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Home My WebLink AboutForm 460 - Police Association PAC (2018-09-23) Amendment Semi-Annual4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knovi a ge a in a ' n optain h ein and in the attached schedules is true and complete. I certify under enalty ofP er'u under the laws of the State of California that the fore Din is true and correct P 1 rY 9 9 11111-1 IMIU IM 11 IM ImAl COVERPAGE Recipient CommitteeY nalu of u re Executed on 07/11/2019 By Campaign Statement Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Cover Page Date JUL 62019 2 c Executed an qFf (Government Code Sections 84200-84216.5) Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) Statement covers period Date of election if applica le: 114 www.netFile.com (Month, Day, Year) CLERK'S OFF from 09/23/2018ITY F r Official Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/2018 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑x Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q ControlledTermination Statement E]❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 ❑X General Purpose Committee (Also Complete Part 6) ❑x Amendment (Explain below) © Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Additional dues reported in period. O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER San Rafael Police Association Political Action Committee Ms. Beth Minka MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY San Rafael CA 94901 ( Ms. Stacy E. Owens MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94915-1557 Oakland CA 94607 ( OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knovi a ge a in a ' n optain h ein and in the attached schedules is true and complete. I certify under enalty ofP er'u under the laws of the State of California that the fore Din is true and correct P 1 rY 9 9 Executed on 07/11/2019 By I Dale nalu of u re Executed on 07/11/2019 By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed an By Date 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 www.netFile.com Recipient Committee Campaign Statement Cover Page — Part 2 COVERPAGE-PART2 CALIFORNIA FORM Page Z of 114 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ SUPPORT ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE Identify the controlling officeholder, candidate, or state measure proponent, if any. ❑ SUPPORT NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees ❑ OPPOSE not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER ❑ OPPOSE 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 09/23/2018 SUMMARYPAGE Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 through 12/31/2018 Page 3 of 114 SEE INSTRUCTIONS ON REVERSE 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+ 7 $ 1,085.91 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 NAME OF FILER 297.50 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 50.00 11. TOTAL EXPENDITURES MADE ................................ I.D. NUMBER San Rafael Police Association Political Action Committee 1,433.41 831553 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and Primary (FROM ATTACHED SCHEDULES) TOTALTODATE 9 General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 8,537.30 $ 29, 274.40 1/1 through 6/30 7/1 to Date 2. Loans Received...................................................... Schedule e, Line 3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 8,537.30 $ 29, 274.40 20. Contributions ......................... Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 50.00 50.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...•••• ....................AddLines3+4 $ 8,587.30 $ 29,324.40 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 1,085.91 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+ 7 $ 1,085.91 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 297.50 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 50.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 1,433.41 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Paye, Line 16 $ 99, 673.39 13. Cash Receipts ................................................... Column A, Line 3 above 8,537.30 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 3.37 15. Cash Payments .................................................. Column A, Line 8above 1,085.91 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 107,128.15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents .................................... See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2+Line 9 in Column B above $ 297.50 www.netfile.com $ 4,912.34 0.00 $ 4,912.34 297.50 50.00 $ 5,259.84 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (KSubject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) If $ 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 SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 ,' from 09/23/2018 FORM through 12/31/2018 page 4 of 114 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Elisha Adams ❑X IND Officer 16.30 394.40 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, 1920 Fifth Avenue. San Rafael, CA 9491711 ❑ SCC 10/15/2018 Elisha Adams ❑X IND Officer 16.30 394.40 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 10/31/2018 Elisha Adams ❑RIND Officer 16.30 394.40 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 11/15/2018 Elisha Adams ❑x IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 -1173 0 T2018 Elisha Adams ❑X IND Officer 17.10 394.40 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, 152n Fifth Avenue. - B-fael, CA 949QJ_ ❑ SCC SUBTOTAL$ 83.10 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 8,330.60 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 206.70 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 0,537.30 www.netfile.com 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page 5 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . .DNUMBER) CODE * (IF SELF•EMPLOYED.ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Elisha Adams RIND Officer 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Elisha Adams KIND Officer 17.10 394.40 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, 192n Fifth Aypnue. San Rafael. CA 94901 ❑ SCC 09/30/2018 Raul Aguilar RIND Sergeant 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Raul Aguilar RIND Sergeant 16.30 394.40 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, San Rafael, CA 94901 10/31/2018 Raul Aguilar X❑IND Sergeant 16.30 394 . 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, 1520 Fifth Avenue, San Rafael, CA 949QI— ❑ SCC SUBTOTAL$ 83.10 *Contributor Codes IND– Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC- Small Contributor Committee www.netrile.com FPPC Foran 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 09/23/2018 • ' through 12/31/2018 page 6 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Raul Aguilar X❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Raul Aguilar Z] IND Sergeant 17.10 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 [-]SCC 12/15/2018 Raul Aguilar RIND Sergeant 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Raul Aguilar El IND Sergeant 17.10 394.40 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, San Rafael, CA 94901 Anthony Augustyn El IND Officer 16.30 394.40 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, 1520 Fifth Avenue, San Rafael. CA 949QI— ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netFle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , to whole dollars. 'do ' from 09/23/2018 � through 12/31/2018 Page_.....? of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSENTERI.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10 15/2018 Anthony Augustyn RIND Officer 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Anthony Augustyn MIND Officer 16.30 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Anthony Augustyn x❑IND Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Anthony Augustyn MIND Officer 17.10 394.40 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, San Rafael, CA 94901 12/15/2018 Anthony Augustyn x❑IND Officer 17.10 394 . 40 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 949Q,L_ ❑ SCC SUBTOTAL$ 83.90 '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.fppc.ca.gov www.netFile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460' from 09/23/2018 FORM through 12/31/2018 Page 8 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 7 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Anthony Augustyn RIND Officer 17._0 394.40 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 San Rafael CA 94901 09/30/2018 James Bellamy KIIND Corporal 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2018 James Bellamy X❑IND Corporal 16.30 394.40 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 San Rafael CA 94901 10/31/2018 James Bellamy RIND Corporal 16.30 t,%4.40 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, San Rafael, CA 94901 11/15/2018 James Bellamy X❑IND Corpora 17.1 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949QL— ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netrile.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 Statement covers period to whole dollars. from 09/23/2018 • through 12/31/2018 page 9 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 James Bellamy 91 IND Corporal 17.10 394.40 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 San Rafael CA 94901 12/15/2018 James BellamyX❑IND Corporal 17.10 394.40 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, 1920 Fifth Avenue. San Rafael, CA 94901 [-]SCC 12/31/2018 James Bellamy RIND Corporal 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Todd Berringer X❑IND Sergeant 16.30 399.40 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, San Rafael, CA 94901 10/15/2018 Todd Berringer RIND Sergeant 16.30 394.9 C/o: San Rafael Police Association 1520 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 949111— ❑ SCC SUBTOTAL $ 83.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018 page 10 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Todd Berringer 91 IND Sergeant I 394.40 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 San Rafael CA 94901 11/15/2018 Todd Berringer ]IND Sergeant 17,I0 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafae_ Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/30/2018 Todd Berringer RIND Sergeant 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Todd Berringer El IND Sergeant 394.40 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, San Rafael, CA 94901 12/31/2018 To Berringer E] IND Sergeant 99 C/o: San Rafael Police Association 1520 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 SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 • through 12/31/2018 Page 11 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OFBUSINESS) 09/30/201B Lynn Bracken 91 IND Call Taker & Records 12.70 307.60 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, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Lynn Bracken X❑IND Call Taker & Records 12.70 307.60 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2018 Lynn Bracken El IND Call Taker & Records 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Lynn Bracken FK] IND Call Taker & Records 13.40 307.60 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, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2018 Lynn Bracken 91 IND Call Taker & Records 13.9 7. 0 C/o: San Rafael Police Association 1520 FifthSpecialist [-]COM Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael _LA__aA2D_L_ ❑ SCC SUBTOTAL $ 64.90 *Contributor Codes IND -Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC -- Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I 1 from 09/23/2018 ' through 12/31/2018 Page_.._...12 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ADDRESSZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSAND I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Lynn Bracken x❑IND Call Taker & Records 13.40 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Lynn Bracken[K]IND Call Taker & Records 13.40 307.60 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2018 Zachary Brickell X❑IND Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Zachary Brickell X❑IND Officer 16.30 394.40 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, San Rafael, CA 94901 10/31/2018 Zachary Brickell 91 IND Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949QI— ❑ SCC SUBTOTAL$ 75.