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Home My WebLink AboutForm 460 - Police Association PAC (2012-12-31)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 07/01/201, 1 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 12/31/2012 1. Type of Recipient Committee: All Committees — Complete Parts 11, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored General Purpose Committee (Also Complete Part 6) (g) Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information COMMITTEE I.D.NUMBER 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 Date Stamp 2. Type of Statement: F-1 Preelection Statement F&] Semi-annual Statement E] Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Minka MAILING ADDRESS COVER PAGE Page I of 163 For Official Use Only F-1 Quarterly Statement E] Special Odd -Year Report E] Supplemental Preelection Statement - Attach Form 495 1520 Fifth Avenue CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94901 (415) 485-3000 NAME OF ASSISTANT TREASURER, IF ANY Nis 'qfac� R Owens MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Oakland. CA 94618 sent tiF7_�nnn OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the ifor ation con ained 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, Executed on 61/ 3/2013 Date Executed on 0 -, 1 Date Executed on Date Executed on Date www.neffile.com By By By Signature of Controlfim; Officeholder, Can&dato, State Measure Proponent By Signature of Con"irx; Officeholder, candidate, State Measure Proponent FPPC: Form 460 (January/05) FPPC Tolt-Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE-PART2 Campaign Statement FORM CALIFORNIA 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page 2 of 163 R Primarily Pnrmnrl R211nt Mnncnrn (_nmmi#nn NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidates) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE ..onc ur ..vuc nrtcn+,.vucrrnvFvc Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California www.netfile.com Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/2012 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 3 of 163 NAME OF FILER I.D.NUMBER San Rafael Police Association Political Action Committee 831553 Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ................. __ .................... Schedule A, Line 3 $ 16,040.45 6. Payments Made ...... .......................... 2. Loans Received ... .......................... ..... __ ............. Schedule B, Line 3 12 , 4 3 9.02 0.00 . Schedule H, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 16,040.45 4. Nonmonetary Contributions .............. __ .................. Schedule C, Line 3 9. Accrued Expenses (Unpaid Bills) ............................... 50.00 5. TOTAL CONTRIBUTIONS RECEIVED ..... ......... ......... Add Lines 3 + 4 $ 16,090.45 Expenditures Made 6. Payments Made ...... .......................... ...... .............. Schedule E, Line 4 $ 12 , 4 3 9.02 7. Loans Made ............... __ ......................................... . Schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS ................. ...... _ ... Add Lines 6 + 7 $ 12,439.02 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 -8,919.60 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 50.00 11. TOTAL EXPENDITURES MADE ......... _ .............. ..... Add Lines 8 + 9 + 10 $ 3,569,42 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 28,316.23 13. Cash Receipts .... _ ............ ............................... Column A, Line 3 above 16,040.45 14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4 1.11 15. Cash Payments .................................................. Column A, Line 8 above 12,439,02 16. ENDING CASH BALANCE ..... _ _ Add Lines 12 + 13 + 14, then subtract Line 15 $ 31, 918.77 ff 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 cine 2 +Line 9 i Column B above $ 0,00 www.neffile.com uoiumn is CALENDAR YEAR TOTALTO DATE $ 44,137.52 0.00 $ 44,137.52 787.59 $ 44,925.11 $ 31,439.02 0.00 $ 31,439.02 0.00 787.59 $ 32,226.61 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (IfSubjectto 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 (866/276-3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM page 4 of 163 SEE INSTRUCTIONS ON REVERSE through 12/31/2012 NAME OF FILER I.D. 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 ENTERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 07/13/2012 Elisha Adams ®IND Officer 28.00 651.52 � ❑COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue F-1 PTY Sar. Rafael, CA 94901 nn Union member's dues received throe h intermedia ![4SCCRafa 1 Police Association 152C Fifth Avenue San Rafael CA 94901 07/31/2012 Elisha Adams OIND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 n Union member's dues received through intermedia :San Rafa 1 Police Association 152C Fifth Avenue San Rafael CA 94901 08/17/2012 Elisha Adams OIND Officer 28.00 651.52 F1 COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY TY San Rafael, CA 94901 Union member's dues received through intermedia :EAPCC afa 1 Police Association, 152C Fifth Avenue, San Rafael, CA 94901 081/31/2012 Elisha Adams ®IND Officer 28.00 651.52 ❑COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermedia ^ y:EAPC' afa 1 Police Association, 152C Fifth Avenue, San Rafael, CA 94901 09/14/2012 E! s a Adams OIND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH Cit of San Rafael 1' 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throe h intermedia :��iCl2afa 1 Police Association 152 Fifth Avenue S n Rafael CA 94901 SUBTOTAL$ 140.00 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.) . www.neffl/e.com 1S<864,16 176.29 ............. TOTAL $ 16, 040.45 *Contributor 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/45) FPPC Toll -Free Helpline: 866/ASK-FPPC (666/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary Contributions Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA• , from 07/01/2012 • through 12/31/2012 Page 5 of 16.3 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S AND ZIPD.N DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Elisha Adams ❑x IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1.520 Fifth Avenue ❑ PTY City of San Rafael ,San Rafael, CA 94901 Union memberIg dues received o intermediaiv:qaSnKafael Polices c' ion ft Avenue, San Rafael. CA 94901 10/15/2012 Elisha Adams ❑x IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 nn Union member's clues received throu h intermedia fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/01/2012 (Elisha Adams RIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 M Union member's dediaxv:qanK.f.e1 Police Association 1520 Fifth Avenue San Rafael CA 9490 11/15/2012 Elisha Adams Mx IND Officer 16.80 651.52 ❑ COM ,C/o: San Rafael Police Association ❑ OTH 11520 Fifth Avenue PTY City of San Rafael /San Rafael, CA 94902 ❑ Union member's dues received through intermedia n :`-fan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11I30f2G12 Elisha Adams MIND Officer 16.80 651.52 _ ❑ COM C%c: San Rafael Police Association DOTH 1520 Fifth Avenue ❑ PTY City of San Rafael (San 'Union Rafael, CA 94901 member's dues received throu h intermedia -� afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 84.00 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPG Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPG (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary contriautionS Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 6 of 153 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE 1 FULL L 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 (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 R lisha Adams BIND I N D Officer 16.80 651.52 r -ICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael-, CA 94901 LiLijon member's dues received through intermediary:qSCC an Rafael Police Association. 1520 Fifth Avenue, San Rafael. CA 94901 07/13/2012 Raul Aguilar [ZIND Sergeant 28.00 651.52 RCOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue iSan Rafael, CA 94901 []PTY City of San Rafael Union member's dues received throe J,1--dia v:qa'nKafael Police Association, 1520 Fifth Avenue. San Rafael CA 94901 07/31/2012 Raul Aguilar FDND Sergeant 28.00 651.52 ❑ COM C/o: San Rafael Police Association OTH ❑City 1520 Fifth Avenue PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedi4aiy:q.SnKafae1 Police Association, 1520 Fifth Avenue, S n RaLfael, CA 94901 08/17/2012 Raul Aguilar FRIND Sergeant 28.00 651.52 [:]Com C/o: San Rafael Police Association DOTH 1520 Fifth Avenue D PTY City of San Rafael !San Rafael, CA 94901 I Union member's dues received through intermedia xy:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08,131/2012 Raul Aguilar EZIND Sergeant 28.00 651.52 QCOM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Uni mediarIv:QW�afaeR Police Association 1520 Fifth Avenue S n Rafael CA 9a9G SUBTOTAL$ 128.80 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary uontriDutionS Keceived Amounts may be rounded Statement covers period IIIIIIII III to whole dollars. CALIFORNIA A^ oo from 07/01/2012 FORM ' through 12/31/2012 Page 7 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Raul Aguilar nx❑IND Sergeant 28.00 651,52 ❑Com C/o: San Rafael Police Association F] OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through inter ediaiv: q— anSCC Rafael Police Aasociation, 1520 Fifth Avenue. San Rafael, CA 94901 10/02/2012 Raul Aguilar Fx_j IND Sergeant 16.80 651.52 EICOM C/o: San Rafael Police Association EIOTH 1520 Fifth AvenueCity Q PTY of San Rafael San Rafael, CA 94901 ( Union member's dues received throe h intermedia Ty � f �q—aSnCRatael Police Association ion 15�20 Fifth Avenue San Rafapl. (A 94901 10/15/2012 Raul Aguilar NIND Sergeant 16.80 651.52 FICOM C/o: San Rafael Police Association [:1OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael-, CA 94901 — Unionintermedia ;aSnKaf.el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Raul Aguilar [8] IND Sergeant 16.80 651.52 FlCOM Cl/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901E; SKafael Union member's dues received intermedia an Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 11./15/2012 Raul Aguilar BIND Sergeant 16.80 651.52 El COM Clo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia e Association 152u Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 95.20 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 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 contriautionS Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA from 07/01/2012 FORM through 12/31/2012 Page 8 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S AND ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, .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) 11/30/2012 Raul Aguilar ❑x IND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueP El n, City of San Rafael San Rafael, CA 94901 Union emb is dues receivgd through di : aSP afael Police oci t'o 0 Fifth e San Rafagj, CA 94901 12/17 / 2012 Raul Aguilar BIND Sergeant 16.80 651.52 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 nn Union member's dues received throu h intermedia :man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07f13J2012 Anthony Augustyn ❑RIND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 (❑PTY Union member's dues received throw h intermedia :`-San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07/31/2012 Anthony Augustyn xIND Officer 28.00 651.52 ❑ COM �C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901j❑j Union member's dues received throw h intermedia :`-,fan Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/17/2012 Anthony Augustyn OIND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union, member's dues received throw h intermedia afae Police Association 1520 Fifth Avenue S n Rafael CA 949G SUBTOTAL$ 117.6 0, `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.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 contrioutions Received Amounts may be rounded Statement covers period I�III111111 III to whole dollars. , from 07/01/2012 FORM through 12131/2012 Page 9 of 163 NAME OF FILER I.D. 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 (E COMMITTEE, ALSENTERLD.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) 08/31/2012 Augustyn FxIND Officer 28.00 651.52 Anthony ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF1 PTY City of San Rafael San Rafael, CA 94901 Union member'scSCC es eceived t o h i Police Association,5 Fifth Avenue,San Raf e C 94901 09{14/2012 Anthony Augustyn QX IND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association FJOTH 1520 Fifth AvenueF-1 PTY City of San Rafael San Rafael, CA 94901 ((�� Union member's dues received throu h intermedia :`man Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 10/02/2012 Anthony Augustyn ❑x IND Officer 16.80 651.52 ❑ COM❑ C/o: San Rafael Police Association OTH 1520 Fifth Avenue Y El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia :�an Rafael Police Association 1520 Fifth Avenue S n Rafael CA 9490 10%15/2o1z Anthony Augustyn rxIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 n n Union member's dues received throw h intermedia : fan Z' afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/01/2012 Anthony Augustyn BIND Officer 16.80 651.52 ❑COM C/o: San Rafael Police Association F� OTH 1520 Fifth Avenue ❑ PT, City of San Rafael San Rafael, CA 94901 Union. member's dues received throw h intermedia L$ afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 106.40 *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.ne#ite.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary contrinutions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA ' from 07/01/2012 FORM , through 12/31/2012 page 10 Of 163 NAME OF FILER I.D. 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) 11/15/2012 Anthony Augustyn BIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 SC Union member's dues received through e media an Rafaele Associatign, 1520 Fifth Avenue.San Rafael, CA 94901 11/30/2012 Anthony Augustyn ❑Z IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia :qan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 Anthony Augustyn [ZIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Y PTY City of San Rafael San Rafael, CA 94901 El ❑ Union member's dues received through intermedia ` :anKafae Police Association 1520 Fifth Avenue San Rafael CA 9490 ,Blair Auld 07/13/2012 BIND Officer 28.00 651.52 j ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia :`wanKafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/31/2012 Blair Auld ❑ZIND Officer 28.00 651.52 ❑ COM 1 C/o: San Rafael Police Association ❑ OTH j1520 Fifth Avenue ❑ PTY City of San Rafael ' San Rafael, CA 94901 Union member's dues received throw h intermedia . afae Police lssociation 152G Fifth Avenue S n Rafael CP_ 9490 SUBTOTAL$ 106.40 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.nettfile.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 uontributions Received Amounts may be rounded Statement covers periodl to whole dollars. CALIFORNIA A from 07/01/2012 FORM -r60 I through 12/31/2012 Page 11 Of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (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) 08/17/2012 B lair Auld ®IND Officer 28.00 651.52 [-I COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity D PTY of San Rafael San Rafael, CA 94901 E; - Union member's dues received through inter ediaxv: aSCC Zafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490. 08/31/2012 Blair Auld MX IND Officer 28.00 651.52 MCOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia xv:E;aSnKafae1 Police Association 1520 Fifth Ave_nueS n Rafael CA 9490 09/14/2012 Blair Auld NIND Officer 28.00 651.52 r-1 COM Clo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 S C - Union member's d intermedia Rafael Police Association 1520 Fifth Avenue, S Rafael, CA 94901 10/02/2012 Blair Auld MIND Officer 16.80 651,52 MCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901PTY C Union member's dues received through intermediaxy:EAP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 101/15/2012 Blair Auld IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association OTH 11520 Fifth Avenue ❑ PTY City of San Rafael Sar- Rafael, CA 9490-' �received Union member's dues t row h intermedia :�SzzCRafae Police Association 1520 Eifth Avenue S r. Rafael CA 9490 SUBTOTAL$ 11;.60 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary Contributions Received Amounts may be rounded Statement covers perI4:_)d___V to whole dollars. CALIFORNIA A WO from 07/01/2012 FORM � through 12/31/2012 Page 12 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED j (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) 11/01/2012 Blair Auld FxJIND officer 16,80 651,52 Ej COM C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity F] PTY of San Rafael San Rafael, CA 94901 - Union memheLls dues received through interm diary:qSCC an Rafael Police sociation. 1S20 Fifth Avenue, San Rafael, CA 9490L 11/15/2012 Blair Auld I FZ IND Officer 16.80 651.52 EICOM C/o: San Rafael Police Association [j OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 - Union mem intermedia tv:E;a'nKafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 11/30/2012 Blair Auld [ZIND- Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association E] OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received through intermedia iv:q.SnCCRafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 12/17/2012 B lair Auld NIND Officer 16.80 651,52 MCOM C/o: San Rafael Police Association [:IOTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 - jUnion member's dues received through intermedia iy:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/13/2012 Ivalerie Avalon EK IND Dispatcher 21.75 385.45 i MCOM !Clo: San Rafael Police Association ❑ OTH 111520 Fifth AvenueEl PTY City of San Rafael ,San Rafael, CA 94901 lUnion_ member's dues received tlIK23jh intermediaLly:5§iY(�afaet1 Police Association, 15201 Fifth Avenue. S Rafael, CA 9490L SUBTOTAL$ 1 88.95 _7 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.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 ontriDutionS Kecelvea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 13 of 163 NAME OF FILER I.D. 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) 07/31/2012 Valerie Avalon NIND Dispatcher 21.75 385.45 [:] Com C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F -I PTY City of San Rafael San Rafael, CA 94901 - Unign Member's d1l2a received through iritermediaiv:qSCC an R afa I Eolice Association. 1520 Fifth Ayenue. San Rafael, CA 9490 08/17/2012 Valerie Avalon FXJIND Dispatcher 21.75 385.45 ---- EICOM C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity F] PTY of San Rafael San Rafael, CA 94901 [;C Unionintermedia 8anSC-RafaeL Police Association 1520 Fifth Avenue San Rafael CA 94901 081/31/2012 Valerie Avalon [ZIND Dispatcher 21.75 385.45 E -]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 member's dues received throuqft intermediaxv:aSnCR.f., qUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Valerie Avalon BIND Dispatcher 21.75 385.45 [:]Com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E] - Union member's dues received through intermedia qy;E;aSnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Valerie Avalon nX IND Dispatcher 13.07 385.45 n COM iC/o: San Rafael Police Association DOTH 1- 520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ijv:EAW�RafaellPolice Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ -100.07 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary uontrinutionS Keceived Amounts may be rounded Statement covers period III II IIII to whole dollars.CALIFORNIA• from 07101/2012 FORM through 12/31/2012 Page 14 of 163 NAME OF FILER I.D. 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 tETITE.ALSENTERLD.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE tIFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10 15 2012 % / Valerie Avalon ❑X IND Dispatcher 13.07 385.45 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueEl San Rafael, CA 94901 PTY City of San Rafael U ion member's dues received through to is :[;SCC afael Police Association, 1520t ue San Rafael,CA 94901 11/01 / 2012 Valerie Avalon RIND Dispatcher 13.05 385.45 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTYCity of San Rafael San Rafael, CA 94901 nn Union member's dues received throu h intermedia :`man �Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07/13/2012 James Bellamy [ZIND Officer 28.00 651.52 ❑COM� C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 (Y;; Union member's dues received throw t intermedia :`-fan iR.fel Police Association 1520 Fifth Avenue San Rafael CA 9490 07/31/2012 James Bellamy j X IND ❑ Officer 28.00 651.52 (CJo: ❑ COM San Rafael Police Association. ❑ OTH 1520 Fifth Avenue PTY City of Sari Rafael San Rafael, CA 94901 II�� Union member's dues received through intermedia :`fan Kafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08,117/2012 James Bellamy RIND Officer 28.00 651.52 ❑ COM CJo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY Cit of San Rafael y 'San Rafael, CA 94901 Union member's dues received throw h intermedia .�Ti�'R a' afae Police Association 15201 Fifth Avenue Sin Rafael CA 949oll SUBTOTAL$ 110.12 *Contributor Codes 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) Type or print in ink. SCHEDULE A (CONT.) monetary contributionS Keceiveci Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA• , from 07/01/2012 • through 12/31/2012 Page 15 of 163 NAME OF FILER I.D. 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) 08/31/2012 James Bellamy ❑x IND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 io member's dues received through inte e is :qaC e Police Association, 1520 Fifth Avenue. San Rafael.CA 94201 09/14/2012 James Bellamy QIND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F1 PTY F(�1 City of San Rafael San Rafael, CA 94901 [; Union member's dues received throe h intermedia :`man Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 10/02/2012 James Bellamy ❑x IND Officer 16.80 651.52 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTYCity of San Rafael San Rafael, CA 94901 jn�j Union member's dues received through intermedia :`Sian 12afael Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2012 James Bellamy ( x IND ❑ Officer 16.80 c 6 1.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94501(❑r Union member's dues received through intermedia : San �,afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/01/2012 James Bellamy ❑x IND Officer 16.80 651.52 ❑ COM 'C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe hintermedia `� afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 1 1 106.40 '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 FPPG Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPG (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) ivioneiary t.oniribuiion5 Keceived Amounts may be rounded Statement covers period I! to whole dollars.CALIFORNIA: , from 07/01112012 FORM through 12/31/2012 Page 16 of 163 NAME OF FILER I.D. 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) 11/15/2012 James Bellamy R IND Officer 16.80 651.52 ❑COM C/O: San Rafael Police Association ❑OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through ter e :(SCC afael Polices ociat' 1520 Fifth Avenue, Safae C 949 01 11/30/2012 James Bellamy MIND Officer 16.80 651..52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 n Union member's dues received throw h intermedia_ :man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 James Bellamy HIND Officer 16.80 651.52 ❑ COMElOTH CIO: Sar. Rafael Police Association OTH 1520 Fifth Avenue Y City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermedia � :`-fanKafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 07/13/2012 Todd Berringer RIND ❑ Cor P oral 28.00 651.52 ❑ COM CJc: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ '� (�2afae Union member's dues received ro thw h intermedia :�an Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 07/31/12012 Todd Derringer [ZIND Corporal 28.00 651.52 ❑ COM CIO: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael ;San Rafael, CA 94901 Union member's dues received throw h intermedia afae Police Association 1520 rifth Avenue S n Rafael CA 9490 SUBTOTAL$ 106.40 `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) FPPG Toll -Free Helpline: 866/ASK-FPPG (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) 1llionelary GontriDuilonS Keceivea Amounts may be rounded Statement covers period II IIII to whole dollars.CALIFORNIA • , from 07/01/2012 FORM through 12/31/2012 Page 17 of 163 NAME OF FILER I.D. 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 pFCOMMITTEE,ALSO ENTER LD,NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMFLOYEo,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17/2012 Todd Derringer MIND Corporal 2$.00 651.52 ❑COM C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues rece'v d through inter edia an SCC RafaelPolice Association, 0 Fifth Avenue,Rafael. C 94901 08/31/2012 Todd Derringer ❑M IND Corporal 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ P-� City of San Rafael San Rafael, CA 94901 nn Union member's dues received throw h intermedia :man Rafae Police Association 1520Fifth Avenue S n Rafael CA 9490 09/14/2012 Todd Derringer ❑X IND Corporal 28.00 651.52 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Y PTY City of San Rafael ;San Rafael, CA 94901 Union member's dues received through intermedia nn fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/02/2012 Todd Derringer MIND ❑ Cor P oral 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: I❑n San 72afae Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 10/15/2012 Todd Derringer MIND Corporal 16.80 651.52 ❑ COM C;o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 (Union member"s dues received throw h intermedia .� afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 117 60 *Contributor Codes 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 (6661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary ContrioutionS Keceiveci Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA II 460 from 7/01/2012 FORM through 12/31,'2012 Page 18 Of 163 NAME OF FILER I.D. NUM—BER 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 LD. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/01/2012 Todd Berringer Fx_j I N D Corporal 16.80 651.52 RCOM C/o; San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 -----Union 's memberdues received through intermediary: q aSnCC Rafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 15/2012 Todd Berringer FZIND Corporal 16.80 651.52 Rcom C/o: San Rafael Police Association LIOTH 11520 Fifth AvenueCity EIPTY of Sari Rafael San Rafael, CA 94901 nn Unionintermedia : nKafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 11/30/2012 Todd Berringer RIND Corporal 16.80 651.52 Ej COM C/o: San Rafael Police Association [:1OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 lUnion member's dues received through intermedia iv:qSCCRafael an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/2012 ,Todd Berringer [ZIND Corporal 16.80 651.52 ❑ COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 EAP�zafael - Union member's dues received throe intermedia xy: Police Association, 1520 Fifth Avenue, San Rafael, CA 94901l 07/13/2012 Geoffrey Bowker BIND Officer 28.00 651.52 El COM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael :San Rafael, CA 94901 Union. member's d ediaily:8 afae FOlice Association 1520 Fifth Avenue S r, Rafael CP_ 9490 SUBTOTAL$ 95.20 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded —statement covers period CALIFORNIA to whole dollars. A from 07/01/2012 FORM -v60 through 12/31/2012 Page 19 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Geoffrey Bowker RIND Officer 28.00 651.52 RCOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediaxv:E;a afael Police Association -1520 Fifth Avenue. San Rafael, CA 94901 08/17/2012 Geoffrey Bowker RIND officer 28.00 651.52 RCOM C/o; San Rafael Police Association FIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throucih intermedia rv:qaKCRafael Police _Association 1520 Fifth _Avenue San Rafael, CA 94901 08/31/2012 Geoffrey Bowker RIND officer 28.00 651.52 OCOM C/o: San Rafael Police Association OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 Unioniediaxv:q.SC1CR.fael Police Association 1520 Fifth Avenue, San Rafael, CA 9490L 09/14/2012 Geoffrey Bowker RIND officer 28.00 651.52 R COM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 iUnion member's rmediayy:qaSnC �afael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 10/102/2012 jGeoffrey Bowker RIND Officer 16.80 651.52 [:]COM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fitth Avenue F-1 PTY Rafael, CA 94901 (Union lUnion member's rly:Q§P�afaa Police Association 1520 Fifth Avenue, Sal. Rafael, CA 94901L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com SUBTOTAL$ 128.80 1 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 Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 20 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE i FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CO OR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Geoffrey Bowker BIND officer 16.80 651.52 ❑Com C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 .Union memher's dues received through intermedia iv:qaSnCC Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/01/2012 Geoffrey Bowker [91IND Officer 16.80 651.52 [:] Com C/o: San Rafael Police Association El OTH I520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received thrau h intermediaxv:qaSnKafael Police Association 1_520 Fifth Avenue San Rafael, CA 94901 11/15/2012 Geoffrey Bowker RIND Officer 16.80 651.52 [:] COM C/o: San Rafael Police Association [:IOTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 ( Union me intermediaiv:E;anSC � afael Police Associg�tion, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Geoffrey Bowker Fxj IND Officer 16.80 651.52 MCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Ra�ael , CA 94901l Union member's dues received through intermedia:Ly:E;aSnC'�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/2012 Geoffrey Bowker RIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 [:�§Pq�a Uni diarIv: 1520 Fifth Avenue, S Rafael, CA 9490� SUBTOTAL$ 1 1 84.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) 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 CALIFORNIA to whole dollars. I ' from 07/01/2012 • RM through 12/31/2012 Page 21 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO LD.