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HomeMy WebLinkAboutForm 460 - Police Association PAC (2013-12-31)4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info mation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 01/27/2014 Executed on By to Executed on 0IZ2222014 Date Executed on Date Executed on to www.netfile.com M By Signature of Controlling Officeholder, Cacti e, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Ctroffing Officeholder, Candidate, State Measure Proms rerpt FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California P COVER PAGE Committee, Recipient Comm or print in ink. Date Stamp Campaign Statement Cover Page F" (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: 1 85 (Month, Day, Year) Of Page from 10/20/2013 J For Official Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/2013 LL 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. T. Type of Statement: ❑ Officeholder, Candidate Controlled Committee T Primarily Formed Ballot Measure Q Preelection Statement Quarterly Statement 0 State Candidate Election Committee Committee Semi-annual Statement Special Odd -Year Report 0 Recall 0 Controlled Termination Statement F-1 Supplemental Preelection (Also Complete Part 5) 0 Sponsored(Also file a Form 410 Termination) Statement - Attach Form 495 General Purpose Committee (Also Complete Part 6) T Amendment (Explain below) Q Sponsored F� Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER 1 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 P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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- Stag �L 'R_ QweL-s MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS P.O. Box 151557 5940 College Avenue CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94915-1557 Oakland, CA 94612 OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info mation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 01/27/2014 Executed on By to Executed on 0IZ2222014 Date Executed on Date Executed on to www.netfile.com M By Signature of Controlling Officeholder, Cacti e, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Ctroffing Officeholder, Candidate, State Measure Proms rerpt FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California i i j i< i ! a• • CALIFORNIA Aft AM .. . FORM 4 tz) u 6 Orr• 1 M 1r. � • i ! i i � • i • • NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES F_� NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com #e 2 Of • 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION r] SUPPORT Q 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 offi-ceholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 464 (January/fly) FPPC Tall -Free Helpline: 866/ASK-FPPC (8£61275-3772) State of +Califs is Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERS'11 NAME OF FILER San Rafael Police Association Political Action Committee Statement covers period from 10/20/2013 through 12/31/2013 Page 3 of 85 I.D. NUMBER 831553 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 19,159.55 7. Loans Made ............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 19,159.55 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 4,316.15 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 50.00 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 23,525.70 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 28,759.01 13. Cash Receipts ................................................... Column A, Line 3 above 3,960.83 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.25 15. Cash Payments .................................................. Column A, Line 8 above 19,159.55 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 13,S60.54 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............. 4 ............ Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 5, 941 . 00 42,798.60 0.00 $ 42,798.60 5,941.00 50.00 $ 48,789.60 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. I t Is is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and any). 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) I J $ 1 *Amounts in this section may be different from amounts i reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline:866/ASK-FPPC (866/275-3772) Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR -a Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 3,960.83 $ 24,322.27 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B, Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS......................... Add Lines I + 2 $ 3,960.83 $ 24,322.27 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C, Line 3 50 .00 SO.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 4,010.83 $ 24,372.27 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 19,159.55 7. Loans Made ............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 19,159.55 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 4,316.15 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 50.00 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 23,525.70 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 28,759.01 13. Cash Receipts ................................................... Column A, Line 3 above 3,960.83 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.25 15. Cash Payments .................................................. Column A, Line 8 above 19,159.55 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 13,S60.54 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............. 4 ............ Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 5, 941 . 00 42,798.60 0.00 $ 42,798.60 5,941.00 50.00 $ 48,789.60 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. I t Is is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and any). 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) I J $ 1 *Amounts in this section may be different from amounts i reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline:866/ASK-FPPC (866/275-3772) Schedule A Type or prim in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA4bo: from 10/20/X13FORM through 12/31/2013 Page 4 of 85 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. 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) 10/31/2413 Elisha Adams FX�iND Officer 11.17 352.47 ❑ COM C/o: San Rafael. Police Association F (OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received through intermedia :ganCRafa 1 Police Association 1520 Fifth Avenue San Rafael CA 94901 11/15/2413 Elisha Adams E]IND Officer 11.17 352.47 ❑ COM C/o: San Rafael Police Association ❑OTH City of San Rafael . 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia pl :an Rafa l Police Association 1520 Fifth Avenue S n Rafael CA 94901 11/30/2013 Elisha Adams [2] IND Officer 11.17 352.47 COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia y:�zlafa 1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94902 1.2/15/2013 Elisha Adams nIND Officer 11.17 352.47 ❑ CQM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received through intermedia y:afa 1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94984 12%31/2013 Ells a A ams FIND Officer 11.18 352.47 0 COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia :[1§9 afa 1 Police Association 152d Fifth Avenue Sin Rafael CA 949 1 SUBTOTAL 55.80 Schedule A Summary 1. Amount received this period — itemize{ monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. .. .. • ! .. rte.. ` • i i ii" IND -individual Recipient • .. (other than PTY or OTH — Other (e.g., business entity) PTY — Political Party Small + i i Committee Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA Aft to whole dollars. 4bo from 10/20/2013 FORM through 12/31Z2013 Page 5 of 85 NAME OF FILER I.D. 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) 10/31/2013 Raul Aguilar Fx-] INDSergeant 11.17 352.47 r-1COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 [;SCC Union member's dues received through intermedia zy: a Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15f 2013 Raul Aguilar Fx_j IND Sergeant 11.17 3S2.47 DCOM C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 nion member's dues received through intermediarv:an �SCC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Raul Aguilar Fx� IND Sergeant 11.17 352.47 DCOM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 F-1 SCG Union member's dues received through intermediaxy:qan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94903 12/lS/2013 Raul Aguilar FX1 INC} Sergeant 11.17 352.47 QCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue [:]PTY San Rafael, CA 94901 Union member's dues received throuSIh intermediaxy: q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94985 12/31/2013 Raul Aguilar [E INC) Sergeant 11.18 352.47 Q COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue [:]PTY San Rafael, CA 94901 Union member's dues received through intermedia 'l: Q§i9(; Zafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL$ Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 6 of 85 NAME OF FILER I.D. 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) 10/31/2013 Anthony Augustyn rx] IND Officer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rv: an qSCC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2013 Anthony Augustyn [Z IND .Officer 11.17 352.47 nCOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Anthony Augustyn Fx] IND Officer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 71 member's dues received through intermediaiv:q anUnion Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2013 Anthony Augustyn [_X� IND Officer 11.17 352.47 F�COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue F_� PTY San Rafael, CA 94901 1 Union member's dues received through intermedia xy:� ;anRafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94986 12/31/2013 Anthony Augustyn ®IND Officer 11.18 352.47 EICOM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901v: ,mbrmd Union meer's dues received through ince edict Q§�CtZ afael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490b *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party Small Contributor Committee SUBTOTAL$ 55.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10 20/2013 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee FPPC Form 46 0 (January/01 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-377 through 12Z31/2013 Page 7 of 85 NAME OF FILER I.D. 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) 10/31/2013 Blair Auld NIND Officer 11.17 352.47 MCOM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermediary: an Rafael Police Asgiociation. 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2013 Blair Auld Fx_j IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qa'nCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Blair Auld nx IND Officer 11.17 352.47 EICOM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94905) 12/15/2013 Blair Auld nx IND Officer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received throe intermediazy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94987 13/31/2013 Blair Auld nx IND Officer 11.18 352.47 F-1 COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901C%t_* member's dues received through intermediady.L-49k afael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490 ,Union SUBTOTAL$ 5S.86 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee FPPC Form 46 0 (January/01 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-377 TVpe or print in ink. SCHEDULE A (CONT) M onetary Contributions Received Amounts may be rounded Statement covers period Aak I CALIFORNIA to whole dollars. 4bAftu from 10220/2013 FORM through 12Z31Z2013 Page 8 of 85 NAME OF FILER I.D. 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) 10/31/2013 James Bellamy Fxj IND Of f icer 11.17 352.47 F] COM C/o: San Rafael Police Association nOTH 1.520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 CUnion member's dues rgceived through intermediary: Rafael qan Police Association, 1520 Fifth Ay!anue. S n Rafael, CA- 94901 ll/15/2013 James Bellamy[E IND officer 11.17 352.47 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia xv:qaSnC Rafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 11/30/2013 James Bellamy [j] IND Off icer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: anqsaR afael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94906 12/15/2013 James Bellamy nx IND Officer 11.17 352.47 FJCOM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediaxy. q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94986 12/31/2013 James Bellamy nx IND Officer 11.18 352.47 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediady:Q���Zafael Police Assoc -- iation, 1520 Fifth Avenue, SAn Rafael, CA 9490b *Contributor Codes Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.8 6 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 10/20/2013 FORM through 12/31/2013 Page 9 of 85 NAME OF FILER I.D. 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) 10/31/2013 Todd Berringer Fx_j IND Corporal 11.17 352.47 ❑ COM C/o: San Rafael Police Association �] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv: qSCC an Rafael Police Association, 1520 Fifth Av!Qnue, San Rafael ,_ -CA 24901 ll/l5/2013 Todd Berringer RIND Corporal 11.17 352.47 F1 COM C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qanCCRafael Police Association, 1520 Fifth Avenue, San Rafael CA 94901 11/30/2013 Todd Berringer Rx IND Corporal 11.17 352.47 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union member's dues received through intermedia xy: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94907 12/15/2013 Todd Berringer RX IND Corporal 11.17 352.47 El COM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia ry:EAP�af ael Police Association, 1520 Fifth Avenue, San Rafael, CA 9498 9 12/31/2013 Todd Berringer [BIND Corporal 11.18 352.47 EICOM C/o: San Rafael Police Association .1 -on ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 ,Union member's dues received through intermediadv:Q§�CPafaell Police Association, 1.520 Fifth Avenue, S Rafael, CA 9490k *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party SCC — Small Contributor Committee SUBTOTAL$ -55.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA AM i to whole dollars. 4fdo from 10/20/2013 FORM through 12/3lZ2013 Page 10 Of 85 NAME OF FILER I.D. 