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.nettle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018 page 13 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED D. (E COMMITTEE, ALSO ENTER .DNUMBER) CODE * (IF SELF, EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Zachary Brickell X❑IND Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Zachary Brickellx❑IND Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Zachary Brickell BIND Officer 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Zachary Brickell X❑IND Officer 17.10 394.40 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, San Rafael, CA 94901 Rudolf Buhlman Z] IND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 Fifth [:j COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. [:]SCC SUBTOTAL$ 64.70 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period •go to whole dollars. from 09/23/2018 • through 12/31/2018page 19___ of 114 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Rudolf Buhlman X❑IND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 Fifth [-]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 10/31/2018 Rudolf Buhlman RIND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Rudolf Buhlman X❑IND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Rudolf Buhlman X❑IND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 12/15/2018 Rudolf Buhlman E] IND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 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 949al— ❑ SCC SUBTOTAL$ 83.90 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.neifle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 through 12/31/2018 page 15 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER .D.N CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Rudolf Buhlman RIND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 Fifth []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 09/30/2018 Antonette Bullock X❑IND Community Service Officer 12.70 307.60 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 10/15/2018 Antonette Bullock X❑IND Community Service Officer 12.70 307.60 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Antonette Bullock E] IND Community Service Officer 12.70 307.60 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 11/15/2018 Antonette Bullock X❑IND Community Service Officer 13.40 307.60 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 949al— ❑ SCC SUBTOTAL$ 68.60 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. A ' from 09/23/2018 • through 12/31/2018 page 16 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED . (E COMMITTEE, ALSOENTER .DNUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Antonette Bullock x❑IND Community Service Officer 13.40 307.60 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 12/15/2018 Antonette Bullock 91IND Community Service Officer 13.40 307.60 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/31/2018 Antonette Bullock x❑IND Community Service Officer 13.40 307.60 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 09/30/2018 Shelly Cade X❑IND Dispatcher 12.70 254.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 —0T1 -5T2 0 1-8 Shelly Cade RIND Dispatcher 12.70 254.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 65.60 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 • through 12/31/2018 Page 17 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF•EMPLOVED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Shelly Cade 91 IND Dispatcher 12.70 254.00 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 Joseph Camins 91 IND Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2018 Joseph Camins RIND Officer 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Joseph Camins NJ IND Officer 16.30 394.40 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, San Rafael, CA 94901 11/15/2018 Joseph Camins E] IND Officer 17.10 394.40 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, 1520 Fifth Avenue, San Rafael. CA 949al--- ❑ SCC SUBTOTAL$ 70.70 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (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 a to whole dollars. 1 g ' from 09/23/2018 • IPa'ge-18" through 12/31/2018 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE, ALSOENTER .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYEO.ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Joseph Camins x❑IND Officer 17.1: 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafae: Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 Joseph Camins 91IND Officer 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/31/2018 Joseph Camins x❑IND Officer 17.ic 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 Trevor Carney RIND Police Officer 16.30 394.40 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, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 10 15 018 Trevor Carney RIND Police Officer .30 99.9 C/o: San Rafael Police Association 1520 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 SUBTOTAL$ 83.90 *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC – Small Contributor Committee www.neifle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 g • ' through 12/31/2018 page 19 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association,Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Trevor Carney X❑IND Police Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Trevor Carney ]IND Police Officer 17.10 394.40 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, 1_92n Fifth Avenue. San Rafael. CA 949 01 ❑ SCC 11/30/2018 Trevor Carney x❑IND Police Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Trevor Carney X❑IND Police Officer 17.10 394.40 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, San Rafael, CA 94901 1 Trevor Carney 91 IND Police Officer 17.10 394.40 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, 1520 Fifth Avenue, San Rafael, CA 94911--- ❑ SCC SUBTOTAL$ 84.70 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netriile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 ' through 12/31/2018 Page 20 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION SAND (IF COMMITTEE, .D,N IT CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Jack Carpenter MIND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Jack Carpenter MIND Officer 16.30 394.4Q C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 [-]SCC 10/31/2018 Jack Carpenter MIND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's..dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Jack Carpenter MIND Officer 17.10 394.40 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, San Rafael, CA 94901 11/30/2018 Jack Carpenter MIND Officer 17.10 394.9 C/o: San Rafael Police Association 1520 Fifth ❑ COM _ City of San Rafae Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael. CA 949QI— ❑ SCC SUBTOTAL $ 83.10 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC Small Contributor Committee www.netFiile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. '4 ' from 09/23/2018 • " lPaAge_21" through 12/31/2010 of 114 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Jack Carpenter El IND Officer 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Jack Carpenter X❑IND ufficer 17..0 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2018 Edward Chiu X❑IND Officer .30 394.40 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, San Rafael CA 94901 10/15/2018 Edward Chiu RIND Officer 16.30 394. C/o: San Rafael Police Association 1520 Fifth ❑ 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 10/31/2018 Edward Chiu 91 IND Officer 16.30 394.40 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. SUBTOTAL$ 83.10 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netrile.com FPPC Foran 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I g ' from 09/23/2018 • through 12/31/2018 page 22 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Edward Chiu x❑IND Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Edward Chiu 91 IND Officer 17.10 394.40 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, 1520 Fifth Avenue. q— Rafael, CA 94901 [-]SCC 12/15/2018 Edward Chiu ElIND Officer 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Edward Chiu E] IND Officer 17.10 394.40 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, San Rafael, CA 94901 09/30/2018 Robert Cleland ]IND Police Corporal 16.30 394.40 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, 1520 Fifth Avenue. San Rafael, CA 949al— ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netFile.com FPPC Form 460 (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 09/23/2018 s through 12/31/2018 page 23 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Robert Cleland 91IND Police Corporal 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Robert Cleland 91 IND Police Corporal 16.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Robert Cleland QIND Police Corporal 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Robert Cleland RIND Police Corporal 17.10 394.40 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, San Rafael, CA 94901 12/15/2018 Robert Cleland X❑IND Police Corporal 17.10 394.4 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949Q-L— [-]SCC SUBTOTAL$ 83.90 'Contributor Codes IND Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netFile.com 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 CALIFORNIA to whole dollars. / ' from 09/23/2018 ' through 12/31/2018 page 24 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Robert Cleland X❑IND Police Corporal 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Christopher Coale X❑IND Sergeant 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2018 Christopher Coale x❑IND Sergeant 16.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Christopher Coale X❑IND Sergeant 16.30 394.40 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, San Rafael, CA 94901 11/15/2018 Christopher Coale 91 IND Sergeant 17.10 394.40 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 949QI— ❑ 5CC SUBTOTAL$ 83.10 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. I ' from 09/23/2018 g through 12/31/2018 Page 25 of 114_ NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE ALSO ENTER 10. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Christopher Coale X❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Christopher Coale 91 IND Sergeant 17.10 394.40 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, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2018 Christopher Coale x❑IND Sergeant 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 Thomas Collins X❑IND Officer 16.30 394.40 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, San Rafael, CA 94901 5 Thomas Collins Z] IND Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949G1— ❑ SCC SUBTOTAL$ 83.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netFile.com 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. I ' from 09/23/2018 through 12/31/2018 page 26 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ,DNUMBER) (E COMMITTEE, ALSO . 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) 10/31/2018 Thomas Collins 91 IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Thomas Collins x❑IND Officer 17.10 394.40 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, 1920 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/30/2018 Thomas Collins RIND Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Thomas Collins RIND Officer 17.10 394.40 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, San Rafael, CA 94901 12/31/2018 Thomas Collins RIND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949GI_ ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netFile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. I ' from 09/23/2018 through 12/31/2018 page 27 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Jenna Cotta KIND Communications Dispatcher 12.70 307.60 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 10/15/2018 Jenna Cotta X❑IND Communications Dispatcher 12.70 307.60 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 10/31/2018 Jenna Cotta x❑IND Communications Dispatcher 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Jenna Cotta X❑IND Communications Dispatcher 13.40 307.60 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, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2018 Jenna Cotta E] IND Communications Dispatcher 13.40 307. 0 c/o San Rafael Police Association 1520 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 Fifth Avenue. ❑ SCC SUBTOTAL$ 64.