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Form 460 - Police Association PAC (2014-06-30)
Date Stamp 10 CALIFORNIA Rece.ivp�t FORM 460 OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know ge the information ntai ed herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 07/28/2014 By Date SignatureTreastlltcar �Assitstant Treasurer N 07 /2 8/2014 Executed on By Date By Signature of Conjng dfficeholder, Czfi4idate, State Meis-ure Prdj"%""*R69r6h-sib1e Officer of Sponsor Executed on Date Sidnature of contaring OfF"hokler, Candidate, State Measure Proponent Executed on Date By Signature of Contdhng Officeholder, Candidate, to Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California www.netfile.com Statement covers period Date of election if applicable: I i6 (Month, Day, Year) Page 1 of -52 from 05/18/2014 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: E] Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure M Preelection Statement Quarterly Statement 0 State Candidate Election Committee Committee � Semi-annual Statement Special Odd -Year Report 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored Termination Statement Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 (Also Complete Part 6) EZ General Purpose Committee Amendment (Explain below) (D Sponsored E] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee InformationD. I. NUMBER Treasurer(s)831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER San Rafael Police Association Political Action Committee Ms. Beth Minka MAILING ADDRESS 1520 Fifth Avenue STREET ADDRESS (NO RO. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 1520 Fifth Avenue San Rafael CA 94901 (415) 485-3000 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Rafael CA 94901 (415) 485-3000 Ms. Stacy E. Owens MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.Q. BOX MAILING ADDRESS P.O. Box 151557 5940 College Avenue CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEIPHONE San Rafael CA 94915-1557 Oakland CA 94618 (510)652-1000 OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know ge the information ntai ed herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 07/28/2014 By Date SignatureTreastlltcar �Assitstant Treasurer N 07 /2 8/2014 Executed on By Date By Signature of Conjng dfficeholder, Czfi4idate, State Meis-ure Prdj"%""*R69r6h-sib1e Officer of Sponsor Executed on Date Sidnature of contaring OfF"hokler, Candidate, State Measure Proponent Executed on Date By Signature of Contdhng Officeholder, Candidate, to Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California www.netfile.com [0101TI MCI "A WTIC U aa A s ,. CALIFORNIA FORM 4XAft) t^) low NAME OF OFFICEHOLDER OR CANDIDATE OFFICE BOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP mrawrr orrrrrrr.r rn�r.e.o �r�srrrr r it r�rirr��.�r.rr Related Committees Not Included in this Statement. L ist 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ® YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 52 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE anLLV t 1W. VK LC t I CK JUMIOvtt., r lull 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. OFFICEHOLDERNAME OF OR CANDIDATE OFFICE • ` HELD E]SU• # # OPPOSE OFFICEHOLDERNAME OF OR CANDIDATE OFFICE OR HELD SUPPORT # r ■ • i NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR i SUPPORT i • E]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT •!r OPPOSE Attach continuation sheets if necessary FPPC Farm 460 (January/06) FPPC Toll -Free Helpline. 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 05/18/2014 SEE INSTRUCTIONS ON REVERSE To calculate Column B, add amounts in Column A to the corresponding amounts from Column B ofy our last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is 1 the first report being filed for this calendar year, only carry over the amounts 2,362.41 0.09 through 06/30/2014 Page 3 of 52 NAME OF FILER 7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00 I.D. NUMBER San Rafael Police Association Political Action Committee 8,130.40 $ 12,771.85 9. Accrued Expenses (Unpaid Bills) ............................... 831553 Contributions Received 0.00 Column A Column B Calendar Year Summary for Candidates 0.00 11. TOTAL EXPENDITURES MADE ................................ TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2,362.41 $ 9, 571.35 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B, Line 30.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 2,362.41 $ 9, 571.35 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $ 2,362.41 $ 9, 571.35 Made $ $ Expenditures Made To calculate Column B, add amounts in Column A to the corresponding amounts from Column B ofy our last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is 1 the first report being filed for this calendar year, only carry over the amounts 2,362.41 0.09 6. Payments Made ....................................................... Schedule E, Line 4 $ 8,130.40 $ 12,771.85 7. Loans Made ............................................................. Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 8,130.40 $ 12,771.85 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 -5,941.00 0.00 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 2,189.40 $ 12,771.85 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 16,128.17 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B ofy our last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is 1 the first report being filed for this calendar year, only carry over the amounts 2,362.41 0.09 8 ,30.40 1 10,360.27 0.00 from Lines 2, 7, and 9 if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts .................. ...... Add Line 2 + Line 9 in Column B above $ 0.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) J 1 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/A-FPPC (8661276-3772) a 1 # R4 - - o . .1 - CALIFORNIA A & 07%, -. SEE INSTRUCTIONS ON REVERS1 from 05/18/2014 through 06/30/2014 Page 4 of 5 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVEDODE {IFCOMMITTEE, ALSO ENTER J.D... NUMBER} OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Elisha Adams MIND Officer 11.18 134.16 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 [] PTY intermediary: San Rafael Police Association, ❑SCC IS20 Fifth Ayenue,, San Rafael., CA 24919 06/13/2014 Elisha Adams BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 94901 ®OTH Union member's dues received through F -I PTY intermediary: San Rafael Police Association, QSCC 06/30/2014 Elisha Adams MIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 QOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1-1320 Fifth AyenUe,, San Rafael., CA 942Q1 05/30/2014 Raul Aguilar IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ®COM City of San Rafael Avenue San Rafael, CA 94 901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94920 06/13/2014 Raul Aguilar MIND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth❑CSM City of San Rafael Avenue San Rafael, CA 94901 OTH Union member's dues received through ]PTY intermediary: San Rafael Police Association, [LSCC 1152Q Fifth Ayen1jeol San Rafael, CA 242QI SUBTOTAL $ 55.90 Schedule A Summary `Contributor Codes 1. Amount received this period -- itemized monetary contributions. IND -Individual � � � , � 4 COM — Recipient Committee {Include all Schedule A subtotals.}.......................................................................................................... $ 2 {other than PTY or } 2. Amount received this period -- unitemized monetary contributions of less than $100 ..................' ...' ...... $ 66.57 OTH - ether (e.g., business entity) PTY — Political Party 3. Total monetary contributions received this period. SCC - small Contributor Committee Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. .... TOTAL $ 2,362.41 FPP"C Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) w.neffile.co Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 mill Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC)jji OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee - ------ -------- --------------- ------ ----------- -------------- -- - FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) through 06/30/2014 Page 5 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Raul Aguilar Fx] IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Anthony Augustyn 91 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, FISCC Fifth AvenUp,., San RafaQj, CA 94921 06/13/2014 Anthony Augustyn El IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM 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 94901 06/30/2014 Anthony Augustyn BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth nCOM City of San Rafael Avenue 