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) 10/31/2013 Geoffrey Bowker Fx_j IND Officer 11.17 352.47 FICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazy: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 24901 11/15/2013 Geoffrey Bowker Fx IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qq':CCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/30/2013 Geoffrey Bowker Fx_j IND Of f icer 11.17 352.47 COM C/o: San Rafael Police Association Fj OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:1:;dSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490B 12/15/2013 Geoffrey Bowker FX -1 IND Off icer 11.17 352.47 F] COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 1 SC Union member's dues received through intermedia yy::;anRafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94993 12/31/2013 Geoffrey Bowker Fx IND Officer 11.18 352.47 COM C/o: San Rafael Police Association R OTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 ,Union member's dues received through intermedia dy:Q§�CPafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490� *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.86ti Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/20Z2013 604121:951514 AM *Contributor Codes Individual COM — Recipient Committee (other than PTY or SC entity) OTH — Other (e.g., business PTY — Political Party SCC — Small Contributor Committee 1 FPPC Form 460 (January/011" FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3i7l through 12231/2013 Page 11 - Of 85 NAME OF FILER I.D. 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) 10/31/2013 Lynne Bracken FRI IND Records Clerk 8.69 273.96 ncom C/o: San Rafael Police Association BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia-rv:r--,-,anSC Rafael Police Association, 1520 Fifth avenue. San Rafael, CA 24901 11/15/2013 Lynne Bracken nx IND Records Clerk 8.69 273.96 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Unionmember's dues received through intermediarv:F---'5a':Cl Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Lynne Bracken nx IND Records Clerk 8.69 273.96 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: anqscR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94973 12/15/2013 Lynne -Bracken nx IND Records Clerk 8.69 273.96 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throu2h intermedia iy:qaSnC Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95055 12/31/2013 Lynne Bracken nx IND Records Clerk 8.70 273.96 FICOM Cl/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia dv:QP;,afae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9488L SUBTOTAL$ 43.46 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SC entity) OTH — Other (e.g., business PTY — Political Party SCC — Small Contributor Committee 1 FPPC Form 460 (January/011" FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3i7l I 1- 16 10 IT qJ10 =92. MM, qkTj Lopmes RM 0071n t proul g ffs: - 9 A b E. MT W1 San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/2022013 through 12Z3112013 I Page 12 _ of 85 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) 10/31/2013 Kayla Braxton IND .Officer 8.69 108.66 F� COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermediazy: an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2013 Kayla Braxton Fx_j IND Off icer 8.69 108.66 MCOM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia :`man Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Kayla Braxton r_xj IND Officer 8.69 108.66 []COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 sa� Union member's dues received through intermedia zy: q an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94982 12/15/2013 Kayla Braxton FX -1 IND Officer 8.69 108.66 RCOM C/o: San Rafael Police Association [BOTH City of San Rafael 1520 Fifth Avenue M PTY San Rafael, CA 94901 member's dues received through intermediary:anafael �(';Union Police Association, 1520 Fifth Avenue, San Rafael, CA 95061 10/31/2013 Michael Byers � IND Corporal 11.17 352.47 RCOM C/o: San Rafael Police Association MOTH City of San Rafael 1520 Fifth Avenue M PTY San Rafael, CA 94901 Pnion member's dues received through intermediady- 1 .afaell Lg���Z Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 45.93 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 10Z20/2013 FORM through 12/31/2013 Page 13 . of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 11/15/2013 Michael Byers nx IND Corporal 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qainC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Michael Byers Fx_j IND -ICOM Corporal 11.17 352.47 F C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 SCCRafael -'-San Union member's dues received through intermedia v :F- Police Association, 1520 Fifth Avenue, San Rafael, CA 94909 12/15/2013 Michael Byers ®INC} Corporal 11.17 352.47 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermedlaiv:--z annion Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94991 12/31/2013 Michael Byers [E INC} Corporal 11.18 352.47 F�Com C/o: San Rafael Police Association F� OTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 Union member's dues received throu2h intermediary: qan�afael Police Association, 1520 Fifth Avenue, S Rafael, CA 94906 10/31/2013 Shelly Cade FX -1 IND Dispatcher 8.69 273.96 E]COM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901§�� ,mbdL-4 Union meer's dues received through intermedia V:'Zafaell Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 53.38 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNI A to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 14 of 85 - NAME OF FILER I.D. 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) 11/15/2013 Shelly Cade nx IND Dispatcher 8.69 273.96 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Unionmember's dues received through intermediaxy:a':Cl Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Shelly Cade [21 INDDispatcher 8.69 273.96 ncom C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union member's dues received through intermediary: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94910 12/15/2013 Shelly Cade Fx_j IND Dispatcher 8.69 273.96 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediary: an�Union afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94992 12/31/2013 Shelly Cade nx IND Dispatcher 8.70 273.96 []COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediaxy:E;JSP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94881 10/31/2013 Joseph Camins nx IND Officer 11.17 352.47 EICOM C/o: San Rafael Police Association E]OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediad-V:E­-_A1�PCR_afae1 Police Association, 1.520 Fifth Avenue, S Rafael, CA 94901l *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$ 45.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 15 Of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831C�1C� I -1-1 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE ITSELF -EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ll/lS/2013 Joseph Camins ❑IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association FROTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazy: qSCC an Rafael Police Aasociation, 1520 Fifth Lvenue, San Rafael, CA 94901 11/30/2013 Joseph CaminsFx_j IND Officer 11.17 352.47 0 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received throe intermedia ivJ-5an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9491 12/15/2013 Joseph Camins Fx_j IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qd'nCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94993 12/31/2013 Joseph Camins ®IND Officer 11.18 352.4'7 [ICOM C/o: San Rafael Police Association [:j OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 Union member's dues received throw intermedia Ty-.qaSnC(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94909 10/31/2013 David Casalnuovo RIND Officer 11.17 352.47 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY _L San Rafael, CA 94901 'Union member's dues received through intermedia Police Association, 1520 Fifth Avenue SAn Rafael, CA 9490 11 SUBTOTAL$ *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/O FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460% 0 from 10f 20/2013 FORM through 12/31/2013 Page 16 _ of 85 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/1S/2013 David Casalnuovo Fx_j IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 F-1 SCC Union member's dues received through int-ermediaiv:--gan Rafael Police Association, 1520 Fifth Avgnue, San Rafael, CA 94901 11/30/2013 David Casalnuovo nx IN© .Officer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 -1 SC Unionmember's dues received through intermediarv:F—Sanl Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94912 12/15/2013 David Casalnuovo N IND Officer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 'ry:qanC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94994 12/31/2013 David Casalnuovo nx INC) Officer 11.18 352.47 FJCOM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member's dues received through intermedia zy:qaS:CRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94910 10/31/2013 Allan Castaneda nx IND Officer 11.17 352.47 EICOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union meer's dues received through intermedia .mbdv: Q§�CP afaell Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490L IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee . . .... .. . . . .. . ... SUBTOTAL $ 55.86 . . ....... . . . .. . . ......... FPPC Form 460 (January/OZEVI sr •s6Toll-Free Helpline: 8661ASK-FPPC (866/275-3774 1 gi Ia =- -:,., a Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I 460 from 10/20/2013 FORM through 12/31Z2013 Page 17 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Allan Castaneda Fx_j IND Officer 11.17 352.47 COM C/o: San Rafael Police Association C/o: ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 -=ban Union member's dues received through intermedia xy:--8an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Allan Castaneda FX -1 IND Officer 11.17 352.47 COM C/o: C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv: qscRafae anl Police Association, 1520 Fifth Avenue, San Rafael, CA 94913 12/15/2013 Allan Castaneda nx IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:E;dSP afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94995 12/31/2013 Allan Castaneda nx IND Officer 11.18 352.47 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermediaxy:E;aSP afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94911 10/31/2013 Edward Chiu nx IND Officer 11.17 352.47 EICOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 ,Union member's dues received through intermedia jV_:Q§�CPafaeL Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55-86 FPPC Form 460 (January/05) conrii-;; . .. .. .. . .... . - bd— Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period Monetary Contributions Received CALIFORNIA to whole dollars. 4100% 0 from 10/20/2013 FORM through 12231Z2013 Page 18 - Of 85 NAME OF FILER I.D. 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) 11/15/2013 Edward Chiu MIND Officer 11.17 352.47 DCOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union memb!ar's dues received throuS12 intermedia qSCC y: an Rafael Police Association, 1520 Fifth Lyenue, San Raf!qel, CA 24901 11/30/2013 Edward Chiu MIND Officer 11.17 352.47 MCOM C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv: qsa� an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94914 12/15/2013 Edward Chiu F� IND Officer 11.17 352.47 F-1 COM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: q anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94996 12/31/2013 Edward Chiu BIND Officer 11.18 352.47 ❑COM C/o: San Rafael Police Association QOTN City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediazy: E; anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94912 10/31/2013 Robert Cleland FX -1 IND Officer 11.17 352.47 COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue M PTY San Rafael, CA 94901 member's dues received through intermedia jv:Q§�CT�Zafaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L ,Union SUBTOTAL $ 55.86 71 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) i OTH — Other (e.g., business entity) Political Party SCC — Small Contributor Commi FPPC Form 460 (January/05) 11111111111111 q.=F'_%,,heet) Tvpe or print in ink. 1111111 1 � 1 � � I SCHEDULE A (CONT) M onetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31Z2013 Page 19 - of 85 NAME OF FILER I.D. 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) 11/15/2013 Robert Cleland[3fl IND Officer 11.17 352.47 RCOM C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermedia zy: an Rafael Police Assogiation, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Robert Cleland Fx_j IND Officer 11.17 352.47 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:q7aS:CCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94915 12/15/2013 Robert Cleland-- Rx IND Officer 11.17 352.47 F_]COM C/o: San Rafael Police Association F -I OTH 1520 Fifth Avenue D PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qlanSC Rafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94997 12/31/2013 Robert Cleland BIND Officer 11.18 352.47 EICOM C/o: San Rafael Police Association � OTH City of San Rafael 1520 Fifth Avenue D PTY San Rafael, CA 94901 Union member's dues received throe intermedia zy:SaS:CRafael 1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94913 10/31/2013 Christopher Coale Q IND Sergeant 11.17 352.47 COM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901§� nion meer's dues received through intermedia 'Umbdy C Pafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee SUBTOTAL$ 55.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) q Monetary Contributions Receiv d Amounts may be rounded Statement covers period CALIFRNIA O to whole dollars. 460 from 10/20/2013 FORM through 12/31Z2013 Page 20 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee r� r� 831553I 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) 11/15/2013 Christopher Coale x INDSergeant 11.17 352.47 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;ScR.afae Union member I s dues received throu_qh intermedia zy: an l Police Association, 1520 Fifth Avenue. San Rafael CA - 94901 11/30/2013 Christopher Coale Fx_j IND Sergeant 11-17 352.47 EICOM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia yv:E;aSnC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94916 12/15/2013 Christopher Coale Rx IND Sergeant 11.17 352.47 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 'ry:E;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94996 12/31/2013 Christopher Coale FRI IND Sergeant 11.18 352.47 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediary: qan `Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94911 10/31/2013 Lori Coen [Z IND Records Clerk 8.69 273.96 RCOM C/o: San Rafael Police Association BOTH City of San Rafael 1_520 Fifth Avenue PTY San Rafael, CA 94901 nion meer's dues received through intermedia ,Umbdy Q2YC : Vafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party St1-A_C_*Atr0#ujQr Cotimittee. SUBTOTAL$ 53.38 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4(qw;O from 10Z20/2013 FORM through 12/31/2013 Page 21 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee r� 8315r, 5I 3 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) 11/15/2013 Lori Coen NIND Records Clerk 8.69 273.96 FICOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:17;aSnCCRafael Police As.9ociation. 