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC --Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFO A to whole dollars. I � ' from 09/23/2018 • through 12/31/2018 Page 28 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Jenna Cotta 91 IND Communications Dispatcher 13.40 307.60 c/o San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Jenna Cotta 91 IND Communications Dispatcher 13.40 307.60 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 09/30/2018 Heinrich Cuddy KIIND Police Recruit 12.70 117.10 C/o: San Rafael Police Association 1520 Fifth❑ 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 10/15/2018 Heinrich Cuddy E] IND Police Recruit 12.70 117.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 10/31/2018 Heinrich Cuddy 91 IND Police Recruit 12.70 17.10 C/o: San Rafael Police Association 1520 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 949Q -L— ❑ SCC SUBTOTAL$ 64.90 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 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 CALIFORNIA to whole dollars. I ' from 09/23/2018 • ' through 12/31/2018 page 29 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZI O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (E COMMITTEE, ALS.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OFBUSINESS) 11/15/2018 Heinrich Cuddy X❑IND Police Recruit 13.40 117.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152 0Fifth Avenue San Rafael CA 94901 11/30/2018 Heinrich Cuddy X❑IND Police Recruit 13.40 117.10 C/o: San Rafael Police Association 1520 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. R- Rafael. CA 94901 []SCC 12/15/2018 Heinrich Cuddy X❑IND Police Recruit 13.40 117.10 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Heinrich Cuddy x❑IND Police Recruit 13.40 117.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 09/30/2018 Ryan De Marta 91 IND Officer 16.30 309.70 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafa2j__LA__3_j20l ❑ SCC SUBTOTAL$ 69.90 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY --Political Party SCC- Small Contributor Committee www.netfile.com 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 • . NIA CALIFI to whole dollars. ' from 09/23/2018 • ' through 12/31/2018 page 30 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 83153 DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Ryan De Marta El IND Officer 16.30 309.70 C/o: San Rafael Police Association 1520 Fifth ❑ 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 09/30/2018 Elisa Delatorre X❑IND Call Taker And Records 12.70 282.20 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 Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2018 Elisa Delatorre x❑IND Call Taker And Records 12.70 282.20 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 10/31/2018 Elisa Delatorre El IND Call Taker And Records 12.70 282.20 C/o: San Rafael Police Association 1520 FifthSpecialist [-]COM 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 5 E isa Delatorre RIND Call Taker And Records 13.40 262.2 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, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 67.80 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netFile.com FPPC Form 460 (Jan/2016) FPPC Advice: advicelr@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 CALIFORNIA to whole dollars. I ' from 09/23/2018 • ' through 12/31/2018 page 31 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Elisa Delatorre x❑IND Call Taker And Records 13.40 282.20 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 12/15/2018 Elisa Delatorre ]IND Call Taker And Records 13.40 282.20 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 Avenue. q— R-fael. CA 94901 ❑ SCC 12/31/2018 Elisa Delatorre x❑IND Call Taker And Records 13.40 282.20 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 09/30/2018 Rebecca DeLaTorre X❑IND Call Taker & Records 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2018 Rebecca DeLaTorre x❑IND Call Taker & Records 12.70 307.60 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, 1520 Fifth Avenue. San Rafael. CA 949QL— ❑ SCC SUBTOTAL$ 65.60 'Contributor Codes IND– Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC– Small Contributor Committee www.netfile.com FPPC Form 460 (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 09/23/2018 • through 12/31/2018 Page 32 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Rebecca DeLaTorre 91IND Call Taker & Records 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Rebecca DeLaTorre RIND Call Taker & Records 13.40 307.60 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, 152n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 11/30/2018 Rebecca DeLaTorre RIND Call Taker & Records 13.40 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 Rebecca DeLaTorre RIND Call Taker & Records 13.40 307.60 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 12/31/2018 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 307.60 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, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 66.30 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period • to whole dollars. I , from 09/23/2018 • through 12/31/2018 Page 33 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Blake Delzell X❑IND Police Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Blake Delzell X❑IND Police Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafapl. CA 94901 ❑ SCC 10/31/2018 Blake Delzell FK] IND Police Officer 16.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Blake Delzell ]IND Police Officer 17.10 394.40 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, San Rafael, CA 94901 11/30/2018 Blake Delzell E] IND Police Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949L'L--- ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2076) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • . NIA CALIF4601 to whole dollars. g , from 09/23/2018 • through 12/31/2018 Page 34 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Blake Delzell ]IND Police Officer 1-].10 394.40 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 San Rafael CA 94901 12/31/2018 Blake Delzell X❑IND Police Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2018 Danielle Dennis KIIND Call Taker/Records 25r 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 10/15/2018 Danielle Dennis x❑IND Call Taker/Records 12.70 256.80 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 10/31/2018 Danielle Dennis Z] IND Call Taker Records 70 ?6 8 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, 11520 Fifth Avenue. San Rafael__QA___9A3Qj_ []SCC SUBTOTAL$ 72.30 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.ne>t`file.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period CALIFORNIA to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page 35 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Danielle Dennis x❑IND Call Taker/Records 13.40 256.80 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 11/30/2018 Danielle Dennis Z] IND Call Taker/Records 13.40 256.80 C/o: San Rafael Police Association 1520 FifthEl 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 Avenue, San Rafael, CA 94901 ❑ SCC 12/15/2018 Danielle Dennis x❑IND Call Taker/Records 13.40 256.80 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 12/31/2018 Danielle Dennis E] IND Call Taker/Records 13.40 256.80 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 09/30/2018 Christian Diaz 91 IND Sergeant 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949Qj_ ❑ SCC SUBTOTAL$ 69.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 09/23/2018 • " through 12/31/2018 page 36 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALS .D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Christian Diaz X❑IND Sergeant 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Christian Diaz RIND Sergeant 16.30 394.40 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, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 11/15/2018 Christian Diaz RIND Sergeant 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Christian Diaz RIND Sergeant 17.10 394.40 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, San Rafael, CA 94901 12/15/2018 Christian Diaz Z] IND Sergeant 17.10 394.40 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, 1520 Fifth Avenue. San Rafael__CA__3A3Q-I— ❑ SCC SUBTOTAL$ 83.90 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netFile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018 page 37 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ,D, NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Christian Diaz ]IND Sergeant 17.: 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 Justin Dodson X❑IND Police Officer 394.40 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, 1520 Fifth Avenue. San Rafapl. CA 94901 ❑ SCC 10/15/2018 Justin Dodson RIND Police Officer 15.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Justin Dodson ]IND Police Officer 394.40 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, San Rafael, CA 94901 11/15/2018 Justin Dodson X❑IND Police Officer 1 10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949Q] ❑ SCC -- SUBTOTAL$ 83.10 'Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 � ' from 09/23/2018 ' through 12/31/2018 page 38 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPCODE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Justin Dodson x❑IND Police Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Justin Dodson x❑IND Police Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/31/2018 Justin Dodson QIND Police Officer 17.10 394.40 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 San Rafael CA 94901 09/30/2018 James Dooley 1IND Police Officer 16.30 394.40 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, San Rafael, CA 94901 10/15/2018 James Dooley [g]IND Police Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949QJ— [:]SCC SUBTOTAL$ 83.90 `Contributor Codes IND -Individual COM -- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netFile.com 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. I , from 09/23/2018 • ' through 12/31/2018page 39 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 James Dooley X❑IND Police Officer 1 394-40 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 San Rafael CA 94901 11/15/2018 James Dooley RIND Police Officer 17.1.0 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/30/2018 James Dooley u❑IND Police Officer 17.10 3 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 James Dooley X❑IND Police Officer 394.40 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, San Rafael, CA 94901 12/31/2018 James Dooley X❑IND Police Officer 17.10 394.4 C/o: San Rafael Police Association 1520 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 949al— ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.neifle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 Bi— 09/23/2018•through 12/31/2018 page 0 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Christopher Duncan RIND Police Corporal 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Christopher Duncan X❑IND Police Corporal 16.30 394.40 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, 152n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/31/2018 Christopher Duncan x❑IND Police Corporal 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Christopher Duncan RIND Police Corporal 17.10 394.40 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, San Rafael, CA 94901 11/30/2018 Christopher Duncan Z] IND Police Corporal 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490-L— ❑ SCC SUBTOTAL$ 83.10 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA I � ' from 09/23/2018 FORM through 12/31/2018 page 91 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE. ALSOENTER NUMBER) I.D., * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Christopher Duncan BIND Police Corporal 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Christopher Duncan 91 IND police Corporal 17.17 394.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/30/2018 Kevin Finerty x❑IND Police Officer 394.40 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 San Rafael CA 94901 10/15/2018 Kevin Finerty X❑IND police Officer 394.40 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, San Rafael, CA 94901 8 Kevin Finerty X❑IND Police Officer 16.30 394.40 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Raf— Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949Q -I— ❑ SCC SUBTOTAL $ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 • through 12/31/2018 page 42 of 114 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED I.D.. (E COMMITTEE, ALSOENTER UMBER) CODE * (IF SELF. EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Kevin Finerty x❑IND Police Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Kevin Finerty R]IND Police Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael, CA 94901 [:]SCC 12/15/2018 Kevin Finerty x❑IND Police Officer 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Kevin Finerty KI IND Police Officer 17.10 394.40 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, San Rafael, CA 94901 09/30/2018 Scott Fisher E] IND Police Officer 16.30 394.4 C/o: San Rafael Police Association 1520 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 949QI— ❑ SCC SUBTOTAL$ 84.70 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 � through 12/31/2018 page 43 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND DE O FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO O.