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} 07J13j2012 Lynne Bracken x IND Records Clerk 21.75 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael !San Rafael, CA 94901 Union member's dues ece'v through intermediaxv:qaSnCCRafael Police ssociation. 1S20 Fifth Avenue. CA 94901 07%31%2012 Lynne Bracken X IND Records Clerk 21.75 506.33 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 nn Union member's dues received throw h intermedia :`;an Rafae Police Association 1520 Fifth Avenue Sen Rafael CA 9490 08J17J2012 Lynne Bracken RIND Records Clerk 21.75 506.33 ❑ COM C/o: San Rafael Police Association OTH X1520 Fifth Avenue PTYCity of San Rafael San Rafael, CA 94901 jj��jj Union member's dues received throw h intermedia :`-San � afael Police Association 1520 Fifth Avenue San Rafael CA 9490 08%31/2012 Lynne Bracken ❑x IND Records Clerk 21.75 506.33 ❑COM C/o: San Rafael Police Association [:]OTH City of San Rafael 1520 Fifth Avenue Y E] PTY San Rafael, CA 94901 nnan (�afae Union member's dues received throw h intermedia :`-f Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09'14j2012 ;Lynne Bracken RIND Records Clerk 21.75 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1:20 Fifth Avenue [j PTY San Rafael, CA 94901 Union member's dues received throw h intermedia.�-§P nCr afae Police Association 1520 Fifth Avenue San Rafael CA 9490 SUBTOTAL$ 108.75 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee ilili t T i + FPPG Form 460 (January/05) FPPG Toll -Free Helpline: 8661ASK-FPPG (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Gontributions Received Amounts may be rounded Statement covers period to whole dollars, CALIFORNIA , from 07/0112012 FORM ' through 12/31/2012 page 22 of 163 NAME OF FILER I.D. 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} 10/02/2012 Lynne Bracken BIND Records Clerk 13.05 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCIilafael Police Association, 0 Fifth Avenue.San Rafael. CA 9490. 10/15/2012 Lynne Bracken ❑x IND Records Clerk 13.05 506,33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF-1 PTY City of San Rafael San Rafael, CA 94901 ((�� Union member's dues received throu h intermedia :`;anafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11101 2012 / Lynne Bracken MIND Records Clerk 13.05 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue City of San Rafael Sar. Rafael, CA 94901n❑nPTY Union member's dues received throu h intermedia :`-fanKafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11; 15/2022 Lynne Bracken Fxj IND Records Clerk 13.05 506.33 ❑ COM Clo: San. Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 (�jj ( Union member's dues received throu h intermedia :`-?anKafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11J30j2012 Lynne Bracken BIND Records Clerk 13.05 506.33 ❑ COM C/o: San Rafael Police Association ❑ Oj'(-I 1520 Fifth Avenue El PTI, City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia +a' afae .�IT Police Association 15201 Fifth Avenue Sain Rafael CA 949011 SUBTOTAL$ 65 2c *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee t - d • 11 FPPC Form 460 (January/05) FPPC Tall -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. : 460: from 07/01/2012 FORM through 12/31/2012 Page 23 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (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) 12/17/2012 Lynne Bracken Rx IND Records Clerk 13.05 506.33 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through interm diaxv:E;aSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/13/2012 M ichael Byers Rx IND Corporal 28.00 651.52 RCOM C/o: San Rafael Police Association [JOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union intermedia iv:qaSnCRafael Police Association 1520 Fifth _Avenue San Rafael CA 9490 07/31/2012 Michael Byers HIND Corporal 28.00 651.52 El COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermediaiv:qaSnKafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 08/17/2012 � Michael Byers RIND Corporal 28.00 651.52 RCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union me intermediaiy:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490, 08/31/2022 Michael Byers RIND Corporal 28.00 651.52 R Com C/o: San Rafael Police Association ❑ OTH City of San Rafael 1526 Fifth Avenue ❑ PTY San Rafael, CA 94901 !Union member's dues received throw intermedia riv:1�Pafaeil Police Association, 1520 Fifth Avenue, San Rafael, CA 9490[L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAIL$ '125.05 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary Contributions Receive(I Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 60 from 07/01Z2012 FORM Page 24 of 163 through 12/31/2012 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Michael Byers Fx� IND Corporal 28.00 6511.52 Q COM C/o: San Rafael Police Association OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 Union member's dues received throucth intermediaiv:qaSnCCRafael Police Association 1520 Fifth Avenue, San Rafael. CA 94901 10/02/2012 Michael Byers BIND Corporal 16.80 651.52 EICOM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received tLnrouqh_intermedia ry-L--qsaSnCRarael Police Association, 1520, Fifth Avenue _Szn Rafael CA 94901 10/15/12012 2012 Michael Byers EIND Corporal 16.80 651.52 [:]COM C/o: San Rafael Police Association [:IOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermedia xv:aSnC( qUnion Ttafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 MichaelByers MIND Corporal 16.80 651.52 F-ICOM San Rafael Police Association EIOTH 1� 2 Fifth f h❑ Avenue PTY City of San Rafael San Rafael, CA 94901 !Union member's dues received througa_irntermediaiy:qaSnC'�af.el I _ Police Association1520 , Fifth Avenue San I Rafael, CA 9490 11/15/20 12 Michael Byers BIND Corporal 16,80 651,52 El COM IC/o: San Rafael Police Association [—] OTH 11=2e Fifth Avenue F1 PTY City of San Rafael iSas Rafael, CA 94901 Union member's dues received throuqh inteLj�e�diaij :Q§P(;,afae[l Police Association SUBTOTAL$ 95.20 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . CALIFNIA to whole dollars. 460 from 07/01/2012 • RM through 1213112012 page 25 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREET ACOMMITTEE,RALSAND ZIPo. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION I NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Michael Byers FxIND Corporal 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union r' dues received through intermediaiv:qaSnCCRafael Police Association. 1520 Fifth Avenue.San Rafael,CA 9490L 12/17/2012 Michael Byers RIND Corporal 16.80 651.52 ❑ COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City Of Sari Rafael (San Rafael, CA 94901 �nj Union member's dues received through intermedia :`San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07f13J2012 Shelly Cade BIND Dispatcher 21.75 506.35 ❑ COM C/o: San Rafael Police Association ElOTH 1520 Fifth Avenue El PTY City of San Rafael Sar. Rafael, CA 94901 n Union member's dues received through intermedia San �afae Police Association 1520 Fifth Avenue San Rafael CA 9496 07f31j2012 Shelly Cade S BIND Dispatcher 21.75 506.35 ❑COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 ��}} (� Union member's dues received through intermedia_ :`-San ? afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 08/17/2012 Shelly Cade HIND Dispatcher 21.75 506.35 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTY 'San Rafael, CA 94901 n rr Union member's dues received throu h intermedia -Q i9(;afae Police Association 1520 Fifth Avenue San Rafael CA 9490 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity', PTY — Political Party SCC — Small Contributor Committee www.netflle.com SUBTOTAL$ 98 85 FPPC Form 464 (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 to whole dollars. CALIFORNIA 460 from 07101/2012 FORM through 12/31/2012 Page 26 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2012 Shelly Cade BIND Dispatcher 21.75 506.35 D COM C/o: San Rafael Police Association OTH 1520 Fifth AvenueCity F� PTY of San Rafael San Rafael, CA 94901 — Union member's dues received through inter ediazv:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Raf gj, CA 94901 09/114/2012 Shelly Cade Fxj I N D Dispatcher 21.75 506.35 F-1 COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received throuqh intermedia xv:E;aSnCCRafaei Police Association, 1520 Fifth Avenue _San Rafael CA 9490. 10/02/2012 Shelly Cade nx INDDispatcher 13.05 506.35 El COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 E;., SKafael Union member's dues received through intermediary: Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/lS/2012 Shelly Cade BIND Dispatcher 13.05 506.35 nCOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia yy:1;JSnKafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Shelly Cade ®IND Dispatcher 12.05 506.35 nCOM Clio: San Rafael Police Association [:IOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia2jy:QW;,afae[L Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490Il *Contributor Codes 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$ 82.65 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/3112012 Page 27 of 163 NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 S helly Cade nx IND Dispatcher 13.05 506.35 ncom C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermediaiv:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/30/2012 Shelly Cade nx IND Dispatcher 13.07 506.35 [-] Com i 1C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Unionv:qaS.CCR.fael Police Association 1520 Fifth _Avenue San Rafael CA 9490 12/17/2012 Shelly Cade NIND Dispatcher 13.05 506.35 ncom C/o: San Rafael Police Association [:1OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 Joseph Camins [MIND Officer 28.00 651.52 ncom C/c: San Rafael Police Association EIOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received Lhi2��Y:E;aSnC' �afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2012 joseph Camins [ZIND Officer 28.00 651.52 ncom C/o; San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member'sreceived - -dues received thruich intermedia lly: Ij_ QW;Za f aell Police Association, 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 95.17 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 7.041WjT__Tf7ff3W#T111 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. 4 6 0 from 07/01/2012 FORM through 12/31/2012 Page 28 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17/2012 Joseph Camins Mx IND officer 28.00 651.52 MCOM Cle: San Rafael Police Association DOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues receiyed through inter ed' azv:qSCC Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 - 08/31/2012 Joseph Camins Mx ❑IND Officer 28.00 651.52 [-] COM Clo: San Rafael Police Association 1520 Fifth Avenue El OTH City of San Rafael ❑ PTY San Rafael,cA 94901 Union member's dues received throe qbintermedia iv:qaSnCRafaeI Police Association 1520 Fifth Avenue San Rafael, CA 94901 09/14/2012 Joseph Camins RIND officer 28.00 651,52 El COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CRafael UnioniediaTv:E;aSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Joseph Camins FXJIND officer 16.80 651.52 MCOM C/o; San Rafael Police Association [] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's d ediaiy:E;SCI��,fa,�l an poli ce Association, 1520 Fifth Avenue, Sun Rafael, CA 9490- 10/15/2012 Joseph Camins MX IND officer 16.80 651.52 E]COM C/o: San Rafael Police Association EIOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 lUnion member's dues received throe intermedia ijv:E�§Pr afaefL Police Association, 1520 Fifth Avenue, S n Rafael CA 949011 SUBTOTAL$ 1 1 117.60 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Mi.1. 1.1 - Su", 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. 460 from 07Z01Z2012 FORM through 12/31/2012 Page 29 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/01/2012 Joseph Camins Fx_j IND officer 16.80 651.52 F -ICOM C/o: San Rafael Police Association [IOTH 1520 Fifth Avenue Fj PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu�ah intermediaiv:EASnCCRafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 11/15/2012 Joseph Camins BIND officer 16.80 651.52 nCOM C/o: San Rafael Police Association nOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermediarv:E;aSnCRafael Police Association 1520 Fifth Avenue Szn Rafael CA 94901 11/30/2012 Joseph Camins FIND officer 16.80 651.52 nCOM .C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's d ediaxv:[;aSnKafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 12/17/2012 Joseph Camins BIND Officer 16.80 651.52 nCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 member's dues received throu�Lntermediaxy: ( SC�afael E;.n!union Police Association, 1520 Fifth Avenue, San Rafael, CA 9490. 07/13/2012 David Casalnuo,c, nx IND officer 28.00 651,51 ❑ COM C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues �uqh intermedia r1y:EAPqZafaeIl Police Associat:ion, 1520 Fifth Avenue, San Rafael, CA 94901L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 95.20 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement coversperiod0, CALIFORNIA to whole dollars. , 460 from 07Z01/2012 FORM through 12/31/2012 Page 30 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 David Casalnuovo FX -1 IND officer 28.00 651.51 [:] com C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCR_4fael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 - 08/17/2012 "'id Casalnuovo Mx ❑IND Officer 28.00 651.51 EICOM C/o; San Rafael Police Association FJOTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Unionintermedia qsp� an aLfael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 "'id Casalnuovo MIND officer 28.00 651.51 MCOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue ❑City PTY of San Rafael (San Rafael, CA 94901 Union member's dues received through intermedia :`m�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 David Casalnuovo Z IND officer 28.00 651.51 MCOM C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 Unioniediaty:E;aSP�af.el Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/102/2012 David Casalnuovo ZIND Officer 16.80 651.51 MCOM C/o: San Rafael Police Association E]OTH City of San Rafael 11520 Fifth Avenue ❑ PTY '-_i�' Rafael, CA 94901 -received Union member's dues through intermediailv: afore Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 128.80 � 7 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. A �WO from 07Z01Z2012 FORM through 12/31/2012 - Page 31 Of 163 NAME OFFILER 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 CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW I - DEC. 31) (IF REQUIRED) OF BUSINESS) 1OZlSZ2012 David Casalnuovo EIND Officer 16,80 651.51 El COM C/o: Sari Rafael Police Association E] OTH 1520 Fifth Avenue F]PTY City of San Rafael San Rafael, CA 94901 C !union member's dues received through inter edlaiv:qa' nC Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 'David Casalnuovo 11/01/2012 Fx_j IND Officer 16.80 651.51 MCOM �CIO: San Rafael Police Association n OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's d intermedia :aSnKafael q Police Association, 1520 Fifth _Avenue San Rafael CA 9490L 11/15Z2012 David Casalnuovo BIND officer 16.80 651.51 ❑ COM CIO: San Rafael Police Association EIOTH 1520 Fifth AvenueCity D PTY of San Rafael San Rafael, CA 94901 Union member's dues received throw �hinte�rmediaiv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/30Z2012 David Casalnuovo NIND Officer 16.80 651.51 F-1 COM C/o: San Rafael Police Association [:1OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received throw intermedia ry:qaSnK.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 12Z17Z2012 David Casalnuovo HIND officer 16.80 651.Si D COM �C/o: San Rafael Police Association ❑ OTH City of San Rafael !1520 Fifth Avenue❑ PTY _San Rafael, CA 94901 Union member's dues received throw intermediaijv:Q§19CPafaeR Police Association *Contributor Codes 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$ 84.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 32 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 07/13/2012 Allan Castaneda RIND Officer 28,00 651.51 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia gy:ESCC afael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2012 Allan Castaneda nX IND officer 28.00 651.51 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union member's due intermedia an afael Police Association. 1520 Fifth Avenue, San Rafael, CA 9490L 081/17/2012 Allan Castaneda HIND officer 28.00 651.51 r -ICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermed1Jaxv:E;aSnK.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Allan Castaneda FX -1 I N D officer 28.00 651.51 ❑ COM Clo: San Rafael Police Association ❑ OTH City of San Rafael 1520Fifth Avenue ❑ PTY San plafa.! , CA 94901 Union member's d ediary:E;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Allan Castaneda FX -1 IND Officer 28.00 651.Si EICOM C/o: San Rafael Police Association EIOTH City of San Rafael X1520 Fifth Avenue F-1 PTY Rafael, CA 94901 Union memher's d ediaL1v:QW;afae[l Police Association, 1520 Fifth Avenue, San Rafael, CA 9490jL SUBTOTAL$ 140.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 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. A -r60 from 07/01/2012 FORM through 12/31/2012 Page 33 of 163 NAME OF 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 C U M U LATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Allan Castaneda BIND officer 16.80 651.51 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 ,Union member's dues received through intermediaiy:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/15/2012 Allan Castaneda Fxj IND officer 16.80 651.51 000M C/o: San Rafael Police Association FIOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 intermedia Union member's dues� anqspafael Police Association 1520 Fifth Avenue San Rafael, CA 9490L 11/01/2012 Allan Castaneda Fx] IND officer 16.80 651.51 El COM C/o: San Rafael Police Association El OTH I1520 Fifth Avenue F -1 PTY City of San Rafael San Rafael, CA 9490-1 Union member's dues received through intermedia rv:qaSnK.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/15/2012 Allan Castaneda [-XIIND officer 16.80 651.51 F-1 COM C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue ❑ PTY ,San Rafael, CA 9490-1 Union member's dues rt2fjye�ediary:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Allan Castaneda [ZIND Officer 16.80 651.51 [:]Com Cleo San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 Union member's dues �ediaLly:Q§Pq�afae[I Police Association. 1520 Fifth Avenue, San Rafael, CA 94901L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 84.00 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded -Statement coversperiod---- I CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 34 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 Allan Castaneda Fx_j I IN D Officer 16.80 651.51 nCOM C/o: San Rafael Police Association [-] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qSCC an Rafael Police ssociation, 1520 Fifth Avenue. San Rafael. CA 94901 07/13/2012 Edward Chiu nx IND Officer 28.00 651.51 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E;SC(� Union mem er's dues received throll h A_intermediary: 5 an afael Police Association 1520 Fifth Avenue, San Rafael CA 9490 07/31/2012 Edward Chiu NIND Officer 28.00 651.51 ncom C/o: San Rafael Police Association [j OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaAv:qanKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Edward Chiu [8]IND Officer 28.00 6511.51 ncom C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received�diayy:EWP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/131/2012 Edward Chiu RIND Officer 28.00 651,51 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 11520 Fifth Avenue ❑ PTY (San Rafael, CA 94901 jUnion member's dues received Police Association, 15201 Fifth Avenue, San Rafael, CA 9490L *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 128.80 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM through 12/31/2012 Page 35 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STRDDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EFTA COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Edward Chin rx-1 IND officer 28.00 651.51 RCOM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 SCC Union member' dues received through inter media Rafael Police Association. 1S20 Fifth Avenue. San Rafael, CA 94901 10/02/2012 Edward Chin Mx IND officer 16.80 651.51 MCOM C/o; San Rafael Police Association El OTH I520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901S Union mem intermediazv:E;anCCRafael Police Association1520Fifth Avenue San Rafael. CA 9490 10/15(2012 'Edward Chiu MIND officer 16.80 651.51 MCOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:E;aSnC 72afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Edward Chiu FxJIND Officer 16.80 651.51 EICOM Clo: San Rafael Police Association Ej OTH City of San Rafael 1520 Fifth Avenue ❑ PTY iSan Rafael, CA 94901 1 Inion member's dues �ediary:EASnKafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 11/15/2012 iEdward Chic ZIND officer 16.80 651.51 MCOM Clo: San Rafael Police Association E] OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 lUnion member's dues receivedthr�ouh i�ntermediaijy:Qafae[L Police Association, 1520 Fifth Avenue, San Rafael, CA 949011 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 95.20 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded —statement covers period CALIFORNIA to whole dollars. - A WO, from 07/01/2012 FORM through 12/31/2012 Page 36 of 163 NAME OFFILER 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 CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Edward Chiu [ZIND Officer 16.80 651.51 [-]Com C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: ,SCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 12/17/2012 Edward Chiu FX_j I N D Officer 16.80 651.51 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermediary: anqspRiftfael Police Association 1-520 Fifth _Avenue San RafaelCA9490 07/1---/2012 Robert Cleland NIND officer 28.00 651.51 MCOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's On diarv:[;aSnK.f.e1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490, 07/31/2012 Robert Cleland MIND officer 28.00 651.51 MCOM JC/o: San Rafael Police Association ❑ OTH City of San Rafael 11520Fifth Avenue EIPTY Rafael, aPael,CA 94901 Union.ediary:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Robert Cleland RIND officer 28.00 651.51 MCOM Clo: San Rafael Police Association DOTH of San Rafael 1520 Fifth Avenue El PTYCity San Rafael, CA 94901 Union elCA 9490L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity;, PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 117.60 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 37 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2012 Robert Cleland BIND Officer 28.00 651.51 [:] COM San Rafael Police Association Fj OTH .C/o: 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv: qSCC an Rafael Police Association, IS20 Fifth Avenue. San Rafael. CA 9490L 09/14/2012 Robert Cleland RIND officer 28.00 651.51 [—]COM C/o: San Rafael Police Association ROTH 1S20 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's d intermedia :aSnCCRafael q Police Association 1520 Fifth Avenue San Rafael, CA 9490L 10/02/2012 Robert Cleland OIND officer 16.80 651.51 1 RCOM iC/o: San Rafael Police Association El OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 Union member's dues received throw intermediaxv:qa`nK.f'1el Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2012 Robert Cleland BIND officer 16.80 651.51 [:] COM Clo: San Rafael Police Association E] OTH of San Rafael 1520 Fifth AvenueCity []PTY San Rafael, CA 94901 Union member's dues received through intermedlJ'aiy:[;aSnKaf.el Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/01/2012 IRobert Cleland [MIND Officer 16.80 651.51 [] COM C/o: San Rafael Police Association EIOTH City of San Rafael 1-520 Fifth Avenue R PTY San Rafael, CA 94901 Union member's dues received throe qh intermediaijy:QWRafaejj Police Association, 1520 Fifth Avenue, San Rafael, CA 9490[L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 106.40 FPPC Form 460 (January/05) FPIPC 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 I CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 38 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Robert Cleland 11/15/2012 Fx IND officer 16.80 651.51 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 member's dues received through intermediaiv: qUnion aSnCC Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 Robert Cleland 11/30/2012 nx❑IND officer 16.80 651.51 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia rv:EASP Rafael Police Association. 1520 Fifth _Avenue San Rafael, CA 9490 12/17/2012 Robert Cleland IND Officer 16,80 651.51 El COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 C Unioniediaxv:E;aSn�afael Police Association 1520 Fifth Avenue, San Rafael, CA 9490L !Christopher Coale 07/13/2012 nx IND Sergeant 28.00 651.51 [:]COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 .Union member's dues received th �mediary:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2012 !Christopher Coale IND Sergeant 28.00 651.51 ❑ COM iC/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 !Union member's dues received through '�nt..e.rm.e-d4�aily:Q§iY(:�afaeL Police Association, 1520 Fifth Avenge S n Rafael CA 9_90 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 106,40 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvve or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. A 60 from 07/01/2012 FORM through 12/31/2012 Page 39 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 08/17/2012 Christopher Coale Fxj IND Sergeant 28.00 651.51 [:]Com C/o: San Rafael Police Association D OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intoediaiv: an Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490� 08/31/2012 Christopher Coale Fxj IND Sergeant 28,00 651,51 [:]Com IC/o: San Rafael Police Association FJOTH II520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 [;SCC Union member's dues received through intermediaxy: an Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 09/14/2012 Christopher Coale RIND Sergeant 28.00 651.51 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 S CCRafael Union member's dues received throe gh jntermediaxy:E; an Police Association 1520 Fifth Avenue, San Rafael, CA 9490- 10/02/2012 Christopher Coale nx IND Sergeant 16.80 651.51 nCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermedia xy:qJSnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 10/15/2012 Chr-istopher Coale nX IND Sergeant 16.80 651.51 ❑ COM Clo: San Rafael Police Association [:1OTH City of San Rafael '1520 Fifth Avenue 'r-1 PTY �San Rafael, CA 94901 Union mem Police Association, 1520 Fifth Avenue, San Rafael, CA 94901L SUBTOTAL$ 1 117.60 *Contributor Codes 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 (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.} Monetary Contributions Received Amounts may be rounded —statement covers peri—od—M, to whole dollars. E. N, M from 07/01/2012 through 12/31/2012 Page 40 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS} 11/01/2012 Christopher Coale FxJIND Sergeant 16.80 651.51 ncom C/o; San Rafael Police Association r_]OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermed' azy:qanCCRafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 94901 11/15/2012 Christopher Coale nx IND Sergeant 16.80 651.51 nCOM C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermediaqv:qaSnKafael Police Association. 1520 Fifth Avenue, S -n Rafael CA 9490 11/30/2012 Christopher Coale OIND Sergeant 16.80 651.51 (C/o: n COM San Rafael Police Association EIOTH I 1520 Fifth Avenue !San El PTY City of San Rafael Rafael, CA 94901 C Union member's du diaxv:qaSnC 72afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 12/17/2012 Christopher Coale [Z]IND Sergeant 16.80 651.51 nCOM C/o: San Rafael Police Association DOTH of San Rafael 7520 Fifth Avenue ❑City PTY San Rafael, CA 94901 lUnion mem intermedia ry:qaSnCCzafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 07/1312012 Lori Coen nX IND Records Clerk 21.75 506,34 F-1 COM �1 C/o: San Rafael Police Association ❑ OTH City of San Rafael 11520 Fifth Avenue ❑ PTY received San Rafael, C1, 94901 Union member's dues eceived throuqh -'�ntermedia3Jy:Q§P(;, U ..a.f.ae.[.L...Poli-ce Association *Contributor Codes 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$ 88.95 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. A -r60 from 07/01Z2012 FORM through 12/31/2012 Page 41 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Lori Coen Fx- 11 IN D Records Clerk 21.75 506.34 F_1COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity F] PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedies iy:E;aSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/17/2012 ILori Coen J-ZIND Records Clerk 21.75 506.34 DCOM i C/o: San Rafael Police Association [:IOTH 11520 Fifth Avenue F-1 PTY City of San Rafael ISan Rafael, CA 94901 C lUnion member's dues received through intermedia an San Rafael Police Association 1520 Fifth Avenue, San Rafael CA 9490L 08/31/2012 Lori Coen BIND Records Clerk 21.75 506.34 F-1 COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue [_1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490. 