15201 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Lori Coen FX IND Records Clerk 8.69 273.96 MCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:E;SCCRafael an Police Association, 1520 Fifth Avenue, San Rafael, CA 94917 12/15/2013 Lori Coen RIND Records Clerk 8.69 273.96 F-1COM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 I SC(� union member's dues received through intermedia xy:E;an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94999 12/31/2013 Lori Coen FIND Records Clerk 8.70 273.96 FJCOM C/o: San Rafael Police Association F-1 OTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 Union member's dues received through intermedia xy. anqSC (`�.afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94885 10/31/2013 Eric Cogbill IND Officer 11.17 352.47 L-1 COM C/o: San Rafael Police Association FIOTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 ,Union member's dues received throu2h intermedia�Y:Q§�CZafaell Police Association, 15201 Fifth Avenue, S Rafael, CA 94901L *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL.5 45.94 FPPC Form 460 (January/O"" FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771 TWO Tvpe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 22 of 85 NAME OF FILER I.D. 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) 11/15/2013 Eric Cogbill FRI IND Officer 11.17 352.47 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermediaxy: gn Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Eric Cogbill nx IND Officer 11.17 352.47 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia v:q7aS:CCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9491B 12/15/2013 Eric Cogbill nx IND Officer 11.17 352.47 FICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediay-v:l anRafaeUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 95000 12/31/2013 Eric Cogbill nx IND Officer 11.18 352.47 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received throe intermediazy: qsa� an. afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94915 10/31/2013 Ryan Cogbill BIND Corporal 11.17 352.47 El Com C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue [:] PTY San Rafael, CA 94901 ,Union member's dues received through intermed r E_19§�CRafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.86 Monetary ContributionsCC'IV'{ Amounts may be rounded Statement covers period CALIFORNIA to whale dollars, 460 from 10/20/2013 FORM through 12 /31 /2013 Page 23 of 85 NAME OF FILER I.D. 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 (IFCOMMITTEE,ALSOENTERI.�.NUMBER) CODE * {IF SELF-EMPLOYED, ENTER NAME PERIOD {JAN. 1 -DEC. 31} SIF REQUIRED} OF BUSINESS) 11/15/2013 Ryan Cogbill X IND Corporal 11.17 353.47 F-1 COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:F;a'nCCRafae1 Police Association, ation 1520 Fifth Avenue San Rafael, CA 94901 11/30/2013 Ryan Cogbill X IND Corporal 11..17 352.47 F] COM C/o: San Rafael Police Association F�OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :`man Rafae Police Association,1520 Fifth Avenue San Rafael CA 9491 12/15/2013 Ryan Cogbill BIND Corporal 11.17 352.47 COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 pion member's dues received through intermedia :`;an an Police Association 1520 Fifth Avenue San Rafael CA 9500 12/31/2013 Ryan Cogbill FIND Corporal 11.18 352.47 COM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue O PTY San Rafael, CA 94901 Union member's dues received through intermediaxy:E;'aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9491 10/31/2013 Thomas Collins BIND Officer 11.17 3.52.45 F� COM C/o: San Rafael Police Association F-1OTH City of San Rafael 1.520 Fifth Avenue � PTY San Rafael, CA 94901 .Union member's dues received through intermedia : afael Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL $ 55,8 *Contributor se Individual COM — Recipient Committee (other than PTY or SCC) f • ., business entity) PTY — Political Party SCC — Small Contributor .. FPPC Form. Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/20/2013 NNMAENANWKEi *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) i Political Party Small Contributor Committee FPPC Form 460 (Januaty/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 12/31/2013 Page 24 _ of 85 NAME OF FILER I.D. NUMBER r� _, San Rafael Police Association Political Action Committee 8315r� SI DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Thomas Collins IND Officer 11.17 352.45 F� COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 --1 SC member's dues received through intermediaxv:qanl RafaeUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Thomas Collins [Z IND Officer 11.17 352.45 ❑COIVI C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermedia vJ-8-1 an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94920 12/15/2013 Thomas Collins Fxj IND Officer 11.17 3S2.45 [ICOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 1 C Union member's dues received through intermedia xy:[maSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95002 12/31/2013 Thomas Collins FX IND Officer 11.18 352.45 Q COM C/o: San Rafael Police Association ❑F_�OTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 1 Union member's dues received throuijh intermediaTy::;a'nCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94917 10/31/2013 Antonette Cook RIND Dispatcher 8.69 273.96 F� COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 Union member's dues received through intermedia &:Q§�qZafaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 949011 SUBTOTAL $ . .... . . ..... 53.38 *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) i Political Party Small Contributor Committee FPPC Form 460 (Januaty/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20Z2013 FORM t through 12231/2013 Page 25 . of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Antonette Cook IND Dispatcher 8.69 273.96 r-iCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue T PTY City of San Rafael San Rafael, CA 94901 Union memh r's dues received through intermedia -rv:qanCCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Antonette Cook Fx� IND Dispatcher 8.69 273.96 ❑ COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union memher's dues received through intermedia :`man Police Association, 1520 Fifth Avenue, San Rafael, CA 94921 12/15/2013 Antonette Cook FX IND Dispatcher 8.69 273 .96 M COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 71SCG Union member's dues received through intermedia -rv:qan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95003 12/31/2013 Antonette Cook FX -1 IND Dispatcher 8.70 273.96 F-1 COM C/o: San Rafael Police Association Fj OTH City of San Rafael 1.520 Fifth Avenue � PTY San Rafael, CA 94901 1 Union member's dues received through intermedial:11:;anCRafael Police Association, 1520 Fifth Avenue, _San Rafael, CA 94883 10/31/2013 Jaime Correa BIND Sergeant 11.17 342.35 F-1 COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue TPTY San Rafael, CA 94901 Union meer's dues received through intermedia ,mbdll y: E�CtZaf ae Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party Small Contributor Committee SCC SUBTOTAL $ 45.94 14 q liq liq ii� Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460ft 0 from 10/20/2013O' through 12Z31/2013 Page 26 . of 85 - NAME OF FILER I.D. 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) 11/15/2013 Jaime Correa Fx-] IND Sergeant 11.17 342.35 MCOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediazy: anRafaeUnion l Police Association, 1520 -Fifth Avenue, San Rafa!al, CA 94901 11/30/2013 Jaime Correa [Z IND Sergeant 11.17 342.35 MCOM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94922 12/l5/2013 Jaime Correa Mx IND Sergeant 11.17 342.35 MCOM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 E;sc(� Union member's dues received through intermedia zy: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95004 12/31/2013 Jaime Correa FX -1 IND Sergeant 1.08 342.35 FICOM C/o: San Rafael Police Association MOTH City of San Rafael 1520 Fifth Avenue M PTY San Rafael, CA 94901 1 Union member's dues received through intermediaxy:qaSnC(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94916 10/31/2013 Ryan De Marta M IND Off icer 11.17 352.45 mcom C/o: San Rafael Police Association MOTH City of San Rafael 1520 Fifth Avenue M PTY San Rafael, CA 94901 Union member's dues received through intermedia dy:QP;,afae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL$ 45.76 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 27 _ of 85 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Ryan De Marta rx-1 IND Officer 11.17 352.45 ncom C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dugs received through intermediary: qSCC gn Rafael Police Association ., 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Ryan De Marta f_xj IND Officer 11.17 352.45 ncom C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qa'nCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94923 12/15/2013 Ryan De Marta Fx_j IND Officer 11.17 352.45 COM C/o: C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SC Union member's dues received through intermediaxy: q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95005__ 12/31/2013 Ryan De Marta nx IND Officer 11.18 352.45 Com C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia i r___1 an� zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94919 10/31/2013 Christian Diaz nx IND Of f icer 11.17 352.45 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediaJy:QP;Zafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL$ 55.86 IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee MINE Monetary Contributions Received Amounts may be rounded - -- - - - --- --- - I Statement covers period i CALIFORNIA to whole dollars. 460 from 1422 }/2013 FORM through 12/31Z2013 Page 28 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Christian Diaz Fx_j IND Officer 11.17 352.45 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia xv:F;aS:CCRafae1 Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Christian Diaz Rx IND Officer 11.17 352.45 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaS:CCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94921 12/l5/2013 Christian Diaz r_xj IND Officer 11.17 352.45 FICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv: q an�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95006 12/31/2013 Christian Diaz RX IND Officer 11.18 352.45 EICOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermedia xy:panSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94920 10/31/2013 Christopher Duncan RX IND Officer 11.17 352.4.5 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 'Union member's dues received through intermediajV:Q§Ff�Zafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) M F na iyae =1 San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10Z20/2013 through 12/31/2013 1 Page 29 _ of 85 I.D. NUMBER WK]"61M 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) 11/15/2013 Christopher Duncan Fx� IND Officer 11.17 352.45 r-1 COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuGh intermedia iv: qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Christopher Duncan [j] IND Officer 11.17 352.45 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 F-�-SaSnCCRafael Union member's dues received through intermedia rv: Police Association, 1520 Fifth Avenue, San Rafael, CA 94925 12/15/2013 Christopher Duncan Fx_j IND Officer 11.17 352.45 MCOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :an Police Association, 1520 Fifth Avenue, San Rafael, CA 95007 12/31/2013 Christopher Duncan [E IND Officer 11.18 352.45 M COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 q�Zafael Union member's dues received through intermedialv:aSnC Police Association, 1520 Fifth Avenue,—San Rafael, CA 94921 10/31/2013 Scott Eberle MIND Sergeant 11.17 352.45 ❑ COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia dy Q§PqZafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490LL *Contributor 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$ 55.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10Z20Z2013 FORM through 12/31/2013 Page 30 _ of 85 NAME OF FILER I.D. 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) 11/15/2013 Scott Eberle Fx_j IND Sergeant 11.17 352.45 F-1 COM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received throucih intermedia iv: an Rafael Police Association, 1520 Fifth Aygnue. San Rafael, CA 24901 11/30/2013 Scott Eberle[2] IND Sergeant 11.17 352.45 ❑COIVI C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94920' 12/15/2013 Scott Eberle [2] IND Sergeant 11.17 352.45 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediai'v: afael anUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 9500B 12/31/2013 Scott Eberle FX -1 IND Sergeant 11.18 352.45 F] COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received through intermediazy: qscq� an 'afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94922 10/31/2013 Christopher Fuller nx IND Police Officer 11.17 352.46 ncom C/o: San Rafael Police Association FJOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received through intermedia 'dy : afore Q§�CR ll Police Association, 1520 Fifth Avenue S Rafael, CA 9490L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee . ........ . . SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 41b Ab "IETIMS a a 11 a S San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10Z20/2013 through 12/31/2013 1 Page 31 _ of 85 I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Christopher Fuller IND Police Officer 11.17 352.46 ❑Com C/o: San Rafael Police Association ROTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:q7a'nCCRafael Police Association 1523 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Christopher Fuller [Z IND Police Officer 11.17 352.46 F-1com C/o: San Rafael Police Association QOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 __1 SC Q_ Union member's dues received through intermedia xv:qan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94974 12/15/2013 Christopher Fuller F� IND Police Officer 11.17 352.46 COM C/o: San Rafael Police Association F�OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia y-v:qanSC Rafaeel Police Association, 1520 Fifth Avenue, S n Rafael, CA 95056 12/31/2013 Christopher Fuller ®IND Police Officer 11.18 352.46 ❑ COM C/o: San Rafael Police Association [] OTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 Union member's dues received through intermedia i an Rafae Police Association, 1520 Fifth Avenue, S Rafael, CA 94925 10/31/2013 Salvatore Garanzini BIND Officer 11.18 352.54 ❑COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 C%11% Union member's dues received throuqh intermedia :Q9kCPafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND—individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee SUBTOTAL$ 55.