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Scott Fisher ]IND Police Officer 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Scott Fisher E] IND Police Officer ? 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Scott Fisher x❑IND Police Officer 17.1D 3 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Scott Fisher RIND Police Officer 394.40 C/O: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2018 Scott Fisher x❑IND Police Officer 10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949QI— []SCC SUBTOTAL$ 83.90 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com 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. I ' from 09/23/2018 ' through 12/31/2018 page 44 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Scott Fisher RIND Police Officer 1 .: 394.40 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 San Rafael CA 94901 09/30/2018 Anna Fulgado RIND Dispatcher 12.10 307.60 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 10/15/2018 Anna Fulgado x❑IND Dispatcher 1,2 .1 C/o: San Rafael Police Association 1520 Fifth ❑ 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 10/31/2018 Anna Fulgado x❑IND Dispatcher 1 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2018 Anna Fulgado RIND Dispatcher 307.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490— ❑ SCC SUBTOTAL$ 68.60 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I � ' from 09/23/2018 • through 12/31/2018 page 45 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Anna Fulgado X❑IND Dispatcher 13.40 307.60 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 12/15/2018 Anna Fulgado 91 IND Dispatcher 13-40 307.60 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 12/31/2018 Anna Fulgado RIND Dispatcher 13.40 307.60 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 09/30/2018 Christopher Fuller 91 IND Corporal 16.30 394.40 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, San Rafael, CA 94901 10/15/2018 Christopher Fuller X❑IND Corporal 16.30 394.40 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 94911— ❑ SCC SUBTOTAL$ 72.80 *Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netFiile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 • ' through 12/31/2018 Page 46 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO .D. NUMBER) , CODE * (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Christopher Fuller BIND Corporal 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Christopher Fuller 91 IND Corporal 17.10 394.40 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, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 11/30/2018 Christopher Fuller x❑IND Corporal 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue,San Rafael CA 94901 12/15/2018 Christopher Fuller x❑IND Corporal 17.10 394.40 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, San Rafael, CA 94901 12/31/2018 C ristopher Fuller N] IND Corporal 17.10 394.4 C/o: San Rafael Police Association 1520 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 949Q-L— [-]SCC SUBTOTAL$ B4.70 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (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 maybe rounded Statement covers period e to whole dollars. I 1 from 09/23/2018 � through 12/31/2018 page 47 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Salvatore Garanzini MIND Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Salvatore Garanzini MIND Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2018 Salvatore Garanzini MIND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Salvatore Garanzini MIND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafae_. Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2018 Salvatore Garanzini MIND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City cf 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 949GI— ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC– Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2016 0 through 12/31/2018 Page 98 of 114 NAME OF FILER I.D- NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I O. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Salvatore Garanzini 91 IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Salvatore Garanzini Z] IND Officer 17.10 394.40 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, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/30/2018 Michael Garrison BIND Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Michael Garrison KI IND Officer 16.30 394.40 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, San Rafael, CA 94901 10/31/2018 Michael Garrison 91 IND Officer 16.30 4.4 C/o: San Rafael Police Association 1520 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 949al--- ❑ SCC SUBTOTAL $ 83.10 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. / g ' from 09/23/2018 • ' through 12/31/201B page 99 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE. ALSO I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Michael Garrison 91 IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth [j COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Michael Garrison X❑IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. Ran Rafael, CA 94901 ❑ SCC 12/15/2018 Michael Garrison RIND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Raf Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue an Rafael CA 94901 12/31/2018 Michael Garrison ]IND Officer 17.10 394.40 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, San Rafael, CA 94901 09/30/2018 Lilah Gavlick X❑IND Police Corporal 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 949122— ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018page 50 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Lilah Gavlick RIND Police Corporal 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Lilah Gavlick X❑IND Police Corporal 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Lilah Gavlick x❑IND Police Corporal 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Lilah Gavlick BIND Police Corporal 17.10 394.40 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, San Rafael, CA 94901 5 1 Lilah Gavlick RIND Police Corporal 17.10 394.9 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949QI— El SCC SUBTOTAL$ 83.90 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. 460 � ' from 09/23/2018 through 12/31/2018 page 51 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I-D, NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Lilah Gavlick ]IND Police Corporal 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Justin Graham[g]IND Sergeant 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 [:]SCC 10/15/2018 Justin Graham KIND Sergeant 16.30 394.40 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 10/31/2018 Justin Graham El IND Sergeant 16.30 394.40 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, San Rafael, CA 94901 11/15/2018 Justan Graham E] IND Sergeant 17.10 394.9 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949U ❑ SCC SUBTOTAL $ 83.10 'Contributor Codes IND—individual COM- Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Foran 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • ' through 12/31/2018 page 52 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Justin Graham X❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Justin Graham 91 IND Sergeant 17.10 394.40 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, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2018 Justin Graham X❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Lori Hendricks R] IND Dispatcher 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 5 Lori Hendricks El IND Dispatcher 12.70 307.60 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, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 76.70 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page 53 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DREALSANDZI.D-NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EFTA CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Lori Hendricks RIND Dispatcher 12.1c 307.60 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 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Lori Hendricks X❑IND Dispatcher -.40 307.60 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, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 11/30/2018 Lori Hendricks X❑IND Dispatcher :+.4 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 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 Lori Hendricks X❑IND Dispatcher 13.40 307.60 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 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2018 Lori Hendricks RIND Dispatcher 13.40 307. 0 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, 1520 Fifth Avenue. San Rafael, CA 949QI— [-]SCC SUBTOTAL$ 66.30 'Contributor Codes IND -Individual COM-- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netFile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 ' through 12/31/2018 Page 54 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Robert Henkle X❑IND Officer 16.30 394.40 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, El SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Robert Henkle 91 IND Officer 16.30 394.40 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, 1920 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2018 Robert Henkle FK] IND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Robert Henkle E] IND Officer 17.10 394.40 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, San Rafael, CA 94901 0 Robert Henkle 91 IND Officer 17.10 394.40 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, 1520 Fifth Avenue, San Rafael. CA 949QI— ❑ SCC SUBTOTAL $ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.nettFiile.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 Statement covers period • . to whole dollars. I ' from 09/23/2018 • " through 12/31/2018 page 55 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESSZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ALSAND (IF COMMITTEE, I D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Robert Henkle 91 IND Officer 17-10 394.40 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 San Rafael CA 94901 12/31/2018 Robert Henkle 91 IND Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2018 J. Alexander Holm X❑IND Corporal 16.30 394.40 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 10/15/2018 J. Alexander Holm x❑IND Corporal 16.30 394.40 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, San Rafael, CA 94901 10/31/2018 J. Alexander Holm x❑IND Corporal 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 9490-L— ❑ SCC SUBTOTAL $ 03.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ALIF•RNIA to whole dollars. I ' from 09/23/2018 • ' through 12/31/2018 page 56 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 J. Alexander Holm x❑IND Corporal 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth [j COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 J. Alexander Holm x❑IND Corporal 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 J. Alexander Holm X❑IND Corporal 17.10 394.40 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 San Rafael CA 94901 12/31/2018 J. Alexander Holm x❑IND Corporal 17.10 394.40 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, San Rafael, CA 94901 Lisa Holton RIND Sergeant 16.30 99.9 C/o: San Rafael Police Association 1520 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 949121— ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC – Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 through 12/31/2018 page 57 of 114 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI,D.NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Lisa Holton MIND Sergeant 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Lisa Holton X❑IND Sergeant 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Lisa Holton x❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Lisa Holton MIND Sergeant 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2018 Lisa Holton MIND Sergeant 17.10 394.40 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, 1520 Fifth Avenue. ❑ SCC SUBTOTAL $ 83.