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HomeMy WebLinkAboutForm 460 - Police Association PAC (2015-06-30)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of election if applicable
from 01/01/2015 (Month, Day, Year)
through 06/30/2015
i. Type of Recipient Committee: All Committees — Complete Pans 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall
O Controlled
(A/soCompreleNrr5)
O Sponsored
(Also Complete Part 6)
Q General Purpose Committee
Executed on
® Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Comprore Pa!! n
3. Committee Information
I.O. NUMBER
831553
COMMIITLL NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
San Rafael Police Association Political Action Committee
STREET ADDRESS (NO P.O. 60X)
1520 Fifth Avenue
CITY STATE
ZIP CODE AREA, CODEIPHONE
San Rafael CA
94901 (415)485-3000
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
P.O. aox 151557
CITY STATE
ZIP CODE AREA CODEIPHONE
San Rafael CA
94915-1557
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k
under penalty of pedury under the laws of the Slate of Califomis that the foregoing is true and correct -
Executed on
07/15/2015
Dare
Execuled on
07/15/2015
Data
Executed on
Date
Executed on
Date
www.netfile.com
By
By
Date Stamp
Received
JUL 2 8 2015
Time,
City C!c"1-4•t S
2. Type of Statement:
❑ Preelection Statement
❑x Semi-annual Statement
❑ Termination Slalement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
COVERPAGE
Page 1�_:: of ` fl78
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
StalemenIll -Attach Form 495
NAME OF TREASURER
Ms. Beth Ninka
MAILING ADDRESS
1520 Fifch Avenue
CITY STATE ZIP CODE AREA COOE/PHONE
San Rafael CA 94901 (415)485-3000
NAME OF ASSISTANT TREASURER, IF ANY
me. Stacy R. Owens
MAILING ADDRESS
5940 College Avenue
CITY STATE ZIP CODE AREA COOE/PHONE
Oakland CA 94618 (510)652-1000
OPTIONAL: FAX I E-MAIL ADDRESS
Ir`1tion con Ined herein and in the attated stedules is true and complete_ I certify
-j, Ill�t li_.
oClirer
By
SignaWre d CorNrollirg Olrioaholder, Candidare, Slate MgasUr[i Pmporxenl
By
Sgneure d Controlling 011ieehdder, Canddete, Slate M�SUre Pxeppllenl
FPPC Form 480 (Januarylo5)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8881275-3772)
State of California
Type or print In ink. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign Statement FORM •
Cover Page — Part 2
Page 2 of 176
5. Officeholder or Candidate Controlled Committee
6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
BALLOT NO. OR LETTER JURISDICTION f -I SUPPORT
OFFICE SOUGHT OR HELD
❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, If any.
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
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
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
❑ SUPPORT
COMMITTEE NAME I.D. NUMBER
❑ OPPOSE
7• Primarily Formed Candidate/Officeholder Committee List names of
NAME OF TREASURER CONTROLLED COMMITTEE?
officeholder(s) or candidatefs) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. 815)
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
F1YES Q NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. 80X)
CITY STATE ZIP CODE AREA CODEIPHONE
www.netfi'le.com
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8&6/276.8772)
State of Califomla
❑
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
(✓ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
F SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8&6/276.8772)
State of Califomla
Campaign Disclosure Statement Type or print in ink. Sl1MMARYPAGE
Amounts may be rounded Statement covers period -
Summary Page to whole dollars.
from ,-
01/01/2015 •-
Expenditures Made
6. Payments Made ................................
7. Loans Made ......................................
8. SUBTOTAL CASH PAYMENTS ....,,...
9. Accrued Expenses (Unpaid Bills) ....
10. Nonmonetary Adjustment ................
11. TOTAL EXPENDITURES MADE ........
...................... Schedule E. Line 4
$
1,429.01
...................... Schedule H, Line 3
through
06/30/2015
Page 3 of 178
SEE INSTRUCTIONS ON REVERSE
.......................... Schedule F, Line 3
0.00
.................. Schedule C. Line 3
0.00
NAME OF FILER
$
1,429.01
I,D, NUMBER
San Rafael Police Association Political
Action Committee
831553
Column A
Column S
Calendar Year Summary for Candidates
Contributions Received
TOTALTHISMRM
CALENOM YEAR
Running in Both the State Primary and
(MMATTACHEDSCHEDULES)
TOTALTOOATE
General Elections
1. Monetary Contributions ...........................................
Schedule A. Line 3
$
9,742.73 $
9,742.73
1/1 through 6/30 7/1 to Date
2. Loans Received......................................................
Schedule a, Line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS
Add Lines T +2
$
9,742.73 $
9,742.73
20. Contributions
.........................
Received $ $
4, Nonmonetary Contributions ....................................
Schedule C Line 3
0.00
0.00
21 Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED
..................... ..... Add Lines 3+4
$
___ 9,742.73 $
9,742.73
Made $ _ $
Expenditures Made
6. Payments Made ................................
7. Loans Made ......................................
8. SUBTOTAL CASH PAYMENTS ....,,...
9. Accrued Expenses (Unpaid Bills) ....
10. Nonmonetary Adjustment ................
11. TOTAL EXPENDITURES MADE ........
...................... Schedule E. Line 4
$
1,429.01
...................... Schedule H, Line 3
0.00
.......................... Add Lines 6+7
$
1,429.01
.......................... Schedule F, Line 3
0.00
.................. Schedule C. Line 3
0.00
....................... AMLines 8+9+10
$
1,429.01
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summery Page, Line is $ 16, 968.01
13. Cash Receipts ............... __................................ column A. Une 3 above 9,742.73
14. Miscellaneous Increases to Cash ........................... schedule 1. Line 4 0.93
15, Cash Payments. ....... __ ......... _ Column A, Line 8above 1,429.01
15. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line I5 $ 25,282.66
)f this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Pert 2 $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ see instructions on reverse 5 0.00
19. Outstanding Oebts ......................... Add Line 2 +Line 9 in Column B above $ 0.00
www.netfi'le.com
$ 1,429.01
0.00
$ 1,429.01
- - 0.00
0.00
$ 1,429.01
To calculate Column 8, add
amounts in Column A to the
corresponding amounts
from Column S of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amount& if this Is
the first report being flied
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22- Cumulative Expenditures Made'
(lrSubfed to VoWrrteryErpwWlture limit)
Date of Election Total to Date
(mm/ddfyy)
I I $
Amounts In this section may be different from amounts
reported in Column B.
FPPC Form 460 (Januaryf05)
FPPC Toll -Free Helpline: 868/ASK-FPPC (666/275-3772)
Schedule A
Type or print in ink.
SCHEDULE A
Moneta Contributions Received /mounts may rounded
rj/
Statement covers period
• '
to whole dollars.
lars.
'
46
from 01/01/2015
•'
12
through 06/30915
Page 4 of 178
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
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(OrCOMrrEEALSOEWMRI.o.NUMMBERI
Mr
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TODATE
RECEIVED
CODE �
pFSaP-EMPLOYED.ENTER NAM. E
PERIOD
(,IAN. i - DEC. 31)
(IF REQUIRED)
OF BU51 NESSI
01/15/2015
Elisha Adams
®IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Aasociation,
n SCC
01/31/2015
Elisha Adams
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
EjSCC
02/13/2015
Elisha Adams
©IND
Officer
11.46
137.76
C/o: San Rafael Police Association 1520 F;fth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
EjPTY
intermediary: San Rafael Police Association,
11�?n 12ifl-h Avenue qar Rafael CA 1)41)Q1
❑ SCC
Officer
11.48
02/27/2015
Elisha Adams
QIND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
MIND
officer
0 37 1 Tf2015
Elisha Adams
11.48
137.76
C/o= San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
_r_termediaryc San Rafael Police Association,
❑ SCC
SUBTOTAL$ 57-40
Schedule A Summary
1. Amount received this period — itemized monetary Contributions.
(Include all Schedule A subtotals.) ................ ... $ 9,412.80
2. Amount received this period — unitemized monetary contributions of less than $100 ........................ .._ $ 329.93
3. Total monetary contributions received this period,
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $
www.netfile_com
9,742.73
'Contributor Codes
IND—Individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULEA (CONT.)
Page 5 of 178
LDNUMBER
831553
DATE
ADDRESS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND£RrD_NUMB O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULAT(VE TO DATE
PER ELECTION
(EET
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SiF-eMPrrneo.EnrrERWUAE
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFSUF4N£SS)
03/31/2015
Plisha Adams
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
CiCy of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
LJPTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael,
04/15/2015
Rlisha Adams
®IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 R
❑ SCC
04/30/2015
Elisha Adams
x❑IND
Officer
11.46
137.76
C/o: San Rafael Police Association 1520 Faith
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
rJPTY
-ntermediary: San Rafael Police Association,
❑ SCC
IS20 Fifth
05/15/2015
Elisha Adams
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTI-I
;onion member's dues received through
❑ PTY
[�`.ntermediary: San Rafael Police Association,
❑ SCC
1.3520 Fifth Avenue, San Rafael, CA 94901
137.76
05-729[2015 1 is Adams
91 IND
6771 C8 r
11.48
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
[-I OTH
Jnion member's dues received through
❑ PTY
!intermediary. San Rafael Police Association,
E] SCC
SUBTOTAL$
57.40
'C;onlrlbutor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
wwwx a trlle_ corn
FPPC Form 460 (January/05)
FPPC Toll-Fme Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars_from
IBM
01/01/2015
through 06/30/2015
Page 6 of 178
NAME OF FILER
I.O. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR IBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFC0WArnEE,ALS0ENTER I.D.Nuu.BER)
rt
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
70 DATE
RECEIVED
CODE
(IF sel.F-EMrLorED.ENTER NAME
PERIOD
(,IAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Elisha Adam:
RIND
Officer
11.48
- 137,76
C/o- San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
C)OTH
Union member's dues received through
[:J PTY
intermediary: San Rafael Police Association,
C)SCC
1520 Fifth Avenue San Rafael CA 94901
_
06/30/2015
Elisha Adams
ffjIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
v COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
PTY
intermediary: San Rafael Police Association,
1�211 Fifth Avenue San Rafael. CA qj�fjj
C)SCC
01/15/2015
Raul Aguilar
BIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 FifthQ
COM
City of San Rafael
Avenue
San Rafael, CA 94901
O OTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
O SCC
1520 Fifth Avenue San -Rafael, 0
01/31/2015
Raul Aguilar
QIND
Sergeant
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
O PTY
intermediary: San Rafael Police Association,
O SCG
1520 Fifth Avenue, San Rafael, CA 94901
02/13/201S
Rau Agui_ar
RIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 FifthO
COM
City of San Rafael
Avenue
San Rafael, CA 94901
n OTH
Union member's duen received through
ri PTY
intermediary: San Rafael Police Association,
❑ SCC
Fifth1520
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — PoliticaI Party
SCC—Small ConlnbutorCommittee
.Iu fir -17•"
FPPC Form 460 (January105)
FPPC Toll -Free Helpllne: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars_
Statement covers period
from 01/01/2015
through 06!30/2015
SCHEDULE A (CONT)
Page 7 of 178
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATNETO DATE
PER ELECTION
RECEIVED
(IF COMMIMEALSO EWER LD.NUMBER)
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
OF SELF-EMPLOYED, ENTER NAME
PER}00
(JAN, 1 - DEC. 31)
(IF REQUIRED)
OF BMNESS)
Sergeant
11.48
137.76
02/27/2015
Raul Aguilar
QIND
C/o: San Rafael Police Association 1520 FifthO
COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association.
I JSCC
1520 Fifth Avenue, San Rafael CA 94901
03/13/2015
Raul Aguilar
IND
Sergeant
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
!]OTH
San Rafael, CA 94901
Union member's dues received through
D PTY
intermediary: San Rafael Police Association,
E]SCC
03/31/201S
Raul Aguilar
MIND
Sergeant
11.48
137,76
C/o; San Rafael Police Association 1520 Fifth
®COM
City of San Rafael
Avenue
San Rafael, CA 94901
00TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth v an Rafael. CA 94901
04/15/2015
Raul Aguilar
X❑IND
Sergeant
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
®COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
Cs PTY
intermediary: San Rafael Police Association,
rJSCC
1520 Pifth Avenue, San Rafael, CA 94901
04/10/2015
Rau Agus ar
QIND
Sergeant
11.48
13 .7
C/o; San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ P -(y
intermediary: San Rafael Police Association,
LSCC
SUBTOTAL$ 57.40
"Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e,g., business entity)
PTY— Political Pa(ty
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772)
Schedule A (Continuation Sheet) Ty pe or print in ink_ SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA I '
from 01/01/2015 ■
through 06/30/2015 Page 8 of 178
NAME OF FILER 1-0. 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 BU54NESSI
05/15/2015
Raul Aguilar
91IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
i h Aven e San Rafael CA 94901
05/29/2015
Raul Aguilar
rX]IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
(DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Ir'3n Fifth Avenue. San Rafael. CA 94901
❑ SCC
06/15/2015
Raul Aguilar
©IND
Sergeant
11.48
137.76
C/o: San Rafael Police Ascoeiation 1520 Fi=th
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
C PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth v n e S
06/30/2015
Raul Aguilar
X❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
C]SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/15/2015
Anthony Augustyn
IND
officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
M
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
v
❑ SCC
SUBTOTAL-.$ 57.40
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC TDII-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• N'
to whole dollars.
i
from 01/01/2015
61 ZVI
through 06/30/2015
page 9 of 178
I.D_ NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
��
ADDRESS
FULL NAM£, STREET ADDRESS AND 21P CODE Of CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIV£TODATE
PER ELECTION
(IFCOIAMIT I.p.NULE
�
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-FMPLOVER, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2015
Anthony Augustyn
RIND
Officer
11.48
137-76
C/o: San Rafael Folice Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
F:- PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue. an Rafael CA 949bl
_
02/13/2015
Anthony Augustyn -
EIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[3Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's cues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
Officer
11-48
02/27/2015
Anthony Augustyn
]IND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
U PTY
intermediary: San Rafael Police Association,
❑ SCC
h n`t aty fa 1 4 01
%❑IND
Off--cer
03/13/2015
-Ay
Anthony Auguscyn
11-48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Associanion,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
Anthony Augusnyn
X❑�NO
Officer
11.48
137.'T6--
n
C/o: SaRafael Police Association 1520 Fifth
n COM
C1ny of San Rafael
Avenue
San Rafael, CA 94901
MOTH
Union member's dues received through
Q PTY
intermediary: San Rafael Police Association,
(-] SCC
1520 Elfth
SUBTOTALS 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small ConVbutor Committee
www-netrile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEOULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period�
CALIFORNIA
to whole dollars.
/ '
from 01/01/2015
"
through 06/30/2015
Page 10 Of 170
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATEFULL
NAME. STREET ADDRESS AND ZIP CODE Of CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF CC WrrrEE,AMENTER I.O.NUM BER)
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(v:sELr_cmPLOYEU,EN%RNAME
PERIOD
(JAN. i - DEC- 31)
(IF REQUIRED)
of aUSINESS)
04 15 2015
Antbony Auguscyn
xJINd
officer
11-48
137.76
C/o: San Rafael Police Aasociacion 1520 FifthQ
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
J PTY
intermediary: San Rafael Police Association,
Q SCC
1520 PifLh Avenue San Rafael CA 94901
04/30/2015
Anthony Auguscyn
E)IND
Officer
11.40
137.76
C/o: San Rafael Police Association 1520 Fifth®
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
+] PTY
intermediary: San Rafael Police Association,
1->0 Fifth Avpni �q05/15/2015
❑ SCC
Anthony Augustyn
IND
Officer
11.40
137.76
C/o; San Rafael Police Association 1520 Fifth
o C0M
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
0 SCC
Fifth AY nuA
05/29/2015
Anthony Augustyn
nx]IND
Officer
11.40
131.76
C/o: San Rafael Police Association 1520 Fifth
Cicy of San Rafael
Avenue
J COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
C) PTY
intermed-ary: San Rafael Police Association,
L) SCC
1520 Fifth Avenue, San Rafael, CA 94901
6 5 20 5
A __
nt ony Augustyn
©IND
O icer
11.40
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
J OTH
Union member's dues received through
J PTY
j
intermediary: San Rafael Police Association,
Fiftb_Avenue. Son RafB&_j___CA 94901
❑ SCC
SUBTOTALS 57.40
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.nafle.COm
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 9661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In ink.
Amounts may be rounded
to whole dollars.
from
State me n It covers period
01/01/2015
SCHEOULEA (CONT.)
through 06/30/2015 Page 11 of,_ 118
L0. NUMBER
831553
��
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRI8U70R
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E CAMA7ITTE"ESS
.0.Nu1.E
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFSELF-EMPLOYED,ENTER NAME
PERIOD
(JAN. 7 - DEC 31)
(IF REQUIRED)
oFeuSINEsS)
06/30/2015
Anthony Augustyn
QIND
Officer
11.48
137.76
C/o: San Rafi_Ll Police Association 1520 FifthD
COM
City of San Rafael
Avenue
San Rafael, CA 94901
_]07H
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15%2015
Blair Auld
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 :fifth❑
CO M
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
152Q Fifth Avenue, 5an Rafael CA �4qQl
❑ SCC
01/31/2015
Blair Auld
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 s'ifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union nember's dues received through
❑ PTY
intermediary- San Rafael Police Association,
❑ SCC
1520 Fifth Avenue . -San e 0
02/13/2015
Blair Auld
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary. San Rafael Police AYsociation,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/2'7/201S
Bair Auld
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.—
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND–Individual
COM – Re,6plent Committee
(other than PTY or SCC)
0TH – Other (e.g., business entity)
PTY – Political Party
SCC–Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 861i/ASK-FPPC (866)275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAMt OF FILER
San Rafael Police Association Political Action Committee
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT)
Page 12 Of 176
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE. ALSO ENTER L0.NUUBER)
OCCUPATtONAND EMPLOYER
RECEIVEOTHIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SEYF-EMPLOYEO,ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OFBUsluESS)
03/13/2015
Blair Auld
R] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthF]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
0 PTY
intermediary; San Rafael Police Association,
❑ SCC
20 rLifth Avenue San Rafael CA 94901
03/31/2015
Blair Auld
HIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifthn
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-)PTY
intermediary; San Rafael Police Association,
)1;20 Fifth Aven
IJSCC
04/15/2015
31air Auld
(x)IND
Officer
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
0 OTH
Union member's dues received through
C PTY
intermediary: San Rafael Police Association,
❑ SCC
152Q Fifth Avenue, anRaf 1
137.76
04/30/2015
Blair Auld
QIND
Officer
11.46
C/o: San Rafael Police Association 1520 Fifth❑
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
0 SCC
1520 Fifth Avenue, San Rafael, CA 94901
05 15 2015
B air Au
HIND
Officer
_
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
0 OTH
Union member's dues received through
0 PTY
inrermediary: San Rafael Police Association,
Avenu
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpllne: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Zypeorprint InInk. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statementcovers period
• _
to whole dollars.
I ,
�
from 01/01/2015
• _
through 06/30/2015
Page 13 of 178
NAME OF FILER -
I. D. 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 OOMMITTEE.ALSO EWER 1-0 NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(Ir SELF.�MPLOVEn,ENTER NAME
PERIOD
(JAN. I -OEC. 31)
(IF REOUIREO)
OF6US1NESs)
05 29/2015
Blair Auld
RIND
Officer
11.58
137.76
C/o: San Rafael Police Association 1520 Fiftb
COM
City of San Rafael
Avenue
San Rafael, CA 94901
r] OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
)IND
06/15/2015
Blair Auld
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:)PTY
intermediary: San Rafael Police Association,
❑ SCC
Rafael11,20 Fifth Avenue. San
06/30/2015
Blair Auld
QIND
officer
_ ___ _
11 48
137.76
C/o: San Rafael Police Association 1520 fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
SCC
_
1�2 Fifth Avenue. an Rafael,
01/15/1615
James Bellamy
QIND
Corporal
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth
l] COM
City of San Rafael
Avenue
San Rafael, CA 94901
(] OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifch Avenue, San Rafael CA 94901
O1 31 2015
James Bellamy
QIND
corporal
_
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTI1
Union member's dues received through
❑ PN
intermediary; San Rafael Police Association,
❑ SCC
vcnu.e�
SUBTOTAL$ 57.40
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www_nefle_com
FP PC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (865/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink_
Amounts may be rounded
to whole dollars_
Statement covers period
from 01/01/2015
through 06/30/2016
SCHEDULEA (CONT.)
Page 14 of 179
831553
��
PULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
ADDRESSZIPDE
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMIT LD.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
OF SELF.£MaPLIYYED, ENTER NAME
PERIOD
(JAN. t - DEC 31)
(IF REQUIRED)
OFDUSINESS)
02/13 2015
James Bellamy
X❑IND
Corporal
11.46
137 ,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San &afatl,CA 94901
02/27/2015
James Bellamy
QINp
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
(-]PTY
intermediary: San Rafael Police Association,
1100 Fifrh Avenue San Rafael. CA 949nl
❑ SCC
03/13/2015
James Bellamy
®SND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Unior- member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152Q Fifth Avenue, San Raf 1 CA 9 0
03/31/2015
James Bellamy
E] IND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifthn
City of San Rafael
Avenue
COM
San Rafael, CA 949D1
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
137.76
04/15/2015
James Bellamy
X❑INO
corporal --",
C/o: San Rafael Police Association 1520 FifthL]
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1S20 Fifth Amenue. San Rafael. CA 94901
1
-
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g_, buslness entity)
PTY — Politica{ Party
SCC—Small Contributor Committee
www. rieffile_ com
FPPC Form 460 (January105)
FPPC Tol[-Free Helpline: B66/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Ratael Police Association Political Actioo Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT.)
Page 15 of 178
I.D- NUMBER
931553
DATEFULL
NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(If COMMrrTEE ALSOEN7ER1.0. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(1FS£LF-EMpLOY£D,EWER NA.M£
PERIOD
(,IAN. i - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015-
James Bellamy
RIND
Corporal
11.46
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
152 Fifth Avenue San Rafael CA 94901
05/15/2015
James Bellamy
(]IND
Corporal
11. 46
137,76
C/o_ San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
union member's dues received through
❑ PTY
intermediary: San RaFael Police Association,
i
❑ SCC
05/29/2015
_ ___
James Bellamy
0IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
ariion member's dues received through
❑ PTY
intermediary_ San Rafael Police Association,
❑ SCC
150h Ave f I_ CA__ 94901
_
_
O6/i5J20'15
James Bellamy
x❑IND
_____
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
0 0/201S
James Bellamy
BIND
Corpora
_
1 .4B
137,7
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ RTY
intermediary: San Rafael Police Association,
❑SCC
2 ice; _.$rl7;L$s�fael, CA 94901
SUBTOTAL$ 57.40
'Contributor Cedes
INR—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
WWW.rretfile.COM
FPPC Farm 460 (Januaryl05)
FPPC Toll -Free Helpline: 866IASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2015
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INOWIDUAL, ENTER AMOUNT
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS
RECEIVED UFCOr+tMITfEE,AISOENTERLe.NutinBEii} CODE
IIF ss:LF-2MrLavEo,ErrrEtNAME PERf00
of euSINESs>
0_1/15/2015 Todd Berringer X❑IND Sergeant 11.40
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
98
11.48
11-48
57.40
SCHEDULE (CONT)
Page 16 __ of 116
I.D. NUMBER
n31SS3
CUMULATrVE TO DATE
CALENDAR YEAR
(JAN, i - DEC. 31)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
137.76
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 94901
01/31/2015
Todd Berringer
x❑IND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifrh Avenue San Rafael. CA 94901
U SCC
02/13/201S
Todd Berringer
]IND
C/o: San Rafael Police Association 1520 F+fth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
Pi ELb LLye.n�} R a 1 4 O1
02/21/2015
Todd Berringer
OINfl
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's cues received through
PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
0-1113/201S
Toa Berringer
]INO
C/o: San Rafael Police Association 1520 Fifth
Q COM
Avenue
San Rafael, CA 94901
[] OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
3520 Fifth Avenue. San Rafael, CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
98
11.48
11-48
57.40
SCHEDULE (CONT)
Page 16 __ of 116
I.D. NUMBER
n31SS3
CUMULATrVE TO DATE
CALENDAR YEAR
(JAN, i - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
137.76
137.76
137.76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink.
SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
! '
from Dl/O1/2015
-
through 06/30/2015
page 17 of 178
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.O.NUMOER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DAT E
RECEIVED
CODE
(IF SELF -E►7oL0YE0,ENTERNAME
PERIOD
(JAN, i -DEC. 31)
(IP REQUfRED)
OF 8'J SINESS)
03 31/2015
Todd Serringer
)IND
Sergeant
11.46
137,76
C/o: San Ratael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
n SCC
1520 Fifth Avenue San Rafael CA 94901
04/15/2015
Todd Serringerx❑INO
Sergeant
11,48
137.76
C/o; San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:)PTY
intermediary San Rafael Police Association,
[:]SCC
Rafael,1%2Q Fifth 8 Ile San
04/30/2015
Todd Berringer
®IND
Sergeant
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
lr2i) ?ifa5 A )pN,9. Sal] Rgfael, CA 94901-
05/15/2015
Todd Berringer
%❑IND
Sergeant
11 48
137-76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
051�19Y2015
Todd Berringer
91 IND
Sergeant
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
U COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary- San Rafael Police Association,
1q20 Fifth CA 94901
❑ SCC
SUBTOTAL$ S7.4o
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCG)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Smatl Contributor Committee
www -Tref ile.COM
FPPC Form 460 (January/05)
FPPC ToII-Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEOULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covens period tl
CALIFORNIA
to whole dollars.
