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Home My WebLink AboutForm 460 - Police Association PAC (2014-12-31)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable: from 10/01/2014 1 (Month, Day, Year) through 12/31/2014 _ 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored EZ General Purpose Committee (Also Complete Part 6) (D Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information By I.D.NUMBER 1 CITY STATE 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) 1520 Fifth Avenue CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 (415)485-3000 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 151557 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94915-1557 OPTIONAL: FAX I E-MAIL ADDRESS Date Stamp Received Tirne, City Clerk's Office 2. Type of Statement: El Preelection Statement � Semi-annual Statement E] Termination Statement (Also file a Form 410 Termination) Ej Amendment (Explain below) COVER PAGE Page 1 Of 95 For Official Use Only [:] Quarterly Statement E] Special Odd -Year Report E-] Supplemental Preelection Statement - Attach Form 495 Treasureqs) 01/12/2015 By I JA I N�41 W I I I OFT71 NAME OF TREASURER Date Ign of si ntTreasurer Ms. Beth Minks 01/12/2015 B) MAILING ADDRESS Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor 1520 Fifth Avenue By CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 (415)485-3000 NAME OF ASSISTANT TREASURER, IF ANY Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) Ms. Stacy E. Owens FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) MAILING ADDRESS State of California 5940 College Avenue CITY STATE ZIP CODE AREA CODE/PHONE Oakland CA 94618 (510)652-1000 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kno"dge the' flavinWn contained herein and in the attached schedules is true and complete. I certify under penalty of perjuryunder the laws of the State of California that the foregoing is true and correct. Executed on 01/12/2015 By I JA I N�41 W I I I OFT71 Date Ign of si ntTreasurer Executed on 01/12/2015 B) Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California www.netfile.com RecipientCommittee Campaign H' CALIFORNIA w 60 Cover • Statement FORM V 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) TY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME II.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO Page 2 of 95 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California www.neffile.com Campaign Disclosure Statement Type or print In Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 10/01/2014 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 12/31/2014 - Page _3 of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 Contributions Received Column A TOTALTHIS PERIOD Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ................... ...... ................ Schedule A, Line 3 $ 4,884.08 2. Loans Received ...................................................... Schedule B, Line 3 0.00 0.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines I +2 $ 4,884.08 4. Nonmonetary Contributions .................................... Schedule C, Line 3 50.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 4,934.08 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections $ 19,303.97 1/1 through 6/30 7/1 to Date 0.00 19,303.97 50.00 $ 19,353.97 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 1,143.00 $ 15,897.25 Candidates 7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 1,143.00 $ 15,897.25 22. Cumulative Expenditures Made* (II'Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 50.00 50.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 1,193.00 $ 15,947.25 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13,226.60 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 4,884.08 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0-33 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments .................................................. Column A, Line 8 above 1,143.00 report. Some amounts in Culurrin A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 16,968.01 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 for this calendar year, only carry over the amounts 1 Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if any). 18. Cash Equivalents ........................... ....... _ _ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.neffile.com Schedule A Type or print In Ink. SCHEDULE A Aunts may be rounded Statement covers period Monetary Contributions Received Amounts whole dollars. 1 • 19, T MA SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee from 10/01/2014 through 12/31/2014 Page 4 of 9S I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED OFCOMMITTEE, ALSO ENTER J.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Elisha Adams MIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F�Com City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through [:] PTY intermediary: San Rafael Police Association, IS20 Pifth Avenue, San Rafael, CA c)49ni EISCC 10/31/2014 Elisha Adams RIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth �Com City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑PTY intermediary: San Rafael Police Association, 1 590 EJ ft -h Avpmipq,n R�fael ("A 94qnl EISCC 11/15/2014 , Elisha Adams MIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 El OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, ir�,.n rift -1, Avenup- Rnn Rafael . CA 949ni [:]SCC 11/30/2014 Elisha Adams ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-�com San Rafael, CA 94901 70TH Union member's dues received through PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Elisha Adams MIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue COM San Rafael, CA 94901 E-1 OTH Union member's dues received through PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 SCC SUBTOTAL$ 57.40 Schedule A Summary Contributor Codes 1. Amount received this period — itemized monetary contributions. IND—Individual (include all Schedule A subtotals.). ........................................ 4,831.76 COM—Recipient Commitee (other than PTY or SCC) 32 OTH — Other (e.g., 2. Amount received this period — uniternized monetary contributions of less than $100 ............................. $ 52.PTY— Political Parbusiness entity) Party 3. Total monetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 4,884.08 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) TMEWIT111 Schedule A (Continuation Sheet) ,TTLta NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers pe from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT.) Page S of 9 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Eli S ha Adams FRIIND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-1 COM San Rafael, CA 94901 EIOTH Union member's dues received through MPTY intermediary: San Rafael Police Association, FjSCC 1520 Fifth Avenue, San Rafael, CA 94900 10/15/2014 Raul Aguilar x1IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity COM of San Rafael Avenue El San Rafael, CA 94901 EIOTH Union member's dues received through �PTY intermediary: San Rafael Police Association, 1520 -Fifth Avenue......San Rafael..CA 94901 EISCC 10/31/2014 Raul Aguilar Fx1IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 r_1 OTH Union member's dues received through r-IPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Raul Aguilar BIND Sergeant Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue EICOM San Rafael, CA 94901 [_1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/3072014 Raul Aguilar FXMND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:1 Com San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, E13CC 1520 Fifth Avenue, San Rafael. CA 942D-1— SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) IN•MAW* M-1 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 10/01/2014 through 12/31/2014 SCHEDULE (CONT.) Page 6 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMMfTTEE, 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) 12/15/2014 Raul Aguilar ®IND Sergeant Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue [-] COM San Rafael, CA 94901 E]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94902 12/31/2014 Raul Aguilar rx]IND Sergeant 11.48 271.02 San C/o: SRafael Police Association 1520 F Fifth ® COM City of San Rafael Avenue San Rafael, CA 94901 FIOTH Union member's dues received through F-71PTY intermediary: San Rafael Police Association, El SCC - 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2014 Anthony Augustyn Fxj IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Anthony Augustyn FKI IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�Com San Rafael, CA 94901 [IOTH Union member's dues received through QPTY intermediary: San Rafael Police Association, SCC 1_920 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Anthony Augustyn X71ND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 70TH Union member's dues received through DOW intermediary: San Rafael Police Association, El SCC .1520 Fifth Avenue, San Rafael. CA 94U1 SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.netfile.com FIPPC Form 460 (January/06) FPpC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) M 0=1 - MEW M01 MMUSTIFIVITIL"Me NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 7 of 95 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 OF 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) 11/30/2014 Anthony Augustyn 91IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Anthony Augustyn FX_1 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue []COM San Rafael, CA 94901 [:1OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94903 E]SCC 12/31/2014 Anthony AugustynOfficer ®IND 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94902 10/15/2014 Blair Auld Fx�IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Blair Au la 7X IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity -ICOM of San Rafael Avenue F San Rafael, CA 94901 MOTH Union member's dues received through [:] PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 [-]SCC SUBTOTAL$ *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) - •: • • • mi- Mt7K4q0j1 14 di oil KINJI171111i'MIRKIM ULWIM 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT.) Page 8 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Blair Auld QIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P1} intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2014 Blair Auld RIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,— 1520 Fifth Avenue, San Rafael. CA 949 1 ❑ SCC 12/15/2014 Blair Auld ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth❑ C®M City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Raf el CA 94904 12/31/2014 Blair Auld X❑IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94903 10/15/2014 James Bellamy ®IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 F'Avenue, SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 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 pe from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 9 Of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMrT7EE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 James Bellamy NIIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 James Bellamy ®IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue DCOM San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 11;20 Fifth Avenue, San Rafael. CA 94901 El SCC 11/30/2014 James Bellamy FX-JIND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 F71OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 James Bellamy FX�IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94905 12/31/2014 James Bellamy BIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 1771OTH Union member's dues received through F-JPTY intermediary: San Rafael Police Association, 11;20 Fifth Avenue, San RafgQj. CA 94aDA_ []SCC SUIBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 10 Of 95 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 OF 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) 10/15/2014 Todd Barringer FKI IND Sergeant 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Todd Berringer IJX1 IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity 1771 COM of San Rafael Avenue San Rafael, CA 94901 F1OTH Union member's dues received through F71PTY intermediary: San Rafael Police Association, 177ISCC —1 520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Todd Barringer ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 F Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 F-1OTH Union member's dues received through F-JPTY intermediary: San Rafael Police Association, EISCC —I520 Fifth Avenue , San Rafael, CA 94901 11/30/2014 Todd Barringer FKI IND Sergeant 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 F71OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, MSCC I520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Todd Berringer 91IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 1771 COM San Rafael, CA 94901 [:1OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue. San Rafael, CA 942D6 SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 11 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (iFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Todd Berringer BIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue 000M San Rafael, CA 94901 EIOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94905 10/15/2014 Geoffrey Bowker M IND Officer 11-48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through E -]PTY intermediary: San Rafael Police Association, 0SCC .1520 Fifth Avenue. San Rafael. CA 94901 10/31/2014 Geoffrey Bowker Fx_1 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue [-] San Rafael, CA 94901 [:jOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, Sari Rafael, C'A 94901 11/15/2014 Geoffrey Bowker ljx�IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through F-I PTY intermediary: San Rafael Police Association, Fjscc 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Geoffrey Bowker MIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-71COM San Rafael, CA 94901 [:1OTH Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94aDj-- EISCC SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 12 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRI a UTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Geoffrey Bowker ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 E]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94907 12/31/2014 Geoffrey Bowker 91 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 ED OTH Union member's dues received through [-] PTY — intermediary: San Rafael Police Association, 4 1520 Fifth A -venue, San Rafael. CA 99 6 E1SCC 10/15/2014 Lynne Bracken FXF1 IND Records Clerk 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth[:]City COM of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Lynne Bracken NIIND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 E:1OTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Lynne Bracken ®IND Records ClerT 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth -ICOM City of San Rafael Avenue F San Rafael, CA 94901 FIOTH Union member's dues received through F71PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth A -venue, San Rafael, CA 94901 SUBTOTAL$ 49.96 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee ardir=0 11 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) I I W IJ 7111111ZIFIONIL - I 0 =I- ME%* Mel M"OMM I 11 NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 13 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Lynne Bracken 91IND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�COm San Rafael, CA 94901 ❑OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Bracken® Lynne BrackenRecord IND S Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth F�COIVI City of San Rafael Avenue San Rafael, CA 94901 r-1 OTH Union member's dues received through [:] PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue. San Rafael, CA 94882 12/31/2014 Lynne Bracken [PND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue El San Rafael, CA 94901 E:1 OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94882 10/15/2014 Antonette Bullock rX-11ND officer 9.00 220.20 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 MOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Antonette Bullock IND Officer 9.00 220.20 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue. San Rafael, CA 942D_j__ SUBTOTAL$ *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 *Contributor Codes IND—individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) through. 