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 09/23/2018 through 12/31/2018 page 58 _ of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 12/31/2018 Lisa Holton X❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Carl Huber 91 IND Sergeant 16.30 394.40 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, 192n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2018 Carl Huber E] IND Sergeant 16.30 394.40 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, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Carl Huber ]IND Sergeant 16.30 394.40 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, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2018 Carl Huber E] IND Sergeant 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949Q,'L— ❑ SCC SUBTOTAL $ 83.10 'Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC–Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I g 1 from 09/23/2018 • ' through 12/31/2018 page 59 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 031553 A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE IT .O. NUMBER) (IF COMMITTEE, ALSO ENTER * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Carl Huber ElIND Sergeant 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH k Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 Carl Huber fl IND Sergeant 17.10 3 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/31/2018 Carl Huber RIND Sergeant 11.10 C/o:. San Rafael Police Association 1520 Fifth❑ 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 09/30/2018 Scott Ingels RIND Sergeant 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 _M15/2018 Scott Ingels RIND Sergeant 16.30 394.9 C/o: San Rafael Police Association 1520 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 949QI— ❑ SCC SUBTOTAL$ 83.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netrile.com FPPC Forth 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. 4601 from 09/23/2018 FORM through 12/31/2018 page 60 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 10/31/2018 Scott Ingels 1IND Sergeant 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Scott Ingels x❑IND Sergeant 17.10 394.40 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, 152n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/30/2018 Scott Ingels QIND Sergeant 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Scott Ingels X❑IND Sergeant 17.10 394.40 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, San Rafael, CA 94901 12/31/2018 Scott Ingels X❑IND Sergeant 17.10 394.40 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, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netFile.com FPPC Form 460 (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 CALIFORNIA to whole dollars. ' from 09/23/2018 • " through 12/31/2018 page_ 61 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {E COMMITTEE, ALSO.DNUMBER) . CODE * (IF SELF. EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Rebecca Kuga X❑IND YSB Supervisor 12.70 307.60 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 10/15/2018 Rebecca Kuga X❑IND YSB Supervisor 12.70 JUi. 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, San Rafael. CA 94901 ❑ SCC 10/31/2018 Rebecca Kuga BIND YSB Supervisor 12.70 307.60 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 11/15/2018 Rebecca Kuga E] IND YSB Supervisor 13.40 307.60 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 11 30/2018Re ecca Kuga E] IND YSB Supervisor 13.40 307.60 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 949U ❑ SCC SUBTOTAL$ 64.90 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 • ' through 12/31/2018 Page 62 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED . (E COMMITTEE. ALSO ,DNUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Rebecca Kuga 1IND YSB Supervisor 13.40 307.60 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 12/31/2018 Rebecca Kugax❑IND YSB Supervisor 13.40 307.60 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 09/30/2018 Marc Laplante x]IND Officer 16.30 399.90 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 [_1OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Marc Laplante x❑IND Officer 16.30 399.40 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2018 Marc Laplante X❑IND Officer 16.30 99.9 C/o: San Rafael Police Association 1520 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 949QJ— ❑ SCC SUBTOTAL$ 75.70 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.neifle.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 Statement covers period • to whole dollars. I ' from 09/23/2018 FPage through 12/31/2018 63 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (E COMMITTEE. ALSO ENTER I D NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Marc Laplante x❑IND Officer 17.11. 394.40 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 San Rafael CA 94901 11/30/2018 Marc Laplante X❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Marc Laplante x❑IND Officer 17.10 C/o: San Rafael Police Association 1520 Fifth❑ 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 12/31/2018 Marc Laplante X❑IND Officer 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2018 Anndora Lee RIND Despatcher 1 307.60 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 949Q,'L-- ❑ SCC SUBTOTAL $ 81.10 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netFle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. /F from 09/23/2018 � page 64 of through 12/31/2018 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF -EMPLOYEE), ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Anndora Lee x❑IND Dispatcher 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Anndora Lee ]IND Dispatcher 12.70 307.60 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 11/15/2018 Anndora Lee x❑IND Dispatcher 13.40 307.60 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Anndora Lee E] IND Dispatcher 13.40 307.60 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 15 Anndora Lee x❑IND Dispatcher 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 949Q -L— ❑ SCC SUBTOTAL$ 65.60 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com FPPC Foran 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodFPage . to whole dollars. I ' from 09/23/2018 through 12/31/2018 65 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee I 831553 DATE ND DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION . (E COMMITTEE, ALSO .DN CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Anndora Lee IIND Dispatcher 13.40 307.60 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 09/30/2018 Karl Luhmann ]IND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 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 10/15/2018 Karl Luhmann KIIND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Karl Luhmann X❑IND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 5 Karl Lu ann 91 IND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949Q -L— [:]SCC SUBTOTAL$ 79.40 'Contributor Codes IND– Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC– Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. I ' from 09/23/2018 • " through 12/31/2018 page 66 of 119 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Karl Luhmann X❑IND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 12/15/2018 Karl Luhmann x❑IND Police Officer 17.10 342.10 C/O: San Rafael Police Association 1520 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 12/31/2018 Karl Luhmann x❑IND Police Officer 17.10 342.10 C/o: San Rafael Police Association 1520 Fifth❑ 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 09/30/2018 Kevin Macdougald E] IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2018 Kevin Macdougald x❑IND Officer 16.30 94.40 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, 1520 Fifth Avenue, San Rafael. CA 949Q -L— ❑ SCC SUBTOTAL$ 83.90 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • ' through 12/31/2018 page 67 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE. ALSO D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Kevin Macdougald 91IND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Kevin Macdougald X❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. q— Rafael. CA 94901 ❑ SCC 11/30/2018 Kevin Macdougald El IND Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Kevin Macdougald X❑IND Officer 17.10 394.40 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, San Rafael, CA 94901 12/31/2018 Kevin Macdougald Z] IND Officer 17.10 394.4 C/o: San Rafael Police Association 1520 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 949QI— ❑ SCC SUBTOTAL$ 84.70 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netrile.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 Statement covers period CALIFORNIA to whole dollars. I ' from 09/23/2018 • ' through 12/31/2018 page 68 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.0. NDE CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Carlos Maldonado x❑IND Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Carlos Maldonado x❑IND Officer 16.30 394.40 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, 1520 Fifth Avenue. 9— Rafael. CA 94901 ❑ SCC 10/31/2018 Carlos Maldonado x❑IND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Carlos Maldonado RIND Officer 17.10 394.40 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, San Rafael, CA 94901 11/30/2018 Carlos Maldonado X❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael, CA 949QL--- ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF' to whole dollars. from 09/23/2018 • ' through 12/31/2018 Page 69 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR AND ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Carlos Maldonado RIND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth[j COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Carlos Maldonado X❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. I ,an Rafael. CA 94901 ❑ SCC 09/30/2018 Kaitlin Maley x❑IND Police Officer 16.30 354.80 C/o: San Rafael Police Association 1520 Fifth ❑ 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 10/15/2018 Kaitlin Maley X❑IND Police Officer 16.30 354.80 C/o: San Rafael Police Association 1520 Fifth ❑ 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 Kaitlin Maley x❑IND Police Officer 16.30 354.80 C/o: San Rafael Police Association 1520 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 949GI— ❑ SCC SUBTOTAL $ 83.10 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement coven; period . to whole dollars. ' from 09/23/2018 • " through 12/31/2018 page 70 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER I D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Kaitlin Maley X❑IND Police Officer 17.10 354.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Kaitlin Maley X❑IND Police Officer 17.10 354.80 C/o: San Rafael Police Association 1520 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 12/15/2018 Kaitlin Maley X❑IND Police Officer 17.10 354.80 C/o: San Rafael Police Association 1520 Fifth ❑ 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 12/31/2018 Kaitlin Maley x❑IND Police Officer 17.10 354.80 C/o: San Rafael Police Association 1520 Fifth ❑ 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 09/30/2018 Michael Mathis KI IND Corporal 1 4.9 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue El San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949Q -L— ❑ SCC SUBTOTAL$ 84.70 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netrile.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 Statement covers period to whole dollars. 'from 09/23/2018through FPage 12/31/2018 71 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO ENTER .O, NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Michael Mathis X❑IND Corporal 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth [:1 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Michael Mathis RIND Corporal 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 11/15/2018 Michael Mathis BIND Corporal 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Michael Mathis El IND Corporal 17.10 394.40 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, San Rafael, CA 94901 12/15/2018 Michael Mathis [g]IND Corporal 17.10 394.9 C/o: San Rafael Police Association 1520 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 949122— ❑ SCC SUBTOTAL$ 83.90 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netFle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFO to whole dollars. 