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Home My WebLink AboutForm 460 - Police Association PAC (2018-06-30) Semi-AnnualRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from __ ____c0..clcc/..c0..clcc/..c2..c0..cl..c8'----- through __ 0_6_,/_3_0_,/_2_0_1_8 ___ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Part 5) [xi General Purpose Committee ® Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information D Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored {Also Complete Part 6) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D . NUMBER 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Po l it i cal Act ion Committee STREET ADDRESS (NO P.O. BOX) CITY San Rafael STATE CA ZIP CODE 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O . BOX CITY San Rafael OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification STATE CA ZIP CODE 9 4 9 1 5 -1 5 57 AREA CODE/PHONE AREA CODE/PHONE Date of election If appllc (Month , Day, Year) JUL 3 1 20 18 of 200 2. Type of Statement: D Preelection Statement [RI Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Mink a MAILING ADDRESS CITY San Rafael NAME OF ASSISTANT TREASURER. IF ANY Ms. Stacy E. Owens MAILING ADDRESS CITY Oaklan d OPTIONAL: FAX / E-MAIL ADDRESS STATE CA STATE CA or Officia l Use Only D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 ZIP CODE 94901 ZIP CODE 9 4618 AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowle under penalty of pe~ury under the laws of the State of California that the foregoing is true and correct. ed erein and in the attached schedules is tru e and complete. I ce rti fy Executed on 07/31/2018 Date Executed on 07/31/2018 Date Executed on Date Executed on Date 1A1U111A1 n .. Hi1 .. rnm By----------,,,,------,..,,----.,--.,,..,,.-.-..,.,.........,,.-------,--------------signature ol Controlling Officeholder, C andidate, Stale Measure Proponent By----------,,,,---,----,.,,,.----.,--=-::--,-..,.,....-----,-,------,---,----------Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement 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) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET} CITY STATE ZIP Related Committees Not Included in this Statement: Listanycommittees 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 1.D . NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES O NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O . BOX} CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX} C ITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com CALIFORNIA FORM Page __ 2_ of~ 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO . OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Contributions Received 1. Monetary Contributions ..... ........... ....................... .... Schedule A, Une 3 $ 2 . Loans Received . . . ... . .. . . . . .... .. .... .. .. .. .. .. .. .. .. .. .. . .. . .. . .. .. Schedule B, Une 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add unes 1 + 2 $ 4 . Non monetary Contributions .................................... Schedule c, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made . .. . .. .. . . .. .. . ........ .. .. .. ... .. .. .. .. .. .. .. .. ....... Schedule E. Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... Schedule c , Line 3 11. TOTAL EXPENDITURES MADE ................................ AddUnes a+ 9 + 10 $ Current Cash Statement 12 . Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13 . Cash Receipts ... . . ........ ....... .... ........................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1. Une 4 15 . Cash Payments .................................................. Column A, Line a above 16. ENDING CASH BALANCE .......... Add Unes 12 + 13 + 14, then subtract Line 1 s $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED........................... Schedule 8, Part2 $ Cash Equivalents and Outstanding Debts 18 . Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts .. .. . . ............... .... Add Line 2 + Line 9 m Column B above $ www.netfile.com Column A TOTAL THI S PERI OD (FROM ATTACHED SC HEOULES) 14 ,736 .30 0.00 14,736.30 0.00 14,736.30 2,2 30.57 0.00 2,230.57 146.35 0 .00 2,376.92 8 2 ,75 6.79 14,736 .30 4.30 2,230.57 95 ,266 .82 0.00 0.00 146.35 from ____ o 1~/_0_1-'-/_2_0_1_0 __ _ through __ 0_6_/_3_o~/_2 0_1_e __ _ Page_-=3 __ of 2 00 $ $ $ $ $ $ Columns CALE NDAR YEAR TOTAL TO DATE 1 4,7 36 .30 0 .00 14,736 .30 0.00 14,7 36.3 0 2,23 0 .57 0 .00 2,2 30.57 1 46 .35 0.00 2 ,376 .92 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 be ing filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER 831553 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* (If Subject to Voluntary Expenditure Limit( Date of Election (mm/dd/yy) __J__j __ __J__J __ Total to Date $ _____ _ $ _____ _ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) JIF COMMITTEE. ALSO ENTER ID NUMBER) CODE * 01/15/2018 Elisha Adams 01/31/2018 02/15/2018 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, Fifth Fifth 02/28/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03 15 2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Schedule A Summary 1. Amount received this period -itemized monetary contributions. IB]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IB]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IB]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 460 FORM from --•...Cl'-'-/...CO....ClC'-/...C2...CO...Cl...C8 ___ _ through 06/30/2018 Page -~4~_ of -~2~0~0~ AMOUNT RECEIVED THIS PERIOD 16 .30 16.30 16 .30 16.30 16.30 81. sol I.D. NUMBER 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) 195. 6 0 195 .60 195.60 195.60 195-60 •contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) (Include all Schedule A subtotals.) ........................................................................................................ $ -----'1"-4"-'''-'s'-'0:..:2:...c·....c2:._:o;_ COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ ______ 1_5_4_. 1_0_ 3. Total monetary contributions received this period. (Add Lines 1 and 2 . Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ____ 1_4...c•_7_3_6_. _30_ www.netfile.com sec -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDlVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERIO NUMBER) CODE* 03/31/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 5 20 Fifth Avenue San Rafael CA 94901 04/15/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 04 /30/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni o n member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Aven San Rafael CA 4 01 05/15/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 E 1.s a A ams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1.,nediary: San Rafael Police Association, *Contributor Codes IND-Individual 2 F' COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec (x]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]JND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'-/_O_l.c../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 5_ of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0 NUMBER) 06 /15 /2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 0 Fifth Avenue San Rafael CA 94901 06/30/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01 /15 /2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Unio n member's dues received through intermediary: San Rafael Police Association, 1520 F" th Avenue afael CA 4 01 01 /31 /2 0 18 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Rau .n.gui ar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec [R]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1.c./_2_0_1_0 __ _ through __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page __ 6_ of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 16 .30 195 .60 81. so 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * 02/28/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member"s dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 03/31/2018 Raul Aguilar C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael. CA 94901 Union membe r 's dues received through intermediary: San Rafael Police Association, 1520 Fif h v n an Rafael CA 4 01 04/15/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 3 o 2018 Rau Agu1 ar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec lx]IND •COM DOTH •PTY •sec [R]IND •COM DOTH •PTY •sec [R]IND •COM DOTH •PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_18 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 7-'---of 2 o o I.D NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195 .6 0 16.30 195.60 16.30 195 .60 16.30 195 . 0 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI.D NUMBER) CODE* 05/15/201B Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/201B Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 06/15/201B Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Avenu an Rafae CA 94901 06/30/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 201B Ant ony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH OPTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH OPTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael O 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_B __ _ through __ 0_6_/_3_0_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~B_of 200 LO.NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16 .30 195.60 16.30 195 .60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER 1.D. NUMBER) 01/31/201B Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/201B Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 02/2B/201B Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 'fth Avenue an Rafael A 4 01 03/15/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Ant any Augustyn C/o: San Rafael Po l ice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l.;../_O_l.;../_2_0_1_B __ _ through __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 9_ of 200 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16 .30 195.60 16.30 195.60 1 6 .30 195.60 01.soj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER 1.0 NUMBER) CODE * 04/15/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, p 05/15/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San afael 4 01 05/31/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Ant any Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM 00TH •PTY •sec [!]IND •COM DOTH •PTY •sec IR]IND •COM 00TH OPTY •sec IR]IND •COM 00TH •PTY •sec [!]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l~/_2_0_1_8 __ _ through __ 0_6~/_3_•_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 10 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .3 0 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 16 .30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO . ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I.D. NUMBER) CODE * 06/30/2018 01/15/2018 01/31/2018 02/15/2018 02 2 018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, James Be llamy C/o: San Rafael Pol i ce Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenu an Rafael CA 4 01 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 520 Fifth Avenue, San Rafael, CA 94901 James Be amy C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . V *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM 00TH OPTY •sec IR]I ND •COM 00TH OPTY •sec lx]IND •COM 00TH O PTY •sec lx]IND •COM D OTH O PTY •sec IR]IND •COM DOTH •PTY •sec Officer City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'../_O_l-'-./_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _-"'-11"--of 200 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16,30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D . NUMBER) CODE * 03/15/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 04/15/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 'fth Avenue n Rafael A 4 01 04/30/2018 James Bellamy C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 James Be amy C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH OP1Y •sec IR]IND •COM DOTH OP1Y •sec IR]IND •COM 00TH •PTY •sec [KIIND •COM 00TH •PTY •sec [KIIND •COM DOTH OPTY •sec Corporal City of San Rafael Corporal C_ity of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 12 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16 .30 195.60 16.30 195.60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 05/31/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 06/30/2018 James Bellamy C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F"fth Avenue an Rafael 4 01 01/15/2018 Todd Berringer C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2018 To Bern.nger C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IRJIND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l_/_2_0_1_8 __ _ through __ 0_6~/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 of 200 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI.D NUMBER) CODE * 02/15/201B Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/2B/201B Todd Berringer C/o : San Rafael Police Associat ion 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/15/201B To dd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni on me mber's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av e nue an Rafael A 490 1 03/31/2018 Todd Berringer C/o: San Rafael Police Associat ion 1520 Fifth Avenue San Rafael, CA 94901 Union me mber's dues received through int ei,ne diary: San Rafael Po lice Association, 1520 Fifth Avenue, San Rafael, CA 94901 04/15 /2 018 To Berringer C/o: San Rafael Police As sociation 1520 Fifth Avenue San Rafael, CA 949 01 Union me mber's dues received through intermediary: San Rafael Police Associ ation, *Contributor Codes IND-Individual . 0 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K)I ND •COM 00TH OPTY •sec [K)IND •COM 0 0TH O PTY •sec [x]I ND •CO M 00TH OPTY •sec [K)I ND •COM 00TH O PTY •sec [K)IND •CO M 00TH O PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l--C/_O_l--C/_2_0_1_B __ _ through __ 0_6--'/_3_0....c/_2_D_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_--=14--'--of 200 1.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16 .30 195 .60 16.30 195.60 s1.soJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER ID NUMBER) CODE * 04/30/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/31/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Avenu n Rafael 4 01 06/15/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 To Bern.nger C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec IK]IND QCOM 00TH QPTY •sec [K]IND •COM 00TH •PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l'-/_O_l'-/_2_0_18 ___ _ through __ 0_6~/_3_0~/_2_0_1_a __ _ SCHEDULE A (CONT) CALIFORNIA 460 FORM Page 15 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195 .60 16.30 195.60 1 .30 195.60 01.50J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER ID NUMBER) CODE * 01/15/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte17ll7diary: San Rafael Police Association, 02/15/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 if h Avenue San Raf el CA 4 01 02/28/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 Lynne Brae en C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec ~IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l~/_0_l_/_2_0_1_8 __ _ through __ 0_6_/_3_o_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 16 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED} 12.70 152.40 12.70 152.40 12 .70 152.40 12 .70 152.40 12.70 152.40 63 .5oJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) 03 /31/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04 /30 /2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni o n member's dues received through intermediary: San Rafael Police Association, 1520 Fifth v n an Rafael CA 4 01 05 /15/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Lynne Brae en C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual . A COM -Recipient Committee (other than PTY or SCC} 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec ~IND •COM DOTH OPTY •sec [K]IND •COM 00TH OPTY •sec Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ o_6_/_3_0~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 17_ of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.4 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police As s ociation Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND Z IP CODE OF CONTR IBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMP LOYED , ENT ER NAM E OF BU SINE SS) (IF CO MM ITTEE, ALSO ENTE R I.D. NUMBER) CODE * 06/15/2018 Lynne Bra c ken C/o: San Ra f a el Police Associat ion 1520 F if t h Avenue S an Rafael , CA 94901 Union member's dues received through i n t ermediary : S an Rafae l Police Associat i o n , 1 520 Fif t h Av e n ue San Ra f a el CA 94901 06/30/2018 Lynne Brack en C/o : San Ra fa e l Po l ice Asso ciation 1520 Fi fth Avenue San Rafael, CA 94901 Un ion me mb er 's dues r e c e ived thr ough intermed iary : San Ra f ael Police Asso ci a tion , 01/15 /2018 Zachary Brick e l l C/o: San Rafael Po lice Association 1 520 F ifth Avenue San Rafael, CA 94901 Union member 's d u es receiv ed through i nterme d ia r y : San Rafael Police Association, 15 0 Fifth Ave n ue Sa Ra f a el A 4 01 01 /31/2018 Za chary Brickel l C/o: S a n Raf a el Police Asso ciat ion 1520 F if t h Ave n ue S a n Rafael , CA 9 4 901 Unio n me mb er's d u es receiv e d t h roug h intermed iar y : San Rafael Police Association , 1520 Fifth Aven ue , S a n Raf a e l, CA 9 4 901 02 15 0 18 Zac ary Bri c e C/o : San Ra fael Polic e Association 1520 Fif t h Av enue San Rafael , CA 9 4 901 Un ion me mbe r 's dues rec eived t h rough int ermed i a ry: S a n Ra fael Po lice Associat ion, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM D OTH •PTY •sec IK]IND •COM D OTH •PTY •sec IK]IND •COM D OTH •PTY •sec IK]IND •COM D OTH •PTY •sec IK]IND •COM 00TH •PTY •sec Call Taker & Records Sp ecial i s t City o f San Ra f a e l Call Taker & Records Sp ec iali s t Ci ty of S an Rafae l Of f icer City Of San Rafael Officer City Of San Rafael 1.cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l _/_O_l_/_2_0_1_8 __ _ through __ 0_6--'/_3_0-'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _~1 8"--of 2 00 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PER IOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31 ) PER ELECTION TO DATE (IF REQUIRED) 12.7 0 152.40 12 .70 152.40 16 .30 195 .60 16 .30 195.60 . 0 1 . 60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRI BUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I.D NUMBER) CODE * 02/28/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Unio n member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Zachary Brickell C/o: San Rafael Police As sociation 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 03/31/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fift Avenue San Rafael CA 4 01 04/15/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 152 0 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Zac ary Bn.c e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee {other than PTY or SCC) 0TH -Other {e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM D OTH •PTY •sec [K]I ND •COM DOTH •PTY •sec [K]IND •COM D OTH •PTY •sec [Kl!ND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael 0 icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l_/_2_0_18 ___ _ through __ 0_6_/_3_0_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 19 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATlVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 16.30 1 5. 0 01.soJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER ID.NUMBER) CODE * 05/15/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 06/15/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 · th Avenu an Rafael C 4 01 06/30/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2018 Ru o B man C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IKJIND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM DOTH •PTY •sec Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'-/_0_1-'-/_2_0_1_0 __ _ through __ 0_6--'/_3_0-'/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 2 o of _~2~0~0- I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 12.70 143.30 77 .901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI.D NUMBER) CODE* 02/15/2018 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/15/2018 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 4 01 03/31/2018 Rudolf Buhlman C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 201 Ru o Bu man C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com [Kl/ND •COM 00TH OPTY •sec [Kl/ND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec [Kl/ND •COM 00TH OPTY •sec [Kl/ND •COM 00TH OPTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 21 of 20 0 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 143.30 12.70 143.30 12.70 143.30 12.70 143 .3 0 12 .70 143.30 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-E MPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D . NUMBER) CODE * 04/30/2018 Rudolf Buhlman C/o : San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 5 20 Fifth Avenue San Rafael CA 94901 05/15/2018 Rudolf Buhlman C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni o n member's dues received through intermediary : San Rafael Police Association, p 05/31/2018 Rudolf Buhlman C/o: San Rafa e l Police Association 1520 Fifth Av e nue San Rafae l, CA 949 0 1 Uni o n member"s dues received through intermediary: San Rafael Police Association, 1 20 Fifth Avenue an Rafael CA 4 01 06/15/2018 Rudol f Buhlman C/o: San Rafae l Police Association 1520 Fifth Avenue San Rafael, CA 9490 1 Uni o n member's dues received through inte1,nediary: San Rafael Police Association, 1 520 Fifth Av e nue, San Rafael, CA 94901 06 30 2018 Ru o Bu man C/o : San Rafae l Po lice Association 1520 Fifth Avenue San Rafael, CA 949 0 1 Union member's dues rece ived through intermediary : San Rafae l Police Assoc i ation, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH O PTY •sec IK]IND •COM 00TH O PTY •sec [x]IND •COM DOTH OPTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l .c.../_O_l.c.../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 2 _2_ of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 143.30 12.70 143 .30 12.70 143.30 12 .70 143 .30 16 .3 0 1 4 3 .30 67 .101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 01/15/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 02/15/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San R ael CA 4 01 02/2B/201B Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 201B Antonette Bu oc C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, ·contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l.c./_0_l'--/_2_0_18 ___ _ through __ 0_6__c/_3_0....c/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 23 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.7 0 152.40 12.7 0 152.40 12 .70 152.40 12.70 152.40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I O NUMBER) 03/31/2018 Antonette Bullock C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 04/30/2018 Antonette Bullock C/o : San Rafael Police Assoc i ation 1520 Fi f th Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Avenue San Rafael 4 01 05/15/2018 Antonette Bullock C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Antonette Bu oc C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafae l Police Association, ·contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* [KJIND •COM DOTH •PTY •sec [KJIND •COM DOTH •PTY •sec lx)IND •COM 00TH •PTY •sec [KJIND •COM DOTH •PTY •sec (KJIND •COM DOTH OPTY •sec Community Service Officer City of San Rafa e l Community Service Officer City of San Rafael Community Service Officer Ci t y of San Rafael Community Service Officer City of San Rafael Community Service o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_lc._/_O_l-'-/_2_0_1_8 __ _ through __ 0_6----'/'-3_0----'/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 24 of 200 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152 .40 12.70 152.40 12.70 152.40 63.5oj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D NUMBER) CODE * 06/15/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01/15/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av e San Rafael A 4 01 01/31/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Mic ae Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec [x]IND •COM 00TH OPTY •sec OOIND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Community Service Officer City of San Rafael Community Service Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Po ice O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 25 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 16.30 195.60 16.30 195.60 16. 