:R
afaeL
Police Association, 1520,
Fifth Avenue, S4n
Rafael, CA 9490�
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Commiffee
SUBTOTAL$
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
we ffllk��
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01Z01/2013
FORM
through 06/30Z2013
Page 14 6_ of 190 -
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)
01/15/2 013
Nicola Porta
Rx IND
Dispatcher
13.05
169.65
RCOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
membberIg dues received through intermediary:
qUnion aCR afael
Police AssQciation, 1520
Fi_fth Avenue, San
LZafael, CA 94901
01/31/2013
Nicola Pates
r_xj IND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Ql
dues received through intermediarv:qanSC
anmember's
:q
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Nicola Porta
Fx_j IND,
Dispatcher
13.05
169.65
❑COIVI
C/o: San Rafael Police Association
®OTH
1520 Fifth AvenueCity
F-1 PTY
of San Rafael
San Rafael, CA 94901
I
Union member's dues received through intermediaiv:
�an�2afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Nicola Pates
[2] IND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth AvenueCity
F� PTY
of San Rafael
San Rafael, CA 94901
[�S
Union member's dues received through intermediary:
anCRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Nicola Pata
[MIND
Dispatcher
13.05
169.65
F] COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
R PTY
City of San Rafael
L
San Rafael, CA 94901
=§i9(;,afaeL
Union member's dues received through intermediaLL-A
Police Association, 1520
Fifth Avenue, S4n
Rafael, CA 9490
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contdbutor Committee
SUBTOTAL -P 65.25
FPPC Form 460 Jan aryl
FPPC Toll -Free Helpline., 866/ASK-FPPC (8661275-3772)
11 0 1
n9=0917 I �M[F� SM, r, pn; M1 RiNTIT-1 Rz. I
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
through 06230/2013 I Page 147_ of 190 _
•
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)
03/30/2013
Nicola Pata
[21 IND
Dispatcher
13.05
169.65
C} COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
ULiiQn memberIg des receive through interm diazy:
qSCC
an Rafael
Police Associatign. 1S20
if Avg_nu_e. San
Rafae_1, CA 94901
04/15/2013
Nicola Pata
FX_1 IND
Dispatcher
13.05
169.65
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E_1an
Union member's dues received through intermediaiv:
RSCQ
;- afael
Police Associatign,
Fifth Avenue, San
Rafael, C.A. 94901
04/30/2013
Nicola Pata
rx-1 IND
_1520
Dispatcher
13.05
169.65
EICOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC(�Union
E;
member's dues received through intermediazy:
an afore
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Nicola Pata
FRI IND
Dispatcher
13.05
169.65
MCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiy:
anCafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Nicola Pata
BIND
Dispatcher
13.05
169.65
DCOM
C/o: San Rafael Police Association
BOTH
15210 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaijy�.
§191:�afaeE
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 65.25
FPPC Form 460 (January/05)
FPPC Toll -Free helpline: 866/Al-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFO RNI A
460
from 01/01/2013
FORM
through 06/30/2013
Page 148 of 190
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)
06/15/2013
Nicola Pates
Fx_j IND
Dispatcher
13.05
169.65
F-1 COM
C/o: San Rafael Police Association
GOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union membgj's dues reggived thrgugLi interm diazy:nafael
�aCR
Polige Association, 1520
Fifth Avenjjg. San
Rafael, CA 94901
06/30/2013
Nicola Pata
Fx_j IND
Dispatcher
13.05
169.65
F� COM
C/o: San Rafael Police Association
Ej OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
_1SCQ_
Union member's dues received through intermediarv:qan
Rafael
Police Associat-ign, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Brian Patterson
Rx IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:I
�aaSn Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Brian Patterson
QIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
.San Rafael, CA 94901
Union member's dues received threw intermedia 1y:[;JSnKafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
01/31/2013
Brian Patterson
[MIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
lUnion member's dues received through intermediajv:LAP�Rafaell
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490L
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL 76.50
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01Z2013
FORM
through 06Z30/2013
Page 149 of 190
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)
02/15/2013
Brian Patterson
Fx� IND
Officer
16.80
218.40
F-1 Com
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
anCUni
on me-mbgrIg djIgsregeimed through inteizmediaiv:
Rafael
Police Association, 1520
if AvenjIg. San
Rafa!21, CA 94901
02/28/2013
Brian Patterson
[Z IND
Officer
16.80
218.40
[]COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
__I
Union member's dues received throuc[h intermediaiv:qanSC
Rafael
Police Association 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Brian Patterson
MIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PT(Y;
of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Brian Patterson
FX -1 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑{STH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received through intermedia iy:T
anR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/l5/2013
Brian Patterson
®IND
Officer
16.80
218.40
ocom
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia dv:Q§P;�afaeE
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9490
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
S_01ji___SCU2_•Abutor Gortitiffee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (8661275-3772)
L
Monetary Contributions Received Amounts may be rounded
Statement covers period
A ft A
to whole dollars.
*
A Ask
from 01/01Z2013
0 01
through 06/30/2013
Page 150. of 190
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831.553
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)
04/30/2013
l,i,, Patterson
IND
Officer
16.80
218.40
M COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs rgcgived through intg1m diaxy:[4aSnCCRafae1
Policg Aggociation. 1520
Fifth Ave ue. San
Rafagl. CA 94901
05/15/2013
Brian Patterson
[5d IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:qanC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Brian Patterson
[Z IND
Officer
16.80
218.40
M COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
[-] PTY
city of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:,
;(�Union
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Brian Patterson
[2] IND
Officer
16.80
218.40
® COM
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[❑�Sc(�
Union member's dues received throu h intermediary:
an afie
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Brian Patterson
Fx� IND
Officer
16.80
218.40
000M
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Of,%
Union member's dues received through intermedia jv:QRP:�afaeli
Police Association, 1520
Fifth Avenue_L_S
n Rafael, CA 9490L
Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
Small Contributor Committee
SUBTOTAL$ 8 4 0 0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
ntity)
OTH — Other (e.g., business e
Political Party
Small Contributor Committee
L--- - -- - ---- ---------- - ------- - ------- ------------ --- -------- --- ------------------- - --------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06Z30/2013 Page 151 Of 190
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)
01/01/2013
Buffy Paxson
Fx_j IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union MeMb_grls dues r�ceived thr!Qucrh iLiterLnediaxv:
qSC
an Ra fael
Police Ass !2ciation. 1520
Fifth Ayenug. San
Rafael, CA 94901
01/15/2013
Buffy Paxson
EZ IND
Officer
16.80
218.40
000IVI
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Ej
cthrouqh
Union member's dues received intermediaiv:;
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Buffy Paxson
BIND
Officer
16.80
218.40
F_1 COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through intermediary:
anSCR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Buffy Paxson
INC?