12/31/2014 Page. 14 of 95 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 CONTRIBUTOR (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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Antonette Bullock ®IND officer 9.00 220.20 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 1771COM San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Antonette Bullock 91 IND officer 9.00 220.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 El OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue. San Rafgal, CA 949QJ 12/15/2014 Antonette Bullock ®IND Officer 9.00 220.20 C/o: San Rafael Police Association 1520 Fifth F�Com City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [1SCC —1 520 Fifth Avenue, San Rafael, CA 94883 12/31/2014 Antonette Bullock ®IND officer 9.00 220.20 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F_71COM San Rafael, CA 94901 [:] OTH Union member's dues received through [:JPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94683 10/15/2014 Michael Byers- FKIIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 El OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue. San R&tsLel. CA 94901 SUBTOTAL$ 47.48 *Contributor Codes IND—individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Type or print In Ink. Amounts may be rounded to whole dollars. ztatement covers pe from 10/01/2014 SCHEDULE A (CONT) through_ 12/31/2014 — Page — 15 Of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 83 15113 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Michael Byers NIIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, F-1 SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Michael Byers FXI IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth Q COM City of San Rafael Avenue San Rafael, CA 94901 FJOTH Union member's dues received through QPTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue. San Rafael. CA 94901 11/30/2014 Michael Byers Q IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue ® San Rafael, CA 94901 FIOTH Union member's dues received through �PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Michael Byers FX�IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue DCOM San Rafael, CA 94901 MOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, USCG 1520 Fifth Avenue, San Rafael, CA 94908 12/31/2014 Michael Byers 0 IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-1 COM San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 152Q Fifth Avenue. San Rafael. CA 94907 SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Q 1 0 a W Wi 17111110:34101:11 •a 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 16 Of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMRTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Shelly Cade X71ND Dispatcher 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�Colvl San Rafael, CA 94901 F71OTH Union member's dues received through F71PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Shelly Cade 91 IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth Q COM City of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 7 SCC —1 520 Fifth Avenue, San Rafael, CA 949 1 11/15/2014 Shelly Cade ®IND Dispatcher Dispatcher 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth COM of San Rafael Avenue El San Rafael, CA 94901 FIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 11/30/2014 Shelly Cade ®IND Dispatcher 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FICOM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/1.5/2014 Shelly Cade ®IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑Com San Rafael, CA 94901 F7IOTH Union member's dues received through ❑PTY intermediary: San Rafael Police Association, 152Q Fifth Aaveniag. San Rafael. CA 94EBA- El SCC SUBTOTAL$ 45.00 *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: 866/ASK-FPPC (8661275-3772) M a I - M IWO Met ' -9 Em 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 17 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE,ALSO ENTERLD. 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) 12/31/2014 Shelly Cade FXJIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 D OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0 SCC 1520 Fifth Avenue, San Rafael, CA 94884 10/15/2014 Joseph Camins BIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 F -I OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rgfael. CA 94901 ❑Scc 10/31/2014 Joseph Camins FX� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue r-1COM San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, ogn Rafael _CA. 94901 11/15/2014 Joseph Camins ®IND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue F-1 COM San Rafael, CA 94901 FJOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, F-1 SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Joseph Camins ZJIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity -ICOM of San Rafael Avenue F San Rafael, CA 94901 [IOTH Union member's dues received through intermediary: San Rafael Police Association, F]SCC 1520 Fifth Avenue, San Rafael. CA 949QI-- SUBTOTAL$ *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity: PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) through 12/31/2014 _ Page 18 Of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER R AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Joseph Camins X71ND office 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 171COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94909 12/31/2014 Joseph Camins 91IN D Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue. San Rafael, M 949 8 10/15/2014 David Casalnuovo 0 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth ❑City MCOM of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 David Casalnuovo MXIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through 1771PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/1572014 David Casalnuovo FX-11ND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 177IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC 152Q Fifth Avenue. San Rafael. CA 949_Ql SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity: PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. MM from 10/01/2014 through 12/31/2014 IPage--219Of5 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMMITEE,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) 11/30/2014 David Casalnuovo X�IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-1 COM San Rafael, CA 94901 F-1OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2014 David Casalnuovo �INp Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth A -venue. San Rafael, CA 94910 ❑ SCC 12/31/2014 David Casalnuovo [x] IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, r-� SCC 1520 Fifth v ue Rafael, CA 94909 10/15/2014 Allan Castaneda FK] IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCG 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Allan Castane a C/o: San Rafael Police Association 1520 Fifth x�IND Officer City of San Rafael 11.48 271.02 Avenue ❑ COM San Rafael, CA 94901 F-1 OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael CA 94901 SCC SUBTOTAL$ 57.40 `Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period0. to whole dollars. 0. from 10/01/2014 mim *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through 12/31/2014 _ Page 20 of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER MOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Allan Castaneda MIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue El San Rafael, CA 94901 DOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Allan Castaneda ®IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [-]SCC — 1520 Fifth Avenue, San Rafael, CA 949 1 12/15/2014 Allan Castaneda REI IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F -ICOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through F71PTY intermediary: San Rafael Police Association, [-]SCC —1520 Fifth AvenLae, San Rafael, CA 94911 12/31/2014 Allan Castaneda FKIIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�Com San Rafael, CA 94901 177IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94910 10/15/2014 Edward Chiu 91IND Offic 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 [:1OTH Union member's dues received through ❑PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth San Rafael. CA 942D1 -Avenue, SUBTOTAL$ 57.40 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) I j i re ml- M IT&* Met Wo M t I aI I WE; I i, (:_ age 1: W, NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014_ SCHEDULE A (CONT) Page 21 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Edward Chiu FX�IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 F_71OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 11/15/2014 Edward Chiu FRI IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity QCOM of San Rafael Avenue San Rafael, CA 94901 177IOTH Union member's dues received through ❑PTY -1520 intermediary: San Rafael Police Association, Fift Avenue, San Rafael. CA 94901 []SCC 11/30/2014 Edward Chiu ®IND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM of San Rafael Avenue Q San Rafael, CA 94901 FIOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC .1520 Fifth Avenue, San Raf_ael, CA 94,901 12/15/2014 Edward Chiu FX� IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94912 12/31/2014 Edward Chiu C/o: San Rafael Police Association 1520 Fifth FX-1 IND Officer City of San Rafael 11.48 271.02 Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through R PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue. San Rafael. CA 94222— SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 Imm *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through 12/31/2014 _ Page 22 of 95 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO 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) 10/15/2014 Robert Cleland FX�IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth M COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Robert Clelandofficer 91IND 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC —1 520 Fifth Avenue. San Rafael, CA 949 1 11/15/2014 Robert Cleland ®IND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM of San Rafael Avenue El San Rafael, CA 94901 EJOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, QA 94901 11/30/2014 Robert Cleland ®IND officer Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth of San Rafael Avenue [:] Com San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]Scc 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Robert Cleland FxMND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-1 Com San Rafael, CA 94901 DOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue. San Rafael, CA 94 913 1 SUBTOTAL$ 57.40 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 0 1 W I U7104agill T -• Ji NMI • M Us NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 23 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, I DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Robert Cleland BIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 F -I OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC .1520 Fifth Avenue, San Rafael, CA 94912 10/15/2014 Christopher Coale 91 IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]CoM - San Rafael, CA 94901 EIOTH Union member's dues received through 17-1 PTY intermediary: San Rafael Police Association, 11;20 Fifth Avenue. San Rafael, CA 94901 [-]SCC 10/31/2014 Christopher Coale FxFlIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] COM San Rafael, CA 94901 [:1OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San R�jfael, CA 94901 il/ Christopher Coale FRIIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FJCOM San Rafael, CA 94901 MOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Christopher Coale 91IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] Com San Rafael, CA 94901 [:IOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 E]SCC SUBTOTAL$ 57-407 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) MR='#Mile MUM :711111il:1-1011, HiNqIAL, 0 NAME OFFILER San Rafael Police Association Political Action Committee Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 24 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Christopher Coale FX� IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue [:] San Rafael, CA 94901 E]OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 7 SCC 1520 Fifth Avenue, San Rafael, CA 94914 12/31/2014 Christopher Coale [KIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth ❑ Com City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, E1SCC —1 520 Fifth ALrenue. San Rafael, CA 94913 10/15/2014 Lori CoenRecords BIND Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue ® San Rafael, CA 94901 El OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Lori Coen FX� IND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 1771OTH Union member's dues received through F71 PTY intermediary: San Rafael Police Association, F-jSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/1S/2014 Lori Coen 91IND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 E:1OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [3SCC 1520 Fifth Avenue, San Rafael. CA 949-Ql SUBTOTAL$ 49-976 