09/14/2012 Lori Coen ZIND Records Clerk 21.75 506.34 F-1 COM Clo: San Rafael Police Association EIOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received through intermedia iy:qaSnK1.fae1 Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 10/02/2012 Lori Coen BIND Records Clerk 13.05 506.34 El COM Cie: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Lnicn member's dues received throw h intermedia afae Police Associa ron 1520 Fif_h Avenue S n Rafael CA 9490 SUBTOTAL$ 100.05 *Contributor Codes 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 -pere—lo—d-1111111111 CALIFORNIA to whole dollars. A from 07Z01/2012 FORM �WO i through 12/31/2012 Page 42 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Lori Coen Fx_j IND Records Clerk 13.05 506.34 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediaxy: an Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 11/01/2012 Lori Coen nX IND Records Clerk 13.05 506.34 [:] Com C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael 1 !San Rafael, CA 94901 s received throe intermedia Union member's dues s_ an afael qp� Police Association, 1520 Fifth Avenue Szn Rafael CA 94901 11/15/2012 Lori Coen 1 nx IND Records Clerk 13.05 506.34 El COM C/o: San Rafael Police Association [:JOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received thrgjjghinte�rmediazv:qanC( 1 afael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Lori Coen RIND Records Clerk 13.05 506.34 ncom C/'- San Rafael Police Association ❑ OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's d ed_J'aLy:E;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 12/17/2012 Lori Coen [MIND Records Clerk 13.05 506.34 [-] COM C/o: San �Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue ❑ PTY (San Rafael, CA 94901 iUnion me Police Association 1520 Fifth Avenue, San Rafael, CA 9490E *Contributor Codes 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$ 65.25 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 43 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/13/2012 Eric Cogbill nx IND officer 28.00 651.51 ncom C/o: San Rafael Police AssociationE-] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 qSCC Union member's dues received through intermediary: an Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2012 Eric Cogbill Fxj I N D Officer 28.00 651,51 ncom C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaS.CCRafael Police Association, 1520 Fifth Avenue, San Rafael CA 9490 08/17/2012 Eric! Cogbill NIND officer 28.00 651.51 ncom C/o: San Rafael Police Association El OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Eric Cogbill nx IND Officer 28.00 651.51 ncom C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 Union member's dues received through intermediary:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Eric Cogbill RIND Officer 28.00 651.51 ❑ COM !Clo: San Rafael Police Association 11520 ❑ OTH City of San Rafael Fifth Avenue ❑ PTY a,7. Rafael, CA 94901 Tn on member's dues received throe intermediaily�afaeil :Q§P: Police Association 1520 Fifth Avenue 5 n Rafael CA 9490 *Contributor Codes 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$ 140,00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULER (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period l�, CALIFORNIA to whole dollars. 460: from 7/01/2012 FORM through 12/31Z2012 Page 44 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Eric Coghill Rx IND officer 16.80 651.51 EICOM C/.: San Rafael Police Association El OTH 11520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediaxv:qa afael Police Association. 1520 Fifth Avenue. San Rafael, CA 9490 10/15/2012 Eric Cogbillr-xl IND officer 16.80 651.51 RCOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue [:1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia qSCC an Rafael Police Association, 1520 Fifth Avenue San Rafael, CA 9490 11/01/2012 Eric Coghill HIND Officer 16.80 651.51 RCOM Clo: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity FIPTC Y of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia_ v:E;aSn(12afael Pei -ice Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/15/2012 Eric Cogbill [81 IND Officer 16.80 651.51 F-1 COM 'C/o: San Rafael Police Association 11520 El OTH of San Rafael Fifth AvenueCity EIPTY ❑ San Raf.el, CA 94901 ( Union member's d ed,ary:E;aSnC �afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/30/2012 Eric Cogbill NIND Officer 16.80 651.51 RCOM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue ❑ PTY SanRafael, CA 94901 Union member's dues received t�j �ediagy:Q§19(;afae Police Associatcn, 1520 Fifth Avenue, San Rafael, CA 9490� Al C SUBTOTAL, 84.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 45 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE I 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 Eric Coghill Fxj IND officer 16.80 651.51 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through interrnediaiv:E;aSnC Police Association. IS20 Fifth Avenue. San Rafael. CA 94901 07/13/2012 Ryan Coghill EZIND Corporal 28.00 651.51 R COM C/o: San Rafael Police Association F -I OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's du intermedia qSCC an Rafael Police Association 1520 Fifth Avenue S n RafaelCA9490L 07/31/2012 Ryan Cogbill BIND Corporal 28.00 651.51 R COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Ryan Coghill Fx] IND Corporal 28.00 65I.51 F] COM IC/o: San Rafael Police Association ❑ OTH of San Rafael 1520 Fifth AvenueCity El PTY San Rafael, CA 94901 jUnion member's dues received throw intermedia xy:qanKaf.el Police Association, 1520 Fifth Avenue, S Rafael, CA 9490 - Ryan Cogbill RIND Corporal 28.00 651.51 R Com C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ,Union member's dues received Lhrou_qh intermed_j'a2jv:Q§1C(;afae[1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490LL *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 128.80 1 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 Statement covers period 0 CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 46 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Ryan Cogbill rx-1 IND Corporal 28.00 651,51 RCOM C/O: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union memher's dues received through intermedia xv:qaKCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/02/2012 Ryan Cogbill EZ IND Corporal 16.80 651.51 RCOM C/o; San Rafael Police Association F1 OTH 1520 Fifth Avenue ❑ PTY City of San Rafael iSan Rafael, CA 94901 C Union member's on intermedia --5aSnC Rafael -Lq Police Association 1520 Fifth Avenue a n Rafael 9490 _CA 1 10/15/2012 Ryan Cogbill RX IND Corporal 16.80 651.51 R COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throUqh intermedia xv:qElaSnCCRafae1 Police Association 1520 Fifth Avenue, San Rafael, CA 94901_ - 11/01/2012 Ryan Cogbill. BIND Corporal 16.80 651.51 El COM C/o: San Rafael Police Association E] OTH City of San Rafael 1 520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received thrau h intermediaiy:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 11/15/2012 Ryan Cogbill [211ND Corporal 16,80 651.51 ❑ COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 � Union member's dues received t.LLr�ouh intermedia_,1,j:QWrafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 94901L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 95.20 � 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 47 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEEALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED . CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Ryan Cogbill nx IND Corporal 16.80 651.51 RCOM C/o: San Rafael Police Association E]OTH I 1520 Avenue Fifth F-1 PTY City of San Rafael San Rafael, CA 94901 IC Union member's dues received through interm diary:qaSC n Rafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 12/17/2012 Ryan Coghill BIND Corporal 16.80 651.51 ❑ COM IC/o: San Rafael Police Association FIOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qdSrCiC_Rafae Police Association. 1520 Fifth Avenue San Rafael, CA 9490L 07/13/2012 Thomas Collins [ZIND officer 28,00 651.51 EICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues receivedthrow h �ediaiv:E;aS:C(7 afore l Police Association 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2012 !Thomas Collins 1 ZIND officer 28.00 651.51 ❑ COM C/c; San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 949001 lUnion member's dues received throjj2h_intermedia ry:E;aS P� afaeR Police Association, I520 Fifth Avenue, San Rafael, CA 9490 - 08/17/2012 IThomas Collins NIND Officer 28.00 651,51 Lo� [:] COM San Rafael Police Association [_1 OTH City of San Rafael Fifth Avenue F-1 PTY �1520 San Rafael, CA 94901 Uniondues received Lhrou_qh interrr,,edia2jy:QP:�afa-_l Police Association, 15201 Fifth Avenue, San Rafael, CA 9490�1 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee TrI77"'AITT-TU17-1 =I SUBTOTAL$ 117 c, OT FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 460 from 7/01/2012 FORM through 12/31/2012 Page 48 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (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) 08/31/2012 Thomas Collins RIND Officer 28,00 651,51 QCOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through interm diary: San Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 09/14/2012 Thomas Collins NIND officer 28.00 651.51 EICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:[;anCCRafael Police Association, 1520 Fifth Avenue San Rafael, CA 9490 10/02/2012 Thomas Collins N IND Officer 16.80 651.51 RCOM Clo: San Rafael Police Association El OTH 1520 Fifth AvenueCity R PTY of San Rafael San Rafael, CA 94901 Union member's dues received qh intermediaiv:E;aSnC �afael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2012 _throe Thomas Collins BIND officer 16.80 651.51 [:]COM Clo: San Rafael Police Association [:]OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Unioniediary:E;JSnCCRafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 11/01/2012 Thomas Collins [MIND Officer 16.80 651.51 El COM /o: San Rafael Police Association DOTH City of San Rafael 20 Fifth Avenue ❑ PTY San Rafael, CA 94901 ion member's dug��ediaily:Q§P:�afaejl Police Association, 1520 Fifth Avenue, San Rafael, CA 9491 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Pill MMM—TUMIM SUBTOTAL$ ,:}6 40 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07Z01Z2012 FORM through 12/31/2012 Page 49 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DATE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 Thomas Collins RIND officer 16.80 651.51 EICOM C/o: San Rafael Police Association MOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 !union member's dues received through intermedia iv:qaSnCCRafael Police Association, 1520 FifthAvenue. San Rafael. CA 94901 11/30/2012 Thomas Collins BIND officer 16.80 651,51 F1 COM I !C/o: San Rafael Police Association F] OTH !1520 Fifth AvenueCity PTY of San Rafael !San !San Rafael-, CA 94901 i SCC member's dues received throucrh intermediarv: qlUnion an Rafael Police _Association 1520 Fifth _Avenue San Rafael. CA 9490L lThomas Collins 12/17/203-2 [ZIND Officer 16.80 651.51 FlCOM !,C/o: San Rafael Police Association El OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael-, CA 94901 Union member's dues received through intermedia xv:[;aSnC(� afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 Antonette Cook FRI IND Dispatcher 21.75 506.33 ❑ COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 p Union member's dues received through intermedia xy: aqsn , afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 07/31/2012 Antonette Cook BIND Dispatcher 21.75 506.33 FICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 ,Union member's dues received t�lrou h _intermediaijy:QWRafaefl PoliceAssociation490[L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Al t SUBTOTAL, 93.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA • from 07/01/2012 FORM through 12/31/2012 page 50 Of 163 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 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (ET COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE ( QF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17 / 2012 Antonette Cook OIND Dispatcher 21.75 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF-1 PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received th o t ed'a :an Rafaelc Association, th Avenue. CA 94901 08/31/2012 ntonette Cook RIND Dispatcher 21.75 506.33 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTYCity of San Rafael San Rafael, CA 94901 j Union member's dues received throw h intermedia :San :Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/14/2012 / tonette Cook QiND Dispatcher 21.75 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ City of San Rafael San Rafael, CA 94901 ��PTY Union member's dues received throw h intermedia :`iljn Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 10/02/2012 i Antonette Cook ( RIND ❑ Dispatcher P 3. 1., 05 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Y E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia :E;an � afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2012 Antonette Cook ❑x IND Dispatcher 13.05 506.33 ❑ COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia-v:QW-'R �-$. afae Police Association 1520 Fifth Avenue S n Rafael CA 9496 SUBTOTAL$ 91.35 *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.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 Contritautions Kece ved Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA• ' from 07/01/2012 FORM through. 12f31f2012 Page 51 of 163 NAME OF FILER I.D. 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) 11/01/2012 ntonette Cook_ ❑X IND Dispatcher 13.05 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF-1 PTY City of San Rafael San Rafael, CA 94901 SCC union member's du s received throughermedia an ae1 Police AssL)ciation, 1520 Fifth Avenue. SEn Rafael. CA 9490 11/15/2012 Antanette Cook ❑x IND Dispatcher 13.05 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ P-� City of San Rafael San Rafael, CA 94901 ii��)i Union member's dues received throu h intermedia :`'San Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 11/30/2012 ntonette Cock RIND Dispatcher 13.05 506.33 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ n n Union member's dues received through intermedia :man afae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 Antonette Cook ❑x IND Dispatcher 13.05 506.33 ❑ COM Clo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermed1'axy:qaSnCI;zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 Jaime Correa ❑x IND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY Cit of San Rafael Y San Rafael, CA 94901 Union member's dues received through intermedia �-8 .QP'R afae Police Association 15201 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 80.20 "Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netflle.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 to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 52 of 163 NAME OF FILER I.D. 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 LD. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Jaime Correa Fx� IND Sergeant 28.00 651.53 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 SCR Union member's dues received through intermediaxv:qa afael Police Association, 1S20 Fifth Avenue. San Rafael, CA 9490 08/17/2012 Jaime Correa Fx_]IND Sergeant 28.00 651.53 OCOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received th�rouqhiintermediaxy:qanSC Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 - 08/31/2012 Jaime Correa [ZIND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity F� PTY of San Rafael San Rafael, CA 94901 C - Union member's dues received through intermediaxv:q.SC1 Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Jaime Correa ZIND Sergeant 28.00 651.53 ❑ COM Clo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received through intermediaiy:qaSPRafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 10/02/2012 Jaime Correa FX -1 IND Sergeant 16.80 65I.53 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received IL��mediariy: .err Police Association, 1520 Fifth Avenue, San Rafael, CA 9490ll SUBTOTAL$ I F 128 870 ------ ----- - - ----- --- *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded ----_ Statement covers period CALIFORNIA to whole dollars. , 460 from 07/01/2012 FORM through 12/31/2012 Page 53 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Jaime Correa Fx_j IND Sergeant 16.80 651,53 [-I Com C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 SCC qUnion member's dues received through intermediary: an Rafael Police Association, 1520 if Avenue. San Rafael. CA 94901 11/01/2012 Jaime Correa Mx IND Sergeant 16.80 651.53 MCOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's d ediaiv:qanCCRafael Police Association. 1520 Fifth Avenue. San Rafael CA 94901 11/15/2012 Jaime Correa MIND Sergeant 16.80 651.53 MCOM .0/o: San Rafael Police Association ❑ OTH i1520 Fifth Avenue ❑PTY City of San Rafael ,San Rafael, CA 94901 Union member's dues received through intermedia iv:q.SnC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Jaime Correa Fx] IND Sergeant 16.80 651.53 MCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 nn SC(�afael intermedia Union member's dues received througIL i Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/2012 Jaime Correa MX IND Sergeant 16.80 651.53 000M C/o: San Rafael Police Association El OTH 1520 Fifth Avenue M PTY City of San Rafael ;San Rafael, CA 94901 Union member's dues receivfA_Lhrouqh intermedia-.1y:Q§i9(;afaeI1 Police Association, 1520 Fifth Avenue, S Rafael, CA 949011. *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com SUBTOTAL$ 84.00 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPIPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 i FORM through 12/31/2012 Page 54 of 163 NAME OF FILER I.D. 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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 David Cron [_x�IND Sergeant 0,00 354.73 EICOM C/o: San Rafael Police Association [_1 OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 CC q Sn Union member's dues received through intermediary: aRafael Policssocia 'on 1520 Fifth Avenue. San Rafael. CA 94901 07/13/2012 Ryan De Marta f_XZl IND Officer 28.00 651.53 F-1 COM C/o: San Rafael Police Association r] OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union intermedia ry:qaSnKafael Police Association 1520 Fifth Avenue. San Rafael, CA 9490L 07/31/2012 Ryan De Marta HIND officer 28.00 651.53 ncom C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaSnCGRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Ryan De Marta nx IND Officer 28.00 651.53 ncom C/o: San Rafael. Police Association El OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's d ediJ'ayy:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490� — 08/31/2012 Ryan De Marta RIND officer 28.00 651.53 ❑ COM San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 !Union member's dues received interrrediariv:Q§P;�afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 112.00 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 RM FO1 through 12/31/2012 Page 55 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 iRyan De Marta IND officer 28.00 651.53 F] COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue [:1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:[;aSjCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/02/2012 Ryan De Marta MIND officer 16.80 651.53 EICOM C/o; San Rafael Police Association M OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's d intermedia :E;anSC Police Association 1520 Fifth Avenue San Rafael CA 94901 10/15/2012 Do Marta MIND Officer 16.80 651,53 MCOM C/o: San Rafael Police Association E-1OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received intermedia aSnCi Police Association 1520 Fifth Avenue, S n Rafael, CA 94901 11/01/2012 Ryan De Marta Mx IND officer 16.80 651.53 EICOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY Rafael, CA 94901 ,San Union member's dues received throuft Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/15/2012 �Tnterme�,diary:E;JSPC Ryan De Marta MIND Officer 16.80 651.53 MCOM Clio; San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member's dues received _tnrouqh intermediaxjy:E�§P afaell Police Association, 1520 Fifth Avenue. S Rafael CA 94 90 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee r,7T,7W7T-_Tv7ffJW#7"1 SUBTOTAL$ 95 20 [_ I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) 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. / � , from 07/0112012 through 12/31/2012 Page 56 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOROCCUPATION IF AN INDIVIDUAL, ENTER AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IF COMMITTEE, ALSO ENTERLD.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30{2012 Ryan De Marta X IND Officer 16.80 651.53 [:]COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue ❑PTY El City of San Rafael San Rafael, CA 94901 C Union member's dues received through nter e :`'San afae o'' e Association. 1520 Fifth Avenue.San Rafael, CA 9490 12/17/2012 Ryan De Marta BIND Officer 16.80 651.G3 n COM C/o: San Rafael Police Association [I OTH 1520 Fifth Avenue ❑ PTY EJ City of Sari Rafael San Rafael, CA 94901 E;aSnCRafael Union member's dues received throw h intermedia : Police Association 1520 Fifth Avenue San Rafael CA 9490 07/13/2012 Christian Diaz OIND Officer 28.00 651.53 ❑ COM �C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTYCity of San Rafael San Rafael, CA 94901 �j Union member's dues received through intermedia :`man R.fae Police Association 1520 Fifth Avenue San Rafael CA 9490 07/31/2012 Christian Diaz XIND Officer 28.00 651.53 n COM C/o: San Rafael Police Association. ❑ OTH City of San Rafael 1 52 0 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received throw h intermedia nn (� :'--San �2afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9496 08,117/2012 (Christian Diaz nXIND Officer 28.00 651.53 ❑ COM 'C/o: San Rafael Police Association E] OTH City of San Rafael 11520 Fifth Avenue El PTY (San Rafaei, CA 94901 Union member's dues received through intermedia GGr�f: :aInSW;Zafae Police Association 1520 Fifth Avenue San Rafael CA 9490 *Contributor Codes 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$ 117.60 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 Statement covers period A CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 57 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2012 Christian Diaz ❑IND officer 28.00 651,53 El COM C/o: San Rafael Police Association E] OTH 1.520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCRafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 09/14/2012 Christian. Diaz aIND Officer 28.00 651.53 �C/o: [:]Com San Rafael Police Association 11520 Avenue rjOTH City San Rafael Fifth ❑ PTY of ;San Rafael, CA 94901 Union member's dues received throe h intermediaiv:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael CA 94901 10/02/2012 Christian Diaz aIND officer 16.80 651.53 n COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union mem intermedia xv:E;aSn"Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2012 Christian Diaz RIND officer 16.80 651.53 ❑ COM C/O: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throe intermedia :`San Police ice Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/01/2012 Christian Diaz nx IND officer 16.80 651,53 [:] Com C/o- San Rafael Police Association E:1OTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received throe intermedia rjy:QW�afae[l Police Association 1520 Fifth Avenue. S Rafael CA 9490 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 106.40 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM through 12Z31/2012 Page 58 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 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 COMMITTEE, ALSO ENTER to. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 Christian Diaz Fxj IND Officer 116.80 651.53 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 union member's dues received through inter m diaiv:E;aSnCCRafagl Police Association. 1520 Fifth AvenjjQ, San Rafael. CA 9490 11/30/2012 Christian Diaz BIND officer 16.80 651,53 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union intermedia qaSnCCRafael Police _Association 1520 Fifth Avenue San Rafael CA 9490L 12/17/2012 Christian Diaz NIND Officer 16.80 651.53 E]COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑City PTY of San Rafael iSan Rafael, CA 94901 Union member's dues received through intermedia xv:E;aSnKafael Police Association, 152C Fifth Avenue, S n Rafael, CA 94901 07/13/2012 Christopher Duncan BIND officer 28,00 651.53 [:] COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ,Union member's dues received throw i'ntermediary:E;SC an C2.f.,l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/131/2012 Chri-istopher Duncan [ZIND officer 28.00 651.53 R COM C/o: San Rafael Police Association [I OTH City of San Rafael 1-520 Fifth Avenue El PTY San Rafael, CA 94901 Union *Contributor Codes 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$ 106.40 � 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 A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460: from 07/01/2012 FORM through 12/31/2012 - Page 59 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT 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) 08/17/2012 Christopher Duncan RIND officer 28.00 651.53 [:] COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediary: an Rafael Police ociation, I520 Fifth Avenue, S n Rafael, CA 9 90 08/31/2012 Christopher Duncan [j] IND officer 28.00 651.53 RCOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union intermedia gy:E;aSPR�fael Police Association 1520 Fifth _Avenue San Rafael CA 9490 09/14/2012 Duncan N IND Officer 28.00 651,53 'Christopher El COM C/o: San Rafael Police Association [:]OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv: qaSnC( afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Christopher Duncan nx IND officer 16.80 651.53 OCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throw intermedia ry:qaSnC-,.afa,1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/15/12012 Christopher Duncan RX IND officer 16.80 651.53 ❑ COM ,CIO: San Rafael Police Association ❑ OTH City of San Rafael !1520 Fifth Avenue F] PTY (San Rafael, CA 94901 Union -member's dues received _thrc)u_qh intermediar!v:EAi9(:�afaej1 Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490R *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee L"It"MARTUMM1=1 SUBTOTAL$ '17.60 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 60 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE IF SELF-EMPLOYED, ENTER NAME PERIOD (JAW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/01/2012 Christopher Duncan Fx_j IND Officer 16.80 651.53 F-1 COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City Of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia :`';SC nC Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 11/15/2012 Christopher Duncan BIND officer 16.80 651.53 [:] COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union iediany:qaSPRafael Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Christopher Duncan BIND Officer 16.80 651.53 n COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 iUnion member's dues received through intermedia. v:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 12/17/2012 !Christopher Duncan BIND Officer 16.80 651.53 EICOM C/o: San Rafael Police Association EIOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 9490I [:;aSnC�afael Unionintermedia :ry Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 071/13/2012 Scott Eberle RIND Sergeant 28.00 651.53 EICOM San Rafael Police Association E:1OTH ,C/o: 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaUy:Q§P:�afaeft -Police Association, 1520 Fifth Avenue, San Rafael, CA 949 0[1 SUBTOTAL$ 95.20 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period-----*• . NIA to whole dollars. / i from 07/01/2012 • RM through 12/31/2012 Page 61 of 163 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 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EETA COMMITTEE, SANDZI .D.NUMB * 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) 07/31/2012 Scott Eberle nXIND Sergeant 28.00 651.53 [:]COM C/o: San Rafael Police Association [_1OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union e e 's dues received through intermediarv:qanCCRafael Police Association, 5 fth Avenue San Rafael. 94901L C8/17/2012 Scott Eberle X IND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of Sari Rafael San Rafael, CA 94901 Union member's dues received throu h intermedlaxy:qaSnCCRafaelL Police Association 1520 Fifth Avenue San Rafael CA 9490 08/31/2012 Scott Eberle FXIND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY Union member's dues received throw h intermedia ��jj :`-fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490- 091Y14/2012 Scott Eberle nIND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association [❑ OTH City of San Rafael 11520 Fifth Avenue D PTY ,San Rafael, CA 94901 (� (� Union member's dues received through intermedia :Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 949011 10%02/2012 Scott Eberle ❑X IND Sergeant 16.80 651.53 ❑COM C/o: San Rafael Police Association El OTH City Of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 n G Union member's dues received throe h intermedia BT afae ' Paiice Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 128.80 `Contributor Codes 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 464 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (6661275-3772) 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. 460; from 07/01/2012 FORM through 12/31/2012 Page 62 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT THIS CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED PERIOD CALENDAR YEAR (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Scott Eberle Fx] IND Sergeant 16.80 651,53 MCOM C/o: San Rafael Police Association [_1OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through inter ediaxy: qaSnCC Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 11/01/2012 Scott Eberle RIND Sergeant 16.80 651.53 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 ,Union member's dues received through intermedia Av:E;aSnCCRafael Police Association, 1520 Fifth Avenue, S n Rafael CA 9490L 11/15/2012 Scott Eberle 1 NIND Sergeant 16.80 651.53 ❑COM !c/o: San Rafael Police Association []OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaxv:qaSnCCR.f.el Police Association, 1520 Fifth Avenue. San Rafael, CA 9490L 11/30/2012 Scott EberleFx] I N D Sergeant 16.80 651.53 ncom C/o: San Rafael Police Association [:IOTH City of San Rafael 1520 Fifth Avenue San Rafael, CA 94901 ❑ PTY Union member's dues received throw intermedia iy:qJSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/117/2012 Scott Eberle nX IND Sergeant 16.80 651.53 F1 Com C/o: San Rafael Police Association [:1 OTH City of San Rafael 1520 Fifth Avenue Q PTY San Rafael, CA 9490-1- Union member's dues received throw intermediaily: Q§P(;afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 84.00 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period • CALIFORNIA to whole dollars. 