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
U
sc
�anthrou2h
Union member's dues received intermediary:Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Buffy Paxson
FX_1 IND
Officer
16.80
218.40
E]COM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
01*1* (�
Union member's dues received through intermediady:Q91afae�
Y
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
ntity)
OTH — Other (e.g., business e
Political Party
Small Contributor Committee
L--- - -- - ---- ---------- - ------- - ------- ------------ --- -------- --- ------------------- - --------
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 UontrwutionS Keceivea Amounts may be rounded
Statement covers period
Im Ago,
to whole dollars.
CALIFORNIA w
4 Iwo 0
from 01Z01/2013
FORM
Page 152_ of 190
through 06/30/2013
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)
03/15/2013
Buffy Paxson
Fx_j IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union LngMherls dues reggived throw gh intermediazy:
qaCC
n Rafael
Police Associa:Lion, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Buffy Paxson
[Z IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
[;SC(�
Union member's dues received throuqh intermedia rv:
Rafael
Police Association. 1520
Fifth Avenue, San
Rafael, CA 9490
04/15/2013
Buffy Paxson
IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediaiv:
qUnion anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Buffy Paxson
IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
qUnion anscRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Buffy Paxson
BIND
Off icer
16.80
218.40
ncom
C/o: San Rafael Police Association
[-] OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
EAP;,afae
Union member's dues received through intermediady:
Police Association, 1520,
Fifth Avenue, S
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
Small Contributor Committee
SUBTOTAL $ 84.00
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Statement covers period
CALIFORNIA
40" 0
from 01/01/2013 FORM
*Contributor Codes
Individual
COM - Recipient Committee
(other than PTY or SCC)
ntity)
OTH - Other (e.g., business e
PTY - Political Party
SCC - Small Contributor Committee
- -- - - ---------------------------- -- - - - ------ --
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
11 Ir
3 Page 5 3 - of 190
through 06/30/201 1
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)
05/31/2013
Buffy Paxson
rx-1 IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union memberIg dues received through intgjZmediazy:
an Rafael
Police Associatign. 1520
Fifth Avenue. San
Rafael, CA 94901
06/15/2013
Buffy Paxson
rx-1 IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
[-] PTY
City of San Rafael
San Rafael, CA 94901
E;SCRafae
Union member's dues received through intermediaiv:
anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Buffy Paxson
®IND
Officer
16.80
218.40
F-1 com
C/o: San Rafael Police Association
0TH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia -ry:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Aaron Piombo
FX -1 IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;
member's dues received through intermediaiy:
an(�Union
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Aaron Piombo
BIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
,Union member's dues received through intermediady:L4AP;,afae�
Police Association, 1520,Fifth
Avenue, S
Rafael, CA 9490�
SUBTOTAL
*Contributor Codes
Individual
COM - Recipient Committee
(other than PTY or SCC)
ntity)
OTH - Other (e.g., business e
PTY - Political Party
SCC - Small Contributor Committee
- -- - - ---------------------------- -- - - - ------ --
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
11�1y,a s 07in WaSTIon I
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01Z01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
- - -- --- -- --- -- ---- - - -- -------------- ----------------- ------------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/276-3772)
through 06/30/2013
Page 154 of 190
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)
01/31/2013
Aaron Pionibo
Fx_j IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union meniber's dues received through intermediary:
qSCR
anafael
Police Asgociation,
1520
Fifth Aygnue. San
RafAQ1.
CA 94901
02/15/2013
Aaron liombo
RING}
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E-ISC
Unionmember's dues received throucth intermediarv:
;anl
Rafae
Police Association,
1520
Fifth Avenue, Sen
Rafael,
CA 94901
02/28/2013
Aaron Piombo
[5d IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
R OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
4anRafael
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
03/15/2013
Aaron Piombo
Fxj IND
Of f icer
16.80
218.40
RCOM
C/o: San Rafael Police Association
E] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
;Union SC
member's dues received through intermediary:[
an Rafae
Police Association,
1520
Fifth Avenue, San
Rafael,
CA 94901
03/30/2013
Aaron Piombo
RIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
lUnion member's dues received throw intermedia jV:LAP_1;'afaeL
Police Association,
1520
Fifth Avenue, S�n
Rafael,
CA 949011
SUBTOTAL $
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
- - -- --- -- --- -- ---- - - -- -------------- ----------------- ------------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
460
from 01/01Z2013
FORM
through 06/30/2013
Page 155 Of 190
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)
04/15/2013
Aaron Piombo
Fx� IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
El OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues re eine t_hrgjjgh intermediary:
qSCRa
anfael
Police Associatig1j. 1520
Fifth A_veLiue. San
Rafagj, CA 94901
04/30/2013
Aaron Piombo
TINA
Officer
16.80
218.40
FICCDM
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
[-] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
4anCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Aaron Pio mbo
EZ IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:T
anSCR afael
Police Association, 1..520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Aaron Piombo
[2] IND
Officer
16.80
218.40
®COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 9490"L
SC
Union member's dues received through intermedia ry:Tan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Aaron Piombo
nX IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
TOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediajy:Q§PCZafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 949011
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
- ------- -- - - - - ------ -
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline'. 8661ASK-FPPC (866/275-3772)
through 06/30/2013
Page 156 of 190
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)
06/30/2 013
Aaron Piombo
[..x IND
Off icer
16.80
218.40
Q COM
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
mgmbgr's dugg receiy!2d thizoughinterm diaxv:
�anRUnion
Rafael
Pgjigg Aggggiation, 1520
Fif:Lh j�yvg_nije, 0
-n Rafa!gl, CA 94901
01/01/2013
Dennis Prince
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
EJSC
member's dues received throuqh intermediaiv:
RafaeUnion
;anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Dennis Prince
nX IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:[�anKafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA-- 94901
01/31/2013
Dennis Prince
nX IND
Of f icer
16.80
218.40
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
S
Union member's dues received throu2h intermedia zy:Tann
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Dennis Prince
BIND
Officer
16.80
218.40
000M
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediadv:
Q9'iY";,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
..... . ........ .. . 7
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
- ------- -- - - - - ------ -
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 maybe rounded Statement covers period
to whole dollars. CALIFORNIA
460
from 01/01Z2013 FORM
through 06/30/2013 Page 157_ of 190 -
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)
02/28/2013
Dennis Prince
TINA
Officer
16.80
218.40
M COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
qUnion SC
mgmber's dues r!2ceived thrgLigh intermediazy:
an Rafae
l Police Ass!2ciation, 1520
Fifth venue San
Rafael, CA 94901
03/15/2013
Dennis Prince
RIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
F] OTH
1.520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
1S
Union member's dues received through intermedia
4 anCRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Dennis Prince
[5fl IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:SC
Rafaeanl
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
04/15/2013
Dennis Prince
FX -1 IND
Of f icer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association[BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iy:qanSCR
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Dennis Prince
BIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
F -I OTH
City of San Rafael
1520 Fifth Avenue
❑PTY
San Rafael, CA 94901
Union member's dues received throuqh intermediadv:
afaeli
Police Association t 1520
Fifth Avenue l S
Rafael, CA 9490L
SUBTOTAL$
777711,111,
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 555/ASLO-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. .-
460'
from 01/01/2013 FORM
through 06/30/2013 Page 158 Of 190
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)
05/15/2013
Dennis Prince
rx IND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's des received through j_nterM diary:
qSCC
an Rafael
Pojige Association, 1520
Fifth Avenug, San
Rafagl, CA 94901
0.5/31/2013
Dennis Prince
Rx IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
TanUnion Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490Dennis
Prince
-IND06/15/2013 FxOfficer
16.80
218.40
EICOM
C/o: San Rafael Police Association
FlOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:1;aSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2 013
Dennis Prince
[Z IND
Of f icer
16.80
218.40
RCOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
(
Union member's dues received through intermediary:[;
anSC�afa.e
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Ronda Reese
EZ IND
Corporal
16.80
218.40
[-] COM
C/o: San Rafael Police Association
E] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§P�ZafaeL
Police Association, 1.520
Fifth Avenue, S
n Rafael, CA 9490�
SUBTOTAL $
7, -7-"7
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Ar1A4_LtApL "is ut
FP PC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASIS-FFP C (866/276-3772)
I ill P tv-4 a
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business enti
ty)
Politicl P
aarty
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661ASK-FPPC (866/276-3772)
through 06Z3022013
Page 159. of 190
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)
01/15/2013
Ronda Reese
Mx IND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association[BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through inter m diayv:
qSCRafael
Police Association, 1520
Fift-vg nue. San
Rafael, CA 94901
01/31/2013
Ronda Reese
FRI IND
Corporal
16.80
218.40
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[-] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediaiv:
an(:�Union
q Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Ronda Reese
[Z IND
Corporal
16.80
218.40
El COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
city of San Rafael
San Rafael, CA 94901
[�aSnKafael
Union member's dues received through intermediazy:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Ronda Reese
FxjIND
Corporal
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
�an
Union member's dues received throw intermediaiy
Rafae:l
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2 013
Ronda Reese
nX IND
Corporal
16.80
218.40
nCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
"C
[qnion member's dues received throuqh intermediajV:QYQirY
Rafaell
Police Association, 1520,
Fifth Avenue, SIn
Rafael, CA 9490L
SUBTOTAL$
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business enti
ty)
Politicl P
aarty
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661ASK-FPPC (866/276-3772)
�ffl - NMI
Monetary Contrmutions Received Amounts may be rounded
Statement covers period
CALIFORNIA A
to whole dollars.
4 bo'6'0
from 01/01/2013
FORM
through 06230Z2013
Page 160. of 190
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)
03/30/2013
Ronda Reese
MIND
Corporal
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received thrgugh interLnedjaxy:qaSnCCRafael
Poligg Association, 1520
Fifth A venue San
Rafael, CA 94901
04/15/2 013
Ronda Reese
❑ IND
Corporal
16.80
218.40
FICOM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
FISCC-
Union member's dues received through intermediaiv:[;an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Ronda Reese
M IND
Corporal
16.80
218.40
ICOM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
F-1 PTY
city of San Rafael
San Rafael, CA 94901
Sc
[�(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/l5/2013
Ronda ReeseFX-1
IND
Corporal
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
E;�Union
member's dues received throu h intermediary:
anSoafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Ronda Reese
FX -1 IND
Corporal
16.80
218.4 0
F] COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermedia d
V: LAP�afaeli
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
I t
SUBTOTAI-w 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8S-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 161_ of 190 -
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)
06/15/2013
Ronda Reese
MIND
Corporal
16.80
218.40
FICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
union member's dugs received thrL)Ligh intgrmediaxv:qa'nCCRafael
Police Associatign. 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Ronda Reese
Fx_j IND
Corporal
16.80
218.40
r�com
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
F-1 SCG
Union member's dues received through intermediaiv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Margo Rohrbacher
Fx_j IND
Civilian Supervisor
13.05
169.65
F] COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Margo Rohrbacher
[ffl IND
Civilian Supervisor
13.05
169.65
F] COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia ry::-SJSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Margo Rohrbacher
M IND
Civilian Supervisor
13.05
169.65
Q COM
C/o: San Rafael Police Association
QOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
�jnion member's dues received throuqh intermedia dy:Q§P:�afaelll
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Sf
SUBTOTAL$
72.75
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460'
from 01/01/2013
FORM
through 06/30/2013
Page 162. of 190
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)
02/15/201:3
Margo Rohrbacher
Rx IND
Civilian Supervisor
13.05
169.65
FICOM
C/o: San Rafael Police Association
[LOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union memhgrls dLigg received through inte-rm diajry:qaSnCCRafael
Policg Ass ociation , 1520
Fifth Avenue San
_Raf_ae_l, CA 94901
02/28/2013
Margo Rohrbacher
[21 IND
Civilian Supervisor
13.05
169.65
EICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received throuqh intermediarv:
anRafaeUnion
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Margo Rohrbacher
RIND
Civilian Supervisor
13.05
169.65
El COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
��OnKaf
Union member I s dues received through intermedia xv:
ael
Police Association, 1520
Fifth. Avenue, San
Rafael CA 94901
03/30/2013
Margo Rohrbacher
Fxj IND
Civilian Supervisor
13.05
169.65
[] COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
DoaSnKaf
Union member's dues received through intermediary:
ael
Police Association, 1520
Fifth Avenue', San
Rafael, CA 9490L
04/15/2013
Margo Rchrbacher
RX IND
Civilian Supervisor
13.05
169.65
RCOM
C/o: San Rafael Police Association
QOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
[Union member's dues received throe intermedia rl
V: LAYV�afaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490�
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
lllilllllL2111CIM
SUBTOTAL $
65.25
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1-1=PPC (8661275-3772)
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
�0161001:31011 lffl[�W
Statement covers period
from 01/01/2013
through 06/30/2013 Page 163 of 190
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
04/30/2013
Margo Rohrbacher
[21 IND
Civilian Supervisor
13.05
169.65
El COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs received through intermediary:
qSCRaf
nael
Po `c Assoc' tion 1520
Fifth &vennLig, S
n Rafael, QCA 94901
05/15/2013
Margo Rohrbacher
IND
Civilian Supervisor
13.05
169.65
Com
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
iqsc(�
Union member's dues received throucfh intermedia -rv:-
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Margo Rohrbacher
M IND
Civilian Supervisor
13.05
169.65
FICOM
C/o: San Rafael Police Association
M OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
[�
Union member's dues received through intermediary:
anSoR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Margo Rohrbacher
Fxj IND
Civilian Supervisor
13.05
169.65
M COM
C/o: San Rafael Police Association
R OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
Union member's dues received through intermediazy:
an` afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Margo Rohrbacher
[MIND
Civilian Supervisor
13.05
169.65
Com
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
jV:Q§P�ZafaeL
[Union member's dues received through intermedia
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9490�
SUBTOTAL$
-7`77- _717,711"_
7
65.25
*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
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
Mim 4, 1..