460' g ' from 09/23/2018 • through 12/31/2018 page 72 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Michael Mathis X❑IND Corporal 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Kelly Mauel x❑IND Communications Dispatcher 12.70 307.60 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 10/15/2018 Kelly Mauel x❑IND Communications Dispatcher 12.70 307.60 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 10/31/2018 Kelly Mauel X❑IND Communications Dispatcher 12.70 307.60 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 11/15/2018 Kelly Mauel x❑IND Communications Dispatcher 13.40 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, 11520 Fifth Avenue, [:]SCC SUBTOTAL$ 68.60 'Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netFile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIF• R to whole dollars. I � ' from 09/23/2018 • ' through 12/31/2018 Page 73 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE. ALSO .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Kelly Mauel ]IND Communications Dispatcher 13.40 307.60 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 12/15/2018 Kelly Mauel X❑IND Communications Dispatcher 13.40 307.60 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 12/31/2018 Kelly Mauel x❑IND Communications Dispatcher 13.40 307.60 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 09/30/2018 Phillip Melodia X❑IND Officer 16.30 394.40 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, San Rafael, CA 94901 5 Phillip Melo is X❑IND Officer 16.30 394.9 C/O: San Rafael Police Association 1520 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 949QI— ❑ SCC SUBTOTAL$ 72.80 'Contributor Codes IND- Individual COW Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC-- Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. lKey• / ' from 09/23/2018 • ' through 12/31/2018 page 74 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSAND .D, NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Phillip Melodia x❑IND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Phillip Melodia X❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. �n Rafael. CA 94901 ❑ SCC 11/30/2018 Phillip Melodia X❑IND Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Phillip Melodia X❑IND Officer 17.10 394.40 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, San Rafael, CA 94901 1 1 2018 Phillip Melodia x❑IND Officer 17.10 394.40 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through []PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949Q -I— ❑ SCC SUBTOTAL $ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 ' through 12/31/2018 Page 75 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ADDRESSZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE OF COMMITTEE, I.D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Beth Minka 91 IND Administrative Technician 12.70 307.60 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 10/15/2018 Beth Minka R] IND Administrative Technician 12.70 307.60 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, 152n Fifth Avenue, San Rafael. CA 94901 [:]SCC 10/31/2018 Beth Minka x❑IND Administrative Technician 12.70 307.60 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 11/15/2018 Beth Minka QIND Administrative Technician 13.40 307.60 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 11/30/2018 Beth Minks X❑IND Administrative Technician 13.40 307. 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-T'Y intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949QI— ❑ SCC SUBTOTAL$ 64.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 ' through 12/31/2018 page 76 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Beth Minka KIND Administrative Technician 13.40 307.60 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 12/31/2018 Beth Minka 91 IND Administrative Technician 13.40 307.60 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/30/2018 Cynthia Morgan X❑IND Call Taker and Records 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Cynthia Morgan RIND Call Taker and Records 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2018 Cynthia Morgan X❑IND Call Taker and Records 12.70 707. 0 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, 11520 Fifth Avenue. ❑ SCC SUBTOTAL$ 64.90 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC-- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I 0 ' from 09/23/2018 � " through 12/31/2018 page 77 of 119 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Cynthia Morgan 1IND Call Taker and Records 13.40 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Cynthia Morgan X❑IND Call Taker and Records 13.40 307.60 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Cynthia Morgan X❑IND Call Taker and Records 13.40 307.60 C/o: San Rafael Police Association 1520 FifthEl 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 12/31/2018 Cynthia Morgan QIND Call Taker and Records 13.40 307.60 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 1 Lynn Murphy RIND Mental Health Outreach 12.70 C/o: San Rafael Police Association 1520 Fifth []COM Provider Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 66.30 'Contributor Codes IND-- Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC-- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 FORM through 12/31/2018 page 78 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ALSAND (IF COMMITTEE, D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Lynn Murphy RIND Mental Health Outreach 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Lynn Murphy X❑IND Mental Health Outreach 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Avenue. gan Rafael. CA 94901 ❑ SCC 11/15/2018 Lynn Murphy x❑IND Mental Health Outreach 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth[:] COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 99 01 11/30/2018 Lynn Murphy X❑IND Mental Health Outreach 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider 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 12/15/2018 Lynn Murphy x❑IND Mental Health Outreach 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. SCC SUBTOTAL $ 65.60 'Contributor Codes IND—individual COM Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netrile.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 statement covers period CALIFORNIA to whole dollars. 460 � ' from 09/23/2018 ' through 12/31/2018 Page 79 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED.ENTERNAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Lynn Murphy x❑IND Mental Health Outreach .3.5+% 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider 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 09/30/2018 Jorge Navarro 91 IND Evidence Technician 12-70 307.60 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 10/15/2018 Jorge Navarro FK] IND Evidence Technician 12.70 307.60 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 10/31/2018 Jorge Navarro E] IND Evidence Technician 61,70 307.60 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, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2018 Jorge Navarro RIND Evidence Technician 13.40 307. 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 949QJ— ❑ SCC SUBTOTAL$ 64.90 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period a to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page BO of 119 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Jorge Navarro 91 IND Evidence Technician 13.40 307.60 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 12/15/2018 Jorge Navarro 91 IND Evidence Technician 13.40 307.60 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. 9- P-fael. CA 94901 [-]SCC 12/31/2018 Jorge Navarro BIND Evidence Technician 13.40 307.60 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 09/30/2018 Alexis Nielsen ]IND Lead Communications 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher 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 10/15/2018 Alexis Nielsen x❑IND Lead Communications 12.70 307. 60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901— []SCC SUBTOTAL $ 65.60 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netFle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018 page 81 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE. ALS.ONUMBER) . CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Alexis Nielsen MIND Lead Communications 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher 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 11/15/2018 Alexis Nielsen 91 IND Lead Communications 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 [-]SCC 11/30/2018 Alexis Nielsen X❑IND Lead Communications 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher 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 12/15/2018 Alexis Nielsen X❑IND Lead Communications 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher 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 12/31/2018 Alexis Nielsen 91 IND Lead Communications 1 .4 7.60 C/o: San Rafael Police Association 1520 Fifth COM Dispatcher Avenue ❑ City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490-L— ❑ SCC SUBTOTAL$ 66.30 `Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. I t from 09/23/2018 • through 12/31/2018 Page 82 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO O.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Oscar O'con X❑IND Police Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Oscar O'con ]IND Police Officer 16.30 394.40 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, 192n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/31/2018 Oscar O'con RIND Police Officer 16.30 394.40 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, El SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Oscar O'con RIND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Oscar O'con 91 IND Police Officer 17.10 394.9 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ❑ SCC SUBTOTAL$ 83.10 `Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 09/23/2018through FPage 12/31/201883 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI.D.NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Oscar O'con 91 IND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Oscar O'con x❑IND Police Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2018 Leslie O'Toole x❑IND Officer 16.30 394.40 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 San Rafael CA 94901 10/15/2018 Leslie O'Toole X❑IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10 31/2018 Leslie O'Toole RIND Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949Q,'L— ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period ICALIFORNIA to whole dollars. / ' from 09/23/2018 ' through 12/31/2018 page B4 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Leslie O'Toole x❑IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth [j COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Leslie O'Toole ){❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Leslie O'Toole X❑IND Officer 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Leslie O'Toole E] IND Officer 17.10 394.40 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, San Rafael, CA 94901 09/30/2018 Brian Patterson Z1 IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901— ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I 0 ' from 09/23/2018 • ' through 12/31/2018 page 85 of 119 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 (IF COMMITTEE, ALSO ENTERI.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Brian Patterson X❑IND Officer 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Brian Patterson X❑IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 11/15/2018 Brian Patterson X❑IND Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Brian Patterson El IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2018 Braan Patterson X❑IND Officer 7.10 99.40 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, 1520 Fifth Avenue. San Rafael, CA 949QI— ❑ SCC SUBTOTAL$ 83.90 'Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. 460, � ' from 09/23/2018 • ' through 12/31/2018 page 86 of_.. 