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Wi =01 - MITKO mel WOMMS HM NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE A (CONT) bratement covers pe from 10/01/2014 through 12/31/2014 Page 25 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Lori Coen FX�IND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] Com San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, EISCC 1520. Fifth Avenue San Rafael CA 94901 12/15/2014 Lori Coen 91 IND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [771COM San Rafael, CA 94901 EIOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, _1520 Fifth Avenue. San Rafael, CA 94885 0SCC 12/31/2014 Lori Coen 0 IND Records Clerk 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth F-71COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94885 10/15/2014 Eric Cogbill ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F�COMI San Rafael, CA 94901 ❑OTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, FJSCC 1520 Fifth Avenue, San Rafael, CA 94901 10/-3-172014 Eric Cogbill FX� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth Cityof San Rafael Avenue [-] COM San Rafael, CA 94901 F-1 OTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, El SCC 11520 Fifth AvenuQ. San Rafael CA 94901 I I I SUBTOTAL$ 49.96 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. statement covers pe from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 26 of 95 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 (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Eric Coghill nx IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue [:] San Rafael, CA 94901 E]OTH Union member's dues received through n PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Eric Cogbill MIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1520 Fifth Aven1je, San Rafael, CA 94901 EISCC 12/15/2014 Eric Cogbill KI IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue [:] San Rafael, CA 94901 EIOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 9491S 12/31/2014 Eric Cogbill N] IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 70TH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, F�SCC 1520 Fifth Avenue, San Rafael, CA 94914 10715/2014 Ryan Coghill — FX�IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avmnue. San Rafael. CA 94901 SUBMTAL$ *Contributor Codes IND—Individual COM – Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) ; a a I " s I 117 (71 Ji =*I - Familk Mel Wom U Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through— 12/31/2014 Page — 27 of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Ryan Cogbill FRI IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM ❑ SanRafael, CA 94901 EIOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, F7ISCC ..1520 Fifth Avenue , San Rafael , CA 94901 11/15/20-14 Ryan Coghill ®IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F�Colvl SanRafael, CA 94901 MOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, ❑Scc 152Q Fifth Avenue, San Rafgel. CA 94901 11/30/2014 Ryan cogbill C/O: S ®IND Corporal 11.48 271.02 an Rafael Police Association 1520 Fifth City of San Rafael Avenue MCOM SanRafael, CA 94901 [:IOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, El SCC -1520 Fifth Avenue, San Ra—f4-gl, CA 94901 12/15/2014 Ryan Coghill C/o: San 0 IND Corporal 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94916 12/31/2014 Ryan Cogbill C/o: San 91IND Corporal 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through QPTY intermediary: San Rafael Police Association, 1520 El SCC Fifth Avenue. San Rafael, CA 94915 SUBTOTAL$ *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) :111 0 a W 0=1 U01 I NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 28 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO .D. NUMBER ENTER I) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Thomas Collins ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 FIOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, F�SCC 1520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Thomas Collinsofficer X71ND 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 [IOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, E1SCC — 1520 Fifth Avenue. San Rafael, CA 94901 11/15/2014 Thomas Collins Fx� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth FJCOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through F-71 PTY intermediary: San Rafael Police Association, EISCC — 1520 Fifth Avenue , San Rafael , CA 94901 11/30/2014 Thomas Collins ®IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-1 COM San Rafael, CA 94901 [:IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [-ISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Tomas Co lips ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 E]OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, E]SCC 11520 Fifth Avenue. San Rafael. CA 94a17 SUBTOTAL$ 57.40 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 m7mr-TtOW1, FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) I - M KV - UMM � �ei WMM,• NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 29 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE I PER ELECTION RECEIVED OF COMMITIFEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Thomas Collins FXj IND officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:1 com San Rafael, CA 94901 EIOTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenue, San Rafael, CA 94916 10/15/2014 Ryan De Marta FT IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 EIOTH Union member's dues received through QPTY intermediary: San Rafael Police Association, [:]SCC Fifth Avenue. San R&fdel, CA 94901 10/31/2014 Ryan De Marta FRI IND Officer 11.48 — 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 F-1 OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, F-lSCC —152.0 Fifth Av_Qnue, San RgIfael, CA 94901 11/15/2014 Ryan De Marta C/o: San FXJIND Officer 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑Com San Rafael, CA 94901 EIOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Ryan De Marta C/o: San ®IND Officer 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [_1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 El SCC SUBTOTAL$ 57.40 T77 -77 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Mmmmag %gla=01 M RTM:I�Vi i 14 d I sit Ii I Fel a Ps NFIR:1 VIM, NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 30 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR 13 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Ryan De Marta 7X IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94918 12/31/2014 Ryan De Marta 91IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael. CA 94917 10/15/2014 Christian Diaz BIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 17-71 COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, ❑ SCC —1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Christian Diaz ®IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 E]OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Christian Diaz ®IND Officer Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth of San Rafael Avenue EICOM San Rafael, CA 94901 E-IOTH Union member's dues received through intermediary: San Rafael Police Association,EIPTY El SCC 11520 Fifth Avgnue, San Rafaaj__Q&__a42_Q1 SUBTOTAL$ 57-470 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) ArMT-1MVP M Met Gl",M•U7111110TVIE, - 9 NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 31 of 95 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. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/3_072614 Christian Diaz IND Officer 11.48 271.02 " San C/o: SRafael Police Association 1520 Fifth City of San Rafael Avenue _ F]COM San Rafael, CA 94901 E] OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, F _ISCC - 1520 Fifth Avenue, San Rafael, CA 94 901 12/15/2014 Christian Diaz Fx� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FICOM San Rafael, CA 94901 FIOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, DSCC -1520 Fifth Avenue. San Rafael, CA 94919 12/31/2014 Christian Diaz Fxj IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FlCOM San Rafael, CA 94901 177IOTH Union member's dues received through F-71 PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94918 10/15/2014 Christopher Duncan rX_1 IND Officer 11.48 271.02 � I C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71 COM San Rafael, CA 94901 ❑OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Christopher Uuncan�IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 [:1OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, EISCC _1520 Fifth Avenue. San Rafael, CA 94901 SUBTOTAL$ 57.40' *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) 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 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 32 of 95 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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Christopher Duncan ®IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, 7 SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Christopher Duncan 91 IND officer 11.46 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 [:jOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, 1520 Fifth Aye=e. San Rafael, CA 949 1 LSCC 12/15/2014 Christopher Duncan ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity F-I COM of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through (I PTY intermediary: San Rafael Police Association, [:]Scc 1520 Fifth Avenue, San Rafael, CA 94920 12/31/2014 Christopher Duncan 7X IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue COM San Rafael, CA 94901 EIOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94919 10/15/2014 Scott Eberle MIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�Com San Rafael, CA 94901 EIOTH Union member's dues received through ED PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Raf_�=l. CA 94901 []SCC SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 33 of 95 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 OF COMMrT7EE, 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) 10/31/2014 Scott Eberle FKI IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue COM San Rafael, CA 94901 F 10TH Union member's dues received through F71 PTY intermediary: San Rafael Police Association, 0SCC .1520 Fifth Avenue, San Rafael, CA 94901 11/25/2014 Scott Eberle 91IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 F-1 OTH Union member's dues received through FJPTY intermediary: San Rafael Police Association, ...1520 Fifth Avenue, San Rdf_ael, CA 94 ni F-JSCC 11/30/2014 Scott Eberle 0 IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [:IOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Scott Eberle FZ IND Sergeant t 11.48 271.02 -1 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue r-1 COM San Rafael, CA 94901 MOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, F�Scc 1520 Fifth Avenue, San Rafael, CA 94921 12/31/2014 S Scott Eberle C C/o: San Rafael Police Association 1520 Fifth BIND Sergeant City of San Rafael 11.48 271.02 [Avenue E]COM San Rafael, CA 94901 [:IOTH Tj Union member's dues received through F� PTY i intermediary: San Rafael Police Association, 52Q Eifth Avenue, San Rafael, CA 94920 EISGC SUBTOTAL$ 57.40 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) W SOMME,• 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 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 34 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Christopher Fuller ®IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F� COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, F _71SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Christopher Fuller BIND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth E]COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenue. San Rafael. CA 949 1 11/15/2014 Christopher Fuller 0 IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, F71SCC 1520 Fifth Avenue , San Rafael, CA 94901 11/30/2014 Christopher Fuller ®IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 EIOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Christopher Fuller 91IND Police officer 11.48 271.02 C/o: San Rafael Police Association 1520 F Fifth City of San Rafael Avenue E] COM San Rafael, CA 94901 ❑OTH Union member's dues received through F71 PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. -CA__2A.222 El SCC SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC To[[ -Free Helpline: 866/ASK-FPPC (866/276-3772) 0-7r, M of 1-1 IJJ qq -, RTATFI�sq d I oil 14 to] I FAN:441- Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 am *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FIPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) through— 12/31/2014 — Page — 35 Of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Christopher Fuller FRIIND Police officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth -ICOM City of San Rafael Avenue F San Rafael, CA 94901 ❑OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC .1520 Fifth Avenue, San Rafael, CA 94921 10/15/2014 Salvatore Garanzini ®IND Officer 11 �48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM SanRafael, CA 94901 ROTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, _1.5.20 Fifth Avenue. San Rafael, CA 94901 [-]SCC 10/31/2014 Salvatore Garanzini Fx� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71COM San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC 15.2.0 Fifth Aygnue, San Rafael, CA 94901 11/15/2014 Salvatore Garanzini Fx� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑Com San Rafael, CA 94901 ❑OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Sal:v7_atore Garanzini— C/o: San Rafael Police Association 1520 Fifth 93IND officer City of San Rafael 11.48 271.02 Avenue ❑Com SanRafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue. San Rafael, CA 942DJ-- SUBTOTAL$ 57-40T *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FIPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) hUMM RM !M - San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period from 10/01/2014 through 12/31/2014 I Page 36 of 95 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 OF COMMITTEE, ALSO ENTERI.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Salvatore Garanzini ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94923 12/31/2014 Salvatore Garanzini ®IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 FifthCity F-71COM of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, ❑SCC 152Q Fifth Avenue, San Rafael. CA 94922 10/15/2014 Michael Garrison ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth E]COM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, F-jSCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Michael Garrison ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 1771COM San Rafael, CA 94901 70TH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Michael Garrison MIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-�Com San Rafael, CA 94901 []OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San RgfAgl. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 37 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 11/30/2014 Michael Garrison FX� IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue Fjcom San Rafael, CA 94901 F-1 OTH Union member's dues received through intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 12/15/2014 Michael Garrison [KIIND officer 11.48 271-02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E3COM San Rafael, CA 94901 El OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue. San RIfael, CA 94924 12/31/2014 Michael Garrison BIND Officer 11 .48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue F-1 San Rafael, CA 94901 EJOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, F7ISCC 1520 Fifth Avenue—san Rafael, CA 94923 10/1-5/2014 Lilah Gavlick ®IND Police officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity -I of San Rafael Avenue F COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Lilah Gavlick C/o: San 91IND Police Officer 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue. San Rafael, CA 942DL— SIUBTOTAL$ 57-4 *Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Wiro MI- -''.li. NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE (CONT) Page 38 of 95 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 OF COMMITTEE, ALSO ENTERLD. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Lilah Gavlick FX�IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:j COM City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 11/30/2014 Lilah Gavlick M IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [] COM City of San Rafael Avenue San Rafael, CA 94901 E:1OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, 1520 Fifth venue, San Rafael. CA 94901 ❑Scc 12/15/2014 Lilah Gavlick Q IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of SRafael an Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94925 12/31/2014 Lilah Gavlick ®IND Police Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [:IOTH Union member's dues received through F-JPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94924 10/15/2014 Justin Graham ®IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 Fj OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152 Avenue. San RafAel. CA 94 901 -0 -Fifth SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers pe from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 39 of 95 All q�,-4 ff - DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT ____ CUMULATIVE TO DATE I PER ELECTION RECEIVED OFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Justin Graham 7X IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM SanRafael, CA 94901 [:1OTH Union member's dues received through 1-71 PTY intermediary: San Rafael Police Association, [-]SCC -- 152 Fifth Avenue,. San Rafael, CA 94901 11/15/2014 Justin Graham 91IND Corporal _11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 El OTH Union member's dues received through ❑PTY intermediary: San Rafael Police Association, _15.20 Fifth Avenue, San Rafael, CA 94901 EISCC 11/30/2014 Justin Graham C/o: San Rafael FX� IND Corporal 11.48 271.02 Police Association 1520 Fifth City of San Rafael Avenue F-�Com San Rafael, CA 94901 [:IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC _1520 Fifth Aygnue, San Rdfggl, gA 94901 12/15/2014 Justin Graham C/o: San 13X�IND Corporal 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [:1OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94926 _Gra 12/31/2014 Justin H am C/o: San MIND Corporal 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] COM San Rafael, CA 94901 EJOTH Union member's dues received through ❑PTY intermediary: San Rafael Police Association, ❑ SCC Fifth Avenue. Sari Rafael, CA 9422_5__ SUBTOTAL$ 97-47, *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) =M6 M WiF ma- FaWTOM NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 40 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Julie Griffith 91 IND Records Clerk 9.00 176.70 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Julie Griffith ®IND Records Clerk 9.00 176.70 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, El SCC IS20 Fifth Avenue. San Rafael. CA 94901 11/15/2014 Julie Griffith ®IND Records Clerk 9.00 176.70 C/o: San Rafael Police Association 1520 Fifth F-I COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Julie Griffith ®IND Records Clerk 9.00 176.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 17COM San Rafael, CA 94901 70TH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Ju ie Griffith MIND Records Clerk 9.00 176.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71COM San Rafael, CA 94901 EIOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, SCC 1 1520 Fifth Avenue. San Rafagj___CA___2�LU6 SUBTOTAL$ 45.00 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) M1 41=13=001 =_ 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 41 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIB 3 UTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMFT7EE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Julie Griffith FX_1 IND Records Clerk 9.00 176.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�Com SanRafael, CA 94901 F�OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94886 10/15/2014 Lori Hendricks FXIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1554 FifthCity F-1 COM of San Rafael Avenue San Rafael, CA 94935 E] OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, 1520 -.Fifth Avenue, San Rafael...CA 94901 ❑SCC 10/31-/_2014 Lori Hendricks FX_1 IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1554 Fifth City of San Rafael Avenue El COM San Rafael, CA 94935 El OTH 3 Union member's dues received through EIPTY intermediary: San Rafael Police Association, F-jSCC js�,.n Rift -h Anue, San Rafael, CA 949 1 11/15/2014 Lori Hendricks FX-JIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1554 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94935 E] OTH Union member's dues received through []PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 1173-0-72014 Lori Hendricks 91IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1554 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94935 [:IOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 942D_3__ SUBTOTAL$ 45.00 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 www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period 0 1 to whole dollars. from 10/01/2014 through 12/31/2014 Page 95 Page _�L_ of 5 42 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Lori Hendricks FRI IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1554 Fifth F -I COM City of San Rafael Avenue San Rafael, CA 94935 70TH Union member's dues received through QPTY intermediary: San Rafael Police Association, 177ISCC 1520 Fifth Avenue , San Rafael , CA 94887 12/31/2014 Lori Hendricks ®IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1554 Fifth®City COM of San Rafael Avenue San Rafael, CA 94935 DOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, 7SCC — 1520 Fifth Avenue, San Rafael. CA 948 7 10/15/2014 Robert Henkle FIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94 901 10/31/2014 Robert Henkle FKIIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 ❑OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Robert Henkle N FIND i Off c 11.48 271.02 San C/o: SRafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 70TH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 EISCC SUBTOTAL$ 52.44 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) I! W Wj 461A L'11:4 0=1IMM WOMUO 11 �MiVEH NAME OFFILER San Rafael Police Association Political Action Committee Type or print In ink. Amounts may be rounded to whole dollars. Statement covers from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT.) Page 43 of 95 Rag 1; 1; 74 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Robert HenkleOfficer BIND 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Robert Henkle MXIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue COM San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, _1520 Fifth Avenue, San RELfael, CA 94927 EISCC 12/31/2014 Robert Henkle Fx� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 70TH Union member's dues received through F-IPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94926 10/15/2014 J. Alexander Holm N1 IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-1 COM San Rafael, CA 94901 Fj OTH Union member's dues received through �PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 J. Alexander Holm C/o: San BIND Corpora Corporal 11.48 271.02 Rafael Police Association 1520 Fifth of San Rafael Avenue ❑Com San Rafael, CA 94901 F-1 OTH Union member's dues received through MPTY intermediary: San Rafael Police Association, ..1520 Fifth Avenue. San Rafael. CA 942DI_ []SCC SUBTOTAL$ 57.401 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 www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 through 12/31/2014 page j4 of 44 295 NAME OF FILER I.D. 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 OF 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) 11/15/2014 J. Alexander Holm ®IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 J. Alexander Holm 91IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COm City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949 1 EISCC 12/15/2014 J. Alexander Holm ®IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth OCOM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 177IPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94928 12/31/2014 J. Alexander Holm FKIIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71 COM San Rafael, CA 94901 177IOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94927 10/15/2014 Lisa Holton BIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth I City of San Rafael Avenue F_ COM San Rafael, CA 94901 MOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 0SCC SUBTOTAL$ 57.40 *Contributor Codes IND -individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) MIT-Trem ws g r. o W ei•mi- BEHER1 NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 45 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10T31/2014 Lisa Holton NIIND Sergeant 11 .48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 F-1 OTH Union member's dues received through PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Lisa Holton C/O: San Rafael 91 IND Sergeant 11.48 271.02 Police Association 1520 FifthCity of San Rafael Avenue [:1 COM San Rafael, CA 94901 [JOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, El -SCC -15.20 Fifth Avenue. San Rafael. CA 94901 11/70/2014 Lisa Holton ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-�Com San Rafael, CA 94901 FlOTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, 0SCC 1.520 Fifth Aygnue, San Rafael, CA 94901 12/15/2014 Lisa Holton C/o: San FKIIND Sergeant 11.48 271.02 Rafael Police Association 1520 Fifth Avenue EICOM City of San Rafael San Rafael, CA 94901 F 10TH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94929 12/31/2014 Lisa Holton C/o: San Rafael Police Association 1520 Fifth ®IND Sergeant Sergeant of San Rafael 11.48 271.02 Avenue El COM San Rafael, CA 94901 E]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC _1520 Fifth Lv_gnue. San Rafael. CA 9422_B__ SUBTOTAL$ 57.401 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 46 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Kyle Hornstein Fx� IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El Com City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through EIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Kyle Hornstein M IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 1771 COM City of San Rafael Avenue San Rafael, CA 94901 E:1OTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, F7ISCC — 1520 Fifth Avgnug, San Rafael, CA 94 901 11/15/2014 Kyle Hornstein 0 IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity F-1 COM of San Rafael Avenue San Rafael, CA 94901 [_1OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Kyle Hornstein KIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 FJOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Kyle Hornstein MIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 MOTH Union member's dues received through F -I PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael. CA 94930 SUBTOTAIL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) M 0 =I- MMLII Met Wmzf•IF7107161:1L,731, NAME OF FILER San Rafael Police Association Political Action Committee Type or print in Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 47 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OFBUSINESS) 12/31/2014 Kyle Hornstein FX�IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94929 10/15/2014 Carl Huber ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-�Coivl San Rafael, CA 94901 FJOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San R&fgel. CA 94901 10/31/2014 Carl Huber SIN® Sergeant 11 .48 - 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 El OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, �Scc 1520 Fifth Avenue, San Rafgel, CA 94901 11/15/2014 Carl Huber C/o: San FX_1 IND Sergeant 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] COM San Rafael, CA 94901 [:1OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 11730 2014 Carl Huber C/o: San Rafael Police Association 1520 Fifth 91IND Sergeant City of San Rafael 11.48 271.02 Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, -....San Rafael. CA 94901 SUIBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) W Wi =*I - MEW* Metji IE NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 48 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Carl Huber FX -1 IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue DCOM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael CA 94931 12/31/2014 Carl Huber ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, F1 SCC 1520 Fifth Avenue, San Rafael. CA 94930 10/15/2014 Scott Ingels ®IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth ED COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through intermediary: San Rafael Police Association,EIPTY E]SCC 1520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Scott Ingels FX� IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 E]OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, F�SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Scott Ingels 91IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 F Fifth City of San Rafael Avenue E] COM San Rafael, CA 94901 E:1OTH Union member's dues received through F--iPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Raf_,Lel. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) W ^ 74TIL17:11 111720 io NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 49 of 95 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR 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 (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OFBUSINESS) 11/30/2014 Scott Ingels FX� IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 ❑OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Scott Ingels C/o: San Rafael W IND Corporal —11.48 271.02 Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 F71OTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, ..1520 Fifth Avenue. San Rafavl- CA 94932 ElSCC 12/31/2014 Scott Ingels C/o: San Rafael Police Association 1520 Fifth ®IND Corporal City San Rafael 11.48 — 271.02 Avenue EICOM of San Rafael, CA 94901 EIOTH Union member's dues received through [--IPTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Raf_qel, CA 94931 10/15/2014 Lynette Keller C/o: San FRI IND Community Service Officer 9.00 202.80 Rafael Police Association 1520 FifthCity of San Rafael Avenue F-1 COM San Rafael, CA 94901 ❑OTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Lynette Kelli�r_ C/o: San Rafael FX� IND Community Service Officer 9.00 202.80 Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [_1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, -1520 Fifth Avenue. San R&fael. CA 942QL_ El SCC SUBTOTAL$ *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-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 from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 50 of 95 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 OF 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) 11/15/2014 Lynette Keller FX� IND Community Service Officer 9.00 202.80 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Lynette Keller FX11ND Community Service Officer 9.00 202.80 C/o: San Rafael Police Association 1520 Fifth 7COm City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth A -venue. San Rafael. CA 94901 12/15/2014 Lynette Keller ®IND Community Service officer 9.00 202.80 C/o: San Rafael Police Association 1520 Fifth E]COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth A -venue, San Rafael, CA 94889 12/31/2014 Lynette Keller ®IND Community Service Officer 9.00 202.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue M COM San Rafael, CA 94901 E:1OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94889 10/15/2014 Rebecca Kuga MIND YSB Supervisor 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 ❑OTH Union member's dues received through 7 PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94U1 ❑ SCC SUBTOTAL$ 45.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) JjRTM M%!0jM',Mtr* NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 51 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10T3172014 Rebecca Kuga RXIND ry YSB Supervisor 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael CA 94901 11/15/2014 Rebecca Kuga C/O: San 91 IND YSB Supervisor 9.00 211.50 Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avpnue. San Rafael. CA_...94 901 11/30/2014 Rebecca Kuga C/O: San ®IND YSB Supervisor 9.00 211.50 Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, RSCC _1520 Fifth Av, San Rafael, CA 94901 12/15/2014 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth RXIND YSB Supervisor City of San Rafael 9.00 211.50 Avenue EICOM San Rafael, CA 94901 El OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94890 12/31/2014 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth RXIND YSB Supervisor City of San Rafael 9.00 2T1_50 Avenue RCOM San Rafael, CA 94901 [_1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San RafaQl, CA 94I12_Q__ El SCC SUBTOTAL$ 45.00 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 1 0 a W lei 'Ail:491:9L - 0=1 - FTAM Mot ml*mnf,� i0� 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 52 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Marc Laplante FRI IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through El PTY intermediary: San Rafael Police Association, 719CC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Marc Laplante ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity F�Com of San Rafael Avenue San Rafael, CA 94901 [IOTH Union member's dues received through QPTY intermediary: San Rafael Police Association, 7 SCC 1520 Fifth Avenue, San Rafael. CA 94901 11/15/2014 Marc Laplante EIIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 11/30/2014 Marc Laplante ff] IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 EIOTH Union member's dues received through [:JPTY intermediary: San Rafael Police Association, E1SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Marc Lap ante ®IND officer 11.46 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94933 ❑ SCC SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) JXM 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 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 53 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Marc Laplante FX�IND Officer 11.48 271-02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through DOTY intermediary: San Rafael Police Association, EJSCC 1520 Fifth Avenue , San Rafael , CA 94932 10/15/2014 Kimberly LarkeyMIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FJCOM San Rafael, CA 94901 ❑OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, El SCC _1a20 Fifth Aygmue. San Rgfael, CA 94901 10/31/2014 Kimberly Larkey NJ IND Officer 11-.48 271-02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue❑ F_1 COM San Rafael, CA 94901 [:IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC _1520 Fifth Avenue, San Rdfagj, CA 94901 11/15/2014 Kimberly Larkey ZI IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71COM San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, F7ISCC -4 1520 Fifth Avenue, San Rafael, CA 94901 11 30 7 201 Kimberly LarRey C/o: San Rafael Police Association 1520 Fifth RX IND Officer City of San Rafael 11.48 271.02 Avenue DCOM San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1520 Fifth SCC Avenue, San Rafael. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Type or print In Ink. SCHEDULE A(CONT Amounts may uorounded Statement covers period mmwhole dollars. from 10/01/2014 mom *Contributor Codes IND—individual COM — Recipient Committee (other than PTY mSCC) oT*—Other (e�.. business entity) PTv—po|iticm|Pony SCC — Small Contributor Committee IT 171, 177, W MIMI M F7,777 FPPC Form 460 (January/05) FppoToll-Free Helpline: ooax\om-Fppc(8om27s-3r7u through 12/31/2014 _ Page 54 of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTE DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTR R AMOUNT CUMULATIVETO DATE PER ELECTION IBUTOR OF COMMrrTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) 12/15/2014 Kimberly Larkey 91 IND Officer 11.48 271.b2 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94934 12/31/2014 Kimberly Larkey 91 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael San Rafael, CA 94901 [:1OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafa 1. CA 94233 10/15/2014 Anndora Lee Fx�IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael San Rafael, CA 94901 E]OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, F�Scc 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Anndora Lee X71ND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, [-�Scc 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Anndora Lee ZJIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Raf_gg2l. CA 94901 SUBTOTAL$ 49.96 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY mSCC) oT*—Other (e�.. business entity) PTv—po|iticm|Pony SCC — Small Contributor Committee IT 171, 177, W MIMI M F7,777 FPPC Form 460 (January/05) FppoToll-Free Helpline: ooax\om-Fppc(8om27s-3r7u Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 M through— 12/31/2014 Page 55 95 1_�_ Of of 2 NAME OF FILER I.D. 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 CUMULATIVETO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATI ON AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Anndora Lee FxIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 [_1OTH Union member's dues received through F-JPTY intermediary: San Rafael Police Association, F-�SCC 1520 Fifth Avenue San Rafael , CA 94901 12/15/2014 ., Anndora Lee C/o: San Rafael 91 IND Dispatcher 9.00 2-11.50 Police Association 1520 Fifth City of San Rafael Avenue EI COM San Rafael, CA 94901 [_1OTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, 0SCC -I-UO Fifth Avenue. San RgfAjQl, CA 94891 12/31/2014 Anndora Lee C/o: San Rafael Q IND Dispatcher 9.00 211.50 Police Association 1520 Fifth City of San Rafael Avenue [:1 COM San Rafael, CA 94901 DOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, EISCC IS20 Fifth Avenue , San Rgkfggj, CA 94891 10/15/2014 Rogelio Leon C/o: San Rafael Police Association 1520 FifthCity ®IND ICOM Sergeant of San Rafael 11.48 271.02 Avenue F San Rafael, CA 94901 FJOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, 17-71SCC 1 520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Rogelio Leon C/o: San Rafael Police Association 1520 Fifth ®IND Sergeant Sergeant of San Rafael 11.46 271.02 Avenue QCOM San Rafael, CA 94901 F71OTH Union member's dues received through intermediary: San Rafael Police Association, Fifth ❑ SCC 1520 Avenue, San Rafael. CA 942D_L_ SUBTOTAL$ 49.96' 9-96F *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC –Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from — 10/01/2014 _ of 6 0 through 1 rough 12/31/2014 _ !Page 5 �6 ___19 F5 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Rogelio Leon BIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 E]0TH Union member's dues received through El PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Rogelio Leon 91 IND Sergeant 11.46 271.02 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through F7IPTY intermediary: San Rafael Police Association, 1520 Fifth_Avenue. San Rafael. CA 94901 F1SCC 12/15/2014 Rogelio Leon ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F�Com City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through QPTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94935 12/31/2014 Rogelio Leon ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 1771 COM City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94934 10/15/2014 Kevin Macdougald 91IND officeF 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, SCC 11520 Fifth Avenue. San Rafael. CA 94U1 I I SUBTOTAL$ 57.40 *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) MA -6 - A W 1. of 1^1 W1 =*I - � �61 M"Omq it) 117207T - 0 NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 57 of 95 I.D. NUMBER R31553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE I PER ELECTION RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Kevin Macdougald ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Kevin Macdougald 91IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:]Com San Rafael, CA 94901 [:1OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, _1520 Fifth Avenue. San Rafael, CA 94901 EISCC 11/30/2014 Kevin Macdougald C/o: San Rafael _ ©IND Officer 11.48 271.02 Police Association 1520 Fifth City of San Rafael Avenue Q COM San Rafael, CA 94901 [IOTH Union member's dues received through r-IPTY intermediary: San Rafael Police Association, 0SCC I520 Fifth AygplIg, San Raf_4el, CA 94901 12/15/2014 Kevin Macdougald C/o: San FX� IND Officer 11.48 271.02 .1 Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ Com San Rafael, CA 94901 r-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1771SCC 1520 Fifth Avenue, San Rafael, CA 94936 12/31/2014 Kevin Macdougald - C/o: San Rafael FX-11ND Officer 11.48 271.02 Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 Ej OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC -1520 Fifth Avenue. San Rafael. CA 94935 SUBTOTAL$ *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) W W __- I JI 0 =I- M ITEM M#i WOMMIRAP1.0349111 -a Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 12/31/2014 _ Page 58 Of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Carlos Maldonado ®IND officer 11.48 271.01 C/O: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Carlos Maldonado M I N D officer 11.48 271.01 C/o: San Rafael Police Association 1520 FifthCity EICOM of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [-]SCC 152Q Fifth Avenue, San Rafael, CA 94901 11/15/2014 Carlos Maldonado Q IND Officer 11.48 271.01 C/O: San Rafael Police Association 1520 Fifth F ICOM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, SCC —1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Carlos Maldonado X71ND Office 11.48 271.01 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue X Com San Rafael, CA 94901 ❑OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Carlos Maldonado MIND office 11.48 271.01 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue MCOM San Rafael, CA 94901 [:IOTH Union member's dues received through QPTY intermediary: San Rafael Police Association, EISCC 11520 Fifth Avenue, San Rafael, CA 94937 SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 20i"(771:13 I - 6 OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers pe from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 59 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OFBUSINESS) 12/31/2014 Carlos Maldonado N]IND Officer 11.48 271.01 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 [:IOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, F-jSCC 1520 Fifth Avenue San Rafael, CA 94936 10/15/2014 Michael Mathis X71ND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael AvenueF�Com San Rafael, CA 94901 ❑OTH Union member's dues received through M PTY intermediary: San Rafael Police Association, E]SCC -1520 Fifth Avenue. San Rafagl. CA 94901 1051/2014 Michael Mathis NJ IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�Coivl San Rafael, CA 94901 El OTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, F-jSCC ...1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Michael Mathis N1 IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-lCOM San Rafael, CA 94901 F1OTH Union member's dues received through ❑PTY intermediary: San Rafael Police Association, F�SCC 1520 Fifth Avenue, San Rafael, CA 94901 11730/2014 Michael Mathis C/o: San MXIND Corporal 11.48 271.02 Rafael Police Association 1520 Fifth Avenue FICOM City of San Rafael San Rafael, CA 94901 F71OTH Union member's dues received through 7 PTY 11520 intermediary: San Rafael Police Association, Fifth Avenue, San Rafael. CA 94901 [:]SCC SUBTOTAL$ 57-40F *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) 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 — 10/01/2014 _ through 12/31/2014 _ SCHEDULE A (CONT.) Page 60 Of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Michael Mathis 91 IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94938 12/31/2014 Michael Mathis ®IND Corporal 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, SCC — 1520 Fifth Avenue, San Rafael. CA 94937 10/15/2014 Kelly Mauel ®IND Records Clerk 9.00 185.40 C/o: San Rafael Police Association 1520 Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94 901 10/31/2014 Kelly Mauel ®IND Records Clerk 9.00 185.