ft M
AN =Mw •
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC For 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30/2013
Page 164 of 190
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)
01/01/2013
Peggy Ruge
IND
Community Service Officer
13.05
169.72
F] COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
E4SCC
Union member's dues received through interm diaxy:
an Rafael
Police Assoc iatioa. 1520
FiftLi &_venUg, S
Rafilel.
CA 24901
01/15/2013
Peggy Ruge
RIND
Community Service Officer
13.05
169.72
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
El S C
Union member's dues received through intermediaxy:
anl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/31/2013
Peggy Ruge
IND
Community Service Officer
13.05
169.72
COM
C/o: San Rafael Police Association
0TH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:Tan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/15/2013
Peggy Ruge
FIND
Community Service Officer
13.05
169.72
[-] COM
C/o: San Rafael Police Association
E]OTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
T(�Union
member's dues received through intermediaiy:anafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
02/28/2013
Peggy Ruge
RIND
Community Service Officer
13.05
169.72
RCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia jV:Q9'iY";,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael,
. . . .
7-1-'7
CA 9490L
SUBTOTAL
... ....... 7'7 777
` 7" 77"""'
7777777777'"1""1"
65.25
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC For 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
r4oM91- •
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
I CITH — Other (eg., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASI -FPPC (8661275-3772)
through 06Z30/2013
Page 165 of 190
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 ENTER1.1). NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2013
Peggy Ruge
IND
Community Service Officer
13.05
169.72
RCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of SanRafael
San Rafael, CA 94901
Union mgmher's dues regeived thl!211gh intelzm diarv:
qSCC
an Rafael
Policg Agsociatign, 1520
Fifth Ayenue. San
Rafael, CA 94901
03/30/2013
Peggy Ruge
[0 IND
Community Service Officer
13.06
169.72
RCOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
FISC
member's dues received through intermedia-rv:[anl
RafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Peggy Ruge
M IND
Community Service Officer
13.06
169.72
R COM
C/o: San Rafael Police Association
GOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
qan Rafae.Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Peggy Ruge
®IND
Community Service Officer
13.06
169.72
RCOM
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediaiy:�OnRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Peggy Ruge
EM IND
Community Service Officer
13.06
169.72
F]COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received throuqh intermedia
&:QR;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
65.29
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
I CITH — Other (eg., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASI -FPPC (8661275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
aA MU 1: 4 bill I KW
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
through 06/30/2013
Page 166 of 190
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)
05/31/2013
Peggy Ruge
®IND
Community Service Officer
13.06
169.72
r-1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union mgMb_gr's dues received through rote l_m diazy:
qSCC
gn Rafael
Policg Association, 1520
Fifth Avenue San
Rafael,
CA 94901
06/15/2013
Peggy Ruge
[IND
Community Service Officer
13.06
169.72
RCOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qanSc
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Peggy Ruge
IND
Community Service Officer
13.06
169.72
COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
--1 scc�
Union member's dues received through intermedia rv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/01/2013
Thomas Sabido
Fxj IND
Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throw intermedia ry:Tan
afael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
01/15/2013
Thomas Sabido
RIND
Officer
16.80
218.40
RCOM
C/o: San Rafael Police Association
E] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
"(;,afaell
mb&QRk
Union meer's dues received through intermedia
:
Police Association, 1520
Fifth Avenue, S
L Rafael,
CA 9490L
SUBTOTAL$
72.78 . . . ....
...
.... . .. .
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01Z2013
FORM
through 06/30/2013
Page 167. of 190
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)
01/31/2013
Thomas Sabido
Fx_j IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs received thrgugh interm diaiv:
qSCC
gn Rafael
Police Associalign-, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Thomas Sabido
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
O PTY
City of San Rafael
San Rafael, CA 94901
71 S
Union member's dues received through intermedia rv:qanC
Kafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Thomas Sabido
[5fl IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
D PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
afael
an(�Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Thomas Sabido
®IND
Officer
16.80
218.40
QCom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
E;aSnRafael
Union member's dues received throe intermediary:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Thomas Sabido
BIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
QOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§19(:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
•
_1 I _1tjW_r41r11111
SUBTOTAL$ 84.00
- ---------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
SIR
to whole dollars.