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTERI.D-NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Brian Patterson x❑IND Officer 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Buffy Paxson x❑IND Officer 16.30 394.40 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, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/15/2018 Buffy Paxson x❑IND Officer 16.30 394.40 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 10/31/2018 Buffy Paxson X❑IND Officer 16.30 394.40 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, San Rafael, CA 94901 11/15/2018 Buffy Paxson 91 IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 949aL— ❑ SCC SUBTOTAL $ 83.10 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (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 CALIFORNIA to whole dollars. / ' from 09/23/2018 FORM through 12/31/2018 Page 87 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED . (E COMMITTEE, ALSOENTER .DNUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Buffy Paxsonx❑IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 Buffy Paxson 91 IND Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2018 Buffy Paxson FK] IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 Jessica Perry ]IND Officer 16.30 394.40 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, San Rafael, CA 94901 10/15/2018 Jessica Perry E] IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafa..l Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949UL— ❑ SCC SUBTOTAL $ 83.90 *Contributor Codes IND– Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC– Small Contributor Committee www.netfile.com 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. I ' from 09/23/2018 FPage through 12/31/2018 B8 of 119 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Jessica Perry X❑IND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Jessica Perry 91IND Officer 17.10 394.40 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, 1520 Fifth Aypnup. San Rafael, CA 94901 ❑ SCC 11/30/2018 Jessica Perry x❑IND Officer 17.10 394.40 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 12/15/2018 Jessica Perry KI IND Officer 17.10 394.40 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, San Rafael, CA 94901 018 Jessica Perry E] IND Officer 17.10 394.4 C/o: San Rafael Police Association 1520 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 949Q -L-- ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netriile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I ' from 09/23/2018 ' through 12/31/2018 page 89 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Aaron Piombo X❑IND Police Corporal 16.30 394.40 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 152 0Fifth Avenue San Rafael CA 94901 10/15/2018 Aaron Piombo E]IND Police Corporal 16.30 394.40 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, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/31/2018 Aaron Piombo FK] IND Police Corporal 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Aaron Piombo ]IND Police Corporal 17.10 394.40 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, San Rafael, CA 94901 018 Aaron Piombo x❑IND Police Corporal 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949aL— [-]SCC SUBTOTAL$ 83.10 'Contributor Codes IND -Individual COM-- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.nettFle.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I 'from 09/23/2018 Fge through 12/31/2018 90 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE. ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Aaron Piombo X❑IND Police Corporal 17.10 394.40 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 San Rafael CA 94901 12/31/2018 Aaron Piombo X❑IND Police Corporal 394.40 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, 1520 Fifth Avenue. San Rafapl. CA 94901 ❑ SCC 09/30/2018 Dennis Prince BIND Officer 16.30 394.40 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, El SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Dennis Prince E] IND Officer li C/o: San Rafael Police Association 1520 Fifth [-]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 Dennis Prince 91 IND Officer 16.30 3! C/o: San Rafael Police Association 1520 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 949GI-- [-]SCC SUBTOTAL $ 83.10 'Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netrile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 09/23/2018 • ' through 12/31/2018 Page 91 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I, O. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC- 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Dennis Prince NJ IND Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Dennis PrinceX❑IND Officer 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Dennis Prince X❑IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Dennis Prince X❑IND Officer 17.10 394.40 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, San Rafael, CA 94901 09/30/2018Gino Rantissi x❑IND Officer 94.90 c/o San Rafael Police Association 1520 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 949al___ ❑ SCC SUBTOTAL $ 84 .7 0 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018 page 92 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE OF COMMITTEE, ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Gino Rantissi x❑IND Officer 16.30 394.40 c/o San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Gino Rantissi RIND Officer 16.30 394.40 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, 152n Fifth Avenue. 'an Rafapl. CA 94901 [:]SCC 11/15/2018 Gino Rantissi RIND Officer 17.10 394.40 c/o San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Gino Rantissi 91 IND Officer 17.10 394.40 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, San Rafael, CA 94901 12715/2018Gino Rantissi x❑IND Officer 99.9 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 [_]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949Q2— ❑ SCC SUBTOTAL$ 83.90 '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 (866/275-3772) www.fppc.ca.gov www.netrile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period e A to whole dollars. 460 � ' from 09/23/2018 • through 12/31/2018 page 93 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Gino Rantissi X❑IND Officer 17.10 394.40 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 San Rafael CA 94901 09/30'/2018 Ronda Reese 91 IND Corporal 16.30 394.40 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, 152n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2018 Ronda Reese x❑IND Corporal 16.30 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Ronda Reese X❑IND Corporal 16.30 394.40 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, San Rafael, CA 94901 11 15 2018 Ron a Reese X❑IND Corporal 17.10 394.40 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 949Q,'L— ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee 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 (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 09/23/2018 FORM through 12/31/2018 page__ 94 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE,ALSOENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Ronda Reese ]IND Corporal 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Ronda Reese X❑IND Corporal 17.10 394.40 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, 1520 Fifth Avenue, q- Rafael, CA 94901 ❑ SCC 12/31/2018 Ronda Reese R1 IND Corporal 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 09/30/2018 Peggy Ruge El IND Lead Communications 12.70 307.60 C/o: San Rafael Police Association 1520 FifthDispatcher [-]COM 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 10/15/2018 Peggy Ruge 91 IND Lead Communications 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, [:]SCC SUBTOTAL$ 76.70 'Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. 460 g ' from 09/23/2018 through 12/31/2018 page 95 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Peggy Ruge 91IND Lead Communications 12.70 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher 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 11/15/2018 Peggy Ruge X❑IND Lead Communications 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 11/30/2018 Peggy Ruge X❑IND Lead Communications 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher 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 12/15/2018 Peggy Ruge RIND Lead Communications 13.40 307.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher 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 12731/2018 Peggy Ruge 1IND Lead Communications 13.40 307. 60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael__QA__2A2D_L_ ❑ SCC SUBTOTAL $ 66.30 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 09/23/2018 • through 12/31/2018 Page 96 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee B31553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION . (E COMMITTEE, ALSO ,DNUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Travis Ruggles 1IND Police Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Travis Ruggles X❑IND Police Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2018 Travis Ruggles QIND Police Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Travis Ruggles ]IND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Travis Ruggles 91 IND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949111— ❑ SCC SUBTOTAL$ 83.10 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC- Small Contributor Committee www.netFiile.com FPPC Forth 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. I , from 09/23/2018 • ' through 12/31/2018 Page 97 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE. ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Travis Ruggles X❑IND Police Officer 17.10 394.40 C/O: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Travis Ruggles X❑IND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2018 Sebastian Sanchez X❑IND Police Officer 16.30 342.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael CA 94901 10/15/2018 Sebastian Sanchez X❑IND Police Officer 16.30 342.10 C/O: San Rafael Police Association 1520 Fifth ❑ 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 10/31/2018 Sebastian Sanchez X❑IND Police Officer 16.30 342.10 C/O: San Rafael Police Association 1520 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 949Q.L— ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY'- Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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. 460 from 09/23/2018 FORM through 12/31/2018 page 98 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Sebastian Sanchez MIND Police Officer 1 ._. 342.10 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Sebastian Sanchez MIND Police Officer i '.1: 342.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Sebastian Sanchez MIND Police Officer 17.10 342.10 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 12/31/2018 Sebastian Sanchez MIND Police Officer C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 9 Anthony Scalercio MIND Officer 6 394.40 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, 1520 Fifth Avenue. San Rafael. CA 9490— [:]SCC SUBTOTAL$ 84.70 `Contributor 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 (866/275-3772) www.fppc.ca.gov www.netrile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 09/23/2018 • " through 12/31/2018 Page-_- 99 of 114 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 OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSOI.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Anthony Scalercio FK] IND Officer 16.30 394.40 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 San Rafael CA 94901 10/31/2018 Anthony Scalercio }(❑IND Officer 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2018 Anthony Scalercio x❑IND Officer C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Anthony Scalercio RIND Officer 394.40 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, San Rafael, CA 94901 1 15 Anthony Scalercio X❑IND Officer 17.1( 394.40 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 949QI— [:]SCC - SUBTOTAL$ 83.90 '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 (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodCALIFORNIA to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page 100 of_,114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Anthony Scalerci❑ X❑IND Officer 394.40 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 San Rafael CA 94901 09/30/2018 Justin Schraeder x❑IND Officer 16.30 C/o: San Rafael Police Association 1520 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 10/15/2018 Justin Schraeder X❑IND Officer 394.40 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, San Rafael CA 94901 10/31/2018 Justin Schraeder ]IND Officer 394.40 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, San Rafael, CA 94901 2018 Justin Schraeder 91 IND Office 17.10 394.40 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, 1520 Fifth Avenue. San Rafael. CA 94911— ❑ SCC SUBTOTAL$ 83.10 'Contributor Codes IND Individual COM • Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC --Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460' from 09/23/2018 FORM through 12/31/2018 page 101 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE, ALSO I,D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Justin Schraeder MIND Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Justin Schraeder MIND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 [-]SCC 12/31/2018 Justin Schraeder x❑IND Officer 17.10 394.40 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 San Rafael CA 94901 09/30/2018 Wanda Spaletta MIND Sergeant 16.30 394.40 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, San Rafael, CA 94901 5 8 Wanda Spaletta MIND Sergeant 16.30 394.40 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, 1520 Fifth Avenue San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 83.90 '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 (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page _102 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER I,D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 10/31/2018 Wanda Spaletta X❑IND Sergeant 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Wanda Spaletta RIND Sergeant 17.1.") 