/
60
from 01/01/2015
"
through 06/30/zols
Page 18 of 178
NAME OF FILER
I.D_ NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ANDEnl.D_Nu> E O
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
BEET
CODE i
OCCUPATION ANO EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
pfSELFEMFLOYED,ENTER NAME
PERIOD
(,JAM 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
S)
137.76
`
36/1S/2015
Todd Berringer
E] IND
Sergeant
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
15 Fifth Avenue San Rafael CA 94901
06/30/2015
Todd Berringer
)IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
IS70 Fifth Avenu?-,. San Rafael CA 94901
LSCC
11.48
01/15/2015
Geoffrey Bowker
©IND
Officer
137.76
C/o. San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
Fifthv of A 94901
12.48
137.76
_
01/31/2015
Geoffrey Bowker
XQIND
Officer
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/1312015
]IND
Geo trey Bowker
OM c —er
11.48
_
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
❑ SCC
3520 PifClj_vCM C n R Cpl, C8 9Q�Q1
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www_netfile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpllno: 8661ASK-FPPC (866!275-3772)
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
• _
CALIFNIA I'
• -
through 06/30/2015
Page 19 of 170
NAME OF FILER
t,D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(Ir COMLnnTE S SENTER LD_NUMBER)
CONTRIBUTOR
CODE ;
IF AN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER
frFsELF-EMPLoreD.ENrERNAME
AMOUNT
RECEIVED THIS
PERIODIF
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
PER ELECTION
TO DATE
REQUIRED
( )
OF BUSINESS)
02 27 2015
Geoffrey Bowker
C/o: San Rafael Police Association 1520 Fifth❑
Avenue
San Rafael, CA 94901
RIND
COM
❑ 0TH
Officer
City of San Rafael
11.48
137.76
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 fifth Avenue, San Rafael, CA 9490.1
❑ SCC
03/13/2015I
3/13/2015
Geoffrey Bowker
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
QINO
El COM
❑ OTH
Officer
City of San Rafael
11.48
137.76
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,,
Geoffrey Bowker
C/o: San Rafael Police Association 1520 Ffifth
Avenue
San Rafael, CA 94901
❑ SCC
)IND
❑COM
❑ OTH
03/31/2015
Officer
City of San Rafael
11,48
137.76
Union meriber ' s dues received t_s1rough
PTY
intermediary: San Rafael Police Association,
1520 Fiftb Avpn�je, San Rafael. CA QA901
❑ SCC
_
04/15/2015
Geoffrey Bowker
C/o; San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
(xfIND
n COM
❑ OTH
Officer
City of San Rafael
11.48
137.76
Onion member's dues received through
❑ Pn
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
El SCC
04J30j201
Geo rey Sow er
C/o: San Rafael Police Association 1520 Pifth❑
Avenue
E] IND
COM
O icer
City of San Rafael
11.48
137.76
San Rafael, CA 94901
❑ OTH
Union member's dues received through
intermediary: San Rafael Police Association,
52 ,_.._San Rafael. CA 94901
U PTY
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
0TH - Other (e.g„ business entity)
PTY - Polhical Party
SCC -Small ContributorCommittee
www.netfile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
from 01/01/2015
FORM
through 06/30/2015
page 20 of 178
NAMEOF FILER m
LD. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRI8UTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
tt
(IFCOMMITPEE,ALSOFsERLaNUMBER)
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. i - DEC. 31)
(IF REQUIRED)
(BIND
OF BUSINESS)
Officer
11.48
137,76
05/15/2015
Geoffrey Bowker
c/o: San Rafael Police Association 1520 FifthCOM
Li
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue Sar. Rafael CA 94901
05/29/2015
Geoffrey Bowker
RQ IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union membe7-1s dues received through
❑ PTY
intermediary: San Rafael Police Association,
Iq'20 Filrh Avenue q---
❑ SCC
06/15/2015
Geoffrey Bowker
®IND
officar
11.48
137.76
C/o; San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
E ❑ OTH
Union member's dues received through
O PTY
intermediary: San Rafael Police Association,
[DSCC
v an Rafael, CA 94903_
06/30/2015
Geoffrey Bowker
X[]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[]OTH
Union member's dues received through
❑ P-ry
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenl.;e, San Rafael, CA 94901
_
9.00
106,00
01 15 2D1S
Lynne Bracken
X❑IND
Recor s C er
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
00TH
Union member's dues received through
[D PTY
intermediary: San Rafael Police Association,
L]SCC
SUBTOTALS 54.92
'Contributor Codes
IND—Individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
San Rafael Police As90eiation Political Action Committee
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED OFCOMUMEE,ALSO ENTER I.O.NUMRSFR CODE *
01/31/2015
Lynne Bracken
MIND
831553
C/o: San Rafael Police Association 1520 Fifth
COM
CALENDAR YEAR
Avenue
San Rafael, CA 94901
❑ OTH
(IF REQUIRED)
Union member's dues received through
C] PTY
108.00
intermediary. San Rafael Police Association,
n SCC
1520 Fifth Avenue, San R fa 1. CA 94901
02/13/2015
Lynne Bracken
MIND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1r2Q Fifth Avenue, San Rafael, CA q4cJQ1
FiSCC
02/27/2015
Lynne Bracken -
MIND
C/o: San Rafael Police Association 1520 Fifth
D COM
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
(]PTY
intermediary: San Rafael Police Association,
n SCC
ls2A Fifth Avenue, San Rafael. CA 949 1__.
03/13/21315
Lynne Bracken
MIND
C/o; San Rafael Police Association 1520 Fitch
Avenue
U COM
San Rafael, CA 94901
U 0TH
Union member's dues received through
M PTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/201S
Lynne Bracken
)IND
C/o: San Rafael Police Association 1520 Fifth
Avenue
D CQM
San Rafael, CA 94901
1] 0TH
Union member's dues received through
Pry
intermediary: San Rafael Police Association,
�ISCC
3G20 Fifth ��C San R�fl CA 94401
-
-Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
www.netfile.com
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
cords Clerk
CV of San Rafael
Records Clerk
City of San Rafael
ecords Clerk
ity of San Rafael
City of San Rafael
of San Rafael
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 21 of 178
AMOUNT
RECEIVED THIS
PERIOD
9.00
9.00
9 - 00T 108.00
9.001 108.00
SUBTOTAL$ 4s.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne: 8661ASK-FPPC (866/275-3772)
LD. NUMBER
831553
CUMULATIVETODATE
PER ELECTION
CALENDAR YEAR
TO DATE
(JAN. 1 - DEC, 31)
(IF REQUIRED)
108,00
108.00
9 - 00T 108.00
9.001 108.00
SUBTOTAL$ 4s.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dol lars-
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVEO (Ir COLWITEE.ALSO EWER LO, NUMaER) CODE *
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015Page 22 of 178
931553
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYEO.WER NAME PERIOD (JAN. i - DEC. 31) (IF REQUIRED)
C r BUSINESS)
cords Clerk 9.00 108.00
tv of San Rafael
cords Clerk 9.00 108.00
Ly of San Rafael
&cords Clerk
ity of San Rafael
Records Clerk
City of San Rafael
ty of San Rafael
SUBTOTAL$
9.00 108.00
9.001 109.00
45.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
04/--S/2015
Lynne Bracken
)IND
C/o; San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
E]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenme, San Rafael CA 94901
04/30/2015
Lynne Bracken
]IND
C/o; San Rafael Police Association 1520 Fifth
® COM
Avenue
San Rafael, CA 94901
❑ 0TH
Onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
05/15/2015
Lynne Bracken
7(IND
C/o: San Rafael Police Association 1520 Fifth
❑COM
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San .Rafael Police Association,
❑ SCC
152 L S $ael 4
05/29/2015
Lynne Bracken
]IND
C/o: San Rafael Police AS„OCiation 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
r7 PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Lynne Bracken
X❑IND
C/o; San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1�20 Fifth v 01
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015Page 22 of 178
931553
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYEO.WER NAME PERIOD (JAN. i - DEC. 31) (IF REQUIRED)
C r BUSINESS)
cords Clerk 9.00 108.00
tv of San Rafael
cords Clerk 9.00 108.00
Ly of San Rafael
&cords Clerk
ity of San Rafael
Records Clerk
City of San Rafael
ty of San Rafael
SUBTOTAL$
9.00 108.00
9.001 109.00
45.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT,)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
/'
6
from 01/01/2015CALIFORNIA
•
through 06/30/2015
Page 23 of 178
(.D. NUMBER
NAME OF FILER M
San Rafael Police Association P012tical Action Committee
631553
OATS
ZIP CODE
FULL NAME, STREET ADDRESS AND ZIP COOS OF CONTRIBUTOR
ADDRESS
CONTRIBUTOR
If AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EET
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED.£NTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF 6USVJESSI
C6 30/2015
Lynne Bracken
X❑IND
Record Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Ave ue San Rafael CA 94901
01/15/2015
Antonecce Bullock
IC/o:
X❑IND
Community Service Officer
9.00
108.00
San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
} Avenue
San Rafael, CA 94901
U 0TH
Union member's dues received through
p PTY
intermediary: San Rafael Police Association,
❑ SCC
9100
01/31/2015
Antonecte Bullock
®IND
Community Service Officer
106.00
C/O: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 r-ifth I?Sde 5x CA 94901
--
--
9.00
108.00
02/13/2015
02/13/2015
Antonette Bullock
IRIND
Community Service Officer
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Community Service Officer
00
108.00
_
02/2712015
Antonecte Bullock
R❑IND
C/o: San Rafael Police Association 1S20 Fifth❑
City of San Rafael
Avenue
COM
San Rafael, CA 99901
;DOTH
Union member's dues received through
,rJ PTY
intermediary: San Rafael Police Association,
❑ SCC
c1Fth Ay..
SUBTOTAL$ 45.00
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e_g., business entity)
PTY — Palltical Party
SCC— Small Contributor Committee
www.netrile.com
FPPC Form 460 (January/05)
FPPCToll-Free Helpline: 8661ASK-FPPC (8661775-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may beraunded Statement covers period
_
to whole dollars.
I '
from 01/01/2015
through 06/30/2015
Page 24 of 178
NAME OF FILER
10, 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
CUMULATfVETO DATE
PER ELECTION
7RECEIVED
nFCOMMITTEE,ALSOENTER1.0.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
70 DATE
(If SELF-EMGLOVED,ENTERNnvE
PERIOD
(JAN, i - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
5
Antonette Bullock
MIND
Community Service Officer
9.00
108.00
C/o- San Rafael Police Association 1520 Fifth
F COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
[PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Antonette Bullock
®IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue. Sari RafaF--I. CA 94901
❑ SCC
108.00
04/15/2015
Antonette Bullock
RIND
Community Service Officer
9,00
C/o: San Rafael Police ASSOCia non 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
© PTY
intermediary: San Rafael Police Association.
❑ SCC
11520 Fifth Avenue.aRafael, CA 94901
04/30/2015
Antonette Bullock
©SND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Antonette Bullock
©�iV� -
Corc.nunity Service o icer
05/15/2015
9_DO
108.00
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
i7'L{'. Sa:r+Ri3�j, CA 94901
SUBTOTAL$ 4S.001
'Contributor Codes
IND — Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Heipline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) lype or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA
I `
from 01/01/2015
•
through 06/30/2015
page 25 Of 178
I.O. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
631553
Oyu
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CON7RIBU70R
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETODATE
PER ELECTION
OFCOMMIITEE,AISOERMI.O.NUMBER)
CODE �
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
pFSELF-EMPLOVEO.EIMANAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REOUIRED)
OF BUSINESS)
05/29/2015
Antonette lullock
QIND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
L] OTH
Union member's dues received through
❑ PlY
intermediary: San Rafael Police Association,
❑ SCC
I20IS20 Fifth Avenue San Rafael CA 94901
QIND
Community Service Officer
9.00
06/15/2015
Antonecte Bullock
108.00
ii
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
19-30 Fiftb Avenue_ San Rafa�i CA 949ni
"SCC
( 1NND
Community Service Officer
9.00
108.00
06/30/2015
Anconette Bullock
C/o- San Rafael Police Association 1520 Fifth
J GOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
L)PTY
intermediary: San Rafael Police Association,
❑ SCC
v Fe San Raf�gl. CA 44401
QIND
Corporal
01/15/2015
Michael Byers
11.48
137.76
C/o: San Rafael Police Association 1520 fifthU
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
O pTy
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
137.76
01/31/2015
is ae yers
QIND
_
Corporal
C/o- San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
l
UCCM
San Rafael, CA 94901
Q OTH
Union member's dues received through
pl-Y
intermediary: San Rafael Police AssociaCion,
1520 Fitch Avenue, San RafAel. C& 94�01
❑ SCC
SUBTOTAL$ 49.96
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e_g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Fonn 460 (January/05)
F P P C Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers
CALIFORNIA
to whole dollars
/
from 01/01/2015
FORM
through- ,,.06/30/201SPage
26 Of 17fl
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.O.NUMBM
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
pFSELrEMPLoveo,EWrcRNAME
PERIOD
(JAN i - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/13/2015
ael Byers
RIND
Corporal
11.48
137.76
San Rafael Police Association 1520 Fifth
COM
City of San Rafael
ue
Rafael, CA 94901
❑ OTH
n member's dues received through
❑ PTY
rmediary: San Rafael Police Association,
n SCC
Fifth Avenue San Rafael CA 94901
02/27/2015
ael Byers
111;�-O__vifth
x❑1ND
Corporal
11 48
137.76
San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
ue
Rafael, CA 94901
❑ OTH
n member's dues received through
❑ PTY
rmediary: San Rafael Police Association,
Avenue, San Rafael CA 949]
U SCG
QIND
Corporal
03/13/2015
Michael Byers
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[] PTY
intermediary; San Rafael Police Association,
❑ SCC
I 20 Fifth - 49 1
11.48
03/31/2015
Michael Byers
QIND
Corporal
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[]OTH
Union member's dues received through
❑ PTS
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
0471572015-
Michael Byers
QIND
Corporal
11.48
137.'16
_
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Q COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2520 Fifth -Avenue -el.. CA 492Q1
SUBTOTAL$ 5,40
-Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business enlity)
PTY— Political Party
SCC —Small Contributor Committee
www.nefle.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink- SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars
/
from 01/01/2015 _
•
Fpag.
through 06/30/2015
21 of 178
NAME OF FILER
1,0. NUMBER
San Rafael Police Association Political Action Committee
831553
DAA
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSZIP
S O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
SAND
(IF COMMITTEE, LO. NU4E
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
ItF SELF-EMPLOYED, ENTERNAME
PERIOD
(JAN_ 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Michael Byers
]IND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
F]SCC
1520 Fifth Avenue an Rafael CA 94961
05/15/2015
Michael Byers
MIND
Corporal
11.46
137.76
C/o_ San Rafael Police Association 1520 Fifth
F] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
{]SCC
RIND
Corporal
05/29/2015
Michael Byers
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
u COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth A f )
06/15/2015
Michael Byers
x❑IND
Corporal
11.48
13.1-'16
C/o: San Rafael Police Association 1520 Fifth
[3Com
City of San Rafael
Avenue
San Rafael, CA 94901
p OTH
Union member's dues received through
i E]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifch Avenue, San Rafael, CA 94901
�06]3tl72015
Michael Byers
RIND
Corporal
11.98
37.76
C/o: San Rafael Police Association 1520 i•ifthIJ'COM
City of San Rafael
Avenue
San Rafael, CA 94901
LJ 0TH
Union member's dues received through
❑ Pry
intermediary: San Rafael Police Association,
❑ SCC
_....._...__.._._.._._.......��..i.�,�Q.Ejfrh
Avenue. San Rafael, CA 9490).
SUBTOTAL$ -97.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g-, business entity)
PTY — Pollticat Party
SCC —Small Contributor Committee
www. net -file_ tom
FPPG Form 460 (January/OS)
FPPG Toll -Free Helpline: 866/ASK-FPPC (866!275-3772)
Schedule A (Continuation Sheet
Monetary Contributions Received
Type or print In Ink.
Amountsmay be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
through 06/30/2015
Page 28 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DA
FULL NAME, STREET ADDRESS AND ZIP COOS OF CONTRIBUTOR
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET SANDZIO ENTER 1.D,kUMBEFJ
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(17SELFtiMPLOY50,ENTER NAME
PERIOD
(JAN. 1 - DEC, 31)
(IF REQUIRED)
OF HUSINESS)
01/15/201S
Shelly Cade
1e❑IND
Dispatcher
9.00
108.00'
C/o: San Rafael Police Association 1520 Fifth❑
COfv!
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
1S20 Fifth Avenue S Rafael CA 94901
1
01/31/2015
Shelly Cade
X❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 S20 Fifth Avenue. San ]Rpfatl CA 94901
❑ SCC
02/13/2015
Dispatcher
9.00
Shelly Cade
FK] [NO
106.00
C/o: San Rafael Police Association 1520 Fifth.El
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
Fifth Avenue. San_Rafael. CA. 94901
lt❑IND
02/27/2015
,}
Shelly Cade
Dispatcher
9.00
108,00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/201S
Shelly Ca e
]IND
Dispatcher
9.00
10 .00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[]OTH
Union member's dues received through
❑ PTY
'_ntermediary: San Rafael Police Association,
Eitt:b Avenue. San Rafael. CA 9AjD1_
❑ SC C
_lL2D.
SUBTOTAL$
45.00
'Contributor Codes
IND — Individual
COM — Re-Jplent Committee
(other than PTY or SCG)
OTH — Other (e.g.. business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January105)
FPPC To[I-Free Helpline; 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers parlod
CALIFORNIA
to whole dollars.
/ ! '
`
from 01/01/2015
through D6/30/2015
page 29 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
ADDRESS AND A
FULL NAME, STREET ADDZIP CODE OF CONTRIBUTOR
CON7RI8UTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
l�FC01+5MIRESS
ERID.NUMBER)
CODE +�
OCCUPATION AND EMPLOYER
RECEIVED TRIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SECf-EMPLovED,EWER NAME
PERIOD
(JAN. i - DEC. 31)
(IF REQUIRED)
OF RUSiNES41
03/31/2015
Shelly Cade w
MIND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
(:I PTY
intermediary: San Rafael Police Association,
SCC
152 Fifth Avenue. San Rafael, CA 94901
Shelly Cade
04/15/2a15
E) INC)
Dispatcher
_
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
a COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;20 Eifth Avenue San Rafatl. CA 24901
J SCC
04/30/2015
Shelly Cade
MIND
Dispatcher
9.00
106.00
C/o: San Rafael Police Association 1520 FifthU
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
;anion member's dues received through
❑ PTY
'intermediary: San Rafael Police Association,
❑ SCC
'Shelly
20 Fifth Avenue. San. Plsxfael. CA 94901
Cade
a] IND
Dispatcher
9.00
108.00
05/15/2015
C/o: San Rafael Police Association 1520 Pifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 949D1
❑ OTH
Union members dues received through
❑ PTY
intermediary: San Rafael Police Association,
LSCC
1520 Pitth Avenue, San Rafael, CA 94901
UB.00
051291201S
Shelly Caae
MIND
Dispatcher
9.00
C/o: San Rafael Police Association 1520 Fifth
]COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
� SCC
v f
SUBTOTAL$ 45:00
'Contributor Codes
IND—Individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entlty)
PTY — Political Party
SCC — Small Contributor Committee
www.rnetrle_com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllno: 866/ASK-FPPC (856/275-3772)
Schedule A (Continuation Sheet) Type or print inInk. SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whale dollars.
'
46
from 01/01/2015
• -M
through 06/30/2015
Page 30 of 179
NAME OF FILER
LD_ NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
rDEE ALSO EWER L0.N
�
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(if SErF-EMPrOYFO,EurERNAME
PERIOD
(JAN- 1 -DEC. 31)
(1F REQUIRED)
OF auu"Lss)
06/15/2015
Shelly Cade
X❑IND
Dispatcher
9.00
108-00
C/o: San Rafael Police Association 1520 FifthO
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael CA 94901
06/30/2015
ShcTly Cade
x❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
LL 0TH
3
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifrb Avenue, San RAfAel CA 94901
❑ SCC
01/15/2015
Joseph Camins
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1�j_2_¢i 1—_h v u an Rafa 1 CA 4 0
01/31/2015
Joseph Ca.mins
E] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
)]COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
FISCC
1520 Fifth Avenue, San Rafael, CA 94901
027i3/2015
Joseph Camims
_
R] IND
O ficer
11.48
137.7
C/o: San Rafael police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
EIPTY
intermediary: San Rafael Police Association,
n SCC
-- -
1520
SUBTOTAL$ 52.44
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g-, business enlityl
PTY — Po[Ilical Party
SCC — Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
State meITtcovers period
_
NIAA
to whole dollars.
from 01/01/2015
FORM
through 06/30/2a15
Page 31— of X78
NAME OF FILER
I D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
LL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
1.0. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
;Ao
CODE i
(IFSELF-E)APLOYEo.ENTER WA7E
PERIOD
(JAN, 1 - DEC. 31)
(IF REQUIRED)
CT BUSINESS)
02/27/2015
seph Camins
RIND
Officer
11.48
137.76
o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
enue
San Rafael, CA 94901
❑ OTH
Union member's dues received Lhrough
❑ PTY
intermediary: Sar, Rafael Police Association,
EISCC
1520 Fifth Avenue San Rafael 4901
03/13/2015
Joseph Camins
®IND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary_ San Rafael Police Association,
?-. San Rafael CA 94901
❑ SCC
Officer
11,48
137.76
03/31/2015
Joseph Camins
®IND -
C/o: San Rafael Police Association 1520 Fitt`'
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received throuah
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Exfrh Eveope,in_.
04/15/2015
Joseph Camins
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Pifth
❑COM
City of San Rafael
Avenue
San Razael, CA 94901
❑ OTH
Jnion member's dues received through
CIPTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30/2015
Joseph Camins
x❑INC)
Officer
11.48
T37.76
C/o: San Rafael Police Association 1520 Fifth
F1 COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
SCC
1520 Ejfth
SUBTOTAL$ 57.40
"Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Farm 460 (January/051
FPPC Tall -Free Helpline: B661ASK-FPPC (8661775-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF
San Rafael Police Association Political Action Committee
Type or print In Ink
Amounts may be rounded
to whole dollars.
Statement covers pel
from ol/O1/2015
through 06/30/2015
SCHEDULE A (CONT,)
Page i2 of 178
I, D, NUMBER
831553
DAA
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMUTATUF TO DATE
PER ELECTION
ITCOMOPIEc.ALSO EWER I.O.NUMBER)
COOS w
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IFSELF-EMPLOYEO. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
CF auv"Ess)
05/15/2015
Joseph Camins
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:)OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
5 FifthAvenue,__San Rafael CA 94901
11.48
137.76
05/29/2015
Joseph Camins
I]IND
Officer
C/o: San Rafael Police Association 1520 FifthCOM
City of San Rafael
Avenue
San Rafael, CA 94901
(_]0TH
Onion member's dues received through
O PTY
intermediary: San Rafael Police Association,
frh Avenue- San Rafael. CA 949ni
0 SCC
06/15/2035
Joseph Camins
x❑IND
Officer
11.48
137,76
C/o: San Rafae_ Police Association 1520 Pifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Onion member's dues received through
0 PTY
intermediary: San Rafael Police Association,
E]SCC
0ih
Joseph Camins
o6/3o/2015
E] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
ED COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
E]PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/IS/2015
Davlo Casa nuovo
E] IND
,O.ficer
11,481T-7
76
C/o: San Rafael Police Association 1520 Fifth
;City of San Rafael
Avenue
COM
San Rafael, CA 94901
{] OTH
Union member's dues received through
❑ PTY
inLexmediary: San Rafael Police Association,
SCC
2
SUBTOTAL$ 57.40
'Contrlbutor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
FP PC Form 460 (January/05)
FPPCToll-Free Helpline: 866JASK-FPPC (866!275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 33 of 178
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contrlbuior Committee
www_netf le.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne: 866/ASK-FPPC (866/275-3772)
NAMEOFFILER
I.D. NUK48ER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
OFcommrT-rEEAt-SO ENTER I.O,NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFSELF-EMPLOYEO,ENiERNAME
PERIOD
(,IAN_ 1 - DEC. 3})
(IF REQUIRED)
x❑)NO
OF BUSINESS)
137.76
01/31/2015
David Casalnuovo
Officer
11-48
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_]OTH
Union member's dues received through
[D PTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
David Casalnuovo
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member'n dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
02/27/2015
David Casalnuovo
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
O PTY
intermediary, San Rafael Police Association,
0 SCC
03/13/2015
David Casalnuovo
ROIND
Officer
11.46
137.76
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member': dues received through
O PTY
intermediary: San Rafael Police Association,
0 SCC
1520 Fifth Avenue, San Rafael, CA 94901
x0IND
O icer "-��'
11.98
03 3 015
David Casa_nuovo
37.7b
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
j
1520 Fifth Avenu San Rafael. CA 94991
— -
SUBTOTAL$ 57.90
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contrlbuior Committee
www_netf le.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars_
from 01/01/2015
FORM
through 06/30/2015
Page 34 of L.
NAME OFFILER
I,D, HUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME. STREET ADDRESS ZIP CODE OF CONTRI8UTOR
FULL
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMDRE.7fRLO_NUMH£R)
COOS +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IFSELF-FMPLOYED,ENTER NAME
PERIOD
(,IAN. 1 - DEC- 31)
(IF REQUIRED)
OFHUSINESS)
04/15/2015
David Casalnuovo
X�IND
Officer
11,48
137.76
C/o: San Rafael Police Association 1520 FifthCOM
City of San Rafael
Avenue
San Rafael, CA 94901
[]OTH
TJ ion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Pitth Avenue San Rafael CA 94901
04/30/2015
David Casalnuovo
RIND
Officer
11.48
137.76
C/o- San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-)PTY
intermediary: San Rafael Police Association,
152j) eitth Avenuf-. San Rafael. CA 949al
0SCC
05/15/2015
David Casalnuovo
❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1570 EiftbAvenue, an Rafael, CA 94902-
4 005/29/2015
11.48
137.76
05/29/2015
David Casalnuovo
x❑IND
Officer
C/o: San Rafael Police Association 1520 FifthD
COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
r]SCC
1520 Fifth Avenue,_ San Rafael, CA 94901
06/15/2015
David Casalnuovo
(R]IND
O ter
11.411
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
PiEth Avenyc��
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Redpient Committee
(other than PTY or SCC)
0TH - Other (e -q_ business entity)
PTY - Political Party
SCC- Small Contributor Committee
www. netfil e. corn
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
FULL NAME, STREET ADDRESS AND YJP CODE OF CONTRIBUTOR
CONTRIBUTOR
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
06/30/2015
Davirl Casa lnuovo
QIND
PERIOD
C/o: San Rafael Police Association 1520 F-fth
❑ COM
OFOUSINESS)
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
137.76
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San afa CA 4901
01/15/2015
Allan Castaneda
FIND
C/o: San Rafael Police A-ssociation 1520 Fifth
COM
Avenue
San Rafael, CA 94901
ElOTH
11.48
Union member's dues received through
C4PTY
intermediary: San Rafael Police Association,
1S2n Pifth Av nuSan Rafael.,..
❑ SCC
01/31/2015
Allan Castaneda
..
x❑IND
Cicy of San Rafael
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
137.7
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
SUBTOTAL$ 57.40
1520 Fifth Avenue. San Rafael, CA_24�01
02/13/2015
Allan Castaneda
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
ntermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
o2 27 26i-
Allan Castaneda
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ CONI
Avenue
San Rafael, CA 94901
❑ OTH
Union member's duet received through
❑ PTY
incermedia_ry_ San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netl ile. coin
SCHEDULE A (CONT.)
Statement covers period
from_.. 01/01/2015
through 06/30/2015 I Page 35_ of 178
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
831553
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFOUSINESS)
Officer
11.48
137.76
City of San Rafael
Officer
11.48
137.76
City of San Rafael
Officer
11.48
137.76
City of San Rafael
Officer
11.48
137.76
Cicy of San Rafael
0re-,
11.
137.7
C'_ty of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) -Type orprint inInk. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars-
A '
'
from 01/01/2015
•
through 06/30/2015
page 36 of 178
NAME OF FILER
1_0. NUM8ER
San Rafael Police Association Political Action Committee
631553
DATE
��
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRI8UTOR
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMIREF- ALSO ENTER 1.RNUM3ER)
COOS i
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RE
(IFSELF-EMPLOYED.ENTERNAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF OUSINESS)
03/13 2015
Allan Castaneda
QfND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[—� OTH
Union members dues received through
EIPTY
intermediary: San Rafael Police Association,
[DSCC
1520 Fifth Avenue San Rafael. CA 94901
03/31/2015
A11a7i Castaneda
R]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
04/15/2015
A11an Castaneda
KIND
officer
11.49
137.76
C/o: San Rafael Police Associat-ion 1520 Fifth❑
COM
City of San Rafael
Avenue
Sass Rafael, CA 94901
❑OTH
Union member's dues received through
EJPTY
intermediary: San Rafael Police Association,
E)SCC
152Q E _rh Avenue, SanRafael, 94901
04/30/2015
Allan Castaneda
RIND
officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
.]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
i� PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
05 15 2015
Allan Castaneda
)IND
Officer
11.4e
137,76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
D PTY
intermediary: San Rafael Police Association,
LSCC
F
SUBTOTALS 57,40
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e_g_, business entity)
PTY — Political Party
SCC — Small Contobutor Committee
www_netfile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8651275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
RECEIVED (IF COM)An7Er~ ALO EATER I.O. NUMBER) CODE
05/29/2015
Allan Castaneda
QIND
C/o: San Rafael Police Association 1520 rafth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
n PTY
intermediary: San Rafael Police Association,
nSCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Allan Castaneda
®IND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
PTY
intermediary; San Rafael Police Association.