from 01/01/2013
through 06/30/2013
Page 168_ of 190
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)
04/15/2013
11,,,s Sabido
IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union m_gMbg221s dues received through intermdiaxy:[;SCRafael
an
o. 1520
Police Agsocial iLi
Fifth Ave ue. San
Rafael, CA 94901
04/30/2013
Thomas Sabido
IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
C_
Union member's dues received throe intermedia xv:1;anSC
xafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Thomas Sabido
MIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
❑PTY
1520 Fifth Avenue
❑
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Thomas Sabido
[Z IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Tan
Union member's dues received through intermediary:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Thomas Sabido
MIND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
T OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throuqh ,intermedia jy:Q§P:�afae�
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
a i 1/
171
IND — Individual
COM — Recipient Commiffee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
•
i5,1=21I
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-1=PPC (866/275-3772)
fill I Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4 b4% 0
from 01/01/2013
FORM
through 06/30/2013
Page 1.69 of 190
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)
06/30/2013 Thomas Sabido
IND
Officer
16.80
218.40
COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs rgcgivQd through interm, diaxv:qaSnCCRafae1
Pglicg Association, 1520
Fifth venue SaLi
Rafael, CA 94901
01/01/2013 George Schikore
[2 IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
® PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediarv:
qnUnion Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013 George Schikore
[5fl IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
El PTY
city of San Rafael
San Rafael, CA 94901
s
member's dues receivethrouqh intermediarv:qa
Ud
nnion Kafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013 George Schikore
[2] IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth AvenuePTY
San Rafael, CA 94901
SC
Union member's dues received through intermedia iy:L-4an(�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013 George Schikore
[21 IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
BOTH
City o 1Lf San Rafael
1520 Fifth Avenue
El PTY
]San Rafael, CA 94901
Union member's dues received through intermediad
y : LAP:�afaell
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490�
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Goitai0ftee
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-1=PPC (8661275-3772)
I'M rNAL6 =0 4 Mnn-jj
• q & A^k
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
Com — Recipient Committee
(other than PTY or SCC)
1 0 1 H — Other (e.g., business jentity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
through 06/30Z2013
Page 170 of 190
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831.553
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)
02/28/2013
George Schikore
Fx� IND
officer
16.80
218.40
TCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTSan
❑
City of San Rafael
Rafael, CA 94901
nion member's dues received through interme iaxv:qaSnCCRafae1
Poligg Agsociation, 1520
Fifth Avenue, S
n Rafael, CA 94901
03/15/2013
George Schikore
IND
officer
16.80
218.40
coo
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
T PTY
City of San Rafael
San Rafael, CA 94901
E71S
Union member's dues received throe intermedia iv:
;anCC_ Rafael
Police Association,, 1520
Fifth AvenueSan
Rafael, CA 94901
03/30/2013
George Schikore
[5fl IND
officer
16.80
218.40
El COM
C/o: San Rafael Police Association
F� OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:
qsc(�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
George Schikore
FR I IND
officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
Union member's dues received through intermedia i
anSC� afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
George Schikore
FRI IND
officer
16.80
218.40
� COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediady:
rl%^(� afae
QRk
Police Association 1520
Fifth Avenue, SL
Rafael, CA 9490
SUBTOTAL$
77-7
7, 77
7 77
. . . . . . . . . . . . . . . . . . .
84.00
*Contributor Codes
IND — Individual
Com — Recipient Committee
(other than PTY or SCC)
1 0 1 H — Other (e.g., business jentity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
I OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
through 06/30/2013
Page 171 of 190
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)
05/15/2013
George Schikore
Fx� IND
Officer
16.80
218.40
F] COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues receivgd t—hrmigh interm diaxv:
panC
Rafael
Police Assoc iation, 1520,.FiftLi
Avenue, San
Rafael, CA 94901
05/31/2013
George Schikore
IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
_1SCQ_
Union member's dues received throucrh intermediaxv:qan
Kafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
George Schikore
[Z IND
Of f icer
16.80
218.40
ICOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediaxy:
afael
an(�Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
George Schikore
FX -1 IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Justin Schraeder
[MIND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia dv:QRkafaeli
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
,7 7
84.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
I OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•1; CALIFORNIA
to whole dollars.
460
from 01/01/2013
FORM
through 06/30/2013
Page 172_ of 190- -
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)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2013
Justin Schraeder
[ZIND
Officer
16.80
218.40
F� COM
C/o: San Rafael Police Association
F]OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Cion
member's dues rgceived throucrLi interm diaxv:
aG nael
Police Association, 1520
FifthAvenue, San
_Rafael, CA 94901
01/31/2013
Justin Schraeder
BIND
Officer
16.80
218.40
EICCDM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
F_1_
CRafael
Union member's dues received through intermediaxv:1;aSnC
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Justin Schraeder
nx IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
aSnKaf ael
Police Association, 1520
Fifth Avenue, San
Rafael CA 94901
02/28/2013
Justin Schraeder
®IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
an Rafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 9490L
03/15/2013
Justin Schraeder
EZ IND
Officer
16.80
218.40
ncom
C/o: San Rafael Police Association
E] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throuqh intermedia
:3'I``; afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL $ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
no., tv
Monetary Contributions Received Amounts may be rounded
Statement covers period
_Z169,
A A
to whole dollars.
arm
from 01/01/2013
I
through 06/30/2013
Page 173. of 190
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)
03/30/2013
Justin Schraeder
rx� IND
Officer`
16.80
218.40
0 COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union mgMhgrls dugs received through intgrm diazy:
an Rafael
Police Aggociation. 1520
Fifth Ave ue. San
Rafael, CA 94901
04/15/2013
Justin Schraeder
M IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
71
Union member's dues received throucrh intermediarv:q
anQ_
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Justin Schraeder
FX_1 IND
Officer
16.80
218.40
® COM
C/o: San Rafael Police Association
Ej OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu�L-h intermedia ry:E;anKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Justin Schraeder
IND
Officer
16.80
218.40
MCOM
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received throu2h intermediazy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Justin Schraeder
[IND
Of f icer
16.80
218.40
EICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member I s dues received throe �hi�nte�rme�diajv:
Q29(af aell
Police Association, 1520
Fifth Avenue, S
Rafael CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA 460
from 01201/2013
FORM
through 06/30/2013
Page 174. of 190
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)
06/15/2013 Justin Schraeder
[ZIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
union member's dues rgceived through inter diaxv:
qSCC
an Rafael
Police Association, 1520
Fiflh'Avenue, San
CA 94901
06/30/2013 Justin Schraeder
FX_1 IND
Officer
16.80
_Rafael,
218.40
RCOM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
71_
Union member's dues received through intermedia rv:qanSCQ
Kafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013 Wanda Spaletta
O IND
Sergeant
16.80
218.40
E]COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013 Wanda Spaletta
nx IND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ry:E;
anSCRafae
Police Association, 1520
Fifth Avenue, San
Rafael., CA 94901
01/31/2013 Wanda Spaletta
EZIND
Sergeant
16.80
218.40
OCOM
C/o: San Rafael Police Association
DOTH
Cit' of San Rafael
y
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermedia j
V: LAPCRafaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
777"-777 -
SUBTOTAL
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-1=PPC (866/275-3772)
*JIM
Monetary Contributions Received Amounts may be rounded
Statement covers period
A A
to whole dollars.