460 from 07ZOlZ2012 FORM through 12/31/2012 Page 63 of 163 NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, I -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Christopher Fuller Fxj IND Police officer 28.00 212.80 DCOM C/o: San Rafael Police Association [:]OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union memher's dues received throuqh intermediaiv:qaSnCCRafae1 Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/17/2012 Christopher Fuller nx IND Police officer 28.00 212.80 [:]COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's d intermedia :[:;aSnCCRafael Police Association 1520 Fifth Avenue San Rafael, CA 9490 08/31/2012 Christopher Fuller [2 IND Police officer 28.00 212.80 F-1 COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia v:E;aSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490L 09/14/2012 Christopher Fuller ZIND Police Officer 28.00 212.80 OCOM C/o: San Rafael- Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermediaiy:E;aSnC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 942-0 - 10/02/2012 i Christopher Fuller nx❑IND Police Officer 16.80 212.80 [:] COM C'o San Rafael Police Association El OTH City of San Rafael 15 20 Fifth Avenue❑ PTY "an Rafael, CA 94901 Union throw intermedia X81 Police Association *Contributor Codes 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$ 128.80 1 1 FPIPC 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 64 of 163 NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Christopher Fuller [_x� IND Police officer 16.80 212.80 EICOM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 union member's dues received throueh intermediaiv:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/01/2012 Christopher Fuller Rx IND Police officer 16.80 212.80 F1 COM C/o: San Rafael Police Association OOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 nn Union member's dues received throw intermedia Union Police Association 1520 Fifth Avenue San Rafael CA 9490L 11/15/2012 Christopher Fuller NIND Police Officer 16.80 212.80 [:] COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:E;aSnKafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Christopher Fuller ®IND Police officer 16.80 212.80 RCOM C/O: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throe �i�inter�roed�-axy:qaSnCCRaf.eI Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 12/17/2012 Christopher Fuller RIND Police Officer 16.80 212,80 RCOM C/o: San Rafae' Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member's dues received Police Association I5201 Fifth Avenue ca- Rafael CA 94901l SUBTOTAL$ 1 84 .00 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) TvDe or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 4601 to whole dollars. from 07/01/2012 FORM through 12/31/2012 Page 65 of 163 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 1 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 071/13/2012 Salvatore Garanzini RIND officer 28.00 268.80 El COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue M PTY city of San Rafael San Rafael, CA 94901 Union membg2j's dues received lhrouoh inte i qSCC a a I of A-g-ciation. 152Q if AveSan Rafael, CA 9490 07/31/2012 Salvatore Garanzini FZ IND Officer 28.00 268.80 EICOM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 intermedia Union member's dues received int an a ae_l-_F.11ce qSK f Association cialign 1520 Fifth _Avenue San CA 9490 _Rafael 08/17/2012 Salvatore Garanzini MIND officer 28.00 268.80 EICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue M PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia qanC �afael Police Association 1520 Fifth Avenue San Rafael, CA 9490 08/31/2012 Salvatore Garanzini BIND -]COM officer 28.00 268.80 E C/o: San Rafael Police Association El OTH of San Rafael ICity 1520 Fifth Avenue ❑PTY San Rafael, CA 94 901 E (�afael jUnion member's dues received throe intermedia V,;anSC Police Association, 1520 Fifth Avenue, San Rafael, CA 2_490_ 09/14/2012 Salvatore Garanzini M IND Officer 28.00 268.80 EICOM C/c: San Rafael Police Association [I OTH City of San Rafael 1520 Fifth -Avenue F-1 PTY 'San Rafael, CA 94901 intermediaUnion member's dues received throe h olice Association on, 1520 Fifth Aver<ue S n Rafael, CA 9490�L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g business entity) PTY — Political Party SCC — Small Contributor Committee t& ver naffila rnm SUBTOTAL$ 140.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA p � / � , from 07/01/2012 FORM through 12/31/2012 Page 66 of 163 NAME OF FILER I.D. 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 (JW 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02 % 2012 Salvatore Garanzini o IND Officer 16.80 268.80 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of Sari Rafael San Rafael, CA 94901 Union member's dues received throughintermedlj'axv:E;aSnCCRafael Police ssocia 1520 Fifth Avenue.San Rafael. CA 94901 10/15/2012 Salvatore Garanzini 0 IND Officer 16.80 268.$0 ❑ COM C/o: San Rafael Police Association F] OTH 1520 Fifth AvenuePT Y Y City of San Rafael San Rafael, CA 94901 ((�� Union member's dues received throu h intermedia :`;an(; IRafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/01 / 2012 Salvatore Garanzini RIND Officer 16.80 268.80 ❑ COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 nRn Union member's dues received through intermedia :`-fan 72afae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/15/2012 Salvatore Garanzini BIND Officer 16.$0 26$.$0 ❑COM C/o: Sar. Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dediayy:E;anNafae1 Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 11/30/2012 Salvatore Garanzini RX IND Officer 16.80 268.80 ❑ COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received in throw h termedia � .afae Police Association 1520 Fifth Avenue San Rafael CA 949gjL 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 84.00 FPPC Form 466 (January/05) FPPG Toll -Free Helpline: 8661ASK-FPPG (8661275-3772) Schedule A (Continuation Sheet) e Typor print in ink. SCHEDULE A (CONT) iviorjeLiaFY %.#0unrioutions eceivea Amounts may ne rounded Statemen )dI t covers (III to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 67 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) — OF BUSINESS) 12/17/2012 Salvatore Garanzini [2]IND Officer EICOM 16.80 268.80 C/o: San Rafael Police Association El OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 member's dues received tcih inter ediaiv: qUnion an SCC Rafa 1 Police Assoiaticn, 1520 Fifth Av nue, San Rafael, CA 94901 07/13/2012 Justin Graham [x IND Officer 28.00 611.69 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia iy.-q-SaSnCCRafael Police Association 1520 Fifth Avenue San Rafael CA 94901 07/31/2012 Justin Graham RIND Officer 28.00 611.69 ❑COM C/o: San Rafael Police Association [I OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 E] PTY - lUnion member's due intermedia rRafael Police Association 1520 Fifth Avenue San Rafael CA 94901 08/17/2012 Justin Graham NIND officer 28.00 611.69 ❑COM � C/o: San Rafael Police Association OTH IS20 Fifth Avenue City of San Rafael 1 San Rafael, CA 94901PTY member's dues received throu h intermedia qJUnion y:.rCT;,afaelPolice Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Justin Graham [MIND officer 28.00 611,69 ncom C/o: San Rafael Police Association [:1 OTH 1520 Fifth Avenue F1 PTY City of San Rafael lUnion (Union Rafael, CA 94901 met�;erls d nediany:Q§P�Zafae Police Assngjgtj 1520�Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 128 so *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g,, business entity) PTY – Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary contrioutionS Kece vea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA, from 07/01/2012 FORM through 12/31/2012 Page 68 of 163 NAME OF FILER I.D. 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 LD.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) 09/14/2012 (Justin Graham BIND Officer 28.00 611.69 [:]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ P�.l, City of Sari Rafael San Rafael, CA 94901 union member's dues received through inter ediarv:qaSnCCRafael Police Association, 0 Fifth Avenue. San Rafael. CA 9490 10/02/2012 / Justin Graham ❑x IND Officer 16.80 611.69 ❑ COM C/o: San Rafael Police Association -1520 ❑ OTH Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia : qan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2012 Justin Graham ❑x IND Officer 16.80 611.69 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qan �2afae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/01/2012 !Justin Graham ❑x IND Officer 16.80 611.69 j ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :gaSn 1zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/15/2012 Justin Graham ❑x IND Officer 16.80 611.69 ❑ COM ,C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue[ -I PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermediayt .fae Police Association 1520 Fifth Avenue S n Rafael CA 9490 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 FPPG Form 460 (January/05) FPPC Toll -Free Helpline: 866JASK-FPPG (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. CALIFORNIA A from 07/01/2012 FORM -r60 through 12/31/2012 Page 69 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Justin Graham Fx� IND officer 16.80 611.69 DCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 - Union member's dues received through intermediaiv: qSCC an Rafael Police Association. 1520 Fifth Avenue. San Raf el. CA 94901 12/17/2012 Justin Graham [ZIND Officer 16.80 611.69 ncom C/o: San Rafael Police Association F-1 OTH 11520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member, intermedia --3an Rarae Police Association 1520 Fifth Avenue, S n Rafael CA 9490 08/17/2012 Julie Griffith Ju _:qSC(�afael FX -1 IND Records Clerk 21.75 419.00 ncom C/o: San Rafael Police Association El OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 C - Union member's dues received through intermediaiv:E;JSnC i2afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Julie Griffith [XJIND Records Clerk 21.75 419.00 ncom C/o; San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 - Union member's dues received through intermedia xy:E;aSP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/14/2012 Julie Griffith RIND Records Clerk 21,75 419.00 17COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael lSan Rafael, CA 94901 (Union member's dues received throe intermedia .E- Police Association, 15201 Fifth Avenue, S Rafael, CA 9490� SUBTOTAL$ 1 98.85 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 60 Afrom 07/01/2012 FORM through 12/31/2012 Page 70 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 10/02/2012 Julie Griffith Fx-IIND Records Clerk 13.05 419.00 F-1 COM C/o: San Rafael Police Association r-1 OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 ,Union ember's dues received through intermed' aiv:qSCC Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 10/15/2012 Julie Griffith FZ IND Records Clerk 13.05 419.00 ❑ COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 Union member's duesrec��Mediaxv: qscc� an afae Police Association 1520 Fifth Avenue San Rafael. CA 9490L 11/01/2012 Julie Griffith BIND Records Clerk 13.05 419.00 ❑ COM C/o: San Rafael Police Association ❑ OTH .1520 Fifth Avenue F PTY City of San Rafael !San Rafael, CA 94901 Union member's dues received through intermedia xv:qaSnK.f.el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2012 Julie Griffith fx] IND Records Clerk 13.05 419.00 RCOM C/o: San Rafael Police Association [:1OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 jUnion member's dues �xeceiv�edthrouh intermediaiy:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 iJulie Griffith RIND Records Clerk 13.05 419.00 EICOM C11c: San Rafael Police Association - EIOTH City of San Rafael 1520 Fifth Avenue F]PTY San Rafael, CA 9490I Union member's dues received throucrh intermedial §P Police Association, 1520 Fifth Avenue, San Rafael, CA 949011 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 65.25 [ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 71 of 163 NAME OF FILER I.D. 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 ENTERLD. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 Julie Griffith Fx_1 IND Records Clerk 13.05 419.00 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 — 07/13/2012 Lori Hendricks Rx IND Dispatcher 21.75 506.00 [:] COM C/o: San Rafael Police Association El OTH 1554 Fifth Avenue PTY City of San Rafael San Rafael, CA 94935 Union intermedia rv:qaSnCCRafael Police Association. 1520 Fifth Avenue San Rafael, CA 94901 07/31/2012 Lori Hendricks NIND Dispatcher 21.75 506.00 FICOM C/o: San Rafael Police Association E]OTH 1554 Fifth AvenueCity R PTY of San Rafael San Rafael, CA 94935 �Union member's dues received through intermedia :`mRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 — 08/17/2012 Lor -1 Hendricks ZIND Dispatcher 21.75 506.00 RCOM C/o: San Rafael Police Association El OTH City of San Rafael 1554 Fifth Avenue El PTY San Raiae! , CA 94935 Union member's dues received through intermedia :`-San Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 081131"2012 Lori Hendricks RX IND Dispatcher 21.75 506.00 R COM C/o: San Rafael Police Association ❑ OTH City of San Rafael Fifth Avenue ❑ PTY 11554 SanRafael, CA 94935 Union member's dues received throu_qh intermediarvP�afaejl Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 100.05 *Contributor Codes 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 A CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM Page 72 of 163 through 12/31/2012 - NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Lori Hendricks Rx IND Dispatcher 21.75 506.00 EICOM C/o: San Rafael Police Association DOTH 1554 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94935 SCC Union member's dues received tugh intermediaiy:qa Rafael Police As BDcj_4jjcrL, 1520 Fifth Avenue. San Rafael. CA 94901 10/02/2012 Lori Hendricks Fx_j IND Dispatcher 13.05 506.00 RCOM Clo: San Rafael Police Association R OTH 1554 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94935 Union member's dues received throe h e rmedi ai v: qaSnCCRaf ae Folice Association 1520 Fifth Avenue, San Rafael, CA 9490L 10/15/2012 Lori Hendricks HIND Dispatcher 13.05 506.00 RCOM C/o: San Rafael Police Association [:1OTH 1554 Fifth Avenue (San El PTY City of San Rafael Rafael, CA 94935 E;Sc(�.f.,l Union member's dues received th�ryuh intermedia San Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 il/01/2012 'Lori Hendricks Fxj IND Dispatcher 13.05 506.00 [:] COM C/o: San Rafael Police Association E] OTH City of San Rafael 1554 Fifth Avenue ❑ PTY San Rafael, CA 94935 Union member's dues received through intermedia zy:E;aSnKafael Police 1520 Fifth Avenue, San Rafael, CA 9490 11/15/2012 Lori Hendricks ZIND -Association, Dispatcher 13.05 506.00 [-]COM C/o: San Rafael Police Association [::] OTH City of San Rafael 1554 Fifth Avenue El PTY San Rafael, CA 94935 Union member's dues received through intermediany:E�§PCPafae[l Police Association, 15201 Fifth Avenue, San Rafael, CA 94901 SUBTOTAL$ I 73.9S *Contributor Codes 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 ontrinutionS Keceivea Amounts may be rounded Statement covers periodl to whole dollars. CALIFORNIA 4160 from 7/01/2012 FORM through 12Z31/2012 Page 73 of 163 NAME OF FILER I.D. 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) 11/130/2012 Lori Hendricks rx-1 IND Dispatcher 13.05 506,00 EICOM C/o; San Rafael Police Association E]OTH 1554 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94935 member's djIgs received through inter mediaiv: aSCCn Rafael qUnign- Police Association. 1520 Fifth Avenue, San Rafael. CA 94901 12/17/2012 Lori Hendricks Fx] INDDispatcher 13.05 506.00 D COM C/o: San Rafael Police Association F1 OTH 1554 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94935 Union member's d ediaiy_L-SaSnCCRarael Police Association 1520 Fifth Avenue San RafaelCA94901 07/13/2012 Robert Henkle nX IND Officer 28.00 651.53 nCOM C/o: San Rafael Police Association 1520 Fifth El OTH Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermedia xv:qaSP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 071131/2012 Robert Henkle [XIIND Officer 28.00 651.53 FJCOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue City of San Rafael !San Rafael, CA 94901PTY Union member's dues received throw 1ntermed1J'axy:E;aSnC'� afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Robert Henkle nX IND Officer 28.00 651.53 ocom C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 2ly: §P Qafae Pclice Asseciaticn 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 10.10 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 74 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2012 Robert Henkle Fxj IND Officer 28.00 651.53 FICOM CIO: San Rafael Police Association E] OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnKafael Police Association. 1520 Fifth Avenue, San Rafael. CA 94901 — 09/14/12012 Robert Heckle RX IND Officer 28.00 651.53 RCOM C/o; San Rafael Police Association FIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia y:qaSnKafaelL Police Association, 1520 Fifth Avenue San RafaelCA94901 10/02/2012 Robert Henkle NIND Officer 16.80 651.53 EICOM C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnC�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2012 Robert Henkle ZIND Officer 16.80 651.53 RCOM C/O: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue San Rafael, CA 94901❑PTY iUnion member's dues received throw intermediary:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 949011/01/2012 1 'Robert Henkle RIND Officer 16.80 651.53 R COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Uni mediaidy:EW(�afae[L Police Association, 15201 Fifth Avenue, San Rafael, CA 9490n. SUBTOTAL$ 1 106.40 *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA• ' from 07/01/2012 FORM through 12/31/2012 page 75 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF 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) 11/15/2012 Robert Henkle nIND Officer 16.80 651.53 ❑ coM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity E("PTY of San Rafael San Rafael, CA 9490' Union member's received through i to CaCCRafael Police Association, 1520 Fifth Avenue.San Rafael. CA 9490L 11/30/2012 (Robert Henkle nIND Officer 16.80 651.53 ❑ COM !C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity EI�"l� PTY of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :`fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 Robert Henkle nIND Officer 16.80 651.53 [:]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue TY City of San Rafael San Rafael, CA 94901P Union member's dues received throw h intermedia : qan �2afael Police Association 1520 Fifth Avenue San Rafael CA 9490 07/132012 / IJ, Alexander Holm i xIND ❑ Officer 28.00 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1.520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ D r Union member's dues received through intermedia :Ean'Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 7/31/2012 j.Alexander Halm ❑X IND Officer 28.00 651.53 I ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PT, City of San Rafael Csan Rafael, CA 94902 er's dues received throw h interm Union membedia -� afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 106.40 "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 FPPG Form 480 (January/05) FPPC Toll -Free Helpline: 8881ASK-FPPG (8881275-3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 76 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17/2012 J. Alexander Holm Fx] I N D officer 28,00 651.53 EICOM C/o: San Rafael Police Association [_]OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through interm di :`S Rafael Police Association. 1S20 Fifth Avenue. San Rafael, CA 94901 081/31/2012 J. Alexander Holm BIND officer 28,00 651.53 F-1 COM C/o; San Rafael Police Association El OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901C Union member's duets received throe �ediaiv:qaSnC Rafael Police Association 1520 Fifth Avenue. San Rafael, CA 9490L 09/14/2012 J.Alexander Holm OIND officer 28.00 651.53 rj COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermediazv:qaSnC 72afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/02/2012 J. Alexander Holm nx IND officer 16.80 651.53 FICOM San Rafael Police Association EIOTH 11520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 ! Union member's dues received through intermed1J'axy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/15/2012 J. Alexander Holm NIND Officer 16.80 651.53 F] COM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue El PTY Car. Rafael, CA 94901 UL= member's dues received tl-_irou h intermedia ... ... q_ Q§ Police Association, 1520IFift ... . ..... ..... . ... ------ h Avenue, San Rafael, CA _949011, SUBTOTAL$ 1 271-607 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 77 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFE COMMITTEE, ALSO OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/01/2012 J. Alexander Holm RIND Officer 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF] P-� City of San Rafael San Rafael, CA 94901 !UnionqSCC e dues received through intermedijaiv an RafaelPolice Association, 0 Fifth Avenue, San Rafael.CA 94901 11/15/ 2012 J. Alexander Holm QxIND Officer 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH (1 520 Fifth AvenueCity ❑ PTY of San Rafael (San Rafael, CA 94901 (�j Union member's dues received through intermedia : fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/130/2012 J. Alexander Holm OIND Officer 16.80 651.53 ❑ COM �Cjo: San Rafael Police Association OTH 11520 Fifth Avenue City of San Rafael San Rafael, CA 94901 (Union ��jjPTY member's dues received through intermedia :`-:pan �Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 J. Alexander Holm nIND Officer 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue E] PTY City of Sari Rafael San Rafael, CA 94901 nn Union member's dues received throe h intermedia :`-fan(� 1Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 Lisa Holton [MIND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E- n G Union member's dues received through intermedia . af aeR Police Association 1520 Fifth Averue San Rafael CA 9490 SUBTOTAL, 95.20 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.neffile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary uontributions Receivea Amounts may be rounded Statement covers period 11 III I!I to whole dollars. Ip CALIFORNIA 460 from 7/01/2012 FORM through 12/31/2012 Page 78 of 163 NAME OF FILER I.D. 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) 07/31/2012 Lisa Holton RIND Sergeant 28.00 651.53 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 Union memberla dues received through intermediaiv:9aSnCCRafael Police Association. 1S20 Fifth Avenue. San Rafael. CA- 94901 08/17/2012 Lisa Holton Rx IND Sergeant 28.00 651.53 El COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael ,San Rafael, CA 94901 Union member's du diaxy-:_qaSnKRafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 08/31/2012 Lisa Holton HIND Sergeant 28.00 651.53 [:] COM Clo: San Rafael Police Association [:1OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received through intermedia xv:E;aSnC Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Lisa Holton [Z IND Sergeant 28.00 651.53 F] COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue El PTY City of San Rafael San Raf�el , CA 94901 - !Union member's dues received throe intermedia_ y:E;aSnCCR.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Lisa Holton RX IND Sergeant 116.80 651.53 [:] COM Clo: San Rafael Police Association F-1 OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia afore Police SUBTOTAL$ 128 sc *Contributor Codes 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. 460 from 07/01/2012 i FORM through 12/31/2012 Page 79 of 163 NAME OFFILER 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 10/15/2012 Lisa Holton Mx IND Sergeant 16.80 651.53 ncom C/o: San Rafael Police Association El OTH I520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received throuah inter ed' an Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 9490L -11/01/2012 Lisa Holton nX IND Sergeant 16.80 651.53 El COM C/o: San Rafael Police Association ❑ OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's d intermedia v: qaSnCCRafae Police Association 1520 Fifth Avenue, San Rafael CA 94901 11/15/2012 Lisa Holton RIND Sergeant 16.80 651.53 nCOM iC/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 c Union member's d edianv:[;aSnc Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 9490L Lisa Holton RIND Sergeant 16.80 651.53 [:]Com C/o: San Rafael Police Association [_]OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received throw intermediary:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 12/17/12012 'Lisa Holton [KIND Sergeant 16.80 651.53 EICOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Up -ion member's dues received t throucth intermedia :dv:Q§P�afae[L Police Association, 1520 Fifth Avenue, San Rafael, CA 9490il *Contributor Codes 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$ 84.00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 80 Of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT C U M U LATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) RECEIVED CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 07/13/2012 IKyle Hornstein MIND Corporal 28.00 651.53 EICOM !c/o: San Rafael Police Association [:IOTH 11520 Fifth Avenue San Rafael, CA 94901 ❑ PTY City of San Rafael — Unign member's dues received throw c(h int ermed' aiv:SCC Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 i 07/31/2012 IKyle Hornstein rxIND J Corporal 28.00 651.53 ❑ COM C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 - jUnion member's dues received throw h intermediaxv:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael CA9490 08/17/2012 Kyle Hornstein MIND Corporal 28.00 651.53 EICOM C/o: San Rafael Police Association ❑ OTH 1.520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 — Union member's dues received through intermedia xy:E;aSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Kyle Hornstein MIND Corporal 28.00 651.53 FICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael,CA 94901 - Union member's dues received throw intermediaiy:qanKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Kyle Hornstein MIND Corporal 28.00 6511.53 �C/o: F_1COM San Rafael Police Association EIOTH 11520 Fifth Avenue I- FIPTY City of San Rafael San Rafael, CA 94901 -member's dues received throw intermedia 2Ay:Q§1yI;.f.eIl Police Association, 152C Fifth Avenue, S Rafael, CA 949011 SUBTOTAL$ 1:0.00 *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 (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded -Statement covers -period 1-111111111111111 to whole dollars. CALIFORNIA A from 07/01/2012 FORM -r60 through 12/31/2012 Page 81 Of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Kyle Hornstein Mx IND Corporal 16.80 651.53 ncom C/o: San Rafael Police Association �1520 [:1OTH Fifth Avenue [—] PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediaxv:qa Rafae1 Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/15/2012 Kyle Hornstein nx IND Corporal 16.80 651.53 [:]COM C/o: San Rafael Police Association EIOTH 1S20 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association 1520 Fifth _Avenue San RafaelCA94901 11/01/2012 Kyle Hornstein NIND Corporal 16.80 651.53 ncom Clo: San Rafael Police Association EIOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901PTY Union member's dues received through intermedia xv:qa:C(Z2afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2012 Kyle Hornstein Fxj I N D Corporal 16.80 651.53 [:]COM C/o: San Rafael Police Association [:IOTH City of San Rafael 1520 Fifth Avenue i ` [:] PTY San Rafael, CA 9490- Union member's d ediary:[;d'nKafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/30/2012 Kyle Hornstein nx IND Corporal 16,80 651-53 [:]COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 lUnion member's dqf� �medljjai1y:Q§FCVafae1l Police Association, 1520 Fifth Avenue, 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 SUBTOTAL$ 84.00 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 GontriDutionS Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from _07/01/2012 FORM through 12/31/2012 Page 82 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ENTER LD. (IF COMMITTEE. ALSO . NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JW I - DEC. 31) (IF REQUIRED) i OF BUSINESS) 12/17/2012 Kyle Hornstein Fx_j I N D Corporal 16.80 651,53 [-I COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 SCC — Union member, mediAyv-q An Rafael Police Association520 Fifth Avenue. San Rafael, CA 94901 07/13/2012 Carl Huber Fx_JlND Corporal 28.00 651.53 [:]COM C/o: San Rafael Police Association F1 OTH 1520 Fifth AvenueCity r -j PTY of San Rafael San Rafael, CA 94901 - Union member's d intermedia --5an Rarae _�_qSCC f I Police Association 1520 Fifth Avenue San RafaelCA94901 07/31/2012 Carl Huber NIND Corporal 28.00 651.53 FlCOM ❑ C/o: San Rafael, Police Association [_1OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 - Union mem intermediaxv:E;SCRafael an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Carl Huber ZIND Corporal 28.00 651.53 F_1COM C/o: San Rafael Police Associatlon ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 — Union member's dues received through intermedia xy:qaSnC;,.fae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Carl Huber [ZIND Corporal 28,00 651.53 ❑ COM Clo: San Rafael Police Association E] OTH 1520 Fifth Avenue r] PTY City of San Rafael ;San Rafael, CA 94901 Union n member's dues received throw Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490L SUBTOTAL$ 1 128.80 *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary contri nutions Received Amounts may be rounded Statement covers period to whole dollars.CALIFORNIA' from 07/01/2012 • through 12/31/2012 Page 83 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ( (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Carl Huber RIND Corporal 28.00 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw to ed'a an Rafae Police Associatign, 1520 Fifth Avenue. Ra ael CA 94901 10/02 2012 Carl Huber RX IND Corporal 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 EASn Union member's dues received throu h intermedia : Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2012 Carl Huber RIND Corporal 16.80 651.53 [:]COM C/o: San Rafael Police AssociationOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermediazv:E;aSnCCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 11/01/2012 Carl Huber RIND Cor poral 16.80 651.53 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue TY City of San Rafael San Rafael, CA 94901P Union member's dues received throw h intermedia :`-fan Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/15/2012 Carl Huber RIND Corporal 16.80 651.53 ❑ COM -C%a: San Rafael Police Association ❑ OTH iSan 1520 Fifth Avenue ❑ PTY City of San Rafael Rafael, CA 94901 r� Union member's dues received throw h intermedia :En 5 f?afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$;717 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY -- Political Party SCC — Small Contributor Committee www.netfile.com FPPG Form 460 (January/05) FPPG Toll -Free Helpline: 866/ASK-FPPG (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 I CALIFORNIAA to whole dollars. 