0 195.60 74.301 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * 02/28/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/31/2018 Michael Byers C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F'fth Avenu an Rafael A 4 O 04/15/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Mic ae Byers C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK)IND •COM 00TH •PTY •sec IB]IND •COM 00TH •PTY •sec IK)IND •COM 00TH •PTY •sec IK]IND •COM DOTH OPTY •sec [fil IND •COM 00TH OPTY •sec Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Po ice O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_10 ___ _ through __ 0_6_/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 26 of 200 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195 .60 16.30 195.60 16.30 195.60 16 .30 195 .60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER !IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERI D NUMBER) CODE* 05/15/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 06/15/201B Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F"fth Aven e an fael CA 4 01 06/30/201B Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 201B S e y Ca e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual . 1 4 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_l_B __ _ through __ 0_6_/_3_0_/_2_0_1_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 27 of 200 1.0 . NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195.60 16.30 195.60 16.30 195.60 12.70 152.40 77.901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTR IBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINE SS) (IF COMMITTEE , AL SO ENTER I.D . NUMBER) CODE * 01/31/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 0 Fifth Avenue San Rafael CA 94901 02/15/2018 Shelly Cade C/o: San Rafa e l Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/28/2018 Shelly Cade C/o: San Rafael Pol i ce Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte rmediary: San Rafael Police Association, 152 Fifth v nue San Rafael CA 4 O 03/15/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Unio n member's dues received through intermediary: San Rafael Police Association, 1 520 Fifth Avenue, San Rafael, CA 94901 o 31 2 o 1 s e y Ca e C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 949 0 1 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Sma II Contributor Committee www.netfile.com [K]IND •COM D OTH •PTY •sec IK]I ND •COM DOTH •PTY •sec [x]I ND •COM 0 0TH •PTY •sec !K]IND •COM 00TH OPTY •sec IK]IND •COM 0 0TH O PTY •sec Dispatcher City of San Rafael Dispatcher City o f San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael D1spatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l _/_O_l_/_2_01_8 ___ _ through __ 0_6--'/ __ 3--0'--'/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 28 of 200 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152 .4 0 12.70 152.40 12. 0 152.40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.D . NUMBER) CODE * 04/15/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/15/2018 Shelly Cade C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 Fifth Avenue San Rafael CA 4 01 05/31/2018 Shelly Cade C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 s e y Ca e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Di.spate er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_18 ___ _ through __ 0_6_/_3_0_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 29 of 200 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR {JAN . 1 -DEC . 31) PER ELECTION TO DATE {IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12 .70 152.40 12.70 152.40 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 06/30/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01/31/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 ifth Avenue n Rafael CA 4 0 02/15/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 018 Josep Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec Dispatcher City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'-/_0_1-'-/_2_0_1_0 __ _ through __ o_6~/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 30 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152.40 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195 .60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUS INESS) (I F COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 03/15/2018 J oseph Camins C/o: S an Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received t hrough int erme diary: San Rafael Police Ass o ciation, 1 520 Fifth Avenue San Rafael CA 94901 03/31/2018 Joseph Camins C/o: San Rafael P olice Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's due s received through intermediary: San Rafael Police Ass ociation , 04/15/2018 Joseph Camins C/o: San Rafa el Police Assoc iation 1520 Fifth Avenue San Rafael , CA 94901 Un ion member's dues received through intermediary: San Ra fael Police Ass ocia tio n, 1 20 ifth Av nue San Rafae A 94 01 04/30/2018 J oseph Camins C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 949 01 Union me mber's dues received through intermediary : San Rafael Police Ass ociation, 1 520 Fifth Ave nue, San Rafael, CA 94901 0 15 2018 Josep Camins C/o: S an Rafael Polic e Association 1520 Fifth Avenue San Ra fael, CA 94901 Union member's dues received thr ough intermediary: San Rafael Po l ice Associat ion , *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [KJIND •COM 00TH OPTY •sec [KJI ND •COM 00TH OPTY •sec [KJIND •COM 00TH •PTY •sec IR]I ND •COM DOTH OPTY •sec [KJIND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael 0 icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'-/_O_l-'-/_2_0_1_8 __ _ th rough __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 31_ of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALE N DAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195 .60 16.30 195.60 1 .3 195. Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADD RESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUS INESS) (IF COMMITTEE , ALSO ENTER 1.0 . NUMBER ) CODE * 05/31/2018 J oseph Camins C/o: San Ra fael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union memb er's dues received through intermediary: San Rafael Police Ass oci ation, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 J oseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94 901 Union member's dues r ece ived through intermediary: San Rafae l Police Ass ociation, 06/30/2018 J oseph Camins C/o: San Rafael Police Ass ociat ion 1520 Fifth Avenue San Rafael , CA 94901 Un i o n me mbe r 's dues received through intermediary: San Rafae l Police Assoc i a tion, 1520 Fifth v nue an Rafael CA 4 01 01/15/2018 Trevor Carney C/o: S an Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union me mb er 's due s received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9 49 01 01 1 2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Un ion member's dues received through interme diary: San Rafae l Pol ice Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM DOTH •PTY •sec [KI IND •COM D OTH •PTY •sec lx]IND •COM D OTH •PTY •sec lx]IND •COM DOTH •PTY •sec [KII ND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafa el SUBTOTAL$ Statement covers period from ___ O_l..c./_O_lc../_2_0_1_8 __ _ t h ro ugh __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Pa ge 32 of 200 1.0 NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATI VE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERID NUMBER) CODE* 02/15/201B Trevor Carney C/o: San Rafael Police Association 15 2 0 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/2B/2018 Trevor Carney C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/15/201B Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 2 Fifth Avenu n Rafae CA 4 O 03/31/201B Trevor Carney C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH •PTY •sec IK)IND •COM 00TH OPTY •sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 33 of 200 1.0 . NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16 .30 195.60 16.30 195.60 16 .30 195 .60 16.30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 04/30/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 05/31/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 F"fth Av fael A 4 06/15/201B Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec [KjlND •COM 00TH •PTY •sec [K]IND •COM 00TH •PTY •sec [R]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l-'---/_0_l-'-/_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 34 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 1 . 30 195. o Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-EMPLOYED, ENTER NAM E O F BUSINESS) (IF COMMITTEE, A LSO E NTER 1.D. NUMBER) 01/15/2018 Jac k Carpe n ter C/o : S a n Rafael Po lice Association 15 2 0 Fif t h Avenue San Ra f a e l , CA 94 901 Un i o n me mb er 's d u es re c eived t h ro ugh inte r me diary: S an Ra fa el Pol i ce As s ociation, 1520 Fi f th Ave n ue San Ra fa el CA 94901 01/31/2018 J ack Ca r p e n ter C/o: San Ra f a e l Police Assoc i at ion 1520 F ifth Ave n ue S an Rafae l , CA 94 90 1 Un ion me mb er's dues received through i n term7di ary: San Rafae l Police Association , 02/15/2018 Jack Carp e nter C/o: San Rafae l Po lice Associatio n 1520 F ifth Avenue S a n Ra f ael , CA 9 49 01 Un ion me mbe r's d u es receiv e d throug h i n t ermediary : S an Rafael Pol i ce As s ocia t ion, 1 520 Fif th Ave n ue San Rafael C 4 01 02/2B/201B J a ck Carpe n ter C/o: San Rafael Police Associat i on 1 5 2 0 F i f th Ave nue San Rafael , CA 94 901 Un ion me mb er's d u es rece ive d through int e rme di ary: S a n Ra f ae l Pol i ce As s ociation, 1520 F if t h Ave n ue , San Ra f a el, CA 94 901 03 15 201 Jae Carpe n t e r C/o: San Raf a el Police Association 152 0 F i f t h Avenue S a n Ra fae l , CA 9 4 901 Union me mb er 's dues rece i v ed t hro ugh int erm7d iary : S an Rafael Police As s oci a t i on , *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* IK]IND •COM 0 0TH O PTY •sec [K]IND •COM 00TH O PTY •sec lx]IND •COM 0 0TH O PTY •sec [K]IND •COM 0 0TH O PTY •sec [K]IND •COM 0 0TH O PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l c.../_O_l .c../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 35 of 2 00 I.D . NUMBER 831553 AMOUNT RECE IVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195 .60 16 .30 195 .60 16 .30 195 .60 1 . 30 195. 0 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D . NUMBER) CODE * 03/31/2018 Jack Carpente r C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 04/30/2018 Jack Carpenter C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av u an afael A 490 05/15/2018 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Jae Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com !K]IND •COM 00TH OPTY •sec IB]IND •COM 00TH OPTY •sec !K]IND •COM 00TH OPTY •sec [R]IND •COM DOTH OPTY •sec !K]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6_c/_3_0-'/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 36 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195 . Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTR IBU T OR IF AN INDIVIDUAL , EN T ER OCCUPATION AND EMPLOYER (I F S ELF-EMPLOYED, ENTE R NAME O F BUSINESS) (IF COMMITTEE , ALSO ENTER I.D. NUMBER) CODE * 06/15/2018 J ack Ca rpe n ter C/o : San Ra f a el Police Association 1520 F ifth Aven ue San Raf a el, CA 9 4901 Union me mb er's dues received throug h i ntermediary : S a n Raf ael Police Associ a t ion , 1 520 Fifth Avenu e S a n Ra fael CA 9 4 901 06/30/2018 Jac k Carp e n ter C/o: San Ra fa el Police Associat ion 1520 F i ft h Avenue San Rafael, CA 9 4901 Union me mb er 's dues receiv e d t h rough intermed iary: S a n Raf a el Police Association, 01/1 5/2018 Ed ward Chiu C/o: San Raf a el Police Association 1520 Fifth Av enue San Rafael , CA 94 901 Union me mbe r's d u es receiv ed through i ntermedi a ry: San Rafael Police Association, l 20 Fifth Ave n ue an R f a el CA 9 4 901 01/31/2018 Edward Ch i u C/o: San Raf a el Police Ass o ci a tion 1520 F i fth Avenue S an Rafael , CA 9 4901 Union me mb er 's dues re c eived t h rough i n te rme di a ry: San Raf ael Pol i ce Assoc i a tion , 1 520 Fif t h Ave n ue , S a n Raf a el, CA 9 4 901 02 15 E war C 1.u C/o: San Rafael Police Association 1520 Fifth Avenu e S a n Rafael, CA 94901 Un ion me mb e r's dues r e c e ived t h rough intermed iary: S an Raf a el Police Associat ion, ·contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM D OTH •PTY •sec IK]IND •COM D OTH •PTY •sec IK]IND •COM 0 0TH •PTY •sec IK]IND •COM 0 0TH •PTY •sec IK]IND •COM D OTH O PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Ra fael Officer City of San Rafael 0 1cer Ci ty of San Ra fael SUBTOTAL$ Statement covers period f rom ___ O_l_/_O_l ~/_2_0_1_8 __ _ throu gh __ o_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _~3~7 -of 2 0 0 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALEN DAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16 .30 195 .60 16.30 1 95 .60 16.30 195.60 1 .3 195. 0 01.soJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.O NUMBER) CODE* 02/28/2018 Edward Chiu C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Edward Chiu C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 03/31/2018 Edward Chiu C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fifth Avenue an Rafael CA 4 1 04/15/2018 Edward Chiu C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 E war C 1.u C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member"s dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [R]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6_/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 38 of 200 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195 .60 16.30 195.60 16.30 195 .60 16.30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUS INESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE* 05/15/2018 Edward Chiu C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 06/15/2018 Edward Chiu C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafa 1 CA 4 01 06/30/2018 Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Ro ert C e an C/o : San Rafael Po lice Assoc iation 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH OPTY •sec IB]IND •COM 00TH •PTY •sec [K]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec IB]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Po ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l..,_/_O_lc_/_2_0_1_8 __ _ through __ 0_6...c/_3_0-'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 39~ of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195.60 16.30 195.60 16.30 195.60 16 .3 195. 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER I.• NUMBER) 01/31/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/28/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Av nue Rafael A 94 1 03/15/2018 Robert Cleland C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Ro ert C e an C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Associa t ion, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com CODE* [R]IND •COM 00TH 0PTY •sec [R]IND •COM 00TH 0PTY •sec [R]IND •COM 00TH 0PTY •sec [R]IND •COM DOTH 0PTY •sec [R]IND •COM DOTH 0PTY •sec Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l~/_0_l_/_2_0_18 ___ _ through __ o_6_/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 40 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195 .60 16.30 195.60 16.30 195 .60 16 .30 195.60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.D NUMBER) 04/15/2018 Robert Cleland C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 05/15/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues r eceived through intermediary: San Rafael Police Association, 152 Fifth v nu Sn Rafael A 4 01 05/31/2018 Robert Cleland C/o : San Rafael Police Associat i on 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Ro ert c e an C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Assoc i ation, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* [KJIND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po 1.ce Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_18 ___ _ through __ 0_6_/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 41 of 200 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195.60 16.30 195.60 16 .30 195 .60 16 .30 195.60 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER ID NUMBER) 06/30/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 01/31/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 15 Fif Aven afael CA 94 01 02/15/2018 Christopher Coale C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 C ristop er Coa e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfi/e.com CODE* [K]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec (K]IND •COM 00TH •PTY •sec ~IND •COM DOTH •PTY •sec (K]IND •COM 00TH •PTY •sec Police Corporal City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_18 ___ _ th rough __ 0_6-'/_3_0-'/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 42 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 03/15/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2 0 18 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, s . 04 /15 /2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni o n member's dues received through intermediary: San Rafael Police Association, 52 0 Fit Av e Sa Rafael A 4 0 04/30 /2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 C n.stop 1er Coa e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec [fillND •COM 00TH •PTY •sec lx]IND •COM 00TH OPTY •sec IR]IND •COM 00TH •PTY •sec [fil IND •COM 00TH •PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_l_/_2_0_1_0 __ _ through __ 0_6--'/~3_0--'/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 43 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195 .60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTR IBUTOR CONTRIBUTOR I F AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF -EM PLOYE D, ENTER NAME OF BUSI NES S) (IF CO MMITTEE, ALSO ENTER I.D. NUMBER) CODE * 05/31/2018 Christoph e r Coale C/o : San Ra fa el Polic e Ass ocia t i o n 1520 F if t h Avenue San Raf ae l , CA 94 9 0 1 Un i o n me mb e r's dues re c eived t hrough i ntermedi a r y : San Ra f ael Pol i ce As s o ciation , 1 5 2 0 Fif th Av e n ue San Ra fa el CA 94 901 06/15/2018 Christoph e r Coale C/o : S an Ra f a e l Police Association 1520 F ifth Ave n ue S a n Rafael , CA 949 0 1 Union me mb er 's d u es rece ived t h rough interm7d i ary : San Rafael Police As soci a tio n, p 06 /30/2 018 Ch r istophe r Coale C/o: S a n Ra fa el Police Association 1520 F ifth Avenue San Ra f ael , CA 9 4 901 Unio n me mb er 's d u es received through int e rme d iar y : San Ra f ael Police Associ a t i o n, 1 2 Fifth Av e n ue San a f a el CA 901 01/15/2018 T homas Col l i n s C/o: S a n Rafael Police Association 1 520 Fifth Avenue S a n Rafael , CA 94901 Un i o n me mb er 's d u es rece i v e d t h rough inte rme d iar y : San Rafael Pol i ce Association, 1 520 Fifth Aven ue, San Ra fael , CA 94 901 01 3 2 018 T omas o i n s C/o : San Raf a e l Po lice Assoc i ation 1520 Fi f th Avenue San Rafael , CA 9 4 901 Unio n me mb e r's dues received through i nterme di a ry: S a n Ra f ael Police Asso c i at i on , •contributor Codes IND-Individual . 1 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g .. business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 0 0TH O PTY •sec [K]IND •COM 0 0TH O PTY •sec [K]IND •COM 0 0TH O PTY •sec [K]IND •COM 0 0TH O PTY •sec [K]IND •COM D OTH OPTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2 _0_10 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 4 4 of --'2'--'o'--'o'-- 1.0. NUMBER 831553 AMOUNT RECE IVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31 ) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16 .30 195.60 16 .30 195.60 16 .30 195.60 16 .30 95 . 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 02/15/2018 Thomas Collins C/o : San Rafael Police Association 15 2 0 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 Thomas Collins C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 03/15/2018 Thomas Collins C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 152 Fifth v nue Rafae A 94 0 03/31/2018 Thomas Collins C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 T omas Co ins C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual . 4 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com [K]IND •COM 00TH OPTY •sec [K]IND •COM DOTH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM DOTH OPTY •sec [K]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 45 of 200 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16 .30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERI.O.NUMBER) CODE* 04/30/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/31/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 · h Avenu an Rafael A 4 01 06/15/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 T omas Co 1.ns C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1'm~diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec [K]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 46 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 1 . 30 195.60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc_ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERIO NUMBER) CODE* 01/15/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member 's dues received through intermediary : San Rafael Police Association, 02/15/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 152 Fifth venu n R fael CA 4 01 02/28/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual F" COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfi/e.com [K]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 4 7 of _ _:2::.:0::..:0=--- 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152.40 12.70 152 .40 12.70 152 .40 12 .70 152.40 12.70 152.40 63 .5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOEITTERI.D NUMBER) CODE * 03/31/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 04/30/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 0 Fif h venue San Rafa CA 4901 05/15/2018 Jenna Cotta c /o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 05 31 2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,n7diary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK)IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec [z]IND •COM 00TH O PTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM DOTH OPTY •sec Communications Dispatcher City of San Rafael Co mmunications Dispatcher City of San Rafael Communications Di spatcher City o f San Rafael Communications Dispatcher City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1.:.../_0_1.:../_2_0_1_0 __ _ through __ 0_6-"/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 4 B of __ 2_0_0~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152.40 12.70 152.40 12.70 152 .40 12.70 152.40 12.70 152.40 63 .50/ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER IO NUMBER) CODE * 06/15/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01/15/2018 Ryan De Marta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 152 Fifth Avenue S Rafael A 4 0 01/31/2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 02 15 2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com [KJIND •COM 00TH OPTY •sec IK]IND •COM 00TH O PTY •sec [KJIND •COM 0 0TH O PTY •sec [KJIND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Communications Dispatcher City of San Rafael Communicatio ns Di spatcher City of San Rafael Officer City o f San Rafae l Officer City of San Rafael 0 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1~/_2_0_1_0 __ _ through __ o6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 49 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152 .40 12 .70 152.40 16 .30 195.60 16 .30 195.60 16 .30 195. 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERID NUMBER) CODE* 02/28/2018 Ryan De Marta C/o: San Rafael Pol i ce Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei7llediary: San Rafael Police Association, 03/31/2018 Ryan De Marta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fif h Avenue San R fael CA 49 04/15/2018 Ryan De Marta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei7llediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Ryan De Marta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual F" COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_01_8 ___ _ through __ 0_6...c/_3_0_c/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page so of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN .1-DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195 .60 16 .30 195.60 16.30 195.60 16 .30 195 .60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period e CALWE RNIA to whole dollars. 