0 1
from 01/01/2013
through 06/30/2013
Page 175_ of 190 -
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)
02/15/2013
Wanda Spaletta
MIND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
EIOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901,
Union membgr's dues received throucrh i_ntgrmediazv:qaSnCCRafael
Pglice AsgociatiQn, 1520
Fifth Ave ue. San
Rafagl, CA 94901
02/28/2013
Wanda Spaletta
MIND
Sergeant
16.80
218.40
[]COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
FISCC_
Union member's dues received through intermediaxv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Wanda Spaletta
HIND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member' s dues received through intermediaiv:
:an RafPolice
Association, 1520
Fifth Avenue, San
Rafael CA 94901
03/30/2013
Wanda Spaletta
[ffl IND
Sergeant
16.80
218.40
F] COM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
E; SC(�
Union member's dues received through intermedia
:`--fan an afael
Police Association/ 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Wanda Spaletta
BIND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member I s dues received through intermediaiv:
QP;�af ae
Police Association, 1520,
Fifth Avenue, S
Rafael CA 94901l
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCIC — Small Contributor Committee
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
R g Ign I: a all I I g L KLC0=j
*Contributor Codes
Individual
IND
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
through 06/30/2013
Page 176 of 190
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)
04/30/2013
Wanda Spaletta
FRI IND
Sergeant
16.80
218.40
� com
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union mgMher's dues received through interLn diary:
qSCRaf
:`manael
Poligg Associatign, 1520
Fifth Avygnue, San
Rafael,
CA 94901
05/15/2013
Wanda Spaletta
M IND
Sergeant
16.80
218.40
F-� COM
C/o: San Rafael Police Association
0 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
71 SCQ
Union member's dues received through intermedia rv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
05/31/2013
Wanda Spaletta
®IND
Sergeant
16.80
218.40
CUM
C/o: C/o: San Rafael Police Association
OTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
1:�SCRafae
Union member's dues received through intermediary:
l Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/15/2013
Wanda Spaletta
RIND
Sergeant
16.80
218.40
M COM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
Union member's dues received throu2h intermediary:afael
�an
Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94901
06/30/2013
Wanda Spaletta
rx-1 IND
Sergeant
16.80
218.40
M COM
C/o: San Rafael Police Association
F -I OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
,Union member's dues received throe intermedia
jV:Q§i9(;Zafae1i
Police Association, 1520
Fifth Avenue, An
Rafael,
CA 9490�
_7
SUBTOTAL$
7
84.00
*Contributor Codes
Individual
IND
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
*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
FPP-C Form 460 (January/06)
FC Toll -Free Helpline: 8661AS1 -1=PPC (8661275-3772)
through 06/30Z2013 Page 177 of 190
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)
01/01/2013
Christopher Sweeney
❑ IND
Officer
16.80
218.40
CCDM
C/o: San Rafael Police Association
F� OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
CCR
Union membel's dues rggeived throe intgrmgdiaxv:
aqSn a
olice Asgo-ciatign. 1520
Eifth Avennug. San
Rafael, CA 94901
01/15/2013
Christopher Sweeney
Fx_j IND
.Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
_IS
Union member's dues received throe intermedia xv:qanC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA. 94901
01/31/2013
Christopher Sweeney
[Z IND
Off icer
16.80
218.40
0 COM
C/o: San Rafael Police Association
nOTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:;an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Christopher Sweeney
Fxj INC}
Officer
16.80
218.40
nCOM
C/o: San Rafael Police Association©0TH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
nn
Union member's dues received through intermediary:
Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Christopher Sweeney
ff IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
,Union member's dues received through intermedia jV:1AiP;ZafaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490
SUBTOTAL $
-777
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
FPP-C Form 460 (January/06)
FC Toll -Free Helpline: 8661AS1 -1=PPC (8661275-3772)
11j1,r4*TW1T-T - A^k
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
7
Contributor Codes
Individual
COM — Reent Committee
(other than PTY or SCC)
OTH
ntity) — Other (e.g., business e
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661275-3772)
through 06/30/2013
Page 178 of 190
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)
03/15/2013
Christopher Sweeney
IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
® OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member' g dues received tLirough intgrmedia zy:
qaC�
n Rafael
Police Asgociation, 1520
Fifth venue &An
Rafael, CA 94901
03/30/2013
Christopher Sweeney
[j] IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
00TH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
[;SC(�
Union member's dues received through intermedia rv:
an afael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
04/15/2013
Christopher Sweeney
RIND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
city of San Rafael
San Rafael, CA 94901
E;anafael
Union member's dues received through intermedia zy:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Christopher Sweeney
[ffl IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
E] OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received throe intermediaiy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Christopher Sweeney
[Z IND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
R OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received throw intermedia
&:afaeL
LAP�
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490�
SUBTOTAL$
.................. . . .... ... .
7777777777777777=77777777 ................. . . . . .
84.00
.. .. ....
7
Contributor Codes
Individual
COM — Reent Committee
(other than PTY or SCC)
OTH
ntity) — Other (e.g., business e
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/AS1 -FPPC (8661275-3772)
I J , WRIT. III �m W�Mwl � ME q7m t WNT TIff-1: - 0 -
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01Z01/2013
MEENNE11999MM
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC7)
OTH — Other (e.g., business entity) li�'
PTY — Political Party
SCC — Small Contdbutor Commiftee i
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 06/30Z2013
Page 179_ of 190
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)
05/31/2013
Christopher Sweeney
IND
Officer
16.80
218.40
R COM
C/o: San Rafael Police Association
[:1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union mgmberls dues receivgd through intermediaiv:
qSCRa
anfael
Policg Association, 1520
Fifth ,Avenue San
Rafagl, CA 94901
06/15/2013
Christopher Sweeney
[Z IND
Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
QRafael
member's dues received throuqh intermediarv:
qan_Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Christopher Sweeney
®IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
_1G
1;an SC
Union member's dues received through intermediaxv:
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Charly Taylor
Fxj IND
Civilian Supervisor
13.05
169.72
RCOM
C/o: San Rafael Police Association
❑F] OTH
City of San Rafael
1520 Fifth Avenue❑
PTY
San Rafael, CA 94901
�;aSnKafael
Union member's dues received throe intermediary:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Charly Taylor
RIND
Civilian Supervisor
13.05
169.72
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
dues
Union member's ds received through intermediajV:Q§
iPCR afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL. $
76.50
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC7)
OTH — Other (e.g., business entity) li�'
PTY — Political Party
SCC — Small Contdbutor Commiftee i
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. 460
from 01/01Z2013 FORM
through 06/30/2013 Page 180 Of 190
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)
01/31/2013
Charly Taylor
0IND
Civilian Supervisor
13.05
169.72
F-JCOM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
receiv!pdthrgugh_interme iazy:
acsUnion=�erlsdiaes
n Rafael
Police AssQciation, 1520
Eifth Avenue, San
Rafagj. CA 94901
02/15/2013
Charly Taylor
FZ IND
Civilian Supervisor
13.05
169.72
El COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
71
Union member's dues received through intermedia rv:qanSC
Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Charly Taylor
EZ IND
Civilian Supervisor
13.05
169.72
EICOM
C/o: San Rafael Police Association
MOTH
❑PTY
1520 Fifth Avenue
City of San Rafael
San Rafael, CA 94901
E; sc
member's dues received through intermediary:
anl
RafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA— 9490
03/15/2013
Charly Taylor
Fxj IND
Civilian Supervisor
13.05
169.72
MCOM
C/o: San Rafael Police Association
F1 OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;aSnKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Charly Taylor
FIND
Civilian Supervisor
13-06
169.72
F]COM
C/o: San Rafael Police Association
© OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia d
V: LAP;,afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
SUBTOTAL
-77 7 777 . . . . . . ..... .....