60 from 07/01/2012 FORM 1 through 12/31/2012 Page 84 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 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 (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Carl Huber NIND Corporal 16,80 651.53 ncom C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediaxv:q afael Police Association. 1S20 Fifth Avenue. San Rafael. CA 94901 - 12/17/2012 Karl Huber nx IND Corporal 16.80 651.53 EICOM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 intermedia qv: qsp� an afael Police Association, 1520 Fifth Ave_nueS n Rafael CA 94901 07/13/2012 Eric Huot HIND Officer 28.00 651.53 [:] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaxv:E;aSnKafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 071131/2012 Eric Huot FXIIND Officer 28.00 651.53 ncom Cl.: San Rafael Police Association EIOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Unioniedia2:y:E;JSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Eric Huot nx IND officer 28.00 651,53 ncom C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member's dues received through intermedi-'a,_1v:Q§Ffq�afae[L Police Association, 15201 Fifth Avenue, San Rafael, CA 9490� *Contributor Codes 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$ _77,607 7 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. 460 from 7/01/2012 FORM through 12/31/2012 Page 85 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 08/31/2012 Eric Huot NIND officer 28.00 651.53 [:]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediazy:E Rafael Police Association. 1S20 Fifth Avenue. San Rafael, CA 94901 09/14/2012 Eric Huot FX1 IND officer 28.00 651.53 FICOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaxv:E;aSnCCRafael Police Association 1520 Fifth Avenue, San Rafael CA 94901 10/02/2012 Eric Huot NIND Officer 16.80 651.53 [--jCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:E;aSnCRaf.el Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/15/2012 Eric Huot RIND officer 16.80 651.53 FICOM C/o; San Rafael Police Association E] OTH City of San Rafael 1520 Fifth AvenueR El PTY iSan Rafael, CA 94901 I i Union member's dues received thr2jjgjj�ediary:E;aSnRafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 11/01/2012 Eric Huot nx IND officer 16.80 651.53 EICOM Clo: San Rafael Police Association EIOTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 9490', -received lUnion member's dues throwh intermediar1v:QP;afae _� Police Association 1520 Fifth Aven'ae S n Rafael CA 9490 *Contributor Codes 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$ 106.40 1 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 Statement covers period I CALIFORNIA to whole dollars. 460 from 07Z01Z2012 FORM through 12/31/2012 Page 86 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 11/15/2012 Eric Hutt Fx_j IND Officer 16.80 651,53 F] COM C/o: San Rafael Police Association r-] OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through inter medlaiv:qaSnCC Rafael Police ssociation. 1520 Fifth Avenue. San Rafael. CA 94901 11/30/2012 Eric Huot F_xj IND officer 16.80 651.53 FlCOM C/o: San Rafael Police Association nOTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through Jintermediaiv:qaSnCRafael Police Association, 1520 Fifth Avenue San Rafael. CA 94901 12/17/2012 _ Eric H-ot BIND officer 16.80 651.53 ❑ COM C/o: San Rafael Police Association OTH I520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Unioniediarv:EWP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/13/2012 Scott Ingels rx] I N D Corporal 28.00 651.53 MCOM C/o: San Rafael Police Association ❑ OTH City Of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 !Union member's dues received through intermediayy:[;aSnCCR.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 - 07/31/2012 ;Scott Ingels FX�IND Corporal 28.00 651.53 FlCOM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 -received Union member's dues throe intermediariv:Q§Pr afaell Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e,g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 106.40T 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 87 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17/2012 Scott Ingels Rx IND Corporal 28.00 651.53 ncom C/o: San Rafael Police Association [:IOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ,Union member's dues received throuoh inter mediarv:qanCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/31/2012 IScott Ingels BIND Corporal 28.00 651.53 nCOM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Unionintermedia qSCC v: an RafaeLL Police Association, 1520 Fifth Avenue S Rafael, CA 94901 09/14/2012 Scott Ingels nX IND Corporal 28.00 651.53 EICOM C/o: San Rafael Police Association [:]OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia_ v:qanCr-Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/02/2012 Scott IngelsFxj IND Corporal 16.80 651,53 nCOM C/o: San Rafael Police Association 1520 DOTH City of San Rafael Fifth Avenue San PTY Rafael, CA 94901 Union member's du diaxy:E;JSnCC 12afael Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490L 10/15/2012 Scott Ingels N IND Corporal 16.80 651.53 ncom C/o: San Rafael Police Association Q OTH City of San Rafael !1520 Fifth Avenue PTY sp Rafael, CA 94901 Union member's dues received th��h i�ntermediarjy:Q§P;�afae[L Police Association, 15201 Fifth Avenue, San Rafael, CA 9490ll SUBTOTAL$ 1 1 117.60 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 07/01/2012 FORM through 12/31/2012 Page 88 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF COMMITTEE. ALSO LD. 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) 11j01/2012 Scott Ingels MIND Corporal 16.80 651.53 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF] PTY City of Sari Rafael San Rafael, CA 94901 SCC Union member's sreceived t r h 'nte m d' Association. 1520 Fifth Avenue.el 9 11/15/2012 Scott Ingels MIND Corporal 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue-� P F(� City of San Rafael San Rafael, CA 94901 Union member's dues received throucih intermediaxy_LSaSnCCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 11/30/2012 Scott Ingels MIND Corporal 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia c`(aSn Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17j2012 Scott Ingels ❑ IND Corporal 16.80 67 .53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 (❑n Union member's dues received throw h intermedia :`-San Rafae Police Association, 1520 Fifth Avenue, Sin Rafael, CA 9490 07/13/2012 Lynette Keller ❑X IND Community Service Officer 21.75 512.03 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 949C - Union Union member's dues received through intermedia , +a `fafae Police Association 15201 Fifth Avenue S n Rafael CA 949011 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 88.95 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. from 07/01/2012 through 12/31/2012 Page 89 of 153 NAME OF FILER I.D. 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) 07J31/2012 Lynette Keller xIND Community Service Officer 21.75 512.03 ❑ COM Cjo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 ((��jj C Union member's es received through 'nterme is :`'San a ePolice Association. 1520 FifthAvenue. San Rafael.CA 94901 08J17J2012 Lynette Keller ❑X IND Community Service Officer 21.75 512.03 ❑ COM C/o: San Rafael Police Association ❑ OTH 1.520 Fifth Avenue❑ Pte, City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :�an R afael Police Association 1520 Fifth Avenue San Rafael CA 9490 08/31/2012 Lynette Keller [ZIND Community Service Officer 21.75 512.03 ❑COM C/o: San Rafael Police Association ❑ OTH 520 Fifth Avenue ❑ PTY City of Sari Rafael San Rafael, CA 94901 Union member's dues received through intermedia :[;an i2afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 G9,14�2012 Lynette Keller RIND ❑ Community Service Officer y 21.75 512.03 ❑ COM IC/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue E]I PTY Clty of Sari Rafael San Rafael, CA 94901 n r; Union member's dues received through intermediary:` -San �2afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/02/2012 iLynette Keller ❑X IND Community Service Officer 13.05 512.03 ❑ COM -Cjo: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑( PTY San Rafael, CA 94901 Union member's dues received throw h intermedia .r+'Ft afae Police Association 15201 Fifth Avenue Szln Rafael CA 9490 'Contributor Codes 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$ 100.05 FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 888fASK-FPPC (888!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. CALIFORNIA , from 07/01/2012 FORM • through 12/31/2012 Page 90 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE RECEIVED (IF GOMMITTEE,ALSO ENTER LD.NUMBER) CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMRIovED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS} 10/15/2012 Lynette Keller RIND1 Community Service Officer 3.05 512.03 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 aCC�afael union 's dues received throughIntermed' Police Association, 1520 Fifth ve fael CA 94901 11/01./2012 Lynette Keller RIND Community Service Officer 13.05 512.03 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 (� Union member's dues received through intermediary:`-3an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/15/2012 Lynette Keller RIND Community Service Officer 13.05 512.03 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ Cit of San Rafael Y San Rafael, CA 94901 PTY n❑n Union member's dues received through intermedia :`-fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/30/2012 Lynette Keller MIND ❑ Community Service Officer Y 3, 1. OS 512.03 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PT`( City of San Rafael San Rafael, CA 94901 n❑n Union member's dues received through intermedia :`-fan Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 12/17/'2012 Lynette Keller [MIND Community Service Officer 13.05 512.03 ❑ COM C/o: San Rafael Police Association ❑ OTH 520 Fifth Avenue ❑ PTY City of San Rafael Sa_n. Rafael, CA 94901 Umember's dues received throu h intermedia �-$T1T'Rnion .Q afae Police Association 1520 Fifth Avenue San Rafael CA 9490 SUBTOTAL$ 65.25 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfl/e.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 (;ontrIbU1tIonS Received Amounts may be rounded Statementcovers period to whole dollars. iI CALIFORNIA 60 from 07/01/2012 FORM through 12/31/2012 Page 91 Of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (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) 07/13/2012 Rebecca Kuga Fx� IND YSB Supervisor 21.75 506.00 [] Com C/o: San Rafael Police Association El OTH 1520 Fifth Avenue Fj PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received through interm ediaxy:qanCCRafael Police Association, 1520 Fifth Avenue, San Rafael. CA 9490L 07/31/2012 Rebecca Kuga RX ND YSB Supervisor 21.75 506.00 RCOM C/o: San Rafael Police Association FJOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael-, CA 94901 Union member's dues received throu h intermedia :Eon Police Association 1520 Fifth Avenue San Rafael, CA 94901 08/17/2012 Rebecca Kuga Rx IND YSB Supervisor 21.75 506.00 EICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received throw �hintermedianv:qSKafael an Police Association n, 1520 Fifth Avenue, San R Rafael CA 94901 08/31/2012 Rebecca Kuga BIND YSB Supervisor 21.75 506.00 [] COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue City of San Rafael iSan Rafael, CA 94901❑ PTY Union member's di� �ermediary:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 139/14/2012 Rebecca Kuga Rx IND YSB Supervisor 21.75 506.00 EICOM C/o: San Rafael Police Association E]OTH 11520 Fifth Avenue PTY City of San Rafael San Rafael, CA 949-01 Union member's dues received through intermediaily:QP�afaeil Police Association, 1520 Fifth Avenue, S Rafael, CA 949011 SUBTOTAL$ 1 108.75 *Contributor Codes 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 (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA 460:; from 07101/2012 FORM through 12/31/2012 Page 92 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10,102/2012 Rebecca Kuga RIND YSB Supervisor 13.05 506.00 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 SCC q— Union member's dues received through intermediaiv: an Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/15/2012 Rebecca Kuga RIND YSB Supervisor 13.05 506.00 [-] COM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue Ej PTY City of San Rafael San Rafael, CA 94901 C — Union iediaxv:qaS.0 Rafael Police Association 1520 Fifth Avenue, San Rafael CA 9490 11/01/2012 Rebecca Kuga RIND YSB Supervisor 13.05 506.00 EICOM 'C/o: San Rafael Police Association EJOTH 11520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received through intermediaxy:qS anKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2012 Rebecca Kuga [EIND YSB Supervisor 13.05 506.00 RCOM C/o; San Rafael Police Association E:1OTH 1520 Fifth Avenue E:] PTY City of San Rafael (San Rafael, CA 94901 n Uniomember's dues received throe intermedia xy:E;SCI�afae an l Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 11/30/12012 Rebecca Kuga RX IND YSB Supervisor 13.05 506.00 R COM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 lUnion member's dues received throe intermedia ijv:E�§iP(;cafaell.Police Association, 1520 Fifth Avenue, San Rafael, CA 94901L SUBTOTAL$ 1 1 65.25 *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC – Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPIPC 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 Statementcovers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 93 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 Rebecca Kuga [ZIND YSB Supervisor 13.05 506.00 El COM C/o: San Rafael Police Association ❑ OTH 1.520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazv:qanCCRafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 — 07/13/2012 Marc Laplante FX� IND Officer 28.00 651,53 ❑ Com C/o: San Rafael Police Association rjOTH 1.520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 C Union member's dues received throucih intermediaxv:E;aSnC Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2012 Marc Laplante F_xjlND Officer 28.00 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 08117/2012 Marc Laplante rx] IND Officer 28.00 651.53 1 EICOM iC/o: San Rafael Police Association 1!1520 Fifth Avenue [:1 OTH City of San Rafael Rafael, CA 94901 El PTY !San Union member's dues received through intermediary:qaSnC C 12afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Imarc Laplante [KIND Officer 28.00 651.53 nCOM �C/o: San. Rafael Police Association ❑ OTH 11520 Fifth Avenue ❑ PTY City of San Rafael ISan Rafael, CA 949031 dniLn member's dues received through intermedia .QS Police Association, 15201 Fifth Avenue, S Rafael, CA 9490� SUBTOTAL$ 1 125.05 *Contributor Codes 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 to whole dollars. CALIFORNIA 460 from 07101/2012 FORM through 12/31/2012 Page 94 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR TRI 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 (JAW 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 .... Laplante BIND officer 28.00 651,53 0 COM C/o: San Rafael Police Association ❑ OTH I520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 SCC Union member's dues received through intermediaiv: q- an Rafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 10/02/2012 Marc Laplante RIND Officer 16.80 651.53 EICOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth AvenueCity F -I PTY of San Rafael San Rafael, CA 94901 iUnion member's dues received through intermediaxv:qaSnCI�afael J_ Police Association 1_520 Fifth Avenue _Sgn Rafael CA 94901 10/15/2012 Marc Laplante HIND Officer 16�80 651.53 FICOM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 - Union member's dues received through intermedia xv:[;anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Marc Laplante [X]IND Officer 16.80 651.53 DCOM C/o: San Rafael Police Association OTH I520 Fifth AvenueCity F� PTY of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia ry:E;anC`R.f.'F4 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 11/15/2012 Marc Laplante FXJ IND officer 16.80 651.53 EICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 9490! I Union member's dues received throu intermed_'arI q1 n v:Q§F(; afael Police Association 1520 Fifth Avenue, Rafael, CA 949011 SUBTOTAL$ 95.20 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity; PTY — Political Party SCC — Small Contributor Committee 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. 460 from 07101/2012 FORM through 12/31/2012 Page 95 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Marc Laplante Rx IND Officer 16.80 651.53 EICOM iClo; San Rafael Police Association MOTH 1520 Fifth AvenueCity F� PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedlj'aiv:E;anCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490L — 12/17/2012 Marc Laplante Fx� IND officer 16.80 651.53 F-1 COM C/o: San Rafael Pollce Association FJOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Unioniediaxv:qdSnCIilafael Police Association. 1520 Fifth Avenue, San Rafael CA 9490L 07/13/2012 F imberly Larkey [ZIND officer 28.00 651.53 [:] COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F J PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L — 07/31/2012 !Kimberly Larkey FXJINID Officer 28.00 651.53 ❑ COM C/o; San Rafael Police Association DOTH of San Rafael 1520 Fifth AvenueCity PTY San Rafael, CA 94901 Union member's dues received through intermedia xy:FASEK.f.'l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Kimberly Larkey FX� I N D Officer 28.00 651.53 r -ICOM 1C/o: San Rafael Police Association El OTH City of San Rafael 1S20 Fifth Avenue ❑ PTY 14_San Rafael, CA 9490! ion member's dues received throw .4ntermediaL1y:Q§P(;afaejl Police Association, 1520 Fifth Avenue, San Rafael, CA 94901L *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee www.netfile.com SUBTOTAL$ 117.60 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary c:ontrinutionS Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07101/2012 FORM through 12/31/2012 Page 96 of 163 NAME OF FILER I.D. 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 {E COMMITTEE, ALSNDLD.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) 08f31/2012 Kimberly Larkey BIND Officer 28.00 651.53 ❑ COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue❑ P-� City of San Rafael San Rafael, CA 94901 Union member's dues receivedant: ou h i t edia SjSCC afae Police Association,1520 t v San Rafael.C 9490 09/14/2012 Kimberly Larkey QIND Officer 28.00 651.53 ❑ COM .0/c: San Rafael Police Association ❑ OTH 1520 Fifth AvenuePIS, El City of San Rafael San Rafael, CA 94901 n Union member's dues received throw h intermedia :`San afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 10/02/2012 / Kimberly Larkey �XIND Officer 16.80 651.53 ❑ COM� C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 j❑r CRafae Union member's dues received throe h intermedia :'--San Police Association 1520 Fifth Avenue San Rafael CA 9490 1Oj15j2012 Kimberly Larkey �xIND Officer 16.80 651.53 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY Y(; City of San Rafael San SaRafael, CA 94901 ❑ 'Union member's dues received throw h intermedia_ :gan-Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/01/2012 Kimberly Larkey Ox IND Officer 16.80 651.53 COM IC/a: San Rafael Police Association ❑ OTH 11520 Fifth Avenue P TY City of San Rafael !San Rafael, CA 94901 Union member's dues received throw h intermedia � .afae Police Association 15201 Fifth Avenue -SaIn Rafael CA 3490 SUBTOTAL$ 106.40 '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 ContribUltionS Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 7/01/2012 FORM through 12/31/2012 Page 97 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE - PER ELECTION DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE fir SELF-EMPLOYED. ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 Kimberly Larkey RIND Officer 16.80 651.53 EICOM C/o: San Rafael Police Association [:IOTH 1520 Fifth AvenueCity r-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazy:qaSnCCRafael Police Association. 1520 Fifth Avenue, San Rafael. CA 9490 11/30/2012 Kimberly Larkey FZ I N D Officer 16,80 651.53 El COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue-n,City F� P of San Rafael San Rafael, CA 94901 nion member's dues received throucTh intermedia zv:qaSnCCRafael Police Association 1520 Fifth _Ave -nue San Rafael, CA 94901 1-2/17/2012 Kimberly Larkey NIND Officer 16.80 651.53 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 `� Union member's dues received throw ntermediaiv:E;anCRafael Police Association 1520 Fifth Avenue, San Rafael, CA 9490 07/13/12012 Anndora Lee FXJIND Dispatcher 21.75 506.34 ❑ Com ,C/c: San Rafael Police Association El OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received throw �inteEnLediaiy:E;.SnCd?afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/31/2012 Annd-ora Lee IND Dispatcher 21.75 506.34 ❑ COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 jUnion me ljv: QW�.fae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 03 90 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary ContriautionS Keceived Amounts may be rounded Statement covers period it I to whole dollars. CALIFORNIA i : ' from 07/01/2012 • through 12/31/2012 Page 98 of 163 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 S AND ZIPD. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS} 08/17/2012 / nndora Lee RIND Dispatcher 21.75 506.34 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ PTY City of San Rafael San Rafael, CA 94901 Sn C Un ion member's dues received through interm,ed' of Police Association, 20 F' Avenue. S Rafael, C 94901 08/31/2012 Anndora Lee QIND Dispatcher 21.75 506.34 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ PTS, City of San Rafael San Rafael, CA 94901 nn Union member's dues received throw h intermedia :man Rafae Police Association 1520Fifth Avenue S n Rafael CA 9490 09/14/2012 ndora Lee HIND Dispatcher 21.75 506.34 ❑ COM❑ C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received throe h intermediaxv:qanNZafael Police Association 1520 Fifth Avenue San Rafael CA 9490 10/02/2012 ndora Lee yIND Dispatcher P 13.05 506.34 ❑ COM C/o: Sar_ Rafael Police Association OOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 (❑ Union member's dues received through intermedia :�an Rafae Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 101/15/2012 Anndora Lee RIND Dispatcher 13.05 506.34 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael Sar. Rafael, CA 94901 Union member's dues received throw h intermedia .� afae Police Association 1520 Fifth Avenue S n Rafael CA 9496 SUBTOTAL$ 91.35 'Contributor Codes 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 (666/275-3772) Schedule A (Continuation Sheet) Type or print in ink. n^�# 3-46:--- M --- :.. – -A . - SCHEDULE A (CONT) 1110y UW Fuutlueu Statement covers period IIIA to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 99 Of 163 NAME OF FILER I.D. 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 (IFCOMMITTEE. ALSOENTERLD. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC.31) (IF REQUIRED) — OF BUSINESS) 11/01/2012 Anndora Lee X1ND — F-1 COM Dispatcher 13.05 506,34 C/o: San Rafael Police Association DOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY rl,i to d' Anndora Lee y: SCC -9,n Rafa I EQlice Assocj�jjicj2, 1520 fth Avenue, S D Rafael, CA 949 11/15/2012 RIND F] COM Dispatcher 13.05 506.34 C/o: San Rafael Police Association OTH 1520 Fifth Avenue San Rafael, PTY City of San Rafael CA 94901 Union —member's dues received throu h intermedia Lee :E;anKafaeL Police Association 1520 Fifth _A venue San Rafael 9490 L 11/30/2012 1Anndora RIND Dispatcher 13.05 506.34 El COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 El PTY — Union member's dues received through intermedia 2y qa SnK,.fa I ..,,Police Association, 1520 Avenue. San Rafael CA 9490L 12/17/2012 In,lora Lee MIND Dispatcher .,Fifth M COM 13.05 506.34 CIO: San Rafael Police Association F] OTH 1520 Fifth Avenue San Rafael, CA 94901 PTY City of San Rafael (Union member's dues received through intermedia iy:qanKafael Police Association, I I-011ce Association, 1520 Fifth Avenue, San Rafael, CA 9490L 07/13/2012 Rogelic Leon MIND Sergeant 28,00 651.53 F-1 COM �I520 C/o: San Rafael Police Association ❑ OTH Fifth AvenueCity F-1 PTY of San Rafael (Union Sa Rafael, CA 94901 nion member's du— :Q§PCVafaeL Police Association 1520 Fifth Avenue S Rafael CA 9490L SUBTOTAL$ 80.20 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Small Contributor Committee 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 contribution$ Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA , from 07/0'1/2012 • RM • through 12/31/2012 page 100 Of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CODE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFE COMMITTEE,ALSND CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 07/31/2012 Rogelio Leon RIND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael, Police Association ❑ OTH 1520 Fifth AvenueP TY City of San Rafael San Rafael, CA 94901 jj��i CC Un'o member's d reee've throe to media Sa Rafael PoliceAssociation.5 Fifth venue S R CA 9490L 08/17/2012 % Rogelio Leon RIND Sergeant 28.00 651.53 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia :San Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 08/31/2012 Rogelio Leon RIND Sergeant 28.00 651.53 [:] COM� C/o: San Rafael Police Association OTH 1526 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediaiv:E;aSnKafae1 Police Association 1520 Fifth Avenue San Rafael CA 9490 09J14f2012 Rogelio Leon RIND Sergeant 28.00 651.53 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901(❑ Union member's dues received through intermedia :`-San Vtafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/02/2012 Rogelio Lean RIND Sergeant 16.80 651.53 ❑ COM C/o: Sar_ Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City Of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :� afae Police Association 15201 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 128.80 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCG - Small Contributor Committee www.netfile.com FPPG Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPG (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. / ' from 07/01/2012 FORM through 12/31/2012 Page 101 Of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF COMMITTEE, A�50 ENTER LD.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) 1Oj15J2012 Rogelio Leon ❑X IND Sergeant 16.80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's du s receiveintermediary: Rafaelolice Association. 1520 Fift v n Raf el CA 94901 11x'01/2012 Rogelio Leon ❑ X IND Sergeant 16.80 651.53 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Ej PTY City of San Rafael San Rafael, CA 94901 (; Union member's dues received throe h intermedia :qan �2afae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/15/2012 Rogelio Leon QIND Sergeant 16.80 651.53 [-]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia : E;aSn"R.f.el Police Association 1520 Fifth Avenue San Rafael CA 9490 11/30/2012 Rogelio Leon X IND Sergeant 16 .80 651.53 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 (� Union member's dues received through intermedia :�an 72afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 12/17/2012 Rogelio Leon ❑RIND Sergeant 16.80 651-53 [:]Com C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY !San Rafael, CA 94901 (�Gt+ iUnion member's dues received throw h intermedia .[-B7 ;afae Police Association 1520 Fifth Avenue San Rafael CA 9490 *Contributor Codes 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$ 84.00 FPPC Form 464 (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 • . CALIF_ to whole dollars. / , from 07/01/2012 • through 12/31/2012 Page 102 of 163 NAME OF FILER I.D. 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 (E COMMITTEE, ALSO ENTERI.