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 32 of 85 NAME OF FILER I.D. 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) 11/15/2013 Salvatore Garanzini Fx_j IND Officer 11.18 352.54 COM C/o: C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia xv:gash Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Salvatore Garanzini [Z IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaS:CCR.afae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2013 Salvatore Garanzini Fx_j IND Officer 11.18 352.54 F] COM C/o: San Rafael Police Association Fj OTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy :E;SCCR an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94983 12/31/2013 Salvatore Garanzini FX -1 IND Off icer 11.18 352.54 F-1 COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 member's dues received intermediaiy: an Rafaethrouoh qUnion l Police Association, 1520 Fifth Avenue, San Rafael, CA 94926 10/31/2013 Michael Garrison [_Xj IND Officer 11.18 251.74 FICOM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 ,Union member's dues received through intermedial:QP;afae� Police Association, 1.520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes Individual Reent Committee (other than PTY or SCC) CITH — 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) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460; from 10/20/2013 FORM through 12/31/2013 Page 33 of 85 NAME OF FILER I.D. 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) 11/15/2013 Michael Garrison nx IND Officer 11.18 251.74 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv- -.qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Michael Garrison FRI IND officer 11.18 251.74 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E; SC Union member's dues received through intermediaiv: anR.afae- lPolice Association, 1S20 Fifth Avenue, San Rafael , CA 94975 12/15/2013 Michael Garrison [j] IND Of fiver 11.18 251.74 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E;sc(� Union member's dues received through intermediary: an afael Police Association, .1520 Fifth Avenue, San Rafael, CA 95057 12/31/2013 Michael Garrison FX -1 IND Officer 11.18 251.74 ncom C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 member's dues received through intermediary: afael qannion Police Association, 1520 Fifth Avenue, San Rafael, CA 94927 10/31/2013 Lilah Gavlick [2] IND Police Officer 11.18 150.94 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1120 Fifth Avenue n PTY San Rafael, CA 94901 Union meer's dues received through intermedia mbdv -.afaeL L -4'P; Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 5 .90 5 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) lililllq imill Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 from 10/20/2013 FORM through 12/31/2013 Page 34 of 85 NAME OF FILER I.D. 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) 11/15/2013 Lilah Gavlick Fx_j IND Police officer 11.18 150.94 [ICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 qSCC Union member's dues received through intermediazy: an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Lilah Gavlick Fx� IND Police Officer 11.18 150.94 M COM C/o: San Rafael Police Association [-] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qaS:CCRafael Police Association, 15201 Fifth Avenue, San Rafael, CA 94977 12/15/2013 Lilah Gavlick F� IND Police Officer 11.18 150.94 F�COIVI C/o: San Rafael Police Association � OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 ___1SCRafae nnl Union member's dues received through intermedia iv: Police Association, 1520 Fifth Avenue, San Rafael, CA 95059 12/31/2013 Lilah Gavlick FX IND Police Officer 11.18 150.94 mcom C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 E;sc(� Union member's dues received throu!ah intermediaxy: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94928 10/31/2013 Justin Graham [21 IND Officer 11.18 352.54 F-1 COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901_M Union meer's dues received through intermedia mbd C v:Q Pafael Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490L IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party Small Contributor Committee .. .. .. . SUBTOTAL $ 55.90 FPPC Form 460 (January/05) 40 Mel I rROTIM I 0��411 � 4 d i 111, M.- ix I gel San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/20/2013 through 12/31Z2013 I Page 35 _ of 85 19-RIKKIM-4isq, • *Contributor 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$ 53.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (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) 11/15/2013 Justin Graham nx IND Officer 11.18 352.54 El COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediary: Rafael panCUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Justin Graham nx IND Officer 11.18 352.54 Com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94929 12/15/2013 Justin Graham Fx_j IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 F-Isca Union member's dues received through intermedia x-v_:qan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95011 12/31/2013 Justin Graham FX IND Officer 11.18 352.54 r-1 Com C/o: San Rafael Police Association F� OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 E;an`tz Union member's dues received through intermediary: afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94929 10/31/2013 Julie Griffith [E IND Records Clerk 8.70 274.03 FlCOM C/o: San Rafael Police Association n OTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 Union member's dues received through intermedia Jy:Q§Ff(;Zafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 53.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) P14 TIMOM " 2 W NOTE Wo =0 Monetary "Oft ontributions Received Amounts may be rounded t; Statement covers period CALIFORNIA to whole dollars. 460' from 10/2002013 FORM through 12/31/2013 Page 36 of 85 NAME OF FILER I.D. 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) 11/15/2013 Julie Griffith x IND Records Clerk 8.70 274.03 DCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 nion member's dues received throuoh intermedia-rv:an �SCC Rafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 11/30/2013 Julie Griffith Rx IND Records Clerk 8.70 274.03 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 E; S Union member's dues received through intermedia iv. : aCRafaenl Police Association, 1520 Fifth Avenue, San Rafael, CA 94930 12/15/2013 Julie Griffith RIND Records Clerk 8.70 274.03 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :E;SCRafael an Police Association, 1520 Fifth Avenue, San RafaelCA 9501iv 12/31/2013 Julie Griffith RX IND Records Clerk 8.70 274.03 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue R PTY San Rafael, CA 94901 r --- I SC 'anRafael Union member's dues received throe intermedia iy:' Police Association, 1520 Fifth Avenue, San Rafael, CA 94886 10/31/2013 Lori Hendricks RIND Dispatcher 8.70 274.03 [-] COM C/o: San Rafael Police Association ROTH City of San Rafael 1554 Fifth Avenue PTY San Rafael, CA 94935 Union member's dues received through intermedia dv:Q§�CPafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party Small Contributor Committee SUBTOTAL $ 4-3.50 FPPC Form 460 (January/05) ,FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 37 of 85 NAME OF FILER I.D. 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) 11/15/2013 Lori Hendricks Rx IND Dispatcher 8.70 274.03 RCOM C/o: San Rafael Police Association ROTH 1554 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94935 member's dues received throush intermedia-rv: qanRaUnion fael Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Lori Hendricks Fx_j IND Dispatcher 8.70 274-03 RCOM C/o: San Rafael Police Association ROTH 1554 Fifth Avenue PTY City of San Rafael San Rafael, CA 94935 Union member's dues received through intermedia yy:qa':CCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94931 12/15/2013 Lori Hendricks FRI IND Dispatcher 8.70 274.03 RCOM C/o: San Rafael Police Association ROTH 1554 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94935 Union member's dues received through intermediaTy: q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95013 12/31/2013 Lori Hendricks FX -1 IND Dispatcher 8.70 274.03 RCOM C/o: San Rafael Police Association F] OTH City of San Rafael 1554 Fifth Avenue PTY San Rafael, CA 94935 EA:C(�afael Union member's dues received throuSIh intermedia iy: Police Association, 1.520 Fifth Avenue, San Rafael, CA 94887 10/31/2013 Robert Henkle RX IND Officer 11.18 352.54 RCOM C/o: San Rafael Police Association EJOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 member's dues received through intermedia &:QP;afae1l Police Association, 1.520 Fifth Avenue, S Rafael, CA 9490L 'Union SUBTOTAL$ 45.98 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Type or print in ink. SCHEDULE A (CONT�. Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31Z2013 Page 38 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 8315S3qc�l 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) 11/15/2013 Robert Henkle rx-1 IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermedialv: Rafael panCUnion Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490L 11/30/2013 Robert Henkle[2] IND Officer 11.18 352.54 FICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermediaiy:qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94932 12/15/2013 Robert Henkle ®IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95011 12/31/2013 Robert Henkle [X] IND Officer 11.18 352.54 f-1 COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia xy: Egan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9493) 10/31/2013 J_ Alexander Holm RIND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 ,Union member's dues received through intermediadv-.Lg §�CPafaell Police Association, 1520 Fifth Avenue SAn I Rafael, CA 9490L - *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 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 CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31Z2013 Page 39 _ of 85 - I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 J. Alexander Holm IND Officer 11.18 352.54 MCONI C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 [;SCC Union member's dues received through intermediary: an Rafael Police Association, 1520 Fifth venue, San Rafael, CA 94901 11/30/2013 J. Alexander Holm [Z IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 _� r"San Union member's dues received through intermedia iv :'CRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94933 12/15/2013 J. Alexander Holm Fxj IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: ansa qRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95015 12/31/2013 J. Alexander Holm [E IND Officer 11.18 352.54 []COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 E; Union member's dues received through intermediary: anSCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94931 10/31/2013 Lisa Holton FX1 IND Sergeant 11.18 352.54 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901M pion meer's dues received through-intermedia [Umbdy C Pafae1l Police Association, 15201 Fifth Avenue, S Rafael, CA _9490L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period II CALIFORNIA to whole dollars. , 460 from 10/20Z2013 FORM through 12/31/2013 Page 40 _ of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Lisa Holton rx-1 IND Sergeant 11.18 352.54 com C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 F-1 SCC Union member's dues received through intermedia zy:-8an Rafael Police Association, 1520 Fifth &venue, San Rafael, CA 94901 11/30/2013 Lisa Holton nx IND Sergeant 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qaSnCCZafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94934 12/15/2013 Lisa Holton 0 IND Sergeant 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95016 12/31/2013 Lisa Holton [M IND Sergeant 11.18 352.54 ncom C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 member's dues received through intermedia an{;`PafaeUnion l Police Association, 1520 Fifth Avenue, San Rafael, CA 94932 10/31/2013 Kyle Hornstein nx IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1S20 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia dv:Q§�CI�Zafael Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490L *Contributor Codes Individual 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: 866/ASK-FPPC (8661275-3772) xq; unts may be rounded Monetary Contributions Received Amounts Statement covers period CALIFORNIA whole dollars. 460ft 0 from 10/20/2013 FORM through 12/31/2013 Page 41 _ of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) ll/lS/2013 Kyle Hornstein Fx_j IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -ry:F;aSn0CRafae1 Police Association, 1520 Fifth Avenue, S n Rafael, CA 94201 11/30/2013 Kyle Hornstein nx IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:CRafael �an Police Association, 1520 Fifth Avenue, San Rafael, CA 94935 12/15/2013 Kyle Hornstein r_xj IND Corporal 11.18 352.54 FICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiy:qdSnCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 95017 12/31/2013 Kyle Hornstein FX -1 IND Corporal 11.18 352.S4 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediaiy:LSC :Lan Police Association, 1520 Fifth Avenue, San Rafael, CA 94933 10/31/2013 Carl Huber [K IND Corporal 11.18 3S2.54 ncom C/o: San Rafael Police Association OTH City of San Rafael 1820 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia d'-E_AMCtZafae1 Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L 777 Contributor 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$ . . . ... .. 5 5 9 0 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Nos- Min Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/20/2013 6:14 ru t z I a M N KK*M Ij *Contributor Codes IND—individual Recipient Committee (other than PTY or SC 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 12/31/2013 Page 42 _ of 85 NAME OF FILER I.D. 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) 11/1S/2013 Carl Huber f x-1 I N D Corporal 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 1 SCC Union member's dues received through intermedia xy:L-4an Rafael Police Association, 1520 Fifth Avenue. Sa, n Rafael - 9 CA4901 11/30/2013 Carl Huber nx IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 S Unionmember's dues received through intermediayv:qanCl Rafae Police Association, 1520 Fifth Avenue, San Rafael, -CA 94936 12/15/2013 Carl Huber nx IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union members s dues received through intermediaiv: qaSnCCRaf ael Police Association, 1520 Fifth Avenue,--- San Rafael CA 95016 12/31/2013 Carl Huber nx IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association FJOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 member's dues received throu2h intermedia-ry.