65.26
. . .. .......
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC) i
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contdbutor Committee
- - -------- - -----
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772)
Ak "MIM"Ta
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTO (IF iCONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER
i
RECEIVED CODE
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Statement covers period
from 01/01/2013
through 06Z3OZ2013 Page 181- of 190
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
(IF REQUIRED)
PERIOD (JAN. 1 - DEC. 31)
04/15/2013
Charly Taylor
M IND
Civilian Supervisor
13.06
169.72
F❑I COM
C/o: San Rafael Police Association
[_1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union me r' due received thrgugh interm diaxv:`-San
Police Aggociation, 1520
Fifth Avyenue, San
Rafael, CA 94901
04/30/2013
Charly Taylor
MING}
Civilian Supervisor
13.06
169.72
F-1 COM
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv::;anSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA '94901
05/15/2013
Charly Taylor
BIND
Civilian Supervisor
13.06
169.72
ncom
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
❑�an(�Union
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/31/2013
Charly Taylor
Fxj IND
Civilian Supervisor
13.06
169.72
FICOM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
�aSnRafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
06/15/2013
Charly Taylor
[ZIND
Civilian Supervisor
13.06
169.72
ncom
C/o: San Rafael Police Association
[:j OTH
City of San Rafael
1520 Fifth Avenue
n'PTY
San Rafael, CA 94901
.Union member's dues received through intermediady:QP�RafaeL
Police Association, 1520
Fifth Avenue, SL
Rafael, CA 9490�
SUBTOTAL$
65.30
7
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity) I
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
ITeTtl &140 1- r � r4
• 0 INES
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01Z2013
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
through 06/30/2013
Page 182_ of 190
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)
06/30/2013
Charly Taylor
[21 INC}
Civilian Supervisor
13.06
169.72
F] COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union Mgmbgrls duea receiyed throucfh interm diaxy:
an Rafael
Police Ass-ociation. 1520
Fifth A—venue, S
n Rafael, CA 94901
01/01/2013
Henry Tirre
Fx -1 IND
Officer
16.'80
218.40
EICOM
C/o: San Rafael Police Association
EIATH
1520 Fifth Avenue
r-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:1SC
;an Rafael
Police Associat,ion_, 1520
Fifth Avenue, San
Rafael, CA 94901
01/15/2013
Henry Tirre
-1
Fx INC}
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediazy:
pan(afael
�Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/31/2013
Henry Tirre
nx IND
Off icer
16.80
218.40
M COM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901s
M
SC(�Union
member'dues received through intermediaiy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/15/2013
Henry Tirre
FIND
Officer
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
[__j OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received through intermediadv:QRk
afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
SUBTOTAL.$
I ..........
80.26
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772)
''III
qiiiiiq� IIII
ju
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
, I
460
from 01/01/2013
FORM
through 06/30/2013
Page 183. of 190
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)
02/28/2013
Henry Tirre
r_xj IND
Officer
16.80
218.40
FICOM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
qSCC
Union member's dues received through intermediaiv:
an Rafael
Police Association, 1S20
Fifrh A_vgnue, San
Rafael, CA 94201
03/15/2013
Henry Tirre
r_X1 IND
Officer
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
r] OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:
qsc(�
an afael
Police Association _152Q
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Henry Tirre
[j] IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:
anafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/15/2013
Henry Tirre
Fxj IND
Officer
16.80
218.40
F1 COM
C/o: San Rafael Police Association
E]OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediaxy:
an afael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
04/30/2013
Henry Tirre
®IND
Officer
16.80
218.40
EICOM
C/o: San Rafael Police Association
E] OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§P:�afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
100-Tsm M �*# Woffir, k
Individual
Recipient Commiffee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCIC — Small Contributor Committee
SUBTOTAUS
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline.- 8661ASK-FPPC (866/275-3772)
M Mill
W.. W�e
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 01/01/2013
through 06/30/2013 Page. 184 of 190
I.D. NUMBER
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)
05/15/2013
Henry Tirre
[5fl IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
M PTY
city of San Rafael
San Rafael, CA 94901
Union dues reggived through intermedia zy:
qSCR
anafael
Poligg Associatign. 1520
Fifth Ave ue. San
Rafael, CA_ 94901
05/31/2013
_member's
Henry Tirre
® IND
Officer
16.80
218.40
El COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
71Q_
Union member's dues received throucfh intermediarv:
qan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Henry Tirre
®IND
Officer
16.80
218.40
© COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:
Tan Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Henry Tirre
BIND
Officer
16.80
218.40
T com
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member I s dues received throe intermedia ry:TJ'nKaf
ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
01/01/2013
Michael Vergara
EZ IND
Sergeant
16.80
218.40
F] COM
C/o: San Rafael Police Association
F OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediariv:
ntl%
afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL*
77 _17,77
84.00
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
CITH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 January o5
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01Z01/2013
MIMEEMEMEW
* Contributor Codes
IND Individual
COM — Recipient Committee
(other than PTY or SCC))
fl
OTH — Other (eg., business entity) 11
Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
through 06/3012013
Page 185 Of 190
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)
01/15/2013
Michael Vergara
IND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union Member's dues received, through interm diary:
qSCC
an Rafael
Poligg Association, 1520
Fifth Avenue, San
LZafael, CA 94901
01/31/2013
Michael Vergara
[0 IND
Sergeant
16.80
218.40
r-1 COM
C/o: San Rafael Police Association
Ej OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
member's aues received throuqh intermediarv:
afael
�anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490
02/15/2013
Michael Vergara
MIND
Sergeant
16.80
218.40
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermedia iv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