60 from 01/01/2018 • ' through o6/30/201B Page 51 of 200 NAME OF FILER 1.0- NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION fir COMMITTEE. ALSO ENTER ID NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEiVEO CODE OF SELF-EAAPLaYEfl,ENTER NAME PERIOD [JAN. 7 -DEC- 37] (F REQUIRED) OF au!5MESS1 05/15/2018 Ryan De Marta IIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94941 ❑ OTH union member's dues received through ❑ PTY inteimediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Ryan De Marta x❑IND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ P7Y intermediary: San Rafael Police Association, Rafael.11,2p Fifth A�Zentie San ❑ SCC 06/15/2019 Ryan Re Marta ©IND Officer 16.34 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue Sart Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, !Ran_Ri�fael CA 54901 06/30/201a Ryan De Marta x❑INO Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 02/15/201D E isa De atorre LINO Call Taker And Records 12.70 121.00 C/o: San Rafael Police Association 1520 Fifth specialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael [-]SCC SLi6i"Q7AL$ 77.90 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e -g., business entity) PTY — Political Party SCC -- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www. netfile.com Www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ■ from DI/01/2010 through 06/30/2018 Page 52 of 200 NAME OF FILER I.O. NUMBER San Rafael Police Association Political Action Committee 531553 DATE S FULL D ZNAME, STREET ADDRESS AND CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION PP COMMITTEE SAENTND p NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED [IF SELF -EM P LOY ED, ENTE R NAM E PERIOD (JAN, i - DEC. 31) (IF REQUIRED) OF E US INES Sl 02/28/2018 Elisa Delatorre /IND Call Taker And Records 12.70 127.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 L] OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1524 Fifth Avenue San Rafael CA 94901 03/15/2018 Elisa Delatorre x❑IND Call Taker And Records 12.70 127.00 C/a: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901. ❑ OTH Union member's dues received through ❑ PTY intermediary! San Rafael Police Association, Avenue ❑ SCD 03/31/2018 Elisa Delaterre ©IND Call Taker And Records 12.70 127.00 C/O! San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth A ue. qa)j-Rafael,—CA94 04/15/2016 Elisa Delatorre /IND Cali Taker And Records 12.70 127.00 C/O: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through 0 PTY interMediaiy: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 04130/2018 E isa Delatorre RIND Call Taker And Records 12.70 127.00 C/O: San Rafael Police Association 1520 Fifth COM Specialist Avenue ❑ City Of San Rafael San Rafael., CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Ayenue. San Rafael. CA 94901 ❑ SCC 'Contributor Codes IND -- Individua€ COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Politic at Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 63.50 FPPC Form 450 (Jan12015) FPPC Advice: advice@fppc.ca.gov (8661275-3772y www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may he rounded State mentcovers period CALIFORNIA to whole dollars. ,i from 01/01/2018 ■ ' through 05/30/2018 Page 53 of 200 NAME OF FILER 10 NUMBER San Rafael Police Association Political Action Committee 971553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION SIFCAMWTEE,ALSO ENTER ID NLMSERI CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENOAR YEAR TO DATE RECEIVED {IF SELF -E MPLOVEO.£NTER NAME PERIOD (,]AN 1 DEC. 31] (IF REQUIRED) OFEUSINESS) 05/15/2018 Elisa Delatorre x❑IND Call Taker And Records 12.70 127.00 C/o: San Rafael Police Association 1520 Pitt], ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 44901 05/31/2018 Elisa Delatorre BIND Call Taker And Records 12.70 127.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94401 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS2D Fifth Avenue San Rafapl. CA 9490, EISCC 06/15/2019 Elisa Delatorre IIND Call Taker And Records 12.70 127.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 33 -ZD Fifth n an Rafael. CA 94901 06/30/2018 Elisa Delatorre BIND Call Taker And Retards 12.70 127.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 01/15/2018 B a e Ile ze 2] IND Police OfEicer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ P7 -Y intetinediary: San Rafael Police Association, ❑ SCC Rafael,1520 Eifth Avejoue. Sian "Contributor Codes IND - individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee Sus7aTAL$ 67.10 FPPC Form 464 jJan12016j FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.netfile.com www,fppc.ca.gov Schedule A (Continuation Sheet) SCHEOULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 01/01/2018 FORM through 06/30/2018 Page 54 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IIID CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO HATE PER ELECTION iECDiJIDDRES SAND NUMBER) * OCCUPAT [ON AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED 7 CODE {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC, 31) (IF REQUIRED) OF O US INES5I 01/31/2018 Blake Delzell x]IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth[:] COM City Of San Rafael Avenue Sart Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intexediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 02/15/2418 Blake Delzell RIND Police Officer IG -30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through E] P-ry intermediary: San Rafael Police Association, 1520 Fifth Avpnjip. San Ra P ❑ SCC 02/20/2018 Blake Delzell RIND Police Officer 16.30 195,60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901. ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Av8niie. San Rafael 03/15/2018 Slake Delzell x❑IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's clues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Avenue, San Rafael, CA 94901 03/31/2018 Blake De ze D.[NO Police Officer 16,30 195.50 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of Sari Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY inter,,-medialy: San Rafael Police Association, 152G Fifth Avenue, n Rafael. CA 949QI ❑ SCC SUBTOTAL$ 81.50 'ConIfibutor Codes M— 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 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc,ca.gov tNWW. �leffi{8. CDII1 Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period. to whale dollars. '--eon From 01/01/2018 Fgo through 06/30/2018 55 Of NAME OF FILER 10. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE 70 DATE PER ELECTION (IF COMMITTEE,AI.SOENTER LD NUMBER] CODE r OCC UPATIO NAN0 EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED {IF SELF- E MPLOYED. E NTER NAM E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSIN ESS) 04/13/2018 Blake Delzell QIND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94902 04/30/2018 Blake Delzell RIND Police Officer 16.36 195.60 C/o: San Rafael Police Association 1520 Fifth o Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through EJPTY intermediary: San Rafael Police Association, LSCC 05/15/2018 Blake Delzell )IND Police officer 16.30 195.60 C/o! San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 [70TH Union member's dues received through [] PTY intermediary: San Rafael Police Association, [] 5CC 1520 Fifth Avenue Rafael A 24901 05/31/2018 Blake Delzell x[]IND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth COM [-]COM City Of San Rafael Avenue San Rafael, CA 44901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 5CC 1520 Fifth Avenue, San Rafael, CA 94901 06/15/201a S a e Delzell SID Police ce o icer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth COM City Of San Rafael Avenue ❑ San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael,1520 Fifth -Avenue. San ❑ SSC SU6TDTAL$ 81.50 'Contributor Codes IN0 - Individual COM - Recipient Committee (other than PTY or SCC} QTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 466 (Jan/2016) FPPC Advice: advice@fppe.ca.gov (8661275.3772) Www. netfil e.Com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Sta tem ent cove rs period CALIFORNIA to whole dollars. ■ 60 from 01/01/201B FORM page 56 of 200 through 05/30/2019 NAME OF FILER LD. NUMBER San Rafael Police Association Political Action Committee 931553 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.O NUM8ER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO PATE RECEIVED COOS (IF SELF-EMPLOYEO,ENTER NAME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) aFBUSINESE) 06/30/2018 Blake Delzell ]IND Police Officer 16,30 195 .6o C/a: San Rafael Police Association 1520 Fifth❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Danielle Dennis X[]IN❑ Call Taker/Records 12.70 101.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SGC 03/31/2019 Danielle Dennis ©INC Call Taker/Records 12.70 101.60 C/o: San Rafael Police Association 1520 Fifth[:] COM Specialist Avenue City Of San Rafael San Rafael. CA 94901 [10TH Onion member's dues received through E]PTY intermediaryt San Rafael Police Association, ❑ SCC 1!;20 Vifth Avenue, A 949 7 04/15/2018 Danielle Dennis []IND Call Taker/Records 12.70 101.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 04/30/2018 Danielle Dennis NJ IND Ca a er Recor s 12.70 101. 9 C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑ CDM city Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 3520 E�fth AveDue. San Rafael. CA Q4201 [] 5CC SUBTOTAL$ 67.10 'Contributor Codes IND—individual COM—Reciplent Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Cant dbutor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www. neffile, c om www.fppc.ca.gov Schedule A (Continuation Sheen SCHEDULE A {CONT.} Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. iCALIFORNIA ■ 60 from D1101/2016 • " through page 57 of 200 NAME OF FILER I.Q- NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIER P CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMUkATEVETO DATE PER ELECTION {EET SAND NUMBER) CODE F OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED [IF SELF- EMPLOYED. FNTERNAME PERIOD (JAN. i -DEC. 31) [IF REQUIRED) OFRUSINESS) 05/15/2019 Danielle Dennis ]IND Call Taker/Records 12.70 101.60 Clo: San Rafael Police Association 1520 Fifth Cl COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 DOTH Union member's dues received through D PTY intermediary: San Rafael Police Association, E]SCC 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Danielle Dennis QIND Cali Taker/Records 12.70 101.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 DOTH Union member's dues received through D PTY intermediary: San Rafael Police Association, Rafael, DSCC 06/15/2018 Danielle Dennis QIND Call Taker/Records 12.70 101.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 []OTH Union member's dues received through L] PTY intermediary: San Rafael Police Association, LjSCC 1520 F A n Rafael CA 9490, 06/30/2019 Danielle Dennis (-)[]IND Call Taker/Records 12.70 101.60 C/o: San Rafael Police Association 1520 Fifth ❑CCM Specialist Avenue City of San Rafael San Rafael, CA 94901 DOTH Union member's dues received through D PTY intermediary: San Rafael Police: Association, E]SCC 1520 Fifth Avenue, San Rafael, CA 94901 o1715/2018 Christian Diaz MIND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth DCOM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through E] PTY intermediary: San Rafael Police Association, 1520 Eifth &venue. San RafaelCA 94-91:L ❑SCC SUBTOTAL$ 67.10 "Contributor Codes IND — Individual COM — Recipient Committee {other than PTY or SCC} OTH — Other {e.g., business entity} PTY — F0liticaI Party SCC —Small Contributor Commi[tee FPPC Form 460 (JanM2016) FPPC Advice: advice@tppc.ca.gov (8661275-3772) www.fppc.ca.gov INW1+Y. net File. cam Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded [ State inentcove rs period to whole dollars. CALIFORNIA � ' from 01/01/2016 FORM through 06/39/2018 page sa of 200 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 CUMULATIVETO DATE PER ELECTION (1FCOMM111 ALSO ENTER 10 NUMBER) OCCUPATION AND EMPLOYER RECEIVED THfS CALENDAR YEAR TO DATE RECEIVED CODE [1F SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 7 -OEC. 31} (!F REQUIRED) OF RUST NESS) 01/31/2018 Christian Diaz FK]IND Sergeant 16.30 195.69 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 02/15/2010 Christian Diaz xU"IND Sergeant 16.30 195.50 C/o: Sax? Rafael Police Association 1520 Fifth� COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth AvenLip. San RafaRl. C& 9490, L]SSCC 02/28/2018 Christian Diaz xjIND Sergeant 16.30 195,60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Unica member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. gan RafaPl. CA 942g, 03/15/2018 Christian Diaz 21 IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PT -y intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 03131/20-18 Christian Diaz ZINC Sergeant 16.3a 195.60 C/a: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 99901 ❑ DTH Union member's dues received through 1:1 PTY intermediary: San Rafael Police Association, 1520—Fifth Avenue, San-Ratael. CA- 94901 ❑ SCC "Contributor Codes IND—Individual COM - Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee SUBTOTAL$ 81.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.netfile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIAr to whole dollars. from 01/01/2018 FORM through 06/30/2019 page 59 of 200 NAME OF FILER 1.0. NUMBER San Rafael Police Association Political Action Committee 631553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION iIFCOMMITTEE.RLSOENTE3i10 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) 04/15/2018 Christian Diaz 91 IND Sergeant 16.30 195.60 C/o: San Rafael. Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SDC 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Christian Diaz x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY incermediaiy: San Rafael Police Association, PRafael. ❑ SCC 05/15/2018 Christian Diaz x[]IND Sergeant 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth ❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 2 F' 05/31/2018 Christian Diaz DXIND Sergeant 16.36 195.60 C/o: San Rafael Police Association 1520 Fi€th❑ CDM City of Sari Rafael Avenue San Rafael, CA 94901 ❑ OTH Uninn member's dues received through E]PTY intermediary: San Rafael Police Association, ❑ SCG 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Christian Diaz QIND Sergeant i6130 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P -{y intermediary: San Rafael Police Association, 1520 Fifth AvenLie. San Rafael. CA 94901 ❑ SCC 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee SUBTOTAL.$ 81.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (COAST.) Monetary Contributions Received Am aunts may be rounded Statement covers period..— eriod. NIA CALIFO■ to Whole dollars. 601 from 01/01/2018 ' through 06/30/2018 page 60 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE HILL NAME, STREET ADDRESS AND ZIP GORE OF CONTRIBUTOR CONTRIE] OR IF AN INDIVIDUAL, ENTER AMOUNT CUMULAT IVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED {Ir SELf'-EMPLOYEO,ENTER NAME PERIOD (JAN. i -DEC 31) (!F REQUIRED) OF9USINESS] 06/30 2018 Christian Diaz MIND Sergeant 15.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through I-] PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Justin Dodson MIND Police officer 16.30 145.60 C/o; San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94401 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 01/31/2016 Justin Hodson MIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94441 ❑ OTH union member's dues received through ❑ PTY intermediary: San Rafael Police Association, LSCC 1520 -Fifth Aya San Rafael,4 90 02/15/2016 Justin Dodson x❑IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through []PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 O2/213/2018 Justin Dodson x❑IND Police O icer 36.30 195.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue [-]COM San Rafael, CA 44401 ❑ OTH Union member's dues received through ❑ PTY intermediary; San Rafael Police Association, Rafael.11920 Fiftb Avenue.—San ❑ 506 "Contributor Codes IND—Individual CONI — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SGC — Small Contributor Committee SUBTOTAL$ 81.50 FPPC Form 460 (JaW2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.neffile.com Schedule A [Continuation Sheet] SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded St ate Inentcovers period CALIFORNIA to whole dollars. 460 from 01/01/2018 FORM through 06/30/2018 Page 67 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE IP P O FULL NAME, STREET ADDRESS AND GORE OF CC}NTRIi3UTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE pFCoe,4MIrE,ALSdfiiIPTER 0 NUMBER) " OCCUPATION AND EMPLOYER CALENDAR YEAR RECEIVED CODE [IF SELF-EMPLOYED, EN TER NAME PERIOD [JAN 1 - DEC. 31) LIF REQUIRED) OF BUSINESS] 03/15/2018 Justin Dodson x❑IND Police officer 16.30 195.50 C/o: San Rafael Police Association 1520 Fifth [3Com Of San Rafael Avenue San Rafael, CA 94901 ❑ CTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Justin Dodson KIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue- San Rafael, CA 94901 ❑ SCC 04/15/2018 Justin Dodson a]IND police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1 0 Fifth Avenue, ari Rafael, CA 9490. 04/30/2018 Justin Dodson E] IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑CQM City of San Rafael Avenue San Rafael, CA 94901 []DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 05/15/2018 Justin Dodson x❑INQ Police i3ificer 16-30 19 . C/o: San Rafael Police Association 1520 Fifth ❑ CQM City Of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through ❑ PTY intermediary; San Rafael Police Association, 1520 Rifth Avp=p. San Rafael, CA 942DI ❑ SCC SUBTOTAL$ 81.50 "Contributor Codes IND—Individual CON! — Recipient Committee (other than PTY or SCC) DTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Farm 460 [Janf2016] FPPC Advice: advice@fppc.ca.gov (8661275-3772) wuvw- netfile. Com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period. to whole dollars.Ref ■ from 01/01/2018 Fp.qe through 06/30/2019 62 of 200 NAME OF FILER I.O. NUMBER Sari Rafael police Association. Political Action Committee B31553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED {IFCOMM1ITEE.ALSOENTERIp N 1N1aERj CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE [IF SELF-EMFLaYEO ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF EU SI N E55] 05/31/2018 Justin Dodson [X] IND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Avenue San Rafael CA 94991 06/15/2016 Justin DodsonxOIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152Q Fifth a SCC 05/30/2018 Justin Dodson E]1ND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [–]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue— a fa -CA -34901, 01/15/2018 James Dooley QIND Police ofticer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Avenue, San Rafael, CA 94901 01/31/2018 James Doo ey ❑IND Po sce officer 16.30 195. 0 C/o: San Rafael Police Association 1520 Fifth❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, A P ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) 6TH – Other (e.g., business entity) PTY – Polilical Party SCC –Small Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www. netfile. com Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. f C,11 NAME OF FILER San Rafael Police Association Political Action Committee from 01/01/2018 through 06/30/2018 1 Page 63 of 200 631553 DATE DE O FULL NAME. STREET ADDRESS AIFQ 21P CODE OF CONTRIBUTOR ZIP DRE S AIF CONTi�IBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION SEET SAND I.O.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE IIF 5ELF-EMPLOY ED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF E lis INESSj O2/151201a 15.30 James Dooley x❑IND Police Officer 195.50 C/o: San Rafael Police Association 1520 FifthC CQM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH inion member's dues received through ❑ PTY intermediary; San Rafael. Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 James Dooley Z3IND Police Officer 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth [7]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth A_Venue. gan Rafael- CA 94901 ❑ SCC 03/15/2016 James Dooley N1 IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COhR City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Ay -t, -,nue. --S R f 94901 195.60 03/31/2016 .lames Dooley DINQ Police Officer 15.30 C/o: San Rafael Police Association 1520 FifthCity COM Of San Rafael !Avenue ❑ !San Rafael, CA 94901 ❑ OTH Union member's dues received through PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 D4/15/2018 amen Doo ey MIND Police Officer . C/a: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue {San Rafael, CA 94901 ❑ OTH )Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 FiEth V ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes IND-- Individual COM—Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—PDlitiCal Party SCC -- Small Contributor Committee www.netfile. c om FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppe.ca.gov (8661275-3772) www.fppc.r-a.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statem ant cove rs period CALIFORNIA to whole dollars. from 01/01/2018 FORM through 06/30/2018 page 64 of 200 NAME OF FILER I. D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESSZIP S FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION SAND (E DOM I D NllM6ER] * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO BATE RECEIVED CODE (IF SELF -EM PLOY ED, ENTER NAME PERIOD (JAN. 7 - DEC. 31) [IF REQUIRED] OF BUSINESS) 04/30/2918 .lames Dooley ❑IND Police Officer 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth❑ CCM City Of San Rafael Avenue San Rafael, CA 94.901 E] OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 James Dooley [@IND Police Officer 16.30 195.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94401 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 192Q Fifth P Pi rA q4Oni_ ❑ 5CC 05/31/2018 James Dooley x❑IND Police Officer 16.30 195,60 ~ C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 15 ifth avenpe, San Rafael gA 94901 06/15/2018 James Dooley E] INC) Pclice Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City Of San Rafael Avenue San Rafael, CA 94901. ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94401 06/32M 201 James Dooley 11 [NO Police officer 16.3 195. 0 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ CCM San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rataaj___CL --- 9AI01 ❑ SCC 5lJ8TOTAl.$ el_5n 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Politica[ Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca,gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded StatementCovers period • to whole dollars. from 01/01/2018 • ' through 06/30/2016 Page 6 5o 200 NAME OF PILER 1. 1). NUMSE R San Rafael Police Association Political Action Committee 831553 . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, E AND ZIPE O CONTR€13UTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (I F COMMITTEE. ALSO I ❑ N 1 CODE ■ OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED. ENTER NAME PERIOD (.IAN 3 - DEC 33) (IF REQUIRED) OF8LIWNESSj 01/15/2018 Christopher Duncan MIND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Christapher Duncan RIND Police Corporal 16.30 197.60 C/o: San Rafael Police Association 1520 Fifth ❑ CQM City of San Rafael Avenue OTH San Rafael, CA 94941 ❑ Union member's duns received through ❑ PTY intermediary: San Rafael Police Association, 1520 F' RafaRl. C6 9490� Cl SCC 02/15/1018 Christopher Duncan x❑IND Police Corporal 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth ❑ CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San R fael 9490 02/28/2018 Christopher Duncan MIND Police Corporal 16.30 195.60 C/o: San Rafael. Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael., CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 03 TI -57 2018 Christopher Duncan MIND Po zce Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC SUBTOTAL$ 01.50 'Contributor Codes IND - Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfilexom FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement coversperiod ■ _ NIA to whole dollars. from 01/01/201a FORM through page 66 of 200 NAMEOF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 931553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION EiFCOh1MITfEE.ALSOENTERI❑ Nl1MRERj CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (fF SELF-EMPLOYED, ENTER NAME PERIOD {JAN. 1 -DEC. 31) (IF REQUIRED) Or 6 US INESS) 03/31/2018 Christopher Duncan RIND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Christopher Duncan RIND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑COATI City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Ayl=e. San Pdtael- CA 942a 1 ❑ SCC 04/30/2018 Christopher DuncanQINF3 Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ GCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152P Fifth venueRafael, ❑ 05/15/2018 Christopher Duncan 91 IND Police Corporal 16.30 195.6❑ C/o; San Rafael Police Association 1520 Fifth❑CUM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ P'rY intermediary: San Rafael Police Association, []SGC 1520 Fifth Avenue, San Rafael, CA 94901 ❑5 31 2018 Christoprier Duncan KIND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifl;h Avenlie. San Raf I, CA 24201 []SGC SUBTOTAL$ x1.50 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Poiitical Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www,fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULS A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. S from 01/01/2018Ir . through 05I3oI2ola page 6T of 2100 NAME OF FILER I.O. NUMBER San Rafael. Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR TF AN INDIVIQUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMnTEE,A=FNTERI.D NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE [IF S E LF -EMPLOYED. ENTER NAME PERIOD (JAN. 7 - DEC. 31) (IF REq[]iRED) O F RUSINE5S] 06/15/2018 Christopher Duncan NJ IND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Christopher Duncan x❑IND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Ayonue. San Rafael. C6 949DI ❑ SCC 01/15/2018 Scott Eberle x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 E]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1 Fifth Avenue, Sgn Rafael, A 949PI, 01/31/2018 Scott Eberle /IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2-0-19—Scott E er a 91 IND Sergeant 16.30 195.6-07 CIO: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, S4131:1SCC 4.1 'Contributor Codes IND — Individual COM —Recipient Committee (other than PTY or SCC) OTH -- Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ e1.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov tvww.rreffrle.com Schedule A (Continuation Sheet) SCHEDULE A {CONT.} Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ■ from ollollxals ■ ' through06/3o/2o1e page 6a of_ 200 NAME OF FILER E.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF ANI INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION {IFCAMMnTEE,ALSOENTERIO NVM6ER} CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED {IF SELF-EMPLPVEO,ENrER NAME PERIOD {,}AN. i DEC. - 37] (IF REQUIRED) oFauslNESsI 02/28/2018 Scott Eberle x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San, Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 03/15/2016 Scott Eberle El IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aypnue, I;a)j Hafael. CA 949k, ❑ SCC 03/31/2018 Scott Eberle IIIND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, 04/15/2016 Scott Eberle x❑IND Sergeant 16.39 195.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue ❑ San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Scott Eberle ❑xINO Sergeant 1 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. SanA 94901 _]SCC SUBTOTAL$ 81.50 `Contributor Codes IND— Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g_ business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice; advice@fppc.ca.gov (8661275-3777) www.fppc.ca.gov t+vww.rteifile.cam Schedule A (Continuation Sheet) SCHEOULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from o1/fl1/2o1aFORM through 05/30/2018 Page 69 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION PF CT NUMBER} * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED 7 CODE (IFsELF.EMPLOYE0. ENTER NAME PERIOD (JAN. 1 -DEC 31) {IF REQUIRED) OFOUSINESSj 05/15/2018 Scott Eberle ❑INC Sergeant 16.30 195.611 C/o: San Rafael Police Association 1520 Fi€th❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Scott Eberle x❑IND Sergeant 16.30 195,60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 06/15/2018 Scott Eberle DINQ Sergeant 16.30 195,50 C/o: San Rafael Police Association 3520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 15ZO Fifth Avenue, San Rafael, CA 949QL, 06/30/2018 Scott Eberle QINC Sergeant 16.30 195.60 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 01/15/2010 Kevin Finerty ] ND Po ace Officer 16.317 195-60 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Sma1I Contributor Committee SUBTOTAL$ 81.50 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov wwt<t►.neifrle.ctam Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ■ 60 from 01/01/2018 ■ ' through 05/30/2018 page 70 of 200 NAME OF FILER LID. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER I n NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED pFSELF-EMPLOYEO.EHTERNAME PERIOD (JAN- i _DEC, 37) (IF REQUIRED) Or BUSINESS) 01/31/2018 Kevin Finerty xj]IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through E] PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94961 02/15/2018 Kevin Finezty x❑IND Police Officer 16.30 195.60 C/o. San Rafael Police Association 1520 Fifth [-] CCM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aypnue. San Rafael- CA 94901 ❑ SCC 02/28/2DIS Kevin Finerty JIND Police Officer 16.30 145.£0 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 ❑ CTH Union member's dues received through E] PTY intermediary: San Rafael Police Association, C] SCC 1520 Eifth Av n Rafael A 490 03/15/2018 Kevin Finerty RIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 03131/2018 Kevin Finerty ff]IND Police O icer 16.30 195.60 C/o: San Rafael Police Association 3.520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT -Y intermediary: San Rafael Police AssociaCaon, Avenue,1520 Fifth LSCC "Contributor Codes IND—Individual CDM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — PohlicaI Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 81.50 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period e to whole dollars. � ■ from 01/01/2018 � - through 06/30/2018 page 71 of 306 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP GODS OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTERI.D.NUMBER) COQE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED IIF SELF-EMPLOVER,ENTER NAME PERIOD {JAN. 1 -DEC 31) (IF REQUIRED) OFSUSINESS) 04/15/2018 Kevin Finerty NJ IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth [:]COM Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Kevin Finerty MIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 05/15/2016 Kevin Finerty ®IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 152D Fifth ❑Cpm City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH union member's dues received through ❑ pTy intermediary: San Rafael Police Association, []SCC 152 ft ue. San Rafael, CA 949 1 05/31/2018 Kevin Finerty 91 IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association. ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/151201B Kevan Finerty MIND Police officer 16730 195.60 C/o: San Rafael Police Association 1520 Fifth❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenjje. San Rafael, CA 949nl SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY of SCC) OTH - Other (e.g., business entity) PTY • Political Partly SCC -Small Contributor Committee FPPC FoTm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded State mentcovers period ■ to whole dollars. from 01/01/2018 ■ - through 06/30/2018 Page 72 of 200 NAME OF FILER 1.0. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND QIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION iI F CO M M ITTEE, ALSO E NTER I NUMBER) CODE k OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED IIF SELF- EMPLOYED, ENTER NAM PERIOD (JAN. 1 -DEC 37) (IF REQUIRED) OF BuSIN ESS) 06/30/2018 Kevin Finerty QIND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94961 01/15/2018 Scott Fisher RIND Police Officer 15.30 195.60 C/o: San Rafael Police Association 1524 Fifth COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,SCG 1920 Fifth Ayenue. qan Ra —1 C'A gag -01 El 01/31/2018 Scott Fisher x❑IND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth CdM City Of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through PTY intermediary: San Rafael Police Association, SCC 20 Fifth Avenue an Rafael, CA 01 02/15/2018 Scott Fisher RIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through []PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 —02/28[20-18 Scott -Fisher xOIND Po ice ❑ icer .16,30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 [-10TH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, 1920 Fifth P []SGG '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 SUBTOTAL $ 81-50 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) WWW.netflexom www.fppc.ira.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period • _ to whale dollars. fromthrough F11 06/30/201Hpage 73 Of NAME OF FILER 1.0 NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE. ALSOENTER10 NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN 1 -DEC. 31) [1F REQUIRED) OF BUSINESS) 03/15/2018 Scott Fisher XI IND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CQM City Of San Rafael Avenues San Rafael, CA 94901 ❑ OTH Union member's dues received through L]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Scott Fisher MIND Police Officer 15.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City Of San Rafael Avenue San Rafael., CA 94901 ❑ DTH Union member's dues received through PTY intermediary- San Rafael Police Association, 1520 Fifth Avenue, San Rafael, ❑ SCC 04/15/2018 Scott Fisher x❑IND Police officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association. [jSCC 1 0 Fi Aven Sa f 1 A 04/30/2018 Scott Fisher CIND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑£C'M San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 a5 15 1 Scott Fisher MIND Pa ice Otticer 16.30 ITS -60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City Of San Rafael Avenue San Rafael, CA 94901 []OTH Onion member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Eifth Avenue, SCC SUBTOTAL$ a 1.50 'Contributor Codes IND - Individual COM - Recipient Committee (tither than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advices'?a fppc,ca.gov (8661275-3772) WWW. netfile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ■ ' from 01/01l201e through 06/30/2018 Page 74 of 200 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 II F COM M ITT EE. ALSO E NTER I O N11MSE R) OCCUPATION AND EMPLDYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF- EMPLOY ED. ENTER NAME PERIOD (JAN T -DEC. 31) (€F REQUIRED) OF 61151 N ESS} 05/31/2018 Scott Fisher x❑IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union zrrember's dues received through PTY intermediary: San Rafael Police Assoc; at ion, [—] SCC 1520 Fifth Avenue San Rafael CA 94941 06/15/2018 Scott Fisher ZJIND Police Officer 16.30 195.60 C/A: San Rafael Police Association 1520 Fifth ❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through L] PTY intermediary: San Rafael Police Association, P P ❑ SCC 06/30/2018 Scott Fisher IND Police Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CdM City Of San Rafael Avenue San Rafael, CA 94901 C]OTH Union member's dues received through L] PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avemae. San Rafael. 01/15/2018 Anna Fulgado ❑xINQ Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through ❑ P-ry intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 01/31/2018 Anna Fu ga ❑ Rf]IND Dispatc er 12.79 152.40 C/O: San Rafael Police Association 1520 Fifth COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, VRafael, CA Lq�9_u LSCC SUBTOTAL$ 74.30 'Contributor Codes INT] — 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 (Jan/2016) FPPC Advice: advice@fppe.ca.gov (8661275-3772) wvvw.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may berounded Statement co vers period CALIFORNIA to whole dollars. 460 from 01/01/2018 FORM through 06/30/201a Page 75 of 200 NAME OF FILER LD. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ODE O ZIPER CONTRIBU IF AN INDIV€DUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION SIF COM MITRE,aLSdND I *OR OCC U PATI 0 N A N D EMPLOYER RECENED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF, EMPLOYEO.ENTERNAME PERIOD (JAN 1 - DEC. 31) (IF REQUIRED) OF 81)SIN ESS) 02/15/2016 Anna Fulgado QIND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ CCM City Of San Rafael Avenue San Rafael, CA 94901 [] OTH Union member's dues received through L] PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 44901 02/28/2018 Anna Fulgadox❑IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 44901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth AXpnjjP. San Rafael, CA 94901 ❑ SCC 03/15/2018 Anna Fulgado ©IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue Sari Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 9490, 03/31/2018 Anna Fulgado E] IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-] SCC 1520 Fifth Avenue, Sari Rafael, CA 94901 04 7 15 2 Ti8 Anna Fulgado xOiND Dlspatc er 12.7 152.40 C/4: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1520 Fifth ❑ SCC SUBTOTAL$ 63,50 'Contributor Codes IND — individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entily) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Janf2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc,ca.gov tvwt+v. r2etiile. com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period a to whpte dollars. j r from u1/al/z01s ■' page 76 of 200 through 46/30/2019 NAME OF FILER I.R. NUMBER San Rafael Police Association Political Action Committee 931553 ANDZIP , STREET AGGRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME. E O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUM ULATIVETO DATE PER ELECTION { COMMITTEE ALSO10 N[DE r OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE IIF SELF-EMPLOYEO,ENTER NAM E PERIOD (JAN 1 - DEC 31) (IF REQUIRED) OF auSINESa3 04/30/2018 Anna Fulgado x❑IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Anna Fulgado X❑IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ CDM City Of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through ❑ PTY intermediary! San Rafael Police Assocxation, 1520 Fifth Avenue, San Rafael-, CA 9490, ❑ SCC 05/31/2018 Anna Fulgado x❑IND dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union membez's dues received through ❑ PTY intermediary! San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/15/2018 Anna Fulgado IND Dispatcher 12.76 152.46 Clo: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/3072610 Anna Fulgado ❑x IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth [3Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 63.50 'Contributor Codes IND—individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Po IiIII caI Party SCC - Sma1I Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8651275-3772) www.neffile.com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Am aunts may be rounded Statement covers period 0 _ to whole dollars. [oil from 01/01/2018 through 06/30/2015 page 77 of 200 NAME OF FILER P.D. NUMBER San Rafael Police Association Political Action Committee 631553 I DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR . CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOMM fTTEE,ALSO ENTER 10NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYEO,ENTER NAME PERIOD (JAN. 7 -CLEC 37) (IF REQUIRED) OFSUVNESS) 01/15/2016 Christopher Fuller ❑IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth[3ComCity of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediaryt San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 01/31/20118 Christopher Fuller Z] IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COm City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH [Inion members dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 FitLh AvanUp San Rafael, CA 94901 ❑ SCC 02/15/2918 Christopher Fuller RIND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ CTH union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Avenue. San Rafael, 02/28/2018 -152-0---Fifth Christopher Fuller ❑IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ GCM City of San Rafael Avenue San Rafael, CA 94901 ❑ QTH Union member's dues received through ❑ PTY inteimediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Avenue, San Rafael, CA 94901 03/1512018 Christopher Fu er x❑IND Corpor—aT 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth v ❑ SCC 'Contributor Codes IND– Individual COM –Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC - Small Contrihutor Committee SUSTOTAL$ 81. sa FPPC Form 460 (Jan12016) FPPC Advice: advicei'?afppc.ca.gov (9661275-3772) www.fppc.ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period 6 to whole dollars. from 01/011201e • ` F__ through 06/30/2018 Pam 78 O{ NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 j DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION IIF COM MITTS E, ALSO ENTER I, 0. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE {IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN- t -DEC. 31j (IF REQUIRED) OF BUSINESS) 03/31/2015 16.30 Christopher Fuller I ❑x IND Corporal 195.60 C/o: San Rafael Police Association 1.520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue S n Rafael. CA 94901 44/15/2018 Christopher Fuller 91 IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ QTH Union member's dues received through E❑ PTY intermediary: San Rafael Police Association, ❑ SCC 04/30/2018 16.30 195.60 Christopher Fuller 91IND Corporal C/O: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael police Association, ❑ SCC 1520 Fifth Avenue. San -Rafael. _ 05/15/2018 Christopher Fuller x❑IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 949131 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 _D'SjSl -Christopher Fu er %❑HEED Corpora b. 1] C/O: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT -Y inteimediary: San Rafael Police Association,❑ 1.52a Fifth Avenue. San Riktapl_ CA 94901 SCC SUBTOTAL$ al.50 "Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.f ppc. ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts maybe rounded I Statement covers period CALIFORNIAi to whale dollars. r from 01/01/2018 ■ ' through 06/30/2018 Page 79 of 2200 NAME OF FILER I D. NUMBER San Rafael Police Association Political Action Committee 631553 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIPDE O S CONTRIBUTOR IF AN INDIV[DUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION SAND (IF COMMITTEE. l D. N CODE * OCCUPATION AND EMPLOYER RECEIVED THfS CALENDAR YEAR TO DATE RECEIVED [IF SELF -E M PLOY ED, ENT ER NAME PERIOD (,IAN 1 -DEC 31) [IF REQUIRED] OF SUSI NESS) 06/15/2018 Christopher Fuller ]IND Corporal 16.30 195.60 C/O: San Rafael Police Association 1520 Fifth❑ GOM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Christopher Fuller RIND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through Q PTY intermediary: San Rafael Police Association, ❑ SCC 01/15/2016 Salvatore Garanzini x❑INQ officer 16.30 195.60 C/O: San Rafael Police Association 1520 Fifth ❑ OflM City of San Rafael Avenue Sari Rafael, CA 94901 [10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 15 2 9 Fifth Ayprwe a f a e 1. CA 94 01/31/2019 Salvatore Garanzini x❑IND officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 (DOTH Union member15 dues received through ❑ PTY intermediary: San Rafael Police Association, [-] SCC 1520 Fifth Avenue, San Rafael, CA 94401 02/15/2018 Salvatore Garanzini EIIND Officer 16.30 195-60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152 v ❑ SCC 'Contributor Codes IND - Individual COM - Recipient Committee (other lhan PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -SmalI Contributor Committee SUBTOTALS 81,50 FPPC Form 460 (Jan)2016) FPPC Advice: advice@fppc.ca.gcv (8661275-3772) WWW.netffle. nom www,fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period _ to whole dollars. ■ NIA from 01/01/201.s FORM Page 80 of 200 through Qs/3Q/2Qle NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OFCOMMITTEE,ADDRESS ENTER l o 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 8USINESS) 02/28/2018 Salvatore Garanzini 71 IND Officer 16.30 195.60 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, D SCC 1520 Fifth Avenue San Rafael CA 94901 03/15/2019 Salvatore Garanzini MIND officer 16.30 145.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City of San Rafael Avenue 0TH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 FifLh AvIaXWP. San Rafael- CA SJ901 0 SCC 03/31/2018 Salvatore Gafanaini WIND Officer 16.30 195.60 C/o; San Rafael Police Association 1520 FifthD CQM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through D PTY intermediary: San Rafael Police Association, D SCC Fifth aven1je. 04/15/2018 Salvatore Garanzini WIND 16.30 195.60 C/a: San Rafael Police Association 152.0 Fifth ❑ CCM City of San Rafael City Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT -Y intermediary: San Rafael Police Association, D SCC 1520 Fifth Avenue, San Rafael, CA 94901 04730/2519 Sa vatvre aranz1n1 91IND officer 16-30 195.60 C/o: San Rafael Police Association 1520 FiftlaDC❑ city of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through D PTY intermediary: San Rafael Police Association, 1520 Fifth Aynnuo. San Rafael, CA 949U ❑SCC SUBTOTAL$ a1.50 "Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice: advice[,lafppc.ca.gov (8651275.3772) wwwJPPc.ca.gov Www-rletii�L.CUIn Schedule A (Continuation Sheet) SCHEDULE A {CONT,} Monetary Contributions Received Amounts may be rounded Statement covers period KOY+ e to whole dollars. ■ from 01/01/2D1B ■ " through 06130/201e page B1 of eon NAME OF FILER I.D. NUMBER San Rafael Police Association Political. Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AI CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION [EET F COM ITT-EE.RAiSAND I O N UM BER) OCCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE RECEIVEDCODE {[FSELF-EMPLOYED ENTER NAME PERIOD (JAN 1 - DEC. 31 i (IF REQUIRED) OFEUSINESS) 05/15 21018 Salvatore Garanzini BIND officer 16.30 195.50 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Salvatore Garanzini OIND Officer 16.30 195.6() C/o: San Rafael. Police Association 1520 Fifth L]CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;90 Fifth Avenue, San Rafael.—C& 9490, ❑ SCC 06/15/2018 Salvatore Garanzini ®IND Officer 15.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Fifth A Rafael- rA 9 06/30/2018 Salvatore Garanzini ❑xlND Officer 1&.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, EISCC 1520 Fifth Avenue, San Rafael, CA 94901 01115/2018 Michael Garrison RIND Officer 16.30 195. 0 C/o: San Rafael Police Association 1526 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth &veni.�e. San Rafagj___CA__jAjQl ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes INC—individual CCM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppcxa.gov www.nL-tfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ECALIFORNIA to whole dollars. from 01101/2018 FORM through 06/3D/2a1B Page 82 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION IIF Co"TFEE AI.SO ENTER ID NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE ;IF SELF-EMPLOYED.EN7ER NRME PERDU (JAN. 7 -DEC 37) {IF REQUIRED} OF BUSINESS) 01/31/2018 1 Michael Garrison ]IND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through ❑ PTY intermediary- San Rafael Police Association, ❑ SCC 1529 Fifth Avenue San Rafael CA 94901 02/15/2019 Michael Garrison RIND Officer 16.30 195.6D C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 99901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 15211 Fifth AVRnup. �an Rafapl. CA 94901 ❑ SCG 02/28/2018 Michael Garrison ❑IND Officer 16.30 195.50 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 5 Fif ven a Rafael.C 0 03/15/2910 Michael. Garrison El IND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94401 03731/20f8 Michael Garrison 2] IND O icer 16-30 195.60 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152Q Fifth Avenj)e. San Rafael. CA 942QI ❑ SOC SUBTOTAL$ 61.50 "Contributor Codes IND—individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC —Small Con tribuiar Committee FPPC Form 460 (Jan)2016) FPPC Advice. advice@fppc.ca.gov (8661275-3772) www,fppc.ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDILLEA [CONT.] Monetary Contributions Received Amounts may he rounded statement covers perio_d_____1..■ _ NIA to whole dollars. from 01/01/21310 FORM through 06/30/2018 Page 93 of 200 NAME OF FILER I.D. [DUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR T A O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION COMMITTEE, SAND (EEIF I n Nl1DE CODE k OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED SIFSEtF-EMPL0YE7, ENTER NAME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) OF BUSINESS) 04/15/2018 Michael Garrison QIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, LSCC 1520 Fifth Avenue San Rafael, CA 94901 04/313/2137.8 Michael Garrison RIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ C❑M City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through E]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 9490, SCC 05/15/2018 Michael Garrison F]IND Officer 16.30 195.60 C/O: San Rafael Police Association 1520 Fifth❑ [ICOM City of San Rafael Avenue San Rafael, CA 94901 L] OTH Union member's dues received through L] PTY intermediary: San Rafael Police Association, SCC 70 Fift Avenge. San Rafael. CA q4_901 05/31/2018 Michael Garrison QIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City of San Rafael Avenue San Rafael, CA 94901 [_]0TH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/15/2015 Mit ae Garrison KIND Office]: C/O: San Rafael Police Association 1520 Fifth❑ City Of San Rafael Avenue CCM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P-ry intermediary. San Rafael Police Association, 1520 Fifth Ay-enue—San Rat-ael. CA 94901 ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes IND—individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice: advice@fppe.ca.gov (8661275-3772) www.fppr.ca.gov uvww.rtetfile. com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. from o11o112a1aFORM through 06/30/z018 Page B4 of 2DO NAME OF FILER I.D. NUMBER San Rafael Police Associati-on Political Action Committee 831553 DATE ANDZIPCODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DDRE S CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION pFCAHl ALSO 10 CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF- E mPLOYEO, ENTER NAME PERIOD (JAN. 1 - DEC 31) [IF REOUIRED] OFSUSENESS) 06/30/2019 Michael Garrison RIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Lilah Gavlick x❑IND Police Corporal 15.