112Q PifLh AvLnue. San Rafael. CA 9490)
E)SCC
—
06/30/2015
Allan Castaneda
)IND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
r-" PTY
intermediary: San Rafael Police Association,
0 SCC
_
1520 Fifth Ave u . San RaE e1.,, CA.. 94901
01/15/2015
Edward Chiu
)IND
C/o: San Rafael Police Association 1520 F'_fth
COM
Avenue
!San Rafael, CA 94901
00TH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue, San Rafael, CA 94901
017:11/2015
Edward Chiu
rlr]INO
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received tbrough
n PTY
intermediary: San Rafael Police Association,
FISCC
1320.Eifth AverujL,, CA,._9_�
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g_, business entity)
PTY —Political Party
SCC—Small Contributor Committee
www.nettle-com
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF: SELF-EMPLOYEO, ENTER NAME
OF BUSINE551
ficer
ty of San Rafael
ty of San Rafael
Of ficer
City of San Rafael
Of f icer
City of San Rafael
ficer
ty of San Rafael
SUBTOTAL$
SCHEDULE A (CONT.)
Statement covers
from 01/01/2015
through 06/30/2015 Page 37 of 178
I.D. NUMBER
AMOUNT
RECEIVED THIS
PERIOD
11.4
11.48
11.4
57.no
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -OEC. 31)
137.76
6
PER ELECTION
TO DATE
(1F REQUIRED)
FPPC Form 460 (January/05)
FP PC Toll -Free Helplins: 866IASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 38 of 178
1.13 NUMBER
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRGUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATtV£To DATE PER ELECTION
RECEIVED(1FC0MMITTEE.ALSO ENTERI.D.NUM6ER) CODE � OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. S - DEC. 31) (IF REQUIRED)
cr auswrssS
13/2015 Edward Chiu IND off`_cer 11.48 137.76
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND — Individual
COM— Redpient Committee
(other than PTY or SCC)
0TH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
Officer 11.481 137,76
City of Sass Rafael
Officer 11.48 137.76
City of San Rafael
Officer 11.48 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$ 57_a0
FP PC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael,94901
02/27/2015
Edward Chiu
©IND
C/o: San Rafael Police Association 1520 Fifth
F] COM
Avenue
n
San Rafael, CA 94901
OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
i c320 Fifth Avenup, Ran Rafael , CA 94901
❑ SCC
03/13/2D15
Edward Chiu
(X]IND
C/o: San Rafael Police As_ociation 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
L) 0TH
onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1S20 n #.ael q4901
03/31/2015
Edward Chiu
QIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union mcnber's dues received through
❑ P-ry
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901 _
04 15 201s
E war lu
x[]IND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received tbrough
F-1 PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth v 9 ZQ1
'Contributor Codes
IND — Individual
COM— Redpient Committee
(other than PTY or SCC)
0TH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
Officer 11.481 137,76
City of Sass Rafael
Officer 11.48 137.76
City of San Rafael
Officer 11.48 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$ 57_a0
FP PC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
a
CALIF,
to whole dollars.
460
from 01/01/2015
FORM
through 06/30/2015
Page 39 of 178
NAME OF FILER
I _ NUMBER
San Rafael Police Association Political Action Committee
931SS3
DATE
FULL NAME, STREET ADDRESS AND ZJP CODE Of CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCO�t�enTEE,AENTERLp_NUMBER)
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF OF91�iYEER NAME
ENTER
PERIOD
(JAN. 1 - DEC- 31)
(IF REQUIRED)
NED
04/30/20;
Edward Chiu
XQIND
Officer
11.48
- 137.76
C/o: San Rafael Police Association 1520 FifthCOM
City of San Rafael
Avenue
San Rafael, CA 94901
U OTH
Onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
FjSCC
1520 Fifth Avenue San Rafael CA 94901
05/15/2015
Edward Chiu
❑c IND
Officer
11.46
137.76
C/o: San Rafael Police Association 1520 F-fth
L] COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
PTY
intermediary: San Rafael Police Association,
ISIO Fifth Avenue, San Rafael. CA q49Q1
SCC
05/29/2015
Edward Chiu
nIND
officer
11,48
137.76
C/o: San Rafael Police Association 1520 FifthCOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-)PTY
intermediary: San Rafael Police Association,
❑ SCC
52 v n u e,_..Sr3T1 Fs3fs3t=1.J+ 4 1-
06/15/2015
Edward Chiu
BIND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Union member's dues received through
(7 PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06[30/2015
Edward Chiu
)IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthD
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
U PTY
intermediary: San Rafael Police Association,
LSCC
70 Fifth Avenue, San Rafael. cn 94901
SUBTOTAL$ 57..40
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than Pit' or SCC)
OTH — Other (e.g., business enlity)
PTY — Pothical Party
SCC — Small Contributor Committee
www, netfil e_ com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP COOS OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
RECEIVEDOFCOI.w+tITTEE,ALSOE\TER10-NuueEaO CODE * OCCUPATIONAND EMPLOYE
R
(IF SRF-£MPLOY£O. ENTER NAME
OF 2USINESS)
ULrL5��u15
Kooerc uelana
❑IND
uLrLcer
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth JAvanue, San Rafael CA 9490.1__
01/31/2015
__ _
Robert Cleland
MIND
Officer
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
FI OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
' 939
02/13/2015
Robert Cleland
QIND
Officer
C/o: San Rafael Police Association 1520 Pifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
f] OTH
Union member's dues received through
FIPTY
intermediary= San Rafael Police Association,
❑ SCC
E 1520 Fifth—AVeiute. San Qa'Fals CA g4sn1
02/27/2015
Robext Cleland
x❑IND
Officer
C/o_ San Rafael Police Association 1520 Fifth
L]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ pTY
irstermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03113/2015
Robert Cleland
xjIND
Officer
C/o: San Rafael Police Association 1520 Fifth
❑ CIM
I
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
i ❑ pTY
intermediary; San Rafael Police Association,
IS20 rift
_h Avenue. San Rafae). CA 9490)
)SCC
SUBTOTAL$
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g_ business entity)
PTY - Political Party
SCC - Smab Contributor Committee
www.netfile.com
Statement covers period
from 01/01/2015
through 06/30/2015
AMOUNT
RECEIVED THIS
PERIOD
46
11.46
11.4
57.40
SCHEDULE A (CONT)
Page 40 of 178
1-0.NUMBER
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. S - OEC. 311
PER ELECTION
TO DATE
(IF REQUIRED)
137.76
137.76
137.76
137.76
137-7
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline_ 8661ASK-FPPC (8661275-3772)
Scheduie A (Continuation Sheet)
Monetary Contributions Received
Type or print 1n Ink -
Amounts may be rounded
to whole dollars_
Statement covers Period
from 01/01/2015
SCHEOULEA (CONT.)
'Contrlbulor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g., business entity)
PTY — Political Party
SCC — Small Contribuior Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FP PC (866f275 -3T72)
through 06/30/2015
page 41 of 179
1,13, NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
S ZIP
ADDRESSDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET SAND
IA,N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECDATE EIVED
CODE
IIF SELF-EMPLOYEO. ENTER NAME
PERIOD
(JAN, i - DEC. 31)
(IF REQUIRED)
of BUSINESS)
03/31/2015
Robert Cleland Y
X❑IND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[.PTY
intermediary: San Rafael Police Association,
❑ SCC
2 S
Fifth Avenue an Rafael CA. 94901
04/15/2015
Robert Cleland
QIND
_
Officer
11.48
137.76
C/o; San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
Q PTY
intermediary: San Rafael Police Association,
❑ SCC
04/30/2015
Robert Cleland
[J IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTI-1
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
I C] SCC
]_�?�_F'j,ftk: py Raf el 4 Ol
05/15/2015
Robert Cleland
MIND
11-48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
o 29 2015
Robert C e an X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth ❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ Pry
intermediary: San Rafael Police Association, ❑ SCC
1520 h CA 94901
SUBTOTAL$
57,40
'Contrlbulor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g., business entity)
PTY — Political Party
SCC — Small Contribuior Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FP PC (866f275 -3T72)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may he rounded
to whole dollars.
PATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INOIVIDUAL, ENTER RECEIVED PfCONdIITTEEALSO ENTER I.O.NUNBER) OCCUPATION AND EMPLOYER
CODE +
(u sir euvrorEo. errrea NAME
OF 13MNESS)
06/15/2015 Robert Cleland RIND Officer
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND — Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (ej., business entity)
PTY —Politica! Party
SCC —Small Contributor Committee
www.neffile-cam
officer
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SCHEDULE A (CONT)
Statement covers period CALIFORNIA
from 01/01/2015 _ FORM
through 06/30/2015 Page— 42 of 178
I.D. NUMBER
AMOUNT
RECEIVED THIS
PERIOD
-1.48
11.46
11.48
Sergeant 11.ae
City of San Rafael
SUBTOTAL$ 57.40
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, I - DEC. 31)
137. 76
137.76
137.76
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FP PC (8661275-3772)
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
n PTY
intermediary: San Rafael Police Association,
LSCC
1520 Fifth Avenue San Rafael CA 94901
06/30/2015
Robert Cleland
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association.
1520 Fifth Ay_y� San Rafa�-I. CA 94901
❑SCC
01/15/2015
Christopher Coale
F)IND
C/o: San Rafael Police Association 152D Fifth
❑COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
F. -PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 FifCbAv r� ,,,. 01
01/31/2015
Christopher Coale
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑COM
Avenue
San Rafael, CA 94901
i7 OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[ISCC
1S20 Fifth Avenue, San Rafael CA 94901
02/13/2015
Christopher Coale
_
91 IND
C/o: San Rafael Police Association 1520 Fifth
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Aven�_. San Ra ael. 9460]
❑ SCC
'Contributor Codes
IND — Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (ej., business entity)
PTY —Politica! Party
SCC —Small Contributor Committee
www.neffile-cam
officer
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SCHEDULE A (CONT)
Statement covers period CALIFORNIA
from 01/01/2015 _ FORM
through 06/30/2015 Page— 42 of 178
I.D. NUMBER
AMOUNT
RECEIVED THIS
PERIOD
-1.48
11.46
11.48
Sergeant 11.ae
City of San Rafael
SUBTOTAL$ 57.40
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, I - DEC. 31)
137. 76
137.76
137.76
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FP PC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
S tatem ent cove rs period
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
• '
through 06/30/2015
Page 43 of 178
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
ADDTE RESSAND ZIPO O
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL- ENTER
AMOUNT
CUMULATIVE TOOATE
PER ELECTION
pFCOM ENTER I NUMHER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(!Fs£LF£MPLoYED.EN r:RNAME
PERIOD
(JAN i -DEC. 31)
(IF REOUIREO)
Or HUS IN ESS)
02/27/2015
Christopher Coale
®INC)
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PlY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94 01
03/13/2015
Christopher Coale
NIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[3COM
city of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police A9sociation,
❑ SCC
03/31/2015
Christopher Coale
©IND
Sergeant
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Po'ice Association,
❑ SCC
i af,�h. F1y_a13L11Y. San Rafael, CA 9 9 1
Christopher Coale
04/15/2015
QIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
anion member's dues received through
❑ P7Y
intermediary: San Rafael Police Association,
SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30/2015Christopher
Cod Te
INC)
Sergeant
11.48
137. 76
C/o: San Rafael Police Association 1520 Fifth
City of San Ratael
Avenue
[:]Com
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P}Y
intermediary: San Rafael Police Association,
[]SCC
i,i,�2o r -if h Av nue man Rafael. Cn �q�,f
SUBTOTAL$ 57.40
'Contributor Codes
INC) — Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business enllty;
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers p
from 01/01/2015
through 06/30/2015
SCHEDULE (CONT)
Page 44 of 178
I.D_ NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COUMfrTEE,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)
SIF REQUIRED)
OF BUSINESS)
05/15/2015
Christopher Coale
MIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 949D1
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
Christopher Coale
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received tbrough
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
06/15/2015
Christopher Coale
HIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
n OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
I 20 Fifth Avenue, San CA
_
06/30/2015
-Rafael.
Christopher Coale
]IND
Sergeant
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
O1 7 15 T20i5
Ryan Cogbill
QIND
corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COQ
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PAY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue,
❑ SCC
Sl1BTOTAL$ 57.40
'Conidbuior Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e,g„ business entity)
PTY— POW caI Party
SCC —Small Contributor Committee
www.i7etfile.com
FPPC Form 460 (JanuaryM)
FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink- SCHEDULE (CONT,)
Monetary Contributions Received Amounts may be rounded Statement covers period t11111110
to whole dollars. CALIFORNIA'
from- _ 01/01/2015 •
NAME OF FILER
San Rafael Police Association Folitical Action Committee
through 06/30/2015 Page 45 of 178
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT
DATE
CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS
RECEIVER pfCOM►M1IT7EE,AL50ENrEAI-O.NUMdER) CODE
OF SELF-EMPLOYED. ENTER NAME PERIOD
a F EU SINESS)
01/31/2015 Ryan Cogbill X❑IND Corporal 11.46
C/o. San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www-netfrle-cam
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corpora
City of San Rafael
--------------
SUBTOTAL$
11.4
11.48
11.48
57.40
631553
CUMULATIVETO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. i - DEC. 31) (IF REOUIRED)
137.76
137.76
137,76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3712)
Avenue
i f COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue. -Sar- Rafael CA 94901
02/13 2015
Ryan Cogbill
91 IND
C/o: San Rafael Police Association 1520 Fiftb
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Fifth
❑ SCC
02/27/2015
Ryan Cogbill
XQIND
C/o: San Rafael Police Association 1520 Fifth
D COM
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
n PTY
intermediary: San Rafael Police Association,
n SCC
1520 Fifth Avenue San Raf 1 Ca 94901_
03/13J2015
Ryan Cogbill
RQIND
C/o: San Rafael Police Association 1520 Pifth
n COM
Avenue
San Rafacl, CA 94901
[30TH
Union member's dues received through
n PTY
Intermediary! San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
Ryan Cogbill m
RIND
C/o: San Rafael Police Association 1520 Fifth
❑COM
Avenue
San Rafael, CA 94901
❑ OTH
onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
'Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www-netfrle-cam
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corpora
City of San Rafael
--------------
SUBTOTAL$
11.4
11.48
11.48
57.40
631553
CUMULATIVETO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. i - DEC. 31) (IF REOUIRED)
137.76
137.76
137,76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3712)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT,)
Monetary Contributions Received Amounts may be rounded
State mentcoversperlod`
CALIFORNIA
to whole dollars.
/
- 60
from 01/01/2015
•
through 06/30/2015 _ _
page__ __4G of 178
LD- NUMBER
NAME OF FILER -- - �—
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRISU70R
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULAnVETO DA`FE
PER ELECTION
f(FCo� mnTEE,ALSO ENTER I.D.nf mBrR)
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFS£LwE45PLOYED,ENrERNAME
PERIOD
(JAN, I -DEC- 31)
(IF REQUIRED)
OF BUSINESS)
04/15/2015
Ryan Cogb'_11
RIND
corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTI•I
union member's dues received thzougb
L] PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 949.0.1
04 F30/2015
Ryan Cogbillx❑IND
Corporal
11.48
137.76
C/o; San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
Fifrh Avenue San Rafat--I. <-A S4901
05/15/2015
Ryan Cogbill
QIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
] PTY
intermediary: San Rafael Police Association,
❑ SCC
15- Fifth venue, n Rafa 1 CA 94901
Ryan Cogbill
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
U COM
City of San Rafael
7TI—S2
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
n P --y
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 44901
_
Corpora
Ryan CogbillRIND
1.48
137,76
C/o: San Rafael Police Association 1520 Pifth
O COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
L!PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Eifth Avenue. San RafaP1--CA--2j-11�.
SUBTOTAL$ 57.40
`Contributor Codes
tND–Individual
COM – Recipient Committee
(other than PTY or SCC)
0TH – Other (e.g., business entity)
PTY–Political Party
SCC–Small Contributor Committee
www. netfile. corn
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA/
to whole dollars.
from 01/01/2015
FORM
through 06/30/2015
page 47 _ Of 178
I.D. NUMBER
NAME OF FILER
San Rafael Police Assoc'_ation Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN IND(VIOUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
PFCOMMI"EE.ALSOENTERI.O.NUMBER)
CODE �
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(Ir SELf.EMPLOYEQENI ERNAME
PERIOD
(JAN. z - DEC. 31)
(IF REQUIRED)
OF BUStNESSI
06/30/2015
Ryan Cogbill
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth avenue, San Rafael_ CA 94901
01/15/2015
Thomas Collins
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
)�,20 Fifth AY C6 9J201
❑ SCC
01/31/2015
Thomas Collins
E)IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2 Hyl Avenue San Rafael CA 94901
_.
02/13/2015
Thomas Collins
X❑IND
Officer
11.46
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union ,nember's dues received through
[]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015 Thomas Collins
QIND
O (icer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
f-] OTH
inion member's dues received through
❑ PTY
J_ntermediary: San Rafael Police Association,
❑ SCC
1 7520 ifth Avem�.
SUBTOTAL$ 57.4a
-Contributor Codes
IND — Individuat
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g_, business entity)
PTY — Potiticai Party
SCC —Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toil -Free Helpllne: 866/ASK-FPPC (B661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink_ SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
/
rom
from—
through 06/30/2015
through
Page 46 of 178
I. D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Commnittee
831553
DATE
NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCoryM(nZE,ALSO ENTER I.D.NWl6ERy
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE +�
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN, 1 - DEC. 31)
(IF REQUIRED)
OF DUSINESS)
03/13/2015
Thomas Collins
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion members dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
•1520 Fifth Avenue San Rafael CA 9 901
03/31/2015
Thomas Collins
x❑lND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1c,20 Fifth Aventie- San Rafael. rA 9490)
❑ SCC
04/15/2015
Thomas Collins
El WD
11.40
137.76
C/o: San Rafael Police Association 1520 FifthE]
COM
(Officer
City of San Rafael
Avenue
San Rafael, CA 94901
U OTII
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
LSCC
1520 Fifth Avenue, l
04J30/2015
Thomas Collins❑IND
MIND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fitch Avenue, San Rafael, CA 94901
05 15 2035
Thomas Collins
X❑IND
Officer
11.48
13 .7b
C/o: San Rafael Police Association 1520 FifthD
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ s7.4a
'Cantritlutor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SGC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: B661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars_
I '
�
e=
from 01/01/2015
• "
through 06/30/2015
page '19._ of 178
NAME OF FILER
I.O. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE(IFCOMMnTEEAtSo
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
CONTRIBU*OR
AMOUNT
CUMULATIVETO DATE
PER ELECTION
FKTE'RI.O.kuMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE (h SFLF•-6MFLovEo.ENTERNANE
PERIOD
(.IAN. 1 - DEC, 31)
(IF REQUIRED)
OFBUSINLSS)
05/29/2015
Thomas Collins
lc❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[]COM
of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P-ry
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Thomas Collins
RIND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
❑ Pty
intermediary= San Rafael Police Association,
11;20 rifth Avenue. San Rafael , CA 114901
❑ SCC
QIND
06/30/2015
Thomas Collins
Officer
11.49
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTr'
intermediary: San Rafael Police Association,
❑ SCC
S20 Firth Avenue. San -Rafael . CA
01/15/2015
-I
Ryan De Marta
QIND
Officer
11.48
137.'16
I,
C/o; San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
j_]OTH
Union member's dues received through
❑ P-ry
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
X❑IND
01/21/2015
Ryan De Marta
Oficer
11,48
137.76
C/o: San Rafael Police Association 1520 F_.fth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ P-fy
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 94901
SUBTOTAL$ 57.40
'Contributor Codes
IND — Individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www_ netfile. com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print InInk SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
■ _
CALIFNIA
to whole dollars.
I
from 01/01/2015
FORM
Page 50 Of 178
through 06/30/2015
NAME OF FILER - —
LDNUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE Of CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMr,ell fcE. ALSO rI.TER I.O.NUM6ER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF -E HPLOYEO,cNI'ER NAME
PERIOD
(,IAN. 1 - DEC. 31)
(IF REQUIRED)
Of 8USINESS)
02713/201S
Ryan Be Marta
MIND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
Lj PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, S Rafael, CA 94.90.1___
02/27/2015
Ryan 7e Marta
MIND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
ic�20 Fifth Avenue San Rgfpf-1,. CA RA901
❑ SCC
03/13/2015
Ryan De Marta
El WO
Officer
11-48
137.76
C/o: San Rafael Police Association 1520 Pifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
CIPTY
intermediary: San Rafael Police Association,
E]SCC
1520 (!ifrh mpe.San Ra ael.94901
MIND
03/31/2015
Ryan Be Marta
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[3Com
City of San Rafael
Avenue
San Rafael, CA 94901
FJ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/IS/201S
Ryan De Marta
MIND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
E P-ry
intermediary: San Rafael Police Association,
❑ SCC
Rafael CA 94901
SUBTOTALS 57.40
-Contributor Codes
IND -Individual
COM -• Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g-, business entity)
PTY - Political Party
SCC -Small Contributor Committee
v ww.netfile.cam
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Ra°ael Police Association Political Action Committee
-f rpe or print in ink -
Amounts may be rounded
to whole dollars_
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 51_ of 178
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT
DATE CONTRIBUTOR OCCUPATION AND EMFZT0Y£R RECEIVED THIS
RECEIVED(IFCOIAMNTEE,AISOENiERLo.NUMSER) CODE +
(IFSELF-EMflIOY'cO,cwTER Nn6AE PERIOD
CF BUSINESS)
04/30/2015 Ryan De Marta ©IND Officer 11.48
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
1-0. NUMBER
831553
CUMULPMVETO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. I - DEC. 31) (IF REQUIRED)
-,m 137.76
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile-com
FPPC Farm 460 (January105)
FPPC Toll -Free Helpline_ 866JASK-FPPC (8661275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
LSCC
1520 FifthAvenue San Rafael CA 9490
_
Officer
05/15/2015
Ryan De Marta
IND
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Fifrh Avenue San Rafael CA 9 9 )
❑ SCC
_1520
05/29/2015
_
Ryan De Marta
MIND
Officer
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
UnioD member's dues received through
O PTY
intermediary: San Rafael Police Association,
❑SCC
l��n_Fi_fth Avenue, San afael. C&.. al
06/15/2015
Ryan De Marta
QIND
Officer
11 48
137,76
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
U PTY
intermediary: San Rafael Police Association,
DSCC
1520 Fifth Avenue, San Rafael, CA 94901
O 0 015
Ryan De Marta
XQIND
_
Officer
11.49
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-)PTY
intermediary: San Rafael Police Association,
Fifth Avenue. San Rafael--LA--2A9-0
❑ SCC
SUBTOTAL$ 137.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile-com
FPPC Farm 460 (January105)
FPPC Toll -Free Helpline_ 866JASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2015
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVEO THIS
RECEIVED(IFCo�aulrrEF.alsoENrFRLo.NUlA6ER) CODE
(IF SELF -E 4IPLOVED. ENTER NAME PERIOD
OF 6USINESS)
L/15/2015 Christian Diaz QIND Officer 11.48
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www_netfiie. com
titer
ty of San Rafael
otticer
City of San Rafael
utt1cer
City of San Rafael
ricer
ty of San Rafael
SUBTOTAL$ 57.401
SCHEDULE A (CONT)
Page 52 of 17B
1.0, NUMBER
831553
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 - DEC
. 37)
Avenue
❑ COM
-
i
San Rafael, CA 94901
❑ OTH
137.76
union member's dues received through
❑ P7Y
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue, an Rafael CA 94901
01/31/2015
Christian Diaz
)IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
E]PTY
intermediary: San Rafael Police Association,
Q SCC
Rafael
02/13/2015
Christ -an Diaz
xfIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
Ci PTY
intermediary: San Rafael Police Association,
❑ SCC
7a _ if h Avenue, San Rafael. CA 94901
T
02/27/2015
Christian Diaz
QIND
C/o: San Rafael Police Association 1520 Fifth
❑COM
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SGC
1520 Fifth Avenue, San Rafael, CA 94901
03 13/2015
Christian Diaz
X❑IND
C/o: San Rafael Police Association 1520 Fifth
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
n SCC
c, :5 ,1 Rafael. CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www_netfiie. com
titer
ty of San Rafael
otticer
City of San Rafael
utt1cer
City of San Rafael
ricer
ty of San Rafael
SUBTOTAL$ 57.401
SCHEDULE A (CONT)
Page 52 of 17B
1.0, NUMBER
831553
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 - DEC
. 37)
(IP REQUIRED)
137,76
-
i
137.76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAMEOF FILER
San Rafael Police Association Political Action Committee
Type or print in ink,
Amounts may be rounded
to whole dollars.
PATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN IND(VIDUAL, ENTER
RECEIVED
(IF COAENrtE o�ALSO ENTER I.O.NUMBERy
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
{
x❑IND
OF BUSINESS)
03/31/2015
Christian Diaz
Oti_cer
C/o: San Rafael Police Association 1520 Fifth❑COM
C=Ly of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union members dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152 Fifth Avenue San Rafael CA 9490
_
04/15/2015
Christian Diaz
OIND
Officer
C/o: San Rafael Police Association 1520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
Q PTY
intermediary: San Rafael Police Association,
❑ SCC
04/30/2015
Christian Diaz
ElIND
Officer
C/o: San Rafael Police Association 1520 F_.fth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
_
1 20 ni�Y, San Rafael, CA 94901
05/15/2015
Christian Diaz
HIND
Officer
C/o: San Rafael Police Association 1520 Fifth
MOM
of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
n SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/2912015
rist+an Diaz
alNp
_
icer
C/a: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Fifth Avenue, San Rafael A 94901
❑ SCC
SUBTOTAL$
'Contributor Codes
IND - Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Smati Contributor Committee
www.neffile.com
SCHEDULE (CONT)
Statement covers period
from __ 01/01/2016
through 06/30/2015 _ I Pago 53 of 17e
AMOUNT
RECEIVED THIS
PERIOD
11.48
11.48
11,48
11.48
57.40
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
137,76
137.76
137.76
3
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (JanuarylDS)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866!275-3TT2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action CormiLr_ee
Type or print in ink.
Amounts may be rounded
to whole dollars.