- qan`Union afore l Police Association, 1520 Fifth Avenue, San Rafael, CA 94931 10/31/2013 Eric Huot nx IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia&:L� §� CPafaell Police Association1.520 Fifth Avenue S Rafael, CA 9490L SUBTOTAL$ 90 *Contributor Codes IND—individual Recipient Committee (other than PTY or SC 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) 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 10220/2013 through 12Z31/2013 age 43 _ of 85 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) 11/15/2013 Eric Huot IND Officer 11.18 352.54 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary Rafae :F­_1SanSC l Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Eric Huot nx IND Officer 11.18 352.54 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 CC Union member's dues received through intermedia rv:-F--3an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94937 12/15/2013 Eric Huot nx IND Officer 11.18 352.54 EICOM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E;SC�z Union member's dues received through intermedia 'ry: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95019 12/31/2013 Eric Huot nx IND Officer 11.18 352.54 F-1 COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received through intermedia zy: qanRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94935 10/31/2013 Scott I ngels nx IND Corporal 11.18 352.54 ncom C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediadv: afael Police Association, 1520 Fifth Avenue, SIn Rafael, CA 9490L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee 0 At . . . . . . . . . . . SUBTOTAL$ 55.09 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) t Mo netary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460' from 10/20/2013 FORM through 12Z31/2013 Page 44 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED , . (IF COMMITTEEALSO ENTER ID. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Scott Ingels Fx] IND Corporal 11.18 352.54 QCOIVI C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiy:E;aS nCCRafae1 Po ice Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Scott Ingels Fx� IND Corporal 11-18 352.54 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E; CR member's dues received through intermedia iv: anUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94938 12/15/2013 Scott Ingels Fx_j IND Corporal 11.18 352.54 [I COM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 95020 12/31/2013 Scott Ingels RX IND Corporal 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia :E;a'nKafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9493 10/32/2013 Lynette Keller RIND Community Service Officer 8.70 274.03 RCOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 'Union member's dues received through intermediady:Q§�qzafaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND—individual 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) Fsir C Toll -Free Helpline: ass 1ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whale dollars. 460'i from 10/20/2013 FORM through 12/31/2013 Page 45 of 85 NAME OF FILER I.D. 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) 11/15/2013 Lynette Keller x IND Communit Service Officer y 8.70 274.03 ❑COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qSCC afae Police Association 1520 Fifth Avenue San Rafael CA 24901 11/30/2013 Lynette Keller x IND Communit Service Officer Y 8.70 274.03 QCOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City Of San Rafael San Rafael, CA 94901 E�`�j CR Union member's dues received through intermedia :`fan an Police Association 1520 Fifth Avenue San Rafael CA 9493 12/15/2013 Lynette Keller ZINC} ❑ CommunityService Officer 8.70 274.03 n COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue L� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :�anRafae Police Association 1520 Fifth Avenue San Rafael CA 9502 12/31/2013 Lynette Keller xIND CommunityService officer 8.70 274.03 QCOM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 (� (an Union member's dues received. through intermedia ` :`-SRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9488 10/31/2013 Rebecca Kuga nIND YSR Supervisor 8.70 274.03 ❑ COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Inion member's dues received three h intermedia : afael Police Association 1.520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes Individual COM — Recipient Committee than PTY or SCC) • Political., business entity) Party Cofttribu-tor Cateiiiftee SUBTOTAL $ 43.50 FPPC Form 460 s s Toll -Free i s• s (866/275-3772) iq��q III,! �I q111111 III �� I Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10220Z2013 FORM through 12Z31/2013 Page 46 of 85 NAME OF FILER I.D. 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) 1l/15/2013 Rebecca Kuga nx IND YSB Supervisor 8.70 274.03 F-1 COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 F� SCRLfae Union member's dues received throw intermediaiv:l Police Association, 1520 Fifth Avenue, San Rafael, M 24901 11/30/2013 Rebecca Kuga [Z IND YSB Supervisor 8.70 274.03 r-1 COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaS:CCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94940 12/15/2013 Rebecca Kuga [j] IND YSB Supervisor 8.70 274.03 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaTy: q an{; Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95022 12/31/2013 Rebecca Kuga nx IND .YSB Supervisor 8.70 274.03 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 r__1 member's dues received through intermediaxy:L-4l an�RafaeUnion Police Association, 1520 Fifth Avenue, S Rafael, CA 94889 10/31/2013 Marc Laplante nx IND Officer 11.18 352.53 F-1 COM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 ,Union member's dues received through intermedia afae,l Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party SCIC — Small Contributor Committee 0 It . . ... . . . .. SUBTOTAL $ 45.98 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4,w 0 from 10/20/2013 FORM through 12/31/2013 Page 47 of 85 NAME OF FILER I.D. 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) 11/15/2013 Marc Laplante nx IND Officer 11.18 352.53 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:q�anRafael Police Association, -15 0 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Marc Laplante nx IND Officer 11.18 352.53 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 nionmemberIIs dues received through intermedialv:qaSnCl Rafae Police Association, 1520 Fifth Avenue . San Rafael CA 94941 12/15/2013 Marc Laplante nx IND Officer 11.18 352.53 F] COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:E;SCCRafael an Police Association, 1520 Fifth Avenue, San Rafael, CA 95023 12/31/2013 Marc Laplante BIND Officer 11.18 352.53 ncom C/o: San Rafael Police Association QOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 E;aS:C�Zafael Union member's dues received through intermedia : Police Association, 1520 Fifth Avenue, San Rafael, CA 94937 10/31/2013 Kimberly Larkey BIND Officer 11.18 352.53 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 �Jnion member's dues received through intermediadL �� C Pafaell Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$55.94 It FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 48 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Kimberly Larkey FRI IND Of f icer 11.18 352.53 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 FI SCC Union member's dues received throe intermedia-rv:---5an Rafael Polic!a Association, 1520 Fifth Avenue S n Rafael, CA 949011 11/30/2013 Kimberly Larkey [j] IND Of f icer 11.18 352.S3 nCOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:�6SHCCRafael, Police Association, 1520 Fifth Avenue, San Rafael, CA 94942 12/15/2013 Kimberly Larkey [ZIND Officer 11.18 352.S3 QCom C/o: San Rafael Police Association �OTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:qaS:CRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 95021 12/31/2013 Kimberly Larkey ®IND Officer 11.18 352.53 [:] COM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 Union member's dues received throu2h intermediaxy:E;aSnCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94936 10/31/2013 Anndora Lee FIND Dispatcher 8.70 274.03 EICOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue � PTY San Rafael, CA 94901 Union member's dues received through intermedia&:L-4 r_M(;,afae1 Police Association 15201 L Fifth Avenue, SAn Rafael, CA 9490L IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee �� I .......... SUBTOTAL$ 53.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) &TIT—M 11 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12231/2013 Page 49 _ of 85 - NAME OF FILER I.D. 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) 11/15/2013 Anndora Lee IND Dispatcher 8.70 274.03 COM C/o: San Rafael Police Association [-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901C Union member's dues received through intermedia-rv:qaSnC Rafael Police Association, 1520. Fifth Avenue San Rafael, CA 94901_ 11/30/2013 Anndora Lee Rx IND Dispatcher 8.70 274.03 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia rv:an Police Association, 1520 Fifth Avenue, San Rafael, CA 94943 12/15/2013 Anndora Lee Rx IND Dispatcher 8.70 274.03 FICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv: qsaRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 95025 12/31/2013 Anndora Lee FX -1 IND Dispatcher 8.70 274.03 FlCOM C/o: San Rafael Police Association E]OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediazy:qaP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94893 10/31/2013 Rogelio Leon IND Sergeant 11.18 352.53 E]COM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue [:] PTY San Rafael, CA 94901 Union meer's dues received through intermedia mbdv : afae� Q§�CP Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490L IND—individual 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) 5 mwj4, SCHEDULE A (CONT) Tvpe or print in ink. Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460' from 10/20/2013 FORM through 12/31/2013 Page 50 Of 85 NAME OF FILER I.D. 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) 11/15/2013 Rogelio Leon Fx] IND Sergeant 11.18 352.53 F] COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901C Union member's dues received throe intermediayy:F---5aSnC Rafael Police Association, 1520 Fifth Lvenue, San Rafael, CA 94901 11/30/2013 Rogelio Leon Fx IND Sergeant 11.18 352.53 F1 COM C/o: San Rafael Police Association � OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 -"CCRafael Union member's dues received through intermediaiv J—an Police Association, 1520 Fifth Avenue, San Rafael, CA 94944 12/15/2013 Rogelio Leon BIND Sergeant 11.18 352.53 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue D PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union member's dues received through intermediaxy: an afael Police Association, 1520 Fifth Avenue, San Rafael, _CA 95026 12/31/2013 Rogelio Leon ®IND Sergeant 11.18 352.53 F-1 COM C/o: San Rafael Police Association FQOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia xy:E;aSnCCkafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94939 10/31/2013 Kevin Macdougald FX -1 IND Officer 11.18 3S2.54 QCOM C/o: San Rafael Police Association FIOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 nion member's dues received through intermedia 'U& Q§PC : !Zafaelll Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l *Contributor Codes IND — Individual COM — Reent Citt- ,o (ther than PTY or SCC) Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee 0 It . . . ........ . . .. SUBTOTAL$ 55 .90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 111 1111 qqi& 1 '111111 �•� SEEMS Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. , 460 from 10/20/2013 FORM through 12/31/2013 Page 51 Of 85 NAME OF FILER I.D. 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) 11/15/2013 Kevin Macdougald Rx IND Officer 11.18 352.54 ROOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Kevin Macdougald Rx IND Officer 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 -- member's dues received through intermediaxv:l q anRafaeUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94945 12/15/2013 Kevin Macdougald [ZIND Officer 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue RPTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediayv:qanSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95027 12/31/2013 Kevin Macdougald FX -1 IND Officer 11.18 3S2.54 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediaiy:�aECCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94940 10/31/2013 Michael Mathis RIND Corporal 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue R PTY San Rafael, CA 94901 Union meer's dues received through intermedia 'mbdy Q§�C : �afael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (Januaty/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10Z20/2013 FORM through 12/31/2013 Page 52 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee r, C� "� 8311-11 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) 11/15/2013 Michael Mathis MIND Corporal 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermedia yv: an Rafael Police Association, 1520 Fifth Lvenue, San Rafael, CA 94901 11/30/2013 Michael Mathis MIND Corporal 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 F-1 Union member's dues received through intermedia ry: an R.afae Police Association, 1520 Fifth Avenue, San Rafael, CA 94946 12/15/2013 Michael Mathis Rx IND Corporal 11.18 352.54 F-1 COM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;SCCR Union member's dues received through intermediary: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9502B 12/31/2013 Michael Mathis RX IND Corporal 11.18 352.54 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia ry:E;a'P�afael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94942 10/31/2013 Kelly Mauel RX IND Records Clerk 8.70 274.05 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 [Union member's dues received through intermedia dy-_:LA�CPafaell Police Association, 152'0 Fifth Avenue, Sdn Rafael, CA 949011. *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 53.