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 05/3072014 Blair AulEl 91IND Offic r 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth 000M City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth A—vallue. Sall Rafa!aj, CA 242-22 SUBTOTAL $ 55.9 777" 77 Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC)jji OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee - ------ -------- --------------- ------ ----------- -------------- -- - FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) M GffLjj LLOMI-liml Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 r *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 06/30/2014 Page 6 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Blair Auld [91 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Blair Auld [XI IND Officer 11.18 134.16 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, FISCC 152Q Fifth Av—QnuQ, 9.an Rafael, CA 949QI 05/30/2014 James Bellamy ®IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94923 06/13/2014 James Bellamy rx-1 IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3072014 James Bellamy MIND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FICOM San Rafael, CA 94901 F1 OTH Union member's dues received through r -]PTY intermediary: San Rafael Police Association, EISCC 11520 Eifth Ay_Qnijf:, Oan Rafael, CA 242Q1 SUBTOTAL$ 55.90 r *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) �1111Z��! Monetary Contributions Received Amounts may be rounded Statement covers —perio--d Aft- to whole dollars. CALIFORNIA 4bO from 05/18/2014 FORM through 06/30/2014 Page 7 of 52 NAME OF FILER I.D. NUMBER San Rafael PoliceAssociationPolitical Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Todd Berringer ®IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth r -ICOM City of San Rafael Avenue 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 94924 06/13/2014 Todd Berringer 91IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 F] OTH Union member's dues received through R PTY intermediary: San Rafael Police Association,fN [:jSkfNC 1520 Fifth AvQnue, San RafaQl, CA 949Q1 06/30/2014 Todd Berringer ®IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association,111%r% RSCC 1520 Fifth Avenue, San Rafael, C.A. 94901 05/30/2014 Geoffrey Bowker MND Officer 11.18 134.16 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 ® PTY intermediary: San Rafael Police Association, EISCIC 1520 Fifth Avenue, San Rafael, CA 94925 06 1-37 2014 Geoffrey Bowker ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ROOM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through R PTY intermediary: San Rafael Police Association, EISCIC 1152Q Eif:Lla Amanup.9 San RafaQl, CA 942QI IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8861 Sl (866/275-3772) * R=1. EMN WILO M* Will moolin WU* am ffZ. 10 WMAROWS; San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 8 of 52 I.D. NUMBER 00101M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Geoffrey Bowker IND Officer 11.18 134.16 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, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Lynne Bracken M IND Records Clerk 8.70 104.40 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 FIPTY intermediary: San Rafael Police Association, [:]SCC 152Q Fifth Avenue, 9,an Rafagj, CA 2:42QJ 06/13/2014 Lynne Bracken MND Records Clerk 8.70 104.40 C/o: San Rafael Police Association 1520 FifthCity M COM of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Lynne Bracken FXJ IND Records Clerk 8.70 104.40 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 FIPTY intermediary: San Rafael Police Association, F-ISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Antonette Bullock [91 IND -5fficer 8.70 113.10 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue F1 San Rafael, CA 94901 [_]OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 11520 Fifth Av—Qnue, 2an RafaQj, CA 242Q2 I I I I *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 45.98 . .... . FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 1�11 ��Iiq 11; . ;Iq Illiq ll;�� Ill I Irl Monetary Contributions Received Amounts may be rounded Statement covers perlod1_Illlllllll�, 7 1 CALIFORNIA 1901 to whole dollars. 4t)o from 05/18/2014 FORM through 06/30/2014 Page 9 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Antonette Bullock Fx] IND Officer 8.70 113.10 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, *%r% LSCC F1 SC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Antonette Bullock 911ND Officer 8.70 113.10 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 FJOTH Union member's dues received through F1 PTY intermediary: San Rafael Police Association, [:] SCC 1520 Fifth Aveaug�, San Rafael, CA 94901 05/30/2014 Michael Byers FK] IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94926 06/13/2014 Michael Byers BIND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom 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 06/30/2014 MicFiael Byers ®IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, 0SCC 1520 Fifth Avenue. San Rafael. CA 24901 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL$ 50.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) of min - 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 05/18/2014 through 06/30/2014 a Page 10 _ of 52 _CD_A�U MMb _E_ k 5105M DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Shelly Cade IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael F�COIVI Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94903 06/13/2014 Shelly Cade Rfl IND Dispatcher 8.70 104.40 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 FIPTY intermediary: San Rafael Police Association, [:]Scc 152Q FifLh Ay-enug. San RafaQl, QA 249Q1 06/30/2014 Shelly Cade FK] IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael F�COIVI Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, FISCC 1.520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Joseph Camins RI IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ICOM San Rafael, CA 94901 FJOTH Union member's dues received through F1 PTY intermediary: San Rafael Police Association, F_1SCC 1520 Fifth Avenue, San Rafael, CA 94927 06713/2014 Joseph Camins 91IND Officer 11.18 134.16 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 FIPTY intermediary: San Rafael Police Association, []SCC 1152Q Fifth AmVQ1111QI ada Rdfdgl, CA 242Q1 SUBTOTAL 48.46 *C ! j ontributor Codes Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 1, 1 � mpiliq A Monetary Contributions Received Amounts may be rounded Statement covers period A A to whole dollars. 0 from 05/18/2014 through 06/30/2014 Page 11 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF -EMPLOYE©, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Joseph Camins IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth Elcom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, nscC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 David Casalnuovo ®IND Officer 11.18 134.16 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, nscC 1520 Fifth Avenue, San Rafael, CA 94928 06/13/2014 David Casalnuovo ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 OATH Union member's dues received through n PTY intermediary: San Rafael Police Association, nscC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 David Casalnuovo nx IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 [BOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, nscC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Allan Castaneda ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth Elcom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, EISCC 115-ZQ Fifth A_vQjjjj!2, San RafaQl. CA 24922 1 1 1 77 'Contributor Codes 11 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party Small Contributor Committee SUBTOTAL$ 55.90 NNEOMMEMMI FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. mlmgsmmcl� Statement covers period from 05/18/2014 through 06/30/2014 Page 12 _ of 52 I.D. NUMBER W955= DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Allan Castaneda IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ®COM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Allan Castaneda 91 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 F1 OTH Union member's dues received through F-IPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fiftla A -venue, San Rafagl, CA 24901 05/30/2014 Edward Chiu NIIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 F -I OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,1"%rN FjSCC 1520 Fifth Avenue, San Rafael, CA 94930 06/13/2014 Edward Chiu RIND Officer 11.18 134.16 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 M PTY intermediary: San Rafael Police