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER
RECEIVED (e cod �� �ITTEE ALSO ENTER I.O. NUMBER) CODE
(IF SELF-EMPLOYED, ENTER NAME
CF 6USINESS)
i/15/2015 Christian Diaz ©IND Officer
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY —Political Party
SCC —Small Contributor Committee
www_nelfrle-cam
Officer
City of San Rafael
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT)
Page 54 of 176
I.D. NUMBER
831553
AMOUNT CUMULATIVETO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
11.46 137.76
11.48 137.76
Officer 11.48 137.76
City of San Rafael
Officer 11-48 137.76
City of San Rafael
Officer 1 11-481 137.76
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
1= ] GOM
Sari Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue San Rafael 4901
06/30/2015
Christian niaz
E)IND
C/o: San Rafael Police Association 1520 Fifth
ICOM
Avenue
San Rafael, CA 94901
[DOTH
Union member's dues received through
0 PTY
intermediary, San Rafael Police Association,
R? 0 Fifth AvEnue. San Rafael rA 949Q1
n SCC
01/15/2015
Christopher Duncan
,OIND
C/o: San Rafael Police Association 1520 Fifth
�] COM
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
PTY
intermediary: San Rafael Police Association,
[] SCC
fah Avenue. San Rafael. CA 949 1 _.•__,
01/31/2015
Christopher Duncan
_
INC)
C/o; San Rafael Police Association 1520 Fifth
ICOM
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
n PTY
intermediary: San Rafael police Association,
Q SCC
1520 7ifth Avenue, San Rafael, CA 94901
02/13/201E;
Christopher Duncan
QIND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
f] OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
v;;n+ San aFa 1 A 0440
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY —Political Party
SCC —Small Contributor Committee
www_nelfrle-cam
Officer
City of San Rafael
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT)
Page 54 of 176
I.D. NUMBER
831553
AMOUNT CUMULATIVETO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
11.46 137.76
11.48 137.76
Officer 11.48 137.76
City of San Rafael
Officer 11-48 137.76
City of San Rafael
Officer 1 11-481 137.76
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through-, 06/30/2015
SCHEDULE A (CONT.)
Page 55 of 173
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE: OF CONTRIBUTOR
S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
dFCOUMrE, ENfERLo.NUMBER)
�
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFSELF-EMPLOYED, ENTERNAk4E
PERIOD
(JAN. i - DEC, 31)
(tF REQUIRED)
OF BUSINESS)
02/27/2015
Christopher Duncan
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Assoeiacion,
❑ SCC
1520 Fifth Avenue San Rafael CA 949QI
03/13/2015
Christopher Duncan
ElIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1S20 Fifth
C3 COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
03/31/2015
Christopher Duncan
RIND
Officer
11.48
137.76
C/o: San Rafael police Association 1S20 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
!] OTH
Union member's dues received through
QTY
intermediary: San Rafael Police Association,
❑ SCC
2 F•'' r;;zySan Rafael,94
...
....
__
_ _
04/15/2015
Christopher Duncan
)IND
Officer
11,48
137-76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
_
04/20/2015
C rsstop er Du can
]IND
Otticer
11.46
137,7
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT+
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San R ael Cn ygg0_
❑ SCC
SUBTOTAL$ 57.90
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g_, business entity)
PTY — Political Parry
SCC — Small Contributor Committee
www.netflle.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: R661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAMEOF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR
O
IF AN INDIVIDUAL, ENTER
RECEIVED
OF COMUITTEE,ALSOENTERI.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
❑ PTY
intermediary: San Rafael Police Association,
OF SELF-EMPLOYED. ENTER NAME
1520 Fifth Avenue San Rafapl CA 94901
Or BUSI NESSI
05/5/ 0015
1
Christopher Duncan f
x❑IND
Officer
❑ COM
C/o; San Rafael Police Association 1520 Fifth
COM
City of San Rafael
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY— Political Party
SCC — Small Contributor Committee
www.netfife.com
from
Statement covers period
m 01/01/2015
SCHEDULE (CONT)
through 06/30/2015 page 56 of 178
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS i CALENDAR YEAR TO DATE
PERIOD 'I (JAN, 1 - DEC. 31) (IF REQUIRED)
Officer 11.48 137.76
City of San Rafael
Officer 11.48 137.76
City of San Rafael
Officer 11 48 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$
57.40
FPPC Foran 460 (January105)
FPPC Toll -Free Helpline: 86&/ASK-FPPC (866/275-3772)
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
FJSCC
1520 Fifth Avenue San Rafapl CA 94901
Christopher Duncan
x❑IND
05/29/2015
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1CO-0 Fifth Avi'm CA 9490
EISCC
06/15/2015
Christopher Duncan
[]IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
n PTY
intermediary: San Rafael Police Association,
❑ SCC
j f„�11 Avenue. San Rafael. CA 94901
06/30/2015
Duncan
ffl IND
an Rafael Police Association 1520 Fifth
❑COM
7Christopher
fael, CA 94901
❑0TH
member's dues received through
❑PTY
ediary: San Rafael Police Association,
❑SCC
ifth Avenue, San Rafael CA 99901
15 2015
Scott T -Te
X❑IND
C/o: San Rafael Police Associat'on 1520 Fifth
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avunue. .San Rafael. CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY— Political Party
SCC — Small Contributor Committee
www.netfife.com
from
Statement covers period
m 01/01/2015
SCHEDULE (CONT)
through 06/30/2015 page 56 of 178
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS i CALENDAR YEAR TO DATE
PERIOD 'I (JAN, 1 - DEC. 31) (IF REQUIRED)
Officer 11.48 137.76
City of San Rafael
Officer 11.48 137.76
City of San Rafael
Officer 11 48 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$
57.40
FPPC Foran 460 (January105)
FPPC Toll -Free Helpline: 86&/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period—1CALIFORNIA
to whole dollars.
I,
from 01/01/2015
•RM -r6
through 06/30/2015
page 57 Of 178
NAME OF FILER
I -D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND Z1P CODE OF CONTRIBUTOR
ADDRESS AND 7JP O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECDATE EIVED
nFcT .NDE
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF 5ELF.EMKOVED,EUT£RNAME
PERIOD
(1AN, i - DEC. 31)
(IF REQUIRED)
RQIND
W BDSTNess)
Sergeant
11.48
01/31/2015
Scott Eberle _
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary- San Rafael Police Association,
SCC
1520 Fifth ven a San Rafa_cl CA 94901
02/13/2015
Scott Eberle
)IND
Sergeant
11.48
137,76
C/o; San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[30TH
Union member'c dues received through
[:)PTY
intermediary; San Rafael Police Association,
LSCC
Sergeant
02/27/2015
Scott Eberle
HIND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
C]0TH
Union member's dues received through
[] PTY
intermediary: San Rafael Police Association,
LJSCC
an Rafael. 4
11.46
137.76
03/13/2015
Scott Eberle
nxcIND
Sergeant
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
n PTY
I=ntermediary:
San Rafael Police Association,
❑SCC
I-520
Fifth Avenue, San Rafael, CA 94901
11,48
137.76
03/117201S
Scott E er a
C/o: San Rafael Police Association 1520 Fifth
Avenue
®IND
❑ COM
Sergeant
City of San Rafael
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
L) PTY
j
intermediary: San Rafael Police Association,
U SCC
424._-- f h An San Rafael,
SUBTOTAL$ 57.40
"Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www. netfile_ com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpllne, 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink_ SCHEDULE A (CONT)
Monetary Contributions Received Amounts may beroundod Statement covers period
to whole dollars.
from 01/01/2015
FORM
through 06/30/2015
page 58 Of 148
NAME OF FILER
I.O. NUMBER
San Rafael Police Association Political Action Committee
831553
Q4�
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSND ZIPO_NuI E O
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULAT(VE TO DATE
PER ELECTION
(EET
SOENTER
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELFEMKOYEU, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
of BUSINESS)
04/15/2015
Scott Eberle
QIND
Sergeant
11,48
137.76
C/o: San Rafael Police Association 1520 Pifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Ra ae , CA 94901
04/30/2015
Scott Eberle l
Sergeant
11 48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
C]CO
City of San Rafael
Avenue
-I
San Rafael, CA 94901
❑0T
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Ift
, -h Avenue San Rafael CA 9490j_
Scott Eberle
❑ SCC
(x]IND
Sergeant
75/15/2015
11.46
137,76
C/o: San Rafael Police Association 1520 FifthL]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[3SCC
1520
----- -
05/29/2015
Scott Eberle
QIND
sergeant
11.48'
137.76
C/o: San Rafael Police Association 152n Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
L] OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Pifth Avenue, San Rafael, CA 94901
06 15 2055
_
Scott er I a
MIND
Sergeant
11.48
173Y-76
C/o: San Rafael Police Association 1520 FifthO
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
O PTY
intermediary: San Rafael Police Association,
1 A520 Fifth Av nle. San Rafa 1. CA 94901
❑ SCC
SUBTOTAL$ 57.47
'Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g.. business entity)
PTY - Poll ical Party
SCC - Small Contributor Committee
www.netfle.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2015
• '
through 06/30/2015
Page 59 Of 178
NAME OF FILER
10. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTR18UTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IFCOMMUTEE ALSO ENTER La NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMP(,OVEO.ENTER NAME
PERIOD
(JAN. i - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
Scott rberle
©IND
Sergeant
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA. 94901
0OTI.1
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael 94901
01/15/2015----
Christopher Fuller
®IND
Police Officur
11.46
137,76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Rafael
❑ SCC
137.76
01/31/2015
Christopher Fuller
x❑IND
Police Officer
11.48
C/o: San Rafael Police A;!iociation 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue0�}____,_
02/13/2015
C],ristopher Fuller
®IND
Police officer
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02 27 T2015
Police officer
11.4A
137.76
Christopher Fu er
X❑IND
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
LJ
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
n P-fy
intermediary: San Rafael Police Association,
15'20 Fifth v
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND — Individual
CONE— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g-, business entity)
PTY — Political Party
SCC —Small Contribulor Committee
www. netfil e. com
FPPC Form 460 (January/05)
FPPC Toll -Free Heipllne: 866/ASK-FPPC (8661275-3T72)
Schedule A (Continuation Sheet) -Type or print In ink. SCHEDULE (CONT,)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/
60
from 01/01/2015
-
through 06/30/2015
Page 60 of 178
NAME OF FILER
LD.NUMBER
San Rafael Police Ansociacion Political Action Committee
831553
DATERECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRI8UTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(G COU MITTEE,ALSO ENTER LO_NUMBER)
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(ITSELF -EMPLOYED, ENTER NAME
PERIOD
(JAN_ 1 -OEC. 31)
(IF REQUIRED)
03/13/2015
Christopher Fuller
MIND
Police officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
U SCC
1520 Fifth Avenue San Rafael CA 94901
_
03/31/2015
Christopher Fuller
MIND
police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[J PTY
intermediary: San Rafael Police Association,
❑ SCC
Rafael.jq2Q Eifrh Avenue. San
04/15/2015
Christopher Fuller
MIND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
C
❑ SC1520
Z�ftb Aveinlie,I1,R31 ki_.i C,A....J2rL
04/30/2015
Christopher Fuller
HIND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Ll COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
-520 Fifth Avenue, San Rafael, CA 94901
05/IS/20
MIND
Potice O icer
11.x8
137.7
C/o: San Rafael Police Association 1520 FifthEl
City of San Rafael
Avenue
COM
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ P -!Y
intermediary: San Rafael Police Association,
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND— Indtvidual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g_, business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC To II -Free Heip[ine: B66/ASK-FPPC (866/275-3T72)
Schedule A (Continuation Sheet) Type or print In Ink- SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers periodCALIFORNIA
to whole dollars.
I '
from 01/01/2015
-
through 05/30/2015
Page 61 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Comm_ttee
831553
DATE
ADDRESS
FULL NAIVE, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
ANDZI
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE70 DATE
PER ELECTION
(W COMMITTEE, I -D -NUMBER)
�
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFSELF-fi17PLOYEO,ENTER NAME
PERIOD
(JAN i - DEC. 31)
(IF REOUIREO)
OF BUSINESS)
05/29/2015
Christopher Fuller
[X] IND
Police Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OT
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
SCC
1520 Fifth AvenMe, San Rafael CA 94901
06/15/2015
Christopher Fullerx❑INC)
_
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
DOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[] PTY
intermediary: San Rafael Police Association,
❑ SCC
06/30/2015
Christopher Fuller
F)IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthO
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
'D PTY
intermediary: San Rafael Police Association,
❑ SCC
v u Raf el CA
01/15/2015
Salvatore Garanzini
X❑IND
_
officer
11,48
137.16
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
Q OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue San Rafael, CA 94901
01/31/2015
Sa vatore Garanzini
X]IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
C]PAY
intermediary: San Rafael_ Police Association,
1420 F�frh Avenue.
SCC
SUBTOTAL$ 57-40
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g_ business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (B66f275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollar;.
1 1
from O1/O1/2015
FORM
through 06/30/2O1S
Page 62 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Ansociation Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMIi rEE,ALSOENTERW NUMBER)
t
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
COOS
(IFSELF-EMPLOYEO.ENrERNAME
PERIOD
(JAN. 1 - DEC- 31)
(IF REQUIRED)
OF BUS4NESSI
02/13/2015
Salvatore Garanzini
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[30TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94RQ1
02/27/2015
Salvatore Garanzini
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary- San Rafael Police Association,
1q10 Pifrh Avenue. San Rafael. 7A 94901
❑ SCC
03/13/2015
Salvatore Garanzini
nIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
CJPTY
intermediary: San Rafael Police Association,
❑ SCC
1520 7i Itch Aven1ia___qAn_R_a_fa__e_l CA 94901
[K] [ND
Officer
11.48
_
03/31/2015
Salvatore Garanzini
13'!.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:] PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Salvatore Garanzini
MIND
Officer
9
137.76
C/o; San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
0 4
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
0TH — Other (e.g., business entity)
PTY — Political Party
SGC — Small Contributor Committee
www_nefle_com
FPPC Form 450 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
CALIFi
to whole dollars.
• NIA
60
from 01/01/2015
• "
through 06/30/2015
Page 63 of 176
1.0 NUMBER
NAME OF FILER
San Rafael Police Association Polit:.cal Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER LO_
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IrSECF-EMGLOY£D,ENTcRNAME
PERIOD
(,JAN. 1 -DEC. 31)
(IF REQUIRED)
OF HUSINr$S)
04/30/20-
Salvatore Garanzini
X❑IND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
(-]SCC
1520 Fifth Avenue San Rafael CA 94901
_
05/15/2015
Salvatore Garanzini
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
11-48
05/29/2015
Salvatore Garanzini
®IND
Officer
137.76
C/o: San Rafael Police Association 1520 FifthL]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1. {3 _,, i lf�>ti v an Rafael. CA 94901
06/15/2015
Salvatore Garanzini
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
F-1 PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael CA 94901
Ob 73-0-72-0-15
Salvatore Garanzini ^^
rJINO -Officer
11.48
137.
C/o: San Rafael Police Association 1520 FiEth
Cicy of San Rafael
Avenue
❑COM
San Rafael, CA 94901
00TH
Union member's dies received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
IS20 Fifth Avenue San Rafael CA 9 907
SUBTOTAL$ 57.40
"Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
0TH - Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (JanuaryfOS)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I
from 01/01/2015
FORM
through 06/30/2015
Page 64, of 178
NAME OF FILER
I.O. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTR18U70R
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMrrTEE,AL50E?1TERfO-NUMBER)
CODE �
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
Of SELF-EMPLOYED. EWERMAME
PERIOD
(JAN, t -DEC. 31)
(IF REQUIRED)
OF SUSMESS)
137-76
01/15/2015
Michael Garrison
HIND
Officer
11 48
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[_1 PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San RafaEl.CA 94901
_
01/31/2015
Michael Garrison
x❑IND
Officer
11,48
137.76
C/o: San Rafael Police Association 1520 Fif::h[-]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael police Association,
❑ SCC
RIND
02/13/2015
Michael Garrison
Officer
11.48
137.76
C/o; San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:)PTY
intermediary; San Rafael Police Association,
❑ SCC
20 Fifth Avenue. S n 11a de] rA 4q0j
[K] IN()
Officer
11.46
02/27/2015
Michael Garrison
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
;intermediary:
San Rafael Police Association,
❑ SCC
-372-0
1320 Fifth Avenue, San Rafael, CA 94901
-Michael
_
03 TI ff
arr son
x❑IND
Officer
11.48
37.76
C/o: San Rafael Police Association 1520 FiftbCity
of San Rafael
Avenue
[—)Com
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
Isla Fifthael , CA 94901
SUBTOTAL$ 57.40
Ton(libutor Codes
IND—Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e,g„ business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Hefpflne: B661ASK-FPPC (866/2753772)
Schedule A (Continuation Sheet) Type or print in Ink, SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars_
YAW
I '
from___ al/nl/2als
a _
through 06/30/2.015
Page 65 of 176
I.D. NUMBER
NAME OF FILER __
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CON7R18UTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
OFCoMM(TTE ,ALSOCN7ERI.o.NUM9fR)
CODE Y
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
REDATE
pFSELF-EMPLOYFO,ENTER NAME
PERIOD
(JAN. I - DEC, 31)
(IF REQUIRED)
OF 8U5luESS)
03/31/2015
Michael Garrison
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
EISCC
1520 Fifth Avenue an Rafael CA 94901
04/15/2015
Michael Garrison
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
04/30/2015
Michael Garrison
]IND
Officer
11,48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
© OTH
Inion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
Fi ft.1i 0I
05/15/2015
-luo
Michael Garrison
QIND
Officer -
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
City of San Rafael
Avenue
COM
San Rafael, CA 94901
U OTH
Onion member's dues received through
O PTY
intermediary: San Rafael Police Association,
0 SCC
1520 Fifth Avenue, San Rafael, CA 94901
[xj IND
05/2972015
Michael Garrison
OFicer
11.4
137,76
C/o. San Rafael Foliee Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
r] OTH
Union member's dues received through
❑ PN
intermediary: San Rafael Police Association,
❑ SCC
1 rnue. San Rafael. CA 94901
SUBTOTAL$ s7-40
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.neKle.com
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
J '
from__ 01/01/2015
FORM
through 06/30/2015
Page 66 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
pECo>ADDRES SANDZIO ENTER I.O.kuMBElt)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSEIF-EMPLOYED,ENTERNAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF euUNESS)
06/15/2015
Michael Garrison
x❑IND
Officer
11.46
137,76
C/o: San Rafael Police Association 1520 FifthE]
CDM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
E] PTY
intermediary: San Rafael Police Association,
n SCC
1520 Pifth Avenue, San Rafael. CA
XQIND
Officer
11.481
06/30/2015
Michael Garrison
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ CDM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Onion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue San Rafael. CA 9190-
U SCC
01/15/2015
Lilah Gavlick
x]IND
Police Officer
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
union member's dues received through
C]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth u itCA 94901
01/31/2015
Lilah Gavlick
x❑[NO „Police
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth❑
CDM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
PTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue, San Rafael, CA 94901
_
1—Ma Gav Mc'k
MIND
Police O icer
11.98
137,76
02 Fi3 2015
C/o: San Rafael Police Association 1520 Fifth
dCOM
City of San Rafael
Avenue
San Rafael, CA 94901
jJ 0TH
+
Union member's dues received through
❑ Pry
I
intermediary: San Rafael Police Association,
Elfth Ayo-ni San Rafael. CA 94901
❑ SCC
_1_520
SUSTOTALw 57,40
'Contributor Codes
INO— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.nettile.com
FPPC Form 460 (Janu2ryl05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
Statement covers period
al/01/gals
SCHEDULE (CONT)
through 06/30/2015 I Page—_ 67 of ills
831553
GATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AOUNT
MOCCUPATION
CUMULATIVE TO DATE
San Rafael, CA 94901
(IF COMMITTEE- ALSO ENT ER LO- NUM BER)
AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-E4IPLOYEO,ENTER NAME
PERIOD
(JAN. 1 - DEC- 31)
CF BUSINESS)
02/27/2015
Lilah Gavlick
IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g„ business entity)
PTY - Polltical Party
SCC - Small Contributor Committee
www.netfile.com
137-76
137.76
137.76
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January105)
FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772)
Avenue
❑ GOM
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
[]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520F'fth Avenue San Rafael CA 94901
03/13/2015
Lilah Gavlick
E] IND
Police Officer
11.48
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Eifth Avenue. San Rafael- CA 94901
❑ SCC
03/31/2015
Lilah Gavlick
X❑IND
Police officer
11.48
C/o: San Rafael Police Association 1520 Fiftb
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received tbrough
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 2f3.-_F_ijth Avenue, San Rafael, CA 949 1
04/15/2015
Lilah Gavlick
E]IND
Police Officer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
i !PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 ?fifth Avenue, San Rafael CA 94901
04/30/2015
Li ah Gavlick
R❑IND
Police Officer
11.48
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
O COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
P7Y
intermediary: San Rafael Police Association,
❑ SCC
-f-ifth Avenue,
SUBTOTAL$ 57.40
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g„ business entity)
PTY - Polltical Party
SCC - Small Contributor Committee
www.netfile.com
137-76
137.76
137.76
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January105)
FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT:)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
NIA
/ �
01
from 01/01/2015
-
through 06/30/2015
Page 68 Of 178
NAMEOF FILER
I.O. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBll70R
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RFcoMMnTE�AIsoENT�Iro,NUMeER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE +
(IF SELF•EMPLOYED.ENTER UWE
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2015
Lilah Gavlick n..,.,
x❑IND
Police Officer
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police association,
❑ SCC
1520 Fifth Avenue S el CA 94901
MIND
OS/29/201S
Lilah Gavlick
Police Officer
11.46
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafacl, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
11,48
06/15/2015
Lilah Gavlick
RIND
Police Officer
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:)PTY
i
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth,_........_.
-
06/30/2015
Lilah Gavlick
MIND
Police Officer
11.48
337,76
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
1)1[15/2015
Justin Gra am
x❑IND
Corpora
11,48
1 7.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue,
(-) SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
wwwxetfile_ tom
FPPC Form 460 (.January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink- SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars_
CALIFORNIA
I i
from 01/01/2015
FOR
through 06/30/2015
page 69 of 176
I.O. NUMBER
NAMEOF FILER
San Rafael Police Association Political Action Committee
831553
DATE
AN
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CODEO
CONTRIBU
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
pFCOMAAIDRE,SS TZIP
TOR
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVEDER
(IFsFLF-E41P10YEo,ENiERNAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
CF BUSINESS)
01/31/2015
Justin Graham
niND
Corporal
1:1.48
1.37,76
C/o: San Rafael Police Association 1520 Fifth
1
ocom
City of San Rafael
Avenue
San Rafael, CA 94901
LJOTH
Union member's dues received through
EIPTY
intermediary: San Rafael Police Association,
USCG
1520 Fifth Avenue San Rafael 94901
02/13/2015
Justin Graham
QIND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
�GOM
city of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCG
)IND
02/27/2015
Justin Graham
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
Q COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
LJPTY
intermediary. San Rafael Police Association,
LSCC
San RafaelrAaA-9-01
Justin Graham
03/13/2015
)IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
ICOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
corporal
11.48
_
137.7
03/31/201S
Justin Gr am
KIND
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Q COM
San Rafael, CA 94901
IJ OTH
Union member's dues received through
[_) PTY
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael. CA 94901
LSCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity.)
PTY— Political Party
SCC—Small Conlributor Committee
www.netfile.com
FP PC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
type or print to ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDUL,F A (CONT)
'Contributor Codes
IND — Individual
COM — Redpleni Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Help]Ina: 866IASK-FPPC (8661275-3770
through 06/30/2015
page 70 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESS
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
QFC041 LD.N
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(if SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. r -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/15/2015
Justin Graham
MIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
O Pry
intermediary: San Rafael Police Association,
SCC
1520 Fifth Avenue San Rafoe?,,CA 94901
_
04/30/2015
Justin Graham
MIND
Corporal
11-48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
C)PTY
intermediary: San Rafael Police Association,
Sar- Rafael CA 94901
n SCC
05/15/2015
Justin Graham
MIND
Corporal
11-48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[10TH
Union member's dues received through
U PTY
intermediary! San Rafael Police Association,
❑SCC
1132j.>"AvP` R f 1 CA 4 O1
MIND
_
Corporal
05/29/2015
Justin Graham
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
C)OTH
Union member's dues received through
0 Pry
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
15 01 Justin Graham MIND Corporal 11.4A137,76
C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Ay-enuF. San Rafael, CA
SUBTOTAL$ 57.40
'Contributor Codes
IND — Individual
COM — Redpleni Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Help]Ina: 866IASK-FPPC (8661275-3770
Schedule A (Continuation Sheet) Ty pe or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I_
CALIFOIt
to whole dollars.
from 01/01/2015 _
• _
through 06/30/2015
page 71 Of 178
NAMEOFFILER
' I.D. 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
(IECOILMRlEE.A(SOEMERLO.NUMBER)
;
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-E1dPLOVEO.ENTER NAME
PERIOD
(JAN. S -DEG. 31)
(IF REOUIREO)
OF BUSINESS)
06/30/2015
Justin Graham
MIND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Julie Griffith
©IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union members dues received through
0 PTY
intermediary: San Rafael Police Association,ElSCC
14510 r1frh Avenue San Rafael. CA 9490)
MIND
Records Clerk
01/31/2015
Julie Griffith
9-00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
[:)PTY
intermediary: San Rafael Police Association,
❑ SCC
15 20 F v Sa_% Rafael,_.
02/13/2015
Julie Griffith
)IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 94901
02/27/2015
Julie Griffith
MIND
Records Clerk
9.00
- 108.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Q COM
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
IS20 Fifth AvenDe, San Rafael, CA 94901—
Q SCC
SUBTOTAL$ 47.46
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g„ business entity)
PTY — Political Party
SCC — Small Contrlbutor Committee
www.nettile.com
FPPC Form 460 (January/05)
FPPCToll-Free Helpline: 866/ASK-FPPC (856/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
1
from Ol/01/2015
•
through 06/30/2015
page 72 of 170
NAMEOF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
��
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOMMrrrEE,ALSOEWER LUNUMBER)
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFSELFEMFLOYEO.ENTER14AIAE
PERIOD
(JAN, i - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Julie Griffith
x❑IND
Records Clerk
9,00
lOB_00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
j]OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San ggjaeA,CA 94901
03/31/2015
Julie Griffith
]IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:)PTY
intermediary: San Rafael Police Association,
❑ SCC
Fifth Avenue. San Rafael, CA 94q01-
©IND
-
04/15/2015
Julie Griffith
Records Clerk
9.00
106.00
-
C/o: San Rafael Police Association 1520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
❑ SCC
Av y-e--san _R4�.`_ae1 4 9 0 1
Julie Griffith
_ y
04/30/2015
MIND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
CONI
City of San Rafael
Avenue
San Rafael, CA 94901
(DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
OS%15 2015
Records Clerk
9.00
108,00
u ie r1 t
WINO -
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, n
❑ SCC
SUBTOTAL$ 45.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Farm 460 (Januaryl05)
FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers perlod
to whole dollars.
OEM
from01/01/2015
_ .
through 06/30/2015
page_ _73 of 178
NAMEOFFILER
1.0. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBLfTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
OFCOMMME£,ALSOENTER I.D.NUM9ER)
.