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07f13J20 12 Kevin Macdougald RIND Officer 28.00 651.51 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazv:qanCCRafael Police Association, 1S20 Fifth v San Rafael.CA 07/31/2012 Kevin Macdougald R ❑ IND Officer 28.00 651.51 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 ((�� Union member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 08;17f2012 Kevin Macdougald QIND Officer 28.00 651.51 ❑COM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue ❑ PT(Y; City of Sari Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qan 72afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 08/31/2012 Kevin Macdougald [MIND Officer 28.00 651.51 ❑ COM CJo: San Rafael Police Association [_1 OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 i�i Union member's dues received through intermedia :EanRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/14/2012 Kevin. Macdougald ❑X IND Officer 28.00 651.51 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 �+r Union member's dueseceived rthrow h intermedia .E -n 1 afae Police Association 1520 Fifth Avenue San Rafael CA 9490 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.ineffile.com SUBTOTAL$ 140.00 [ 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 A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 103 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Kevin Macdougald RIND Officer 16.80 651.51 EICOM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through inter med' iaxv:qSCC Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 10/15/2012 Kevin Macdougald ©IND Officer 16.80 651.51 F -ICOM C/o: San Rafael Police Association FJOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Unioniediarv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael CA 94901 11/01/2012 Kevin Macdougald HIND officer 16.80 651.51 ncom Clo: San Rafael Police Association DOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union member's du diarv:E;aSnC �afael Police Association 1520 Fifth Avenue, San Rafael, CA 9490L 11/15/2012 Kevin Macdougald nx IND Officer 16.80 651.51 DCOM Clo: San Rafael police Association [:1OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 lunion member's dues received throuqh intermedia ry:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 11/30/2012 1Kevin Macdougald RIND Officer 16.80 651.51 ❑ COM ce Association �/o: San Rafael Police ❑ OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 Union Z�er's dues received Lhrouqh iritermediarl y: 5W; afaeQ- Police Association9490[L *Contributor Codes 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$ 84.00 1 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM through 12/31/2012 Page 104 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 12/17/2012 Kevin Macdougald RIND officer 16.80 651.51 F-1 COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 CRafae1 Union member's dues received throughintermedia xv.SC Police Association, 1S20 Fifth Avenue. San Rafael. CA 94901 07/13/2012 M ichael Mathis nX❑IND Corporal 28.00 651.51 ncom C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member, ermediaxv:E;aSnC Rafael Police Association, 1520 Fifth Avenue San RafaelCA9490L 07/31/2012 Michael Mathis nx❑IND Corporal 28.00 651.51 [:]Com C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermed_jaiy:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Michael Mathis OIND Corporal 28.00 651,51 F-1 COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throu h�inter�mediazy:[;asnc�.f.ei Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 081/21/2012 Michael Mathis FXJIND Corporal 28.00 651.51 FICOM iClo: San Rafael Police Association DOTH City of San Rafael '1120 Fifth Avenue F] PTY l'a Rafael, CA 94901 u-ILn member's dues received through intermedia riv:Q§P�Rafaell Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L SUBTOTAL$ 1 1 128.80 *Contributor Codes 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 105 Of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 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) 09/14/2012 Michael Mathis RIND Corporal 28.00 651.51 nCOM C/o: San Rafael Police Association El OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 qsa� lUni n member's dues received through intermedlaiv: an afael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 10/02/2012 Michael Mathis EZIND Corporal 16.80 651.51 EICOM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :E;aSnC Rafael Police Association, 1520 Fifth Avenue, San _Rafael CA 94901 10/15/2012 Michael Mathis BIND Corporal 16.80 651.51 ncom C/o: San Rafael Police Association E]OTH 1520 Fifth AvenueCity San Rafael, CA 94901 n PTY of San Rafael Union member's dues received throe intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/01/2012 Michael Mathis BIND Corporal 16.80 651.51 El COM C/o: San Rafael Police Association [_]OTH of San Rafael 1520 Fifth AvenueCity El PTY (San Rafael, CA 94901 Union member's dues received through intermediaxy:E4SP�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 111/15/2012 Michael Mathis nX IND Corporal 16,80 651.51 n com C/o: San Rafael police Association ❑ OTH City of San Rafael 11520 Fifth Avenue ❑PTY Rafael, CA 94901 lul-_Ipon member's afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 95.20 [ I FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ; 460 from 07/01/2012 FORM through 12/31/2012 Page 106 of 163 NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Michael Mathis Fx] I N D Corporal 16.80 651.51 FICOM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCCr's union-membedues received through inter ediaiv:qan Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490L 12/17/2012 M ichael Mathis nX IND Corporal 16.80 651.51 ncom C/o: San Rafael Police Association F1 OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Unionjj member's dues received throu h intermedia :E;aSnCCRafael Police _Association I520 Fifth _Avenue San Rafael, CA 9490 07/13/2012 Kelly Mauel NIND Records Clerk 21.75 506.32 EICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia zv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2012 Kelly Mauel NIND Records Clerk 21.75 506.32 r-1 Com C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 ,Union member's dues received th2�2��diaxy:E;aSnC(;afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 08/17/2012 Kelly Mauel N IND Records Clerk 21.75 506,32 ❑ COM C/o: San Rafael Police Association El OTH City of San Rafael Fifth Avenue F1 PTY �152C San Rafael, CA 94901 Uni media2lv:QW:Rafae[L Police Association, 1520 Fifth avenue S n Rafael CA 9490 SUBTOTAL$ 98.85 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM through 12/31/2012 Page 107 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 i FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 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) 08/31/2012 !Kelly Mauel Fx� IND Records Clerk 21.75 506.32 FlCOM C/o: San Rafael Police Association [_1OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received through inter mediaxv:qaSnCCRafael Police Association, IS20 Fifth Avenue. San Rafael. CA 94901 — 09/14/2012 Kelly Mauel nx IND Records Clerk 21.75 506.32 DCOM C/o: San Rafael Police Association r] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaSnC Rafael Police Association. 1520 Fifth Avenue San Rafael CA 9490L 10/02/2012 Kelly Mauel [ZIND Records Clerk 13.05 506,32 nCOM C/o: San Rafael Police Association E:1 OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSn"Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/115/2012 Kelly Mauel RIND Records Clerk 13.05 506.32 n Com C/o: San Rafael Police Association [:IOTH City of San Rafael 1520 Fifth Avenue El PTY San Ra�asl , CA 94901 Union member's d ediary:qaS:C�Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 — 11/01/2012 Kelly Mauel [ZIND Records Clerk 13.05 506.32 OCOM Clo: San Rafael Police Association [:1 OTH City of San Rafael 11-520 Fifth Avenue M PTY San Rafael, CA 9490' n member's dues received through intermedianv:Q§P�ZafaeR Inion Police Association, 1520 Fifth Avenue, San Rafael, CA 949011 SUBTOTAL$ [ I 82.66 *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g_ business entity) PTY – Political Party SCC – Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / , from 07/01/2012 •_ through 12/31/2012 Page 108 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT 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) 11/15/2012 Kelly Mauel BIND Records Clerk 13.05 506.32 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueEl P� City of San Rafael San Rafael, CA 94901 nn U member's due received through int e :'San R Police sociat'on. 1520 Fifth Avenue, San Rafael,CA 94901 11/30/2012 Kelly Mauel ❑x IND Records Clerk 13.05 506.32 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueEl PTY City of San Rafael San Rafael, CA 94901 (� Union member's dues received throw h intermedia :`;anafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 Kelly Mauel HIND Records Clerk 13.05 506.32 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCi72.f.el Police Association 1520 Fifth Avenue San Rafael CA 9490 07/13/2012 Abigail Mcelderry RIND Dispatcher 21.75 368.S8 ❑COM C/o: San Rafael Police Association []OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 n(� Union member's dues received through intermedia :`-fan Nafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/31/2012 Abigail Mcelderry [EIND Dispatcher 21.75 368.S8 ❑ COM C;o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PT man Rafael, CA 94901 Union member's dues received through intermedia {� r�^ .Q IT`Rafae Folice Association 1520 Fifth Avenue S n Rafael CA 5490 `Contributor Codes 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$ 82.65 FPPC Form 460 (January/05) FPPC Tall -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. 460, from 07/01/2012 FORM through 12/31/2012 Page 109 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 08/17/2012 Abigail Mcelderry Fx�IND Dispatcher 21.75 368.58 F-1 COM C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael iSan Rafael, CA 94901 1 SanCCRafael Union member's dues received through intermedia iv:q Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/31/2012 Ab igail Mcelderry Fx_j IND Dispatcher 21,75 368.58 F-1 COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received throu h intermediaxv:E;aSnC Rafael Police Association 1520 Fifth Avenue. San Rafael CA 9490 09/14/2012 Abigail Mcelderry BIND Dispatcher 21.75 368.58 [-] COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia2:v:E;aSnC Z2afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Abigail Mcelderry FRI IND Dispatcher 13.05 368.58 F-1 COM C/o: San Rafael Police Association ❑ OTH City of San Rafael .1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermedia q :`San Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 10/15/12012 Abigail Mcelderry EZIND Dispatcher 13.05 368,58 000M /o: San Rafael Police Association C/o: DOTH City of San Rafael Fifth AvenueEl PTY I San Rafael-, CA 94901 ,Union member's dues received throuqh intermedia ily:QW:�afae[l Police Association, 1520 Fifth Avenue, San Rafael, CA 9490[l *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 91.35 1 FPPC Form 460 (January/06) 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 110 Of 163 NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/01/2012 Abigail Mcelderry NIND Dispatcher 13.05 368.58 r -ICOM Clo: San Rafael Police Association [_]OTH 1520 Fifth AvenueCity F1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermediazv:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490L 11/15/2012 Abigail Mcelderry RIND Dispatcher 13.05 368.58 F1 COM C/o: San Rafael pol4Ce Association [-] OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael-, CA 94901 Union member's dues received throw intermedia y:qaSnCCRafael Police Association. 1520 Fifth Avenue. San Rafael CA 9490 11/30/2012 An igail Mcelderry HIND Dispatcher 13.05 368.58 ❑COM C/o: San Rafael Police Association EIOTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qan"Rafel Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 12/17/2012 ! Abigail Mcelderry RIND Dispatcher 13.05 368.58 [:]COM C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member's dues received through intermedia iy:qaSnK.f.el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/13/2012 Phillip Melodia Fx� IND Officer 28.00 651.51 F-1 COM Clo: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue F1 PTY ;San Rafael, CA 94901 !Union member's dues received throu_qh intermediany:QW;afae1l Police Association, 15201 Fifth Avenue, San Rafael, CA 9490�L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity' PTY — Political Party SCC — Small Contributor Committee www.neffile.com SUBTOTAL$ 80 20 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/0112012 FORM through 12/31/2012 Page 111 Of 163 NAME OF FILER I.D. 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 COMMITTEE, AND I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Phillip Melodia ❑IND Officer 28.00 651.51 ❑ Com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 !Inion member's dues received through int ermediaiv: qSCC an Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 08/17/2012 Phillip Melodia [ZIND officer 28.00 651.51 DCOM C/o: San Rafael Police Association ❑ OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throwh intermediaxy: qsp� an afael Police Association 1520 Fifth Avenue Szn Rafael CA 9490L 08/31/2012 _� Phillip Melodia - NIND officer 28.00 651.51 El COM IC/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermediiarv:qaSnC 12afael Police Association 1520 Fifth Avenue, San Rafael CA 9490 09/14/2012 Phillip Melodia XIND officer 28.00 651,51 El COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY iSan Rafael-, CA 94901 'Union member's dues received throw �diaiy:qanKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/02/2012 Phillip Melodia NIND officer 16.80 651.51 nCOM C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throw qh_intermedia ily:E�§P�Zafaell Police Association, 1520 Fifth Avenue, San Rafael, CA 9490[l *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 128.80 1 1 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 112 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, SAND LD. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 101115/2012 Phillip Melodia Fxj IND officer 16,80 651.51 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received through inter mediaiv:qa Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/01/2012 Phillip Melodia FZ IND Officer 16.80 651.51 E-] COM 'C/o: San Rafael Police Association F] OTH 11520 Fifth Avenue ❑ PTY City of San Rafael iSan Rafael, CA 94901 Unioniedia2:v:q.S:CCRafael Police Association. 1520 Fifth Avenue, San Rafael CA 9490L 11/15/2012 Phillip Melodia [�IIND officer 16.80 651.51 EICOM C/o: San Rafael Police Association f_1 OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia an an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Phillip Melodia nx IND officer 16.80 651.51 nCOM C/o: San Rafael Police Association [:jOTH City of San Rafael 1520 Fifth Avenue ❑ PTY afael, CA 94901 San Rafael, Union member's dues received through intermedia_ y:qaSnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/1712012 Phillip Melodia nX IND Officer 16.80 651.51 nCOM Clo: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 intermedia lUnion member's dues received throw �hintermted'arjv Q§P v:Q§PfZafaell Police Association, 1520 Fifth Avenue, San Rafael, CA 9490[L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ a4 00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded —statement covers period CALIFORNIA to whole dollars. A -r60 from 07/01/2012 FORM through 12/31/2012 Page 113 of 163 NAME OF FILER I.D. 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 ENTER ) (IF COMMITTEEALSO 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) 07/13/2012 Beth Minka [ZIND Administrative Technician 21.75 505.98 ❑ COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490 07/31/2012 Beth Minka [ZIND Administrative Technician 21.75 505,98 F-1 COM C/o: San Rafael Police Association [j OTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 member's dues received throucth intermediaiv:aSnKafael qUnion Police Association 1_520 Fifth Avenue. San Rafael CA 94901 08/17/2012 Beth Minka NIND Administrative Technician 21.75 505.98 D COM CIO: San Rafael Police Association DOTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:qaSnK.fae1 Police Associacion_1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Beth Minka BIND Administrative Technician 21.75 505.98 El COM C/o: San Rafael Police Association EJOTH City of San Rafael `520 Fifth Avenue E] PTY San Rafael, CA 94901 Unioniediary:qaSnV�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/2012 Beth Minka RIND Administrative Technician 21.75 505.98 OCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 1Uni ediaijy:QW�afaeE Police Association, 1520 Fifth Avenue, San Rafael CA 949011. *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee ffA", 7WITZ-11A 7-3 mom SUBTOTAL$ 108.75 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 to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 114 of 163 NAME OF FILER I.D. 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 CU M U LATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Beth Minka nx IND Administrative Technician 13.05 505.98 n COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues receiyed through intermediazy: SCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/15/2012 Beth Minka nX IND Administrative Technician 13.05 505.98 ncom C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:qaSnCCRafael Police Association 1_520 Fifth Avenue San Rafael, CA 94901 11/01/2012 Beth Minka NIND Administrative Technician 13.05 505.98 n COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 !union member's dues received throw intermedia iv:aSnC(� q— afae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/15/2012 !Beth Minka [�]IND Administrative Technician 13.05 505.98 n Com C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union me intermediayy:;aSnCCRafael J Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Beth Minka nX IND Administrative Technician 13.05 505.98 El COM Clo: San Rafael Police Association [1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union me mediai1y:Q§i0,(;afae[l Police Association, 15201 Fifth Avenue, San Rafael, CA 9490[L *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g_ business entity; PTY - Political Party SCC - Small Contributor Committee www.netfile.com Al t SUBTOTAL, 65.25 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) 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. 4601: from 07/01/2012 FORM through 12/31/2012 Page 115 Of 163 NAME OF Fl LER I.D. 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 COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 Beth Minks nx IND Administrative Technician 13.05 505,98 [-]COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through interm diaxv:qaSnCCRafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 07/13/2012 Jorge Navarro nx ❑ IND Evidence Technician 21.75 505,98 [:] COM C/o: San Rafael Police Association nOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 ,Union member's dues received through intermedia Av:E;aSnKafae1 Police _Association I520 Fifth Avenue San Rafael CA 94901 07/31/2012 Jorge Navarro BIND Evidence Technician 21.75 505.98 EICOM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 (�afael Unioniediarv:qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Jorae Navarro Fxj IND Evidence Technician 21.75 505.98 nCOM C/o: San Rafael Police Association EJOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Unioniediaiy:EASP(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/12012 Jorge Navarro nX IND Evidence Technician 21.75 505.98 [:] Com C/o: San Rafael Police Association EIOTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 'Union member's dues received throe h intermedia afore Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 100.05 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM through 12/31/2012 Page 116 of 163 NAME OF FILER I.D. 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 RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Jorge Navarro Fx] IND Evidence Technician 21.75 505.98 ❑ COM C/o: San Rafael Police Association E] OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 SCC Union member's dues received throucth intermediaxv:qa Rafael Police Association. 1S20 Fifth Avenue. San Rafael. CA 94901 10/02/2012 Jorge Navarro MX IND Evidence Technician 13.05 505.98 RCOM C/o: San Rafael Police Association F] OTH 1520 Fifth AvenueCity D PTY of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermediaiv: qanscRafae Police Association, 1520 Fifth Avenue San Rafael, CA 9490L 10/15/2012 Jorge Navarro NIND Evidence Technician 13.05 505.98 D COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue F� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuch intermedia iv:E;aSnCRaf.el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Jorge Navarro Fxj IND Evidence Technician 13.05 505.98 ❑ COM Clo: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermed1'aiy:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 11/15/2012 Jorge Navarro 1 nx IND Evidence Technician 13.05 505.98 n COM �C/o: San Rafael Police Association ❑ OTH of San Rafael 1520 Fifth AvenueCity El PTY San Rafael, CA 94901 E�P;Za ,Union member's dues received throw intermedia lly: fael Police Association, 15201 Fifth Avenue, San Rafael, CA 9490Il *Contributor Codes 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$ 73.95 � I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA ' to whole dollars. _ from 0710112012 • through 12/31/2012 Page 117 of 163 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE: ALSO ENTER I.D, NUMBER) CODE {IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Jorge Navarro RIND Evidence Technician 13.05 505.98 ❑ COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 nion membellg.dues receiygd through nt e i :�aC afael Policess c' tion 1520 Fifth ue Rafael, CA 9490 12/17/2012 Jorge Navarro ❑x IND Evidence Technician 13.05 505.98 ❑ COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue F-1PTYCity of San Rafael San Rafael, CA 94901 ((��jj Union member's dues received throw h intermedia :"San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07/13/2012 lexis Nielsen [ZIND Dispatcher 21.75 505.98 ❑ COM C/o: San Rafael Police Association EI OTH 1520 Fifth Avenue ❑ PTY City of Sari Rafael San Rafael, CA 94901 �j (; Union member's dues received through intermedia :Eon 72afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 071/31/2012 lexis Nielsen RIND Dispatcher 21.75 505.98 ❑ COM C/o: San Rafael Police Association ❑ OTH City Of Sari Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94902 (� !Union member's dues received through intermedia :qan �2afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/17/2012 lexis Nielsen Ox IND Dispatcher 21.75 505.98 ❑ COM C; o: San Rafael Police Association ❑OTH City of San Rafael 152v Fifth Avenue PTY i San Rafael, CA 94901 !Union member's dues received throw h intermed rr'�('� Wia afae Police Association 1520 Fifth Avenue San Rafael CA 9490rL *Contributor Codes 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$ 91.35 1 1 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 CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 118 of 163 NAME OF FILER I.D. 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 COMMITTEE, ALSO ENTER LID, NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) OF BUSINESS) 08/31/2012 Alexis Nielsen RxIND Dispatcher 21.75 505.98 RCOM C/o; San Rafael Police Association F-1 OTH 1520 Fifth Avenue El PTY City of San Rafael ,San Rafael, CA 94901 SCC Union member's dues receiyed through intermediaxy:EAn Rafael Police Association. 1520 Fifth Avenue. S n Rafael, Ca 9490 09/14/2012 Alexis Nielsen Fx_jIND Dispatcher 21.75 505.98 EICOM C/o: San Rafael Police Association F-] OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 C Union member's d intermedia anSCRafael Police Association 1520 Fifth _Avenue San RafaelCA9490L_ 10/02/2012 Alexis Nielsen[j] IND Dispatcher 13.05 505.98 F-1COM C/o: San Rafael Police Association [_1OTH 1520 Fifth AvenueCity D PTY of San Rafael San Rafael, CA 94901 E; Union member's dues received through intermedia yv:aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2012 Alexis Nielsen [XIIND Dispatcher 13.05 505.98 [:]COM C/o: San Rafael Police Association E] OTH City of San Rafael 1520 Fifth Avenue PTY ,San Rafael, CA 94901 jUnion member's dues received through intermedia_ y:E4SP �afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 11/01/2012 lexis Nielsen [ZIND Dispatcher 13.05 505.98 DCOM i !C/o: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue R PTY San Rafael, CA 94901 �Union meierls dues received throw intermedia afore Police Association, 15201 Fifth Avenue, San Rafael, CA 949011 SUBTOTAL$ 82,65 *Contributor Codes 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 A to whole dollars. from 07/01/2012 FORM through 12/31/2012 Page 119 Of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT 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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 Alexis Nielsen FX IND Dispatcher 13.05 505.98 FICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 qSCC TT1 , i , I * ediai:v: an Rafael Police c' tic 1520 Fifth Avenue. San Rafael. CA 94901 1-1/30/2012 Alexis Nielsen RIND Dispatcher 13.05 505.98 RCOM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union intermedia rv:qaSnKafael Police Association 1520 Fifth _Avenue San Rafael CA 9490L 12/17/2012 Alexis Nielsen N IND Dispatcher 13.05 505.98 RCOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:qanC �afael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 07/13/2012 Leslie O'Toole [MIND officer 28.00 651.52 RCOM IC/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 jUnion member's dues received through i'ntermediayy:qdSnC�af.e1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 07/31/2012 Leslie O'Toole [MIND officer 28.00 651.52 RCOM Clo: San Rafael Police Association �San [:1 OTH City of San Rafael 1�20 Fifth Avenue Ej PTY Rafael, CA 94901 Uni mediaily: Q§P(;afae[I 1520 Fifth Avenue, San Rafael, CA 9490[L *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity`, PTY — Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 95.15 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) MonetarContributions Received Amounts may be rounded y Statement covers period i CALIFORNIA 460 to whole dollars. from 07/01/2012 . .. .. .. FORM through 12/31/2012- Page 120 of 163 I.D. NUMBER NAME OFFILER San Rafael Police Association Politicai Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17/2012 Leslie O'Toole RIND officer 28.00 651.52 EICOM Clo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dijes received through int ed' y:qa:CCRafa_ql Police A-Qgociation, 1520 Fifth ALr.QUue. S n Rafael, CA .9490 08/31/2012 Leslie O'Toole RIND officer 28.00 651.52 FICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Unionintermedia :qanCRafael Police Association 1520 Fifth Avenue, San Rafael CA 9490L _ 09/14/2012 Leslie O'Toole i RIND officer 28.00 651.52 n COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qaSnCRafael Police Association 1_520 Fifth Avenue, S n Rafael, CA 9490 10/02/2012 Leslie O'Toole FXJIND officer 16.80 651.52 ncom C/o; San Rafael Police Association [:1 OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 Union member's dues received throuqh intermedia :qasncl�.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2012 Leslie O'Toole nX IND Officer 16.80 651.52 ncom !c/o: San Rafael Police Association E] OTH City of San Rafael 11520 Fifth Avenue F] PTY San Rafael, CA 94901 Union member's dues received 11 intermedia QW�afaeL Police Association 1520 SUBTOTAL$ 117.60 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g_ business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 7/01/2012 FORM i through 12/31/2012 Page 121 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 11/01/2012 Leslie O'Toole IND officer 16,80 651.52 ❑ Com C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 union member's dues receiv2d through intermed' iaiv:qaSCC Rafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 9490 11/15/2012 Leslie O'Toole nx IND officer 16.80 651.52 ncom C/o: San Rafael Police Association El OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe gh intermedia..:qaSnCCR.fael Police -Association 1520 Fifth _Avenue San Rafael CA 9490L-- 11/30/2012 Leslie O'Toole BIND Officer 16.80 651.52 ncom C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 C( Union member's dues received through intermediaiv:E;aSn �afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 12/17/2012 Leslie O'Toole RIND officer 16.80 651.52 nCOM ,C/c: San Rafael Police Association El OTH City of San Rafael 1520 Fifth Avenue El PTY San Rafael, CA 94901 Union member's dues received through intermedia xy:qaSnCCafae� Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/13/2012la Pata nX IND IDispatcher 21,75 505.97 ncom 1c: San Rafael Police Association IC,c: EIOTH City of San Rafael :1120 Fifth Avenue n PTY San Rafael, CA 94901 Union -me dy:Q§P�afael Police Assaciatien 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 88.95 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. SCHEDULE A (CONT) Amounts may be rounded Statement covers period CALIFORNIA A to whole dollars. I FORM -r60 from 07/0112012 *Contributor Codes 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 SUBTOTAL$ 100.05 I I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) through 12/31/2012 - Page 122 of 163 I.D. NUMBER NAME OFFILER San Rafael Police Association Political Action Committee 831553 1 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Nicola Pata [-xl IND Dispatcher 21.75 505.97 MCOM ,C/o; San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 C Union membgj1s dues received thrL)Ijah inter ediaiv:qaSnCRafa 1 Police aaggciao 1 20 Fifth Avgnue. S n Rafael, CA 9490L 08/17/2012 Nicola Pata Fxj I N D Dispatcher 21.75 505.97 ICOM C/o: San Rafael Police Association LJOTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received throu h intermedia :E;aSnC 42afael Police Association 1520 Fifth Avenue San Rafael CA 94901 08/31/2012 Nicola Pata BIND Dispatcher 21.75 505.97 D COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue �San PTY City of San Rafael Rafael, CA 94901 Union member's dues received through intermedia :E4SP'�,af.ei Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/14/2012 Nicola Pata FRI IND Dispatcher 21.75 505.97 EICOM C/o: San Rafael Police Association [:]OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 E;aSnC(�afael Union member's dues received through intermedia_ Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/02/2012 Nicola Pata BIND Dispatcher 13.05 505.97 [] COM C/O: San Rafael Police Association [:IOTH City of San Rafael .I520 Fifth Avenue F-1 PTY A 94901 pRafael ' cdues-received through intermedia juni.n member's Q§P� Police Association, 1520IFifth Avenue, S RafaelCA 9490 , 1IL *Contributor Codes 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 SUBTOTAL$ 100.05 I I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA A to whole dollars. 