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) M onetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10Z20/2013 FORM through 12/31/2013 Page 53 . of 85 - NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER 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) 11/15/2013 Kelly Mauel F_x] IND Records Clerk 8.70 274.05 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:qanSC Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Kelly Mauel [Z IND Records Clerk 8.70 274.05 EICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 F-1 Union member's dues received through intermedia iy:—'5aS:CCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94947 12/15/2013 Kelly Mauel BIND Records Clerk 8.70 274.05 ROOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 sa� Union member's dues received through intermedial'V: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95029 12/31/2013 Kelly Mauel RIND Records Clerk 8.70 274.05 RCOM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 member's dues received through intermediary: �anUnion afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94891 10/31/2013 Abigail Mcelderry FX-1 IND Dispatcher 8.70 274.05 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediaxv:Q�PCPafael Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490L IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 43.50 FPPC Form 460 (January/05) F FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA t© whole dollars. 4 0 from 10Z20/2013 FORM through 12/31/2013 Page 54 _ of 85 - NAME OF FILER I.D. 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) 11/15/2013 Abigail Mcelderry nx IND Dispatcher 8.70 274.05 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;anC Union member's dues received through intermedia"rv: Rafae l Police Association, 1520 Fifth Avenue. San Rafael CA 94901 11/30/2013 Abigail Mcelderry Fx_j IND Dispatcher 8.70 274.05 COM C/o: San Rafael Police Association FJOTH 1.520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94979 12/15/2013 Abigail Mcelderry nx IND Dispatcher 8.70 274.05 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy:qaSHCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95061 12/31/2013 Abigail Mcelderry nx IND Dispatcher 8.70 274.05 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received throe intermedia iy: qsna� aafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94892 10/31/2013 Phillip Melodia ®IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia d-v:MCRafael r EA Police Association, 1520 Fifth Avenue,, S Rafael, CA 9490L *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 45.98 FPPC Form 460 (January/05) 5Z.7.9 Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460'; from 10/2022013 FORM through 12Z31/2013 Page 55 - Of 85 NAME OF FILER I.D. 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) 11/15/2013 Phillip Melodia Rx IND Cuff icer 11.18 352.56 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu_gh interm, dia-rv: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Phillip Melodia[ZIND Of f icer 11.18 352.56 RCOM C/o: San Rafael Police Association Fj OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901SCC Union member's dues received through intermediary-Fan :-SRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94949 12/15/2013 Phillip Melodia ®IND Of f icer 11.18 352.56 RCOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:E;anSC �afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95031 12/31/2013 Phillip Melodia FX -1 IND officer 11.18 352.56 ❑ COM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 member's dues received through intermediaiv: an`FafaeUnion l Police Association, 1520 Fifth Avenue, San Rafael, CA 94941 10/31/2013 Beth Minka RIND Administrative Technician 8.70 274.05 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue R PTY San Rafael, CA 94901 Union meer's dues received through intermedia ,mb&: L-A ' �� CVafae� Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL 53.42 FPPC Form 460 (January/0' FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771 San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. �Ij SRI iii �J] II� I III 11111 II� I III A.& Statement covers period from 10/20/2013 through 12/31/2013 1 Page 56 _ of 85 _ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ll/lS/2013 'Beth Minka IND Administrative Technician 8.70 274.05 FICOM C/o: San Rafael Police Association [:1 OTH 1.520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:E;aS:CCRafael Po ice Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Beth Minka FRI IND Administrative Technician 8.70 274.05 ❑COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 F-1 Union member's dues received through intermediaxv:---5a'nCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94950 12/15/2013 Beth Minka F_x] IND Administrative Technician 8.70 274.05 COM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union member's dues received through intermedia rv: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95032 12/31/2013 Beth Minka [K IND Administrative Technician 8.70 274.05 RCOM Clo: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 (�afael Union member's dues received through intermedia xy:LganSC Police Association, 151220 Fifth Avenue, San Rafael, CA 94893 10/31/2013 Jorge Navarro RIND Evidence Technician 8.70 274.051 RCOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediadv:[AP�Zafael Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L SUBTOTAL $ 43.50 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee # Statement covers period CALIFORNIA FORM 460 from 10/20Z2013 through 12Z31/2013 Page 57 of 85 NAME OF FILER I.D. 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) 1l/15/2013 Jorge Navarro IND Evidence Technician 8.70 274.05 COM C/o: C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Unionmember's dues received through intermedia2:v:E;aSnCl Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Jorge Navarro Fxj IND Evidence Technician 8.70 274.05 F� COM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:F­t3anSC Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94951 12/15/2013 Jorge Navarro [_B IND Evidence Technician 8.70 274.05 D COM C/o: San Rafael Police Association [_1 OTH 1.520 Fifth Avenue F_� PTY City' of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95033 12/31/2013 Jorge Navarro FX] IND Evidence Technician 8.70 274.05 ❑ COM C/o: San Rafael Police Association Q OTH City of San Rafael 1520 Fifth Avenue Fj PTY San Rafael, CA 94901 Union member's dues received throw intermediary: q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94891 10/31/2013 Alexis Nielsen FX -1 IND Dispatcher 8.70 274.05 F�Com C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 .Union member's dues received through intermediady:Q§�CRafaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes Individual Recipient Committee (other than PTY or SCC) Other (e.g., business entity) PTY — Political Party Small Contributor Committee ------------------------- �P SUBTOTAL$ 4 3.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20Z2013 FORM through 12/31Z2013 Page 58 Of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Alexis Nielsen IND Dispatcher 8.70 274.05 RCOM C/o: San Rafael Police Association QOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 d Union member's dues receivethrough intermedia qSCC an Rafael Police Association, 1520 Fifth Avenue. San LZafael, CA 94901 11/30/2013 Alexis Nielsen [Z INDDispatcher 8.70 274.05 F-1 COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:aSnCCRafae1 q Police Association, 1520 Fifth Avenue, San Rafael, CA 94952 12/15/2013 Alexis Nielsen Rx IND Dispatcher 8.70 274.05 FICOM C/o: San Rafael Police Association F -I OTH ❑PTY 1520 Fifth Avenue city of San Rafael San Rafael, CA 94901 union member's dues received through intermediazv:[;dSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95034 12/31/2013 lexis Nielsen RX IND Dispatcher 8.70 274.05 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 E;JSPRafael Union member's dues received through intermediaxy: Police Association, 1520 Fifth Avenue, San Rafael, CA 94895 10/31/2013 Leslie O'Toole FX -1 IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia dy:Q§PCPafae Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Sittall Cnkcilkutor Goiniciffee SUBTOTAL $ 45.98 ------ -------- ----- ------- FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 10% Monetary Amounts may be rounded t;ontributions Received Statement covers period CALIFORNIA to whole dollars. 460 from 10Z20`Z2013 FORM through 12/31Z2013 Page 59 Of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Leslie O'Toole nx IND Officer 11.18 352.56 EICONI C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;aSnC C Union member I s dues received through intermedia lv: Raf ael Police Association, 1520 Fif th Avenue, San Rafael CA 94901 11/30/2013 Leslie O'Toole [Z IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediary:anafael �SCCRUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94953 12/15/2013 Leslie O'Toole M IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association ]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:E4PRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9503-D 12/31/2013 Leslie O'Toole nx IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throu2h intermedia xv:EA:C�Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94945 10/31/2013 Meaghan Pang nx IND Dispatcher 8.70 274.05 ncom C/o: San Rafael Police Association F] OTH City of San Raphael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediadV:E__AMCPafae1 r Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee SUBTOW-W 53.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFRNIA O4601 to whole dollars. from 10/20/2013 FORM through 12131./2013 Page 60 of 85 NAME OF FILER I.D. 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 THS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {IF COMMITTEE, ALSO ENTER I.Q. NUMBER} CODE {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} ll/15/2013 Meaghan Pang x IND ❑ Dispatcher 8.70 274.05 F� COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue Q PTY City of San Raphael San Rafael, CA 94902 m Union member's dues received through interedia qscc RafaelPolice Association 520 Fifth Acre ue n Rafael CA 94901 11/30/2013 Meaghan Pang x INDp Dis atcher 8.70 274.05 M COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F] PTY City of San Raphael San Rafael, CA 94901 ((�� Union member's dues received. through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9497 12/15/2013 Meaghan Pang nx IND Dispatcher 8.70 274.05 EICOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue PTY. City of San Raphael San Rafael, CA 94902 Union member's dues received through intermedia anRafae Police Association 1520 Fifth Avenue San Rafael CA 9505 12/31/2013 Meaghan Pang X IND Dispatcher p 8.70 274.05 0 COM C/o: San Rafael Police Association BOTH City of San Raphael 1520 Fifth Avenue PTY San Rafael, CA 94901. Union member's dues received throe h intermediayy::;aSnCRafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 9489 10/31/2013 Nicola Pata FRI IND Dispatcher 8.70 274.05 0 COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 ..anion member's dues received through intermedia&:Q§�CVafael Police Association 1.520 Fifth Avenue S n Rafael CA 94.90 Individual Recipient Committee Political(other than PTY or SCC) OTH — Other (e.g., business entity) SUBTOTAL $ 43.50 FPPC Form • II P • Toll -Free Helpline: • • air (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/20/2013 99WEERINKMEW through 12/31/2013 Page 61 _ of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Nicola Pata rx-1 IND Dispatcher 8.70 274.05 ncom C/o: San Rafael Police Association []OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 _1SCl member's dues received through intermediaxy:F-5anSan Rafae Police Association, 1520 Fifth AyUnion Rafael, CA 9420L 11/30/2013 Nicola Pata [E IND Dispatcher 8.70 274.05 EICOM C/o: San Rafael Police Association [DOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94951 12/15/2013 Nicola Pata nx IND Dispatcher 8.70 274.05 EICOM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy: q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95036 12/31/2013 Nicola Pata nx IND Dispatcher 8.70 274.05 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermedia zy: q ansaR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94897 10/31/2013 Brian Patterson FIND Officer 11.18 352.56 ncom C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901§PC 'mbd-VL-A Union meer's dues received through intermedia :Zafael Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490L SUBTOTAL$ 45.98 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee ♦ Type or print in ink. SCHEDULE A (CONT) M C} '1E' Contributions Keceived Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31Z2013 Page 62 _ of 85 NAME OF FILER I.D. 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) 11/15/2013 Brian Patterson X IND Officer 11.18 352.56 ICOM C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy:qaK Raf ael Police Association, 1520 Fifth Aven1je, San Rafael, CA 24901 11/30/2013 Brian PattersonFx_j IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia xv:Tan Police Association, 1520 Fifth Avenue, San Rafael, CA 94956 12/15/2013 Brian Patterson Rx IND Officer 11.18 352.56 ICOM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union member's dues received through intermediary: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95038 12/31/2013 Brian Patterson FX -1 IND Of fiver 11.18 352.56 [-] Com C/o: San Rafael Police Association F-1 OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 r__1 SC 1�af Union member's dues received through intermediary: L-4an ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94947 10/31/2013 Buffy Paxson FX -1 IND Officer 11.18 352.56 COM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throw intermedia&:Q§�CPafael Police Association, 1520 Fifth Avenue, Sdn Rafael, CA 9490L Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee SUBTOTAL$ -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 CALIFORNIA to whole dollars. 460 from 10/20Z2013 FORM through 12Z31Z2013 Page 63 _ of 85 - NAME OF FILER I.D. 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) 11/15/2013 Duffy Paxson❑IND Officer 11.18 352.56 FICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Fj SCRafae Union member's dues received through intermedia xy:--sl Police Association, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Duffy Paxson [Z IND .Officer 11.18 352.56 ❑COIVI C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv: anqsaRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94957 12/15/2013 Duffy Paxson nx IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazy: qanafae�z l Police Association, 1520 Fifth Avenue, San Rafael, CA 95039 12/31/2013 Duffy Paxson FX -1 IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediazy:qaSnC�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94948 10/31/2013 Aaron Piombo nX IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association FJOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union meer's dues received through intermedia ,mbdv : Q§��ZafaeL Police Association, 1520 Fifth Avenue, Sdn Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Ell Monetary Contributions Received Amounts may be rounded Statement covers period CARA LIFONI to whole dollars. 