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
IODATE
RECEIVE[)
CODE
pFSELF-EMPLOYEO,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(1F REQUIRED)
OF BUSINESS)
05/29/2015
Julie Griffith
x❑IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTIi
Union member's duet received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 FifL'h Avenue, San Rafael, CA 94901
06/15/2015
Julie Griffith
QIND
Records Clerk
9-00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fif h Avenue. San
❑ SCC
06/30/2015
Julie Griffith
QIND
Records Clerk
9,00
108.00
C/o: Sari Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[]OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
(i SCC
Avenue. n Rafael, CA 9190
01/15/2015
Lori Hendricks
El IND
Dispatcher
9-00
108.00
C/o: San Rafael Police Association 1554 FifthE]
COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/31/2015
Lori Hen ric s
QIND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 15S4 Fifth❑
City of San Rafael
Avenue
COM
San Rafael, CA 94935
❑ OTH
Union member's dues received through
F- pTy
intermediary: San Rafael Police Association,
❑ SCC
Avenue, 4
SUBTOTALS 45.00
-Contributor Codes
IND — Individual
CONI — Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g., business entity;
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULEA (CONT.)
through 06/30/2015 page 74 of 178
NAMEOF FILER I.O. NUMBER
San Rafael Police Association Political Action Committee 831553
DATE
ADDRESS?J
FULL NAME, STREET ADDRESS AND ?JP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUNULATWETO DATE
PER ELECTION
(EET
ALSAND
LO- NUMBER)
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(Ir SELF-E4IPLOYEO, ENTER NAPAE
PERIOD
(JAN. 5 - DEC. 31)
(IF REQUIRED)
OF 9USMESS)
02/13/2015
Lori Hendricks
Lx] IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
U COM
City of San Rafael
Avenue
San Rafael, CA 94935
n OTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
0SCC
1520 Fifth Avenue San Rafqej, CA 4901
02/27/201S
Lori Hendricks
QIND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
0 COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Pifth Avenue San Rafaf--) , CA c)4901
OSCC
03/13/2015
-1-Un
Lori Hendricks
QIND
Dispatcher
9.00
108,00
C/o: San Rafael Police Association 1554 Fifth
a COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
C)PTY
intermediary: San Rafael Police Association,
0SCC
1520 Fiftb AvSa.n1 4 OZ
03/31/2015
Lori Hendricks
QIND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94935
U CTH
Union member's dues received through
C) PTY
intermediary: San Rafael Police Association,
0SCC
1520 Fifth A-venue,_San Rafael, CA 94901
QIND
Dispatc er
04/IS/2015
Lori Hendricks
9.00
108.00
C/o: San Rafael police Association 1554 FifthO
City of San Rafael
Avenue
COM
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth v
[jSCC
SUBTOTAL$
45.00
-Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Smafl Contributor Committee
www_netfile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpline_ 866/ASK-FPPC (9661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT-)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
Sam
from 01/01/2015
through 06/30/2015
Page 75 of 178
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULAT(VETO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE.ALSOENTERI.o.NUMBER)
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
pFSELF-EMPLovEu,ENTERNAME
PERIOD
(JAN- 5 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Lori Hendricks
x❑IND
Dispatcher
9.00
108.00
C/o; San Rafael Police Association 1554 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ 0TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
_
05/15/2015
Lori Hendricks
91IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
union member's dues received through
❑ PTY
intermediary: flan Rafael Police Association,
1520 Fifth Aynnue. San Rafael. CA 94901
❑ SCC
05/29/2015
Lori Hendricks
QIND
Dispatcher
9. DO
108.00
C/o: San Rafael Police Association 1554 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[CDJ SCC
Lori Hendricks
---
06/15/2015
)IND
Dispatcher
9,00
108.00
C/o: San Rafael Police Association 1554 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
U OTH
Union member's dues received through
❑ p-ry
intermediary- San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael CA 94901
06/10/2015
ori Hendricks
]IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94935
❑ OTH
Union member's dues received through
U PTY
intermediary: San Rafael Police Association,
A 9a9o1
❑SCC
SUBTOTAL$ 45.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Conthhutor Ccmmiflee
www.i7etfile.com
FPPG Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPG (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement pavers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e,g., buslness entity)
PTY – Political Party
SCC–Small ConlrlbutorCommittee
www_nefIe_com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
through— 06/30/2015
Page 76 of 178
NAME OF FILER
1.0_ NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO GATE
PER ELECTION
(IF COMMI TEE. ALSO ENTER 1,aNUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELf-EMPLOY£o.ENTER NAME
PERIOD
(JAN. 1 -OEC, 31)
(IF REQUIRED)
OFSUSINESS)
of is/2015
Robert Henkle
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
nSCC
1520 Fifth Avenue San RaFael CA 94901
11.48
_ __
137.76
01/31/2015
Robert Henkle
X❑IND
Officer -
C/o: San Rafael Police Association 1520 Fifth
Q COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
] PTY
intermediary: San Rafael Police Association,
1%20 Fifth Aypni q— Raf—I PA q4qA1
❑ SCC
02/13/2015
Robert Henkle
jlND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SGC
M 94901
02/27/2015
Robert Henkle
E)IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
ICOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
0 SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.44
03/13/201S
Robert lienkle
QIND
O,:tLcer
137.76
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
SUBTOTAL$
57.90
'Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e,g., buslness entity)
PTY – Political Party
SCC–Small ConlrlbutorCommittee
www_nefIe_com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheen Type or print In Ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46
from 01/01/2015
FORM �
through 06/30/2015
page 77 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831SS3
��
FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR
DDRESS AN J E O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETOOATE
PER ELECTION
(IFCOYI T O.NUI
k
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED. ENTER NAM£
PERIOD
(JAN_ 1 -DEC. 31)
(IF REQUIRED)
OFSUSINESS)
03/3Il/2015
Robert Henkle
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Pifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received tbrough
❑ QTY
intermediary: San Rafael Police Association,
❑ SCC
_520 Fifth Avenue, San Rafael. CA 94901
04/15/2015
Robert Henkle
XQIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
04/30/2015
Robert Henkle
xQIND
Officer
11.48
137.76
C/o: San Rafael Police Assoc:ation 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
[] PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San
_
05/1S/2015
Robert Henkle
BIND
Officer
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
LjOTH
Union member's dues received through
❑ PTy
incermedia_ry: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/29/2015
Ro rt Henkle
QIND
officer
11.48
137.7
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
�520 Fifth Avenue. San Rafael,
SUBTOTAL$ 57-40
-Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Poil6cal Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/(15)
FP PC Toll -Free Helpline: 866/ASK-FPPC (666/275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT,)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA '
from of/O1 /2015
-
through 06/30/2015
Page` _78 Of 17a
1.0- NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND 21P CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN IND$VIDUAL, ENTER
AMOUNT
CUMULAT(VETO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER I,D. NUMBER)
f
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-Eb5PLO1'ED.ENTER NAME
PERIOD
(SAN. i -DEC. 31)
(IF REQUIRED)
OF BLIINE35)
06 /25/2015
Robert HenkleX�IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fiftb
MCOM
City of San Rafael
Avenue
San Rafael, CA 94901
(_]OTH
Union member's dues received through
OPTY
intermediary: San Rafael Police Association,
LSCC
1520 Fifth Avenue San Rafael CA 94901
06/30/2015
Robert Henkle
x)IND
officer
11.48
137.76
C/o: San Rafael Police ASSOCiaLion 1520 Fifth
(_}COM
City of San Rafael
Avenue
San Rafael, CA 94901
GOTH
Union member's dues received througb
O PTY
intermediary: San Rafael Folice Association,
11470 Fifth Avemie. San Rafael. Q-A 95901
0SCC
01/15/2015
-
J, Alexander Rolm
®IND
Corporal
11.48
139.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Pifth Avenu a 94 I
01/31/2013
J. Alexander Kolm
XIIND
Corporal
11.48
139.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue San Rafael, CA 94901
0271-3— 2015
J. Alexander KO m
Y Q)IND
Corpora
11.48
137.7
C/o; San Rafael Police Association 1520 Fi`_th❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
C] SCC
IS20 Fifth Avenue, 4
SUBTOTAL$ 59.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Januaryl05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT,)
Monetary Contributions Received Amounts may be rounded
State In e n t cove rs period
CALIFORNIA
to whole dollars.
from of/o1J2o15
FORM
page 79 of 179
I.D- NUMBER
through 06/30/2015
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMrrrEE,AL50ENIERID.NUMBER}
COOS *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IFSELFEMPLOYED•ENTER NAME
PERIOD
(JAN. 1 - DEC_ 31)
(IF REQUIRED)
OP BUSINESS)
02/27/2015
J_ Alexander Holm
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received tbrough
O PTY
intermediary: San Rafael Police Association,
n SCC
1520 Fifth Ave ue San Rafael CA 94901
_
03/13/2015
J. Alexander Holm
X❑IND
Corporal
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COAA
City of San Rafael
Avenue
San Rafael, CA 94901
f jOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
03/31/2015
11.48
137.76
J. Alexander Holm
xQIND
Corporal
C/o: San Rafael Police Association 1520 Fifth
[ICOM
of San Rafael
Avenue
San Rafael, CA 94901
Lj oni
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
Corporal
I
04/15/2015
J. Alexander Holm
X❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue, San Rafael, CA 94901
)IND
04/30/2015
J. Alexander Ho m
Corporal
_
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ Ply
intermediary: San Rafael Police Association,
❑SCC
IS2A rifrh Pe. San 4
SUBTOTALS 57.40
-Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.• business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.nefle. cam
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2015
"
through 06/30/2015
page 80 of 178
NAME OF FILER
LD, NUMBER
San iafael Police Association Political Action Committee
831553
DATE
FULLNAME, STREET ADDRESS AND Z1P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOMNhTEEALSOENiERLD.NuuBERJ
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-FMPtOVEO.fNTER NAME
PERIOD
(JAN. i - DEC. 31)
(1F REQUIRED)
OF SUSINFSS)
05/15/2015
J. Alexander Rolm
IND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Pifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[30TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
J. Alexander holm
x❑IND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 FifthO
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1%20 Fifth Aypnun. San Rafael. CA 94901
❑ SCC
06/15/2015
J. Alexander Holm
®IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
OOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 1
06/30/2015
J_ Alexander Holm
IIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Pifth
n OONi
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P -(Y
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue, San Rafael, CA 94901
01 15 2015
Lisa Ho ton
X❑IND
Sergeant
11.48
117.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Av nue. San Rafa
❑ SCC
'Contributor Codes
IND—individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g-, business entity)
PTY— Politica( Party
SCC — Smal] Contributor Committee
www-neffile-com
SUBTOTAL$ 57.401 '
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA/
to whole dollars.
' 60-
from 01/01/2015
through 06/30/2015
Page 81 of 178
NAME OF FILER
1_0. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADORESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
iF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFGOV,MnTEE, ALSO ENTER I.O-CUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
OF SELFtiMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/201S
Lisa HoltonxDIND
IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
(
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Onion member's dues received through
D PTY
intermediary. San Rafael Police Association,
DSCC
1520 Fifth Avenue, Sqri Rafael, CA 94901
02/13/2015
Lisa Halton
IND
Snrgeant
_
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
DCOM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑PTY
intermediary: San Rafael Police Association,
IS 0 Pifth Avenue. Ran Rafael. CA 94901
OSCC
02/27/2015
Lisa Holton
]IND
Sergeant
11.48
137-76
C/o; San Rafael Police Association 1520 Pi`.th
DCOM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
d PTY
intermediary: San Rafael Police Association,
DSCC
15 20 Fifth A n F 949()!
137.76
03/13/2015
Lisa Holton
)IND
Sergeant
11.48
C/o: San Rafael Police Association 1520 Fifth
DCOM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
C]PTY
intermediary: San Rafael Police Association,
QSCC
1520 Fifth Avenue, San Rafael, CA 94901
0 3 2015
Lisa Ho ton
XD IND
Sergeant
11.4
37.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
DCOM
San Rafael, CA 94901
DOTH
Union member's dues received through
D PTY
intermediary: San Rafael Police Association,
n SCC
220 Fifth Avenue, San R ` 4
SUBTOTAL$ 57,40
'Contributor Codes
)ND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Janna $105)
FPPC To II -Free Helpline_ B661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheen Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may he rounded
Statement covers period
to whole dollars.
CALIFORMA 46FORM
from 01/01/2015
througho6I3oJ2a15
page e2 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOWMRr1EE Al30 ENTER CO. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED.EMER NAME
PERIOD
(JAN. I - DEC, 31)
(IF REQUIRED)
OF BUSINESS)
04/15T2 0 1-5
Lisa Ho'fcora
91 IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary_ San Rafael Police Association,
11 SCC
1520n10ifth Ai3ue, San Rafael CA 94901
QIND
Sergeant
11.46
137.76
_--
04/30/2015
Lisa Holton
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
p PTY
_atermediary: San Rafael Police Association,
❑ SCC
11.48
137.76
05/15/2015
Lisa Holton
©IND
Sergeant _
C/Oc San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received througb
[] PTY
intermediary: San Rafael Police Association,
0S cc
Lisa Holton
[X�IND
OS/29/2015
Sergeant
11,46
137.76
C/o: San Rafael Police Association 3520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
E] PTy
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Lisa Ho ton
91 IND
Sergeant "
1.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received througb
❑ PjY
intermediary: San Rafael Police Association,
IS20 Fifth Avenjje, SLtrj Rafael CA 94901
El SCC
SUBTOTAL$ 57.40
"Contributor Codes
IND— Individual
CONI —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netf-ife.com
FPPC Form 460 (January/05)
FPPC Toff -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
S to tem e nt cove rs period ICALIFORNIA
to whole dollars.
/ '
from 01/01/2015
_
through 06/30/2015
page 83 of 178
NAMEOF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATERECEIVED
FULL NAME, STREET ADDRESS AND LP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF C0WrrTEE.ALSO EWER I.O.NUMBER)
�
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
SDE
(IFSEV-EMPLOYED, EWER NAMF
PERIOD
(JAN, 1 -OEC. 31)
(IF REQUIRED)
OF SUStNESS)
06/30/201S
Lisa Holton
]IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafsiel. CA 94901
01/15/2015
Kyle Hornstein
]IND
Corporal
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
(:)PTY
intermediary: San Rafael Police Association,
❑ SCC
01/31/2015
Kyle Hornstein
x❑IND
Corporal
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member'B dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
71F;20 Fifth Averlile, San R 491)L_
X❑IND
Corporal
11.48
137.76
02113/2015
_,afael
Kyle Hornstein
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/2-712015
Ky a Hornstein
FIND
Corporal
11.48
137. 5
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
n
San Rafael, CA 94901
❑ 0TH
Union members dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND—individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity,
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpilne: B66/ASK-FPPC (8661275-3T72)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink_
Amounts may be rounded
to whole dollars_
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/201S Page 04 of 178
I.O. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT
DATE CONTRIBUTOR OCCUPATIONAND EMPLOYER RECEIVED THIS
RECEIVED (IF COMMITTEE. ALSO ENTER I.O. NUMBER) CODE
(Ir SELF,cMPLOYEO, ENTER NAME PERIOD
OF eusluEss)
03/13/2015 Kyle Hornstein X❑!ND Corporal I 11.4
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
n COM
❑ OTH
❑ PTY
❑SCC
RIND
❑ COM
❑ OTH
❑ PTY
❑SCC
©IND
❑COM
❑ OTH
❑ PTY
❑ SCC
FIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
lt❑IND
n COM
❑0TH
❑ PTY
❑ SCC
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN_ 1 - DEC, 31)
Corporal 11.48 137.76
City of San Rafael
Corporal 11.48 137.76
City of San Rafael
orporal 11.48 137.76
ity of San Rafael
icy of San Rafael
SUBTOTAL$
57.40
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1S20 Fifth Avenue Sian Rafael, CA 94901
03/31/2015
Kyle Hornstein
C/o: San Rafael Police ASSOCiation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
IS20 Fifth Ayanue, San Rafael. CA 94901
—
04/15/2015
Kyle Hornstein
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
�5t}h.11 Avenue. San Rafael, CA 94901
Kyle Hornstein
04/30/2015
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
05715/2015
Pyre ornsceirt
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
n COM
❑ OTH
❑ PTY
❑SCC
RIND
❑ COM
❑ OTH
❑ PTY
❑SCC
©IND
❑COM
❑ OTH
❑ PTY
❑ SCC
FIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
lt❑IND
n COM
❑0TH
❑ PTY
❑ SCC
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN_ 1 - DEC, 31)
Corporal 11.48 137.76
City of San Rafael
Corporal 11.48 137.76
City of San Rafael
orporal 11.48 137.76
ity of San Rafael
icy of San Rafael
SUBTOTAL$
57.40
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars. / '
from 01/01/2015 • -
through 06/30/2015 page 9S of 178
NAME Of 6LER I.D. NUN+SER
San Rafael Police Association Political Action Committee 631SS3
DATE
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
PfcoMMrr7EE,A�5oEN1ERi.0.NUMBERI
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
REDATE
I�sEliEoFBUYINESS) ENTER NAME
PERIOD
(JAN. -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29 2015
Kyle Hornstein
QIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Kyle Hornstein
fflIND
Corporal
11.49
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
06/30/2015
Kyle Hornstein
©IND
Corporal
11.40
137.76
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary= San Rafael Police Association,
❑ SCC
1 20 Fifth A n n Rafael CA 94903-_
01/15/2015
Carl Huber
E] IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01131/2015Car-
H i i h er
x�IND
Sergeant
11.46
137.7
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
-l520-Fif-tb-AvenU,. San Rafael, CA 94913L_
SUBTOTALS S7.4o
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contfibulor Committee
www,neKle_com
FPPC Form 460 (January/CS)
FPPC Toll -Free Helpline: 866/ASK-FPPC (9661275-3772)
Schedule A (Continuation Sheet) Type orprintInInk. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
CALIFORNIA / '
from 01/01/2015
'
through 06/30/2015
Page 86 of i7a
NAMEOF FILER
I.O. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
PULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDMOUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
PFcou�clrTEE,aISOErarERl.0.NUIneERy
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SQF.EMPLOVED,ENTER NAME
PERIOD
(JAN. t -DEC. 31)
(IF REOUIREO)
OF BUSINESS]
02/13/2015
Carl Huber
DiNO
Sergeant
11.48
137.76
C/o: San Rafael Police Assoc-ation 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
SCC
1520 Fitch Avenue San Rafael CA 94901
02/27/2015
Carl Huber
El [NO
Sergeant
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
(J OTH
Union member's dues received through
[j PTY
intermediary: San Rafael Police Association,
1:i2n Fifth Av(,nui,. 1.2;an Rafael. CA 94901
❑ SCC
03/13/2015
Carl Huber
©IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
=520 _F-if.�31 -V
Sergeant
11.48
137.76
03/31/2015
Carl Huber
©IND
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
gCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Car 1{u er
©INO
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
Clcy of San Rafael
Avenue
San Rafael, CA 94901
L] OTH
Union member's dues received through
❑ PTY
_.
intermediary: San Rafael Police Association,
1520 Pifth Avenue
Q SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM— Recipient Committee
(other than PTY or SGC)
OTH — Other (e.g.. business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neti-ile.com
FPPC Form 461) (Januaryl05)
FPPC Toll -Free Helplfne= 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
0 _
to whole dollars.
t '
from o1/0l/2015
_
through 06/30/2015
Page 87 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET AOORESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INOIVtDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
OFCOMMIOE,ALSN.NU416ER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYEO,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS}
04 30 2015
Carl Huber
91 IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
LPTY
incermediary: San Rafael Police Association,
D. SCC
1520 Fifch Avenue San Rafael CA 94901
05/15/2015
Curl Huber
911ND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth©
COM
Cicy of San Rafael
Avenue
San Rafael, CA 94901
LJ 0TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
Is2n Fifth Av8nup. Ran Rafael. CA 94901
PSCC
05/29/2015
Carl Huber
x[IN)
Sergeant
11.4R
137.76
C/O: San Rafael Police Association 1520 Fifch
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
CIPTY
intermediary: San Rafael Police Association,
❑ SCC
152�Fif_r_l kjLp_nLinn_EA f.ap?.,
Carl Huber
Sergeant
06/15/2015
x❑IND
11.48
137,76
C/o: San Rafael Police Association 1520 Fifch
Cicy of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
O PTY
`_ltermediary: San Rafael Police Association,
0SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/30/2015
Carl Huber
XQIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifch
COM
City of San Rafael
Avenue
n
San Rafael, CA 94901
[ 0TH
Union member's dues received through
C,.PTY
intermediary: San Rafael Police Association,
Q SCC
Av
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Redpient Committee
(other than PTY or SCC)
0TH — Other (e.g.. business entity;
PTY — Political Party
SCC — Small Conh ibulor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866127"772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
e
to whole dollars.
'
from.
through 06/30/2015
page 88 Of 178
NAME OF FILER
I -D. NUMBER
San Rafael Police Association Political Action Committee
831553
S ZIP
ADDRESS
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
SAND
(IF COMMITTEE, LO.k
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECDATE EIVED
CODE
(17 SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
Scott Ingels
OF BUSINESS)
11.48
01 15/2015
MINDCorporal
,.I
137,76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
[]OTH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
SCC
1520 FLich Avenue San Rafael CA 94901
01/31/2015
Scott Ingels
MIND
Corporal
11.46
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Pifth Avenue, San Rafael. CA 94901
❑ SCC
Corporal
02/13/2015
Scott Ingels
®[ND
11-48
137.76
C/o: San Rafael Police Association 1520 FifthC]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Ascoc:ation,
❑ SCC
1520 Fifth Avenue, San Rafael, 94901
02/27/2015
Scott Ingels
WINO
Corporal
11-48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ Pry
intermediary: San Rafael Police Association,
C] SCC
1520 Fifth Avenue, San Rafael, CA 94901
sof—E-1 —ng -e s
RIND
0:1113/2015
Corporal
11,48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑pry
intermediary: San Rafael Police Association,
n SCC
-
SUBTOTALS 57-40
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIF• / `
from 01/01/2015
• "
through 06/30/2015
Page 89 of 178
10, NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
a41E
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRI8UTOR
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMnTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELFFEMPLOYED.ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Of BUSINESS)
03/31/2015
Scott Ingels
HIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue San Rafael, CA 94
04/15/2015
Scott Ingels
E] IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 k]—AYPr11iP. ^i?-r._Rafael _CA- 9i`ZQ.1-_:.
Scott Ingels
..�
04/30/2015
HIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 F'
05/15/2015
Scott Ingels
x❑IND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Onion member's dues received through
❑ PTY
intermediary_ San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
0S 29 15
Scott Ingels
ff]n IND
Corpora
11.48
-- 137,7
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 949D1
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1�itZ£ifrh Avenue. r2riCLF11f-slP) CA 94901------
!
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g.. business entity)
PTY— Polilicai Party
SCC — Small Contnbulor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 856/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers porlod
•
to whole dollars.
I
from 01/01/2015
• _ •
through 06/30/2015
page 90 of 178
NAMEOF FILER
I.D. NUM8ER
San Rafael Police Association Political Action Committee
I 831553
DATE
PULL NAMESTREET ADDRESS AND 21P CODE OF CONTRIBUTOR
, CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE 70 DATE
PER ELECTION
(IF COMMn7£E,ALSO ENTER LD_ NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
70 DATE
RECEIVED
CODE
(IFSEIF-EMpLOYED,ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IP REQUIRED)
0;: BUSINESS)
06/15/2015
Scott Ingels
RIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
n COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary; San Rafael Police Association,
❑ SCC
if v ue San Rafael,94901
06/30/2015
Scott Ingels
RIND
Corporal
11.48
137,76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:)PTY
intermediary: San Rafael Police Association,
IC00 Fifth Ave -,nue,. ran Rafael, CA 949Q1
[:]SC
01/15/2015
Rebecca Jensen
x❑IND
Dispatcher
9.00
108,00
c/o San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police association,
[:]SCC
1520 Fifth Avenue, Rafael, CA 94901
01/31/2015
Rebecca Jensen
x❑IND
Dispatcher
9.00
108.00
c/o San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
X❑IND
Dispatcher
9,00
02/13[2015
Rebecca Jensen
108.00
c/o San Rafael Police Association 1520 Fift':❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
[] PTY
intennediary: San Rafael Police Association,
❑SCC
2 R�41?
SUBTOTAL$ 49.96
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfle.com
FP PC Form 460 (January/(75)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
'
from 01/01/2015FORM
through 06/30/2015
Page 91 of 198
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP COOS OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
pFCOrWtIrrEEAISOENTERIA.NUrSBER)
OCCUPATION AND EMPLOYER
REC£IV£D THIS
CALENDAR YEAR
TO DATE
RECEIVFD
CODE
(IF SEIi`EMPLOYEo.ENTER NAME
PERIOD
(JAN. } -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
- 9.00
02/27/2015
Rebecca JensenHIND
Dispatcher
108.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth r: „Avenue, San Rafael CA 4901
03/13/2015
Rebecca Jensen
x❑IND
i3iap-601—fes ECb $
9.00
109.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
03/31/2015
Rebecca Jensen
MIND
Lj1?KX,
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
GOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
520 Fifth Avenue, San afa 1 CA 949Q3�.,
04/151201S
Rebecca Jensen
[K] [NO
L
SLS' S �Y
9.00
108.00
c/o San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30 15
Re ecca Jensen
X❑IND
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P7Y
intermediary: San Rafael Police Association,
n SCC
SUBTOTAL$ 45.00
'Contributor Coles
IND – Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e g-, business entity)
PTY – Political Party
SGC –Small Contributor Committee
www.netfile.com
FPPC Form 460 (JanuaryMS)
FPPC Toll -Free Helpline: B661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT,)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/
60
from__., .,..01/ol/2D15
O'
through 06/30/2016
Page 92 of 176
NAME OF FILER
I. D_ NUMBER
San Rafael Police Association Political Action Committee
631553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COhAM1TTEE,ALSOENTeRLD.NUAtBERj
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
pFSFLF-euPLovED.erorEaroavE
PERIOD
(JAN. 1 DEC. - 31)
(If REQUIRED)
OF BUSINESS)
05/15/2015
Rebecca Jensen
QIND
GispatehKMD irbs U P -Y
9100
108-00
c/o San Rafael Police Association 1520 Fift'h
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[DOTH
Union member's dues received through
C3 PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth AvenMa, F,,qrl Rafael CA 94901
05/29/2015
Rebecca Jensen
QIND
e
9.00
108.00
c/o San Rafael Police Association 1520 FifthCOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1-;20 Fifth Avenue. San Rafael. CA 1;4qOl
Lj SCC
06/15/2015
Rebecca Jensen
[)j] INC)
flispate-her
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
Ej PTY
intermediary: San Rafael Police Association,
❑ SCC
152 Fifth Avenue. n Rafael, 0
06/30/2015
Rebecca Jensen
WINO
Bi *elms [y
9,00
108.00
c/o San Rafael Police Association 1520 Fisch
COM
City of San Rafael
Avenue
San Rafael, CA 94901
(-1 OTH
Union member's dues received through
[] PTY
intermediary: San Rafael Police Association,
[ISCG
1S20 Fifth Avenue, San Rafael, CA 94901
01 15 0 5
Lynette Keller
](ND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, a
SUBTOTAL$ 45-00
'ContHbutor Codes
IND—Individual
COM— Reciplent Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Smail Contributor Committee
www.nettlie.com
FPPC Form 460 (January/05)
FPPC Tait -Free Heipllne: 8661ASK-FPPC (B66/2753772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers p
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT)
Page 93 of 178
10 NUMBER
031553
��
ADDRESSAND ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE Of CONTRIBUTOR
CONTRIBUTOR
If AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
llf co�a�an 1.0- NUMBER)
+
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYEO, ENTER NAME
PERIOD
(JAN. i - DEC- 31)
(IF REQUIRED)
OF OUSINE55)
ConnuniCy Service ©'_ricer
01/31/2015
Lynette Keller
©IND
9.00
108.00
C/o: San Rafael Police Association 1520 Fiftb
nCOM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
0 PTY
intermediary: San Rafael Police Association,
USCC
1520 Fifth Avenue San Ra ael 94901
02/132015
Lynette Keller
[XJIND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
��COM
City of San Rafael
Avenue
San Rafael, CA 94901
(DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
,1520 Fifth Avenue.