0 from 07/01/2012 FORM 1 through 12/3112012 Page 123 of 163 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 1 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Nicola Pata FxIIND Dispatcher 13,05 505.97 ncom C/o: San Rafael Police Association 00TH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union membel's dues received through inter edlaiy:qaSnCCRafael Police Association, 1520 Fifth Avgn,4t,, San Rafael, CA 9490 11/01/2012 Nicola Pats, Fx_j IND Dispatcher 13.05 505.97 EICOM C/o: San Rafael Police Association EIOTH I520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 q Union intermedia : anqSC Rafael Police Association 1520 Fifth Avenue, San Rafael CA 9490L 11/115/2012 Nicola Pata BIND Dispatcher 13.05 505.97 ncom C/o: San Rafael Police Association nOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia iy:qaSnKafael Police Association 1_520 Fifth Avenue, San Rafael, CA 9490 11/30/2012 Nicola Pata nx IND Dispatcher 13.05 505.97 ncom C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 Union member's��edi_axv:qaSnPRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 12/17/2012 Nicola Pata nX IND Dispatcher 1-3.05 505.97 El COM C/c: San Rafael Police Association [:]OTH City of San Rafael 1520 Fifth Avenue F1 PTY San Rafael, CA 94901 Union member's dues received throw h ajy:QW;afaeLPolice Association, 1520 Fifth Avenue San Rafael. CA 9490k SUBTOTAIL$ 65.25 j *Contributor Codes 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. 460 from 07/01/2012 FORM through 12/31/2012 Page 124 of 163 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW I - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/13/2012 Brian Patterson RIND officer 28.00 625.12 ❑ COM C/o; San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's du received through intermejiA y:qaS.CCRafael Police Association, 1520 Fifth Ave ue. San Rafael. CA 9490. 07/31/2012 -es Brian Patterson Fx_1 IND officer 28.00 625.12 FICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :qaS:CRafael Police Association 1520 Fifth Avenue San Rafael CA 9490t 08/17/2012Brian Patterson BIND Officer 28.00 625.12 ncom C/ci San Rafael Police Association [_1OTH 1520 Fifth Avenue [_1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia qaSnC �afael Police Association 1520 Fifth Avenue, San Rafael, CA 9490L 08/31/2012 Brian Patterson nx IND officer 28.00 625.12 nCOM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue El PTY ,San Rafael, CA 94901 lUnion member's dues received throw intermedia yy,-.JSrP�Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/14/12012 lBrian Patterson nx IND Officer 28.00 625.12 ❑ COM Clo: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY !San Rafael, CA 94901 Unionintermedia QW�RafaeL Police Association 1520 Fifth A--- -J, Rafael CA 9490 SUBTOTAL$ 140.00 1 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g_ business entity; PTY — Political Party SCC — Small Contributor Committee F. 17771 + FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA 460 to whole from 07/01/2012 FORM through 12/31/2012 Page 125 of 163 I.D. NUMBER NAME OFFILER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Brian Patterson BIND Officer 16.80 625.12 000M C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Un' n member's dues received through inter 'a v:E;aSnCCRafael Police Ass ggiation. 1520 Fifth Averu San Rafael, CA 9490 10/15/2012 Brian Patterson [ZIND Officer 16.80 625.12 FICOM !c/o: San Rafael Police Association El OTH 1520 Fifth AvenueF1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues - :E;aSnC Rafael Police Association 1520 Fifth Avenue _Szn Rafael CA 9490L_ 11/01/2012 Brian Patterson OIND Officer 16.80 625.12 ❑ COM C/o: San Rafael Police Association [:10TH 1520 Fifth Avenue El PTY ❑ City of San Rafael San Rafael-, CA 94901 E;zSKCR.fael Union member's dues received thgliah intermedia xy: Police Association, 1520 Fifth Avenue San Rafael, CA 9490L_ 11/15/2012 Brian Patterson BIND officer 16.80 625.12 Com Clo; San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTY •San Rafael, CA 94901 Union member's dues received throuch intermedia Y:qaSnC�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/30/2 012 Brian Patterson FX -1 IND Officer 16.80 625.12 [] Com Ic/.: San Rafael Police Association EIOTH City of San Rafael Fifth Avenue PTY l1520 SanRafael, CA 94901 Union me iediarIy:Q§iV�afaeil Police Association, 1520 Fifth Avenue, San Rafael, CA 9490IL *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Sall Contributor Committee www.netfile.com SUBTOTAL$ 84,00 1 1 J FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) TvDe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA A WO to whole ""W from 7/01/2012 FORM through 12/31/2012 Page 126 of 163 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 1 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/17/2012 Brian Patterson Fx IND officer 16.80 625,12 [:] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 'Inn member's due ecei e t rc)ucfh intermediaiv: qsp� an afael Police Association, 1520 Fifth Avenjje, San Rafael, Q&.. 9490 07/13/2012 Buffy Paxson BIND officer 28,00 651.52 Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received intermedia ia :q'Cn(-Rafael Police Association 1520 Fifth -Avenue San RafaelCA9190L - 07/31/2012 Buffy Paxson [ZIND Officer 28.00 651.52 F-1 COM C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 lUnion member's dues received through intermedia :`man Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/17/2012 Puffy Paxson OIND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throw intermedia :E;a`nK.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2012 Buffy Paxson FX� IND Officer 28.00 651.52 El COM IC/o: San Rafael Police Association EJOTH City of San Rafael 1520 Fifth Avenue F] PTY b._rl Rafael, CA 94901 Union MtMb��erTnediajv, QW�afaell Police Association 1520 Fifth Avenue, S Rafael, CA 9490 .. SUBTOTAL$ 128.80 1 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/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 0710112012 • RM through 1213112012 Page 127 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE S ANDO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPD. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION QF COMMITTEE, 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) 09/14/2012 Buffy Paxson RIND officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueEl PTY City of Sari Rafael San Rafael, CA 94901 SC ,Union ember's dues received through int d an Rafa Police Association. 1520 Fifth Avenue.San Rafael.CA 94901 10/02/2012 Buffy Paxson BIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94902 nn Union member's dues received throu h intermedia :`�asn Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 10;15%2012 Buffy Paxson QIND officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 11520 Fifth Avenue ❑ PTY City of Sari Rafael San Rafael, CA 94901 Union member's dues received through intermedia : qaSnKafael Police Association 1520 Fifth Avenue San Rafael CA 9490 Puffy uffy Paxson MIND officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue❑ PTY San Rafael, CA 94901 r� Union member's dues received through intermedia :`-San Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/15/2012 Buffy Paxson [KIND officer 16.80 651.52 ❑COM CJo: San Rafael Police Association ❑ OTH City of San Rafael 1.520 Fifth Avenue ❑ PTI, San Rafael, CA94901 (�R Union member's dues received through intermedia_ .X88 ti'+'afae Police Association 1S20 Fifth Avenue San Rafael CA 9490 SUBTOTAL$ 9;20 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / � , from 07/01/2012 •_ through 12/31/2012 Page 128 of 163 NAME OF FILER I.D. 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 OFcoMMITTEE,ALSNDILo.NUMBER) * OCCUPATION AND EMPLOYER CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 11/30/2012 Buffy Paxson RIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SanCCRafaelPolice Union member's dues received through intermediaiv:q Association, 1520 Fifth Avenue.n Rafael. - 12/17/2012 Buffy Paxson RIND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia :ga�alCRafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 07/13%2012 Aaron Piombo [ZIND Officer 28.00 611.68 [:]COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Y ❑ PTY City of San Rafael San Rafael, CA 94901 j� Union member's dues received throe h intermedia :`fan 1 afael Police Association 1520 Fifth Avenue San Rafael CA 9490 07J31f2012 Aaron Piombo BIND Officer 28.00 611.68 ❑ COM ,C/o: San Rafael Police Association 11520 Fifth Avenue ❑ OTH of San Rafael 'San Rafael, CA 94901 PTYCity (� Union member's dues received throe h ir_termedia :gan-Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/17/2012 Aaron Piombo ❑x IND Officer 28.00 611.68 ❑ COM C/o: San Rafael Police Association OTH City of San Rafael 11520 Fifth Avenue ❑PTY San Rafael, CA 94901 Union member's dues received through intermedia �G v: ii afae Police Association 1520 Fifth Avenue San Rafael CA 9490LL *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.„ business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 117.60 1 FPPG Form 460 (January/05) FPPG Toll -Free Helpline: 8661ASK-FPPG (8661275-3772) Schedule A (Continuation Sheet) Tvve or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 from 07/01/201' FORM through 12/31/2012 Page 129 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE AENTER INUMBER) (IF COMMITTEE, LSO OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED .D. CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2012 Aaron PiomboMIND Officer 28.00 611.68 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 SCC ( Union member's dues received through intermediarv:q a l Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 09/14/2012 Aaron Piombo RIND Officer 28,00 611.68 RCOM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Unioniediaxy:qaSnKafael Police Association 1520 Fifth Avenue, San Rafael. CA 9490L 10/02/2012 Aaron Piombo MIND officer 16.80 611.68 EICOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 C Union member's d ediaxv:E;aSnC Rafael Police Association 1520 Fifth Avenue, San Rafael, CA 94901 10/115/2012 Aaron Piombo RIND officer 16.80 611.68 RCOM C/o: San Rafael Police Association [:IOTH of San Rafael 1520 Fifth AvenueCity El PTY San Rafael, CA 94901 Union member's dues received through intermedia zy:( q.SnC 72afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Aaron Piombo MIND Officer 16.80 611.68 RCOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑PTY nRafael, CA 94901 on member's dues received through intermedia iJjZafaejl :QP; Police Association, 152C Fifth Avenue, San Rafael, CA 9490iL SUBTOTAL$ 1 106.40 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 460: from 7/01/2012 FORM through 12/31/2012 Page 130 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC, 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 Aaron Piombo Fx] IND officer 16,80 611.68 ❑ COM C/o: San Rafael Police Association OTH 11520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 E; Union member's dues received through intermediaiv: aSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490L 11/30/2012 Aaron Piombo [ZIND Officer 16.80 611.68 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901C !Union member's du diaxv:qaSnC Rafael Police Association 1520 Fifth Avenue SEn Rafael, CA 94901 12/17/2012 raron Piombo NIND Officer 16.80 611.68 ncom C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's d edijaxv:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 07/13/2012 Kenneth Poehlma- Fxj IND officer 28 .00 550.72 nCOM C/o: San Rafael Police Association E] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 SKafael Union member's dues received through intermediary:E;..( Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 07/31/2012 iKenneth Poehlman MIND officer 28.00 550.72 nCOM Clo: San Rafael Police Association [IOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throw intermedia .Q Police Association_ 15201 Fifth Avenue, San Rafael, CA 9490 'Contributor Codes 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$ 106.40 1 -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 statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2012 FORM through 12/31/2012 Page 131 Of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED -D. CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/17/2012 Kenneth Poehlman Fx_j IND officer 28.00 550.72 Q COM C/O: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 nion member's dues received throuah intermedia xv:qa'nCCRafael Police Association. 1520 Fifth Avenue. San Rafael. CA 94901 08/31/2012nnet Poehlman [ZIND officer 28.00 550.72 OCOM C/o: San Rafael Police Association FIOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's intermedia iv:qaSnKafael Police Association, 1520 Fifth Avenue. San Rafael CA 9490L 09/14/2012 Kenneth Poehlman [Z IND Officer 28.00 550.72 ncom C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 Union me intermedia Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 07/13/2012 Dennis Prince RIND Officer 28.00 651.52 [:] COM C/o: San Rafael Police Association ❑ OTH of San Rafael 1520 Fifth AvenueCity El PTY !San Rafael, CA 94901 i S Union member's dues received throuqh intermediary:E;afCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 07/31/2012 Dennis Prince NIND officer 28.00 651.52 n COM C/o: San Rafael Police Association E] OTH City of San Rafael 11520 Fifth Avenue El PTY ISan Rafael, CA 94901 jUnion member's dues received throuqh intermedia jv:Q�PCRafaeR Police Association 1520 Fifth Avenue S Rafael CA 9490 SUBTOTAIL$ 1 1 140.00 *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 A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01Z2012 FORM through 12/31/2012 Page 132 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (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) 08/17/2012 Dennis Prince [2]IND Officer 28.00 651.52 DCOM C/o: San Rafael Police Association [-] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 SCC Union member's dues received tu(4h intermediaiv:E;a Rafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 9490L 08/31/2012 Dennis Prince Fxj IND officer 28.00 651.52 nCOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union intermedia rv:qaSnKafael Police Association 1520 Fifth Avenue ,_Sen Rafael CA 94901 09/14/2012 Dennis Prince NIND Officer 28.00 651.52 ncom C/ci San Rafael Police Association EIOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union intermedia 2:v:E;aSnKafael Police Association 1520 Fifth Avenue, San Rafael, CA 9490L 10/02/2012 Dennis Prince ZIND officer 16.80 651.52 nCOM Clo: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's d ediaxy:qaSnC(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 10/15/2012 !Dennis Prince ®IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue III PTY San Rafael, CA 94901 Union *Contributor Codes 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$ 1, 7.60 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 4601 from 07/01/2012 FORM through 12/31/2012 Page 133 of 163 NAME OF 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 CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTERLD. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/01/2012 Dennis Prince Rx IND officer 16.80 651.52 EICOM C/o: San Rafael Police Association F-IOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermeth ary:qaSnCCafael Police Association. 1520 Fifth Avenue. San Rafael, CA 9490L ll/lS/2012 Dennis Prince F_xj IND Officer 16.80 651.52 EICOM C/o: San Rafael Police Association [:1OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedianv: anSC San Rafael Police Association 1520 Fifth _Avenue San Rafael CA 9490L 11/30/2012 s DennisPrince NIND Officer 16.80 651.52 [:]COM C/o: San Rafael Police Association [:IOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 E; Union member's d edia:Lv:aSnKafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/ 1 2012 Dennis Prince [RIND officer 16.80 651.52 ❑ Com Clo; San Rafael Police Association ❑ OTH City of San Rafael iI520 Fifth AvenuePTY iSan Rafael, CA 94901 Union member's dues received throe l2lintermedia ry:qaSnC'�tafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 Ronda Reese Fx� IND Corporal 28.00 651.52 ❑ COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 9490-1 Union member's dues received throjj_qh intermedia_1v:1:iP;Zafae[L Police Association, 15201 Fifth Avenue, San Rafael, CA 949011 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee ,t, , WITTINT-1 110187 SUBTOTAL$ 95.20 1 1 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2012 • RM through 12131/2012 Page 134 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLovED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07f31/2012 Ronda Reese X IND Corporal 28.00 651.52 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCC Union member's received throughintermediary: an afael Police Association, 1520 Fifth Avenue.San Rafael.CA 949 O8J17J2012 Ronda Reese ❑X IND Corporal 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 n Union member's dues received thrcu h intermedia :`'San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 O8/31J2012 Ronda Reese ❑X IND Corporal 28.00 651.52 ❑ COM Cjo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTYCity of San Rafael San Rafael, CA 94901 nn Union member's dues received throw h intermedia :`man 72afae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/14/2012 Ronda Reese nIND Corporal 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 (r'� Union member's dues received throw h intermedia :�an'Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/02/2012 Ronda Reese ❑X IND Corporal 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH City Of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received throe hintermedia afae Police Association 15201 Fifth Avenue San Rafael CA 9490 SUBTOTAL$ 128.80 *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.netfile.com FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 8881ASK-FPPC (8881275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded -Statement covers period --111 CALIFORNIA to whole dollars. 4 0 from 07/01/2012 FO16" RM through 12/31/2012 Page 135 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Ronda Reese Fx-JIND Corporal 16.80 651,52 ncom C/o: San Rafael Police Association El OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxv:qanCCRafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490 11/01/2012 Ronda Reese nX IND Corporal 16.80 651.52 ncom C/o: San Rafael Police Association n OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qSCC an Rafael Police Association, 1520 Fifth Avenue S n Rafael, CA 94901 11/15/2012 Ronda Reese [ZIND Corporal 16.80 651.52 000M CIO: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary:` -San afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Ronda Reese ZIND Corporal 16.80 651.52 nCOM C/o: San Rafael Police Association EIOTH City of San Rafael Fifth Avenue ❑1S20 PTY San Rafael, CA 94901 Union mem -intermediaxy:qasnc �z.f.el Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/12012 Ronda Reese RIND Corporal 16.80 651.52 nCOM C/O: San Rafael, Police Association ❑ OTH '1520 Fifth AvenueCity i L]PTY of San Rafael ,San Rafael, CA 94901 Union member's dues received through intermedia ily:QW:�afae[L Police Association, 1520 Fifth Averue, San Rafael, CA 9490ll *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 84, OT FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / ' from 07/01/2012 FORM through 12/31/2012 Page 136 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07f13/2012 Margo Rohrbacher RIND Civilian Supervisor 21.75 505.98 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Ra Union e e 's dues received through intermSC ae Police Association, 15 0 Fifth Avenue.San Rafael,CA 94901 07!31f2012 Margo Rohrbacher g ❑ IND Civilian Supervisor 21.75 505.98 ❑ COM 'C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City Of San Rafael San Rafael, CA 94901 Union member's dediaiy:qaSnKAfael Police Association 1520 Fifth Avenue San Rafael CA 9490 08f17J2012 Margo Rohrbacher BIND Civilian Supervisor 21.75 505.98 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :[;an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 08/31/2012 Margo Rohrbacher ❑X IND Civilian Supervisor 21.75 505.98 ❑ COM CJo: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 nn tdia (Union member's dues receivedhrou h interme :`;an Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/14/2012 Marge Rohrbacher OIND Civilian Supervisor 21.75 505.98 ❑ COM C/c: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 n er's dues received thrormedia Union membu h inte .�- §er afae Police Association 15201 Fifth Avenue San Rafael CA 9490 "Contributor Codes 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$ 108,75 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. A �760 from 0710112012 FORM through 1213112 012 page 137 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT 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) 10� 02/2012 Margo Rohrbacher FxJIND Civilian Supervisor 13.05 505.98 [JCOM C/o: San Rafael Police Association FIOTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 SCG union member's dues received through intermediaiv:qa Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490L 10/15/2012 Margo Rohrbacher BIND Civilian Supervisor 13.05 505.98 [:] Com C11o: San Rafael Police Association [-] OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's due iaiv:qaSnC Rafael Police Association. 1520 Fifth Avenue San Rafael, CA 94901 11/01/2012 Margo Rohrbacher NIND Civilian Supervisor 13.05 505.98 [:] Com C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity F� PTY of San Rafael San Rafael, CA 94901 Union intermedia 2:v:E;aSnC(Z2afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2012 Margo Rohrbacher nx IND Civilian Supervisor 13.05 505,98 FlCOM .C/o: San Rafael Police Association Fifth AvenueCity [:IOTH of San Rafael i1520 Ej PTY San Rafael, CA 94901 Union member's d ediaxy:qaSnCCRafael Police Association, I520 Fifth Avenue, San Rafael, CA 9490L 11/30/2012 Margo Rohrbacher FX -1 IND Civilian Supervisor 13.05 505.98 ❑ COM Clo: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue r] PTY San Rafael, CA 94901 lUnion member's dues received throe �hint�ermediai!y:Q§p f.e[l Police Association, 1520 Fifth A -venue, San Rafael, CA 9490l SUBTOTAL$ 1 65.25 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g,, business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 60 from 07/01/2012 FORM through 12/31/2012 Page 138 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 i DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER 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) 12/17/2012 Margo Rohrbacher Fxj I N D Civilian Supervisor 13.05 505.98 [-]COM C/o: San Rafael Police Association E]OTH I520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through inter ed' :`SSC nC Rafael Police Association. 1520 Fifth Avenue. San Rafael. CA 9490L 07/13/2012 Peggy Ruge rX_j IND Community Service officer 21.75 505.97 FlCOM Clo: San Rafael Police Association FJOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCR afael Police Association, 1520 Fifth Avenue, San Rafael CA 9490 07/31/2012 Peggy Ruge - NIND Community Service Officer 21.75 505.97 [-] COM C/o: San Rafael Police Association [:]OTH ❑City 1520 Fifth Avenue F-1 PTY of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:E;.SnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/17/2012 Peggy Ruge [_Xj IND Community Service Officer 21.75 505.97 F -ICOM !,C/o: San Rafael Police Association ❑ OTH 11520 Fifth Avenue !San ❑ PTY City of San Rafael Rafael, CA 94901 i jUnion member's dues received through intermediary:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 08/31/2012 1,11eggy Ruae FX� IND Community Service Officer 21.75 505.97 F-1 COM Clo: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue El PTY Sap Rafael ' CA 94901 Union _n memberls dues received through intermedia _dy:E�W�afaefl Police Association, 15201 Fifth Avenue, Sir- Rafael, CA 9490lL *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 100.05 1 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 to whole dollars. CALIFORNIA from 07/01/2012 FORM through 12/31/2012 Page 139 of 163 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 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) 09/14/2012 Peggy Ruge RIND Community Service Officer 21.75 505.97 n COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenuePTY City of San Rafael San Rafael, CA 94901 C n'omember's dues received through t d" :Ean e Police s c' t'o 0 Fifth Avenue.Rafael CA 9490 10/02/2012 Peggy Ruge BIND Community Service Officer 13.05 505.97 n COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue Y F-1 PTY City of San Rafael San Rafael, CA 94901 (�j Union member's dues received through intermedia :Ewan Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15%2012 Peggy Ruge BIND Community Service Officer 13.05 505.97 n COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue PTY City of San Rafael Sar, Rafael, CA 94901 (n( Union member's dues received through intermedia :gaSn 72afae Police Association 1520 Fifth Avenue San Rafael CA 9490 11%011/2012 Peggy Ruge MIND Community Service Officer 13.05 505.97 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia :q.SnC �afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9496 11/15/2012 Peggy Ruge FX IND Community Service Officer 13.05 505.97 E] COM C/o: San Rafael Police Association DOTH City of San Rafael 1520 Fifth Avenue n PTY San Rafael, CA 94901 Union member's dues received through intermedia �rr .afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 73.95 FPPC Form 480 (January/05) FPPC Tall -Free Helpline: 888/ASK-FPPC (8881275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA, from 07/01/2012 • RM through 12/31/2012 Page 140 of 163 NAME OF FILER I.D. 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) 11/30/2012 Peggy Ruge ❑X IND Community Service Officer 13.05 505.97 ❑COM C/o: San Rafael Police Association !1520 ❑ OTH Fifth Avenue❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through edia:nn aCC Police 1520 Fifth Avenue.Rafael, CA 9490 12/17/2012 Peggy Ruge BIND Community Service Officer 13.05 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑ P-� Y City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh_intermediaiv:qaSnCr-R.f.e1 Police Association 1520 Fifth Avenue S n Rafael CA 9490 07/13/2012 Thomas Sabido ❑x IND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PT(Y'� City of San Rafael San Rafael, CA 94901 n❑ Union member's dues received throw h intermedia :`-fan Z2afae Police Association 1520 Fifth Avenue San Rafael CA 9490 07/31/2012 l Thomas Sabido X IND Officer 28.00 651.52 ❑ COM �C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 n (� Union member's dues received through intermedia :'-3an'12afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 08/17/2012 Thomas Sabido ❑X IND Officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association [:]OTH 1520 Fifth Avenue ❑ PTY City of San Rafael _San Rafael, CA 94901 Union member's dues received through intermedia afae Police Association 152G Fifth Avenue Sin Rafael CA 9490 SUBTOTAL$ 110 1G *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCG) OTH - Other (e.g., business entity; PTY - Political Party SCG - 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 ontrinutionS Keceivea Amounts may be rounded Statement covers period — to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 141 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 081/31/2012 Thomas Sabido BIND Officer 28.00 651.52 DCOM C/o; San Rafael Police Association F-IOTH 1520 Fifth AvenueCity F� PTY of San Rafael San Rafael, CA 94901 — Union member's dues received through inter ediaxv: aqSnCC Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09/14/2012 Thomas Sabido rx-1 IND officer 28.00 651.52 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity F1 PTY of San Rafael San Rafael, CA 94901 Union —h-- A, ediaxv:E;aSnCCRafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 10/02/2012 Thomas Sabido BIND officer 16.80 651.52 EICOM C/o: San Rafael Police Association EJOTH 1520 Fifth Avenue F_� PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia an Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490, 10/15/2012 Thomas Sabido FRI IND officer 16.80 651.52 EICOM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received thLouh intermedia iy:[;.SnC( � afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 Thomas Sabido FX�IND Officer 16.80 651.52 [:] COM C/o: San Rafael Police Association ❑ OTH !1520 i Fifth Avenue FIPTY ❑ City of San Rafael iSan Rafael, CA 94901 Union member's dues received throuqh intermediaiiv:Q§19(�afae[l Police Association, 1520 Fifth Avenue, S Rafael, CA 949011 SUBTOTAL$ 1 106,40 *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. A from 07/01/2012 FORM -r60 through 12/31/2012 Page 142 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D, NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2012 Thomas Sabido FxJIND Officer 16.80 651.52 []COM C/o: San Rafael Police Association [:]OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union s dues received throunth inter mediaxv:E;anCCRafael _�jo_n__1520 Police Aag_gf_jiat Fifth Avenue. San Rafael. CA 9490 11/30/2012 Thomas Sabido BIND officer 16.80 651.52 DCOM C/o: San Rafael Police Association F1 OTH 1S20 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/2012 Thomas Sabido RIND Officer 16.80 651.52 El COM C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 C Union member's dues received throw intermedia :[;an i2afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/13/2012 George Schikore [MIND Officer 28.00 651.52 QCOM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 9490- Union member's dues received throe intermediary:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901___ 07/31/2012 Peorge Sch1kore FX-JIND Officer 28.00 651.52 [-I Com C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe h intermedia SST afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes 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$ 106.40 7 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 —statement covers period to whole dollars. from 07/01/2012 through 12/31/2012 Page 143 of 163 NAME OFFILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) RECEIVED CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW I - DEC. 31) (IF REQUIRED) OFBUSINESS) 08/17/2012 George Schikore BIND officer 28.00 651.52 El COM CIO: San Rafael Police Association EJOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 - Unign member's dues received through intermediaiv:[;aSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 08/31/2012 George Schikore Fx� IND officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑City PTY of San Rafael San Rafael, CA 94901 Union member, ermediaiv:aSnCCRafael q Police Association, 1520 Fifth Avenue San Rafael, CA 9490 09/14/2012 George Schikore Fx] IND officer 28.00 651.52 [:] COM C/o: San Rafael Police Association DOTH ❑City 1520 Fifth Avenue F] PTY of San Rafael San Rafael, CA 94901 - Union member's duereceived through intermediaxy:E;anKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 10/102/2012 George Schikore RX IND Officer 16.80 651.52 r-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 - Union member's dues received through intermed-Jaxy:qaSnK.fael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2012 George Schikore RIND Officer 16.80 651.52 i F71COM 1C/o: San Rafael Police Association [:]OTH '1520 Fifth Avenue ❑ PTY City of San Rafael San lRafael, CA 949C! Union member's d ues received throe h intermedia_ fid' afae Pci ce Association 1520 Fifth Iyvenue S n Rafael CA 9494 SUBTOTAL$ 117.60 *Contributor Codes 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) IYWflfrtdry ConinbuiIORS Received Amounts may De rounded Statement covers period 1111111 to whole dollars. CALIFORNIA: ' from 07/01/2012 • through 12/31/2012 Page 144 of 163 NAME OF FILER I.D. 