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 ❑OTH Union member's dues received through F-lPTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 K_e_II_yM_a_UeI FX�IND Records Clerk 9.00 185.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 MOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, _]SCC 11520 Fifth Avenue. San Rafael, CA 94901 SUBTOTAL$ 49.96 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 61 of 95 I.D. NUMBER 831553 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Kelly Mauel FKI IND Records Clerk 9.00 185.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, F-ISCG _1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Kelly Mauel FX_1 IND Records Clerk 9.00 185.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 [:IOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94A92 ❑Scc 12/31/2014 Kelly Mauel C/o: San Rafael ©IND Records Clerk 9.00 185.40 Police Association 1520 Fifth City of San Rafael Avenue F�COM San Rafael, CA 94901 FlOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, []SCC _152.0 Fifth Avenue, San Raf_4_el, CA 94892 10/15/2014 Abigail Mcelderry FRI IND Dispatcher 9.00 212.96 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 1073-172 01-4 Abigail Mcelderry C/o: San Rafael Police Association 1520 Fifth FX-11ND Dispatcher City of San Rafael 9.00 212.96 Avenue E]COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue. San Rafael, CA 94901 SUBTOTAL$ 45.00F *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 62 of 95 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) 11/15/2014 Abigail Mcelderry ®IND Dispatcher 9.00 212.96 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 FIOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Abigail Mcelderry BIND Dispatcher 9.00 212.96 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 E:1OTH Union member's dues received through 1771PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafa 1, CA 94901 12/15/2014 Abigail Mcelderry BINDDispatcher 9.00 212.96 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94893 12/31/2014 Abigail Mcelderry BIND Dispatcher 9.00 212.96 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 F-1 OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94893 10/15/2014 Phillip Melo is 91IND Office 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-1 COM San Rafael, CA 94901 [_1OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94U1 El SCC SUBTOTAL$ 47.48 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee Mi�,A,l - I �-- M1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 • through— 12/31/2014 Page 63 of 95 of NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee A31551 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIB UTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Phillip Melodia Fxj IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 F -I OTH Union member's dues received through F-71 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue San Rafael , CA 94901 11/15/2014 Phillip Melodia M IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue F-I San Rafael, CA 94901 E-1OTH Union member's dues received through F-71 PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Raf-ael. CA 94901 E] SCC 11/30/_2014 Melodia© Phillip MelodiaOfficer IND 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue F San Rafael, CA 94901 F71OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Aygnue. San Ra_tael, CA 94901 12/15/20-14 Phillip Melodia FKI IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth -1 City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through r -]PTY intermediary: San Rafael Police Association, EJSCC 1520 Fifth Avenue, San Rafael, CA 94939 12/3172014 Phillip Melo d l a C/O: San RafaelPolice Association 1520 Fifth RXIND Officer City of San Rafael 11.48 271.02 Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through FJPTY intermediary: San Rafael Police Association, 152 Fifth Avenue, San Rafael CA 94938 ❑ SCC SUBTOTAL$ *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print In Ink. SCHEDULE (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 *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 M �Al - I �-- IMF FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) through 12/31/2014 _ Page 64 of 95 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 CONTRIBUTOR OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Beth Minka El IND Administrative Technician 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Beth Minks FRI IND Administrative Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael. CA 94901 11/15/2014 Beth Minks N] IND Administrative Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth QCOM City of San Rafael Avenue San Rafael, CA 94901 FIOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, []SCC —1520 Fifth Avenue, San Rafael, CA 94 901 11/30/2014 Beth Minks FK] IND Administrative Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 DOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Beth minks, MIND Administrative Technician 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 FIOTH Union member's dues received through F-71PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael. CA 94894 SUBTOTAL$ 45.00 *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 M �Al - I �-- IMF FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) J RMIV:741A I j 0=1 - M IWO M01 Wem 1161� 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 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 65 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Beth Minka NIIND Administrative Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EIOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94894 10/15/2014 Jorge Navarro KIND Evidence Technician 9.00 211.50 C/o: San Rafael Police Association 1520 FifthCity F ICOM of San Rafael Avenue San Rafael, CA 94901 FIOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, F71SCC 1520 Fifth Avyvnue. San Rafgal. CA 94901 10/31/2014 Jorge Navarro BIND Evidence Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth -]COM City of San Rafael Avenue E San Rafael, CA 94901 DOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Jorge Navarro El IND Evidence Technician 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71 COM San Rafael, CA 94901 DOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Jorge Navarro 91 IND Evidence Technician 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 MOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949_Ql SCC SUBTOTAL$ 45.00 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) 1 •I I FS Ji re mi- �• T21 Me tt NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 66 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMMIT7EE, 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) 12/15/2014 Sorge Navarro ®IND Evidence Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth F -ICOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94895 12/31/2014 Jorge Navarro ®IND Evidence Technician 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth 1771 COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Ayvenue. San Rafael, CA 9489S 10/15/2014 Alexis Nielsen ®IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 177IOTH Union member's dues received through 1771 PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Alexis Nielsen N1 IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-1 COM San Rafael, CA 94901 177IOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Alexis Nielsen [91IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 1771 COM San Rafael, CA 94901 ❑OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue. San Rafael, CA 94901 SUBTOTAL$ 45.00 *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 zT_Wr_=* 11 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) A 0=1 •Wsmifej 11 MAgaiR NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 67 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OFBUSINESS) 11/30/2014 Alexis Nielsen FRI IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] Com San Rafael, CA 94901 [_1OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, F-ISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Alexis Nielsen ®IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth Com City of San Rafael Avenue [:1 San Rafael, CA 94901 E:1OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, ..1520 Fifth Avenue. San Rafael. CA 94896 [-]SCC 12/31/2014 Alexis NielsenDispatcher FDND 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 F71OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, MSCC ..1520 Fifth Avenue, San R4faej, CA 94896 10/15/2014— Leslie OToole I C/o: San Fx� IND Officer 11.48 271.02 Rafael Police Association 1520 Fifth Avenue FICOM City of San Rafael San Rafael, CA 94901 F-1 OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Leslie OTooleOfficer C/o: San ®IND 11.48 271.02 Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 70TH Union member's dues received through F-IPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 942D_I_ El SCC SUBTOTAL$ 49-9 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC To[[ -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 Page through 12/31/2014 68 95 _ _§_ Of F2_9 NAME OF FILER I.D. 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 OF COMMITTEE, ALSO ENTERI.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) 11/15/2014 Leslie OToole ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 E] OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Leslie OToole ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth F�COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, EISCC 1 20 Fifth A -venue, San Rafael, CA 949 1 12/15/2014 Leslie OToole ®IND officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth DCOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94940 12/31/2014 Leslie OToole ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue OCOM San Rafael, CA 94901 [:]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94939 10/15/2014 Meaghan Pang FX� IND Dispatc- er 9.00 202.50 C/o: San Rafael Police Association 1520 Fifth City of San Raphael Avenue EICOM San Rafael, CA 94901 MOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC _1520 Fifth Avenue. San Rafaa_j__QL___2490l SUBTOTAIL$ 54.92 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 through— 12/31/2014 _ Page 69 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Meaghan Pang FX�IND Dispatcher 9.00 202.50 C/o: San Rafael Police Association 1520 Fifth City of San Raphael Avenue F� COM San Rafael, CA 94901 F-JOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC ..I.S20 Fifth Avenue , San Rafael , CA 94901 11/15/2014 Meaghan Pang Q IND Dispatcher 9.00 202.50 C/O: San Rafael Police Association 1520 Fifth COM City of San Raphael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, El SCC 11;2.0..Fifth Aven1je. San Rafael—CA 94901 11/30/2014 Meaghan Pang BIND Dispatcher 9.00 202.50 C/o: San Rafael Police Association 1520 Fifth City of San Raphael Avenue MCOM San Rafael, CA 94901 MOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Meaghan Pang FK]IND Dispatcher 9.00 202.50 C/o: San Rafael Police Association 1520 Fifth City of San Raphael Avenue OCOM San Rafael, CA 94901 [:1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94897 10/15/2014 Nicola Pata C/o: San MIND Dispatcher 9.00 211.50 Rafael Police Association 1520 Fifth City of San Rafael Avenue MCOM SanRafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, El SCC --I= Fifth Avenug. San Rafael.._...CA 94901 SUBTOTAL$ 45.001" , *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from — 10/01/2014 through 12/31/201470 of 95 _ IPage ---!- 0— NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Nicola Pats. IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through F_71PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 11/15/2014 Nicola Pats. BIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 FifthCity F1COM of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San Rafael. Q& 24901 11/30/2014 Nicola Pata ®IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth ® COM City of San Rafael Avenue San Rafael, CA 94901 1771OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, —1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Nicola Pats, FxEl IND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 E]OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94898 12/31/2014 Nicoia Pats. MIND Dispatcher 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue, San RafAel. CA 94897 SUBTOTAL$ 45.00 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Ml -q Are mi- 9 NAME OFFILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 71 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE I PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Brian Patterson ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM SanRafael, CA 94901 F�OTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, ElSCC -1520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Brian Patterson M IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [IOTH Union member's dues received through [:] PTY intermediary: San Rafael Police Association, _15.20 Fifth Avenue, San Rdfael, CA 94901 F71SCC 11/15/2014 Brian Patterson C/o: San Rafael ®IND Officer 11.48 271.02 Police Association 1520 Fifth City of San Rafael Avenue [:]COM San Rafael, CA 94901 E-1 OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Aygnile, San Rl, CA 94901 11/30/2014 Brian Patterson C/o: San FX_1 IND Officer 11.48 271.02 Rafael Police Association 1520 FifthCity Avenue F1COM of San Rafael San Rafael, CA 94901 F -10TH Union member's dues received through FIPTY intermediary: San Rafael Police Association, El SCC _537 -4 1520 Fifth Avenue, San Rafael, CA 94901 12 T1 201 Brian Patterson C/o: San Rafael Police Association 1520 Fifth FxMND Officer City of San Rafael 11.48 271.02 Avenue E] com San Rafael, CA 94901 E]OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, Fifth SCC --152L Avenue San Rafael..CA 94941 SUBTOTALS *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) RUM WIN Mi- Alil San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from — 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT.) Page 72 of 95 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 OF COMMITTEE, ALSO ENTERLD. 