02/28/2013
Michael Vergara
INC}❑
Sergeant
16.80
218.40
M COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
0 PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received throw intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/15/2013
Michael Vergara
EZIND
Sergeant
16.80
218.40
Q COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA94901
,Union member's dues received through intermedia rrv:Q§P:R
afae
Police Association, 1520,
Fifth Avenue
n Rafael, CA 9490�
SUBTOTAL$
84.00
* Contributor Codes
IND Individual
COM — Recipient Committee
(other than PTY or SCC))
fl
OTH — Other (eg., business entity) 11
Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
jr! 1111111 11
Monetary Contribution's Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460'
from 01/01/2013
FORM
through 06/30/2013
Page 186 Of 190
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)
03/30/2013
Michael Vergara
r_xj IND
Sergeant
16.80
218.40
RCOM
C/o: San Rafael Police Association
El OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union membgrls dues recgiygd througLi i-ntermediazy:9anSC
Polige Assac ialign. 1520
Fifth Ave nug, San
Rafagj, CA 94901
04/15/2013
Michael Vergara
[Z IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
M PTY
city of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
04/30/2013
Michael Vergara
[5fl IND
Sergeant
16.80
218.40
MCOM
C/o: San Rafael Police Association
1520 Fifth Avenue
nTH
PTY
City of San Rafael
San Rafael, CA 94901
_q SC
Union member's dues received through intermediaiv:qanl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
05/15/2013
Michael VergaraFX-1
IND
Sergeant
16.80
218.40
EICOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490L
05/31/2013
Michael Vergara
[E IND
Sergeant
16.80
218.40
�COIVI
C/o: San Rafael Police Association
[] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
.inion member's dues received through intermediajy:Q§Ff(:�
U
afaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
RC
SUBTOTAL$ 84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661AS1-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46 0
from 01/01/2013
FORM
through 06/30/2013
Page 187_ of 190
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 COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2013
Michael Vergara
Fx_j IND
Sergeant
16.80
218.40
© COM
C/o: San Rafael Police Association
[IOTH
1520 Fifth Avenue
r-1 PTYCity
of San Rafael
San Rafael, CA 94901
dues receiveLd tLirough jn:Lgrm!2diazy:
Eafael
a�CUnionMember's
Policg Association, 1520
Fifth llvenue . San
Rafael, CA 94901
06/30/2013
Michael Vergara
®IND
Sergeant
16.80
218.40
EICCDM
C/o: San Rafael Police Association
r] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuc[h intermedia rv:[;d'nCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
03/30/2013
Mark Wilkinson
[Z IND
Officer
16.80
117.60
ncom
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
:;aSnRaf
Union member I s dues received through intermediary:
ael
Police Association, 1520
Fifth Avenue, San
Rafael CA 94901
04/15/2013
Mark Wilkinson
FRI IND
Officer
16.80
117.60
com
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe gh intermedia ry:
qaSnRaf ael
Police Association, 1520
Fifth Avenue, San
Rafael, C.A. 94901
04/30/2013
mark Wilkinson
[IND
Officer
16.80
117.60
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
lUnion member's dues received through intermedia riv:Q29
afak
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Rc
SUBTOTAL$
84.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Ilk '6 � Ak
Jiro
1114i" N*o Rowel 1 0
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01101/2013
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/06)
FPLC Toll -Free Helpline: 8661ASK-1=PPC (866/276-3772)
through 06Z30/2013
Page 188 Of 190
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)
05/15/2013
Mark Wilkinson
Fx_j IND
Of f icer
16.80
117.60
F-1 C M
C/o: San Rafael Police Association
EIOTO H
1520 Fifth Avenue
El PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throe c[h inte-rmediazv:qSCC
an Rafael
Police Aggggiatign, 1520
Fiftla Avenue. San
Rafagl, CA 94901
05/31/2013
Mark Wilkinson
F-xl IND
Of f icer
16.80
117.60
F❑I COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
iqscRafae
Union member's dues received through intermediaiv:
l Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94901
06/15/2013
Mark Wilkinson
N IND
Of f icer
16.80
117.60
F-1 COM
C/o: San Rafael Police Association
M OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedia rv:
anqsaafael
�Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
06/30/2013
Mark Wilkinson
[2] IND
Officer
16.80
117.60
F-1 COM
C/o: San Rafael Police Association
MOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
sa�
Union member's dues received through intermedia r
n afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
F -I IND
F�Com
OTH
PTY
El SCC
SUBTOTAL.$
67.20
*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
FPPC Form 460 (January/06)
FPLC Toll -Free Helpline: 8661ASK-1=PPC (866/276-3772)
Schedule E
Payments Made
Pill
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 01/01/2013
through 06/30/2013
CODES: If one of the following codes accurately describes the, payment, you may enter the code. Otherwise, describe the payment.
Page 189 of 190
I.D. NUMBER
831553
CIVP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
MB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Henry C. Levy & Company
5940 Colleqe Avenue
Oakland, CA 94618
PRO
935.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Wr i-aMtj
E
-.1yeIRT W%W
1. Itemized payments made this period. (include all Schedule E subtotals.) .............................................................................................................. $ 935.00
2. Uniternized payments made this period of under $100 ..........................................................................................................................................
3. Total interestpaid this period on loans. (Enter amount from Schedule 13, Part 1, Column (e).) ............................................................................... $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 935.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)
A*&
bchedule I Tvna nr nrint in ink- SCHEDULE
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2013
Page 190 Of 190
SEE INSTRUCTIONS ON REVERSE
through 06/30/2013
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
06/30/2013
Michael Mathis
To Vold Check Never Cashed by Payee
115.46
C/o: San Rafael Police Association
1520 Fifth Avenue
San Rafael, CA 94901
Schedule I Summary
1. Itemized increases to cash this period . ....................................................................................................................... $
2. Uniternized increases to cash of under $100 this period . ............................................................................................ $
SUBTOTAL it 115.46
M
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 $
FFP C Form 460 (Januafy/06)
FPPC Toll -Free Helpline: 8661AS1 -FPPC (8661276-3772)