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1520 Fifth ❑SCC 01/31/2018 Lilah Gavlick [flIND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 02/15/2018 Lilah Gavlick x❑IND Police Corporal. 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 02128/2018 CTIah Gavlick Ey Police Corpora 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY inLermediary: San Rafael Police Association, ❑ SCC Avenue, F SUBTOTAL$ 91.50 'Contributor Codes IND—lndivldual CDM _ Recipient Committee tether than PTY or SCC) OTH — Other (e -g-, business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/20161 FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Staterne nt cove rs period to whole dollars. CALIFORNIA from 01/01/2018 FORM through 06/30/2018 page 85 of 200 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 ffCOMMITTEE.ALSO ENTER J0 NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (if: SE LF -EMP LOYEO, ENTER NAME PERIOD (JAN 1 -OEC. 31) (IF REQUIRED) OF BUSINESS) 03/15/2018 Lilah Gavlick x❑IND Police Corporal 16.30 1.95,60 C/o: San Rafael Police Association 1520 Fifth❑ Dti�A City of San Rafael Avenue San Rafael, CA 94901 [-10TH Union member's dues received through [—]PTY intermediary: Sari Rafael Police Association. � sccG 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Lilah Gavlick -x{�-IND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 FifthCCM City of San Rafael Avenue San Rafael, CA 94901 ❑ CTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue1520 Fifth ❑ SCC 04/15/2018 Lilah Gavlick ]IND police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 [CTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 15 Fif Aven an f A 04/30/2018 Lilah Gavlick ]IND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 [] OTH Union member's dues received through [l PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 05/15/2015 Lilah Gavlick 711ND Po ice Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 [] OTH Union member's dues received through [] PTY intermediary: San Rafael Police Association, SCC F;fr_h Avetlue. an Ra�ae1. C� 949173 "Contributor Codes IND — Individual COM -- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -P0Iitical Party SCC - Sma II Contributor Committee SUBTOTAL$ al_5o FPPC Form 460 (Jan/2016) FPPC Advice; advice@fppc.ca.gov (8661275-3772) uvww.fppc.ca.gov vtrtivw. r�ettile. cam Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. from 01/01/2018 FORM through 06/30/2018 Page 86 of 200 NAME OF Fi L ER I.D. NUMBER San Rafael Police Association Political Action Committee 631553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRl8l17GR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE 7O DATE PER ELECTION (IF COMMITPEL.ALSO ENTER10 NuMBER) CODE * OCC U PATIO N A N D EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF- EMPLOYED,ENTER NAME PERIOD (JAN 1 - DEC 31) (IF REQUIRED) OF BUSIN ESS) 05/31/2018 Lilah Gavlick x❑IND Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM city of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 06/15/2016 Lilah Gavlick DIN[) Police Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, q.n Rgfapi. CA ��901 ❑ SCC 06/30/2016 Lilah Gavlick DIN[) Police Corporal 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union membei:'s dues received through ❑ PTY intermediary: San Rafael Police Association, E]SCr- 1520 Fifth Av Rafael A 94ll 01/15/2010 Justin Graham DiND Sergeant 16,3o 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COfi� City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues 'received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 01/3112618 Justin Gra am ❑fN[) Sergeant 16.30 145.60 C/o. San Rafael Police Association 1520 Fifth City of San Rafael Avenue COM [-]Com San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary; San Rafael Police Association, Avenue,1520 Fifth Rafael 5CC 'Contributor Codes IN❑ -- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.netfrfe.00M SUBTOTAL$ 61.50 FPPC Farm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppe.ca.gov Schedule A (Continuation Sheet) SCHEDULER {CONT.} Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. LS ■ from 0110112918_ • NAM E OF FI LER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IFCOMMITTEE,ALSO ENTER ID NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSIN E SS) 02/1572018 Justin Graham HIND Sergeant C/o: San Rafael Police Association 1520 Fi€ttti City of San Rafael through 06/3C/2019 AMOUNT RECEIVED THIS PERIOD 16. 'Contributor Codes Avenue ❑ COM COM –Recipient Committee San Rafael, CA 94901 ❑ OTH – Other (e.g., business enlily) PTY – Political Party Union member's dues received through [ PTY intermediary: San Rafael Police Association, (� SCC 1520 Fifth Avenue San Rafael, CA 94901 02/28/Z01B Justin Graham DIN❑ Sergeant C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through C] PTY intermediary: San Rafael_ Police Association, $QC 03/15/2018 Justin Graham ©IND Sergeant C/o: San Rafael Police Association 1520 FifthQOM City of San Rafael Avenue San Rafael, CA 54901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael.CA 9490, D3/31/2011EI Justin Graham x❑iND Sergeant C/o: San Rafael Police Association 1520 Fifth❑ QOM City of San Rafael Avenue San Rafael, CA 94991 [] OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94501 _UTTf5 T2 0-= Justin Graham QIND ergean C/o: San Rafael Police Association 1520 Fifth❑ QQM City of San Rafael Avenue San Rafael, CA 94901 QT ]H []OTH Union member's dues received through I$CC intermediary: San Rafael Police Association, Rafael11�20 Fifth Ayanue. San Ij 'Contributor Codes IND–individual COM –Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business enlily) PTY – Political Party SCC - Small Contributor Committee www.netfil e, com 16.30 16.30 16.3 SUBTOTAL$ 81.50 Page _..... g? of— 200 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. T - DEC. 3 t ) 195.6() 155.50 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A [CONT.] Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. from D1/01/2018 • ' through 06/30/201a page as of 20D NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 531553 DATE FULL NAME, STREET ADDRESS AND ZIF GORE 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-EMPLOY ED, ENTER NAME PERIOD (JAN T -DEC. 31j [IF REQUIRED) OFEUSINESS) 04/30/2018 Justin Graham MINI) Sergeant 16.30 155.60 C/O: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Justin Graham MIND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth [ICOM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, fth Ayenue. San -Rafael CA 94501 ❑ SCC 05/31/2018 Justin Graham ©DNC Sergeant 16.30 195,60 C/o: San Rafael Police Association 1520 Fifth [3Com of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,E]SCC 2D fth A e Sa ael 4 06/3-5/2018 Justin Graham 91 (NO Sergeant 16,30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCDW City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/20/2018Just ri Graham x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through CIPTY intermediary: San Rafael Police Association, _1520 Fifth AynnUe. San Rafaaj__CA__2AUl ❑ SGC 'Contributor Codes IND — Individual COM - Recipient Committee (other than PTY or SCC) DTH - Other (e -g-, business entity) PTY -Political Party SCC -Small Contributor Committee SUBTOTAL$ 81.50 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc. ca.g ov www. n etfNe. ca►n Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF CQ1r1MUTEE. ALSO ENTER 10. NUMBER) CODE * C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth A—Y, San Rafael, CA 549CIl /2018 Lori Hendricks C/a: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: Sail Rafael Police Association, 1520 e a Rafa -9A-9-0-1-- /2018 Lori Hendricks C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Lori Hendricks C/O: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Unicn member's dues received through intermediary: San Rafael Police Association, 152 -0 -.-Fifth A nue,—S-an-.ka£ael. 94901 *Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC C -Small Contributor Committee www.netfile.com x❑IND ❑CDM ❑0TH ❑ PTY ❑ SCC []IND ❑GOM ❑ 0TH ❑ PTY ❑ SCC ©IND ❑COM ❑ 0TH [] PTY ❑ SCC %❑IND ❑ COM ❑ 0TH ❑ PTY ❑ SCC ]IND ❑ COM ❑ OTH ❑ PTY ❑ SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF -E M PLOYED. ENTE R NAME OFSUSINESS) Dispatcher City of San Rafael City of San Rafael Dispatcher City of San Rafael ty of San Rafael city of San Rafael Statement covers period from 01/01/2018 through 05/30/2016 AMOUNT RECEIVED THIS PERIOD 12.70 12.70 SUBTOTAL.$ 63.50 SCHEDULE A {CONT.} Paye B9 of 200 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (.JAN. 1 - DEC. 37) (IF REQUIRED) 152.40 152.40 152.40 152.40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded State m ent cove rs period s to whole dollars. ■ from 01/41/2018 s - through 06/30/2018 page 90 Of 200 NAME OF FILER f I.Q. NUMBER San Rafael Police Association Political Action Committee 631553 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIPO AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION {EET SAND IT 1 n NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF -EM PWYE D, ENTER NAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OF BUSINESS) 03/31/2018 Lori Hendricks 91IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth ❑ CDM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Lori Hendricks ❑IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth ❑ CDM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1570 Fifth AyonUp. P ❑ SCC 04/30/2018 Lori Hendricks RIND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 152Q Fifth Avenue. San Rafael, A 9490, 05/15/2018 Lori Hendricks X❑IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth❑CDM City of San Rafael Avenue San Rafael, CA 94935 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Associacion, []5GG 1520 Fifth Avenue, San Rafael, CA 94901 05/31[2018 Lori Hendricks 91 IND Dispatcher 12. 0 152.4 C/o: San Rafael Police Association 1520 Fifth CDM City of San Rafael Avenue ❑ San Rafael, CA 94935 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth v ❑ SCC "Contributor Codes IND—tndividuai CDM — Recipient Committee (other than PTY or SCC) DTH — Other te.g., business entity) PTY — Potitical Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 63.50 FPPC Form 460 (Jan/2016) FPPC Advice: advicea@fppe.ca.gov (666/275-3772) www.fppc,ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 01/01/2018 FORM through 061317/201& Page 91 of 200 NAME OF FILER I. D. NUMBER San Rafacl Police Association Political Action Committee 631553 DATE FULL NAMESTREET AND 21P CODE OF CONTRIBUTOR . CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE 70 DATE PER ELECTION (IF COMMITTEE. ALSO ENTE R 1 0 NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR IODATE RECEIVED [IFSELF.EMRLOYEO,ENTERNAME PERIOD (JAN l -DEC 31j [EF REQUIRED) OF 8 USI NESS) 06/15/2018 Lori Hendricks x❑IND Dispatcher 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association., ❑ 5CC 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Lori Hendricks RIND Dispatcher 12.70 152.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary! San Rafael Police Association, ❑ 5CC 01/15/2418 Robert Henkle RIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Q Fifth F{venue can Rafael CA 949❑ 01/31/2018 Robert Henkle QIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH union member`s dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 02/15/201V Robert Henkl2 QIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue rSan Rafael, CA 94902 ❑ DTH Union member's dues received through ❑ PTY 11520 Fifth intermediary: San Rafael Police Association, Avenue, ❑ SCC SUBTOTAL $ 74.30 *Contributor Codes IND — Individual COM - Recipient Committee {other than PTY or SCC} Oil-! - Other (e.g., business enlily) PTY - Political Party SCC - Sma1I Contributor Committee FPPC Farm 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov {8881275-3772} urww.netfrlexom www.fppcxa.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Am auntsmay berounded 5taternentcovers. period CALIFORNIA to whole dollars. from 01/01/2018 FORM through 06/30/201e page 92 of 200 NAME OF FILER J.D. NUMBER San Rafael Police Association Political Action committee 831553 DATE ADDRESSZI1 S O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED SAND IiFCi3M a NDE CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE [IF SELF-EMP LOYED,ENTERNAME PERIOD (JAN i - DEC. 31) (IF REQUIRED) of Bus;NESSI 02/28/2018 Robert Henkle MIND officer 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Robert Henkle MIND officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CQM City of San Rafael Avenue San Rafael., CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, P ❑ SC 03/31/2018 Robert Henkle ®IND officer 16.30 195.60 C/o: San Rafael Police ABsociatxon 1520 Fifth❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC Fifth Avenue, San Rafael_—CA94901 04/15/2018 Robert Henkle MIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CCM City of San Rafael Avenue San Rafael, CA 94901 [] OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, F-1 SCC 1520 Fifth Avenue, San Rafael, CA 94901 04130/2018 Ro ert HenklE MIND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue ❑ San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aven1je. San Rafael. CA q4qoj ❑ SCC "Contributor Codes IND—individual COM --Recipient Committee (outer than PTY or SCC) OTH — Other (e.g.. business entity) PTY— Political Party SCC — Smail Contributor Committee SUBTOTAL $ 81.50 FPPC Form 460 (Jan)2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppr.ca.gov www.rfetfrle.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may he rounded Statem ent cove rs period_ CALIFO, NIA to whole dollars. , from 01/01/2018 • Page 93 of 200 through 06/30/2418 NAME OF FILER I.O. NUMBER San Rafael Police Association Political Action Committee 933.553 DATE ZIP FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ODNUME O DDR S CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COM A ALSO ENTER CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IFSELF.EMPLOYED ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/15/2018 Robert Henkle ]IND Officer 16.30 195,60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Robert Henkle x❑IND Officer 16.30 195.60 C/o; San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1529 Eifth Avenue San Rafael, CA 94�ai ❑SCC 06/15/2016 Robert Henkle a] IND Officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ flTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ 5CC 1 Fifth Avenue.n Rafael.CA 49 06/30/2018 Robert Henkle E]IND officer 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 01/15/2018 J. Alexander 1401M x❑IND Corporal 16.30 I9 .60 C/o: San Rafael Police Association 1520 Fifth❑ []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary; San Rafael Police Association, 1520 Fifth Ayenup. San Rafael—CA 949al ❑ �+C �, SUBTOTAL$ 81.50 'Contributor Codes IND—individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.rietfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may he rounded Statemant cove rs period CALIFORNIAr to whole dollars. from 01/01/2018 FORM through 06/30/2018 Page 94 of 200 NAME OF FILER I.Q. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CONTRIBUTOR AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOM MiTT£E.ALSO FNTER10 NUMBER) OCCUPAT€ON AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF. EMPLOYED, ENTER NAME PERIOD (JAN 7 -DEC. 37) (IF REQUIRED) OF BUSINESS] 01/31/2018 J. Alexander Holm ®IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94401 02/15/2018 J, Alexander Holm OiND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 5?4901 ❑ SCC 02/28/2019 LT. Alexander Holm ®IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH union member's dues received through [] PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Aven San Rafagl. CA 94 03/15/2018 J. Alexander Holm %❑IND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael., CA 94901 03131/2018 J. Alexander Ho m MIND Corporal 1 195.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,1152Q Fifrh AvenUe. San Rafael. CA 94901 ❑ SCC 'Contriputor Codes IND — Individual CONE -- Recipierit Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC — Small Contributor Committee SUBTOTAL$ a1. so FPPC Form 460 (Janf2016) FPPC Advice- advice@fppc.ca.gov (8661275-3772) WvIr+v.netfrle.corn www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded - Statement covers period CALIFORNIA to whole dollars. 460. from 01/01/2018 FORM through Page 95 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 631553 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTR1BUT1R IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION IIF COMMITTEE, AL SO EN TER IP NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYEa. ENTER NAME PERIOD {JAN 1 -DEC, 31} {IF REQUIRED} CF BASIN ESS) 04/15/2018 J. Alexander Holm RIND Corporal 16,30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Q SCC 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 J. Alexander Holm [KIND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union members dues received through ❑ PTY intermediary: San Rafael Police Association, eytue" _� RafaP_1 CA 449n] ❑ SCC 05/1512018 J. Alexander Holm ©IND Corporal 16.30 195,60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City of San Rafael avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth ue Rafael _ -CA 94901 05/31/2018 J. Alexander Holm QIND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 00TH Union member's dues received through []PTY intermedia,.y: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 05 T1_5T2_0 18 J. A exan ei- Holm ]IND COILPOral 16,30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CDM City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union membea-'s dues received through ❑ PTY intermediary: San Rafael Police Association, 1570 -Fifth Avenue. San Rafael. CA 94902 ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH - Other (e -g-, business entity) PTY --Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www1ppC.ca.gov tNtA11A1. r7E<tfllar.COl17 Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 01/01/2018 FORM through os13o/2ole page 96 of 200 NAMEOF =ILER I.A. NUMBER San Rafael Police Association Political Action Committee 831553 DATE S ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF DDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EET AND ENTER A NUMBER} * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE [IF SELF -EM PLOY ED, ENTER NAM E PERIOD (JAN. 1 • DEC. 31) (IF REQUIRED) OF BUSINESS) 06/30/2018 U, Alexander Holm MIND Corporal 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael„ CA 94901 ❑ 0TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael,CA 94901 01/15/2018 Lisa Halton MIND Sergeant 16.30 195.60 C/o; San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, Ran Raf el- CA 94901 ❑ SCC 01/31/201B Lisa Halton ©IND Sergeant 16,30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Av fae 02/15/2018 Lisa Holton [91 IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CQM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Inion member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 0212B/2018 Lisa Holton X❑IND Sergeant 16.30 195.6 C/o; San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Onion member's dues received through ❑ PTY intermediary; San Rafael Police Association, 11;20 -Fifth Avenue. San_Rafjel.__CA 94907t ❑ SCC SUBTOTAL$ 81.50 I 'Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) 0TH — Other (e.T. business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (.1an12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www. neffrle. com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA/ to whole dollars. 60 from 01/01/201s ■ " through OE/30/2016 Page 97 of 200 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 A DRE S CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION SANDO E iEETIF CC I.O. NUMBER] OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF- EMPLOYED. ENTERNAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OF BU SIN ESS) 03/15/2018 Lisa Holton ]IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association., ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 03/31/2019 Lisa Holton x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Fifth1520 RRafael, 04/15/2018 Lisa Holton x❑IND Sergeant 16.30 195.60 C/a: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94941 ❑ OTH Union member's dues .received through ❑ PTY intermediary: San Rafael Police Association, ❑ sCC 1520 Fifth Avenue, San Rafael, CA 94901 04/30/2018 Lisa Holton x❑IND Sergeant 16.30 195.60 C/o_ San Rafael Police Association 1520 Fifth❑ C❑M City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 05/15/2018 Lisa Holton KIND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH [Inion member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafa-e �l SUBTOTAL$ 81.50 'Contributor Codes IND - Individual COM -Recipient Committee {other than PTY or SCC} 0TH - Other (e.g., business entity) PTY-- Political Party SCC - Small Contributor Committee FPPC Form 460 (Janf2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.r-a.gov www.neffile.com Schedule A (Continuation Sheet) Mnnetary Contributions Received SCHEDULE A (CONT.) Amounts may be rounded Statement covers period to whole dollars. from 01/01/2018 • " through 06/30/2018 Page 9a .-- of 200 NAME OF FILER 1. D- NUMBER San Rafael Police Association Political Action Committee B31553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO 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 (,IAN. t - DEC- 31) (IF REQUIRED) OF9USINESS) 05/31/2018 Lisa Holton Lx]IND Sergeant 16.30 295.60 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through E] PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Lisa Holton [911ND Sergeant 16.30 195.60 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association,13 Ili" SCC 06/30/2018 Lisa Halton OIND :Sergeant 16.36 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 Union member's dues received through ❑ OTH ❑ PTY intermediary: San Rafael Police Association, DSCC 120 Fifth Avenue, San Rafael . -CA- 949D.1 Carl Huber E)INQ Sergeant 16.30 01/15/2018 195.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael ,Avenue San Rafael, CA 949DI DOTH Union member's dues received through intermediary: San Rafael Police Association, ❑ PTY ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 Sergeant T 1 .30 01/3112-61U--Ca—r— er [KIND 195.60 C/o: San Rafael Police Association 1520 Fifth❑CCM City of San Rafael Avenue San Rafael, CA 94961 ❑ DTH Union member's dues received through ❑ PTY inteinnediary: San Rafael Police Association, V ❑ SCC 'Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Small Contributor Committee www.rietfile.com SUBTOTAL$ 51.50 FPPC Form REO (Jan/2016) FPPC Advice: advice@fppc,ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 01/01/2018 through 06/3(7/2018 SCHEDULEA (CONT.) Page 99 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADi]Rf55 ANp ZIP CQpE OF OONTTileUTOR AND ZI ODENUM CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION ;EETM�a�rrRe.,aS 1. D. R1 CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ([F SELF •EMPLOYEO.EWERNAM F. PERIOD (JAN. rt -DEC. 31] (IF REQUIRED) oFausINESSy 62/15/2016 Carl HuberMINDSergeant 16.30 195.69 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Ra€ael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY f intermediary: San Rafael Police Association, []SCC 1523 Fifth Avenue San Rafael CA 94901 Sergeant 02/28/2018 Carl Huber MIND 16.30 _ 195.60 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth A_Venup. San Rafael, CA 94901 ❑ SCC 03/15/2018 Carl Huber ®IND Sergeant 16:.