394.40 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, 1520 Fifth Avenue. San Rafael. CA 9491711 ❑ SCC 11/30/2018 Wanda Spaletta x❑IND Sergeant 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Wanda Spaletta ]IND Sergeant 17 394.40 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, San Rafael, CA 94901 12 1 Wan a Spaletta X❑IND Sergeant 394.40 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, 1520 Fifth Avenue. San Rafael. CA 949Q,'L— ❑ SCC SUBTOTAL$ 84.70 'Contributor 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 (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 09/23/2018 FORM through 12/31/2018 Page 103 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE, ALSO I-D. OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2018 Lynette Starnes El IND Community Service Officer 12.70 307.60 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 10/15/2018 Lynette Starnes x❑IND Community Service Officer 12.70 307.60 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, 1920 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2018 Lynette Starnes x❑IND Community Service Officer 12.70 307.60 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 11/15/2018 Lynette Starnes E] IND Community Service Officer 13.40 307.60 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, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 11 0 2 1 Lynette Starnes X❑IND Community Service Officer 1 .40 307.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949Q]— ❑ SCC SUBTOTAL$ 64.90 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.netrile.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 Statement covers period to whole dollars. I ' from 09/23/2018 F through 12/31/2018 104 of 119 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2018 Lynette Starnes ]IND Community Service Officer 13.40 307.60 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 12/31/2018 Lynette Starnes X❑IND Community Service Officer 13.40 307.60 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, 152n Fifth Avenue. San R;3fael. CA 94901 ❑ SCC 09/30/2018 Remington Stobo RIND Police Officer 16.30 394.40 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,San Rafael CA 94901 10/15/2018 Remington Stobo ]IND Police Officer 16.30 394.40 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, San Rafael, CA 94901 10/31/2018 Remington Stobo x❑IND Police Officer 16.30 394.40 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, 1520 Fifth Avenue. San Rafael, CA 949Q,'L— ❑ SCC SUBTOTAL$ 75.70 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC Small Contributor Committee www.netriile.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 Statement covers periodCALIFORNIA to whole dollars. 460 from 09/23/2018 FORM through 12/31/2018 page 105 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO O. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2018 Remington StoboX❑IND Police Officer 17.10 394.40 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 San Rafael CA 94901 11/30/2018 Remington Stobo 91IND Police Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/15/2018 Remington Stobo x❑IND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2018 Remington Stobo RIND Police Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 [IOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2018 Charly Taylor ]IND Civilian Supervisor 12.70 307.60 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 949QI— ❑ SCC SUBTOTAL $ 81.10 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netriile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 09/23/2018 • through 12/31/2018 page 106 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2018 Charly Taylor RIND Civilian Supervisor 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Charly Taylor 91 IND Civilian Supervisor 12.70 307.60 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 11/15/2018 Charly Taylor BIND Civilian Supervisor 17.40 307.60 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 11/30/2018 Charly Taylor Ta f x❑ IND ' van u Civilian Supervisor 13.40 307.60 C/O: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 [_1OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12715/2018 Charly Taylor ]IND Civilian Supervisor 13 .40 307.60 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 949Q,'L— ❑ SCC SUBTOTAL$ 65.60 `Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC–Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (6661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA ii to whole dollars. / ' from 09/23/2018 • through 12/31/2018 Page 107 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER ,D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2018 Charly Taylor RIND Civilian Supervisor 13.40 307.60 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 09/30/2018 Saskia Van Buuren RIND Communications Dispatcher 12.70 307.60 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 Rafapl. CA 94901 ❑ SCC 10/15/2018 Saskia Van Buuren KI IND Communications Dispatcher 12.70 307.60 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Saskia Van Buuren RIND Communications Dispatcher 12.70 307.60 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, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/201B Saskia Van Buuren RIND Communications Dispatcher 13.40 307. 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. ❑ SCC SUBTOTAL$ 64.90 `Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC Small Contributor Committee www.netFile.com 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 I CALIFORNIA to whole dollars. I ' from 09/23/2018 • " through 12/31/2018 page 108 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D,N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2018 Saskia Van Buuren X❑IND Communications Dispatcher 13.40 307.60 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 12/15/2018 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 307.60 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, 192n Fifth Avenue. San Rafapl. CA 94901 ❑ SCC 12/31/2018 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 307.60 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, El SCC 1520 Fifth Avenue,an Rafael CA 94901 09/30/2018 Mark Wilkinson E] IND Officer 16.30 394.40 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 5 8 Mark Wilkinson 91 IND Officer 16.30 394.40 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, 1520 Fifth Avenue, San Rafael __QA__2A2DL_ ❑ SCC SUBTOTAL$ 72.80 'Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netrile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIF• R A to whole dollars. I � ' from 09/23/2018 • ' through 12/31/2018 page 109 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ,D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2018 Mark Wilkinson X❑IND Officer 16.30 394.40 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 San Rafael CA 94901 11/15/2018 Mark Wilkinson X❑IND Officer 17.10 394.40 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, 152n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/30/2018 Mark Wilkinson }(❑IND Officer 17.10 394.40 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 San Rafael CA 94901 12/15/2018 Mark Wilkinson E] IND Officer 17.10 394.40 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, San Rafael, CA 94901 12/31/2018 Mar Wil inson 91 IND Officer 17.10 394.40 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949QI-- ❑ SCC SUBTOTAL$ 84.70 'Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C SCHEDULE C Amounts may oe rounaea Nonmonetary Contributions Received to whole dollars.• Statement covers period - , ' • from 09/23/2018 • ' through 12/31/2018 Page 110 of 119 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE IF REQUIRED ( ) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..................................................................................................................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL I www.netflle.com *Contributor Codes IND — Individual 0.00 COM—Recipient Committee (other than PTY or SCC) 50.00 OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee 50.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule E Payments Made 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 09/23/2018 through 12/31/2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 111 of 114 I.D. NUMBER 831553 CIMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTERI.D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Donor Stack, LLC WEB 86.98 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 56.43 5940 College Avenue, Suite F Oakland, CA 94618 S.E. Owens & Company 323.00 5940 College Avenue Suite F Oakland, CA 94618 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 466.41 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals................................................................. 1,085.91 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e)) 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 1,085.91 www.netfile.com FPPC Form 460 (Jan/2016) FPPCTall-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTI NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 09/23/2018 through 12/31/2018 SCHEDULE E Page 112 of 114 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Clue campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) S.E. Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 AMOUNT PAID 504.50 S.E. Owens & Company 5940 College Avenue Suite F Oakland, CA 94618 PRO 115.00 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 619.50 www.netFile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F Amounts maybe rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Statement covers period from 09/23/2018 through 12/31/2018 SCHEDULEF Page 113 of 114 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR ( OUTSTAA NDING ( AMOUNTIN CURRED (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD S.E. Owens & Company PRO 0. GO 297.50 0.00 297.50 5940 College Avenue Suite F Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 297.50$ 0.00$ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 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 $ 297.50 297.50 0.00 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 $ 297.50 Maybe a negative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) www.neille.com www.fppc.ca.gov Schedule I SCHEDULE 1 Miscellaneous Increases to Cash Amounts may be rounded Statement covers period . to whole dollars. from 09/23/2018 SEE INSTRUCTIONS ON REVERSE through 12/31/2018 page 114 of 114 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME AND ADDRESS OF SOURCEAMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period........................................................................................................................ $ 0.00 2. Unitemized increases to cash of under $100 this period............................................................................................. $ 3.37 3. Total of all interest received this period on loans made to others. Schedule H, Column (e).) 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPae Line 14.) ........................................................................................................................... TOTAL $ 3.37 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netrile.com