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) 12/31/2014 Brian Patterson FX� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth FlCOM City of San Rafael Avenue San Rafael, CA 94901 E:1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, E -1 SCC 1520 Fifth Avenue, San Rafael, CA 94940 10/15/2014 Buffy Paxson 91 IND Officer 11.48 271.65 C/o: San Rafael Police Association 1520 Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1 20 Fifth Avenue. Ban Rafael, CA 949 1 MSCC 10/31/2014 Buffy Paxson ®IND Officer 11.48 271.65 C/o: San Rafael Police Association 1520 Fifth 000M City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Buffy Paxson MXIND Officer 11.48 271.65 C/o: San Rafael Police Association 1520 Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 [JOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Bully Pax—son ®IND officer 11.48 271.65 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue DCOm San Rafael, CA 94901 MOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, E]SCC 11520 Fifth Avenue, San Rafael. CA 942D1 SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) 1 0 2 W M'X!MM"#Mtn6 I 7-WIN7411p, a NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 73 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/1_5/_2514 Buffy Paxson FX-JIND officer 11.48 271.65 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 1771OTH Union member's dues received through QPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94942 12/31/2014 Buffy Paxson ®IND Officer 11-48 271.65 C/o: San Rafael Police Association 1520 FifthCity F_1COM of San Rafael Avenue San Rafael, CA 94901 FIOTH Union member's dues received through R PTY intermediary: San Rafael Police Association, ❑ SCC _1520 Fifth Avenue. San Rafael, CA 94941 10/15/2014 Jason Perry FX_j IND Officer 11.48 180.08 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E] COM San Rafael, CA 94901 70T�H Union member's dues received through � PTY intermediary: San Rafael Police Association, El SCC 152o Fifth Avenue, San Rafagj. CA 94901 10/15/2014 Jessica Perry ®IND Officer 11.48 271.02 -1 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 1-71 COM San Rafael, CA 94901 [:1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 10731/2014 Jessica Perry BIND Officer Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth of San Rafael Avenue ❑Com San Rafael, CA 94901 FIOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ScC 11520 Fifth Avenue. San Rafael CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 1111re mi - Type or print In Ink. SCHEDULE A (CONT.) Amounts may be rounded Statement covers period A E = to whole dollars. 10/01/2014 B from *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through 12/31/2014 _ Page 74 of 95 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 CONTRIBUTOR 9FCOMMFT7EE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Jessica Perry FX� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, DSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Jessica Perry 91 IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, ❑,qcc 1520 Fifth Avenue. San Rafgal. CA 949 1 12/15/2014 Jessica Perry RE1 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 D OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94943 12/31/2014 Jessica Perry ®IND officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 E:1OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94942 10/15/2014 Aaron Piombo Fxj IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue OCOM San Rafael, CA 94901 F1OTH Union member's dues received throughPTY El intermediary: San Rafael Police Association, 0SCC 11520 Fifth Avenue. San Rafag2__QL__a_43Q1 I SUBTOTAL$ 57.40 7 i *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 1 -2 011 0"MUTTAP-TOW NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 75 of 9 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED OF COMMITENTER IDND , A.. 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) 10/31/2014 Aaron Piomho FX_1 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [:IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Aaron Piombo FX� IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue f7com San Rafael, CA 94901 FIOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2014 Aaron Piombo ®IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] Com San Rafael, CA 94901 FIOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, E1SCC 520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Aaron Piombo FX -1 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F71 COM San Rafael, CA 94901 [:1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0 SCC 1520 Fifth Avenue, San Rafael, CA 94944 — 12/31/2014 Aaron Piombo 91IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 F_ l OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94243— SUBTOTAL$ 57.40[ *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) E0 1 EL I =-- I VIP mi - NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from — 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 76 of 95 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 OF COMMI77EE, 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) 10/15/2014 Dennis Prince ®IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth 17-1 COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, EISCC 1 520 Fifth Avenue , San Rafael , CA 94901 10/31/2014 Dennis Prince 91 IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 1771OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, F-1SCC 3,520 Fifth Avenue, San Rafael. CA 94901 11/15/2014 Dennis PrinceOfficer FX11ND 11.48 271.02 San C/o: SRafael Police Association 1520 F Fifth COM City of San Rafael Avenue E3 San Rafael, CA 94901 F-1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC —1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Dennis Prince FxElIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth -I City of San Rafael Avenue F COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Dennis Prince ®IND Office 11.48 271.02 C/o: San Rafael Police Association 1520 F City of San Rafael Avenue Om OCD San Rafael, CA 94901 FlOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, 0SCC 11520 Fifth Avenue. San Rafael. CA 942A5 SUBTOTAL$ 57.40 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 77 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATiVETO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Dennis Prince FRI IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] Com San Rafael, CA 94901 EJOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94944 10/15/2014 Gino Rantissi ZIIND Officer 11.48 103.32 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 EJOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1 R.2.0 Fifth Aveniia, San Rafael., CA 94901 ❑SCC 10/31/2014 Gino Rantissi FX� IND Officer 11.48 103.32 c/o San Rafael Police Association 1520 Fifth -ICOM City of San Rafael Avenue F San Rafael, CA 94901 EIOTH Union member's dues received through 1771PTY intermediary: San Rafael Police Association, MSCC - — 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Gino Rantissi FX�IND Officer 11.48 103.32 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue [7COM San Rafael, CA 94901 FIOTH Union member's dues received through F_1PTY intermediary: San Rafael Police Association, F-1 SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Gino Rantissi— FRIIND Officer 11.48 103.32 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 F-1 OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 • through 12/31/2014 Page 78 of — '• - 2-1 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Gino Rantissi Fx� IND Officer 11.48 103.32 c/o San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through �PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94946 12/31/2014 Gino Rantissi MIND Officer 11.48 103.32 C/o San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael. CA 94945 10/15/2014 Ronda Reese MIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through El PTY intermediary: San Rafael Police Association, E] SCC —1520 Fifth Avenue, San Rafael, CA 949 1 10/31/2014 Ronda Reese NJ IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 [_]0TH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Ronda Reese ®IND Corporal Corpora 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue [:1 COM San Rafael, CA 94901 70TH Union member's dues received through PTY intermediary: San Rafael Police Association, ❑ SCC _1520 Fifth Avenue, San RafaaL__Q&__2_4qQ1 SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers pe from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 79 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Ronda Reese FXJ IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 [:IOTH Union member's dues received through DPTY intermediary: San Rafael Police Association, 0SCC .1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Ronda Reese FXIND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 FJOTH Union member's dues received through PTY intermediary: San Rafael Police Association, [:]SCC --1520 Fifth Avenue. San Rafael, CA 94947 12/3172014 Ronda Reese l3Z IND Corporal 11.48 271.02 C/o: San Rafael Police Association 1520 FifthCity Com of San Rafael Avenue F-1 San Rafael, CA 94901 EIOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, El SCC 19 20_Fift1j Avenue_!�an Rafael,-rA- 94946 10/15/2014 Peggy Ruge FX�IND Community Service Officer 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:]Com San Rafael, CA 94901 [_1OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, E1,9CC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Peggy Ruge FX�IND Community Service officer 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue r-1COM San Rafael, CA 94901 MOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 942DL_ El SCC SUBTOTAL$ 52--1 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 EM *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 PAT, "MiTTUM-77- W FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) through 12/31/2014 — Page 80 Of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR 13 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF 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) 11/15/2014 Peggy Ruge ®IND Community Service Officer 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Peggy Ruge 91 IND Community service officer 9.00 211.50 C/o: San Rafael Police Association 1520 FifthCity 1771 COM of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael. CA 94901 12/15/2014 Peggy Ruge RAND Community Service Officer 9.00 211.50 C/o: San Rafael Police Association 1520 FifthCity COM of San Rafael Avenue E:] San Rafael, CA 94901 [IOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, [-]SCC —1520 Fifth Avenue, San Rafagl, CA 94 899 12/31/2014 Peggy Rugs FKI IND Community Service officer 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth -j City of San Rafael Avenue F COM San Rafael, CA 94901 EIOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94898 10/15/2014 Thomas Sabido MIND Office 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7 COM San Rafael, CA 94901 FIOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [:] SCC 1520 Fifth Avenue. San Rafael, CA 942D1 SUBTOTAL$ 47.48 *Contributor Codes IND—individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee PAT, "MiTTUM-77- W FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) APMVIMAM Met WM uaP3Vzq-1,qTzA1k, - 0 1 NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 81 Of 9 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) 10/31/2014 Thomas Sabido MxIND Officer 11.48 271.02 CIO: San Rafael Police Association 1520 Fifth City of San Rafael Avenue MCOM San Rafael, CA 94901 MOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Thomas Sabido 91 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EJSCC 1520 Fifth Avenue. San Rafael. CA 94901 11/30/2014 Thomas Sabido MXIND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue MCOM San Rafael, CA 94901 MOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, El SCC _1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Thomas Sabido MXIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue MCOM San Rafael, CA 94901 MOTH Union member's dues received through FJPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94948 12/31/2014 Thomas Saniclo 91IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] COM San Rafael, CA 94901 MOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 942_4j_ EISCC SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) W Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period A to whole dollars. mom from 10/01/2014 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 12/31/2014 _ Page 82 of 95 NAME OF FILER I.D. 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 OF 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) 10/15/2014 Anthony Scalercio FX�IND office 11.48 271.01 C/O: San Rafael Police Association 1520 Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 [IOTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, EISCC —1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Anthony Scalercio 91 IND officer 11.48 271.01 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael. CA 94901 11/15/2014 Anthony Scalercio FKIIND Officer 11.48 271.01 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 [IOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Anthony Scalercio FXE] INDOm officer 11.48 271.01 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue r_JC San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Anthony Scalercio0 FKIIND facer 11.48 271.01 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑Com San Rafael, CA 94901 70TH Union member's dues received through E]PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael. CA 942A9 SUBTOTAL$ 57.40[" *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) K11 w ji 0=2 - FurA D M01 W M i re I I I _- 2 0711 1 R NAME OF FILER San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 83 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Anthony Scalercio RAND Officer 11.48 271.01 C/O: San Rafael Police Association 1520 FifthCity of San Rafael Avenue Fjcom San Rafael, CA 94901 MOTH Union member's dues received through 17-1 PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94948 10/15/2014 George Schikore ®IND Officer 11-48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 E]OTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenila. San Rafael.. CA 94901 10/31/2014 George Schikore FXJ IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 1771COM San Rafael, CA 94901 [:jOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 George Schikore BIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 F 10TH Union member's dues received through FIPTY intermediary: San Rafael Police Association, F1SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 George scniltore FXIIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-1 Com San Rafael, CA 94901 Union member's dues received through PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toli-Free Helpline: 866/ASK-FPPC (866/275-3772) Type m,print NInk. SCHEDULE A (CONT) Amounts may uerounded to whole dollars. | from 10/01/2014 *Contributor Codes IND—individual oom—nempwnoommittee (other than PTY or SCC) oTn—Other Vm.g..business entity: pTY—ponoca|party SCC — Small Contributor Committee mww.oeffile.com FPPC Form 460 (January/05) FPPCToll-Free Helpline: 8661ASK-FPPC (866/275-3772) through 12/31/2014 Page 84 of 95 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 MOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR OF 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) 12/15/2014 George Schikore IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 EIOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94950 12/31/2014 George Schikore IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth E]COM City of San Rafael Avenue San Rafael, CA 94901 1771OTH Union member's dues received through F� PTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue. San Rafael. Q& 949 9 10/15/2014 Justin Schraeder 0 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 El OTH Union member's dues received through F71PTy intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Justin Schraeder FX -1 IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E] COM San Rafael, CA 94901 F� OTH Union member's dues received through QPTY intermediary: San Rafael Police Association, 7SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Justin Schraeder FX-11ND office 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 F�OTH Union member's dues received through 1771PTY intermediary: San Rafael Police Association, El SCC .1520 Fifth Avenue. San Rafael. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND—individual oom—nempwnoommittee (other than PTY or SCC) oTn—Other Vm.g..business entity: pTY—ponoca|party SCC — Small Contributor Committee mww.oeffile.com FPPC Form 460 (January/05) FPPCToll-Free Helpline: 8661ASK-FPPC (866/275-3772) I j I , =A- MTA L!I Mel We•M i F -• NAME San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. covers period from 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 85 of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Justin Schraeder BIND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue [:1 COM San Rafael, CA 94901 FIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, Fjscc 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Justin Schraeder FT IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth FlCOM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152 Fifth Avenue, San Rafael—.CA 94951 12/31/2014 Justin Schraeder IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue COM San Rafael, CA 94901 [:jOTH Union member's dues received through FjPTY intermediary: San Rafael Police Association, F-1SCC 1520 Fifth Avenue, San Rafael, CA 94950 10/15/2014 Wanda Spaletta ®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] COM San Rafael, CA 94901 E:1 OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]Scc 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Wanda Spaletta MXIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 E10TH Union member's dues received through EIPTY intermediary: San Rafael Police Association, -1520 Fifth Avenue. San Rafael, CA 94901 EISCC SUBTOTAL$ 57.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) ----------- 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 — 10/01/2014 through 12/31/2014 SCHEDULE A (CONT) Page 86 of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE R ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2014 Wanda Spaletta Fxj IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 F Fifth COM City of San Rafael Avenue [:] San Rafael, CA 94901 DOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Wanda Spaletta 91 IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 [JOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue. San Rafael, CA 949 1 12/15/2014 Wanda Spaletta X71ND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth®City COM of San Rafael Avenue San Rafael, CA 94901 EJOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94952 12/31/2014 Wanda Spaletta MXIIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 El OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1771SCC 1520 Fifth Avenue, San Rafael, CA 94951 10/15/2014 Christopher Sweeney 91 IND 0 icer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�C Om San Rafael, CA 94901 F i OTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 EISCC SUBTOTAL$ 57.40 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) WiNTM F.-T&M Mei M"Mlo RI 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 10/01/2014 through— 12/31/2014 ENEWWMAWWOMM CALIFOR FORM NIA 460 Tage 87 of 95 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORIF CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2014 Christopher Sweeney FX�IND officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-] COM San Rafael, CA 94901 [:IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 11/15/2014 Christopher Sweeney 91 IND officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E]COM San Rafael, CA 94901 [:IOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 EISCC 11/30/2014 Christopher SweeneyOfficer Sweeney© IND 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 7COM San Rafael, CA 94901 FIOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, SCC —1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Christopher Sweeney rX_1IND officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 70TH Union member's dues received through F-1PTY intermediary: San Rafael Police Association, F71 SCC 1520 Fifth Avenue, San Rafael, CA 94953 12/31/2014 Christopher Sweeney ®!ND of officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue F1COM San Rafael, CA 94901 F-1 OTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue. San Rafael. CA 942a2 -- SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) A =*I - FrIMP Mel WWI*MONFIRIZA] My Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) through 12/31/2014 _ Page 88 Of 95 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 CONTRIBUTOR OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE OFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2014 Taylor® Charly TaylorCivilian IND Supervisor 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Charly Taylor ®IND Civilian Supervisor 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth [_]C0 M City of San Rafael Avenue San Rafael, CA 94901 _ EIOTH Union member's dues received through FlPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Ayeniie. San Rafael, CA 24901 11/15/2014 Charly TaylorCivilian Fx 1 f N D Supervisor 9.00 211.50 San C/O: SRafael Police Association 1520 Fifth F_ICOM City of San Rafael Avenue San Rafael, CA 94901 177IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, F -j SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Charly Taylor FKI Supervisor 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth COCivilian -]COM City of San Rafael Avenue E San Rafael, CA 94901 [:1OTH Union member's dues received through OPTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Charly Taylor XO IND i!!—ivilian Super -visor 9.00 211.50 C/O: San Rafael Police Association 1520 Fifth City of SRafael San Avenue COM San Rafael, CA 94901 70TH Union member's dues received through El PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, San El SCC SUBTOTAL$ 45.00 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) • al Wom 118111,711110:141:1171 I kyll - qqq MLY1 NAME OF San Rafael Police Association Political Action Committee Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 89 Of 95 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2014 Charly Taylor FX� IND Civilian Supervisor 9.00 211.50 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 EIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94899 10/15/2014 Henry Tirre 91 IND Officer 11.46 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 El OTH 10 Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue . ...... San Rafael,...CA 94901 MSCC 10/31/2014 Henry Tirre N1 IND Officer 11.48 271.02 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F�COM San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Ave nue , San Rafael, CA 94901 11/15/2014 Henry Tirre ®IND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue [-] COM San Rafael, CA 94901 [_1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Henry Tirre 91 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth Cityof San Rafael Avenue El COM San Rafael, CA 94901 E]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue. San Rafael. CA 942kl— SUBTOTAL$ 54.92 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Mr. - • • •r9 -ow Type or print in ink. SCHEDULE A (CONT.) Amounts may be rounded Statement covers period to whole dollars. from 10/01/2014 ® • *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 U • rt FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772) through 12/31/2014 Page 90 of 95 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DAIS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QFCOMMrTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2014 Henry Tirre X❑IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth [:1 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94954 12/31/2014 Henry Tirre X❑IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [_1OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Fifth Avenug, 10/15/2014 Michael Vergara®IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 10/31/2014 Michael Ver ara CND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth FX ity of San Rafael Avenue COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ® SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2014 Michael Vergara X❑IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PIY intermediary: San Rafael Police Association, 1520 Fifth Avenue,❑ SCC SUBTOTAL$ 57.40 *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 U • rt FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-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. covers period from 10/01/2014 through 12/31/2014 _ SCHEDULE A (CONT) Page 91 Of 95 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 OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2014 Michael Vergara IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue , San Rafael , CA 94901 12/15/2014 Michael Vergara RX IND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 Ej OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 0SCC - 1520 Fifth Avenue. San Rafael. CA 949SS 12/31/2014 Michael Vergara RXIND Sergeant 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F-1 COM San Rafael, CA 94901 MOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, 7SCC -1520 Fifth Avenue, Sari Rafael, CA 94954 10/15/2014 Mark Wilkinson ®IND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth -I of San Rafael Avenue F COM San Rafael, CA 94901 [:1OTH Union member's dues received through DPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2014 Mark Wilkinson 91 IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] Com San Rafael, CA 94901 EIOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael. CA 94901 SUBTOTAL$ 57.40 *Contributor Codes IND —Individual COM — Recipient Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) --379- 1j, Type or print In Ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period M to whole dollars. from 10/01/2014 a E = *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) through 12/31/2014 _ Page 92 of 95 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF 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) 11/15/2014 Mark Wilkinson E IND Office 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 EIOTH Union member's dues received through 7 PTY intermediary: San Rafael Police Association, ❑Scc 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2014 Mark Wilkinson M IND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 1771 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ED PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2014 Mark Wilkinson OIND Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth 7COM City of San Rafael Avenue San Rafael, CA 94901 70TH Union member's dues received through El PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue, San Rafael, CA 94956 12/31/2014 Mark Wilkinson ®IND Officer Officer 11.48 271.02 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue F-1com San Rafael, CA 94901 [:IOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94955 DIND F ICOM 177IOTH 7 PTY El SCC SUBTOTAL$ 45.92 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule C Type or print in Ink. Amounts may be rounded N®rtm®netary Contributions Deceived to whole dollars. ON REVERSE N►\T11*01 19tH 7 San Rafael Police Association Political Action Committee Statement covers period from 10/01/2014 through 12/31/2014 Page 93 of 95 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE NAME OF BUSINESS (JAN 1 -DEC 31) (IF REQUIRED) ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCG ❑ IND ❑COM ❑ OTH ❑ PTY [:]SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..................................................................................................................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. 0.00 50.00 Add Lines 1 and 2. Enter here and on the Summary Pae Column A, Lines 4 and 10. g ) ...................... TOTAL $ 50. 00 www.netfile.com '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 Toil -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 through 12/31/2014 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 94 of 95 I.D. NUMBER 631553 E CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL 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 UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,143.00 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 1,143.00 2. Unitemized payments made this period of under $100.................................................................................................... ......... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 1,143.00 FPPC Foran 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.neffile.com .__--_—' Miscellaneous Increases to Cash rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/01/2014 through 12/31/2014 FPage _ 95 95 25 of _F NAME OF FILER San Rafael Police Association Political Action Committee I.D. NUMBER 831553 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO CASH Attach additional information onappropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Itemized increases bocash this period ........................................................................................................................ $ 0.00 2. UOite0izedincreases tocash Vfunder $1O0this period ............................................................................................. $ ».s^ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (a).) ................................. $ 0.00 4. Total miscellaneous |ncraooam to cash this period. (Add Lines 1. 3. and 3. Enter hona and on the FPPC Form wm(Januarym5) pppoToll-Free Helpline: 866mmK-rppn(866125-3772) mww.netfile.com