USCC
02/27/2015
Lynette Keller
RIND
Community Service Officer
9.00
100.00
C/o: San Rafael Police Association 1520 Fiith
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received Lh-rough
O PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue,
03/13/2015
Lynette Keller
X❑IND
Community Service Officer
9100
100,00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue, San Rafael, CA 94901
L)3[31/2015
Lynette Yeller
X❑IND
Community service Officer
9-00
108.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
DCOM
San Rafael, CA 94901
[DOTH
Union member'n dues received through
❑ PTY
intermediary: San Rafael Police Association,
P B@fd
©SCC
__$dIl
SUBTOTAL$ 45.00
'Contributor Codes
IND — Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8&61275-3772)
Schedule A (Continuation Sheet) Type or print in ink.
SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
_
to whole dollars_
I
from 01/01/2015
through 06/30/2015
page 99 of 178
NAMEOF FILER
1-0. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRI8UTOR
IF AN INDIVIDUAL ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
nrCOM.MnTEE,ALSOENTERLO. NUMBER)
CODE f
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATF
OF SELF-EMPLOYED. EWER AANE
PERIOD
(SAN, 1 -0£C- 33)
(IF REQUIROUIR ED)
OFOUSINESS)
09/15/2015
Lynecce Keller
QIND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary. San Rafael Police Association,
n SCC
1520 Fifth Avenue San Rafae 94901
9.00
108.00
04/30/2015
L
Lynette Keller
Community Service Officer
C/o: San Rafael Police Association 1520 Fifth
Q CODM
Cit of San Rafael
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
05/15/2015
Lynette Keller
®IND
Community Service Officer
9.00
108.00
C/o_ San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
❑ PTY
intermedia-ry: San Rafael Police Association,
❑ SCC
15J�_F-hji Avenue.San Rafael, CA 94901
05/29/2015
Lynette Helier
ffl IND
Community Service Officer
9.00
108.00
C/o: San Rafael police Association 1520 Fifth
Q COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union iember's dues received throughPTY
n
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue San Rafael, CA 94901
06//572015
xQIND
Lynette Keller
Community Service officer
9.00
108.00
C/o: San Rafael police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
PTY
intermediary: San Rafael Police Association,
[_)SCC
15 20 FifAvenue.
SUBTOTAL$
45.00
'Contributor Codes
IND—individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers perlod
from 01/01/2015
SCHEDULE A (CONT.)
through 06/30/2015
Page 95 of 178
NAME OF FILER - - -- i —
I. D. NUMBER
San Rafael Police AS9ociation Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIV(DUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(If COMMITTEE, ALSO ENT ER I.O. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYEO,ENTER NAME
PERIOD
(JAN. 1 -DEC 35)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
Lynette Keller
]IND
Community Service Officer
9.00
108,00
C/o: San Rafael Police Association 1520 Fifth
r COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
L PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Rebecca Kuga
KIND
YSB Supervisor
9.00
100.00
C/o: San Rafael Police Association 1520 Fifth
[ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
lr9a Fifth Aypnue. Ran Rafael. CA 94901
❑ SCC
01/31/2015
Rebecca Kuga
RIND
YSB Supervisor
9.00
108,00
C/ot San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Ay2njjk__Z.an E 4
02/13/2015
Rebecca Kuga
X❑IND
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
P 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael_, CA 94901_
Re ecca Kuga
9-00
02/27/2015
X❑IND
YSB Supervisor
108-00
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary! San Rafael Police Association,
SCC
0. Fi,F%b Avenue
SUBTOTAL$
45,00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.neffile.com
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: B86/ASK-FPPC (666/276-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
State ment cove rs period
to whole dollars.
me=
from 01/01/2015
through 06/30/2015
Page 96 of 178
NAME OF FILER
1.0. NUMBER
San Rafael Police Association Political Action Committee
831553
��
S ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AIF DDRESSO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(EET SANDO ENT IA.NLDE
CODE t
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF•EMPLOYED,ENTER WAVE
PERIOD
(JAN. 1 - DEC. 31)
(IP REQUIRED)
OF BUSINESS)
03/13/2015
Rebecca Kuga
x❑IND
YSH Supervisor
9.00
108.00,
C/o: San Rafael Police Association 1520 FifthD
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
D PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 94901..
03/31/2015
Rebecca Kuga
XIIND
YSH Supervisor
9.00
:08.00
C/o: San Rafael Police Association 1S20 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth AveLnup. San Rafaf-i. CA 949 1
❑ SCC
04/15/2015
Rebecca Kuga
x❑IND
YSH Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
® PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, San Rafael, CA 94 1
04/30/2015
Rebecca Kuga
RIND
YSS Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
O COM
City of San Rafael
Avenue
San Rafael, CA 94901
MOTH
Union member's dues received through
LJPTY
intermediary: San Rafael Police Association,
Q SCC
1520 Fifth Avenue, San Rafael, CA 94901
OS 15 2015
Re ffecca Kuga
RX IND
SS Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[ICOM
City of San Rafael
Avenue
San Rafael, CA 94901
F_- OTH
Union member's dues received through
EIPTY
intermediary: San Rafael Police Association,
1520 Pi f th Avenue, `
CISCC
SUBTOTAL$ 4s.on
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
0TH — Other (e.g., business entity;
PTY —Political Party
SCC —Small Contributor Committee
www.netfile.com
FP PC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
i
from 01/01/2015
FORM
through 06/30/2015
page_ 57 _ of 178
1.0. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
ADDRESSAN E O
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED (EET
TERI-o uul
CODE +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED. ENTER NAM-
PERIOD
(JAN_ i - DEC- 31)
(IF REQUIRED)
OF 005 NESS)
05/29/2015
Rebecca Kuga
QIND
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth ikvcn•je, San Rafael CA 94901
06/15/2015
Rebecca Kuga
QIND
YSB Supervisor
9.00
108-00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
U PTY
intermediary: San Rafael Police Association,
U SCC
IS 0 Fifth Av,-nlj
- - -
06/30/2015
Rebecca Kuga
QIND
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth v fael_ON,94
QIND
Officer
11.48
137.76
_ -
01/15/2015
Marc Laplance
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P7Y
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 94901
01/31/2015
Ozficer
Marc Lap ante
QIND
11,48
137.7
C/O: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received tbrough
❑ PTY
intermediary: San Rafael Police Association,
©SCC
4 901
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity',
PTY- Political Party
SCC - Srna II Contributor Committee
www.netfile.com
SUBTOTAL$ 49.961 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statementcove rsperiod
• _
to whole dollars.
from 01/01/2015
•
through 06/30/201S
page 98 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
631553
DATERECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRISUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(�FCa''dl'�ITTEE,ALSOENTER I.D.NUM ER)
COOL +
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/13/2015
Marc Laplante
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/27/2015
Marc Laplante
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthL]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. -San Rafael.—CA 94901
❑ SCC
11.48
137.76
03/13/2015
Marc Laplante
QIND
Officer
C/o: San Rafael Police Assoc-ation 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, CA 94SQ1
03/31/2015
Marc Laplante
QIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's duec received through
❑ PAY
intermediary; San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
04 15 12015
Marc Lap ante
QIND
Officer
11.48
1 7.76
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
[ND—fndlvldual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e -g., business enitty;
PTY—Political Party
SCC —Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/27"772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
'
from 01/01/2015
• '
through 06/30/2015
Page 99 of 176
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
631553
OATS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMOLATiVE TO DATE
PER ELECTION
(IFCOMMfDRE,AISAND
NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
COOS
UFSELF.EMPLOYED.ENTER NAME
PERIOD
(JAN, S - DEC. 31)
(IF REQUIRED)
OF BUSINGSS)
04/30/202S
Marc Laplance
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth[71
COM
City of San Rafael
Avenue
San Rafael, CA 94901
U OTH
Union member's dues received through
O PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael c:A 94901
05/15/2015
Flare Laplante N
INC)x❑
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Pifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
FJ PTY
intermediary: San Rafael Police Association,
1SIO Fifth Avenue .:;an Rafael, CA 949A,
❑ SCC
n?(IND
Officer
05/29/2015
Marc Laplante
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received Lhrough
❑ PTY
i.nternediary: San Rafael Police Association,
❑ SCC
1
1520 Fifth Av n =�(,a��949_a1
06/15/2015
Marc Laplante
x❑IND
Officer
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
n OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/30/2015
Marc Lap ante
nIND
Otticer
21-48
137.76
w -
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[]COM
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary-. San Rafael Police Association,
1520 Fifth
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
0TH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars -
covers period
from...-,...... 01/01/2015
through 06/30/2015
SCHEDULE A (CONT)
Page_ 100 Of 118
I.D. NUMBER
831553
DATERECEIVED
FULL {DAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IAN INDIVIDUAL. ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF WMMWrEEALSO ENTER I.D.NUMB")
+
Cf
OCUPAT[ONAND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
CODE
(IFEFLF-UMPLOYED.ENTERNAME
PERIOD
(JAN. i - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Officer
01/15/2015
Kimberly Larkey
QIND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
00TH
Union member's dues received through
E)QTY
intermediary: San Rafael Police Association,
Q SCC
15 ifth Avenue San Rafael CA 94901
QIND
Officer
01/31/2015
Kimberly Larkey
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
Q OTH
Union member's dues received through
(-) PTY
intermediary: San Rafael Police Association,
IS20 Pifth Avenue. San Rafael. CA 94901
nSCC
02/13/2015
Kimberly Larkey
(]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifthn
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
n PTY
intermediary: San Rafael Police Association,
Q SCC
Z0 VifLh I-emue—Sian-RafaEl01
02/27/2015
Kimberly Larkey
QIND
Officer
11.48
137.76
C/o: San Rafael Palace Association 1520 Fifth❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
FJPTY
intermediary: San Rafael Police Association,
E]SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/201S
Te Tr Iy Lar e
RMIND
O -=icer
11,48
137,76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
SCC
-15 n F: Ft> Avenue. San Rafa
SUBTOTAL$ 57,40
'Contributor Codes
IND- Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.nettile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars_
I t
from 01/01/2015
•
through 06/30/2015
Page 101 Of 178
1-O. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
OF COJAWTEE, ALSO ENTER 1,0, RUM DER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(1F SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. t - DEC. 31)
(lI= REQUIRED)
OF BUSINESS)
03 31 2015
Kimberly Larkey
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
Cicy of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
52 Fifth Avenue San Rafael CA 94901
04/15/2015
Kimberly Larkey
_
®IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth[:]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ 0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth A
Kimberly Larkey
nSCC
-
[XIND
04/30/2015
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[DOTH
[inion member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2 F'F hAvenue. San
05/15/2015
Kimberly Larkey
x❑IND
Officer
11.48
131.76
C/o: San Rafael Police Association 1520 Fifth
Cicy of San Rafael
Avenue
ICOM
San Rafael, CA 94901
[MOTH
Union member's dues received trough
❑ P7Y
intermediary: San Rafael Police Association,
❑ SCC
1520 Nifth Avenue, San Rafael, CA 94901
IND
_
Officer
05/29/2015
Kimberly Larkey
11.48
137-76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
Av
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g-, business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netffe.co►n
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period Date of election if applicable:
from
01/01/2015 (Month, Day, Year)
SEE INSTRUCTIONS ON REVERSE I through 06/30/2015
1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑X General Purpose Committee
® Sponsored
Q Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
Q Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I I.D. NUMBER
831553
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
San Rafael Police Association Political Action Committee
STREET ADDRESS (NO P.O. BOX)
1520 Fifth Avenue
CITY
STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 (415)485-3000
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 151557
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94915-1557
OPTIONAL: FAX / E-MAIL ADDRESS
COVER PAGE
Date Stamp
Received
JUL 2 8 2015 1 page 1 of 178
Time: For Official Use Only
a,Clerk's O -f e�
2. Type of Statement: '
❑ Preelection Statement
❑
Quarterly Statement
❑x Semi-annual Statement
❑
Special Odd -Year Report
❑ Termination Statement
❑
Supplemental Preelection
(Also file a Form 410 Termination)
Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Ms. Beth Minka
MAILING ADDRESS
1520 Fifth Avenue
CITY
STATE
ZIP CODE AREA CODE/PHONE
San Rafael
CA
94901 (415)485-3000
NAME OF ASSISTANT TREASURER, IF ANY
Ms. Stacy E. Owens
MAILING ADDRESS
5940 College Avenue
CITY
STATE
ZIP CODE AREA CODE/PHONE
Oakland
CA
94618 (510)652-1000
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used Wl reasonable diligence in preparing and reviewing this statement and to the best of my knowl ge the inf �tion cont ned 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. � , i [f i A t I i .
Executed on 07/15/2015
Date
Executed on 07/15/2015
Date
Executed on
Executed on
Date
www.netfile.com
By
By
Assistant Treasurer
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Type or print in ink. COVER PAGE - PART 2
Recipient Committee CALIFORNIA
Campaign StatementFORM • 1
Cover Page — Part 2
Page 2 of 178
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMM ITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfile.com
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 Fonn 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period-
Summary Page to whole dollars. CALIFOI '
NIA
from 01/01/2015 FORM
SEE INSTRUCTIONS ON REVERSE through 06/30/2015 Page 3 of 178
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3 $
2. Loans Received...................................................... Schedule e, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ••••..• ...................•AddLines3+4 $
Column A
TOTALTHIS PERIOD
(FROMATTACHED SCHEDULES)
9,742.73
0.00
9,742.73
0.00
Column B Calendar Year Summary for Candidates
CRTOTALTODAY ER Running in Both the State Primary and
General Elections
$ 9,742.73
1/1 through 6/30 7/1 to Date
0.00
$ 9,742.73
9,742.73 $
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4 $
1,429.01
7. Loans Made.............................................................
Schedule H, Line 3
0.00
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7 $
1,429.01
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line 3
0.00
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
0.00
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8+9+10 $
1,429.01
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 16, 968.01
13. Cash Receipts ................................................... Column A, Line 3 above 9,742.73
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.93
15. Cash Payments .................................................. Column A, Line 8 above 1,429.01
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 2S,282.66
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0.00
www.netfile.com
0.00
9,742.73
$ 1,429.01
0.00
$ 1,429.01
0.00
0.00
$ 1,429.0
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. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
`Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
. ---hark dp A Type or print in ink. SCHEDULE A
Moneta Contributions Received Amounts may be rounded
Monetary
Statement covers period
_
to whole dollars.
,
from 01/01/2015
FORM
through 06/30/2015
Page 4 of 178
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET SAND
IT I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Elisha Adams
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
137.76
01/31/2015
Elisha Adams
MIND
Officer
11.46
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
Officer
11.48
02/13/2015
Elisha Adams
MIND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
02/27/2015
Elisha Adams
MIND
Officer
11.48
137.701
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/2015
Elisha Adams
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 57.40
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................ $
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
www.netfile.com
9.412.80
329.93
9.742.73
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
FORM
through 06/30/2015
Page 5 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPER CODE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
SAND
(IF COMMITTEE,
n
*
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Elisha Adams
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/15/2015
Elisha Adams
91IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 949JU
❑ SCC
11.48
04/30/2015
Elisha Adams
x❑IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
520 Fifth Avenue, n Rafael, CA 94901
Officer
11.48
05/15/2015
Elisha Adams
X❑IND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rai.koj
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
0572--9T2-015
Elisha A ams
x❑IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
RECEIVED
i/15/201
Type or print in ink.
Amounts may be rounded
to whole dollars.
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE*
(IFSELF-EMPLOYED. ENTER NAME
OF BUSINESS)
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
R❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
K] IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
KI IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
]IND
❑COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
cer
of San Rafael
fficer
ity of San Rafael
ergeant
ity of San Rafael
sergeant
City of San Rafael
City of San Rafael
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 6 of 178
AMOUNT
RECEIVED THIS
PERIOD
11.48
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
137.76
11.481 1V/ /G
11.48
4f1
SUBTOTAL$ 57.40
137.76
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
06/30/2015
Elisha Adams
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
01/15/2015
_I_Uo Fifth Avenue, San Rafael- CA 94qQ1
Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael. A 94901
01/31/2015
Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
02/13/2015
Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
R❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
K] IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
KI IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
]IND
❑COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑COM
❑ OTH
❑ PTY
❑ SCC
cer
of San Rafael
fficer
ity of San Rafael
ergeant
ity of San Rafael
sergeant
City of San Rafael
City of San Rafael
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 6 of 178
AMOUNT
RECEIVED THIS
PERIOD
11.48
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
137.76
11.481 1V/ /G
11.48
4f1
SUBTOTAL$ 57.40
137.76
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 7 of 178
NAME OF FILER
I.D. 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 COMMITfEE,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)
02/27/2015
Raul Aguilar
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/13/2015
Raul Aguilar
HIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth AvenUP, San Rafael. CA 94901
❑ SCC
11.48
1 .'16
03/31/2015
Raul Aguilar
x❑IND
Sergeant
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. A 4
4t?
04/15/2015
Raul Aguilar
X❑IND
Sergeant
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Sergeant
04/30/2015
Rau Agui ar
x❑IND
11.46 137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
57.40
SUBTOTAL$
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Type or print in ink.
❑ COM
SCHEDULE A (CONT)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
❑ PTY
• _
I IF P '
• '
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
through 06/30/2015
page
8 of 178
NAME OF FILER
C/o: San Rafael Police Association 1520 Fifth
I.D. NUMBER
San Rafael Police Association Political Action Committee
Avenue
831553
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(EETA IT RES SANDZII.O.NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVETO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
❑ SCC
06/15/2015
Raul Aguilar
OF BUSINESS)
C/o: San Rafael Police Association 1520 Fifth
❑ COM
05/15/2015
Raul Aguilar
C/o: San Rafael Police Association 1520 Fiftl:
RIND
Sergeant
Citv of San Rafael
11.48
137.76
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
ant
of San Rafael
ant
of San Rafael
ergeant
ity of San Rafael
nicer
ity of San Rafael
11.481 137.76
11.481 1 i7. R,
1. 1..41!I I.1/.'/i:
_!.4H
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
Raul Aguilar
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
06/15/2015
Raul Aguilar
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[[:]SC
1520 Fifth Avenue, San Rafael. 4 1
06/30/2015
Raul Aguilar
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/15/2015
Anthony Augustyn
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, 4
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
ant
of San Rafael
ant
of San Rafael
ergeant
ity of San Rafael
nicer
ity of San Rafael
11.481 137.76
11.481 1 i7. R,
1. 1..41!I I.1/.'/i:
_!.4H
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT.)
Page 9 of 176
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR
❑ COM
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
Union member's dues received through
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
02/13/2015
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
Avenue
OTH
OF BUSINESS)
San Rafael, CA 94901
❑
01/31/2015
Anthony Augustyn
X❑IND
Officer
11.48
137.76
Anthony Augustyn
X❑IND
C/o: San Rafael Police Association 1520 Fiftl.
C/o: San Rafael Police Association 1520 Fiftl:
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
utticer
City of San Rafael
Officer
City of San Rafael
City of San Rafael
ty of San Rafael
SUBTOTAL$
11.
11.48
7.76
1 1 /.'/(,
11.481 137.76
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-IPTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
Anthony Augustyn
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
02/27/2015
Anthony Augustyn
X❑IND
C/o: San Rafael Police Association 1520 Fiftl:
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue. San Rafael, CA 94 0
03/13/2015
Anthony Augustyn
]IND
C/o: San Rafael Police Association 1520 Fifth
[-1COMAvenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
Anthony Augustyn
%❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
utticer
City of San Rafael
Officer
City of San Rafael
City of San Rafael
ty of San Rafael
SUBTOTAL$
11.
11.48
7.76
1 1 /.'/(,
11.481 137.76
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2016 Page —
NAME OF FILER I.D. NUM
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
RECEIVED
(IF COMMITTEE, ALSOENTERI.D.NUMBER)
CODE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN.1-DEC. 31)
OF BUSINESS)
04/15/2015
Anthony Augustyn
RIND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
F-1 COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ pTy
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
Anthony Augustyn
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑SCC
7r.
05/15/2015
Anthony Augustynx❑INp
Officer
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafae'
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael. A 94901
Officer
1 ;R
05/29/2015
Anthony Augustyn
]IND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2515
Ant ony Augustyn
91 IND
office
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
i Gln Pi fri, n--. q.,R=f.cl rA QGQni
❑SCC
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
SUBTOTAL$ 57.40
SCHEDULE A (CONT)
10 of 178
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
'from
'_17
01/01/2015
•through
06/30/2015
Page 11 Of 8
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
TADDEE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E I.D.
ALSOENTERIDNUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
Anthony Augustyn
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Blair Auld
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1S2n Fifth Avenue. San Rafael, CA 94901
❑ SCC
11.48
01/31/2015
Blair Auld
RIND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
Blair Auld
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015 Blair Auld 91 IND officer 11.48
137.76
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
Avenue [-]COM
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, [-]SCC
1520 Fifth Avenue,
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
statement covers period
01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
page 12 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
TADDEE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(E ALSOENTERIDNUMBER)
I.D.
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Blair Auld
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Blair Auld
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[-]SCC
04/15/2015
Blair Auld
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael CA 94901
04/30/2015
Blair Auld
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
05/15/2015
B air Au d
MIND
officer
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
2Avenue,
SUBTOTAL$
57.40
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 13 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AIF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
COMMIT-FEE,RADDRESS
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29/2015
Blair Auld
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
II_4H
06/15/2015
Blair Auld
91 IND
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
Officer
06/30/2015
Blair Auld
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafae'.
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, 4 01
01/15/2015
James Bellamy
X❑IND
Corporal
11.48
137.761
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Corpora
Oft
01/31/2015
James BelTamy
91 IND
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
Page 14 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOAND
I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/13/2015
James Bellamy
%❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
1 'i./0
02/27/2015
James Bellamy
91 IND
Corporal
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth A San Rafael, CA 94901
❑ SCC
137.76
03/13/2015
-venue.
James Bellamy
x❑IND
Corporal
11.48
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 94901
03/31/2015
James Bellamy
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Ra'u�
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
James Be amy
X❑IND
Corporal
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ s7.4o
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
RECEIVED I
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
04/30/2015
James Bellamy
C/o: San Rafael Police Association 1520 Fitt}.
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
05/15/2015
James Bellamy
C/O: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Ir9.0 Fifth Avenue. San Rafael. CA 94901
05/29/2015
James Bellamy
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue. Rafael. CA 94901
06/15/2015
James Bellamy
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
06/30/2015
James Bellamy
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
R❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
] IND
❑ COM
❑ OTH
❑ PTY
❑SCC
KIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
] IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
[]SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
ty of San Rafael
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
City of San Rafael
SUBTOTAL$
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 page 15 of 178
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
11.48 137.76
11.48 137.76
137.76
n fi 137.76
I.i /.'7(,
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2016
SCHEDULE A (CONT.)
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee J
www.netfile.com
Sergeant 11.48 137.76
City of San Rafael
Sergeant
City of San Rafael
Sergeant 11.48
City of San Rafael
Sergeant 11.4!+
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
through 06/30/2015
page
16 of 178
NAME OF FILER
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
I.D. NUMBER
1520 Fifth Avenue San Rafael CA 94901
San Rafael Police
Association Political Action Committee
Todd Berringer
x❑IND
831553
❑ COM
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEES ALSO ENTER I.D.N
❑ PTY
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
x❑IND
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑ OTH
Union member's dues received through
OF BUSINESS)
intermediary: San Rafael Police Association,
❑ SCC
01/15/2015
Todd Berringer
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
C/o: San Rafael Police Association 1520 Fifth
Citv of San Rafael
❑ OTH
Union member's dues received through
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee J
www.netfile.com
Sergeant 11.48 137.76
City of San Rafael
Sergeant
City of San Rafael
Sergeant 11.48
City of San Rafael
Sergeant 11.4!+
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/31/2015
Todd Berringer
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 949
❑ SCC
02/13/2015
Todd Berringer
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael. CA 94 01
02/27/2015
Todd Berringer
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/2015
Todd Berringer
KIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
ElSCC
is2o Fifth Avenue. San R f
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee J
www.netfile.com
Sergeant 11.48 137.76
City of San Rafael
Sergeant
City of San Rafael
Sergeant 11.48
City of San Rafael
Sergeant 11.4!+
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I t
from 01/01/2015
• "
through 06/30/2015
Page 17 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITEE,ALSO ENTER I.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Todd Berringer
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Sergeant
04/15/2015
Todd Berringer
X❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael.
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
is2o Fifth AvenUe. San Rafael, CA 94 01
[-]SCC
04/30/2015
Todd Berringer
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fiftki
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. n Rafael. CA 94901
Sergeant
05/15/2015
Todd Berringer
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
/0
05/29/2015
Todd Berringer
x❑IND
Sergeant
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
page 18 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Todd Berringer
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Sergeant
06/30/2015
Todd Berringer
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
is2o Fifth Avenue, San Rafael, CA 94901
❑ SCC
01/15/2015
Geoffrey Bowker
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[E]SC
20 Fifth Avenue. n Rafael, A 94901
01/31/2015
Geoffrey Bowker
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/13/2015
Geoffrey Bowker
x❑IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$
57.40
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Tvoeororintinink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I '
from 01/01/2015
• _
through 06/30/2015
page 19 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMn7EE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/27/2015
Geoffrey Bowker
]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/13/2015
Geoffrey Bowker
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1-;2n Fifth Avenue. San Rafael. CA 94901
❑ SCC
03/31/2015
Geoffrey Bowker
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
520 Fifth Avenue, n Rafael. CA 94901
❑ SCC
11.48
04/15/2015
Geoffrey Bowker
x❑IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
F] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30/2015 Geoffrey Bowker X❑IND officer 11.48
137.76
C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
2
SUBTOTAL$ 57.40
"Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 I Page 20 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
n .D.N
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2015
Geoffrey Bowker
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
Geoffrey Bowker
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
06/15/2015
Geoffrey Bowker
BIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 94901
06/30/2015
Geoffrey Bowker
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
00
01/15/2015
Lynne Bracken
MINDRecords
Clerk
108.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
SUBTOTAL$
54.92
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
NIA
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
Page 21 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO .D.N
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2015
Lynne Bracken
X❑IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Yiitn
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
Lynne Bracken
RIND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael- rA q4qni
❑ SCC
02/27/2015
Lynne Bracken
x❑IND
Records Clerk
9.00
ol;.uo
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:1OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. A 94901
9.00
03/13/2015
Lynne Bracken
]IND
Records Clerk
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Records Clerk
o
03/31/2015
Lynne Brac enX❑IND
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 45.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Foran 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 22 of 176
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/15/2015
Lynne Bracken
RIND
Records Clerk
9.00
108.00
C/O: San Rafael Police Association 1520 Fift"
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Records Clerk
04/30/2015
Lynne Bracken
91 IND
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
1(1H.nol
05/15/2015
Lynne Bracken
x❑IND
Records Clerk
9.00
C/o: San Rafael Police Association 1520 FifthF-1
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, San Rafael. A 94901
Lf;.uu
05/29/2015
Lynne Bracken
x❑IND
Records Clerk
9.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Lynne Bracken
RIND
Records Clerk
9.:),
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
ElSCC
1520 Fifth Avenue,
45.00
SUBTOTAL$
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Foran 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2015
'
through 06/30/2015
page 23 of 17B
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
Lynne Bracken
x❑IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Antonette Bullock
X❑IND
Community Service Officer
9.00
1
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
01/31/2015
Antonette Bullock
X❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1S20 Fifth Avenue, San Rafael. CA 94901
02/13/2015
Antonette Bullock
]IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
J.i;o
108.00
02727T2-015
Antonette Bullock
X❑IND
Community Service Officer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1S20 Fifth Avenue. A 94901
SUBTOTAL$ 45.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
CALIFI
to whole dollars.