Association, ®SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3-0-[2014 EawarEl chiu MIND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ICOM San Rafael, CA 94901 MOTH Union member's dues received through © PTY intermediary: San Rafael Police Association, [:]SCC 1152Q Fifth Avgaj4Q, �dn Rafagl, CA 24201 77, IN *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee %WLS I U IAL 41 bb. �JU FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) I I I. 111111q vii�� 1� I Monetary# Contributions Received Amounts may be rounded Statement covers period A to whole dollars. from 05/18/2014 through 06/30/2014 Page 13 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Robert Cleland El IND Officer 11.18 134.16 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 F-1 PTY intermediary: San Rafael Police Association, ^110% RSCC 1520 Fifth Avenue , San Rafael , CA 94931 06/13/2014 Robert Cleland DIAD Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Ay!anuQ, San Rafael, CA 249Q1 06/30/2014 Robert Cleland BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association,^f% FISCL, 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Christopher Coale El IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, nSCC 1520 Fifth Avenue, San Rafael, CA 94932 06/1372014 Christopher Coale ®IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through EJPTY intermediary: San Rafael Police Association, 0SCC .1520 Fifth Avenue, San Rafael. CA 949Q1 *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party FPPC Form 460 (January/05) FPPC Toll -Free Help) ne.- 866/ASK-FPPC (8661275-3772) 17 -To M 11*P1 Jl r174 If -4 VW* Iwo W No 1z W�$ Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 1 Page _14 of 52 3��� r17�� DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF IF AN INDIVIDUAL, ENTER AMOUNT I I CUMULATIVE TO DATE PER ELECTION RECEIVED (IFC` ITTEE,ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) IF REQUIRED) OF BUSINESS) 06/30/2014 Christopher Coale IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth Com City of San Rafael Avenue El 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 05/30/2014 Lori Coen BIND Records Clerk 8.70 104.40 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 [-]PTY intermediary: San Rafael Police Association, LSCC 1520 Eifth AyQaue, .9an RafaQl, CA 942Q4 06/13/2014 Lori Coen N]IND Records Clerk 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth E -]COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [LSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Lori Coen BIND Records Clerk 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth r-� COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Eric Cogbill 91 IND officer 11.18 134.16 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 M PTY intermediary: San Rafael Police Association, ❑Scc 1152Q Fifth Avenue, San Rafael, A 94933 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTA, 48.46 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) i i J A,* =1.i I EMYRAg MORIM RM MROTIT- I Wwk. 0i i 6 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 05/18/2014 through 06/30/2014 Page 15 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Eric Cogbill RIND Officer 11.18 134.16 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 ® PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Eric Cogbill 91IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, RSCC 152Q Fifth AvQnue. Sari Rafael, CA 24901 05/30/2014 Ryan Cogbill RIND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94934 06/13/2014 Ryan Cogbill RIND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Ryan Cogbz 11 R IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 E] OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, [:]Scc ,152Q Eifth AvfaQl. CA 942Q1 *Contributor Codes IND — Individual I COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee ---------- - - I. a SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-'PPC (866/275-3772) "'! Ak Alk RIQ 71M I W M1 trMIN Ak Ak San Rafael Police Association Political Action Committee Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 16 _ of 52 I.D. NUMBER 9WON 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 J.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Thomas Collins E]IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ICOM San Rafael, CA 94901 E]OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94935 06/13/2014 Thomas Collins 91 IND Officer 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, ®SCC 1520 Fifth A_yQau!2, San Rafagl, CA 24201 06/30/2014 Thomas Collins ®IND Officer 11.18 134.16 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 M PTY intermediary: San Rafael Police Association'. [:]Scc 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Ryan De Marta ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94937 06713/2014 Ryan De Marta FX -1 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue 000M San Rafael, CA 94901 [-] OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [:]SCC 1152Q Eif:Lh A_vQauQ, aan RafaQl, CA 24901 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL$ 55.90; FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) RM 17 -TO M iiq I � � is I j! re mw Mx! MO n 1 7P R amm I Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 17 _ of 52 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Ryan De Marta BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity M COM of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through [-IPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Christian Diaz 91IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 F] OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]SCC 152Q Eifth Av-Qnue, San Rafael. CA 2493a 06/13/2014 Christian Diaz BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Christian Diaz [g] IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue 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 05/30/2014 ChristopFier Duncan 91IND officer 11.18 134.16 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 El PTY intermediary: San Rafael Police Association, 0SCC 152.Q Fifth AyQaug. Ean RafaQj. CA 24239 *Contributor C••- • . dedua COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party srslm= ISM121.11-reiltit4_1 SUBTOTAL $ 5-5.90, FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772) flrmftim. E A U0 mm Ilk TT EO*, Am M 9 z R NO M W-1-5 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 60101 = U101111111 Page 18 _ of 52 I.D. NUMBER San Rafael Police Association Political Action Committee 1831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT C U M U LATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Christopher Duncan BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth [-�Com City of San Rafael Avenue San Rafael, CA 94901 Q OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Christopher Duncan FX_1 IND Officer 11.18 134.16 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 FIPTY intermediary: San Rafael Police Association, FISCC 152Q Eifth AyQnug, 9.an RafaQl, CA 242QJ 05/30/2014 Scott Eberle Fxj IND Sergeant 11.18 134.16 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 FIPTY intermediary: San Rafael Police Association, F] SCC 1520 Fifth Avenue, San Rafael, CA 94940 06/13/2014 Scott Eberle ®IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth M COM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through r -]PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3572014 Scott Eberle FRI IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue [:] COM San Rafael, CA 94901 F1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1152Q Eift;h AmyQ11UQA 2an RafaQ1, CA 242Q1 SUBTOTAL 55.90 *Contributor 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) qjiiiiq� Pill i�l Pill! 11!!� li� • III i111111 Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 4A bft 0 from 05/18/2014 FORM through 06/30/2014 Page 19 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Christopher Fuller El IND Police Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94942 06/13/2014 Christopher Fuller ®IND Police Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 242QJ 06/30/2014 Christopher Fuller RIND Police Officer 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Salvatore Garanzini ®IND Officer 11.18 134.16 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 R PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94943 06/1372014 Salvatore Garanzini RIND officer 11.18 134.16 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 R PTY intermediary: San Rafael Police Association, [:]SCC 11520 Eifth Av___QnuQ, Sail Rafael, CA 242QI 77 77 *Contributor Codes IND — Individual Recipi- +o than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Alost—cniti i liniii i 1 w1g; 1 � 11 ini�! 