460' from 10Z20/2013 FORM through 12Z31Z2013 Page 64 _ of 85 NAME OF FILER I.D. 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) 11/15/2013 Aaron Piombo Rx IND Officer 11.18 352.56 D COM C/o: San Rafael Police Association [__j OTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member' r2 dues received through intermediazy: qSCC an Rafael Police Association, 1520 Fifth AveLiue. San Rafael, CA 94901 11/30/2013 Aaron Piombor-xl IND Officer 11.18 352.56 F] COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E; Union member's dues received through intermedia iv: aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9495B 12/15/2013 Aaron Piombo FRI IND Officer 11.18 352.56 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiy:qdS:CRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95040 12/31/2013 Aaron Piombo r_xj IND Off icer 11.18 352.56 FICOM C/o: San Rafael Police Association F� OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 ��jj Union member's dues received through intermedia xy:qJSP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94951 10/31/2013 Dennis Prince BIND Officer 11.18 352.56 COM C/o: C/o: San Rafael Police Association n OTH City of San Rafael 15220 Fifth Avenue F� PTY San Rafael, CA 94901 Union member's dues received through intermediajy:QCfZafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l *Contributor Codes IND—Inddual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) Political Party SCC — Small Contributor Committee SUBTOTAL $ SS." _"o FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4'oftu 10 from 10/20/2013 FORM through 12/31/2013 Page 65 _ of 85 NAME OF FILER I.D. 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 M U LATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Dennis Prince nx IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermedia-rv-SCanl RafaeUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94201 11/30/2013 Dennis Prince [Z IND Officer 11.18 352.56 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:E;SCCR.afael an Police Association, 1520 Fifth Avenue, San Rafael, CA 94963 12/15/2013 Dennis Prince nx IND Officer 11.18 352.56 F-1COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediax-v:E;'C an Rafa.el Police Association, 1520 Fifth Avenue, San Rafael, CA 95042 12/31/2013 Dennis Prince [S] IND Officer 11.18 352.56 E]COM C/o: San Rafael Police Association ❑nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermediaxy:E;a'nKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94952 10/31/2013 Ronda Reese [ZIND Corporal 11.18 352.56 EICOM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901LAR�f C",CV Union member's dues received through intermedia afael Police Association, 1520 Fifth Avenue Sdn L Rafael CA 9490L I *Contributor C•s- • • COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 55.90 q TVpe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 41Ajft 0 from 10/20/2013 FORM through 12/31/2013 Page 66 . of 85 - NAME OF FILER I.D. 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) 11/15/2013 Ronda Reese Fxj IND Corporal 11.18 352.56 F-1 COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermedia -rv: an Rafael Police Asgiociation, 1520 Fifth Avenue, San Rafael, CA 24901 11/30/2013 Ronda Reese ®IND Corporal 11.18 352.56 FICOM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 F-5an _1 Union member's dues received through intermedia :SCRafae l Police Association, 1520 Fifth Avenue. San Rafael, CA 9496zy 12/15/2013 Ronda Reese [j] IND Corporal 11.18 352.56 RCOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SC Union member's dues received through intermediaxy:L-4anl�afael Police Association, 1520 Fifth AvenueS , n RafaelCA 9504 , 3 12/31/2013 Ronda Reese RIND Corporal 11.18 352.56 OCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 nion member's dues received through intermediary -l �an�afae Police Association, 1520 Fifth Avenue, San Rafael, CA 94953 10/31/2013 Margo Rohrbacher RX IND Civilian Supervisor 8.70 274.05 EICOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue R PTY San Rafael, CA 94901__1§PC Union meer's dues received through intermedia ,mbdv r Vafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party Small Contributor Committee . . ..... SUBTOTAL $ . 53.42 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) lip 111Ipj! y Monetary Contributions Received Amounts may be rounded Statement coversperiodCALIFORNIA to whole dollars. 4 6 U4% from 10/20/2013 FORM through 12Z31/2013 Page 67 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Margo Rohrbacher nx IND Civilian Supervisor 8.70 274.05 ncom C/o: San Rafael Police Association QOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia zy: qSCC an RafaelPolice Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2013 Margo Rohrbacher Fxj IND Civilian Supervisor 8.70 274.05 ncom C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Unionmember's dues received through intermediarv:E;anl Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94962 12/15/2013 Margo Rohrbacher IND Civilian Supervisor 8.70 274.05 com C/o: San Rafael Police Association BOTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazy: qsc�z an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 95044 12/31/2013 Margo RohrbacherxIND Civilian Supervisor 8.70 274.05 ncom C/o: San Rafael Police Association FJOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received through intermedia zy: q an`Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94898 10/31/2013 Peggy Ruge BIND Community Service Officer 8.70 274.12 EICOM C/o: San Rafael Police Association Fj OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 nion meer's dues received through intermedia ,Umbdy r __'M�Z afaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes 1 IND—Individual Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party Small Contributor Committee 41H SUBTOTAL$ 43.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12Z31Z2013 Page 68 - Of 85 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831551 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) 11/15/2013 Peggy Ruge IND Community Service Officer 8.70 274.12 000M C/o: San Rafael Police Association [RUTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:[;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Peggy Ruge Fx IND Community Service Officer 8.70 274.12 ❑COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rv:q7aSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94963 12/15/2013 Peggy Ruge nx IND Community Service Officer 8.70 274.12 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 71 SCCI_ Union member's dues received through intermedia rv:qan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95045 12/31/2013 Peggy Ruge Fx� IND Community Service Officer 8.70 274.12 F-1 COM C/o: San Rafael Police Association F_� OTH City of San Rafael 1520 Fifth Avenue F_� PTY San Rafael, CA 94901 1 Union member's dues received through intermedialy:L-4:C Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94899 10/31/2013 Thomas Sabido Fx� IND Officer 11.18 352.56 EDCUM C/o: San Rafael Police Association RUTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 neon meer's dues received throe intermedia Umbdy __7�Pq ZafaeIll Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual Recipient Committee (other than PTY or SCC) Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$45.98 FPPC Form 460 (January/01 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31/2013 Page 69 _ of 85 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Thomas Sabido x IND -ICOM Officer 11.18 352.56 F C/o: San Rafael Police Association F ] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Unionmember's dues received through intermediayy:ianCl--Police Rafae Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/30/2013 Thomas Sabido FZ IND Officer 11.18 352-56 QCOIVI C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901Rafae [;aSnCl Union member' s dues received through intermedialv: Police Association, 1520 Fifth Avenue, San Rafael CA 9496 4 12/l5/2013 Thomas Sabido ®IND Officer 11.18 352.56 FICOM C/o: San Rafael Police Association OATH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:qaSCniilafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9504. 12/31/2013 Thomas Sabido RX IND Officer 11.18 352.56 RCOM C/o: San Rafael Police Association ROTH City of San Rafael 1520 Fifth Avenue F-1 PTY San Rafael, CA 94901 Union member's dues received throuilh intermedia iy.-qaS:CRafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94951 10/31/2013 George Schikore FX -1 IND Of fiver 11.18 352.56 �COIVI C/o: San Rafael Police Association Fj OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union meer's dues received through intermedia ,mbdy _-MC' Zaf aell Police Association 1520 Fifth Avenue, SAn Rafael, CA 949011 *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Coalr4utor Committee SUBTOTAL$ :Z1 55.90 112L: I FPPC Form 460 (January/Oil" FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. bo from 10Z20Z2013 FORM through 12/31/2013 Page 70 of 85 NAME OF FILER I.D. 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) 11/15/2013 George Schikore❑IND Officer 11.18 352.56 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaS;CiCRafae1 Police Association, -1520 Fifth AvenLie. San Rafael, CA 94901 11/30/2013 George Schikore[j] IND Officer 11.18 352.56 Q COM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia Yy—_'5aSnCCRafael :Can Police Association , 1520 Fifth Avenue, San Rafael, CA 94965 12/15/2013 George Schikore Fxj IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia Tv: q anafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95047 12/31/2013 George Schikore RIND Off icer 11.18 352.56 RCOM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 member's dues received through intermediaiy: �an�Union afael Police Association, 1520 Fifth Avenue, -San Rafael, CA 94955 10/31/2013 Justin Schraeder RIND Off icer 11.18 352.56 RCOM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 ,Union member's dues received through intermedia ny Q§�C�zafael Police Association, 1520 Fifth Avenue, Sin Rafael , , CA 9490� Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party ,Sf,_C,—�zL2JLC_a1,ttriWutor Committee SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Monetary Contributions Receiv d Amounts may be rounded Statement covers period CALIFORNIA A$ to whole dollars. tft 0 4 from 10Z20/2013 FORM through 12/31/2013 Page 71 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831r,.5C� _� 53 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Justin Schraeder rx] IND officer 11.18 352.56 ncom C/o: San Rafael Police Association n OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 E;SCRa Union memo is dues received through intermedia Ty: anfael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Justin Schraeder ®IND Officer 11.18 352.56 nCOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ]rV:E;aSnCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94966 12/15/2013 Justin Schraeder [j] IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95046 12/31/2013 Justin Schraeder nx IND Officer 11.18 352.56 FICOM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 E;SC(� Union member's dues received throe intermediaxy: an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94956 10/31/2013 Wanda Spaletta [KIND Sergeant 11.18 352.56 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia dv:LA�CRafaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 94901l *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCIC — Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) ♦Twe or print in ink. SCHEDULE A (CONT.) ''MoTtWheex Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 14Z20/2013 FORM through 12/3lZ2013 Page 72 of 85 NAME OF FILER I.D. 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) 11/15/2013 Wanda Spaletta nx IND Sergeant 11.18 352.56 FICOM C/o: San Rafael Police Association QOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;SCRafael Union member's s dues received through intermediayv: an Police Association, 1520 Fifth Avenue. San Rafael CA 94901 11/30/2013 Wanda Spaletta [j] IND Sergeant 11.18 352.S6 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv: qaS:CCR.afael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94967 12/15/2013 Wanda Spaletta nx IND Sergeant 11.18 352.56 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:E;dSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95049 12/31/2013 Wanda Spaletta nx IND Sergeant 11.18 352.56 ncom C/o: San Rafael Police Association [BOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received throe intermedia qSC an(afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94957 10/31/2013 Christopher Sweeney nx IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association F1 OTH City of San Rafael 1520 Fifth Avenue [:]PTY San Rafael, CA 94901MCP ,mbd,:L-A Union meer's dues received through intermedia afae� Police Association, 1520 Fifth Avenue, S Rafael, CA 9490� *Contributor Codes Individual Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Go#tri*,tjtor Committee SUBTOTAL $ 55.90 .. . .. ... . FPPC Form 460 (Januaty/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) A Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4bu from 10/20/2013 FORM through 12/31/2013 Page 73 . of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ll/lS/2013 Christopher Sweeney Fxj IND Officer 11.18 352.56 F�COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia-rv:qanl :qan Police Association, 1520 Fifth .Avenue n Rafael, CA 24901 11/30/2013 Christopher Sweeney FRI IND Officer 11.18 352.56 QCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901Rafae Union member's dues received through intermedia*rv:qaSnCl Police Association, 1520 Fifth Avenue, San Rafael, CA 94969 12/15/2013 Christopher Sweeney Fxj IND Officer 11.18 352.56 000M C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E; Union member's dues received through intermedia iv: anRafael Police Association, 1520 Fifth Avenue, S n Rafael, C.A. 9505L 12/31/2013 Christopher Sweeney nx IND Officer 11.18 352.56 EICOM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throe intermedia xy: anRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94959 10/31/2013 Charly Taylor nx IND Civilian Supervisor 8.70 274.12 ncom C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue [:]PTY San Rafael, CA 94901 ,Union member's dues received through intermediad,: L-A r__'§9C �afqe1l Police Association, 1520 Fifth Avenue, SAn Rafael, CA 9490� . ...... *Contributor Codes Individual Recipient Committee (other than PTY or S OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee L. ..... SUBTOTAL $ 53.42 FPPC Form 460 (January/01*1 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10Z20/2013 FORM through 12/31/2013 Page 74 . of 85 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS C U M U LATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Charly Taylor rx] IND Civilian Supervisor 8.70 274.12 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCRafael Police Association, 1520 Fifth AvenLie, San Rafael, CA 24901 11/30/2013 Charly Taylor nx IND Civilian Supervisor 8.70 274.12 EICOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia r_v:q7a'nCCRafael Police Association,, 1520 Fifth Avenue, San Rafael, CA 94973 12/15/2013 Charly Taylornx IND Civilian Supervisor 8.70 274.12 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 __1 SCC_ Union member's dues received throe ghintermedia xy:qan I-Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95052 12/31/2013 Charly Taylor Fxj IND Civilian Supervisor 8.70 274.12 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 1 Union member's dues received through intermediaxy:�Joa':C(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94900 10/31/2013 Henry Tirre nx IND Officer 11.18 352.56 F-1 COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901y: ,Union member's dues received through intermedia 1§C �Pafael Police Association, 15201 Fifth Avenue S i Rafael, CA 9490L *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee SCIC a SUBTOTAL$ 45.98 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) ♦ SCHEDULE A Tvve or print in ink. Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 10/20/2013 FORM through 12/31Z2013 Page 75 _ of 85 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 I DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2013 Henry Tirre nx IND Of fiver 11.18 352.56 ncom C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 FPolice member's dues received throu!gh intermedia xy5anCRafae :- lnion Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2013 Henry Tirre nx IND Officer 11.18 352.56 COM C/o: C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia yy:-�a':CCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94971 12/15/2013 Henry Tirre RIND Officer 11.18 352.56 COM C/o: C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia i'v: q anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 95053 12/31/2013 Henry Tirre FX -1 IND Officer 11.18 352.56 ncom C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedlay-y.- Eon Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9496) 10/31/2013 Michael Vergara FX -1 IND Sergeant 11.18 352.56 ncom C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia �y Q§��Zafaej Police Association, _1520, Fifth Avenue, S Rafael, CA 9490L . . ..... *Contributor Codes IND—individual Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 11 MINI 111 11111 I q� 'jg %}}1'1fc' trrit�cnS Received may be rounded Statement overs period CALIFORNIA to whole dollars. � t'i from �-020/2013 *' through 12/31/2013 Page 76 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CGDE 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 �.Q.UtsER} CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD JAN. 1 -DEC. 31 } (IF REQUIRED) OF BUSINESS} 11/15/2013 Michael Vergara INDg Ser sant 11.18 352.56 0 COM C/o: San Rafael Police Association F iOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :pan Rafae Police Association 1520 Fifth Avenue San Rafael A 0 11/30/2013 Michael Vergarax IND Sergeant sant 11.18 352.56 ❑COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [[� Union member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9497 12/15/2013 Michael Vergarag XIND Sergeant 11.18 352.5 ❑COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTS, City of San Rafael San Rafael, CA 94901 [� Union member's dues received through intermedia : �an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9505 12/31/2013 Michael Vergara nIND Sergeant 11.18 352.56 FICOM C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 {{�; Union member's dues received throe h intermedia :gan`Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9496 10/31%201.3 ark Wilkinson BIND Officer 11.18 251.76 COM C/o: San Rafael Police Association FJOTN City of San Rafael 1520 Fifth Avenue 0 PTY San Rafael, CA 94901-�M`R Union me er's dues received through intermedia afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes Individual Recipient Committee (otherPTY or Other Political rr arty .. Si BTOTAL $ 55.90 FPPC Form • . s s .e s s s r s (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period i CALIFORNIA to whole dollars. 46 0 from 10/20Z2013 FORM through 12Z31/2013 Page 77 _ of 85 NAME OF FILER I.D. 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) 11/15/2013 Mark WilkinsonFx-j IND Of f icer 11.18 251.76 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 -�SCl F'San_police meMber's dues rec ived through il2term edia-ry:. Rafae Association, 1520 Fifth Avenue. San Rafael, CA 9490Union 11/30/2013 Mark Wilkinson nx IND Off icer 11.18 251.76 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv: anqscRafae Police Association, 1520 Fifth Avenue. San Rafael, CA 9497B 12/15/2013 Mark Wilkinson nx IND Of f icer 11.18 251.76 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;dSnCCZaf Union member I s dues received through intermedia *rv: ael Police Association,1520 Fifth Avenue, S n Rafael CA - 9506 0 12/31/2013 Mark Wilkinson nx IND Officer 11.18 251.76 ncom C/o: San Rafael Police Association nOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 (�afael Union member's dues received through intermediary: q anSC Police Association, 1520 Fifth Avenue, San Rafael, CA 94962 nIND [:] COM nOTH E]PTY EISCC *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party C,C, — Sfy2ll GnAtAoutor Committee SUBTOTAL $ 44.72 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) !gr_htm_dtjIP_ Type car print in ink. SCHEDULE C Amounts may be rouncea Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA460 from 10/20/2013 FORM through 12/31/2013 Page 78 0# 85 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * {IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR {IF REQUIRED} (!F COMMITTEE, ALSO ENTER I.D. NUMBER) NAME of BUSINESS) (JAN 1 - DEC 31) o IND ❑ COIV1 F-1 0TH ❑ PTY ❑ SCC D IND Q COM F� 0TH Q PTY ❑ SCC F_� IND ❑ CCDM Fi 0TH ❑ PTY 7 SCC E]IND COM Q OTH PTY [:] SGC 0.00i Attach additional informationappropriately rt." continuation • a :TOTAL $ Schedule C Summary 1. Amount received this period -- itemized nonmonetary contributions. (Include all Schedule C subtotals.) ..................................................................................................................... 2. Amount received this period --- unitemized nonmonetary contributions of less than $100 .................................... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and .) ...................... TOTAL. *Contributor Cedes IND — Individual 0.00 COM — Recipient Committee other than PTY or SCC) 50.00 OTH -- Other e.g., business entity) P — Political Party SCC — Small Contributor Committee 50.00 FPPC Form 460 January/fly) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) D SCHEDULED Summary of ExpendituresSchedule Type � statement covers period _ , ot�let` Supporting/Opposingto Amounts may be round ed dollars. � ! R 414j" whole r°m 10/20/2013 Candidates, Measuresand Committees through l2 /31/2013 Page 79 of 85 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD JAN. 1 -DEC. 31) {IF REQUIRED} OR COMMITTEE 10/30/2013 Transactions and Use Tax E 5,000.00 15, 000.00 G13 15, 000.00 Q Monetary Contribution City of San Rafael, CA Nonmonetary Contribution Independent Q Support ❑ Oppose Expenditure 11/066/2013 Transactions and Use Tax E ® Monetary 5,000.00 15, 000. 00 G 13 25, 000.00 Contribution City of San Rafael, CA ❑ Nonmonetary Contribution Independent ® Support ❑ Oppose Expenditure 10/25/2013 Rate Colin Mailer including 5, 870.50 13, 759. 50 G 13 13, 759.50 ❑ Monetary production and postage in Contribution su part of Kate Colin f or City' Council. City Cit Council Member City of San Rafael, CA ❑ Nonmonetary Contribution ® Independent Q Support ❑ Oppose Expenditure SUBTOTAL 15,070.50 Schedule D Summary 1. Itemized contributions and Independent expenditures made this period. (Include all Schedule D subtotals.) ............. ................. ................... 21,741-00 . Unitemized contributions and Independent expenditures made this period of under 1...................................................................................... 0.00 . Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not eater on the Summary Page.) TOTAL $ 21,741.00 FPPC Form 480 January/05 FPPC Toll -Free Helpline. 888iASK-FPPC (8681275-3772) Schedule D tr-_mini iatinn Shp -P-0 Tape or print in ink. SCHEDULE D (CONT) Amounts may be rounded Summary of Expenditures to whole dollars. Statement covers period CALIFORNIA Aeft 4bo Supporting/Opposing Other from 10/20/2013 FORM Candidates, Measures and Committees through 12/31/2013 Page 80 of 85 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OR COMMITTEE 10/25/2013 Maribeth Bushey -Lang Mailer including S,870.50 13, 759. 50 G 13 13,759. E] Monetary production and postage City Council Member Contribution in support of Maribeth Bushey -Lang for City City of San Rafael, CACounci Nonmonetary Contribution Independent FRI Support ❑ Oppose Expenditure Monetary Contribution F1 Nonmonetary Contribution Independent ❑ Support ❑ oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent Support Q Oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent Support Oppose Expenditure SUBTOTAL FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from — 10/20/2013 through 12/31/2013 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 81 of 85 I.D.NUMBER 831553 CfVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candid ate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Committee for a Safer San Rafael (#1359556) CTB 5,000.00 1000 4th Street, Suite 600 San Rafael, CA 94901 Committee for a Safer San Rafael (#1359556) CTE 5,000.00 1000 4th Street, Suite 600 San Rafael, CA 94901 Freeman Public Affairs, Inc. IND Mailer including production and postage in support of 2,900.00 Maribeth Bushey -Lang for San Rafael city Council 2013. 1405 Marcelina Avenue, Suite 111 Torrance, CA 90501 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. &T-ralka-a"61 SUBTOTAL$ 12,900-01 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 19,159.55 2. Unite nixed payments made this period of under $100 .......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule 13, Part 1 , Column (e).) ............................................................................... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 19,159.55 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. ";F=P INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Statement covers period from 10/20/2013 through 12/31/2013 MNXMEK��W Page 82 of 85 I.D. Ni i UMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CfVP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FNID 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 \/\ EB information technology costs (internet, e-mail) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. C+r-r- IKICI-rMl nK1 DMIC04ZI= HIM= San Rafael Police Association Political Action Committee • Statement covers period 10/20/2013 through 12/31/2013_ I Page 83 of 85 • CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration I IT t-nmnninn lifinrnfi irp anti mnilinmc; PRT print ads V\EB information technology costs (internet, e-mail) Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1,624.85 $ 5,941.00$ 1,624.85$ 5,941-00 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 $ 5,941-00 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 $ 1,624.85 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 431615 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ ,. May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) � It (a) (b ) (c ) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD The Henry Levy Group PRO 1,624.85 0.00 1,624.85 0.00 5940 College Avenue Oakland, CA 94618 Freeman Public Affairs, Inc. IND Mailer including 0.00 2, 970.50 0.00 2, 970.50 production and postage in support of Maribeth 1405 Marcelina Avenue, Suite 111 Bushey -Lang for San Rafael Council 2013. City Torrance, CA 90501 Freeman Public Affairs, Inc. IND Mailer including 0.00 2,970.50 0.00 2,970.50 production and postage in support of Kate Colin 1405 Marcelina Avenue, Suite 111 for San Rafael City Torrance, CA 90501 Council 2013. Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1,624.85 $ 5,941.00$ 1,624.85$ 5,941-00 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 $ 5,941-00 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 $ 1,624.85 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 431615 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ ,. May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) � It tatement covers period 0 0 #mom 010 CALIFORNIA db from 10/20/2013 F through 12/31/2013 P 84 85 ac le OT R I.D. NUMBER NAME OF FILE 8315C�l 51:�A* Rafael Police Association Political Action Committee NAME OF AGENT OR INDEPENDENT CONTRACTOR Freeman Public Affairs, Inc. 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 RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads V\ EB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IND Postage for mailer in support of 2,900-00 U.S. Postmaster Kate Colin for San Rafael City 1433 Marcelina Avenue Council Torrance CA 90501 IND Postage for mailer in support of 2,900.00 U.S. Postmaster Maribeth Bushey -Lang for San 1433 Marcelina Avenue Rafael City Council Torrance CA 90501 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 5,800.00 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Rrhatifilla I Tuno nr nrint in ink- - ----- SCHEDULE %W 1%W a n 1%ff %ON mom W -%W a llaneoueto ah Amounts may be rounded Misces Increass Cs to whole dollars.! SEE INSTRUCTIONS ON REVERSE Statement covers period, from 10/20/2013 from through 12/31/2013 C FORM Page 85 Of 85 NAME OF FILER San Rafael Police Association Political Action Committee I.D. NUMBER 831553 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH 1111111 1111 111 qi IIIIII 0=0 1111111i I I II filill Elm= 1. Itemized increases to cash this period . ....................................................................................................................... $ 2. Unitemized 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).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ FPPC Form 460 (January/ 5) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 0.00 0.25 0.00 0.25