,
from 01/01/2015
• '
i
through 06/30/2015
Page 24 of 178
NAME OF FILER
I.D. 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
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Antonette Bullock
]IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Antonette Bullock
RIND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
Ot+.nn
04/15/2015
Antonette Bullock
FK] IND
Community Service Officer
9.00
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael. A 94901
04/30/2015
Antonette Bullock
91 IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/15/2015 Antonette BU-11-ock 91 IND Community Service Officer 9.00
108.00
C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through [-]PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue. nRafael,
SUBTOTAL$ 45.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers pe
from 01/01/2015
SCHEDULEA (CONT.)
`Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC –Small Contributor Committee
www.netfile.com
Community Service Officer uu 108.00
City of San Rafael
Community Service Officer 9.001 108.00
City of San Rafael
Corporal
City of San Rafael
City of San Rafael
11.48
SUBTOTAL$ 49.96
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
through 06/30/2015
Page 25 of 178
NAME OF FILER
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
I.D. NUMBER
San Rafael Police Association Political Action Committee
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A O
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,
n I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
❑ SCC
CODE
(IFSELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑ COM
Avenue
San Rafael, CA 94901
OF BUSINESS)
Union member's dues received through
❑ PTY
05/29/2015
Antonette Bullock
RIND
Community Service Officer
9.00
108.00
01/15/2015
Michael Byers
C/o: San Rafael Police Association 1520 FifthCity
of San Rafael
F1 COM
Avenue
San Rafael, CA 94901
`Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC –Small Contributor Committee
www.netfile.com
Community Service Officer uu 108.00
City of San Rafael
Community Service Officer 9.001 108.00
City of San Rafael
Corporal
City of San Rafael
City of San Rafael
11.48
SUBTOTAL$ 49.96
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Antonette Bullock
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Pifth Avenue. San Rafael, CA 94901
❑ SCC
06/30/2015
Antonette Bullock
KI IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue n Rafael. A 94901
01/15/2015
Michael Byers
RIND
C/O: San Rafael Police Association 1520 Fifth
F1 COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-IPTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/31/2015
Mic ae Byers
RIND
C/O: San Rafael Police Association 1520 Fifth
F] COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
197n A; fhh 7l..—n C., A.f� 1 rn oeoni
r-1 SCC
`Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC –Small Contributor Committee
www.netfile.com
Community Service Officer uu 108.00
City of San Rafael
Community Service Officer 9.001 108.00
City of San Rafael
Corporal
City of San Rafael
City of San Rafael
11.48
SUBTOTAL$ 49.96
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT)
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
corporal
City of San Rafael
137.76
11.481 137.76
11.481 137.76
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Avenue
❑ COM
through 06/30/2015
Page 26 of 178
NAME OF FILER
Union member's dues received through
❑ PTY
I.D. NUMBER
San Rafael Police Association Political Action Committee
❑ SCC
831553
DATE
ND DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMn7EE,ALSO .D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Union member's dues received through
❑ PTY
OF BUSINESS)
❑ SCC
03/13/2015
Michael Byers
02/13/2015
Michael Byers
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
corporal
City of San Rafael
137.76
11.481 137.76
11.481 137.76
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/27/2015
Michael Byers
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
03/13/2015
Michael Byers
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, A 94901
03/31/2015
Michael Byers
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Michael Byers
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1-o ami, A,.o., cam„ V�f� l rA QAani
F-1 SCC
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
corporal
City of San Rafael
137.76
11.481 137.76
11.481 137.76
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIF•
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
Page 27 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Michael Byers
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
05/15/2015
Michael Byers
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
Corporal
Ji'/.7G
05/29/2015
Michael Byers
%❑IND
11.48
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue an Rafael, 4 01
06/15/2015
Michael Byers
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
137.76
06/-3072015
Michael Byers
x❑IND
Corporal
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
11520 Fifth Avenue,4
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I'
from 01/01/2015
• "
through 05/30/2015
page 28 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Shelly CadeX❑IND
Dispatcher
9.00
10B.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
9.00
01/31/2015
Shelly Cade
]IND
Dispatcher
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
1) 00
oIi oo
02/13/2015
Shelly Cade
KIND
Dispatcher
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, A 94901
Dispatcher
02/27/2015
Shelly Cade
]IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
U
Un
03/13/2015
Shelly Ca a
X❑IND
Dispatcher
C/o: San Rafael Police Association 1520 Fifth
[j COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 949QI_
❑ SCC
SUBTOTAL$ 45.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFPage---!--
to whole dollars.
'A 1from
01/01/2015
through 06/30/2015
of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
S
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Shelly Cade
X❑IND
Dispatcher
9.00
10B.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/15/2015
Shelly Cade
X❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
is2o Fifth Avenue, San Rafael, CA 94901
[]SCC
n+? coo
04/30/2015
Shelly Cadex❑IND
Dispatcher
9.00
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
Fifth Avenue. n Rafael. 4 901
05/15/2015
_1_520
Shelly Cade
QIND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/29/2015
Shelly Ca a
X❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 45.00
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � t
from 01/01/2015
• '
through 06/30/2015
page 30 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(ETCOMMITTEE,RALSO ENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Shelly Cade
]IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
-
06/30/2015
Shelly Cade
Z] IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S2n Fifth Avenue. San Rafael, CA 94q01
❑ SCC
01/15/2015
Joseph Camins
x❑IND
Officer
11.48
I
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 94901
01/31/2015
Joseph Camins
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/13/2015 Joseph Camins x❑IND officer 11.48
137.76
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
Avenue ❑ COM
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, [:]SCC
1520 Fifth Avenue,
SUBTOTAL$ 52.44
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULEA (CONT.)
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
vrricer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
11.48
11.48
11.48
ricer 11.4b
ty of San Rafael
SUBTOTAL$ 57.40
137.76
137.76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
through 06/30/2015
Page
31 of 178
NAME OF FILER
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
I.D. NUMBER
1520 Fifth Avenue San Rafael CA 94901
San Rafael Police Association Political Action Committee
03/13/2015
Joseph Camins
91 IND
831553
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
❑
(IFCOMMn7EE,ALSND .D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
❑ SCC
RECEIVED
Joseph Camins
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Avenue
OF BUSINESS)
❑ OTH
Union member's dues received through
02/27/2015
Joseph Camins
]IND
Officer
11.48
137.76
04/15/2015
C/o: San Rafael Police Association 1520 Fifth
E] IND
City of San Rafael
C/o: San Rafael Police Association 1520 Fifth
❑ COM
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
vrricer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
11.48
11.48
11.48
ricer 11.4b
ty of San Rafael
SUBTOTAL$ 57.40
137.76
137.76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/13/2015
Joseph Camins
91 IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth A -venue. San Rafael, CA 94901
❑ SCC
03/31/2015
Joseph Camins
x❑IND
C/O: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
IS20 Fifth Avenue, n Rafael. A 94901
04/15/2015
Joseph Camins
E] IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30/2015
Joseph Camins
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
vrricer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
11.48
11.48
11.48
ricer 11.4b
ty of San Rafael
SUBTOTAL$ 57.40
137.76
137.76
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULEA (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 I Page 32 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
❑ SCC
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
1520 Fifth Avenue San Rafael CA 94901
OCCUPATION AND EMPLOYER
05/29/2015
CALENDAR YEAR
X❑IND
RECEIVED
C/o: San Rafael Police Association 1520 Fifth
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
San Rafael, CA 94901
❑
OF BUSINESS)
❑ PTY
intermediary: San Rafael Police Association,
1�;20 Fifth Avenue. San Rafael. CA 94901
05/15/2015
Joseph Camins
]IND
Officer
11.48
137.76
❑ COM
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
San Rafael, CA 94901
❑ OTH
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
of San Rafael
fficer
ity of San Rafael
Utticer
City of San Rafael
OYticer
City of San Rafael
SUBTOTAL$
11.46
11.48
57.40
137.76
137- /1,
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
Joseph Camins
X❑IND
C/o: San Rafael Police Association 1520 Fifth
F1 COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1�;20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
06/15/2015
Joseph Camins
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. A 94901
06/30/2015
Joseph Camins
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/15/2015
David Casa nuovo
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2 F' v 4
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
of San Rafael
fficer
ity of San Rafael
Utticer
City of San Rafael
OYticer
City of San Rafael
SUBTOTAL$
11.46
11.48
57.40
137.76
137- /1,
137.76
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFPage__2__
_to
whole dollars.
'd 'from
01/01/2015
through 06/30/2015
3 of 176
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO .D.N
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2015
David Casalnuovo
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
David Casalnuovo
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
02/27/2015
David Casalnuovo
x❑IND
Officer
11.48
1i7.'i r:
C/o: San Rafael Police Association 1520 Fifth
F1 COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
IS20 Fifth Avenue, an Rafael 94901
Officer
03/13/2015
David Casalnuovo
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
David Casalnuovo
x❑IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 57.40
`Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period III•
_
NIA
to whole dollars.
I � '
from 01/01/2015
• "
through 06/30/2015
page 34 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSDE O
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
SAND
(IF COMMITTEE, .D.N
IT
*
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)
04/15/2015
David Casalnuovo
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
David Casalnuovo
MIND
Officer
11.48
17(:
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
IS20 Fifth A San Rafael, CA 949ni
❑ SCC
05/15/2015
-venue.
David Casalnuovo
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue. an Rafael, CA 94901
05/29/2015
David Casalnuovo
MIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Davi Casa nuovo
MIND
-0-icer
11.48
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE (CONT)
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 35 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ANDI.D.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(E COMMITTEE, ALSO NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
David Casalnuovo
]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Allan Castaneda
X❑IND
Officer
11.4H
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael, CA 9 901
❑ SCC
11.48
01/31/2015
Allan Castaneda
E] IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael, A 94901
Officer
11.48
02/13/2015
Allan Castaneda
]IND
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015
Allan Castane2la
RIND
office
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 57.40
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
RECEIVEDI
(IFCOMMITEE,ALSO ENTER I.D.NUMBER) CODE *
03/13/2015
Allan Castaneaa
x❑IND
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
C/o: San Rafael Police Association 1520 Fifth
❑ COM
137.76
Avenue
San Rafael, CA 94901
❑ OTH
137.76
Union member's dues received through
❑ PTY
137.76
intermediary: San Rafael Police Association,
❑ SCC
137.76
137.76
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Allan Castaneda
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
04/15/2015
Allan Castaneda
x❑IND
C/o: San Rafael Police Association 1520 Fifth
F] COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. an Rafael. A 94901
04/30/2015
Allan Castaneda
FK] IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/15/2015
Allan Castaneda
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
ty of San Rafael
ricer
ty of San Rafael
er
of San Rafael
cer
of San Rafael
er
of San Rafael
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT.)
Page 36 of 178
I.D. NUMBER
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.48
137.76
11.48
137.76
11.48
137.76
11.48
II.11H
137.76
137.76
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period•
_
to whole dollars.
I '
from 01/01/2015
FORM
through 06/30/2015
Page 37 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
n I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29/2015
Allan Castaneda
]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
06/15/2015
Allan Castaneda
%❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fiftl.
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
-
7r,I
06/30/2015
Allan Castaneda
x❑IND
Officer
11.4
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
520 Fifth Avenue an Rafael, CA 94 1
01/15/2015
Edward Chiu
]IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
4t?
01/31/2015
Edward Chiu
N] IND
officer
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
Statement covers period
01/01/2015
SCHEDULE A (CONT.)
through 06/30/2015 I page 38 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
San Rafael, CA 94901
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
1520 Fifth Avenue San Rafael CA 94901
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
C/o: San Rafael Police Association 1520 Fifth
CODE *
(IFSELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
San Rafael, CA 94901
❑
OF BUSINESS)
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
02/13/2015
Edward Chiu
X❑IND
Officer
11.48
137.76
❑ COM
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
San Rafael, CA 94901
❑ OTH
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
ficer
ty of San Rafael
icer
V of San Rafael
nicer
ity of San Rafael
urricer
City of San Rafael
11.
6
11 c:HI 137.76
11.48
SUBTOTAL$ 57.40
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/27/2015
Edward Chiu
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
03/13/2015
Edward Chiu
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, CA 94901
03/31/2015
Edward Chiu
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Edward Chiu
x❑IND
C/o: San Rafael Police Association 1520 Fifth
F1 COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
I mon o; FF}, A,.o., cam.. D -F-1 �A aeom
❑ SCC
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
ficer
ty of San Rafael
icer
V of San Rafael
nicer
ity of San Rafael
urricer
City of San Rafael
11.
6
11 c:HI 137.76
11.48
SUBTOTAL$ 57.40
137.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
04/30/2015
Edward Chiu
MIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/15/2015
Edward Chiu
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
05/29/2015
Edward Chiu
MIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, an Rafael CA 94901
06/15/2015
Edward Chiu
MIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/30/2015
Edward Chiu
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
FIFTY
intermediary: San Rafael Police Association,
SCC
i Cin r4 fr1, 71 ..n . Q., v.f..1 frn oaonl
❑
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Officer
City of San Rafael
from
Statement covers period
01/01/2015
through 06/30/2015
SCHEDULE A (CONT.)
Page 39 of 178
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
Officer 11.48 137.76
City of San Rafael
Officer 11.48 137.76
City of San Rafael
11.48
ty of San Rafael
ty of San Rafael
SUBTOTAL$ 57.40
137.76
i'/
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
utticer
City of San Rafael
Officer
City of San Rafael
ricer
ty of San Rafael
er
of San Rafael
11.
11.48
17. .hN
SUBTOTAL$ 57.40
E
137.76
137.76
I.:i / .. /(,
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Avenue
❑ COM
through 06/30/2016
page 40 of 176
NAME OF FILER
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
I.D. NUMBER
San Rafael Police Association Political Action Committee
1520 Fifth Avenue San Rafael CA 94901
01/31/2015
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CJMULATIVETO DATE
PER ELECTION
TO DATE
(EET
IT I.D.N
*
OCCUPATION AND EMPLOYER
Union member's dues received through
CALENDAR YEAR
RECEIVED
❑ SCC
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑ COM
Avenue
San Rafael, CA 94901
OF BUSINESS)
Union member's dues received through
❑ PTY
01/15/2015
Robert Cleland
]IND
Officer
11.48
137.76
02/27/2015
Robert Cleland
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
F1 COM
Avenue
San Rafael, CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
utticer
City of San Rafael
Officer
City of San Rafael
ricer
ty of San Rafael
er
of San Rafael
11.
11.48
17. .hN
SUBTOTAL$ 57.40
E
137.76
137.76
I.:i / .. /(,
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/31/2015
Robert Cleland
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
02/13/2015
Robert Cleland
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael. CA 94 01
02/27/2015
Robert Cleland
X❑IND
C/o: San Rafael Police Association 1520 ;;ill t:
F1 COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/2015
Robert Cleland
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
utticer
City of San Rafael
Officer
City of San Rafael
ricer
ty of San Rafael
er
of San Rafael
11.
11.48
17. .hN
SUBTOTAL$ 57.40
E
137.76
137.76
I.:i / .. /(,
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2015
FORM
through 06/30/2015
page 41 of 17B
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT .D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Robert Cleland
]IND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11.48
04/15/2015
Robert Cleland
RIND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
irgn Pift-1, Avenue, San Rafael. CA 949ol
❑ SCC
04/30/2015
Robert Cleland
x❑IND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 20 Fifth Avenue.an Rafael, 4 01
05/15/2015
Robert Cleland
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
I 11.48
05/29/2015
Robert Cleland
X❑IND
officer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:] COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.
SUBTOTAL$
57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
• '
through 06/30/2015
Page 42 of 17F,
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO I.D.N
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)
06/15/2015
Robert Cleland
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
48
06/30/2015
Robert Cleland
RIND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
01/15/2015
Christopher Coale
QIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. 4
—
01/31/2015
Christopher Coale
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Sergeant
x1.48
7.16
02/13/2015
Christopher Coa a
RIND
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC –Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period itCALIFORNIA
to whole dollars.
I '
from of/01/2015
• _
through 06/30/2015
Page 43 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT O ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/27/2015
Christopher Coale
IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_]OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
Sergeant
03/13/2015
Christopher Coale
91 IND
11.48
C/o: San Rafael Police Association 1520 Fift``
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avpnup. San Rafael. CA 94901
❑ SCC
Sergeant
11.48
7.7G
03/31/2015
Christopher Coale
X❑IND
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
[:1
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. an Rafael, CA 94901
❑ SCC
04/15/2015
Christopher Coale
]IND
Sergeant
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
04730 2015
Christopher Coa a
RIND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. Sari Rafael. CA 94901
❑ SCC
SUBTOTAL$ 57.40
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFFF
to whole dollars.
from of/0l/2olsthrOUgh
06/30/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT
(IF COMMITTEE, I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2015
Christopher Coale
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Sergeant
4N
05/29/2015
Christopher Coale
X❑IND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
H'I
06/15/2015
Christopher Coale
BIND
Sergeant
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 94901
Sergeant
06/30/2015
Christopher Coale
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PN
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
1ji-1t
01/15/2015
Ryan Coghill
N] IND
corporal
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 949Q2__
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
page 45 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
S
AIF DDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2015
Ryan Cogbill
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Corporal
02/13/2015
Ryan Cogbill
]IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
9
02/27/2015
Ryan Cogbill
x❑IND
Corporal
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, A 94901
Corporal
03/13/2015
Ryan Cogbill
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
Ryan Cogbill
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$
57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
Page 46 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(EFTA COMMITTEE, SAND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/15/2015
Ryan Coghill
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
Ryan Coghill
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue, San Rafael. CA 94901
[-]SCC
II_1H
137.76
05/15/2015
Ryan Cogbill
FX] IND
Corporal
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, 94901
05/29/2015
Ryan Cogbill
]IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Ryan Coghill
%❑IND
Corporal
11.48
7i
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue.
SUBTOTAL$ 57.40
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I �
01
from 01/01/2015
• "
through 06/30/2015
Page 47 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSZIP
A O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
Ryan Coghill
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
01/15/2015
Thomas Collins
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael, CA 94901
[:]SCC
01/31/2015
Thomas Collins
E]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, n Rafael, CA 0
❑ SCC
02/13/2015
Thomas Collins
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015 Thomas Collins x❑IND officer 11.48
137.76
C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue.
SUBTOTAL$ 57.40
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � t
from 01/01/2015
• _
through 06/30/2015
Page 48 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO .D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Thomas Collins
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Thomas Collins
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
04/15/2015
Thomas Collins
91IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael, A 94901
137.76
04/30/2015
Thomas Collins
FK] IND
Officer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
I I -40
05/15/2015
Thomas Collins
X❑IND
officer
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q2o Fifth Avenue. San Rafael__CA__2A3D_L_
❑ SCC
SUBTOTAL$
57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
• _
through 06/30/2015
Page 49 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT O ENTER .D.N
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29/2015
Thomas Collins
]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Thomas Collins
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
1I'/ '/
1
06/30/2015
Thomas Collins
BIND
Officer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, A 94901
Officer
11.48
01/15/2015
Ryan De Marta
%❑IND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
.4H
7.7G
01/31/2015
Ryan De Marta
%❑IND
officer
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael—CA-243-0--
[:]SCC
SUBTOTAL$ .57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I t
from 01/01/2015
• '
through 06/30/2015
page 50 of 176
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
1,831553
DATE
A ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D.N
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/13/2015
Ryan De Marta
BIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/27/2015
Ryan De Marta
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[—]PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
03/13/2015
Ryan De Marta
]IND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, 4 0
03/31/2015
Ryan De Marta
KIIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Ryan De Marta
x❑IND
0 icer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 F' 1
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Foran 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) TVpe or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
page 51 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Ryan De Marta
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/15/2015
Ryan De Martax❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11.48
05/29/2015
Ryan De Marta
x❑IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
06/15/2015
Ryan De Marta
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
4 ti
137.76
06/30/2015
Ryan De Marta
[X] IND
officer
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue.
❑ SCC
SUBTOTAL$ 57.40
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period•
_
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
page 52 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Christian Diaz
x❑IND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
01/31/2015
Christian Diaz
91 IND
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael, CA 94901
[:]SCC
02/13/2015
Christian Diaz
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
ED COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, an Rafael, CA 94901
02/27/2015
Christian Diaz
FK] IND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/2015
C rlstian Diaz
X❑IND
officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.
SUBTOTAL$ 57.40
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Tvoe or orint in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 01/01/2015
•
through 06/30/2015
page 53 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
Ii I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Christian Diaz
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
04/15/2015
Christian Diaz
91 IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
04/30/2015
Christian Diaz
x❑IND
Officer
11.48
137.761
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, San Rafael, CA 94901
05/15/2015
Christian Diaz
N] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/29/2015
Christian Diaz
91 IND
officer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 I page 54 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Christian Diaz
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
06/30/2015
Christian Diaz
RIND
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
11.48
01/15/2015
Christopher Duncan
N3 IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael A 94901
Officer
01/31/2015
Christopher Duncan
RIND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
027137 2015
Christopher Duncan
x❑IND
O icer
11.48
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
www.neffile.com
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2015
• "
through 06/30/2015
page 55 of 176
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/27/2015
Christopher Duncan
FK] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11.48
03/13/2015
Christopher Duncan
X❑IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
03/31/2015
Christopher Duncan
]IND
Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, 94901
04/15/2015
Christopher Duncan
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
04/30/2015
Christopher Duncan
91 IND
—0f Ticer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
E] SCC
1520 Fifth Avenue. n 94901
SUBTOTAL$
57.40
'Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
through 06/30/2015
Page 56 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A ZIP
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT O ENTERI.D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2015
Christopher Duncan
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
1_i7.76
05/29/2015
Christopher Duncan
X❑IND
Officer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
n Fifth Avenue, San Rafael. CA 94901
❑ SCC
_C. ti.
06/15/2015
Christopher Duncan
BIND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, an Rafael 94901
Officer
06/30/2015
Christopher Duncan
X❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/15/2015 Scott Eberle X❑IND Sergeant 11.48
137.76
C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, El SCC
1520 Fifth Avenue. A 4
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
r "Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
KIIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
] IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
rgeant
ty of San Rafael
rgeant
ty of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
11.481 137.76
11.481 Iii- /`,
11.48 137.76
11 .4H 137. l(
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
through 06/30/2015
Page 57 of 178
NAME OF FILER
intermediary: San Rafael Police Association,
I.D. NUMBER
San Rafael Police Association Political Action Committee
Scott Eberle
C/o: San Rafael Police Association 1520 Fifth
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A RES
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
San Rafael, CA 94901
Union member's dues received through
OF BUSINESS)
intermediary: San Rafael Police Association,
1520 Fifth Avenue, an Rafael 94901
01/31/2015
Scott Eberle
x❑IND
Sergeant
11.48
137.76
San Rafael, CA 94901
C/o: San Rafael Police Association 1520 Fifth
Union member's dues received through
City of San Rafael
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
r "Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
KIIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
] IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
rgeant
ty of San Rafael
rgeant
ty of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
11.481 137.76
11.481 Iii- /`,
11.48 137.76
11 .4H 137. l(
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
Scott Eberle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
02/27/2015
1S20 Fifth Avenue, San Rafael, CA 94901
Scott Eberle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, an Rafael 94901
03/13/2015
Scott Eberle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
Scott Eberle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
r "Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
KIIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
] IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
x❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
rgeant
ty of San Rafael
rgeant
ty of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
11.481 137.76
11.481 Iii- /`,
11.48 137.76
11 .4H 137. l(
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 58 of 178
I.D. NUMBER
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED
(IF COMMITTEE,ALSOENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
04/15/2015
Scott Eberle
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
Scott Eberle
Z] IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1c;2n Fifth Aypnue. San Rafael, CA 94901
❑ SCC
05/15/2015
Scott Eberle
x❑IND
C/o: San Rafael Police Association 1520 Fifth
[:]COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, n Rafael, A 94901
05/29/2015
Scott Eberle
]IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Scott Eberle
]IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,1520 Fifth Avenue. San Rafael, CA 94901_
❑ SCC
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
ity of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
11.48
137.76
11.481 137.76
11.481 137.76
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 01/01/2015
• '
through 06/30/2015
Page 59 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2015
Scott Eberle
x❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Christopher Fuller
X❑IND
Police Officer
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
7.98
01/31/2015
Christopher Fuller�INp
Police Officer
137.761'
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael 94901
Police Officer
11.48
137.76
02/13/2015
Christopher FullerX❑IND
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015 Christopher Fu er 91 IND Police officer 11.48
137.76
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
Avenue ❑ COM
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue.
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 I Page 60 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(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)
03/13/2015
Christopher Fuller
91 IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Christopher Fuller
Z]IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police ^Association,
❑ SCC
04/15/2015 Christopher Fuller x IND Police Officer
C/o: San Rafael Police Association 1520 Fiftl. F-1 COM City of San Rafael
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: ^San Rafael^ Police^ Association, ❑ SCC
30/2015 Christopher Fuller X❑IND
C/o: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
15/2015 Christopher Fu er 91 IND
C/o: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through [-]PTY
intermediary: San Rafael Police Association, - .A
I- L4 ❑ SCC
F,. 1. T-...-...-. L�..-. -1-...l ons
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
Ponce urricer
City of San Rafael
11.481 137.76
I..I. G ii I 137.76
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE (CONT)
Statement covers period
from 01/01/2015
through 06/30/2015 I Page 61 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29/2015
Christopher Fuller
X❑IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Christopher Fuller
X❑IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
Police Officer
06/30/2015
Christopher Fuller
BIND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael. CA 94901
11.48
01/15/2015
Salvatore Garanzini
]IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
—01/31/2015
Salvatore Garanzini
]IND
O icer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1- at F.- n,.e.. cam.. V,47 o1 OA oeonl
El SCC
'Contributor Codes 1
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars.I ,from 01/01/2015
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Millthrough
06/30/2015
pof 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/13/2015
Salvatore Garanzini
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
4H
02/27/2015
Salvatore Garanzini
X❑IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
0 Fifth Avenue. San Rafael, CA q4qO1
[-]SCC
11.48
7r,
03/13/2015
Salvatore GaranziniX❑IND
Officer
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, CA 94901
03/31/2015
Salvatore Garanzini
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 F'lfra
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Salvatore Garanzini
91 IND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, 4
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
Page 63 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AIF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Salvatore Garanzini
jIND
Officer
11.48 137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
11.48
05/15/2015
Salvatore Garanzini
N] IND
C/o: San Rafael Police Association 1520 FifthF-1
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
05/29/2015
Salvatore Garanzini�INp
Officer
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 94901
!1.46 137.76
06/15/2015
Salvatore Garanzini
FK] IND
Officer
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
06/30/2015
Salvatore Garanzini
X❑IND
officer
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue. A
SUBTOTAL$ 57.40
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 01/01/2015
• '
through 06/30/2015
page 64 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Michael Garrison
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/31/2015
Michael Garrison
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
02/13/2015
Michael Garrison
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. 4
Officer
02/27/2015
Michael Garrison
FK] IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/2015
Michael Garrison
]IND
officer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, Rafael.