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} 11/01/2012 George 8chik_ore Rx IND Officer 16.80 651.52 R COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 on member's dLies received through ter ed'a SCR ore Po 'c Association, 520 Fifth Avenue,S foe 94901 11/15/2012 George Schik_ore MND Officer R COM 16.80 651.52 C/o: San Rafael Police Association R OTH 1520 Fifth Avenue R PTY R City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :`'San Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 11/30/2012 George Schikare RIND Officer 16.80 651.52 ❑COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 Y R PTY Union member's dues received throu h intermedia San 72afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 12/17/2012 / � George Schikore RIND Officer 16.80 651.52 (Clo: R COM San Rafael Police Association DOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia j}R� :`-?an Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 -.Tustin Schraeder RIND Officer 28.00 651.52 RCOM C/o: San Rafael Police Association 1520 Fifth Avenue � PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia .Q§p afore Felice Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 95 20 `Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary uontributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 145 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2012 Justin Schraeder rx-1 IND officer 28.00 651.52 [-] COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 SCC q Union member's dues received through intermediary: an Rafael Police Ass ociatign, 1520 Fifth Avenue. San Rafael. CA 9490 08/17/2012 Justin Schraeder r x_1 IND Officer 28.00 651,52 F-1 COM San Rafael Police Association r_1 OTH �C/o: 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 [;aSnCRafael Union member's dues _received ��ermediaxv: Police Association 1520 Fifth _Avenue San Rafael CA 94901 08/31/2012 Justin Schraeder NIND officer 28,00 651.52 ncom C/o: San Rafael Police Association El OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received throu h intermediazv:qaSnC Rafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 09/14/2012 Justin Schraeder RIND off -1cer 28.00 651.52 ncom C/o: San Rafael Police Association nOTH 1520 Fifth AvenueCity PTY of San Rafael iSan Rafael, CA 94901 Union member's dues received through intermedia ry:qaSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Just"' Schraeder nX IND Officer 16.80 651.52 El COM C/o: San Rafael Police Association El OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Unionafae Police Association, 1520 Fifth Avenue, Sir Rafael, CA 9420I - SUBTOTAL$ 1 1 128,80 *Contributor Codes 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 GontrIbUtionS Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01Z2012 FORM through 12/31/2012 Page 146 of 163 NAME OF FILER I.D. 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) 10/15/2012 Justin Schraeder Fx� IND officer 16.80 651,52 RCOM C/o: San Rafael Police Association ROTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 C union member's dues received through inter ediaiv:E;aS :`SSC Rafael Police Association, 1520 Fifth AveU112, San Rafael, CA 11/01/2012 Justin Schraeder RIND Officer 16.80 _9490. 651.52 R COM C/o: San Rafael Police Association R OTH 1520 Fifth AvenueCity PTY of San Rafael San Rafael, CA 94901 E; CRafael Union member's dues received throu h intermedia ry : aSnC Police Association 1520 Fifth Avenue, S n Rafael, CA 9490L 11/15/2012 Justin Schraeder Rx IND officer 16.80 651.52 El COM C/o: San Rafael Police Association E:1 OTH 11520 Fifth Avenue City of San Rafael !San Rafael, CA 94901 R PTY E;SCs - Union member'dues received through intermedia an 1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2012 Justin Schraeder Fxj I N D officer 16.80 651.52 RCOM c/o: San Rafael Police Association E:1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 El - Union member's dues received through intermedia iy:E;aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/17/2012 Justin Schraeder RX IND Officer 16.80 651.52 F-1 COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues rece�ived throu h �intermediany:afaefl Police Association, 1520 Fifth Avenue, San Rafael, CA 9490� SUBTOTAL$ 114.00 *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 (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary contribution$ Keceived Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460; from 07/01/2012 FORM through 12/31/2012 Page 147 of 163 NAME OF FILER I.D. 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 ENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/13/2012 Wanda Wanda Spaletta Sergeant 28.00 651.52 ❑ COM C/o: San Rafael Police Association 1520 Fifth Avenue Pn City Di�i of San Rafael San Rafael, CA 94901 CC Union ember's dues received through dia :`a a e Police ssoc' tion 1520 Fifth Avenue.San RafaQl,CA 94901 C7j31J2012 Wanda Spaletta QIND Sergeant 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY ❑ Y City of Sari Rafael San Rafael, CA 94901 Uniiediaxv:E;aSnNzafae1 Police Association 1520 Fifth Avenue San Rafael CA 9490 08/17/2012 Wanda Spaletta QIND Sergeant 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 j Union member's dues received through intermedia :`?an Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 08/31/2012 Wanda Spaletta ❑X IND Sergeant 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY Y City of San Rafael San Rafael, CA 94901 ❑ 'Union member's dues received through intermedia : qan Tcafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/14/2012 Wanda Spaletta MX IND Sergeant 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia .� afore Police Association 152C Fifth Avenue Sin Rafael CA 9490 SUBTOTAL$ 140,00 `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 464 (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 to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12131/2012 Page 148 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREETA S AND ZIPo. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED COMMITTEE. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/02/2012 Wanda Spaletta ❑x IND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael .San Rafael, CA 94901 Union member's dues received through intermediaxy:qaECCRafael Police Association, 1S20 Fifth Avenue. Rafael. CA 94901 10/15/2012 Wanda Spaletta FZ IND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Y El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermedia :qan Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 11/01%2012 Wanda Spaletta ❑X IND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1526 Fifth Avenue ❑ PTY City of San Rafael iSan Rafael, CA 94901 i �nj Union member's dues received throe h irtermedia San (- afae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/1S/2012 % Wanda Spaletta RIND Sergeant 9 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue TY City of San Rafael f San Raael, CA 94901P Union member's dues received through intermedia :`-San(Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9496 11;30%2012 Wanda Spaletta ❑X IND Sergeant 16.30 651.52 ❑ COM Clo: San Rafael Police Association.- ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia .�-$Qi7 afae Police Association 1520 Fifth Avenue San Rafael CA 9490 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCG - Small Contributor Committee www.neffile.com SUBTOTAL$ 84.00 FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (666/275-3772) 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. , from 07101%2012 • through 12/31/2012 Page 149 of 163 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 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) 12/17/2012 Wanda Spaletta RIND Sergeant 16.80 651.52 ❑COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue❑P-1-Y City of San Rafael San Rafael, CA 94901 n�i Unionmember's due received through 'nte media : SaC R el Police Association, 1S20 Fifth Avenue.n Rafael, CA 9490 07/13/2012 Christopher Sweeney RIND officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 j� Union member's dues received throe h intermedia :`'San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07/31/2012 Christopher Sweeney RIND officer 28.00 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueCity Y ❑PTY of Sari Rafael San Rafael, CA 94901 j�i Union member's dues received throe h edia interm :`uan 72afae Police Association 1520 Fifth Avenue San Rafael CA 9490 08/17/2012 Christopher Sweeney RIND officer 28.00 651.52 ❑COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throug2_intermediaiy:qaSnC'RafaeI Police Association, 1520 Fifth Avenue, San Rafael, CA 9490- 08/31/2012 Christopher Sweeney RIND officer 28.00 651.52 F'COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 otermedia Union member's dues received thre h in .�Gr 7 `jafae Police Association 15201 Fifth Avenue SaIn Rafael CA 949011 SUBTOTAL$ 128.80 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary ContributionS Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 Page 150 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/14/2012 Christopher Sweeney Fx_j IND officer 28.00 651.52 RCOM C/o: San Rafael Police Association DOTH 1520 Fifth AvenueCity El PTY of San Rafael (San Rafael, CA 94901 Union member's dues received through intermediaiv:qSCC an Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 10/02/2012 Christopher Sweeney BIND Officer 16,80 651.52 EICOM C ' /o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue E] PTYC City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia :`man Rafael Police Association 1520 Fifth Avenue. San -Rafael CA 9490 10/15/2012 Christopher Sweeney RIND Officer 16.80 651.52 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth fth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 member's dues received throuqq intermedia xv:E;anC�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/01/2012 .Union Christopher Sweeney Px IND officer 16.80 651.52 El COM !C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue ❑PTY City of San Rafael iSan Rafael CA 94901 I E; Union member's dues received throw intermediaxy:aSnKafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/15/2012 Christopher Sweeney RIND Officer 16.80 651.52 EICOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY Citv of San Rafael San Rafael, CA 94901 jUnion member's dues received through intermedia ry:Q§P�afaefl Police Association, 1520 Fifth Avenue, San Rafael, CA 9490ll SUBTOTAL$ 95 20 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC — Small Contributor Committee www.nettile.com FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) iviumAdry CuFuFibution5 Received Amounts may no rounded Statement covers period I' I I I I to whole dollars. , from 07/01/2012 s , through 12131/2012 Page 151 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDIPD.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED COMMITTEE,RLSENTER CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2012 Christopher Sweeney ®IND Officer El COM 16.80 651.52 C/o: San Rafael Police Associatior, ❑ OTH 1520 Fifth AvenueR P� City of San Rafael San Rafael, CA 94901 nio member's dues received through intermedia v:aCCf e Po Association, 0 Fifth Avenue, Rafael, CA 9490 12/17/2012 Christopher Sweeney RIND Officer [:]COM 16.80 651.52 C/o: San Rafael Police Association rjOTH 1520 Fifth Avenue ❑ Pte, City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia (�j :`'San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 07f13/2012 Charly Taylor RIND Civilian Supervisor 21.75 505.97 ❑ COM� Cf o: San Rafael Police Association OTH 1520 Fifth. Avenue PT[Y; City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermedia :E4an iRafael Police Association 1520 Fifth Avenue San Rafael CA 9496 07/31/2012 Charly Taylor RIND Civilian Supervisor 21.75 505.97 ❑COM C/o: San Rafael Police Association ElOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received throe h intermedia n❑n :`;an Rafae Police Association, 1520 Fifth Avenue, S n Rafael, CA 9490 08/17/2012 Charly Taylor RIND Civilian Supervisor 21.75 505.97 ❑ COM C/o: San Rafael Police Association EIOTH 1520 F4fth Avenue P n City of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 98.85 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCG — Small Contributor Committee www.netfile.com FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULER (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers.--pe—riod-_1111111• . CALIFNIA to whole dollars. , from 07/01/2012 • RM through 12/31/2012 Page 152 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR SAND ZIP DEO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, .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) 08%31f2012 Charly Taylor X IND Civilian Supervisor 21.75 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 SCC Union 'sreceived o d` a Police o 'ati 20 Fifth Avenue San Rafael, CA 9490 09/14f2012 Charly Taylor X IND Civilian Supervisor 21.75 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of Sari Rafael San Rafael, CA 94901 n (; Union member's dues received through intermedia :`San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/02/2012 Charly Taylor [ZIND Civilian Supervisor 13.05 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH ,1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 n❑ Union member's dues received throw h intermedia :`man �afae Police Association 1520 Fifth Avenue San Rafael CA 9490 1OJ15j2012 Charly Taylor BIND Civilian Supervisor 13.05 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 nnan(; Union member's dues received throw h intermedia :`-312afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 11/01/2013 Charly Taylor [ZIND Civilian Supervisor 13.05 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY Rafael, CA 94901 �} TSan Jnion member's dues received throw h intermedia .Q afae Police Association 1520 Fifth Avenue San Rafael CA 9490 'Contributor Codes 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$ 82.65 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.) Ivion iary Contri butionS Keceived Amounts may no rounded Statement covers period Il VIII to whole dollars.CALIFORNIA , from 07/01/2012 " , through_ 12/31/2012 Page 153 of 163 NAME OF FILER I.D. 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) 11/15/2012 Charly Taylor MIND Civilian Supervisor 13.05 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑n PTY City of San Rafael San Rafael, CA 94901 SCC Union member's s received t u h 'nte ed' :`Lan Rafaelis Association. 520 Eifth Avenue, SEa Rafael,A 9 4901 11/30/2012 Charly Taylor nIND Civilian Supervisor 13.05 505.97 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue El PTY City of San Rafael San Rafael, CA 94901 nn Union member's dues received throu h intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 Charly Taylor RIND Civilian Supervisor 13.05 505.97 El COM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY Union member's dues received through intermediaxy:q2CiCR.fael Police Association 1520 Fifth Avenue S n Rafael CA 9490 07/13/2012 Henry Tirre ❑ MIND Officer 28.00 651.52 ❑ COM Clo: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY� City of San Rafael San Rafael, CA 94901(❑ Union member's dues received through intermedia :`j an(Rafae Pclice Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/31/2012 Henry Tirre ❑X IND Officer 28.00 651.52 ❑ COM 'C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94902 tinicn member's dues received through intermedia -� afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL$ 95,1S *Contributor Codes IND—Individual COM — Recipient 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary ontributions Keceivea Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 07/01/2012 FORM through 12/31/2012 page 154 of 163 NAME OF FILER I.D. 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) 08/17/2012 Henry Tirre RIND officer 28.00 651.52 El COM C/o: San Rafael Police Association F-1 OTH 20 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 C — U ]2 member's dues received throucrh intermediaxy:E;aSnC Rafael Police Association, 1520 Fifth Avenue. San Rafagl, Qp, 9490 08/31/2012 Henry Tirre RIND officer 28,00 651.52 MCOM C/o: San Rafael Police Association F] OTH 1520 Fifth AvenueCity M PTY of San Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia yyqSK f 8an Parae_ 1 Police Association 1520 Fifth Avenue an Rafael CA 94901 09/14/2012 Henry Tirre RIND officer 28.00 651.52 r-1 COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901❑PTY - Union member's d ediaiv:E;anCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/02/2012 Henry Tirre MIND officer 16.80 651.52 ❑Com '!C/o: San Rafael Police Association [:1OTH 1520 FifthAvenue PTY City of San Rafael San Rafael,CA 94901 ❑ - Union member's dues received through intermediaxy:E;aSnC (�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2012 Henry Tirre MIND Officer 16.80 651.52 ❑COM C/o: San Rafael Police Association EIOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Unionintermedia Rafael, CA 9490 SUBTOTAL$ 1 117.60 *Contributor Codes 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 . to whole dollars. • from 07Jo1J2012 • through 12/31/2012 page 155 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A RES ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED SAND IT (IF COMMITTEE, 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) 11fO1J2012 Henry Tirre x IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth AvenueF-1 PTY City of San Rafael San Rafael, CA 94901 aCCRafael on member's dues received through t Police Association, 1520 Fifth ve a San Rafael. CA 94901 11J15/2012 Henry Tirre X IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY M City Of Sari Rafael San Rafael, CA 94901 Union member's dues received throu h intermedia :`-San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/30/2012 Henry Tirre ❑x IND Officer 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F❑nPTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :'-San i afael Police Association 1520 Fifth Avenue San Rafael CA 9490 12/17/2012 Henry Tirre xIND Officer 16.80 61.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue❑P-LY Y City of San Rafael San Rafael, CA 94901 ��jj Union member's dues received through intermedia :`-?an izafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 07/13/2012 Michael vergara ❑x IND Sergeant 28.00 651.52 ❑COM C/o: San Rafael Police Association [:]OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 pion member's dues -received through intermedia .Q }i afae �1T'R Police Association 15201 Fifth Avenue San Rafael CA 949011 'Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.a., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 95.20 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2012 • through 12/31/2012 page 156 of 163 NAME OF FILER I.D. 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) 07/31/2012 Michael Vergara Fx_jIND Sergeant 28.00 651,52 D COM Clo: San Rafael Police Association ❑OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Unign member's dues reggived 1hrough intermediaxv:E;SCCafael an R Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/17/2012 Michael Vergara BIND Sergeant 28.00 651.52 EICOM C/o: San Rafael Police Association nOTH 1520 Fifth AvenueCity El PTY of San Rafael San Rafael, CA 94901 cc -Union member's dues received through Rafael Police Association, 1520 Fifth Avenue San RafaelCA94901 08/31/2012 Michael Vergara FX1 IND Sergeant 28.00 651.52 n COM Clo: San Rafael Police Association OTH ❑City i1520 Fifth Avenue San Rafael, CA 94901 PTY of San Rafael - i !Union member's dues received throuqh-intermed�-arv:E;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/14/2012 !Michael Vergara RIND Sergeant 28.00 651.52 El COM C/o: San Rafael Police Association [:]OTH 1520 Fifth Avenue ❑ PTY City of San Rafael Sari Rafael, CA 94901 Union member's dues received through intermedia iy:qanCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/02112012 Michael Vergara nX IND Sergeant 16.80 651,52 n COM Clo: San Rafael Police Association DOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 949001 lUnion member's dues received through intermedia_ -Q Police Association, 1520 Fifth Avenue, San Rafael, CA 9490� SUBTOTAL$ 1 1 128.80 *Contributor Codes 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: 666/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. / 60 from 07/01/2012 i RM through 12/31/2012 Page 157 of 163 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND 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 * IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2012 Michael Vergara Rx IND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 SCR Union mber's dues received through ter i aePolice Association. 1S 0 Fifth Avenue.CA 9490 11/01/2012 Michael Vergara QIND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue Y PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qan Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 11/15/2012 Michael Vergara ❑RIND Sergeant 16.80 651.52 ❑COM CJo: San Rafael Police Association OTH 1520 Fifth Avenue Y PTY City of San Rafael San Rafael, CA 94901 nn Union member's dues received through intermedia :`man �2afae Police Association 1520 Fifth Avenue San Rafael CA 9490 11/30/2012 Michael Vergara X IND Sergeant g 16.80 651.52 ❑ COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 (� Union member's dues received through intermedia :qan 12afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 12/17/2012 Michael Vergara BIND Sergeant 16.80 651.52 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue❑PTY San Rafael, CA 94901 r ie Union member's dues received throw h intermedia .Q afae Police Association 1520 Fifth Avenue San Rafael CA 9490 *Contributor Codes 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$ 84.00 FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule C Type or print in ink. ��K� K�� ~'~~^~^~'~�'~~~~~ �to whole dollars. Statement covers period Afrom 07/01/2012SEE S8 163FPage Of _FINAME INSTRUCTIONS ON REVERSE through 12/31/2012 OF FILERI.D. NUMBERSan Rafael Police Association Political Action Committee 831553FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TODATE DATE PER ELECTIONRECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATENAME OF BUSINESS) (JAN I - DEC 31) (IF REQUIRED)111/15/2012 "' Rafael Police AssociationF-JIND Bill Paid By 50.00 787.59EICOM Third Party1520 Fifth Avenue [XI OTHSan Rafael, CA 94901 El PTYAnnual Filinq Fee paid by committe sponsor to SeQe '�Wry of State 1500 11th Street Saciamento CA 95814FICOMF-1 PTYnSCCFIINDFIOTHn PTYEISCCn INDncomEIOTHE] PTYAttach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 50.00 Schedule C Summary 1.Amount received this period - itemized nonmnnebsrycontributions. (include all Schedule Cuubbzts/ej.................................................. --......... ............................... ....... --$ 2. Amount received this period - uniternized nonmonetary contributions of less than $100 ........... ........ ...... $ 3. Total nonmonotarycontributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...... .. TOTAL $ mwmnmfile.com *Contributor Codes |wo-|nmwoua Cnm-mempmnCmnmmee (other than PTY v,SCC) oTn-Other (e.g.. business entity) pTv-puUnoa|pooy SCC -Small Contributor Committee FPIPC Form 460 (January/05) pppoToll-Free Helpline: oaax\SwppPo(o*o/275-3r72) Schedule E Payments Made SEE INSTRUCTIONS owREVERSE NAME c*FILER San Rafael Police Association Political Action Committee Type or print mInk. Amounts may urrounded u,whole dollars. Statement covers period from - 07/01/2012 through 12/31/2012 Page 159 o,--163 I.D. NUMBER 831553 CODES: Kone of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMIP campaignpasphernaoa/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions cx3 ounnummn (explain nunmonetar0^ OFC office expenses GAL campaign wuomm' salaries CVC civic donations Fer petition circulating nEI_ Lx o,cable airtime and production mmm FIL candidate filing/ballot fees PHO phone banks n7o candidate travel, lodging, and meals pwo fundraising events PoL polling and survey euoamm TRS stammpuvoaoavoi. |vugi^g, and meals W muuvenoem expenditure supporting/opposing mmem (mp|um)~ FmG pootuUa, uonwary and messenger xenomm Tap transfer between committees of the same oanmidowgoponoor LEG legal defense PRO professional services (lema|. accounting) vO7 voter registration Ur campaign literature and mailings pnr print ouo vvEa imbnnamvn technology ouato Vmemnt. e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER LD, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID TRS Reimbursed expenses, each subvendor paid less than $500 639.15 Schedule G threshold C/o: San Rafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 IND Mailer including production and postage in opposition to 6,473.00 Greg Brockbank for San Rafael Mayor. —rarice, CA 90501 IND Mailer including production and postage in support of Gary 1,419.00 Phil -lips for San Rafael Mayor. Torrance, CA 90501 ° Payments that are contributions u,independent expenditures must also ue summarized nnSchedule D. SUBTOTAL$ 8, 531.15 Schedule E Summary 1. Itemized payments made this period. (include all Schedule Eoubb)ba|oj...... ....... ....... ......... —....... ........ ___ ...... --............. —.............. $ 12,439.02 2. Unhennizedpayments made this period ofunder $1OU......... ....... -------.............. ........ —.......... ...... ---------------- 0.00 3. Total interest paid this period onloans. (Enter amount from Schedule B.Part 1.Column (o)] .......... .......... —......... ............. ---------�� ».«n 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ___ ........ _ ........ .. TOTAL $ 12,439,02 FPPC Form 460(January/05) FPPC Toll -Free Helpline: 866/Amx�PPC (866/276-3772) mww.netfile.com Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE AME OF FILER San Rafael Police Association Political Action Committee Statement covers period from 07/01/2012 through 12/31/2012 SCHEDULE E (CONT.) Page 160 of 163 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/mise. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEC petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals W independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE, ALSO ENTER I.D. NUMBER) Henry C. Levy & Company Oakland., CA 94618 PRO 27.87 Henry C. Levy & Company 1,027.60 PRO Oakiand, CA 94618 Henry C. Levy & Company PRO 1,585.40 Oakland, CA 94618 Henry C. Levy & Company 637.50 Oakland, CA. 94618 PRO --__ --------- _..__ Carl Huber Reimbursed expenses, each subvendor paid less than $E00 C1c. Sari Rafael Police Association, 1520 Fifth Avenue TRS Schedule G threshold 514.04 San Rafael, CA 94901 t i * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,792.41 FPPC Form 464 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfile.com Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Statement covers period from 07/01./2012 through 12/31/2012 SCHEDULE E (CONT.) Page 161 of 163 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings PRT print ads 1NEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE iF COMMITTEE ALSO ENTER I.D. NUMBER] CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Miehae Mathes CIO: Sari Fafael Police Association, 1526 Fifth Avenue San Rafael, CA 54501 OFC Reimbursed Expenses under $500 Schedule G threshold 115.46 I f EI [ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. TWUMIT111 SUBTOTAL $ 115.46 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER ON REVERSE San Rafael Police Association Political Action Committee Type or print in ink Amounts may be rounded to whole dollars. Statement covers period from 07/01/2012 SCHEDULE F through 12/31/2012 ' Page 162 of 163 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals M® independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER ro. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNTIN CURRED THIS PERIOD {c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Freeman Public Affairs, Inc. IND Mailer including 1,419.00 0.00 1,419.00 0.00 production and postage in support of Gary Phillips for San Rafael Torrance, CA 90501 Mayor. FYeeman Pz,blsc Aftaire, Inc. IND Mailer including 6,473.00 0.00 6,473.00 0.00 production and postage ir. opposition to Greg - Brockbank for San Rafael Torrance, ,CA 9656! Mayor. Henry ^. Levy & Company PRO 1,027.60 0.00 1,027.60 0.00 uaKiand, CA 94618 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 8,919,60 $ C . 00 $ 8, 919.60$ 0.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................. .. PAID TOTALS $ 8,919.60 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .............................. .... NET $-6,919.60 ay be a alive aurrsbar FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) ncoF:nxF-/ ._---_'-- Miscellaneous Increases to Cash rounded Statement covers period CALIFORNIA to whole dollars. 460 from - 07/01/2012 FORM through 121/31/2012 Page 163 of 163 SEE 1NsrRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF (IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH Attach additional information oneppx4n/ately labeled continuation sheets. SUBTOTAL$ 0.00 Schedule I Summary 1. Itemized increases to ooeh this period . ............. --......... ___ ............. ------........... ................ — 2. Unitennizad increases hzcash ofunder $1OOthis period. -------------------------. 3. Total of all interest received this period on loans made hzothers. (Schedule H. Column (e)j -----' 4. Total miscellaneous increases to cash this period. (Add Unme 1. 2. and 3. Enter here and on the wwmnetfile.com -----�$ 0.00 ................ $ z. 11 -----�$ 0.00 FPPC Form wm(Januawm6) pPpoToll-Free Helpline: 866wSK-Fppn(8661276-3772)