1 lim imill! i1sim! SUBTOTAL$ 5 90! FPPC Form 460 (Januar 105 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) tM4 i UNS M*oo r I PH07n. PLO I MR z .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 period from 05/18/2014 through 06/30/2014 Page 2 0 of 52 I.D. NUMBER ft�!W DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I I CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Salvatore Garanzini FX� IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F� COM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, MSCC 1.520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Michael Garrison ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, FISCC 1S2Q Eifth AvQnUe, Oan Rafagl, CA 94244 06/13/2014 Michael Garrison BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth MCOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Michael Garrison E] IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F] COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, FISCG 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Lilah Ga_v7_iT_c_k MIND Police Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue F] San Rafael, CA 94901 F-1 OTH Union member's dues received through [-IPTY intermediary: San Rafael Police Association, EISCC 11520 Eifth AvQnUQ, San Rafagj, CA 24245 1 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 SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period Im Aft, I to whole dollars. CALIFORNIA 460'� from 05/18/2014 FORM through 06/30/2014 Page 21 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Lilah Gavlick NIIND Police Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth [ICOM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Lilah Gavlick MND Police Officer 11.18 134.16 C/O: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, EISCC 152Q Fifth Ayvenut�, San Rafael, CA 94201 05/30/2014 Justin Graham N] IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue San Rafael, CA 94901 [:IOTH Union member's dues received through F_IPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94946 06/13/2014 Justin Graham E] IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth M COM City of San Rafael Avenue San Rafael, CA 94901 F-IOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Justin Graham 91IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth Com City of San Rafael Avenue El San Rafael, CA 94901 BOTH Union member's dues received through � PTY intermediary: San Rafael Police Association, SCC 1152Q Fif:ul 2all RafdQl, CA 94201 SUBTOTAL$ 55.90'"' *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 05/18/2014 through 06/30/2014 Page 22 _ of 52 I.D. NUMBER WKINOW DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Lori Hendricks [91 IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1554 Fifth 000M City of San Rafael Avenue San Rafael, CA 94935 BOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94905 06/13/2014 Lori Hendricks RIND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1554 Fifth ❑COIVI City of San Rafael Avenue San Rafael, CA 94935 (BOTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, EISCC 1520 Eifth Aygnue, 2an Rafael, CA 24201 06/30/2014 Lori Hendricks RCIIND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1554 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94935 MOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Robert Henkle BIND Officer 11.18 134.16 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 R PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 067137201-4— Robert Hen le [91 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FI COM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 152Q Fift]a A_vQnjjQ, aan RafaQj, CA 242QJ I I I I 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 *Bt ........ . SUBTOTAL$ 48.46 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 78MMOTAMW Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 mil Page 23 _ of 52 ri I Mlr. Wiffl9w DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Robert Henkle BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 J. Alexander Holm ®IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, ®SCC 1520 Eifth Avenue, San Rafael, CA 94901 06/13/2014 J. Alexander Holm ff] IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 J. Alexander Holm ff] IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, ®SCC 1520 Fifth Avenue, San Rafael, CA 94901 -Holton 05/3072014 LiE RIND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity COM of San Rafael Avenue El San Rafael, CA 94901 E]OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, EISCC 1152Q Eif:Lla Avyenug, San Rafaaj, CA 242QJ I I *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party I SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772) RV71-T*f_i;194 I j i rm- M- M 07 q q*TAT- I z W.- W. Z LAW *01 = M 4 ill San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through— 06/30/2014 Page 24 of 52 I.D. NUMBER WKSAMM DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Lisa Holton IND Sergeant 11.18 134.16 C/O: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Lisa Holton BIND Sergeant 11.18 134.16 C/O: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through F1 PTY intermediary: San Rafael Police Association, [:]SCC 152Q Eifth AvQnug, San Rafael, CA 242QI 05/30/2014 Kyle Hornstein Fxj IND Corporal 11.18 134.16 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 Rafagl, CA 94901 06/13/2014 Kyle Hornstein -1 IND FX Corporal 11.18 134.16 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 R PTY intermediary: San Rafael Police Association, [-]SCC 1.520 Fifth Avenue, San Rafael, CA 94901 06730/2014 Kyle Hornstein ®IND Corporal 11.18 134.16 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, [:]SCC 1152Q Fift_b AvQRjjQ, Sall RdfaQj, CA 242QI I I I I I *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 21MELL A #J IhKnidl SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Pq I Jj mr N� � a a o 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 05/18/2014 - ---------- through 06/30/2014 Page 25 _ of 52 I.D. NUMBEi NOW= DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Carl Huber N]IND Sergeant 11.18 134.16 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 F] PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Carl Huber FX_] IND Sergeant 11.18 134.16 C/O: San Rafael Police Association 1.520 Fifth 000M City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, �SCC 15,12 Fifth Avenue, San Rafael. CA 949Q1 06/30/2014 Carl Huber ®IND Sergeant 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Scott angels FRI IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Scott Ingels MND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member -Is dues received through F]PTY intermediary: San Rafael Police Association, [:]SCC 152Q Eifth Ay!anug�, San Rafd!vl, CA 242Q1 *Contributor Cod1 es Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Commiftee L ii I I ii 1 11 11111! 5 C; SUBTOTAL$ 9 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-1=PPC (866/275-3772) Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 *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) 06/30/2014 through - Page 26 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action 'Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT C U M U LATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Scott Ingels [91 IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth [ICOM City of San Rafael Avenue San Rafael, CA 94901 [:JOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Rebecca Kuga MND YSB Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [-]SCC 1520 Eift_h A:vQnjjg, San Rafagj, CA 949Q7 06/13/2014 Rebecca Kuga FRI IND YSB Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 FIOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/301/2014 Rebecca Kuga BIND YSB Supervisor 8.70 104.40 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 M PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/3072014 Marc Laplante RIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ICOM San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ❑SCC 1152Q F-ifLh Avpnu?., San RafaQl, CA 24221- 1 1 1 1 SUBTOTAL$ 48.46 7,77, 771 *Contributor 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) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 05/18/2014 FORM through 06/30/2014 Page 27 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Marc Laplante [Q IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F] COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, [LSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Marc Laplante ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth Elcom City of San