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑CCM City of San Rafael Avenue San Rafael, CA 94901 [30TH Union member's dues received through []PTY intermediary: San Rafael Police Association, E]SCC 152Q Fifth AveMle,Rafagj. CA 949Q1 195.60 03/31/2018 Carl Huber MIND Sergeant 16.30 C/o: San Rafael Police Association 1520 Fifth❑CCM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, �rCC 1520 Fifth Avenue, San Rafael, CA 94901 ergean 16.3 04/151zqAc CAJ.1er Q[ND C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ CCM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. SaZ Rafael. -CA 149U ❑ SCC SUBTOTALS 81.50 'Contributor Codes IND- Individual COM --recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www-netfile. com FPPC Farm 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8681275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA {CONT} Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / , ` from 01/01/2018 • through._ 05/30/2018 page 100 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COA[TRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION [iFCD1u1hM11TrEE.ALSDENTERID.NIIMBER] �. OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE {IF SELF-EMpLavEp,ENTER NAME PERIOD (JAN. 7 -DEO. 37) (IF REQUIRED) oFBUShNESsy 04/30/2018 Carl Huber ZIND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CSM City of San Rafael Avenue San Rafael, CA 94901 ❑DTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fi€t Avenue San Rafael CA 94901 05/15/2019 Carl Huber x01ND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth ❑ CCM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary; San Rafael Police Association, Rafagl CA 9490, ❑ SCC 05/31/2018 Carl Huber ❑IND Sergeant 16.30 195.50 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 52 Fif ve a 0 06/15/2018 Carl Huber x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth❑ CpM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2018 ar Huber x❑IND Sergeant 16.30 195.60 C/o: San Rafael Police Association 1520 Fifth11 CpM City of San Rafael Avenue Sari, Rafael, CA 94901 [:1 OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Eafael- CA 94�01 ❑ SCC SUBTOTAL$ a1.5D "Contributor Codes IND— Individual CDM —Recipient Committee (other than PTY or SCC) OTH — paler (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (13661275-3772) www.fppC.ca.gov www.netfile.com Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER 1.0. NUMBER) CODE * 01/15/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 02/15/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Avenue an Raf 1 CA 4 01 02/28/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 949D1 03 15 2018 Scott Inge s C/o: San Rafael Police Association 152D Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com !R]IND •COM 00TH •PTY •sec !R]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec [fillND •COM 00TH •PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6_/_3_0~/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ lO_l_ of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195.60 16.30 195 .60 16 .30 195.60 16.30 195 . 0 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 03/31/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 04/30/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 · h Aven Rafael CA 4 01 05/15/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Scott Inge s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interrn7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH 0PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM 00TH 0PTY •sec IK]IND •COM 00TH 0PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l-'--/_0_l-'--/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~1~0~2~ of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 01.5oj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER IO NUMBER) CODE * 06/15/2018 Sco~t Ingels C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 01/15/2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fifth Ave u an Rafael CA 4 01 01/31/2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Re ecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 o 3 of _-'2"-'o"-'o'-- LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 12.70 152.40 12.70 152.40 12 .70 152.40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME DF BUSINESS) (IF COMMITTEE, ALSO ENTER l ,D. NUMBER) CODE * 02 /28 /2018 03/15 /2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 03/31/2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni o n member's dues received through intermediary : San Rafael Police Association, 1 20 Fifth u San Rafael 4 01 04 /15 /2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Re ecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec lx)IND QCOM 00TH OPTY •sec IK]IND QCOM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 ___ _ through __ o_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 o 4 of _...:2::..:0::..:0:........ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 12.70 152.40 12 .70 152 .40 12.70 152 .40 12.70 152 .40 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERI.D NUMBER) CODE * 05/15/2018 05/31/2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 06/15/2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 ifth Aven n Rafa 1 A 4 01 06/30/2018 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Re ecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND •COM DOTH OPTY •sec OOIND •COM 00TH OPTY •sec OOIND •COM DOTH OPTY •sec OOIND •COM 00TH OPTY •sec OOIND •COM DOTH OPTY •sec Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael YSB Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l_/_2_0_1_8 ___ _ ' through __ o_G_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 o s of --'2=-'o=-'o'--- 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 63.5oJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 01/31/2018 02/15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 02/28/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 F' h Av nue n Rafael CA 4 O 03/15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Re ecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH OPTY •sec [R]IND •COM DOTH •PTY •sec [x]IND •COM 00TH OPTY •sec [K]IND •COM DOTH OPTY •sec [K]IND •COM 00TH OPTY •sec YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB upervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 ___ _ through __ 0_6.,_/_3_0.,_/_2_0.c:l...c8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 o 6 of --=2:...:0:...:0=--- I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 63.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI.D NUMBER) CODE* 04/15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 05/15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F" Av nue San Rafael 49 05/31/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 o 15 2018 Re ecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual 2 . 1 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g .. business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IB]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IB]IND •COM DOTH •PTY •sec YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ o_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 101 of 200 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 12.70 152.40 12.70 152 .40 12.70 152 .40 12.70 152 .40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 06/30/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 01/31/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F ' h Avenue San Rafael A 490 02/15/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 Marc Lap ante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . R COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec YSB Supervisor City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~l0_8~ of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 16 .30 195.60 16.30 195.60 16.30 195.60 1 .30 195.60 77.901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 03/15/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Rafael Police Association, 04/15/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fi v San Rafael CA 04/30/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 Marc Lap ante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec lx)IND •COM 00TH •PTY •sec lx)IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page --=-10""'9'--of 2 o o LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 1 5. 0 01 .501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * 05/31/201B Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/201B Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 06/30/201B Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fif h an Rafael CA 4901 01/15/201B Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 201B Ann ora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,n7diary : San Rafael Police Association, •contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Dispatcher City of San Rafael Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_01_8 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 11_0_ of 2 o o I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16.30 195.60 16.30 195.60 12.70 152.40 12.70 15 . 40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER I.D, NUMBER) CODE * 02/15/2018 02/28/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 03/15/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 4 01 03/31/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Ann era Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael D1.spatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_18 ___ _ through __ 0_6--'/_3_0-'/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 111 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER ID NUMBER) CODE * 04/30/2018 05/15/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 05/31/2018 Anndora Lee C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 20 Fifth Avenue San Rafa A 4 01 06/15/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Ann ora Lee C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec [!]IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec [!]IND •COM DOTH •PTY •sec Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael D1.spatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 112 of __ 2_0_0_ 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (lF REQUIRED) 12 .70 152.40 12 .70 152.40 12 .70 152.40 12.70 152.40 12 .70 152 .40 63 .soJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER IO NUMBER) CODE * 01/31/2018 Karl Luhmann C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 02/28/2018 Karl Luhmann C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Aven n Rafael CA 94901 03/15/2018 Karl Luhmann C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Kar Lu mann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec lx]IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec [K]IND •COM 00TH •PTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po 1.ce Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_;_/_O_l_;_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 113 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (I F REQUIRED) 12 _70 143.30 12 .70 143.30 12 .70 143.30 12 .70 143 .30 12 .70 143. 30 63 .5oj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 04/15/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/15/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 F" h Avenue Rafael CA 05/31/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0 15 2018 Kar Lu mann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual . 1 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IB]IND •COM 00TH OPTY •sec ix]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_--=.l=-14=-of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 143 .30 12.70 143 .30 12.70 143.30 12.70 143 .30 12.70 143 .30 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER ID NUMBER) CODE * 06/30/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, f' 01/31/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 i h Aven an Rafael 4 01 02/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 Kevin Mac ouga C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec Police Recruit City Of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ D_l_/_D_l~/_2_0_1_8 __ _ through __ 0_6_/_3_D_/_2_D_l_B ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---=-l:cl5"---of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 143.30 16.30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D . NUMBER) CODE * 03/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 04/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Av n an Rafa 1 4 01 04/30/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OS 15 2018 Kevin Mac ouga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec [K]IND •COM 00TH •PTY •sec [K]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 116 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195.60 16.30 195.60 16.30 195 .60 16 .30 195.60 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 05/31/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 06/30/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member"s dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael A 4 01 01/15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2018 Car os Ma ona o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [R]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec [R]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l__c/_0_l__c/_2_0_1_8 ___ _ th rough __ 0_6_c/_3_0_c/_2_0_l_B ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 11 7 of _--'-2~0~0~ LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195 .60 16.30 195.60 16.30 195 .60 16.30 195 . Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER I.D. NUMBER) CODE * 02/15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 03/15/2018 Carlos Maldonado C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fift v an Rafael A 4 01 03/31/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Car os Ma ona o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_01_8 ___ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 118 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195.60 16.30 195 .60 16.30 195.60 1 .30 195.60 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 . NUMBER) 04/30/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/31/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 20 'fth Avenu Sn Raf el 4 01 06/15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Car os Ma ona o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfite.com CODE* IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec lx]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_D_/_2_0_1_s ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 119 of 200 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * 01/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 02/15/2018 Kaitlin Maley C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, l 20 Fif h v an Rafael CA 4 1 02/28/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0 15 2018 Ka1.t 1.n Ma ey C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [R]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po 1.ce Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ th rough __ 0_6-'/'-3_0-'/_2_0_lcc8'------ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page --=-1=-2 o=--of 2 o o 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 156.00 12.70 156 .00 12 .70 156 .00 12.70 156.00 12.70 156 .00 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE ALSO ENTER 1.D. NUMBER) 03/31/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04/30/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 · h Aven n Rafael 4 01 05/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Kait in Ma ey C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH •PTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6....:/_3_0....:/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 121 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 156.00 12.70 156.00 12 .70 156.00 12 .70 156.00 12 .70 156.00 63 .5oJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE ALSO ENTER ID NUMBER) CODE * 06/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, p 01/15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Av n Rafael CA 1 01/31/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Mic ae Mat is C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [R)IND •COM DOTH •PTY •sec [R)IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec [R)IND •COM DOTH OPTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l_/_2_0_1_8 __ _ through __ o 6_/~3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 122 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 156 .00 16.30 156 .00 16.30 195 .60 16 .30 195 .60 1 .30 195. 0 77 .901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) 02/28/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/31/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Aven an Rafae A 4 01 04/15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Mic ae Mat is C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . 4 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec [x]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l~/_2_0_1_8 __ _ through __ o_G_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 12_3_of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 16 .30 195.60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER IO NUMBER) CODE * 05/15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 9 4 901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 06/15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary : San Rafael Police Associat i on, 1520 Fifth Avenu Rafael CA 4 06/30/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Ke y Maue C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [KJIND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec [KJIND •COM 00TH •PTY •sec [KJIND •COM 00TH •PTY •sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_;_/_O_l_;_/_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 124 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195.60 16 .30 195.60 16.30 195 .60 12 .70 152 .40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * 01/31/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/28/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fifth Aven an Rafael A 4 01 03/15/2018 Kelly Mauel C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Ke y Maue C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec lxJIND •COM 00TH OPTY •sec [Kl IND •COM 00TH OPTY •sec [K]IND •COM DOTH •PTY •sec Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael ommunications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 ___ _ through __ o_G-'/'-3_0_;/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 12 5 of _...c2c.coc.co'-- I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12 .70 152.40 12.70 152.40 12 .70 152.40 12 .70 152 .40 63 .5oj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOEITTERl.0 NUMBER) CODE* 04/15/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/15/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 ifth Avenu n Rafael A 4 01 05/31/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Ke y Maue C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ O_lc../_O_lc../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 12 6 of __ 2_0_0_ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12 .70 152.40 12.70 152.40 12.70 152.40 63 .5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER 1.0 NUMBER) CODE * 06/30/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01/31/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 · h Avenue Sa Rafa 1 A 4 01 02/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 P i ip Me o ia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Communications Dispatcher City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l.c./_0_l'-/_2_0_18 ___ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 12~7-of 200 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152.40 16.30 195.60 16 .30 195.60 16 .30 195 .60 1 .30 195.60 77 .901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE ALSO ENTER ID NUMBER) CODE * 03/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fif h Aven an Rafael 4 01 04/30/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OS 15 2018 P i ip Me o ia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfife_com IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]JND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 128 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 s1.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR )F AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE* 05/31/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Rafael Police Association, 06/30/2018 Phillip Melodia C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fift v an Rafael C 4 01 01/15/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2018 Bet Min a C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IB]IND •COM DOTH OPTY •sec [K]IND •COM 0 0TH •PTY •sec lx]IND •COM 00TH •PTY •sec IB]IND •COM 00TH •PTY •sec IB]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafae l Officer City o f San Rafael Adm i nistrative Technician City of San Rafael A ministrative Tee ician City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6-'/'--3_0-'/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page -~12=9~ of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195.60 16.30 195.60 12.70 152.40 12.70 152 .40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 02/15/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 03/15/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F"fth Ave an Rafa 1 A 4 01 03/31/2 018 Beth Minka C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Bet Min a C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police As sociation, •contributor Codes IND-Individual . 4 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Administrative Technician City of San Rafael Adm i nistrative Techni cian City of San Rafael Administrative Technic i an Ci t y o f San Rafael Administrative Technician City of San Rafael A m1.n1.strat1.ve Tee 1.c1.an City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ o_6....:/_3c...0....:/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 o of _....:2=.coc..co~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12 .70 152 .40 12 .70 152 .40 12 .70 152 .40 63 .501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER 1.0 NUMBER) CODE * 04/30/201B Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/201B Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1,nediary: San Rafael Police Association, 05/31/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Aven an Rafael 4 01 06/15/201B Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1,nediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0 30 201B Bet Min a C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1,nediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM DOTH •PTY •sec Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael A m1n1strat1ve Tee 1c1an City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_l_B ___ _ through __ o_6~/_3_0~/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 131 of _~2~0~0~ I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 12 .70 152.40 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER 1.0 NUMBER) CODE * 01/15/201B 01/31/201B Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/15/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 2 Fif h Avenu San Rafa 1 A 4 01 02/28/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 201B Cynt 1.a Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_l_B __ _ through __ 0_6_/_3_0_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 2 of __ 2_0_0_ I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12 .70 152.40 12.70 152.40 63 .5oj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.0 NUMBER) CODE * 03/31/2018 04/15/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 04/30/2018 Cynthia Morgan C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fif v n an Rafael CA 4 01 05/15/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Cynt ia Morgan C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, ·contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH OPTY •sec [K}IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec [K}IND •COM DOTH OPTY •sec Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Ca Ta er an Recor s Specialist City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_lc.../_0_lc.../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 3 of __ 2_0_0_ LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12 .70 152.40 12.70 152 .40 12.70 152.40 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 06/15/2018 06/30/2018 (IF COMMITTEE, ALSO ENTER 1.D . NUMBER) Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 01/15/2018 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenu n Rafael CA 4 01/31/2018 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Lynn Murp y C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* !KIJND •COM 00TH OPTY •sec !KIJND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec !KIIND •COM 00TH OPTY •sec IB]IND •COM DOTH OPTY •sec Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Menta Heat Outreac Provider City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'../_O_l-'../_2_0.