SUBTOTAL$ 57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT)
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
page 65 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITfEE,ALSO ENTER I.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Michael Garrison
]IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/15/2015
Michael Garrison
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth A*enue. San Rafael, CA 94 ni
❑ SCC
04/30/2015
Michael Garrison
X❑IND
Officer
11.46
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. 94901
❑ SCC
Officer
05/15/2015
Michael Garrison
X❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
137.76'1
—05/29/2015
Michael Garrisonx❑IND
O icer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
[-] COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$
57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
SUBTOTAL$
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC—Small Contributor Committee
www.netfile.com
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
through 06/30/2015
page 66 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAENTERND
.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Michael Garrison
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/30/2015
Michael Garrison
N] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
7(,
01/15/2015
Lilah Gavlickx❑IND
Police Officer
j 11.48
C/o: San Rafael Police Association 1520 Fifth:
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1S20 Fifth Avenue. an Rafael, 94901
01/31/2015
Lilah Gavlick
X❑IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
<<t
02 13 2015
Lilah Gavlick
®IND
Police Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
r�� --••- �__ _F- , r �� ,
❑ SCC
SUBTOTAL$
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC—Small Contributor Committee
www.netfile.com
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Tvve or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
IM
from 01/01/2015
• '
through 06/30/2015
page 67 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ADDRESSZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
SAND
(IF COMMITTEE, I.D. NUMBER)
IT
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)
02/27/2015
Lilah Gavlick
]IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11.48
03/13/2015
Lilah Gavlick
x❑IND
Police Officer
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafapl. CA 94901
❑ SCC
03/31/2015
Lilah Gavlick
]IND
Police Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael, CA 94901
11.48
04/15/2015
Lilah Gavlick
X❑IND
Police Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30/2015
Lilah GavlicR
91 IND
Police Officer
11.48
137
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
j
intermediary: San Rafael Police Association,.1520 Fifth
Avenue.
❑ SCC
SUBTOTAL$ s7.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE (CONT)
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
Police urricer
City of San Rafael
ice Officer
v of San Rafael
lice urricer
ty of San Rafael
ty of San Rafaei
1
I 1 / /F:
11.481 137.76
11.481 137.'/I:
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
through 06/30/2015
Page
68 of 178
NAME OF FILER
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
I.D. NUMBER
1520 Fifth Avenue San Rafael CA 94901
San Rafael Police Association Political Action Committee
05/29/2015
Lilah Gavlick
91 IND
831553
DATE
A O
ADDRESS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
II I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
06/15/2015
Lilah Gavlick
X❑IND
OF BUSINESS)
C/o: San Rafael Police Association 1520 Fifth
❑ COM
05/15/2015
Lilah Gavlick
x❑IND
Police Officer
11.48
137.76
intermediary: San Rafael Police Association,
❑ SCC
C/o: San Rafael Police Association 1520 Fifth
1520 Fifth Avenue n Rafael. CA 94 01
City of San Rafael
06/30/2015
Lilah Gavlick
[91 IND
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
Police urricer
City of San Rafael
ice Officer
v of San Rafael
lice urricer
ty of San Rafael
ty of San Rafaei
1
I 1 / /F:
11.481 137.76
11.481 137.'/I:
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
Lilah Gavlick
91 IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Pifth Avenue. San Rafael, CA 949nl
❑ SCC
06/15/2015
Lilah Gavlick
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue n Rafael. CA 94 01
06/30/2015
Lilah Gavlick
[91 IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/15/2015
Justin Graham
X❑IND
C/o: San Rafael Police Association 1520 Fift:i
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
Police urricer
City of San Rafael
ice Officer
v of San Rafael
lice urricer
ty of San Rafael
ty of San Rafaei
1
I 1 / /F:
11.481 137.76
11.481 137.'/I:
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period • _
to whole dollars. CALIFI '
NIA
from 01/01/2015 • "
through 06/30/2015 Page 69 of 178
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
,
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
01/31/2015 Justin Graham MIND Corporal 11.48 137.76
C/o: San Rafael Police Association 1520 FifthCity of San Rafael
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
ty of San Rafael
rpora.L
ty of San Rafael
ra.L
of San Rafael
11.48
:I.:i 7.'/G
11.481 137.76
4til 137.76
ral n f,
of San Rafaei
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
Justin Graham
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, qAn Rafael, CA 94901
❑ SCC
02/27/2015
Justin Graham
®IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, n Rafael, 94901
03/13/2015
Justin Graham
FK] IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
FIFTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/31/2015
Justin Gra f Ta -m-
MIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,1520 Fifth Avenue. San Rafael. CA 949Q2_
❑ SCC
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
ty of San Rafael
rpora.L
ty of San Rafael
ra.L
of San Rafael
11.48
:I.:i 7.'/G
11.481 137.76
4til 137.76
ral n f,
of San Rafaei
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
11
City of San Rafael
Corporal 11.48 137.76
City of San Rafael
Corporal I n(i 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑
through 06/30/2015
Page 70 of 178
NAME OF FILER
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
I.D. NUMBER
San Rafael Police Association Political Action Committee
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EETA COMMITTEE, SANDZII.O.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
05/15/2015
OF BUSINESS)
X❑IND
C/o: San Rafael Police Association 1520 Fittl.
04/15/2015
Justin Graham
RIND
Corporal
11.48
137.76
❑ PTY
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
1520 Fifth Avenue. n Rafael, CA 94901
05/29/2015
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
11
City of San Rafael
Corporal 11.48 137.76
City of San Rafael
Corporal I n(i 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
Justin Graham
x❑IND
C/o: San Rafael Police Association 1520 Fifth
F] COM
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
05/15/2015
Justin Graham
X❑IND
C/o: San Rafael Police Association 1520 Fittl.
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, CA 94901
05/29/2015
Justin Graham
]IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Justin Graham
91 IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
11
City of San Rafael
Corporal 11.48 137.76
City of San Rafael
Corporal I n(i 137.76
City of San Rafael
City of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR
RECEIVED(IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE *
06/30/2015 Justin Graham ®IND
C/O: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through F] PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015 Julie Griffith X❑IND
C/o: San Rafael Police Association 1520 Fifth
F-1COMAvenue
San Rafael, CA 94901 F-1OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
jq20 Fifth Avenue. San Rafael, CA 94901
01/31/2015 Julie Griffith x❑IND
C/o: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
20 Fifth Avenue, an Rafael, A 94901
02/13/2015 Julie Griffith N] IND
C/o: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015 Julie Griffith X❑IND
C/o: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 ❑ OTH
Union member's dues received through ❑ PTY
intermediary: San Rafael Police Association, ❑ SCC
1520 Fifth Avenue,
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
ty of San Rafael
City of San Rafael
Records Clerk
City of San Rafael
Recoros Cierx
City of San Rafael
City of San Rafael
fro
m
Statement covers period
AME OF F 01/01/2015
SCHEDULE A (CONT)
through 06/30/2015 Page 71 of V/H
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
11.48 137.76
108.00
9.00
9.001 108.00
SUBTOTAL$ 47.48
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
ty of San Rafael
City of San Rafael
Records Clerk
City of San Rafael
Recoros Cierx
City of San Rafael
City of San Rafael
fro
m
Statement covers period
AME OF F 01/01/2015
SCHEDULE A (CONT)
through 06/30/2015 Page 71 of V/H
I.D. NUMBER
831553
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
11.48 137.76
108.00
9.00
9.001 108.00
SUBTOTAL$ 47.48
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2015
• "
through 06/30/2015
Page 72 of 17B
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Julie Griffith
x❑IND
Records Clerk
9.00
108.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
x.00
03/31/2015
Julie Griffithx❑IND
Records Clerk
108.00
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue- San Rafael. CA 94901
❑ SCC
U(l
04/15/2015
Julie Griffith
x❑IND
Records Clerk
9.00
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,❑
SCC
i
1520 Fifth Avenue. n Rafael. 4
04/30/2015
Julie Griffith
x❑IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
OS 15 2015
Julie Griffith
91 IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. n Rafael, CA
SUBTOTAL$ 45.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I '
from 01/01/2015
• "
through 06/30/2015
Page 73 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT O ENTER I.D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29/2015
Julie Griffith
x❑IND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/15/2015
Julie Griffith
BIND
Records Clerk
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[-]SCC
j.uoi
06/30/2015
Julie Griffithx❑IND
Records Clerk
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael, CA 94901-
01/15/2015
Lori Hendricks
X❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
F] COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
-uUi,
UH Uu
01/31/2015
Lori Hendricks
KIIND
Dispatcher
C/o: San Rafael Police Association 1554 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, 4
SUBTOTAL$ 45.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
through 06/30/2015
Page 74 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITEE,ALSOENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
j PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
x❑IND
OFBUSINESS)
02/13/2015
Lori Hendricks
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Dispatcher
9.00
02/27/2015
Lori Hendricks
]IND
108.00
C/o: San Rafael Police Association 1554 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94935
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q2n Fifth Avenue. San Rafael. CA 94901
❑ SCC
Dispatcher
03/13/2015
Lori Hendricks
RIND
9.00
108.00
C/O: San Rafael Police Association 1554 Fifth
[]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94935
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. 4
Dispatcher
03/31/2015
Lori Hendricks
]IND
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
Dispatcher
04/15/2015
Lori Hendricks
]IND
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 45.00
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
SUBTOTAL$
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
45.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 75 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
O
ANDI.D.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Lori Hendricks
X❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Dispatcher
05/15/2015
Lori Hendricks
X❑IND
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
05/29/2015
Lori Hendricks
x❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94
06/15/2015
Lori Hendricks
X❑IND
Dispatcher
9.00
108.00
C/o: San Rafael Police Association 1554 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/30/2015
Lori Hen ricks
[X]IND
Dispatcher
9.00
oli.00
C/o: San Rafael Police Association 1554 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
45.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 76 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DRESLSAENTERI.D.NUMBER)
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
YEAR
PER ELECTION
TO DATE
(EETA
OCCUPATION AND EMPLOYER
CALENDAR
RECEIVED
CODE*
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Robert Henkle
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/31/2015
Robert Henkle
91 IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 FifthE]
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Aypnup. San Rafael- CA 94901
❑ SCC
11.48
02/13/2015
Robert Henkle
x❑IND
Officer
137.71
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, CA 94 01
11.48
02/27/2015
Robert Henkle
x❑IND
Officer
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11.48
03/13/2015
Robert Henkle
91 IND
officer
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
E] COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 949QI__
❑ SCC
SUBTOTAL$
57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � t
from 01/01/2015
• '
through 06/30/2015
Page 77 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
S ZIPO
ADDRESS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
SAND
(IF COMMITTEE, I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/31/2015
Robert Henkle
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
11.48
04/15/2015
Robert Henkle
]IND
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
Officer
04/30/2015
Robert Henkle
ffjIND
11.48
137.76
C/o: San Rafael Police Association 1520 Fift):
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael. 94901
Officer
05/15/2015
Robert Henkle
%❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermedia San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
71,
05/29/2015
Robert Henkle
]IND
officer
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael,
SUBTOTAL$ 57.40
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 I Page 78 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
San Rafael, CA 94901
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
SAND I.D. NUMBER)
(E COMMIT
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
C/o: San Rafael Police Association 1520 Fifth
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
San Rafael, CA 94901
❑ OTH
OF BUSINESS)
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue. San Rafael. CA 94901
06/15/2015
Robert Henkle
X❑IND
Officer
11.48
137.76
F1 COM
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
San Rafael, CA 94901
❑ OTH
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
of San Rafael
ral
of San Rafael
rporal
ty of San Rafael
ity of San Rafael
SUBTOTAL$
11.481 137.
11.481 7..i'/.. /h
11.481 137.76
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
06/30/2015
Robert Henkle
X❑IND
C/o: San Rafael Police Association 1520 Fifth
F] COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue. San Rafael. CA 94901
❑ SCC;
01/15/2015
J. Alexander Holm
X❑IND
C/o: San Rafael Police Association 1520 Fifth
F1 COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael CA 94901
01/31/2015
J. Alexander Holm
RIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/13/2015
J. Alexander Ho m
FK] IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. San Rafael. CA 94901
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
of San Rafael
ral
of San Rafael
rporal
ty of San Rafael
ity of San Rafael
SUBTOTAL$
11.481 137.
11.481 7..i'/.. /h
11.481 137.76
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Tvaeorprintinink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
'do '
from of/ol/zols
• '
through 06/30/2015
page 79 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSO .D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/27/2015
J. Alexander Holm
]IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
11.48
03/13/2015
J. Alexander Holm
MIND
Corporal
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
1
03/31/2015
J. Alexander Holm
x❑IND
Corporal
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael. CA 94901
04/15/2015
J. Alexander Holm
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
04 30 7 2015
J. Alexander Ho m
91 IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. 4
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 Page 80 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESSZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,
IT 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)
05/15/2015
J. Alexander Holm
]IND
Corporal
11.48
137.7E
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
J. Alexander Holm
%❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael, CA 94901
[]SCC
ii 4Ej
1 17.7L
06/15/2015
J. Alexander Holm
x❑IND
Corporal
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.an Rafael,94901
06/30/2015
J. Alexander Holm
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 FifthE]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/15/2015
Lisa Ho ton
%❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue.
❑ SCC
SUBTOTAL$
s7.4o
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
SUBTOTAL$
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
page 81 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2015
Lisa Holton
]IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11.48
13/./o
02/13/2015
Lisa Holton[g]IND
Sergeant
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael, CA 94901
[:]SCC
1 .7(+
02/27/2015
Lisa Holton
x❑IND
Sergeant
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael 94901
%❑IND
11 411.
03/13/2015
Lisa Holton
Sergeant
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
0 3T3-17 2015
Lisa Holton
91 IND
Sergeant
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
11520 Fifth Avenue. San Rafael. CA 94901
SUBTOTAL$
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 82 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
TRIBCCC
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
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
x❑IND
OF BUSINESS)
04/15/2015
Lisa Holton
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
Lisa Holton
91 IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Pifth Aypnup. San Rafael, CA 94901
❑ SCC
05/15/2015
Lisa Holton
FK] IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael. CA 94901
05/29/2015
Lisa Holton
FK] IND
Sergeant
11.48
1 i7.'hI
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/15/2015
Lisa Ho ton
[g] IND
Sergeant
11.48
7(:
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
F-1 COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 942DJ__
❑ SCC
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT.)
Page 83 of 178
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
[DER ELECTION
Union member's dues received through
(IFCOMMn7EE,ALSOENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
01/15/2015
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Avenue
San Rafael, CA 94901
❑ OTH
OF BUSINESS)
Union member's dues received through
❑ PTY
06/30/2015
Lisa Holton
X❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
City of San Rafael
Union member's dues received through
❑ PTY
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
ty of San Rafael
11.481 137.76
ty of San Rafael
11.48 1 7.7G
ty of San Rafael
.481 !1/ 7(,
ty of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/15/2015
Kyle Hornstein
MIND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
01/31/2015
Kyle Hornstein
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael. A 94901
02/13/2015
Kyle Hornstein
X❑IND
C/o: San Rafael Police Association 1520 Fifth
F] COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/27/2015
Kyle Hornstein
KIND
C/o: San Rafael Police Association 1520 Fifth
Avenue
E] COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 949QI__
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
ty of San Rafael
11.481 137.76
ty of San Rafael
11.48 1 7.7G
ty of San Rafael
.481 !1/ 7(,
ty of San Rafael
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2015
• '
through 06/30/2015
page B4 of 179
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A ZIP
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT I.O. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Kyle Hornstein
MIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Kyle Hornstein
RIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q2n Fifth Avenue, San Rafael, CA 94901
[-]SCC
11.58
04/15/2015
Kyle Hornstein
MIND
Corporal
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 20 Fifth Avenue. n Rafael. 94901
04/30/2015
Kyle Hornstein
MIND
Corporal
11.48 137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
05/15/2015
Kyle Hornstein
MIND
Corpora
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 942DL_
❑ SCC
SUBTOTAL$
57.40
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
_
CALIFI
NIA
to whole dollars.
'
from 01/01/2015
• '
through 06/30/2015
page 85 Of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/29/2015
Kyle Hornstein
BIND
Corporal
11.48
137.76
C/O: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
11.48
06/15/2015
Kyle Hornstein
91 IND
Corporal
137.76
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94qnl
❑ SCC
06/30/2015
Kyle Hornstein
FK] IND
Corporal
C/o: San Rafael Police Association 1520 Fifth
F1 COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. an Rafael. CA 94901
Sergeant
01/15/2015
Carl Huber
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
01/31/2015
Car Hu I5er
X❑IND
Sergeant
11.48
1 +,7 /r;
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue.
SUBTOTAL$ .57.40
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY -Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
02/13/2015
Carl Huber
through 06/30/2015
Page
86 of 178
NAME OF FILER
C/o: San Rafael Police Association 1520 Fifth
I.D. NUMBER
City of San Rafael
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSANDZI.D.NlDEO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
02/27/2015
Carl Huber
OF BUSINESS)
Sergeant
11.48
137.76
02/13/2015
Carl Huber
X❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
F] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/27/2015
Carl Huber
[g]IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1.;90 Fifth Avenue, San Rafael- rA 94qni
❑ SCC
]t'//r,
03/13/2015
Carl Huber
x❑IND
Sergeant
11.48
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael A 94901
03/31/2015
Carl Huber
%❑IND
Sergeant
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Car Hu Fer
]IND
Sergeant
11.48
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers
from 01/01/2015
through 06/30/2015
SCHEDULE A (CONT.)
Page 87 of 178
I.D. NUMBER
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED(IFCOMMITEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATIONANDEMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
U4/.5U/LUlS
sari nurser
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/15/2015
Carl Huber
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;?o Fifth Avenue, San Rafael, CA 94901
❑ SCC
05/29/2015
Carl Huber
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael, 94901
06/15/2015
Carl Huber
X❑IND
C/o: San Rafael Police Association 1520 Fifth
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
06/30/2015
Carl Huber
91 IND
C/o: San Rafael Police Association 1520 Fifth
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
City of San Rafael
sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
11.481 137.7(,
I 1 .4H I I. /..7f,
11.481 137.76
SUBTOTAL$ 57.40
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I ,
from 01/01/2015
�
• "
through 06/30/2015
Page 88 of 178
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMIT SENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Scott Ingels
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue San Rafael CA 94901
Corporal
01/31/2015
Scott Ingels
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
i
intermediary: San Rafael Police Association,
1S2n Fifth Avenue. San Rafael. CA 94901
❑ SCC
11.48
02/13/2015
Scott Ingels
X❑IND
Corporal
137."/r
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1S20 Fifth Avenue San Rafael, A 94901
02/27/2015
Scott Ingels
RIND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03/13/2015
Scott Inge s
x❑IND
Corporal
11.48
137./t,
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 57.40
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I � t
from 01/01/2015
• '
through 06/30/2015
Page 89 of 178
NAME OF FILER
I.D. 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
(IFCOMMITEE,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)
03/31/2015
Scott Ingels
X❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
Corporal
nt?
04/15/2015
Scott Ingels
X❑IND
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth nue. San Rafael, CA 94901
❑ SCC
H
04/30/2015
Scott Ingels
X❑IND
Corporal
137.71!
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue an Rafael. O1
Corporal
II.1fl
137.76
05/15/2015
Scott Ingels
X❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
4t?
05/29/2015
Scott Inge s
X❑IND
Corpora
137.7x,
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.A
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2015
SCHEDULE A (CONT.)
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 06/30/2015
Page 90 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOAENTERND
I.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Scott Ingels
x❑IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
06/30/2015
Scott Ingels
91 IND
Corporal
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
01/15/2015
Rebecca Jensen
x❑IND
Dispatcher
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
[j COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
O Fifth Avenue. n Rafael, 94901
01/31/2015
Rebecca Jensen
x❑IND
Dispatcher
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
02/13/2015
Rebecca Jensen
X❑IND
Dispatc er
9.00
c/o San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
49.96
SUBTOTAL$
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
e I '
trom 01/01/2015
•
through 06/30/2015
page 91 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/27/2015
Rebecca Jensen
X❑IND
Dispatcher
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/13/2015
Rebecca Jensen
91 IND
geeo `J de
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
03/31/2015
Rebecca Jensen
x❑IND
Bi spa% 846W etc:, S ER?rx,
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,an Rafael, A 94901
0H E0
_
04/15/2015
Rebecca Jensen
X❑INDQispatbqr�!'
c S f')'
9.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/30/2015
Re ecca Jensen
91 IND
C
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[-]SCC
SUBTOTAL$ 45.00,
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
from 01/01/2015 "
through 06/30/2015 page 9z of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESSZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(EET
IT .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2015
Rebecca Jensen
X❑IND
19i spabehe1 'ti'
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
05/29/2015
Rebecca Jensen
X❑IND
< e
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
06/15/2015
Rebecca Jensen
x❑IND
6
9.00
108.00
c/o San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
IS20 Fifth Av n n Rafael. A 94901
108.00
06/30/2015
Rebecca Jensen
x❑IND
i3zs�a"I
9.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
oil no
01/15/2015
Lynette Ke er
FK] IND
Community Service Officer
9.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
SUBTOTAL$ 45.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
• ,
from 01/01/2015
• "
through 06/30/2015
page 93 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2015
Lynette Keller
x❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/13/2015
Lynette Keller
x❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue- San Rafael, CA 94901
❑ SCC
02/27/2015
Lynette Keller
x❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, n Rafael A 94901
03/13/2015
Lynette Keller
x❑IND
Community Service Officer
9.00
108.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]Com
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
03 31 2015
Lynette Keller
x❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 5 20 Fifth Avenue. San Rafael __CA_2j3_Q.L_
❑ SCC
SUBTOTAL$ 45.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
•
J '
from 01/01/2015
• '
through 06/30/2015
Page94 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E 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)
04/15/2015
Lynette Keller
]IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/30/2015
Lynette Keller
X❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avpnl3p- San Rafael, CA 94q01
❑ SCC
05/15/2015
Lynette Keller
%❑IND
Community Service Officer
9.00
108.00
C/O: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. A 94901
05/29/2015
Lynette Keller
X❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
F-1 COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
. iin
06/15/2015
Lynette Ke er
91 IND
Community Service Otticer
108.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, Sari Rafael. CA 94901
❑ SCC
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
SUBTOTAL$ 45.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFPage__95
to whole dollars.
'from
01/01/2015through
06/30/2015
of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOAND
.D.N
*
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)
06/30/2015
Lynette Keller
X❑IND
Community Service Officer
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
9.00
01/15/2015
Rebecca Kuga
X❑IND
YSB Supervisor
108.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
9.00
01/31/2015
Rebecca Kuga
x❑IND
YSB Supervisor
108.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, an Rafael, CA 94901
no
02/13/2015
Rebecca Kuga
X❑IND
YSB Supervisor
108.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
1) 00
luII.UU
02/27/2015
Re ecca Kuga
X❑IND
YSB Supervisor
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 45.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
CALIFI
NIA
to whole dollars.
'
from 01/01/2015
• '
through 06/30/2015
Page 96 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMnTEE,ALSO ENTER I.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/13/2015
Rebecca Kuga
x❑IND
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
03/31/2015
Rebecca Kuga
91 IND
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
152 0 Fifth Avenue, San Rafael. CA 94qnl
❑ SCC
04/15/2015
Rebecca Kuga
RIND
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
91 IND
04/30/2015
Rebecca Kuga
YSB Supervisor
9.00
108.00
C/o: San Rafael Police Association 1520 Fifth.
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SC(-,
1520 Fifth Avenue, San Rafael, CA 94901
05/15/2015
Re ecca Kuga
RIND
YSB Supervisor
9.00
108.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 45.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
❑ PTY
intermediary: San Rafael Police Association,
(IF SELF-EMPLOYED, ENTER NAME
1520 Fifth Avenue San Rafael CA 94901
OF BUSINESS)
05/29/2015
Rebecca Kuga
X❑IND
YSB Supervisor
COM
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
City of San Rafael
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
SB Supervisor
ity of San Rafael
B Supervisor
ty of San Rafael
ricer
ty of San Rafael
cer
of San Rafael
Statement covers period
from 01/01/2015
through 06/30/2015
AMOUNT
RECEIVED THIS
PERIOD
9.00
9.00
9.00
11.48
SUBTOTAL$ 49.96
SCHEDULE A (CONT.)
Page 97 of 178
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
inn nn
108.00
137.76
i7.7r;
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
15/2015
Rebecca Kuga
X❑IND
C/o: San Rafael Police Association 1520 Fifth
COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94q01
DISC
30/2015
Rebecca Kuga
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, 4
15/2015
Marc Laplante
]IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
31/2015
Marc Lap ante
RIND
C/o: San Rafael Police Association 1520 Fifth
[-jCOMAvenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, 4
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
SB Supervisor
ity of San Rafael
B Supervisor
ty of San Rafael
ricer
ty of San Rafael
cer
of San Rafael
Statement covers period
from 01/01/2015
through 06/30/2015
AMOUNT
RECEIVED THIS
PERIOD
9.00
9.00
9.00
11.48
SUBTOTAL$ 49.96
SCHEDULE A (CONT.)
Page 97 of 178
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
inn nn
108.00
137.76
i7.7r;
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 01/01/2015
"
through 06/30/2015
Page 98 Of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,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)
02/13/2015
Marc Laplante
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[—]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
02/27/2015
Marc Laplante
%❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
03/13/2015
Marc Laplante
RIND
Officer
11.48
]37.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 F' Avenue. n Rafael.A 94901
03/31/2015
Marc Laplante
X❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
04/15/2015
Marc Lap ante
X❑IND
0 icer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, Rafael.
SUBTOTAL$ 57.40
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodrPage.'39_
to whole dollars.from
01/01/2015through
06/30/2015
of 1718NAME
OF FILER
R
San Rafael Police Association Political Action Committee
831551
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSOAND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/30/2015
Marc Laplante
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
Officer
05/15/2015
Marc Laplante
MIND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
p PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ $CC
05/29/2015
Marc Laplante
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
5 0 Fifth h Av n n Rafael. CA 94901
11.48
06/15/2015
MarcLaplante
MIND
137.76
C/o: San Rafael Police Association 1520 Fifth
City
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:] SCC
1520 Fifth Avenue, San Rafael, CA 94901
06 30 2015
Marc Laplante
MIND
officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 942DJ__
❑ SCC
SUBTOTAL$ 57.40
71
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
•
from 01/01/2015
• '
through 06/30/2015
page 100 of 178
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2015
Kimberly Larkey
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
01/31/2015
Kimberly Larkey
x❑IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth n-ue. San Rafael, CA 94901
❑ SCC
137.76
02/13/2015
Kimberly Larkey
x❑IND
Officer
11.48
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, CA 94901
02/27/2015
Kimberly Larkey
x❑IND
_
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
03 13 2015
officer
Kimberly LarRey
x❑IND
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. 4
SUBTOTAL$ 57.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2015
through 06/30/2015 I Page 101 of 178
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS
RECEIVED (IF COMMn7EE, ALSO ENTER I.D. NUMBER) CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
OF BUSINESS)
03/31/2015 Kimberly Larkey X❑IND Officer 11.
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
137.76
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netFle.com
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
04/15/2015
Kimberly Larkey
RIND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue, San Rafael. CA 94901
[-]SCC
04/30/2015
Kimberly Larkey
RIND
Officer
11.48
137.'/x,
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, CA 94 901
05/15/2015
Kimberly Larkey
FK] IND
Officer
11.48
137.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑SCC
1520 Fifth Avenue, San Rafael, CA 94901
officer
05/29/2015
Kimberly Larkey
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, 4
SUBTOTAL$
57.40
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netFle.com
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)