Rafael Avenue San Rafael, CA 94901 E] OTH Union member's dues received through n PTY intermediary: San Rafael Police Association, [:]SCC 152Q Fifth Avenue, San RafaQl, CA 949Q1 05/30/2014 Kimberly Larkey NIIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ®Com City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through ED PTY intermediary: San Rafael Police Association, nscC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Kimberly Larkey nx IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3012014 KimBerly Larkey BIND Officer 11.18 134.16 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 152Q Fifth Avfael, CA 9-42QI *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL$ 55.901 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 05/18/2014 through 06/30/2014 Page 28 _ of 52 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Anndora Lee ®IND Dispatcher 8.70 104.40 C/O: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 [:JOTH Union member's dues received through ® PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94908 06/13/2014 Anndora Lee ®IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ®SCC 1520 Fift]a AvQn1je, 2au RafaQj, CA 249Q1 06/30/2014 Anndora Lee E] IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ©0TH Union member's dues received through F]PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Rogelio Leon [X_1 IND Sergeant 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/1372014 Rogelio Leon ®IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [:]SCC 1152Q Fifth AyQaUQ, �San Rafagj, CA 242QJ I I I I I *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee 7- 6 SUBTOTAL $ 48.4 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Pq I Jj mr N� � a a o 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 05/18/2014 - ---------- through 06/30/2014 Page 25 _ of 52 I.D. NUMBEi NOW= DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Carl Huber N]IND Sergeant 11.18 134.16 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 F] PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Carl Huber FX_] IND Sergeant 11.18 134.16 C/O: San Rafael Police Association 1.520 Fifth 000M City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, �SCC 15,12 Fifth Avenue, San Rafael. CA 949Q1 06/30/2014 Carl Huber ®IND Sergeant 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Scott angels FRI IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Scott Ingels MND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member -Is dues received through F]PTY intermediary: San Rafael Police Association, [:]SCC 152Q Eifth Ay!anug�, San Rafd!vl, CA 242Q1 *Contributor Cod1 es Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Commiftee L ii I I ii 1 11 11111! 5 C; SUBTOTAL$ 9 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-1=PPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 05/18/2014 FORM through 06/30/2014 Page 27 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Marc Laplante [Q IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F] COM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, [LSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Marc Laplante ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth Elcom City of San Rafael Avenue San Rafael, CA 94901 E] OTH Union member's dues received through n PTY intermediary: San Rafael Police Association, [:]SCC 152Q Fifth Avenue, San RafaQl, CA 949Q1 05/30/2014 Kimberly Larkey NIIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ®Com City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through ED PTY intermediary: San Rafael Police Association, nscC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Kimberly Larkey nx IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3012014 KimBerly Larkey BIND Officer 11.18 134.16 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 152Q Fifth Avfael, CA 9-42QI *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL$ 55.901 FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 05/18/2014 through 06/30/2014 page 29 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Rogelio Leon Fx] IND Sergeant 11.18 134.16 C/O: San Rafael Police Association 1520 FifthCity FICOM of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through PTY intermediary: San Rafael Police Association, IMSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Kevin Macdougald 91IND Officer 11.18 134.16 C/O: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through ® PTY intermediary: San Rafael Police Association, [:]Scc 1520 Fifth AyQnug�, San Rafael, CA 94901 06/13/2014 Kevin MacdougaldFKI IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 El OTH Union member's dues received through ] PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Kevin Macdougald BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through ® PTY intermediary: San Rafael Police Association, nSCC 1520 Fifth Avenue, San Rafael, CA 94901 OS/30/2014 Carlos Maldonado MND Officer 11.18 134.15 C/o: San Rafael Police Association 1.520 Fifth Elcom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, [:]Scc 11�20 Fifth AmVQ=Q. San RafdQll CA 249QI I I I I I *Contributor Codes I I Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 11 --A SUBTOTAL$ 55.90 FlI Form 460 (January/05) FPPC Toll -Free Helpline.- 866/AS1 -FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 05/18/2014 through 06/30/2014 page 29 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Rogelio Leon Fx] IND Sergeant 11.18 134.16 C/O: San Rafael Police Association 1520 FifthCity FICOM of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through PTY intermediary: San Rafael Police Association, IMSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Kevin Macdougald 91IND Officer 11.18 134.16 C/O: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through ® PTY intermediary: San Rafael Police Association, [:]Scc 1520 Fifth AyQnug�, San Rafael, CA 94901 06/13/2014 Kevin MacdougaldFKI IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 El OTH Union member's dues received through ] PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Kevin Macdougald BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through ® PTY intermediary: San Rafael Police Association, nSCC 1520 Fifth Avenue, San Rafael, CA 94901 OS/30/2014 Carlos Maldonado MND Officer 11.18 134.15 C/o: San Rafael Police Association 1.520 Fifth Elcom City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, [:]Scc 11�20 Fifth AmVQ=Q. San RafdQll CA 249QI I I I I I *Contributor Codes I I Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 11 --A SUBTOTAL$ 55.90 FlI Form 460 (January/05) FPPC Toll -Free Helpline.- 866/AS1 -FPPC (866/275-3772) Ak a Ak 44ft WITWIMMME San Rafael Police Association Political Action Committee Type or print in ink. 'y Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page I.D. NUMBER MR]"Wa DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Carlos Maldonado IND Officer 11.18 134.15 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 [] PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Carlos Maldonado MIND Officer 11.18 134.15 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth AyQnue, Oan RafaQj, CA 24201 05/30/2014 Michael Mathis Fx� IND Corporal 11.18 134.16 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 FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Michael Mathis E] IND Corporal 11.18 134.16 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 M PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Michael MatH_1s ®IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 E] OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1152Q Fift]a AvQnjaQ, Oan Rafagl, CA 242Q1 I I I I 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 SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. from Statement covers period 05/18/2014 through 06/30/2014 Page 31 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Abigail Mcelderry IND Dispatcher 8.70 105.86 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 F-1 PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94910 06/13/2014 Abigail Mcelderry R-1 IND Dispatcher 8.70 105.86 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through F1 PTY intermediary: San Rafael Police Association,SCC ^rN 1520 Fifth Avyenjjg�, San RafaQl, CA 24901 06/30/2014 Abigail Mcelderry IND Dispatcher 8.70 105.86 C/o: San Rafael Police Association 1.520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ®SCC 1.520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Phillip MelodiaQ IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F] COM City 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 06/13720174— PF11111p Melodia' FX_1 IND Of (icer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth E -]COM City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, [:]SCC 1152Q Eifth AvQiiue. San RafaQj, CA 242QI I I I I I *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) i PTY — Political Party Small Contributor Committee SCC SUBTOTAL $ 48.46 FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/A-FPPC (866/275-3772) MOMWOMEW: San Rafael Police Association Political Action Committee Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 32 _ of 52 I.D. NUMBER WKIIWI� DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Phillip Melodia IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through F-IPTYintermediary: San Rafael Police Association, QSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/301/2014 Beth Minka ®IND Administrative Technician 8.70 104.40 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, [:]SCC 1520 Fifth AyQaue, San Rafael, CA 9:4211 06/13/2014 Beth MinkaAdministrative FK]IND Technician 8.70 104.40 C/O: San Rafael Police Association 1520 Fifth OCOM 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 06/30/2014 Beth Minka ®IND Administrative Technician 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth F1 COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Jorge Navarro BIND Evidence Technician 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue El San Rafael, CA 94901 FJOTH Union member's dues received through F-IPTY intermediary: San Rafael Police Association, 0SCC 1152Q Eiftla Aygal1Q, igall Rafagl, CA 24212 1 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 SUBTOTAL$ 45.98 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) jI �I� 11, 1 qI Jim ig= 1111i� Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from/ FORM through 06/30/2014 Page 33 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBTOR U IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE M U LATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.©.NUMBER} CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Jorge Navarro RX IND Evidence Technician 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth RCOM 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 94901 06/30/2014 Jorge Navarro RIND Evidence Technician 8.70 104.40 C/O: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through [I PTY intermediary: San Rafael Police Association, [:]SCC 1520-Fiftia Avenue, San RafaQj. CA 94901 05/30/2014 Alexis Nielsen N] IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue 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 94913 06/13/2014 Alexis Nielsen BIND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Alexis Nielsen 91IND DispatcFier 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 F]OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, []SCC 11520 Fifth Avenue, San Rafaglj. CA 242Ql- I I I I I *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) #TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 43 50 FPPC Form 460 (Januar los FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) r*T I &I M 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 05/18/2014 through 06/30/2014 Page 34 _ of 52 I.D. NUMBER afflifflm DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Leslie OToole ®IND Officer 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, QSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Leslie OToole RIND Officer 11.18 134.16 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 [] PTY intermediary: San Rafael Police Association, []SCC 152Q if Avenue, ajail Rjafaej, CA 24201 06/30/2014 Leslie OToole FRI IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity F] COM 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 94901 05/30/2014 Meaghan Pang FXJ IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth F] COM City of San Raphael Avenue San Rafael, CA 94901 MOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94914 06/13/2014 Meaghan Pang ®IND -Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth City of San Raphael Avenue ICOM San Rafael, CA 94901 MOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, [-]SCC 11520 Fif:Lh Amyl, CA 242QI I I *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 50.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary ContributionsReceived Amounts may be rounded statement covers period � - • to whole dollars, i from 05/18/2014 through 06/30/2014 page 35 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Meaghan Pang ®IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Raphael Avenue San Rafael, CA 94901 MOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, OSCC 1520 Fifth Avenue San Rafael CA 94901 05/30/2014 Nicola Pata ®IND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received. through 0 PTY intermediary: San Rafael Police Association, [:]SCC Fifth Avyenug. San Rafael,1 06/13/2014 Nicola Pata ®IND Dispatcher 8.70 104.40 C/o: San Rafael Police .Association 1.520 Fifth MCOM 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 94901 06/30/2014 Nicola Pata BIND Dispatcher 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 94901 [:OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Brian Patterson ®IND C ficer 11.18 134.16 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 EIPTY intermediary: San Rafael Police ,Association, 0SCC 1152Q Fifth Ayanila,f *Contributor Codes IND — Individual Recipient C (other than PTY or SCC) _, ., business entity) Political ContributorSCC — Small FPPC Form 46 January/05 FPPC Tall -Free Helpline. 8661ASK-FPPC (8661275.3772) zu&* 111=0 San Rafael Police Association Political Action Committee Type or print in in. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 1 Page 3 6 _ of 52 ftwiffl= 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 -EMPLOYE}, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Brian Patterson [91 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity 1_1 COM of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/211014 Brian Patterson MIND Officer 11.18 134.16 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, [-1SCC 152Q Fifth Avenue, �9,an Rafael, CA 24201 05/30/2014 Buffy Paxson ®INC} Officer 11.18 134.79 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 FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Buffy Paxson ®IND Officer 11.18 134.79 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue F1 San Rafael, CA 94901 F-1 OTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Buffy Paxson FRI IND -0-f—f icer 11.18 134.79 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue F] COM San Rafael, CA 94901 [_1OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, El SCC 1152Q Eifth AyQjjUg. gall RdfaQj, CA 242Q1 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) #TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period AA to whole dollars. 0 1 from 05/18/2014 through 06/30/2014 Page 37 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE MU LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Jason Perry El IND Officer 11.18 100.62 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 nOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, nSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Jason Perry nX IND officer 11.18 100.62 C/o: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ®SCG 1520 Fifth Av-gnuQ. San RafaQ1, CA 24901 06/30/2014 Jason Perry RIND Officer 11.18 100.62 C/o: San Rafael Police Association 1520 Fifth ncom 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 05/30/2014 Jessica Perry MND Officer 11.18 134.16 C/O: San Rafael Police Association 1520 Fifth ncom City of San Rafael Avenue San Rafael, CA 94901 [:JOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, ®SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Jessica Perry 91 IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM city of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through n PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San RafdfU. CA 940QI *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee # 'is SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-1`PPC (866/275-3772) =10121=45 San Rafael Police Association Political Action Committee llype or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 38 _ of 52 I.D. NUMBER ffl�� 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 -EMPLOYE©, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Jessica Perry BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue EICOM San Rafael, CA 94901 FIOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Aaron Piombo DING Officer 11.18 134.16 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, FISCC 152Q Fifth Av—gauv., San RafaQl, CA 94201 06/13/2014 Aaron Piombo 0 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity D COM of San Rafael