=.1.:..8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 4 of -~2=-o=-0=--- I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER ID NUMBER) CODE * 02/2B/201B 03/15/2018 Lynn Murphy C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member 's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,n7diary: San Rafael Police Association, 03/31/2018 Lynn Murphy C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fifth v an Rafael 4 01 04/15/2018 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Lynn Murp y C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec ix]IND •COM DOTH •PTY •sec IK)IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Menta Hea t1 Outreac Provider City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 ___ _ through __ o_6~/_3_0~/_2_0_1_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 s of _~2~0~0~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152 .40 12.70 152.40 12 .70 152 .40 12.70 152 .40 12.70 152 .40 63 .501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 05/15/2018 05/31/2018 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 06/15/2018 Lynn Murphy C/o : San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Aven an Rafael A 4 01 06/30/2018 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 13 6 of __ 2_0_0_ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12 .70 152.40 12 .70 152.40 12 .70 152.40 12 .7 152 .40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 01/31/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1,n7diary: San Rafael Police Association, 02/28/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 O if h Av nu an Rafael CA 4901 03/15/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through inte1,nediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH •PTY •sec IKJIND •COM 00TH •PTY •sec [x]IND •COM DOTH •PTY •sec IKJIND •COM DOTH •PTY •sec (K]IND •COM DOTH •PTY •sec Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 7 of _....c2cc0c..c0'-- I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 12.70 152.40 12.70 152 .40 12.70 152.40 12.70 152 .40 63 .501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 04/15/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/15/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fifth Avenu Rafa 1 4 01 05/31/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Jorge Navarro C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [RJIND •COM 00TH •PTY •sec [RJIND •COM 00TH •PTY •sec [K]IND •COM D OTH •PTY •sec [RJIND •COM DOTH •PTY •sec [RJIND •COM DOTH •PTY •sec Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Techni cian City o f San Rafael Evidence Techni cian City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 ___ _ through __ 0_6_/_3_0_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 8 of __ 2_0_0_ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12 .70 152.40 12 .70 152.40 12 .70 152.40 63 .5oJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 06/30/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01/31/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 15 0 Fifth Aven n R fael 4 01 02/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 A exis Nie sen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec [x]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK)IND •COM DOTH •PTY •sec Evidence Technician City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l-'-/_0_l.:_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 9 of _~2~0~0~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12 .70 152.40 12 .70 152.40 12.70 152.40 63 .501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 03/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 ifth Aven n Rafael A 4 01 04/30/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 A exis Nie sen C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 ___ _ through __ 0_6~/~3_0...c/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 14 o of --'2=-o=-0'-- LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12 .70 152.40 12 .70 152.40 63.5oJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERID NUMBER) CODE* 05/31/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 06/30/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Aven an Rafa 1 A 4 01 01/15/2018 Oscar 0' con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual . A COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]IND •COM 00TH •PTY •sec Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 141 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 16 .30 195.60 16 .30 195.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A {Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 02/15/2018 Oscar O'con C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 Oscar O'con C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 03/15/2018 Oscar O'con C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Av nue an afael CA 4 01 03/31/2018 Oscar O'con C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 04 15 2018 Oscar O' con C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary : San Rafael Police Association, ·contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_18 ___ _ through __ o_6-'/'-3_o-'/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page --=14=2=--of 2 o o 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195.60 16.30 195 .60 16.30 195 .60 16.30 195.60 s1.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE * 04/30/2018 Oscar O'con C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Oscar o•con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 05/31/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Fifth v nue an afael A 4 O 06/15/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com !K]IND •COM 00TH OPTY •sec !K]IND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ o_6_/_3_0_/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 143 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195 .60 16.30 195 .60 16.30 195.60 16.30 195 .60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 01/15/2018 Leslie O'Toole C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 02/15/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F'fth Av nue San Rafael CA 4 01 02/28/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 Les 1e O'Too e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK}IND •COM 00TH OPTY •sec IB]IND •COM 00TH OPTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 144 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE ALSO ENTER ID NUMBER) CODE * 03/31/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04/30/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 "f h Avenu an Rafa 1 A 4 01 05/15/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Les ie 'Too e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM 00TH OPTY •sec IR]IND •COM 00TH QPTY •sec IR]IND QCOM 00TH QPTY •sec IR]IND QCOM 00TH OPTY •sec IR]IND •COM 00TH QPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6-'/'--3_0--'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _~14-=-S"-of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16 .30 195.60 16 .30 195 .60 16.30 195 .60 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI •.NUMBER) CODE * 06/15/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,n7diary: San Rafael Police Association, 01/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Av nue an Rafael A 490 01/31/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,n7diary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity} PTY -Political Party sec -Small Contributor Committee www.netfile.com !K]IND •COM 00TH •PTY •sec [K]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0 l_B ___ _ through __ 0_6-'/_3_0--'/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 146 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16 .30 195 .60 16.30 195.60 16 .30 195 .60 1 . 30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE* 02/28/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/31/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Aven an Rafael CA 4 01 04/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l~/_2_0_18 ___ _ through __ 0_6_/_3_0_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ----=-14-=-7'--of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * 05/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 06/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 · h Av n n Rafael 4 01 06/30/2018 Brian Patterson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Bu y Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l~/_2_0_1_8 __ _ through __ 0_6-'/_3_0-'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 148 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195 .60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.O NUMBER) CODE * 01/31/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/28/2018 Buffy Paxson C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Avenu an Rafael A 4 01 03/15/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Bu y Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 __ _ through __ 0_6....,/_3_0....c/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 149 of 200 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 1 .30 195. 0 01.soJ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * 04/15/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 05/15/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fif Avenu n Raf 1 CA 4 01 05/31/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Bu y Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec lx]IND •COM 00TH OPTY •sec lx]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael 0 icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 150 of 200 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195 .60 16 .30 195.60 16 .30 195.60 16 .30 195. o Bl.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet} Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 06/30/2018 Buffy Paxson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Jessica Perry C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 01/31/2018 Jessica Perry C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 ifth Av nue Sa afa 1 A 4 0 02/15/2018 Jessica Perry C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 02 28 2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com (R]IND •COM 00TH •PTY •sec !R]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec !R]IND •COM DOTH OPTY •sec !R]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1~/_2_0_1_0 __ _ through __ 0_6_/_3_0_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 151 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195 .60 16.30 195.60 16 .30 195 .60 16.30 195.60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERl.O NUMBER) CODE * 03/15/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 04/15/2018 Jessica Perry C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fifth Av n e Rafae CA 4 04/30/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael 0 icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6-'-/_3_0.c./_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 152 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195.60 16.30 195 .60 16 .30 195 .60 16 .30 195.60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER ID NUMBER) CODE * 05/31/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 06/30/2018 Jessica Perry C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F ' th Avenu n Rafael A 4 01 01/15/2018 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 01 31 2018 Aaron Pio o C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Police Corporal City of San Rafael Po ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l_/_2_0_l_B __ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---=-15""'3c.... of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16.30 195.60 16 .30 195.60 16 .30 195 .60 16.30 195 .60 01.50J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 02/15/2018 02/28/2018 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/15/2018 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fift Avenu Rafael CA 4 01 03/31/2018 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Aaron Pio o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec [!]IND •COM DOTH •PTY •sec lx]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'._/_O_l-'-/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 154 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 1 .30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMP LOYED, ENTER NAME OF BUSINESS) 04/30/2018 05/15/2018 (IF COMMITTE E, ALSO ENTER 1.0 . NUMBER) Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Ave nue San Rafael, CA 94901 Uni o n member's dues rece ived through intermediary: San Rafael Police Ass ociation, 152 0 Fifth Avenue San Rafa el CA 94901 Aaro n Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafae l , CA 949 01 Uni o n member's dues r eceived through interm~diary: San Rafael Police Association , 05/31/2018 Aaron Piombo C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues r e ceived through intermediary: San Rafael Po l i c e As sociation , 1 Fif venue n Rafa el CA 4 01 06/15/2018 Aaro n Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Uni on member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Aaron Pio o C/o: San Rafae l Po l ice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Raf ael Police Ass ociation, •contributor Codes IND -individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* {RJI ND •COM 00TH 0PTY •sec IB]IND •COM 0 0TH 0PTY •sec {RJ IND •COM 0 0TH 0 PTY •sec {RJ IND •COM 0 0TH 0 PTY •sec IK]i ND •COM 00TH 0 PTY •sec Police Corporal City of S an Rafael Po lice Corpora l City o f San Rafael Po l ice Corporal City o f San Rafael Police Corporal City of San Rafael Po ice Co rpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 155 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195.60 16 .30 195 .60 16.30 195 .60 1 . 0 195 .6 0 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 01/15/2018 Dennis Prince C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 02/15/2018 Dennis Prince C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Av ue Rafae A 4 1 02/28/2018 Dennis Prince C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 Denm.s Pn.nce C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g .. business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [KIIND •COM DOTH •PTY •sec [KIIND •COM 00TH OPTY •sec [x]IND •COM 00TH •PTY •sec [KIIND •COM DOTH •PTY •sec [KIIND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 156 of 200 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195 .60 16 .30 195 .60 16 .30 195 .60 16 .30 195. 0 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D . NUMBER) CODE * 03/31/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04/30/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 2 Fifth Av nu an Rafael CA 4 01 05/15/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH •PTY •sec IB]IND •COM DOTH •PTY •sec lx]IND •COM 00TH •PTY •sec IB]IND •COM DOTH •PTY •sec IB]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'-/_O_l-'-/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---=l=-57'--of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 16 .30 195.60 Bl.SDI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * 06/15/2018 Dennis Prince C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 01/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 ifth Avenue an afael CA 4 01 01/31/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Gino Rant1.ss1. c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [RJIND •COM DOTH •PTY •sec [RJIND •COM DOTH •PTY •sec [RJIND •COM DOTH •PTY •sec [RJIND •COM DOTH •PTY •sec [RJIND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ o_6_/_3_0_/_2_0_1_s ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ----=-15=0=--of 2 o o I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195.60 16 .30 195.60 16 .30 195 .60 16. 0 195.60 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * 02/28/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, s . 03/31/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 15 Fifth Aven n Rafa 1 CA 4 01 04/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_;_/_O_l.;_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page __ 15~9~ of 200 1.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER ID NUMBER) CODE * 05/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 06/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Avenue San Rafael A 4 01 06/30/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Ron a Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 __ _ through __ 0_6--'/_3_0....c/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 160 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER 1.0 . NUMBER) 01/31/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 02/28/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 'fth Avenu n Rafa 1 4 01 03/15/2018 Ronda Reese C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2 18 Ron a Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_18 ___ _ through __ 0_6~/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 161 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16 .30 195.60 1 .30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER ID NUMBER) CODE * 04/15/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/15/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F" h Avenu n Rafael A 4 01 05/31/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 2018 Ron a Reese C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND •COM 00TH OPTY •sec OOIND •COM 00TH OPTY •sec lx]IND •COM 00TH OPTY •sec OOIND •COM DOTH OPTY •sec OOIND •COM 00TH OPTY •sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6-'/'--3_0....,/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~l6~2~ of 200 ID.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 l .30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS! (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 06/30/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 01/31/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 2 Fifth Avenu San Raf el CA 4 01 02/15/2018 Peggy Ruge C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec [x]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec Corporal City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'-/_0_1-'--;_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 16 3 of __ 2_0~0~ 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 12.70 152 .4 0 12 .70 152 .40 12.70 152.40 12.70 152.40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER 1.0 . NUMBER) CODE * 03/15/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/31/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 04/15/2018 Peggy Ruge C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Fift venue an Rafa CA 4 01 04/30/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 Peggy Ruge C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual . A COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1.:..../_0_1.:..../_2_0_1_8 __ _ I through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 16 4 of __ 2_0_0_ 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12 .70 152 .40 12.70 152 .40 12 .70 152 .40 12 .70 15 .40 63 .sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * 05/31/2018 Peggy Ruge C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 06/30/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Av ue San Rafael A 94 01/15/2018 Travis Ruggles C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2018 Travis Rugg es C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com IKJIND •COM 00TH •PTY •sec IKJIND •COM DOTH •PTY •sec IKJIND •COM DOTH •PTY •sec IKJIND •COM DOTH •PTY •sec IKJIND •COM 00TH •PTY •sec Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Police Officer City of San Rafael Po ice o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1__,/_0_1__,/_2_0_1_0 ___ _ through __ 0_6__,/_3_0--'/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 16 5 of __ 2_0~0~ 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 12.70 152.40 12.70 152.40 16.30 195 .60 16 .30 195.60 70.701 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE* 02/15/2018 02/28/2018 Travis Ruggles C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through interm7diary: San Rafael Police Association, 03/15/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth venue n Rafael CA 4 03/31/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Travis Rugg es C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intei,n7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [R]IND •COM 00TH OPTY •sec [!]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec [R]IND •COM DOTH OPTY •sec Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Po ice o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'--/_O_l.c../_2_0_1_8 __ _ through __ o_6~/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 1_6_6_ of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195 .60 16.30 195 .60 16.30 195 .60 1 .30 195. a Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EITTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 04/30/2018 05/15/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 05/31/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fifth Avenue San afae CA 4 06/15/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Travis Rugg es C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec [x]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec Police Officer City of San Rafael Pol i ce Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Po ice O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ o_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 167 of 200 1.O.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16.30 195 .60 16.30 195 .60 16.30 195 .60 16.30 195.60 81. so 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * Dl/15/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Dl/31/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/15/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F ' h Avenu n Rafae CA 4 01 02/28/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 T omas Sa i o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ D_lc../_D_lc../_2_D_l_B __ _ through __ D_6~/_3_D~/_2_D_l_B __ _ SCHEDULE A (CONT) CALIFORNIA 460 FORM Page 168 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195.60 Bl.SDI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERID NUMBER) CODE* 03/31/2018 Thomas Sabido C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei71l:diary: San Rafael Police Association, 04/30/201B Thomas Sabido C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 ifth Av nue Rafa A 4 1 05/15/201B Thomas Sabido C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 31 2018 T omas Sa 1 o C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com [KIIND •COM 00TH •PTY •sec [KIIND •COM 00TH •PTY •sec [xl IND •COM 00TH •PTY •sec [KIIND •COM 00TH •PTY •sec [KIIND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l~/_0_l.c./_2_0_l_B __ _ through __ 0_6_/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 169 of 200 LO.NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195 .60 16 .30 195 .60 16 .30 195 .60 16 .30 195. o 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER 1.0. NUMBER) CODE * 06/15/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 01/31/2018 Sebastian Sanchez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fift v nue Rafa 1 A 4 1 02/15/2018 Sebastian Sanchez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue , San Rafael, CA 94901 02 28 2018 Se astian Sane ez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec [!]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l_/_2_0_1_8 __ _ through __ 0_6--'/_3_0--'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 170 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195 .60 16.30 195.60 12 .70 143.30 12 .70 143 .30 12.70 143 .30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERI D NUMBER) CODE * 03/15/2018 Sebastian Sanchez C/o : San Rafae l Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 9490 1 03/31/2018 Sebastian Sanchez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary : San Rafael Police Association, 04/15/2018 Sebastian Sanchez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 2 Fifth v nue n Rafa 1 04/30/2018 Sebastian Sanchez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue , San Rafael, CA 94901 05 15 2018 Se astian Sane ez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6....c/_3_0....c/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 171 of 200 1.