Avenue San Rafael, CA 94901 © OTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Aaron Piombo [X_1 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity COM of San Rafael Avenue F1 San Rafael, CA 94901 ❑OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Dennis Prince 91IND -of fuer 11.18 134.16 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-IPTY intermediary: San Rafael Police Association, [:]SCC 1152Q Fif:Lh AvQaug, San gafaQ1, CA 24901 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.901 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Nene# Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 05/18/2014 through 06/30/2014 Page 39 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Denny Prince nIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 ❑QTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, F1 SCC 1520 Fifth Avenue San Rafael CA 94901 06/30/2014 Dennis Prince QIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICQM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, CA 949QI,❑ 1520 Fifth Avenue, �;�f<-e1. �� 05/30/2014 Ronda. Reese ®IND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94 901 ❑ QTH Union member's dues received through []PTY intermediary: San Rafael Police Association, [LSCC 1520 Fifth Avenue San Rafael CA 94901 06/13/2014 Ronda. Reese MND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 QQTH Union member's dues received through n PTY intermediary: San Rafael Police Association, nSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3072014 Ronda Ruse nIND Corporal 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 949031. OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, LSCC F'Rafael, *Contributor CodesfIND Individual Recipient (other than PTY or • ., business entity) PTY — Political Party SCC — Small Contributor Committee 11. l ` A0 i SUBTOTAL r 55.94 FPPC Porn 460 January/05 FPPC Toll -Free Helpline: 866/ASK-FPPC 866/275-3772 M=A M 0 0 1 0 Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 1 Page 40 _ of 52 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) IF REQUIRED) OF BUSINESS) 05/30/2014 Margo Rohrbacher FXI IND Civilian Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth [ICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through F-1 PTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94916 06/13/2014 Margo Rohrbacher [91 IND Civilian Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth FICOM City of San Rafael Avenue San Rafael, CA 94901 MOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, FISCC 152Q Eifth Av-gnllQ. San Rafagj, CA 24201 06/30/2014 Margo Rohrbacher FRI IND Civilian Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth ®CSM 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 94901 05/30/2014 Peggy Ruge RIND Community Service Officer 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue RCOM San Rafael, CA 94901 MOTH Union member's dues received through R PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94917 0 6 13/ 2014 Peggy Ruge 91 IND Community Service Officer 8.70 104.40 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue [:] COM San Rafael, CA 94901 [IOTH Union member's dues received through 0 PTY intermediary: San Rafael Police Association, El SCC 1152Q Fifth AvQnjjQ, San RafaQ1, CA 242Q1 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 43.504 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 05/18/2014► through 06/30/2014 Page 41 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Peggy Ruge El IND Community Service Officer 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through FI PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Thomas Sabido R-1 IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 OATH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 152Q Eifth Avenue. San Rafael. CA 94901 ®SCC 06/13/2014 Thomas Sabido [91 IND Officer 11.18 134.16 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 FIPTY intermediary: San Rafael Police Association, ®SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Thomas Sabido ]IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth ICOM City of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, MSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Anthony Scalercio 91 IND officer 11.18 134.15 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, [:]Scc .1520 Eifth Avenue. San Rafael, CA 94901 *Contributor Codes IND — Individual Recipient Committee • than PTY • SCC) OTH — Other • business entity) PTY — Political Party SUBTOTAL$ 53 .42 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) R San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 06/30/2014 through Page 42 of 52 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) IF REQUIRED) OF BUSINESS) 06/13/2014 Anthony Scalercio IND Officer 11.18 134.15 C/o: San Rafael Police Association 1520 Fifth OCOM City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, FI CC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Anthony Scalercio 91 IND Officer 11.18 134.15 C/o: San Rafael Police Association 1520 Fifth QCOIVI City of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through FIPTY intermediary: San Rafael Police Association,rNdl% F] SCC 152Q Eifth AvenuQ, .9an Rafael, CA 242Q1 05/30/2014 George Schikore N]IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 George Schikore ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ICOM San Rafael, CA 94901 FJOTH Union member's dues received through R PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2014 George Schikore ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1152Q Eifth A_vQnjjQ, San Rafdgl, CA 942QI EISCC *Contributor 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 i, SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) M Type or print in ink. Amounts may be rounded to whole dollars. y 05/18/2014 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) Other (e.g., business entity) I! i PTY — Political Party Small Contributor Commiftee . . .. .......... . FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 8661ASK-FPPC (8661275-3772) through 06/30/2014 Page 43 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Justin Schraeder [BIND Officer 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Justin Schraeder ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth [ICOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Justin Schraeder N]IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through R PTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94.901 05/30/2014 Wanda Spaletta ®IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]Scc 1520 Fifth Avenue, San Rafael, CA 94901 06/13/20 4 WanEla Spaletta BIND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, `f SCC 152bd ...fth Ayvenu�. San Rafael, CA 242QI SUBTOTAL$ 55.90 77' 77" 7"',77771 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) Other (e.g., business entity) I! i PTY — Political Party Small Contributor Commiftee . . .. .......... . FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 8661ASK-FPPC (8661275-3772) San Rafael Police Association Political Action Committee Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 44 _ of 52 I.D. NUMBER 91ARILAIM DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Wanda Spaletta BIND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth F�Com City of San Rafael Avenue San Rafael, CA 94901 FJOTH Union member's dues received through ® PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Christopher Sweeney MIND Officer 11.18 134.16 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 FIPTY intermediary: San Rafael Police Association, FISCC 152Q Fifth Aygnug, Sall Rafael, CA 24201 06/13/2014 Christopher Sweeney NIIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity F-1 COM of San Rafael Avenue San Rafael, CA 94901 F-1 OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Christopher Sweeney ®IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity COM of San Rafael Avenue F� San Rafael, CA 94901 DOTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 05730/2014 Charly Taylor 91 IND lian Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue FICOM San Rafael, CA 94901 DOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, El SCC 1152Q Fifth Am—gaue, San Rafa!al, CA 2421a *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 53.42 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. from Statement covers period 05/18/2014 through 06/30/2014 Page 4 I.D. NUMBER ■ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 06/13/2014 Charly Taylor 91 IND Civilian Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 F -I OTH Union member's dues received through F] PTY intermediary: San Rafael Police Association, ^r% SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2014 Charly Taylor ®IND Civilian Supervisor 8.70 104.40 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through R PTY intermediary: San Rafael Police Association, [:]SCC 152Q Fifth Avenue, San Rafael, CA 94901 05/30/2014 Henry Tirre E]IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue San Rafael, CA 94901 ROTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, RSCC 1520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Henry Tirre RX IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth RCOM City of San Rafael Avenue 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 06/30/2014 Henry Tirre 91 IND officer 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue EICOM San Rafael, CA 94901 [BOTH Union member's dues received through F]PTY intermediary: San Rafael Police Association, [:]SCC .152Q Fifth AvyQ1111g�, San Rafael. CA 24201 SUBTOTAL$ 50.94 777'7'777'777�, *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) CATH — Other (e.g., business entity) PTY — Political Party FPPC Form 460 (January/05) SCC -- Small Contributor Committee FPPC Toll -Free Helpline: 86f/ASK-FPPC (8661275-3772) Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 through 06/30/2014 Page 46 _ of 52 I.D. NUMBER San Rafael. Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/30/2014 Michael Vergara IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity F� COM of San Rafael Avenue San Rafael, CA 94901 BOTH Union member's dues received through El PTY intermediary: San Rafael Police Association, ❑SCC 1,520 Fifth Avenue, San Rafael, CA 94901 06/13/2014 Michael Vergara 91IND Sergeant 11.18 134.16 C/o: San Rafael Police Association 1520 Fifth 91COM City of San Rafael Avenue San Rafael, CA 94901 FI OTH Union member's dues received through F]PTY intermediary: San Rafael Police Association, FISCC 152Q -Fifth Av_Qnjjg:, San RafaQl, CA 242QJ 06/30/2014 Michael Vergara ®IND Sergeant 11.18 134.16 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 EIPTY intermediary: San Rafael Police Association, QSCC 1520 Fifth Avenue, San Rafael, CA 94901 05/30/2014 Mark Wilkinson BIND Officer 11.18 134.16 C/O: San Rafael Police Association 1520 FifthCity F-1 COM of San Rafael Avenue San Rafael, CA 94.901 F1 OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, FISCC 1520 Fifth Avenue, San Rafael, CA 94901 06713/2014 Mark Wilkinson BIND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity of San Rafael Avenue F-1 COM San Rafael, CA 94901 DOTH Union member's dues received through M PTY intermediary: San Rafael Police Association, ®SCC 1152Q Fifth Av_Q11UQ. San Rafagj, CA 249QI SUBTOTAL$ 55.90 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type lype or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 05/18/2014 *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 I - - - - - - - - --- ---- - -- --- ------------ FPPC Form 460 (January/05) FPPC Toll -Free Helpflne.# 866/ASK-FPPC (866/275-3772) through 06/30/2014 Page 47 _ of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2014 Mark Wilkinson 91IND Officer 11.18 134.16 C/o: San Rafael Police Association 1520 FifthCity FICOM of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through FIPTY intermediary: San Rafael Police Association, ©SDC 1520 Fifth Avenue, San Rafael, CA 94901 E:1 IND F-1 COM [:] OTH F] PTY El SCC Q IND F-1 COM E:1OTH F-1 PTY F_1 SCC RIND [:] COM ROTH R PTY El SCC RIND El COM ROTH [-] PTY El SCC r 777777,77777`7 77 77 SUBTOTAL $ 11.1 *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 I - - - - - - - - --- ---- - -- --- ------------ FPPC Form 460 (January/05) FPPC Toll -Free Helpflne.# 866/ASK-FPPC (866/275-3772) Statement covers period CALIFORNIA 4 1 ift" 0 M FORM 05/18/201-4 rom SEE INSTRUCTIONS ON REVERSE through 06/30/2014 Page 48 of 52 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 06/09/2014 Pension Ballot Measure Monetary 1'000.00 1,000.00 Measure: TBD Ventura County, CA Contribution Fj Nonmonetary Contribution Independent Support rx-1 oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent ❑ Support ❑ Oppose Expenditure Monetary Contribution Nonmonetary Contribution F-1 Independent Fj Support Oppose Expenditure SUBTOTAL 1,000.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (include all Schedule D subtotals.) ........................................... $ 11000. 00 2. Unitemized contributions and independent expenditures made this period of under $100 ................................................................................. $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ 1,000.00 FPPC Form 460 (Jan/05) www.neffile.com FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Payments Made San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from — 05/18/2014 through 06/30/2014 i 1111111 q i I ini 111�� rZy 0=4 Zj TM mo 5 Page 4 9 of 52 I.D.NUMBER CIVP campaign paraphernalia/misc. IVIBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* 0FC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events PCNL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads V\E13 information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citizens for Retirement Security (ID# 1364624) CTB 1,000.00 981 S. Victoria Avenue Ventura, CA 93003 Freeman Public Affairs, Inc. IND Mailer including production and postage in support of 2,970.50 1405 Marcelina Avenue, Suite 111 Maribeth Bushey -Lang for San Rafael City Council Torrance, CA 90501 2013. Freeman Public Affairs, Inc. IND Mailer including production and postage in support of 2,970.50 1405 Marcelina Avenue, Suite 111 Kate Colin for San Rafael City Council 2013. Torrance, CA 90501 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6,941.00 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.) .............................................................................................................. $ 8,130.40 2. Uniternized 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 $ 8,130.40 FPPC Form 460 (January/05) FPPC Toll -Free Helpline.- 866/ASK-FPCS (866/275-3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period Payments Made to whole dollars. from 05/18/2014 SEE INSTRUCTIONS ON REVERSE through 06/30/2014 NAME OF FILER San Rafael Police Association Political Action Committee Page 5 0 of 52 I.D. NUMBER 831553 IF 1W 1WW CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Henry Levy Group 5940 College Avenue Oakland, CA 94618 PRO 1,189.40 111111i 111111111in l�� I I 9 R-741II [Lv7R;l ELAM I M11 111 R b UITIMaRl W NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Henry Levy Group 5940 College Avenue Oakland, CA 94618 PRO 1,189.40 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,189.40 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. San Rafael Police Association Political Action Committee me I Statement covers period 05/18/2014 Page 51 of 52 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants IVITG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads V\EB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 5,941.00$ 0.00$ 5,941.00$ 0.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total uniternized payments on accrued expenses under $100.) ............. ................... PAID TOTALS $ 5,941.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ -5,941.00 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) (b) (d) NAME AND ADDRESS OF CREDITOR CODE OR(a) OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Freeman Public Affairs, Inc. IND Mailer including 2,970.50 0.00 2,970.50 0.00 1405 Marcelina Avenue, Suite 111 production and postage Torrance, CA 90501 in support of Maribeth Bushey -Lang for San Rafael City Council 2013. Freeman Public Affairs, Inc. IND Mailer including 2,970.50 0.00 2,970.50 0.00 1405 Marcelina Avenue, Suite 111 production and postage Torrance, CA 90501 in support of Kate Colin for San Rafael City Council 2013. * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 5,941.00$ 0.00$ 5,941.00$ 0.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total uniternized payments on accrued expenses under $100.) ............. ................... PAID TOTALS $ 5,941.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ -5,941.00 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule I Tune or orint in ink® SCHEDULE Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period . ....................................................................................................................... $ 0.00 2. Uniternized increases to cash of under $100 this period . ............................................................................................ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $0.09 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)