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 143 .30 12.70 143.30 12.70 143.30 12.70 143 .30 12.70 143 .30 63 .5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER I O NUMBER) 05/31/2018 Sebastian Sanchez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/15/2018 Sebastian Sanchez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 06/30/2018 Sebastian Sanchez C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth v nu n Rafae CA 1 01/15/2018 Anthony Scalercio C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 31 2 18 Ant any Sea ercio C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IK}IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK}IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK}IND •COM DOTH •PTY •sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l.c./_O_l.c./_2_0_1_8 __ _ through __ 0_6_/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 112 of 200 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 143.30 12 .70 143 .30 16.30 143 .30 16.30 195.60 1 .30 195 . FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER 1.0 . NUMBER! CODE * 02/15/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/28/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 03/15/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 20 Fifth Avenu an Rafael A 4 01 03/31/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Ant any Sea ercio C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'-/_O_l-'-/_2_0_18 ___ _ through __ 0_6--'/_3_0....c/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page -~1 7"'""'3c.... of 2 o o I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16.30 195.60 16 .30 195.60 1 . 30 195.60 s1.50J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 . NUMBER) CODE * 04/30/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/15/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, p 05/31/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Avenu af el C 4 01 06/15/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 30 2018 Ant ony Sea ercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM DOTH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_lc.../_0_l'-/_2_0_18 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 174 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.D NUMBER) 01/15/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 02/15/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 · h Avenu an Rafael 4 01 0 2 /28/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 George Sc 1. ore C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* [K]IND •COM DOTH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM DOTH OPTY •sec [K]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_lc_/_0_l.c../_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 175 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16 .30 195.60 16 .30 195.60 1 .30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS I (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 03/31/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 04/30/2018 George Schikore C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Fift Ave Sa Rafa CA 4 01 05/15/2018 George Schikore C/o : San Rafael Police Association 1520 Fifth 05 31 2018 *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND •COM 00TH OPTY •sec IR]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec IR]IND •COM 00TH OPTY •sec IR]IND •COM DOTH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael 0 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l~/_0_l-'-/_2_0_l_B __ _ through __ 0_6~/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 176 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195 .60 16.30 195.60 16.30 195.60 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D.NUMBER) CODE * 06/15/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 01/15/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Aven Rafael A 4 01 01/31/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 15 2018 Justin Sc rae er C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [KIIND •COM 00TH •PTY •sec OOIND •COM 00TH •PTY •sec lx]IND •COM 00TH OPTY •sec lx]IND •COM 00TH •PTY •sec OOIND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l~/_2_0_1_8 __ _ through __ 0_6--'/'-3'-0--'/_2_0_1:...:8=----- SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---=-1 7-=-7'-of 2 o o LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 01.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER 1.D. NUMBER) 02/28/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 03/31/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Av n e an Rafa A 4 04/15/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 30 2018 Justin Sc rae er C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_01_8 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 1 7_8_ of 2 o o LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 16.30 195.60 16.30 1 5.60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) (IFCOMMITTEE .ALSOENTERID NUMBER) CODE* 05/15/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 05/31/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 06/15/2018 Justin Schraeder C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenu an afael CA 01 06/30/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 15 2018 Wan a Spa etta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND •COM 00TH •PTY •sec IB]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec IR]IND •COM DOTH •PTY •sec IR]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_lc.../_0_l.c../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ l 7_9~ of 2 o o LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 s1.50J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERl.O.NUMBER) CODE* 01/31/201B Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/201B Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 02/2B/201B Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F'fth Av nue an afael C 4 D 03/15/201B Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 03 31 2018 Wan a Spa etta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND •COM 00TH 0PTY •sec [K]IND •COM 00TH 0PTY •sec [K]IND •COM 00TH 0PTY •sec [K]IND •COM 00TH 0PTY •sec [K]IND •COM 00TH 0PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6....:/c...3_0....:/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_---=.lcc.BOC.... of 200 LO .NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 -DEC. 31) PER ELECTION TO DATE {IF REQUIRED) 16 .30 195 .60 16 .30 195 .60 16.30 195.60 16 .30 195 .60 16.30 195 . 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (If COMMITTEE.ALSO ENTER ID.NUMBER) CODE* 04/15/2018 Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member 's dues received through intei,nediary : San Rafael Police Association, 05/15/2018 Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 2 Fifth Av ue an afael CA 4 02 05/31/2018 Wanda Spaletta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94902 06 15 2018 Wan a Spa etta C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1~/_2_0_1_0 __ _ through __ o_6_/_3_0_/_2_0_l_B ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 10_1_ of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195.60 16.30 195.60 16.30 195.60 16 .30 195.60 16.30 195. 0 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI.D NUMBER) CODE * 06/30/2018 Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94902 01/15/2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 01/31/2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fif Ave Rafa 1 CA 4 01 02/15/2018 Lynette Starnes C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 02 28 2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,n7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Sergeant City of San Rafael Community Serv i ce Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l-'--/_O_l.;_/_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 102 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 67.101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERl.O NUMBER) CODE * 03/15/2018 03/31/2018 Lynette Starnes C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Lynette Starnes C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member 's dues received through intermediary : San Rafael Police Association, 04/15/2018 Lynette Starnes C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Fifth v nu Rafael 4 04/30/2018 Lynette Starnes C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 05 15 2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, •contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec lx]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ through __ 0_6~/_3_0_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 183 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152 .40 12 .70 152.40 12.70 152 .40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR I F AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D . NUMBER) CODE * 05/31/2018 06/15/2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 06/30/2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union membe r's dues received through intermediary: San Rafael Police Association, 1520 Fifth Aven e San Rafael 4 01 01/15/2018 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues r e ceived through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 01 1 2018 Remington Sta o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [KI IND •COM 0 0TH OPTY •sec IK]IND •COM 0 0TH OPTY •sec [KI IND •COM 0 0TH •PTY •sec [KII ND •COM D OTH •PTY •sec IK]IND •COM DOTH OPTY •sec Community Service Officer City of San Rafael Community Service Officer City o f San Rafael Community Service Officer City of San Rafael Police Officer City Of San Rafael Po ice O 1cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6...:./_3_0...:./_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 184 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 16 .3 0 195.60 1 .3 0 195. 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * 02/15/2018 02/28/2018 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94904 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 03/15/2018 Remington Stobo C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1 Fi Aven Sa Rafae CA 01 03/31/2018 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 04 15 2018 Remington Sto o C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK!IND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec IK!IND •COM 00TH •PTY •sec IK!IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 __ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 18_5_ of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16 .30 195.60 16.30 195 .60 16.30 195.60 16.30 195.60 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSO ENTER 1.0 , NUMBER) CODE * 04/30/2018 Remington Stobo C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94902 05/15/2018 Remington Stobo C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 05/31/2018 Remington Stobo C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 20 Fifth v nue Rafa A 4 06/15/2018 Remington Stobo C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94903 06 30 2018 Remington Sto o C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec IK)IND •COM 00TH OPTY •sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O 1cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6~/_3_0~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 106 of 200 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195 .60 16.30 195.60 16 .30 195.60 16 .30 195. 0 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D. NUMBER) CODE * 01/15/201B Charly Taylor C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/31/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Rafael Police Association, 02/15/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 2 Fift Av nu n Rafa 1 A 1 02/28/201B Charly Taylor C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 15 2018 C ar y Tay or C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael C1v1 1an Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page --=1 B~7'-of 2 o o I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 152 .40 12.70 152.40 12.70 152.40 12 .70 152 .40 12.70 152 .40 63 .5oJ FPPC Form 460 (Jan/2016) F PPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERID NUMBER) CODE* 03/31/2018 Charly Taylor C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/15/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 949D1 Union member's dues received through intermediary : San Rafael Police Association, 04/30/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth venue n Rafa 1 CA 4 01 05/15/2018 Charly Taylor C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 949D1 05 31 2018 C ar y Tay or C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]JND •COM 00TH •PTY •sec IK]IND •COM 00TH •PTY •sec lx]IND •COM 00TH •PTY •sec lx]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael C1v1 ian Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l-'-/_0_lc../_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 18_8_ of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.4D 12.70 152.40 12.70 152.40 12 .70 152.40 12.70 152.40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * 06/15/2018 Charly Taylor C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 06/30/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 01/15/2018 Henry Tirre C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth nue San Rafael A 4 01/31/2018 Henry Tirre C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94903 02 15 2018 Henry T1rre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec IK]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ o_6~/_3_0~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 189 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152 .40 16.30 114. 10 16.30 114 .10 1 .30 114 .10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE.ALSO ENTER 1.0 . NUMBER) CODE * 02/28/2018 Henry Tirre C/o: San Rafael Pol ice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 03/15/2018 Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 03/31/2018 Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 9490 1 Uni on member's dues received through intermediary: San Rafael Police Association, 15 0 Fifth Rafae A 4 04/15/2018 Henry Tirre C/o: San Rafael Po lice Association 1520 Fifth Avenue San Rafael, CA 9490 1 Union member's dues received through intermediary: San Rafael Police Association, 152 0 Fifth Avenue, San Rafael, CA 94902 1 15 2018 Sas ia Van Buuren C/o: San Rafael Po lice Associat ion 1520 Fifth Avenue San Rafael, CA 94901 Uni o n member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]I ND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]I ND •COM DOTH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]IND •COM 00TH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Communications Dispatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l.c./_O_l.c./_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 190 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 114 .10 16.30 114 .10 16.30 114 .10 16.30 114 .10 12.70 152.40 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER ID NUMBER) CODE * 01/31/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 02/15/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 02/28/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 'fth Av ue San R fael C 4 01 03/15/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intei,nediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 03 31 2018 Sas ia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual • V COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfi/e.com [K]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]IND •COM 00TH •PTY •sec [K]IND •COM DOTH •PTY •sec [K]IND •COM 00TH •PTY •sec Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications D1spatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 ___ _ through __ 0_6_/_3_0_/_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 191 of __ 2_0_0_ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12 .70 152 .40 12.70 152.40 63 .5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I O NUMBER) 04/15/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 04/30/2018 Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 05/15/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1 Fifth Avenue Rafa 1 A 4 01 05/31/201B Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 06 15 Sas ia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual ' 4 COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* !R]IND •COM 00TH •PTY •sec !R]IND •COM 00TH OPTY •sec IK]IND •COM 00TH •PTY •sec IR]IND •COM DOTH OPTY •sec !R]IND •COM DOTH •PTY •sec Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 ___ _ through __ 0_6...:./_3_0...:./_2_0_1_0 ___ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 192 of __ 2_0_0_ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 12.70 152.40 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D . NUMBER) CODE * 06/30/2018 Saskia Van Buuren C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 01/15/2018 Mark Wilkinson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 01/31/2018 Mark Wilkinson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 20 Fifth Avenue Rafa A 4 04 02/15/2018 Mark Wilkinson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94904 02 28 2018 Mar Wi inson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [R]IND •COM 00TH OPTY •sec IK]IND •COM 00TH OPTY •sec [R]IND •COM 00TH OPTY •sec [R]IND •COM DOTH OPTY •sec IK]IND •COM 00TH OPTY •sec Communications Dispatcher City Of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1_/_2_0_1_0 __ _ through __ 0_6-'/_3_0-'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 193 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 152 .40 16 .30 195 .60 16.30 195.60 16 .30 195.60 16.30 195.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERI.D NUMBER) CODE* 03/15/2018 Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94902 03/31/2018 Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 04/15/2018 Mark Wilkinson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Fifth v nu Rafael A 4 04/30/2018 Mark Wilkinson C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94903 05 15 2018 Mar Wi 1.nson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM 00TH •PTY •sec IK]IND •COM DOTH •PTY •sec IK]IND •COM DOTH •PTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ O_l_/_O_l_/_2_0_1_8 __ _ through __ 0_6~/_3_0~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 194 of 200 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 195 .60 16 .30 195.60 16.30 195.60 16 .30 195.60 16 .30 195 .60 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR lF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) 05/31/2018 Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94903 06/15/2018 Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 06/30/2018 Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Fifth Avenu n afael CA 4 O *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec [K]IND •COM 00TH OPTY •sec DINO •COM DOTH OPTY •sec DINO •COM 00TH OPTY •sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_l_/_0_l~/_2_0_1_8 __ _ through __ 0_6_/_3_0_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 195 of 200 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 195.60 16.30 195.60 16.30 195.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E ScheduleE Payments Made Amounts may be rounded to whole dollars. Statement covers period from ___ 0_l~/_0_1.:.../_2_0 l_B __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ o_6-'-/_3_0.:.../_2_01_B __ _ NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP 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 F£f petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees A-iO phone banks lRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research lRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE . ALSO ENTER 1.0 , NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Donor Stack, LLC WEB 52 .13 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 145.88 5940 College Avenue , Suite F Oakland, CA 94618 Donor Stack, LLC WEB 59.02 5940 College Avenue, Sui t:e F Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 257.03 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ____ 2-',_2_3_0_._5 _7 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ ______ o_._o_o 3. Total interest paid this period on loans . (Enter amountfrom Schedule B, Part 1, Column (e).) ............................................................................... $ ______ o_._o _o 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ____ 2...c,_2_3_0_._5 _7 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period from ___ 0_l~/~0_l~/_2_0_1_8 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2010 Page _..!22._ of~ NAME OF FILER San Rafael Police Association Political Action Committee CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. I.D. NUMBER 831553 a,p 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 eve civic donations PET petition circulating 1EL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and meals FND fundraising events POL polling and survey research 1RS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads 1/\tEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE ALSO ENTER I D. NUMBER) Donor Stack, LLC WEB 5940 College Avenue, Suite F Oakland, CA 94618 S.E. Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 S.E. Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 S.E. Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 S.E. Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com OR DESCRIPTION OF PAYMENT AMOUNT PAID 58.54 554.00 243.00 243.00 342 .00 SUBTOTAL$ 1,440.54 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period from ___ O_l~/_O_l~/_2_0_1_8 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2010 Page ~ of ~ NAME OF FILER San Rafael Police Association Political Action Committee CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. I.D. NUMBER 831553 atP 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 F£T petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees A-lO phone banks 1RC candidate travel, lodging, and meals FND fundraising events POL polling and survey research 1RS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads \/VEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE. ALSO ENTER I D NUMBER) S.E. Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 The Henry Levy Group PRO 5940 College Avenue Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com OR DESCRIPTION OF PAYMENT AMOUNT PAID 189.00 3 44.00 SUBTOTAL$ 533.00 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from __ O_l....c/_O_l..c.../_2_01_8 __ _ through 06/30/2018 SCHEDULEF CALIFORNIA 460 FORM LO.NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ 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 eve civic donations FEf petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks me candidate travel, lodging, and meals FND fundraising events POL polling and survey research ms 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) VDT voter registration UT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I 0 . NUMBER) Donor Stack, LLC 5940 College Avenue, Suite F Oakland, CA 94618 • Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary (a) CODE OR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD WEB 0 .00 SUBTOTALS$ 0.00$ 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 146 .35 0 .00 146 .35 146 .35$ 0.00$ 146.35 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100 .) ............................................ INCURRED TOTALS $ _____ 1_4_6_·_3 _5 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 $100.) ................................. PAID TOTALS$ ______ o_._o_o 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$ ~~---1_4_6~·-3 _5 May be a negalive number www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Assoc i ation Political Action Committee DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER I D. NUMBER) Attach additional information on appropriately labeled continuation sheets . Schedule I Summary Amounts may be rounded to whole dollars. Statement covers period from ---"0-=l.,_/ 0c.clc..c/-=2=0=18"'--__ through 06/30/2018 DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Itemized increases to cash this period ........................................................................................................................ $ ______ o_. o_o 2 . Unitemized increases to cash of under $100 this period ............................................................................................. $ ______ 4_. 3_o 3. Total of all interest received this period on loans made to others . (Schedule H, Column (e).) ................................. $ _____ .c._o c...c· o'-'-o 4 . Total miscellaneous increases to cash this period . (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ ______ 4 _.3_o SCHEDULE I CALIFORNIA 460 FORM Page __l_QQ__ of __l_QQ__ LO .NUMBER 831553 AMOUNT OF INCREASE TO CASH www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov