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Home My WebLink AboutForm 460 - Police Association PAC (2021-12-31) Semi-AnnualRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2021 through 12/31/2021 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑x General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee Information ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) 01/23/2022 By Date Ofter of Sponsor Executed on Date BY Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on BY Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com COVER PAGE - PART 2 I Page 2 of 194 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICT#pN E] SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received...................................................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ......• ...................•AddLines3+4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ... .......... a......... Previous Summary Page, Line 16 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Amounts may be rounded to whole dollars. Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) SUMMARY PAGE Statement covers period from 07/01/2021 through _ 12/31/2021 Page 3 of 194 I.D. NUMBER 831553 Column B Calendar Year Summary for Candidates CALENTOTAL ODATE Runningin Both the State Prima and TOTALTO DATE Primary General Elections $ 11,771.20 $ 25,733.59 0.00 0.00 $ 11,771.20 0.00 $ 11,771.20 $ 567.75 0.00 $ 567.75 2,194.50 0.00 $ 2:.762.25 $ 155,231.40 11,.771.20 7.89 567.75 $ 166,442.74 17. LOAN GUARANTEES RECEIVED .................. Schedule 13, Part2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above www.netfile.com $ 0.00 $ 2,913.50 $ 25,733.59 0.00 $ 25,733.59 $ 4,281.00 0.00 $ 4,281.00 2,913.50 0.00 $ 7,194.50 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). 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) I $ - I $ - 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 Statement covers period Monetary Contributions Received to whole dollars. CALIFORNIA from 07/01/2021 FORM through 12/31/2021 Page 4 of 194 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ALSAND IT I.D. NUMBER) (IF COMMITTEE, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Elisha Adams ❑X IND Officer 13.30 337.20 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑OTH Received through inter cdiary* 1a[=On San Rafael, CA 94901 San Rafael Police Assa ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Elisha Adams [JxIND Officer 13.30 337.20 C/O: San Rafael Police Association 1520 Fifth L] COM City of San Rafael Avenue Received through inter diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iaL:q{I ❑ PTY 152 0Fifth Avenue E-]SCC San Rafael, CA 94901 09/15/2021 Elisha Adams ❑X IND Officer 13.30 337.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inter ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Elisha Adams❑X IND Officer 53.20 337.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inter diary: San Rafael, CA 94901 ❑OTH San Rafael Police Assdaiation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 1 1 2 1 Elisha Adams ❑X IND Officer 13.30 37. a C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inter Zan Rafael Police Ass];—tion cdiary: PTY L520 Fifth Avenue ❑ Zan Rafael, CA 99901 ❑ SCC - SUBTOTAL$ 106.40 Schedule A Summary 1. Amount received this period - itemized monetary contributions. (include all Schedule A subtotals.)....................................................................................... .$ 11,689.20 2. Amount received this period - unitemized monetary contributions of less than $100 .........I..........:........ $ 82.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 11.771.20 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. 1 i from 07/01/2021 • through 12/31/2021 Page 5 of 194 NAME OF FILER I . NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE , (IF COMMITTEE, ALSO ENTER I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 31) IF REQUIRED ( ) OF BUSINESS) _ 11/15/2021 Elisha AdamsE❑IND Officer 13.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte wadi Ary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 L] SCC 11/30/2021 Elisha Adams E❑IND Officer 13.30 337.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte madia Cy+ San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12115120.21 Elisha AdamsE❑IND Officer 13.30 337.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince madlavy' San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Elisha Adams El IND Officer 13.30 337.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince inadiaryt San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC --67115/2021 Alison ArjerMINDPoiice Otticer l.s..su 0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation PTY Fifth Avenue ❑ San Rafael, CA 99901 San ❑ SCC _ SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 90f through 12/31/2021 page 6 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 47/31/7021 Alison AgerX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San -Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 08/13/2021 Alison Ager El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue DOTH Received through inte Ass ffkea ry: tae;64 San Rafael, CA 94901 San Rafael Police ❑ PTY 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 08731/2021 Alison Ager Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ,XOIND ❑ COM City Of San Rafael Avenue DOTH Received through int. San Rafael Police Ass madiary: elation San Rafael, CA 94901 ❑ PTY 1520 Fifth Avenue ❑ SCC. San Rafael, CA 94901 09/15/2021 Alison Ager X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass diary: elation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 79/30/2021 Alison Ager [91 IND Police Officer 1s..su 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass Okediary: ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.S.CC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.neffile.com SUBTOTAL$ 66.501 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. J i from 07/01/2021 • through 12/31/2021 Page 7 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 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 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) 16/15/7.021 Alison Ager X❑IND Police Officer 1.3.3U 341.70 C/o: San Rafael Police Association 1520 Fifth El City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 [1OTH San Rafael Police Ass cation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Alison Ager X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 [10TH San Rafael Police Ass ciaLivn ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Alison Ager x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Imudiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC'.. 11130/2021 Alison Ager X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 [1OTH San Rafael Police Ass ciatton PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC Alison Ager RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte madiL&ry: San Rafael, CA 94901 [1OTH San Rafael Police Ass iation PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2076) 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 07/01/2021 Page 8 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ( COMMITTEE, ALSO LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/207.1 Alison AgerX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass eiatinn PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC. 07/15/2021 Raul Aguilar RIND Sergeant 13.:30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation - E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 07/31/2021 Raul Aguilar x❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass CiatiOn - D PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Raul Aguilar E] IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through ince medlnryl San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 202 Raul Aguilar X❑IND Sergeant 0 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through late mediary: San Rafael, CA 94901 DOTH San Rafael Police Asa ciation El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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. 1 � from 07/01/2021 FORM Page 9 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/35/2021 Raul Aguilar x❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte iary. San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Raul Aguilar x❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH ss San Rafael Police Ass -Mi . cia cion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 10/15/2021 Raul Aguilarx❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince dini.y_ San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31./2021 Raul Aguilar X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 9490] ❑ SCC i Raul Aguilar [91 IND Sergeant C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ano ciaiion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 F through 12/31/2021 10 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSOD. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1.1130/202.1 Raul Aguilar XJIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [[COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 MOTH San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Raul Aguilar RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 MOTH San Rafael Police AsslickiRtion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 12/31/2021 Raul Aguilar RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte ediaryi San Rafael, CA 94901 MOTH San Rafael Police Ass ation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ .SC.C, 07/15/2021 James Bellamy X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 MOTH San Rafael Police Ass Lation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 2 James Bellamy X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through Inte diary: San Rafael, CA 94901 MOTH San Rafael Police AS8 Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com FPPC 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. 1 60 from 07/01/2021 O page 11 of 194 through- 12/31/2021 NAME OF FILER W. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13/2021 James Bellamy x❑IND Corporal 13.3o 341.70 C/o: San Rafael Police Association 1520 Fifth[] Com City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 James Bellamy X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CiaLiOR ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 James Bellamy x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Receied through irate diary: San Rafael, CA 94901 ❑OTH San Ravfael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 James Bellamy X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Lation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 E] SCC lames Be amy X❑IND Corporal 13.30 341.7 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince dlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation - PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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. J ` from 07/01/2021 FORM through 12/31/2021 Page 12 of 194 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE, ALSO ENTER D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10131 2021 James Bellamy MIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diaVyr San Rafael, CA 94901 ❑OTH San Rafael Police Ass Latton PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11/15/2021 James Bellamy MIND Corporal 13.30 341.70. C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through rote mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Cla Cion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 James Bellamy x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte dlery: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ❑cation El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 12/15/2021 James Bellamy RIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cla Clon PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC —12/31/2021 James BellartyCorporal 13.30 .7 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY ACAs ❑Fifth Sano Rafael, 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 " through 12/31/2021 page 13 of 199 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE ALSAND (IF COMMITTEE, D. NUMBER) IT OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Zachary Brickell X❑IND Officer 13.30 341.75 C/o: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue DOTH Received through inte jftdiaryl iation San Rafael, CA 94901 San Rafael Police Ass ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 07/31/2021 Zachary Brickell El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Association ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Zachary Brickell R[JIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH san Rafael Police Ass Ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 99901 ❑ SCC 08/31/2021 Zachary Brickell E] IND Officer 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue Received through ince d.iaVy: San Rafael, CA 94901 DOTH SanRafael Police Ass CiAtion PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC Zachary Brickell x❑IND Officer 13.30 0 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through ince mediary: . San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTM 1520 Fifth Ave nue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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. A � from 07/01/2021 FORM through 12/31/2021 Page 14 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2021 Zachary Brickell MIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte medlacy: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Zachary Brickell MIND Officer 13.30 341.10 C/o: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue Received through inte medlAry: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Zachary Brickell ©IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte m dibcy: San Rafael, CA 94901 DOTH San Rafael Police Ass CSetion ❑ PTY 152 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 11/15/2021 Zachary Brickell MIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inteYaryi San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC --11/30/2021 Zachary BrickellMIND Officer J. Ju 41. 70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue DCOM Received through inte "il ry: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC. SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee www.neffile.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. 1 # from 07/01/2021 through 12/31/2021 Page 15 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR I IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2021 Zachary BrickellX❑INDOfficer 13.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte m@diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass station PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Zachary BrickellX❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madiery: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Scott BrooksX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince diary; San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 07/31/'2021 Scott Brooks MIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC.. 78/13/2021 Scott Bron. S X❑IND Police Officer 13.3 41.7 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince madlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue E] San Rafael, CA 99901 SCC SUBTOTAL$ 66.50 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 through 12/31/2021 page 16 of 199 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 931553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIPDEO CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2021 Scott Brooks RIND Police Officer 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte medidry: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 D .SCC. 09/15/2021 Scott Brooks MIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte medinsy. San Rafael, CA 94901 DOTH San Rafael Police Ass ci6Cion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Scott Brooks E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince ddiary: San Rafael, CA 94901 DOTH san Rafael Police Ass CiOLipo ❑ PTM 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Scott Brooksx❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass clation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Scott Brooksx❑IND Police Ott>cer .• 4 1.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue DCOM Received through foie modiary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY FifthACAn ORafael ❑ San , 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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. L from 07/01/2021 through 12/31/2021 Page 17 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER i AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR Q RECD HIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * (IFSELPFEMP SELF-EMPLOYED, ENTER PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/15/2021 Scott Brooks QIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte edlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CiAtion PTY 1520 Fifth Avenue L] San Rafael, CA 94901 ❑ SCC 21/30/2021 Scott Brooks X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte adiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CSatlen El PTY 152 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Scott Brooks x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Assweiation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC L IND 12/31/2021 Scott Brooks Police Officer 13.30 34!.10 C/o: San Rafael Police Association 1520 Fifth LCOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass nivdiary: Cilli Lan Fifth Avenue El PTY San Rafael, CA 94901 San ❑ SCC —OIJ15/2021 Antonette Bullock RIND Community Service Officer IU.9U 267.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte rnediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciati Rn Fifth Avenue ❑ PTY San Rafael, CA 94901 San ❑ SCC "Contributor Codes IND—individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 63.60 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 CALIFORNIA to whole dollars. I � ' from 07/01/2021 " through 12/31/2021 page 18 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER I AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2021 Antonette BullockX❑IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC. 08/13/2021 Antonette Bullock RIND Community Service Officer 1U.9U 267.10 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC.. 08/31/2021 Antonette Bullock ®IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association El PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 09/15/2021 Antonette Bullock❑IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Association mediary: PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 79730/2021 Antonette Bullock x❑IND Community service Ofiicer 10.4U 267.!D C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police AssIciation PTY Fifth Avenue E] San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 FORM through 12/31/2021 Page 19 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2021 Antonette BullockX❑IND Community Service Officer 10.40 267.19 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass lllacy: 4iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 D SCC 1.0/31/2021 Antonette Bullock g.]IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte mva:.,ty: San Rafael, CA 94901 DOTH San Rafael Police Ass ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Antonette Bullock RIND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte madiaty' San Rafael, CA 94901 DOTH San Rafael Police Ass ciatipn El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Antonette Bullock X❑IND Community Service Officer 10.40 267,10 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue Received through inte madiary! San Rafael, CA 94901 DOTH San Rafael Police Ass CiAt ion PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC —12/15/2021 Antonette millock RIND Community Service Officer i0.9O 267.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass cis Cion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (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. 1 � from 07/01/2021 FORM through 12/31/2021 Page 20 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ;:31 2021 Antonette Bullock X❑IND Community Service Officer 10.40 7_v7.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince =diary: San Rafael, CA 94901 DOTH San Rafael Police Ass niAtion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15.2021 Joseph Camins El IND Officer 13.30 311.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue DOTH Received through inte Ass ediary: San Rafael, CA 94901 San Rafael Police Ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Joseph Camins x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte pudlary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciaxidd ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Joseph Camins X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass ediary: ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08J31/2021 Joseph aTnns El IND Officer 1j. U 9 1.70 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue Received through inte Mndiary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation Fifth Avenue ❑ PTY San Rafael, CA 94901 San L] SCC SUBTOTAL$ 63.60 "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.neffile.com FPPC Form 460 (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 07/01/2021 � through 12/31/2021 Page 21 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09115 2421 Joseph CaminsX❑IND f Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass eOiary: dation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/30/2021 Joseph Camins X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte san Rafael Police Ass iary: OLALi CB El PTY 1570 Fifth Avenue San Rafael, CA 94901 ❑ SCC f 10/15/2021 Joseph Camins ©IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince medl4ry: San Rafael, CA 99901 ❑OTH san Rafael Police Ass Lotion El PTY 52 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Joseph Camins El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince edinry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11/15/2021 JosephCamins X❑IND Officer l u C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince madtary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cidt1W ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 FORM Page 22 of 194 through 12/31/2021 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 TO DATE DATE (IF COMMITTEE, ALSOENTERID.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11130/2021 Joseph Camins X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue Received through ince mediaty: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iatien ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Joseph Caminsx❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue Received through inte ;ary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 12/31/2021 Joseph Camins x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte medlary. San Rafael, CA 94901 ❑OTH San Rafael Police Ass Cifttion E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Marissa Carney RIND Call Taker & Records 10.40 173.50 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 07131/2021 Marissa Carney x❑IND Call 'faker & Recorcxs 10.90 173.50 C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑COM City Of San Rafael Received through inte glary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciaticn PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 60.70 "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.ne[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 may be rounded Statement covers period CALIFORNIA to whole dollars. 460 � , from 07/01/2021 FORM through 12/31/2021 Page 23 of 194 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 AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 08 13 2021 Marissa CarneyX❑IND Call Taker & Records 10.40 173.50 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .SC,C. D7/15/2021 Trevor Carney (]IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑OTH Received through inte Police Ass mediary: San Rafael, CA 94901 El PTY San Rafael 1520 Fifth Avenue ciation ❑ SCC San Rafael, CA 94901 07/31/2021 Trevor Carney RIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑OTH Received through inte San Rafael Police Association mediary: San Rafael, CA 94901 ❑ PTY 1520 Fifth Avenue ❑ SCC. San Rafael, CA 94901 08/13/2021 Trevor Carney X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue 94901 ❑OTH Received through inte San Rafael Police Ass mediary: ciation San Rafael, CA PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC. --6873112021 Trevor Carney JIND corporal 1.3. 3U 341.17 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue ❑OTH Received through inte San Rafael Police Ass mediary: ciation San Rafael, CA 94901 PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ .SCC SUBTOTAL$ 63.60 "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 a , to whole dollars. 1 i ` from 07/01/2021 � through 12/31/2021page 24 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 05/1512 1 Trevor Carney X❑IND Corporal 13.30 391,70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince m¢dinr y: San Rafael, CA 94901 DOTH San Rafael Police Ass dation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/3012021 Trevor CarneyX❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediaVy: San Rafael, CA 94901 DOTH San Rafael Police Ass dation - ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Trevor Carney ®IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Trevor Carney El IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth E] Com City of San Rafael Avenue Received through ince mediAry: San Rafael, CA 94901 DOTH San Rafael Police Ass dation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 0 1 Trevor Carney X❑IND Corporal i's.JU -• -10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation PTY 1520 Fifth Avenue E] San Rafael, CA 99901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.neffile.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 07/01/2021 F through 12/31/2021 194 NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2021 Trevor Carney X❑IND Corporal 13.30 341,70 C/o: San Rafael Police Association 152,0 Fifth ❑ COM City of San Rafael Avenue Received through inte @dAar y: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ia[ion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Trevor CarneyX❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Trevor Carney x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte Cd Lary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass C.iarion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Jack Carpenter X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [I Com City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC --57/31/2021 Jack Carpenter x❑IND Officer ls.su 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue San Rafael, CA 94901 ❑C'OM ❑OTH Received through incediary: San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.neffile.com - FPPC Form 460 (Jani2016) 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. 1 60 from 07/01/2021 • ' through 12/31/2021 Page 26 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO ENTER NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED .D CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08 13 2021 Jack Carpenter X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CLation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 08/31/2021 Jack Carpenter 91 IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte madiiLr San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 09/15/2021 Jack Carpenter ®IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince mrdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Jack Carpenter X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte edlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 10 1 1 Jack Carpenter MIND UYYicer 13.30 341. 10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El Received through ince medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (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 r from 07/01/2021 FPage through 12/31/202127 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER I AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 10/31/2021 Jack CarpenterX❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/7021 Jack Carpenter MIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte m®diasy: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Jack Carpenterx❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mudiaryt San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Jack Carpenter MIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY Fifth Avenue El San Rafael, CA 94901 San ❑SCC, 1 Jack Carpenter RIND Oiizcer 41.70 C/o: San Rafael Police Association 1520 FifthDOOM City of San Rafael Avenue Received through cote medYAry: San Rafael, CA 94901 DOTH San Rafael Police Ae8 .'.:tion PTY1 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppe.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. * f from 07/01/2021 through 12/31/2021 Page 28 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Edward ChiuX❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through ince mL -diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 07/31/2021 Edward Chiu 91 IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte medtary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ri"ion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08%13/2021 Edward Chiu x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass medlary: kciatiork ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Edward Chiu XD IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte medlAry: San Rafael, 'CA 94901 DOTH San Rafael Police Ass Clation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC 09/15/2021 Edward iuXD IND Ofticer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte *diary: San Rafael, CA 94901 DOTH San Rafael Police Ass clatlon PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 • through 12/31/2021 Page 29 of 194 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 139/30/2021 Edward ChiuX❑IND Officer 13.30 311.70 C/O: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte me nary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Edward Chiu x❑IND Officer 13.3(1 341.70 C/o: San Rafael Police Association 1520 Fifth EICOM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH SanRafael Police Ass cincion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Edward Chiu ©IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte "diary: Sari Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC. 11/15/2021 Edward Chiu X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through rote pMdiar}': San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC 1 Edward G iux❑IND OTt>cer 3.30 41.7 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince mod}acy: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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. / from 07/01/2021 through 12/31/2021 page 30 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ALSOND (IF COMMITTEE, ENTER .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12115. 2021 Edward Chiu IND Officer 13.30 391.70 C/o: San Rafael Police Association 1520 ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 12/31/2021 Edward Chiu X❑IND Officer 13.:10 341.70 C/o: San Rafael Police Association 1520 Fifth []COM ^ity of San Rafael Avenue Received through inte TCd-taKy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Richard F. Clary El IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH son Rafael Police Ass ciaFion ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Richard F. Clary El IND Police Officer 13.30 337.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte tnediaey: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC M13/2021 Richard ary X❑IND Police OL icer 13.-50 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Cla Cion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 to whole dollars. I ' from 07/01/2021 • " through 12/31/2021 Page 31 of 194 NAME OF FILER I.D. NUMBER f San Rafael Police Association Political Action Committee 831553 jl AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2021 Richard F. Clary X❑IND Police Officer 1.J.3U 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY- 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/15/2021 Richard F. Clary X❑IND Police Officer 13.30 :137.80 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 [1OTH San Rafael Police Ass ciation L] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Richard F. Clary x❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 [1OTH San Rafael Police Ass ciation ❑ PTY 152 0FifLh Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Richard F. Clary EKI IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 [1OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC --10131/2021 Richard F. C aryRIND Police Officer 13.30 33/.80 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 [1OTH San Rafael Police Association PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 FORM through 12/31/2021 Page 32 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) • OFBUSINESS) 11/15/2021 Richard F. ClaryX❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediarys San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation E] Pte, 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Richard F. Clary X❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte medlacy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Richard F. Clary X❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte edla Cy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Richard F. Clary x❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass lary: clOtion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC --07/1312021 Robert Cleland R] IND Sergeant l�..su - 70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince Wdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com SUBTOTAL$ 66.501 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. [ 60 from 07/01/2021 " through 12/31/2021 page 33 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07133/2021 Robert Cleland QIND Sergeant 13.30 34.1.74 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte media Cy: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .SCC 08/13/2021 Robert Clelandx❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte medigJr San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.ScC 08/31/2021 Robert Cleland X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Robert Cleland X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM Received through inte Fh*dialy: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 El scc Eia ert a an MINDSergeant 13.:30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E—] COM Received through ince ary: San Rafael, CA 94901 DOTH San Rafael Police Ass .Qiation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 • ' through:- 12/31/2021 page 34 of 194 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 TO DATE DATE (E COMMITTEE, ALSO .D -NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2021 Robert Cleland x❑IND Sergeant 13.30 341.7a C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/20:21 Robert Cleland X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediaiy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass. Ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Robert Cleland El IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue Received through ince madlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CiatiOn ❑ PTY A_ Fifth Avenue San Rafael, CA 94901 ❑ SCC. 11/3012021 Robert Cleland X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass C13tiOD PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 1 Robert G e an RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte medtary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Parry SCC—Small Contributor Committee www.nefile.com SUBTOTAL$ 66.50 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.Did from 07/01/2021 through 12/31/2021 page 35 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF. AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO ENTER .D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2021 Robert Cleland X❑IND Sergeant 13.30 34.1.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ints madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass cdacion ❑ PTY _ 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Thomas Collins X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass CSation ❑ PTY 1 52 0Fifth Avenue San Rafael, CA 94901 0SCC 07/31/2021 Thomas Collins FK] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince medlary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC.. 08/13/2021 Thomas Collins QIND Officer 13.30 341.-70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte lnedfary: San Rafael, CA 94901 DOTH San Rafael Police Ass C1Bt1e9 PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 1 Tomas Collins ❑K IND Officer 13.30 41. 70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through intsmediAry: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 coversperiod CALIFORNIA to whole dollars. ■ � from 07/01/2021 ■' through 12/31/2021 page 36 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESSZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED _ (IF COMMITTEE, D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 69115 2021 Thomas Collins DX IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass iatlon ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/3D/2021 Thomas Collins RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Cia Cion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 D SCC 10/15/2021 Thomas Collins KIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince In, Ji,e_y: San Rafael, CA 94901 DOTH San Rafael Police Ass ctation ❑ PTY 152D Fifth Avenue San Rafael, CA 94901 ❑ SCC. 10/31/2021 Thomas Collins E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte mQdlAry: San Rafael, CA 94901 DOTH San Rafael Police Ass ZlJtion PTY Fifth Avenue El San Rafael, CA 94901 San D SCC 11/15/2021 Thomas Collins RIND urlicer 1 .3U 341.70 C/o: San Rafael Police Association 1520 Fifth DCOM City of San Rafael Avenue Received through inte mpdfery: San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC_ SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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. ■ � from 07/01/2021 FORM through 12/31/2021 Page 37 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER J AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE {E COMMITTEE, ALSO .D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2021 Thomas Collins X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte ediacy: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PN 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/15/2021 Thomas Collins xDIND Officer 13.30 3.4.1.70 C/O: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass cia Cion El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 12/31/2021 Thomas Collins OIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH SanRafael Police Ass ciat-ion L] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 07/15/2021 Ronda Cordero XD IND Sergeant 13.30 341.74 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San.Rafael Avenue Received through inte jury: San Rafael, CA 94901 DOTH San Rafael Police Ass CLRtidn PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Ronda Cordero X❑IND Sergeant 13.30 341. 70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑COM Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass Medi Ary: Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (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. ■ 60 from 07/01/2021 O Page 38 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08 13 T2421 Ronda Cordero %❑IND Sergeant 1 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediAry- San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 08/3X/2021 Ronda Cordero ElIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue Received through inte media=y: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Ronda Cordero X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia Cion ❑ PTY 1520 Fiflh Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Ronda Cordero E] IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince Madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC I i Ronda Cordero OIND Sergeant ls.� 4i.7J C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through in medinry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Clat ion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10131 207.1 Ronda Cordero MINDSergeant C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH []PTY ❑ SCC 11/15/2021 Ronda Cordero MIND Sergeant C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 11/30/2021 Ronda Cordero MIND Sergeant C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/15/2021 Ronda Cordero MIND Sergeant C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/31/2021 rs a Cor ero MIND Sergeant o: San Rafael Police Association 1520 Fifth COMCity of San Rafael enuen Rafael, CA 94901 ❑ OTH El PTY ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.nelfile.com SCHEDULE A (CONT.) Statement covers period . CALIFONIA from 07/01/2021 FORM through: 12/31/2021 Page 39 of 194 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 13.30 341.70 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 341.70 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 341.70 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 341.70 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 l.S..iU .341. /U Received through intermediary San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 66.50 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A (CONT.) Page 40 of 194 I.D. NUMBER 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Guy Crow RIND Communications Dispatcher 10.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince medla Cy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation L] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 07/31/2021 Guy Crow RIND Communications Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Guy Crow QIND Communications Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte rftzdizry: San Rafael, CA 94901 ❑OTH San Rafael Police Asslltiat4= El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Guy Crow X❑IND Communications Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/1512021 Guy CrowX❑IND Communications uispatcner 10.4u x.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through ince dSary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC. SUBTOTAL$ 52.00 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 FORM through 12/31/2Q21 Page 41 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30 2021 Guy Crow x❑IND Communications Dispatcher 10.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediaryt San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 1015/202.1 Guy Crow x❑IND Communications Dispatcher 10.40 267.14 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mdiiary: San Rafael, CA 94901 ❑OTH San Rafael Police AsSIP04tion ❑ PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑ SCC 10/31/2021 Guy Crowx❑IND Communications Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte media Cy: San Rafael, CA 94901 ❑OTH san Rafael Police Ass Station ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Guy CrowX❑IND Communications Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass modiary, ckation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 1 Guy Crow x❑IND Communications Dispatcher 10.40 0 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte madiary., San Rafael, CA 94901 ❑OTH SanRafael Police Ass 4lation El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 52.00 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. ■ 60 from 07/01/2021 • ' through 12/31/2021 Page 42 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR 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 1512 2i Guy Crow RIND Communications Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte dlory: kation San Rafael, CA 94901 ❑OTH San Rafael Police Ass PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑.S. CC 12 F31/2021 Guy Crow HI IND Communications Dispatcher 10.4u 2.67. 1C C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte med1&ry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Heinrich Cuddy ©IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mndlary: San Rafael, CA 94901 ❑DTH San Rafael Police Ass ciation PTY F1f Ch Avenue ❑ San Rafael, CA 94901 San ❑ SCC 07/31/2021 Heinrich Cuddy X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte rdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ci BCion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC, 8 Heinrich Cuddy RIND Police Officer 13.3ul 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through intermediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cL'atlon PTY Fifth ORafael ACAn El San , 94901 ❑ SCC SUBTOTAL$ 60.70 "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) Monetary Contributions Received NAME OF FILER San Pa -F—1 Pnl i— Accnriatinn Pnl itical Art -inn r.nmmittPP Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period from 07/01/2021 through 12/31/2021 Page 43 of 194 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08131/207.1 Heinrich CuddyX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass wadkaryt Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .SCC. 09/15/2021 Heinrich CuddyX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue ❑OTH Received through inte ASSIPatation diary: ' San Rafael, CA 94901 ❑ PTY San Rafael Police 152Fifth Avenue ❑ SCC San Rafael, CA 94901 09/30/2021 Heinrich Cuddy X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through inte Police Ass mediary: San Rafael, CA 94901 ❑ PTY ,an Rafael 1520 Fif Lh Avenue Ciati" ❑ SCC San Rafael, CA 94901 10/15/2021 Heinrich Cuddy E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte IRCdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass C4, tion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC –TO/31/2021 Heinrich Cuaay jIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through into San Rafael Police Aan mmdiary: Ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.501 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. / 601 from 07/01/2021 • ' through 12/31/2021 page 44 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 1)115 2021 Heinrich CuddyX❑IND Police Officer 13.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue h Received trough inte odicr y: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11.130/2021 Heinrich Cuddy RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madlary: San Rafael, CA 94901 DOTH San Rafael Police ASS riation ❑ PTY J520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Heinrich Cuddyx❑IND Police Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mdiary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Heinrich Cuddy u❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through intemediary: ss San Rafael Police Ass. diakion Fifth Avenue C] PTY San Rafael, CA 94901 San ❑ SCC 1 Casey DeBOlt [g] IND Police urrlcer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police llss ciation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.neffile.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. from 07/01/2021 • through 12/31/2021 Page 45 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07./31/2021 Casey DeBolt QIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Aediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ietion El PTY 1520 Fifth Avenue San Rafael, CA 94901 L) SCC 08/13/2021 Casey DeBolt MIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through irate San Rafael Police Ass TwU8ry CiOtiion L] PTY 152D Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Casey DeBolt FRI IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue Received through inte iacy: San Rafael, CA 94901 DOTH San Rafael Police Ass dation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Casey DeBolt XD IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte iely: San Rafael, CA 94901 DOTH San Rafael Police Ass 0kWon PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09Y3012021 Casey DeBolt x❑IND Police Officer 1.i. u 341. C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte ediaty. San Rafael, CA 94901 DOTH San Rafael Police Ass Cfation PTY 1520 Fifth Avenue ❑ San Rafael, CA 99901 ❑ SC.C. SUBTOTAL$ 66.so *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. A ■ NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2021 through 12/31/2021 I Page 46 of 194 831553 'Contributor Codes IND- Individual 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 STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE ( COMMITTEE, ALSO D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) !_ :'421 Casey DeBoltX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medlury: San Rafael, CA 94901 DOTH San Rafael Police Ass clation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 10131/2421 Casey DeBolt MIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue Received through inte mndipry: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Casey DeBolt E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Lary; San Rafael, CA 94901 DOTH San Rafael Police Ass Giation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 D Sc 11/30!2021 Casey DeBolt E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medlary.' San Rafael, CA 94901 DOTH San Rafael Police Ass cla4ion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/15/2021 Casey DeBolt MIND Police Otticer C/o: San Rafael Police Association 1520 Fifth E] Com City Of San Rafael Avenue Received through into medlary: San Rafael, CA 94901 DOTH San Rafael Police Association PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com FPPC 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. 1 ` from 07/01/2021 ■ ' through 12/31/2021page 47 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET COMMIT-FEE,RALSAND D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2621 Casey DeBolt BIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ®COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass diazy: ietion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Rebecca DeLaTorreX❑IND Call Taker & Records 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael Received through irate mediarye San Rafael, CA 94901 DOTH San Rafael Police Ass Clation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Rebecca DeLaTorre ❑IND Call Taker & Records 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass cLatinn El PTY 1520 Fifth Avenue San Rafael, CA 94901 D SCC 08/13/7021 Rebecca DeLaTorre E] IND Call Taker & Records 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 08/3112021 Rebecca DeLaTorre x❑IND Call Taker & Records 10.410 267.10 c/o San Rafael Police Association 1520 Fifth El COM Specialist Avenue City of San Rafael Received through lnta �ordiary: San Rafael, CA 94901 DOTH - San Rafael Police Aa6 clad.' El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 54.90 *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. from 07/01/2021 FORM through 12/31/2021 page 48 of 194 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) 49115 2021 Rebecca DeLaTorre FL] IND Call Taker & Records 10.40 267.10 C/o San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael Received through ince Sary: San Rafael, CA 94901 DOTH San Rafael Police Ass clation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑..SCC 09/3DI2D21 Rebecca DeLaTorre x❑IND Call Taker & Records 10.40 267,10 c/o San Rafael Police Association 1520 Fifth D COM "pecialist Avenue ity of San Rafael Received through irate mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass iaLL00 ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 SCC 10/15/2021 Rebecca DeLaTorre x❑IND Call Taker & Records 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue Cit of San Rafael City Received throughirate fiery: San Rafael, CA 94901 DOTH San Rafael Police Ass ation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 10/31/2921 Rebecca DeLaTorre X❑IND Call Taker & Records 10.40 267.10 C/o San Rafael Police Association 1520 Fifth Specialist Avenue ❑COM City of San Rafael Received through intedlary: San Rafael, CA 94901 DOTH San Rafael Police Ass diction PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 11/1572021 Rebecca DeLaTorre x❑IND Call Taker & Records 10.40 2672.10 c/o San Rafael Police Association 1520 Fifth Specialist Avenue El COM City of San Rafael Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass iacion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. 1 from 07/01/2021 • through 12/31/2021 page 49 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A ZIP RE, CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ALSOND (IF COMMITTEE, I.D. NUMBER) IT CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) - OF BUSINESS) 11/30/2021 Rebecca DeLaTorre El IND Call Taker & Records 10.40 767.10 C/o San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael Received through ince 4l4ry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC _ 12/15/2421 Rebecca DeLaTorrex❑IND Call Taker & Records 10.40 267.1© C/o San Rafael Police Association 1520 Fifth El COM Specialist Avenue City of San Rafael Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass lAt:�on ❑ PTY 152.0 Fifth Avenue San Rafael., CA 94901 ❑ SCC 12/31/2021 Rebecca DeLaTorre ®IND Call Taker & Records 10.40 267.10 C/O San Rafael Police Association 1520 Fifth E] COM Specialist Avenue City of San Rafael Receivedthrough inte m diaryi San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 07/15/2021 Blake Delzell E] IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass a"Lion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC I 2 Dae Delzell El IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte m¢dinryo San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciai ion ❑ PTM 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 57.80 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 07/01/2021 through 12/31/2021 page 50 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13 2621 Blake Delzell El IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince m"iary: San Rafael, CA 94901 ROTH San Rafael Police Ass ciAtion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/202.1 Blake DelzellX❑IND Police Corporal i3.3U 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Blake Delzell E] IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte m dia y: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciat ion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/30/2021 Blake Delzell QIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte rmdlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 10/15/2021 Blake Delzell x❑IND Police Corporal 1-3._iU 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through ince rk"iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 through 12/31/2021 Page 51 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET ACOMMIT-FEE,RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 10/31/.2021 Blake Delzell I X❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince iary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11/15/2021 Blake Delzell RIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 DOTH San Rafael Police Ass Wion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 11/30/2021 Blake Delzell X❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediaryc San Rafael, CA 94901 DOTH San Rafael Police Ass iation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ .5C( 12/15/2021 Blake Delzell x❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass mud Ldry: ciation PTY 1520 Fifth Avenue C1 San Rafael, CA 94901 ❑ SCC --12/31/2021 Blake e ze X❑IND Poisce Corporal 13.30$ 1.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte Qdlary: San Rafael, CA 94901 DOTH San Rafael Police AssrLation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC.. 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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. A � from 07/01/2021 ' through 12/31/2021 page 52 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSOENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Justin DodsonX❑IND Police Corporal 13.30 341.79 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte w!fJ; •r,ry: San Rafael, -CA 94901 ❑OTH San Rafael Police Ass dation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 07/31/2021 Justin Dodsonx❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through inte ASS., Mdiary: San Rafael, CA 94901 San Rafael Police ss ciatlon ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13%2021 Justin Dodson RIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation El PTY 1520 FifLh Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Justin Dodson X❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass rialion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 79/15/2021 Justin DodsonX❑IND Po ice Corporal C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through SRLejFrdi6ry: San Rafael, CA 94901 ❑OTH San Rafael Police hssciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 FORM through 12/31/2021 page 53 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO LID NUMBER) CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2021 Justin DodsonX❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte dlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciacion PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 101151207.1 Justin Dodson BIND Police Corporal 13.30 341..70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass piation ❑PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Justin Dodson El IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince medlary: San Rafael, CA 94901 ❑OTH san Rafael Police Ass CiACIOn ❑ PTY1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Justin Dodson El IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte ediAry.- San Rafael, CA 94901 ❑OTH SanPolice Ass Ciation PTY ,)Rafael Fifth ❑ Sano Rafael ,ACAn 94901 ❑ SCC Justin Dodson El IND Police Corporal 13.3 0 341.70 C/o: San Rafael Police Association 1520 Fifth ❑('OM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass mediary: ,ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A (CONT.) Page 54 of 194 I.D. NUMBER 831553 *Contributor Codes IND—Individual 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 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 12/15/2021 Justin Dodson gjIND Police Corporal 13.30 341,">; C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Cidti Pn PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 12/31/2421 Justin Dodson -xU'IND Police Corporal 13.30 3A?]il C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte msdiaey: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07115/2021 James Dooley x❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass aiation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC. 07/31/2021 James Dooley RIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince wedlaryi San Rafael, CA 94901 ❑OTH San Rafael Police Ass aiation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC James Dooley E] IND Police Corporal 13.30 341. 70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through rote diftry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iptlea PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 through 12/31/2021 Page 55 of 194 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 AND O(IF AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR RECEIVED (IF COMMITEE,ALSO ENTER I.D NUMBER) CODE * SELF-EMPPLOYYED, EATION NTER NAME IODTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ ()8/31 2021 James Dooley RIND Police Corporal 13.30 34i_7{ C/o: San Rafael Police Association 1520 Fift] D COM City Of San Rafael Avenue Received through inte iery: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue E:1 San Rafael, CA 94901 ❑ SCC. 91 IND 09/15/2021 James Dooley Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte M&diary: San Rafael, CA 94901 DOTH San Rafael Police Ass lotion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 James Dooley E] IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 10/15/2021 James Dooley QIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth EI COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ante San Rafael Police Ass mediery: ciation PTY Fifth Avenue El San Rafael, CA 94901 San D SCC 10/31/2021 James Dooley x❑IND Police Corporal 341.70 C/o: San Rafael Police Association 1520 Fifth DCOM City Of San Rafael Avenue Received through into Lary: San Rafael, CA 94901 DOTH San Rafael Police Asn c ativn ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 J 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 07/01/2021 O through 12/31/2021 page 56 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ' IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO ENTERI.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 13.30 15 11//2021 James DooleyX❑IND Police Corporal 341.70 C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia Lion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11130/2021 James Dooley MIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM ^ity Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police ASSI,ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ ScC 12/15/2021 James Dooley x❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/31/2021 James Dooley X❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince Sart Rafael Police Ass mediary: ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC Christopher Duncan MIND Police Sergeant 3.1) 341./0 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police A—tciation PTY1520 Fifth Ave nue El San Rafael, CA 94901 ❑ SCC 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com SUBTOTAL$ 66.so 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 07/01/2021 • ' through- 12/31/2021 page 57 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Pol 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED HIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION PFSELFEMP OYYED, NEMPLOYER ENTER (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2021 Christopher DuncanX❑IND olice Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass eiation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08/13/2021 Christopher Duncan M IND Police Sergeant 13.30 341,10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte medinry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation (71 PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SC.0 08/31/2021 Christopher Duncan x❑IND Police Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass ediacy: Qia;ion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09115/20.21 Christopher Duncan MIND Police Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM Received through inte IWLary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Fiation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 El SCC 09/30/2021 C ris.top er Duncan MIND Sergeant 13.30 341.7 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael City Avenue Received through ince med5ary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass clation PTY FifthACAn ❑ SanORafael , 94901 ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 s through 12/31/2021 page 58 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR AND O(IF HIS RECEIVED THIS CALENDAR YEAR DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * SELPFEMP SELF-EMPLOYED, ETION NTER NAME (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 10/15/2021 Christopher DuncanX❑IND Police Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass Md1afy: clation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 10/31/2021 Christopher Duncan MIND Police Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte "diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass matlon EJ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Christopher Duncan RIND Police Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation F] PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 11/30/2021 Christopher Duncan MIND Police Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass clation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC.. 1 Christopher Duncan MIND Police Sergeant i3.30 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through inte diaCy= San Rafael, CA 94901 ❑OTH San Rafael Police Ass CSatiOR PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 FORM through 12/31/2021 Page 59 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER I AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2021 Christopher Duncan X❑IND Police Sergeant 13.30 '41.7;.- 41.7;C/o: C/o:San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue - Received through inte rtdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2a21 Kevin Finerty El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte "A lary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.S. CCi 07/31/2021 Kevin Finerty RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael -Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 08/13/2021 Kevin Finerty X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inteipry,.: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Clailon PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 08731/2021 Kevin Finerty X❑INDPolice Officer 13.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte m'diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cin«on PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity', PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 FORM through 12/31/2021 page 60 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT ALSO ENTER D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09115 2021 Kevin FinertyX❑IND Police Officer 13.3U 3A1.70 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ .S. CC. 09/30/2021 Kevin Finerty UIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte madlacy l San Rafael, CA 94901 DOTH San Rafael Police Association D PTY 1520 Fifth Avenue San Rafael, CA 94901 D SCC. 10/1572021 Kevin Finerty RIND Police Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue Received through ince m J—ry: San Rafael, CA 94901 DOTH San Rafael Police Ass _dation PTY 1520 Fif Lh Avenue El San Rafael, CA 94901 ❑ SCC 10/31/2021 Kevin Finerty E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte dSary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC l Kevin Finerty X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte med:acy: San Rafael, CA 94901 DOTH San Rafael Police Aaa elation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 J *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 through 12/31/2021 page 61 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2021 Kevin Finerty x❑IND police Officer 13.30 341,70 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue Received through ince dlafy: San Rafael, CA 94901 ❑OTH San Rafael Police Association El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCO _ 12/15/2021 Kevin Finerty El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through inte ary: Sation San Rafael, CA 94901 San Rafael Police Ass ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCO 12/31/2021 Kevin Finerty RIND police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass iary: ciation PTY 1520 Fif Lh Avenue ❑ San Rafael, CA 94901 ❑ SCC 07/15/2021 Jenna Fisher E] IND Communications Dispatcher 10.40 2e3,1.10 C/o San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 ❑OTH San Rafael Police Assliciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC _77/31/2021Jenna Fisher X❑IND communications Despatcher lU.yu 267.10 c/o San Rafael Police Association 1520 Fifth [:]COMCity of San Rafael Avenue Received through inte Pry.: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatlon PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 60.701 J 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 CALIFORNIA to whole dollars. I , from 07/01/2021 • through 12/31/2021 Page 62 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTERID NUMBER) , CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/1,3./2021 Jenna Fisher ❑IND Communications Dispatcher 10.40 10 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Jenna Fisher x❑IND Communications Dispatcher 10.40 26/.IU C/O San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 09/15/2021 Jenna Fisher MIND Communications Dispatcher 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Jenna Fisher MIND Communications Dispatcher 10.40 267.10 C/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ .SCC Jenna. Fisher x❑IND Communications Dispatcher 10.40 267,1 c/o San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY O Fifth Avenue El San Rafael , 94901 ❑ SCC. SUBTOTAL$ 52.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.neffile.com FPPC Form 460 (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 07/01/2021 • ' through 12/31/2021 Page 63 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUM ULATIVETO DATE PER ELECTION TO DATE DATE ALSOND (IF COMMITTEE, D.N IT OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2021 Jenna Fisher EIIND Communications Dispatcher 10.40 267.10 C/o San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation Ll PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Jenna Fisher RIND Communications Dispatcher 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH son Rafael Police Ass Cia[iOn El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Jenna Fisher RIND Communications Dispatcher 10.40 267.10 C/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through intediary: San Rafael Police Ass Ciation D PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Jenna Fisher X❑IND Communications Dispatcher 10.40 267.10 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 DOTH San Rafael Police Ass iation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑SCC —12/31/2021 Jenna Fisher x❑IND Communications Dlspaccner 10.40 1 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ration PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 52.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 1 from 07/01/2021 FORM NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSOENTERI.D.NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 1115/2623. Danielle FryRIND Call Taker/Records C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/31/2021 Danielle Fry x❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 08/13/2021 Danielle Fry x❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 08/31/2021 Danielle Fry X❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 1 Danielle Fry X❑IND C/o: San Rafael Police Association 1520 Fifth El COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com 11 Taker/Records ecialist ty Of San Rafael Call Taker/Records Specialist City Of San Rafael Call Taker/Records Specialist City Of San Rafael uall 'laxer/hecoras Specialist City Of San Rafael through 12/31/2021 I Page 64 of 194 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC.: (IF REQUIRED) Received through ince "diary San Rafael Police Ass r.iation 1520 Fifth Avenue San Rafael, CA 99901 10.40 Received through rote "I.AT San Rafael Police Ass ci ration 1520 Fifth Avenue San Rafael, CA 94901 10.40 Received through inte MOdidry: San Rafael Police Ass, Miation 152 0 Fif Lh Avenue San Rafael, CA 94901 10.40 Received through inte iary: San Rafael Police Ass CSation 1520 Fifth Avenue San Rafael, CA 94901 Received through inte.�mgd iaryr San Rafael Police Ass C18[igp 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 52.00 267.10 267.10 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 07/01/2021 • through 12/31/2021 Page 65 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committer- 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE 7RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 091 012021 Danielle Fry X❑IND Call Taker/Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth []COM Specialist Avenue City Of San Rafael Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 El SCC 10/15/2021 Danielle Fry RIND Call Taker/Records 1 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through inte modiaYy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Danielle Fry x❑IND Call Taker/Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through inte @ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass at Ativn ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Danielle Fry ®IND Call Taker/Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ scc 111 21 Danielle Fry E] IND Call Taker/Recoras 1G. 40 261.10 C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑COM City Of San Rafael Kece:vvd through lute mediaryz San Rafael, CA 94901 ❑OTH San Ref"I Police Aa iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 56801 ❑ SCC 1 SUBTOTAL$ 52.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.neffile.com FPPC Form 460 (Jan/2076) 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. 1 i from 07/01/2021 through 12/31/2021Page 66 of 194 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 TO DATE DATE (IFCOMMITfEE, ALSO ENTER LD NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/1512021 Danielle FryX❑IND Call Taker/Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist - Avenue City Of San Rafael Received through inte mediaxy; San Rafael, CA 94901 ❑OTH San Rafael Police Ass lAtion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Danielle Fry [j IND Call Taker/Records 10.40 2.67.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through irate m"AAry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iaCion PTY 1520 Fifth Avenue San Rafael, CA 94901 LSCC 07/15/2021 Anna Fulgado RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Receivedthrough inte dk3ry; San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 07/31/2021 Anna Fulgado QIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation 1520 Fifth Avenue PTY San Rafael, CA 94901 ❑ SCC --08113/2021 Anna Fulgado X❑IND Dispatcher 1 .yu 7.1 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciatien PTY 1520 Fifth Avenue El San Rafael , CA 94901 El SCC SUBTOTAL$ 52.00 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppe.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. ■ 60 from 07/01/2021 • through 12/31/2021 Page 67 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) T 08/31/2021 Anna Fulgado MIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediaryi San Rafael, CA 94901 ❑0TH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 0 SCC. 09/1512021 Anna Fulgado MIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte msdlaryz San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY Fifth Avenue San Rafael, CA 94901 San 0 SCC 09/30/2021 Anna Fulgado RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 00TH San Rafael Police Ass ciation ❑ PTY1520 Fif Ch Avenue San Rafael, CA 94901 ❑ SCC Fulgado RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince diaYy: :10115/12]021Anna San Rafael, CA 94901 00TH San Rafael Police Ass Ciation Fifth Avenue PTM1520 SanRafael,CA 94901 SCC Anna Fulgado X❑IND Dispatcher lu.vu 267.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue E] Com Received through ince mvd.i0ry: San Rafael, CA 94901 00TH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 • " through 12/31/2021 page 68 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR , IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15 T2021 Anna FulgadoX❑IND Dispatcher !0.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass medSary: clatiaa ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.SCC. 11./30/2021 Anna Fulgado X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte. madlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation - ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Anna FulgadoX❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass -mediary: ciation ❑ PTY 1520 FifLh Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Anna Fulgado E] IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 1 Christopher Fuller IND Corporal 13.30 341,70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass mmdiary: ciation Fifth Avenue ORafael ❑ PTY San , 94901 ❑ SCC "Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 54.90 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. / # 01 from 07/01/2021 O Page 69 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDEO 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) _ 07/31/2021 Christopher Fuller X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass mediAryi MiAtion PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Christopher Fuller x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte amdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Assipciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑SCC 08/31/2021 Christopher Fuller x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mudiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass clotian E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.SCC 09/15/2021 Christopher Fuller x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM amity of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass mediary: Ciation L) PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 09/30/2021 Christopher VVIler X❑IND Corpora 13..Su 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte idly: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ation PTY 1520 Fifth Avenue [j San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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. 1 60 from 07/01/2021 ■ ' Page 70 of 194 through 12/31/2021 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 * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2021 Christopher Fuller X❑IND ICorporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through into Idedliry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/312021 Christopher Fuller El IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte dLary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Lation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Christopher Fuller x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince Md I dry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Christopher Fuller X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM `'ity of San Rafael Avenue Received through inte adiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ClAtion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC _ Christopher Fuller x❑IND Corporal 13.30 341.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue E] COM Received through intermediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ,clativn PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY—Political Party SCC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A (CONT) Page 71 of 194 I.D. NUMBER 831553 *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 17./31/2021 Christopher Fuller X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑ COM Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Jennifer Gamble Hortax❑IND Police Officer 10.40 213.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑PTY 150 Fifth Avenue Rafael, CA 94901 ❑San7. SCC 07/31/2021 Jennifer Gamble Horta x❑IND Police Officer 10.40 213.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association - PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.S. CL. 08/13/2021 Jennifer Gamble Horta x❑IND Police Officer 10.40 213.30 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass1kciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑SCC --08/31/2921 Jennifer Gamble Horta X❑IND Police Officer 13.3 215.33 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑SCC SUBTOTAL$ 57.80 *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC—Small Contributor Committee 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 07/01/2021 through 12/31/2021 Page 72 of 194 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 TO DATE DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2021 Jennifer Gamble HortaX❑IND Police Otticer 13.30 213,30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mudiary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Jennifer Gamble Horta RIND Police Officer 13.30 213.34 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ' ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/1572021 Jennifer Gamble Horta x❑IND Police Officer 13.30 213.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 DOTH san Rafael Police Ass riarion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.SCC 10/31/2021 Jennifer Gamble Horta E] IND Police Officer 13.30 213.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through intqmodiaryi _ San Rafael, CA 94901 DOTH San Rafael Police Association PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ 5CC —11/15/2021 Jennifer Gamble Horta x❑IND Police Officer 1 .3 213.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte SanRafael Police Ass MOCfiary: Lac ion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com FPPC 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. 1 from 07%01/2021 through 12/31/2021 Page 73 of 194 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) 11130/207.1 Jennifer Gamble HortaX❑IND Police Officer 13.3U 213.30 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/15/2021 Jennifer Gamble Horta X❑IND Police Officer 13.30 213.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through inte Police Ass diary: Cin Li6R San Rafael, CA 94901 ❑ PTY San Rafael 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 12/31/2021 Jennifer Gamble Hortax❑IND Police Officer 13.30 213.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass diAE,,r! CiaCion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.5. CC 07/15/2021 Salvatore Garanzini X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC —'07/3112021 Salvatore Garanzini X❑IND Officer 13.30 111. C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ante San Rafael Police Asa mediary: ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 FORM through 12/31/2021 Page 74 of 194 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ALSOND (IF COMMITTEE, .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/}.3/2021 Salvatore Garanzini x❑IND Officer 13.30 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass eietion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 D .SCC. 0.8/31/2021 Salvatore Garanzini 91 IND Officer 13.30 34.1.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Clat.t CtA El PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Salvatore GaranziniX❑IND Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Salvatore Garanzini El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince "diary: San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. Salvatore Garanzini u❑IND Officer 15.3 . C/o: San Rafael Police Association 1520 Fifth [j Com City of San Rafael Avenue Received through inte dicky: San Rafael, CA 94901 DOTH San Rafael Police Ass iation 152D Fifth Avenue L] PTYae San Rafl, CA 94901 ❑ SCC 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.neffile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER cam.. D�f I P.,1 inc Zc 'i ari— Pnl iti—I Arti nn ('—Mi ttaa Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period from 07/01/2021 through 12/31/2021 Page 75 of 194 I.D. NUMBER 831553 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Parry l 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 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTERI.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) d 10/311202.1 Salvatore Garanzini X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through rote San Rafael Police Ass mediary: ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11/15/2021 Salvatore Garanzini X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Salvatore Garanzini RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Receivedthrough inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY1520 Fi£Lh Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Salvatore Garanzini. El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC --12/31/2021 Salvatore Garanzini x❑IND Officer 13.30 341.7u C/o: San Rafael Police Association 1520 Fifth ❑ Com City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Parry l 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 perijod • . aLWIF to whole dollars. from 07/01/2021• ' through 12/31/2021Page 76 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF DDRESS CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (EET D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) e77115/2021 Justin Graham X❑IND Sergeant 13.30 3i'. C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince edlary: San Rafael, CA 94901 DOTH San Rafael Police Ass r-i.at Fall PTY 1520 Fifth Avenue E] San Rafael, CA 94901 El SCC 0731/2021 Justin Graham x❑IND Sergeant 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through rote MDdiAty: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 08/13/2021 Justin Graham x❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 0OTH Received through inte San Rafael Police Ass Wary: lation ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Justin Graham X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass vadlafVt iation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 79/15/2021 Justin Graham X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through inte modiduy: San Rafael, CA 94901 DOTH San Rafael Police Ass Cik Cion PTY Fifth Avenue El San Rafael, CA 99901 San [:]SCc 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2 through 12/31/2021 SCHEDULE A (CONT.) Page 77 of 194 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 49/30/2021 Justin Graham X❑IND Sergeant 13.30 3411.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Justin Graham 91IND Sergeant 13.30 341.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte modiary: San Rafael, CA 94901 ❑0TH San Rafael Police Ass c:aLioa ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Justin Graham RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte modiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation ❑ PTY 1520 FifLh Avenue San Rafael, C, 99901 ❑ SCC 11/15/2021 Justin Graham ElIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM Received through inte tped Lary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Sation PTY Fifth Avenue El San Rafael, CA 94901 San El SCC , 7 1/3012021 ustin Graham [g] IND Sergeant 1.5. �u 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte Medidryl San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 1 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee wwwxetfilexom 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 CALIFORNIA to whole dollars. / ` from 07/01/2021 O through 12/31/2021 Page 78 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LID. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 121151207.1 Justin GrahamX❑IND Sergeant 13.30 341.7[) C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Clation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 12/31/2021 Justin Graham RIND Sergeant 13.30 3.41.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM ^ity of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 157_0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Christopher R Heinlein El IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC Christopher R Heinlein IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte iarSan Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation :07/31/2021 PTY Fifth SanORafael,ACAnue 94901 SCC I Christopher R eine nX❑IND Police Otticer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through into diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT. Monetary Contributions Received Amounts may be rounded Statement covers period �. to whole dollars. from 07/01/2021 NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE (IF COMMITTEE, ALSO ENTER I D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08/3172021 Christopher R Heinlein XIND Police Officer C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 09/15/2021 Christopher R Heinlein X❑INp Police Officer C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 []OTH ❑ PTY ❑ SCC 09/30/2021 Christopher R Heinlein XIND Police Officer C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 10/15/2021 Christopher R Heinlein XIND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 10/31/2021 Christopher R Heinlein 91 IND Police Officer C/o: San Rafael Police Association 1520 rii []COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com through 12/31/2021 I Page 79 of 194 AMOUNT RECEIVED THIS PERIOD Received through inte San Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) Received through inte medlary: San Rafael Police Ass ciation ]57_0 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte mudiary3 San Rafael Police Ass Ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte diary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 Received through ince b44110ry: San Rafael Police Ass eirt tion 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 66.50 337. 337.80 337.80 PER ELECTION TO DATE (IF REQUIRED) 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 07/01/2021 FPage through 12/31/2021 80 Of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11 Fl -572021 Christopher R Heinlein X❑IND Police Officer 13.30 337.8U C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass clation PTY 1520 Fifth Avenue [j San Rafael, CA 94901 ❑ SCC 11/30/2021 Christopher R Heinlein RIND Police Officer 13.30 337.$4 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mBdlary: San Rafael, CA 94901 ❑OTH seen Rafael Police Ass ciation L) PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Christopher R Heinlein E] IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass adiary: ciaiion ❑PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.S. CC 12/31/2021 Christopher R Heinlein X❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte diary: Sari Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC Lori lien ric s X❑IND Dispatdher 1 . 4D 267.10 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through inte mdlaryc San Rafael, CA 94901 ❑OTH San Rafael Police Ass a.1 ion P TY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 63.60 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Q- P.f-1 Pr,l i— Ac -i al -i nn Pnl it ral Art inn Cnmmi t PP Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) ozatemenz covers penou from 07/01/2021 through 12/31/2021 Page 81 of 194 I.D. NUMBER 831.553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED(IF (E COMMITTEE,DDRALSAND I.D. NUMBER) CODE * SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/3172021 Lori Hendricks F1 IND Dispatcher 10.40 267.19 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia Lion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 06/13/2021 Lori Hendricks RIND Dispatcher 1 10.40 7.67.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iaiion El PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Lori Hendricks X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑OTH Received through ince mediary: San Rafael, CA 94901 San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/15/2021 Lori Hendricks x❑IND Dispatcher 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diar4: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC -Lori Hendricks MIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue Received through inte mediaryr San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY ue FifthACA ❑ Sano Rafael, 94901 ❑.SCC SUBTOTAL$ 52.00 "Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com C 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 PeriodIIIIIIIIIIIIIIIIIIIIIICALIFORNIA to whole dollars. i � ` from 07/01/2021 • ' through 12/31/2021 Page 82 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ADDRESSZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2021 Lori Hendricks X❑IND Dispatcher 10.400 267.10 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received througince m6dlary: San Rafael, CA 94901 DOTH San Rafael Police Ass.h Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 10/31/207.1 Lori Hendricks X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary7 San Rafael, CA 94901 DOTH San RafaelPolice Ass iatiDn ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Lori Hendricks El IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mvdiary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation E] PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Lori Hendricks RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue L] COM Received through inte =diary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Lori Hen ric sy❑IND Dispatcher 10.4U 1 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass dtaCy= cintion PTY1520 Fifth Avenue D San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 • Z through 12/31/2021 Page 83 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/3112021 Lori Hendricks RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass Mediary: Lation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 07/15/2021 Robert Henkle MIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte#dry; San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY ]520 Fifth Avenue San Rafael, CA 94901 j❑ SCC 07/31/2021 Robert Henkle QIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte mtrdiary; San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciaticn El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 0$/13/2021 Robert Henkle X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520• Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08/3112021 Robert Henkle MIND Officer 13 . 3:0 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte Diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciat ion PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 63.60 *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. ;. I from 07/01/2021 ■ through 12/31/2021 Page 84 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 09/15/2021 Robert Henkle E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass eiat ml PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 09/30/2021 Robert Henkle El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY Fifth Avenue San Rafael, CA 94901 El SCC 10/15/2021 Robert Henkle BIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte wdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass eia[lon ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ ..SCC 10/31/2021 Robert Henkle X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte adiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC —11/15/2021 Robert Henkle E] IND ott cer 13.30 341.1D C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Riation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.neffile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period from 07/01/2021 through 12/31/2021 Page 85 of 194 i I.D. NUMBER 1 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/30/2021 Robert Henkle X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte lary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ .SCC. 1.2/15/2021 Robert HenkleX❑IND Officer 13.30 341.7G C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue Received through inte madiery: San Rafael, CA 94901 DOTH San Rafael Police Ass C1aiiCA ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Robert Henkle x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass iation El PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Ryan Hirschnitz X❑IND Police Officer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC -07/31/2021 Ryan H rsc ni.tz X IND D Police Officer 13.30 315.1 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation PTY Fifth Avenue E] San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com FPPC 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 0 . to whole dollars. from 07/01/2021 � through 12/31/2021 page 86 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR O TION AND RECEIVED CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER D NUMBER) CODE * jFSELPEMP YYED, TERNAAMER (IF SELF-EMPLOYED, N PERIOD (JAN. 1 -DEC. 31) (JAN. (IF REQUIRED) OF BUSINESS) _ 08/13/2021 Ryan Hirschnitz F1 IND Police Officer 13.30 315.16 C/o: San Rafael Police Association 1520 Fifth El Com City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass tllary: iati . - El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/11f2021 Ryan Hirschnitzx❑IND Police Officer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Mdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation El PTY Fifth Avenue San Rafael, CA 94901 San ❑.S. CC, 09/15/2021 Ryan Hirschnitz xIND Police Officer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte dlerye San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 0SCC 09/30/2021 Ryan Hirschnitz RIND ❑❑ Police Officer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth COM `'ity Of San Rafael Avenue Received through inte modiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass C.lation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC —10/15/2021 Ryan 11irsc n Cz X IND ❑ Police Otticer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mvdiar}: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 periodFPage whole dollars. Bto from 07/01/2021 through 12/31/2021 87 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831.553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10131/2021- Ryan HirschnitzQIND Police Officer 13.30 315.16 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince mndiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11/15/2023 Ryan Hirschnitz x❑IND Police Officer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue Rethrough inte mediary: San Rafael, CA 94901 ❑OTH Rceived san afael Police Ass Ciac[on ❑ PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Ryan Hirschnitz MIND Police Officer 13.30 315.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte "diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation L] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .SCC 07/17/2021 J. Alexander Holm E] IND Sergeant 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue Received through ince Tm4laryi. San Rafael, CA 94901 ❑OTH SanRafael Police Ass ciation r Fifth Avenue ❑ PTY San Rafael, CA 94901 San ❑ SCC J. Alexander ❑ m x❑ IND sergeant 13.3u C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: fciuiton San Rafael, CA 94901 ❑OTH San Rafael Police Ass Fifth ACAn E]PTY SanORafael , 94901 ❑.SCC.. SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. ! ` from 07/01/2021 O through 12/31/2021 Page 88 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/1.3/2021 J. Alexander Holm X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince Mndiary: San Rafael, CA 94901 ❑OTH San Rafael Police Asslociation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08/31/2021 J. Alexander Holm El IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte madlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass fation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 J. Alexander Holmx❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass {Ation L] PTY1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 J. Alexander HolmQ IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth []COM City of San -Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass diary: ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 1 J. Alexander Rom X❑IND Sergeant i.s..su 341. 0 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue OC Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation Fifth Avenue El PTY1520 San Rafael, CA 94901 ❑.SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY— Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 J 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 0 ' from 07/01/2021 • " F90f through 12/31/2021 page 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 14/31/202.1 J. Alexander Holm x❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation 1520 Fifth Avenue L] PTY San Rafael, CA 94901 ❑ SCC 11/15/2021 J. Alexander Holm x IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth Q COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police AssIpciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 J. Alexander Holm x❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ®OTH san Rafael Police Association ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 12/15/2021 J. Alexander Holm RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 DOTH San Rafael Police Association Fifth Avenue ❑ PTY San Rafael, CA 94901 San ❑ SCC. 7_271-172112-1 J. Alexander Ho m [91 IND Sergeant i-3.JU 341. 70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation Fifth Avenue ❑ PTY San Rafael, CA 94901 San ❑ SC..(_. SUBTOTAL$ 66.50 'Contributor Codes IND–Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 I CALIFORNIA to whole dollars. / ; ` from 07/01/2021 — FORM through 12/31/2021 Page 90 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) I IF REQUIRED OF BUSINESS) 07/15/2621 Kyle Horn RIND Police Officer 13.30 217..90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass latiou ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/3112.021 Kyle Horn MIND Police Officer 13.30 212.80. C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mBdliry: San Rafael, CA 94901 DOTH San Rafael Police Ass dation El PTY 152 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Kyle Horn ®IND Police Officer 13.30 212.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC. 08/31/2021 Kyle Horn X❑IND Police Officer 13.30 212.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medlery: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 2 Kyle Horn [g] IND Police Orricer 1-5.30 212.80 Clo: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through intodfAryr San Rafael, CA 94901 DOTH San Rafael Police Ass SBeion PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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. • NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2021 through 12/31/2021 I Page 91 of 194 831553 *Contributor Codes IND—individual 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 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 09/30/2023 Kyle Horn RIND Police Officer 13.30 212.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police As mediary: Ciatian PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 10/15/2021 Kyle Horn X❑IND Police Officer 13.30 212.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte i»adiary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Kyle Horn X IND Police Officer 13.30 212.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 DOTH San Rafael Police Ass Cintion PTY Fif Lh Avenue ❑ San Rafael, CA 94901 San ❑.SCC. 11/15/2021 Kyle Horn E] IND Police Officer 13.30 212.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through into dLary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11 Kyle Horn 91 IND Police Officer 13.30 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael COM Avenue ❑ Received through inte dla[y: San Rafael, CA 94901 DOTH San Rafael Police Ass Lotion ACAs ❑Fifth PTY Sano Rafael, 94901 D SCC_ SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/15/2021 Kyle Horn El IND Police Officer C/o: San Rafael Police Association 1520 Fifth F-1 COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/31/2021 Kyle Horn RIND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/15/2021 Carl Huber ❑IND Sergeant C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/31/2021 Carl Huber 21 IND Sergeant C/O: San Rafael Police Association 1520 Fifth El COM `'ity of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 1 Carl Huber E] IND Sergeant C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.nefile.com SCHEDULE A (CONT) Statement covers period from 07/01/2021 through 12/31/2021 Page 92 of 194 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED; 13.30 212.80 Received through ince San Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte San Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte San Rafael Police Ass 1520 Fif U Avenue San Rafael, CA 94901 ary 212.80 ary: ion 341.70 ary: ion 341.70 Received through intermediary: San Rafael Police Ass il$ciation 1520 Fifth Avenue San Rafael, CA 94901 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 66.50 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. ■ 60 from 07/01/2021 O through 12/31/2021 Page 93 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2021 Carl Huber ❑IND Sergeant 13.30 341.76 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass edlary: CM1aR El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/15/2421 Carl Huber El IND Sezgeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue ❑OTH Received through inte mediary: San Rafael, CA 94901 San Rafael Police Ass Cietion ❑ PTY 1520 Fifth Avenue ❑.SCC. San Rafael, CA 94901 09/30/2021 Carl Huberx❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue ❑OTH Received through inte Police Ass diary: ❑latl On San Rafael, CA 94901 San Rafael ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC. _ 10/15/2021 Carl Huber RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inteedi■ry: ss San Rafael Police Ass. cistl0n PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Carl Huber X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police AsA diAryr C1Ation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Parry SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.501 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. 1 from 07/01/2021 through 12/31/2021 Page 94 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2421 Carl Huber RIND Sergeant 13.30 .371.74 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte d7ary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 I] SCC. 11/301Z021 Carl Huber 91 IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 E] SCC 12/15/2021 Carl Huber ;]IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte Madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass anon El PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 12/31/ZO21 Carl Huber 41 El IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince mtediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC'. 77715/2D21 Scott Ingels g]IND Sergeant 13.30 70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through into nediary: San Rafael, CA 94901 ❑OTH as San Rafael Police A53" cant lah PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 through 12/31/2021 page 95 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO I.D. NUMBER OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07 T317207.1 Scott Tngels x❑IND Sergeant 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Scott Ingels El IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediaty: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iatiOn El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Scott Ingels ©IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Scott Ingels RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El City of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑SCC 13 Scott Ingels RIND Sergeant 13.30 1. 70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM Received through cote diaYy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass _ation PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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. li from 07/01/2021 through 12/31/2021 page 96 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) —1-0—/1-572 02-1 Scott IngelsX❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass miation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCCi 14/31/2021 Scott Ingels RIND Sergeant 13.30 341,10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Asslaigtl= ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Scott Ingelsx❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte modlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Scott Ingels X❑IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC M15/2021 Scott Ingels E] IND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through into Cdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 1 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. / r from 07/01/2021 ■ through 12/31/2021 Page 97 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE ALSOND (IF COMMITTEE, D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN- 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) _ 1213{ 24.21 Scott Ingels RIND Sergeant 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte is ry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass riation ❑ PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑SCC 07/1512021 Joseph Jordan RIND Police Officer 13.30 3':i.7] C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through in mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Asste ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑ SCC 07/31/2021 Joseph JordanX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte "diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 FifLh Avenue San Rafael, CA 99901 ❑ SGC 08/13/2021 Joseph JordanX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince Mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass.ciation PTY Fifth ORafael, ACAn El San 99901 ❑ SCC 08/3112021 Joseph Jordan E] IND Police Officer 13.30 34 1. 10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte edlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation PTY 1520 Fifth Avenue ❑ San Rafael, CA 99901 ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 SCHEDULE A (CONT.) "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov through 12/31/2021 Page 98 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ALSOND IT .D.N (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2021 Joseph Jordan X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte adlaryc San Rafael, CA 94901 ❑OTH San Rafael Police Ass clation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 09/30/2021 Joseph Jordan X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Association El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Joseph Jordan x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte Cdiary: San Rafael, CA 94901 DOTH San Rafael Police Ass OlAtlnn PTY 1520 Fif Lh Avenue El San Rafael, CA 94901 ❑SCC 10/31/2021 Joseph Jordan x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM amity of San Rafael Avenue Received through inte mecliary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 71/15/2021 Joseph Jordan X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through ante diary: San Rafael, CA 94901 DOTH San Rafael Police Ass L'iation PTY 15 2❑ Fifth Avenue SanORafael, 94901 ❑ SCC "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A Monetary Contributions Received Amounts may be rounded statement covers period e to whole dollars. 1 NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2021 through 12/31/2021 I Page 99 of 194 831553 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/307202,1 Joseph Jordan X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 E] SCC 12/15/2021 Joseph Jordan X❑IND Police Officer 13.30 391.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑OTH Received through inte mediary: San Rafael, CA 94901 ❑ PTY San Rafael Police Ass 1520 Fifth Avenue Ciatlon San Rafael, CA 94901 ❑ SCC 12/31/2021 Joseph Jordan E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte medlar}•: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 FifLh Avenue San Rafael, CA 94901 ❑ SCC 07115/2021 Cheryl KondratieffX❑IND Police Officer 13.30 222.00 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue Received through ince Lary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC.. /31/2021 Cheryl Kon rat -e E] IND Police Otticer 13.-50 222,00 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com SUBTOTAL$ 66.50 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. 1 60 from . 07/01/2021 FORM through 12/31/2021 page 100 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committ— 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) REQUIRED) (IF EQUIRED ) OF BUSINESS) 08113/2021 Cheryl Kondratieff QIND Police Officer 13.30 222.00 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte ediiry: San Rafael, CA 94901 DOTH San Rafael Police Ass Clation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 07/15/2021 Anndora Lee x IND Dispatcher 1 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte modiary: San Rafael, CA 94901 DOTH San Rafael Police Ass c1RCien ❑ PTY 152.0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Anndora Lee x❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte msdiary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Anndora Lee El IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass edlary: Ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC -'0-8-131/2021 Anndora Lee QIND Dispatcher 10.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation Fifthue ACA L] PTY Sano Rafael, 94901 ❑ SCC SUBTOTAL$ 54.90 "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 contrlbutIonS Keceivea Amounts may De rounueu statement covers perioa CALIFORNIA to whole dollars. I ' from 07/01/2021 • through 12/31/2021 page 101 Of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET COMMIT-FEE,RALSAND .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 179/15/2021 Anndora Lee X❑IND Dispatcher 10.90 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 09/30/2021 Anndora Lee [91 IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Anndora Lee X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 99901 ❑ SCC. 10/31/2021 Anndora LeeX❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [-] COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC Anndora Lee El IND Dispatc er 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 52.00 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 I CALIFORNIA to whole dollars. / � from 07/01/2021 FORM through 12/31/2021 Page 102 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1173072 _021 Anndora LeeX❑IND Dispatche 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth El COM City of Sran Rafael Avenue Received through inte ediacy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 12/15/2021 Anndora LeeX❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte madlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass lotion ❑ PTY 1570 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Anndora Lee x❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass station El PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Karl Luhmann - k❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue [I San Rafael, CA 94901 ❑ SCC 07/3112021 Karl LuhmannPolice [g]IND Ottl.cer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through into diary; San Rafael, CA 94901 ❑OTH San Rafael Police As Galion El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.neifile.com SUBTOTAL$ 57.80 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. 1 from 07/01/2021 • through 12/31/2021 page 103 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 13.30 08/13/2021 Karl Luhmannx❑IND Police Officer 341,70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madiary-. San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatlon El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2023 Karl Luhmann x❑IND Police Officer 133.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Mddiaty: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ci.ation ❑ PTYP 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Karl Luhmann RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue ❑OTH Received through ince diary: cation San Rafael, CA 94901 San Rafael Police Ass ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 09/30/2021 Karl Luhmann X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 El SCC -1011512021 [Sar u mann X❑IND Police facer 13.30 4 1.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte . diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ S(.,(., 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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. ` from 07/01/2021 O' through 12/31/2021 page 104 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Police Officer 10/31/2021 Karl Luhmann X❑IND 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through ince San Rafael Police Ass diary: ia[ion San Rafael, CA 94901 F1 PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑ SCC 11/15/2621 Karl Luhmann E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through int. uedlary: cation San Rafael, CA 94901 San Rafael Police Ass El PTY 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 11/30/2021 Karl Luhmann X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through ince San Rafael Police Ass diary: ciation San Rafael, CA 94901 ❑ PTY 1520 Fifth Avenue ❑ SCC. San Rafael, CA 94901 12/15/2021 Karl Luhmann El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass diary: dation PTY ORafael ❑ue ,FifthACA 94901 San E] SCC Kar Lu mann x❑IND Police Officer 13.30 70 C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass diary: riiatigR ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com FPPC 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 Kof 1I • to whole dollars. ■ # from 07/01/2021 through 12/31/2021 7PageU— 105 of 194 NAME OF FILER BER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF DDRESS CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (EET ALSO ENTER I D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Kevin Macdougald X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police AssikCiation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 07/33/2021 Kevin Macdougald RIND Officer 13.30 341.70 C/o: San Rafael Police_Association 1520 Fifth ❑ COM City of San Rafael Avenue Receivedthrough intermediary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Kevin Macdougald X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mdiary: San Rafael, CA 94901 0OTH San Rafael Police Ass lation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Kevin Macdougald RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mvdinry: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑SC C SCIND a Kevin Macdougald x0 officer 4 C/o: San Rafael Police Association 1520 Fif___ OCOM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through into San Rafael Police Asa madlary: aiation Fifth Avenue ❑ PTY1520 San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND– Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC– Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 •' through 12/31/2021 page 106 of 194 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 ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2021 Kevin Macdougald X❑IND Officer 13.30 7-1 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass iary: iatiaa PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC'. 10/15/2021 Kevin Macdougald QIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Kevin Macdougaldx❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciatlon ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Kevin Macdougald X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El city of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC Kevin Mac ouga X❑IND Otticer 3.30 41.7 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass fatiun ❑ PTY Fifth Avenue San Rafael, CA 94901 San [jSCc *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 ) 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. ■ 60 from 07/01/2021 FORM through 12/31/2021 page 107 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITrEE,ALSOENTERI.D.NUMBER) CODE * O (IF ELLFEMP SELF-EMPLOYED, ENTER NAAMER IOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2021 Kevin Macdougald QIND Officer 13.30 341.7: C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte Sary: San Rafael, CA 94901 ❑OTH San Rafael Police Association PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 12/31/2021 Kevin Macdougald QIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte psdlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cxa;ioa ElPTY ❑ 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 07/15/2021 Kaitlin Maley E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte wadiatyt San Rafael, CA 94901 ❑OTH San Rafael Police Ass CSa Cion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Kaitlin Maley X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CSation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 0 Z 9a1.t in Maley X❑IND Police Otficer 13.30 341_ 70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte dl8ry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass aiation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 Keyj N I s]. to whole dollars. ■ from 07/01/2021 ■ page 08 1of 194 through- 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUM ULATIVETO DATE PER ELECTION DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 88/31/2021 Kaitlin Maley RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass lafy: cio4140 PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/15/2021 Kaitlin MaleyX❑IND Police Officer 13.30 341.76 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass idCion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Kaitlin Maley ©IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte medtary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciati*n ' ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Kaitlin Maley E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue h Received trough inte diar y: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY Fifth ❑ STRafael,ACAn 94901 ❑ SCC 10131/2021 Kait in Maley El IND Police Officer ii. -5U 1.70 C/O: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue F] COM Received through inte nary: San Rafael, CA 94901 DOTH San Rafael Police Ass intion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 07/01/2021through FNUMBER 12/31/2021 p109 pf 194 NAMEOFFILER I.D. San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO ENTER ID.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2021 Kaitlin Maley [K]IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass diary: ClatiOn ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Kaitlin Maley R] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass OSat£On El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Kaitlin Maley x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Madidry: San Rafael, CA 94901 ❑0TH San Rafael Police Ass Ciation ❑ PTY 152 0Fif Lh Avenue San Rafael, CA 94901 ❑.SCC 12/31/2021 Kaitlin Maley x❑IND Police Officer 13.30 341.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass madiaryt Ciation 1520 Fifth Avenue [j PTY San Rafael, CA 94901 ❑.SCC __7/15/202i Lee Masten X❑IND Police O±ticer 13.3U 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte Madiary% San Rafael, CA 94901 DOTH San Rafael Police Ass Clation PTY 1520 Fifth Avenue San Rafael, CA 94901 _ ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND -individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com FPPC 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. / 60 from 07/01/2021 O through 12/31/2021 page 110 Of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR " OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 13.30 07J.31 2021 Lee Masten X❑IND Police Officer .191.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: iaticn San Rafael, CA 94901 DOTH San Rafael Police Ass El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/202.1 Lee Masten x❑INp Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through rote ntdlary: San Rafael, CA 94901 DOTH San Rafael Police Ass CiaLion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Lee Masten x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 99901 DOTH Received through ince Ass san Rafael Police diary: ciaCdon ❑ PTY Fifth Avenue If San Rafael, CA 94901 ❑ SCC 09/15/2021 Lee Masten E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince modiary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation Fifth ACAs ElPTY SanORafael , 94901 ❑ SCC 0 Lee Masten E] IND Police Officer 1 ..iU 341.701 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue Received through inte daary: San Rafael, CA 94901 DOTH San Rafael Police Ass eintlon PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 1 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 07/01/2021 • through- 12/31/2021 Page 111 Of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE ( COMMITTEE, ALSO D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2021 Lee MastenX❑IND lPolice Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through into edi aCy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Lee Masten x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation E:] PTY 152.0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Lee Masten ®IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation L] PTY 1520 FifLh-Avenue San Rafael, CA 94901 ❑.SCC 11/30/2021 Lee Masten X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia[ion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12JIB/2021 Lee Masten E] IND Police Orrlcer 13.30 341.7 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM Received through inte diary: San Rafael, CA 94901 ❑ OTH San Rafael Police Asx ia[ion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity`, PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 66.504 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 07/01/2021 • through 12/31/2021 page 112 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2021 Lee Masten ?❑IND Police Officer 13.30 341.7U C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC El IND 07/15/2021 Michael Mathis Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Michael Mathis ®IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Michael Mathis E] IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM Received through intermediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Michael Mathis X❑IND Corporal 13.30 .1111./U C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 I statement covers period • . , to whole dollars. I t from 07/01/2021 • through 12/31/2021 Page 113 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ALSOND IT .D.N (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2021 Michael MathisXD IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 09/30/2021 Michael Mathisx❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTYP 1 52 0Fifth Avenue San Rafael, CA 94901 D SC,C. 10/15/2021 Michael Mathis FK] IND Corporal 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police ASsliciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. E] IND 10/31/2021 Michael Mathis Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation 1520 Fifth Avenue El PTY San Rafael, CA 94901 D SCC /1 Michael MathisMINDCorporal 13.30 s 1.7" C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police AssIci.t,.n PT 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 FORM through 12/31/2021 Page 114 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO .D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2421 Michael Mathis RIND Corporal 13.30 341.%0 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑PTY 1520 Fifth Avenue ,,an Rafael, CA 94901 ❑SCC 12/15/2021 Michael Mathis x❑IND Corporal 13.30 341.10 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 152.0 Fifth Avenue San Rafael, CA 94901 ❑.S. CC 12/31/2021 Michael Mathis }(❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation [I PTY 1520 FifLh Avenue San Rafael, CA 94901 C] SCC 07/15/2021 Daisy B Mazariegos XD IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ICOM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC --M/31/2021 Daisy B Mazariegos x❑IND Police 0 titer 1.5.JU 341.7U C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT. Monetary Contributions Received Amounts may be rounded statement covers periode . to whole dollars. ! NO NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2021 through 12/31/2021 I Page 115 of 194 831553 AND DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13/2021 Daisy B Mazariegos El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ci ntion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SC.C, 08/31/2021 Daisy B Mazariegos RIND Police Officer 1 13.30 341.74 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through intermediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Daisy B Mazariegos RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince diary San Rafael, CA 94901 DOTH San Rafael Police Ass ciatlan ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC. 09/30/2021 Daisy B Mazariegos E]IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through ince mediary� San Rafael, CA 94901 DOTH San Rafael Police Ass -kation PTM 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC —19115/2021 Daisy B Mazariegos QIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation 1520 Fifth Avenue E-] PTY San Rafael, CA 94901 L] SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 • A to whole dollars. I � from 07/01/2021 • through 12/31/2021 Page 116 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2421 Daisy B Mazariegos El IND Police Officer 13.30 .3 1.7 C/O: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass tacion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.S. CC 11/15/2021 Daisy B Mazariegos ZJIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Clatl Dn El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Daisy B Mazariegos El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatioa ❑ PTY 1520 FifLh Avenue San Rafael, CA 94901 ❑ SCC. 12/15/2021 Daisy B Mazariegos El IND Police Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mndiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 2 Daisy B Mazar-iegos E] IND Police Officer l.i..iU 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte piAry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Fiation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.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 07/01/2021 FORM through 12/31/2021 page 117 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Gerard F McCarthy X IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through rote etllary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ .S(iC 07/31/2021 Gerard F McCarthy X❑IND Police Officer 13.30 337.8(7 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte medsary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 7520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Gerard F McCarthy X IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte me diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation ❑ PTY 152oFifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Gerard F McCarthy X❑IND Police Officer 13.30 337.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Aotlon PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 759/15/2021 Gerard F McCarthy x❑IND Police Officer 80 C/o: San Rafael Police Association 1520 Fifth❑COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass 'la tion ❑ PTM 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/30/2721 Gerard F McCarthy x❑IND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 10/15/2421 Gerard F McCarthy 91 IND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 10/31/2021 Gerard F McCarthy x❑IND Police Officer C/o: San Rafael Police Association 1520 FifthF-1 COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 11/15/2021 1 Gerard F McCarthy u❑IND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM rity Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 1 Gerard F McCarthy x❑IND Police 011 cer C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ `Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee www.netfile.com SCHEDULE A (CONT.) Statement covers period from 07/01/2021 through 12/31/2021 page 118 of 194 I.D. NUMBER 831553 AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) Received through inte diary: San Rafael Police Assl,cLatlOn 1520 Fifth Avenue San Rafael, CA 94901 1.3.30 337. Received through inte San Rafael Police Ass 152 0 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte San Rafael Police Ass 1520 Fif Lh Avenue San Rafael, CA 94901 13.30 Received through ince Sart Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 Received through inte San Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 66.50 iexy: tion 337.80 337.80 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov, (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 07/01/2021 FORM NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/15/2421 Gerard F McCarthy xIND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑.S. CC 12/31/2021 Gerard F McCarthy x❑IND Police Officer C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/15/2021 Phillip Melodia X IND Officer C/O: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/31/2021 Phillip Melodia El IND Officer C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 08/13/2021 Phillip melodia El IND Officer C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com through 12/31/2021 page 119 of 194 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 13.30 337.80 Received through int dlaYy-: San Rafael Police Ass ietion 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through inteAlndiary: San Rafael Police Ass ciation 152_0 Fifth Avenue San Rafael, CA 94901 13.30 Received through ince mEdlary: San Rafael Police Ass cLation 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through ince e diary: San Rafael Police Ass Ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through intim Bury: San Rafael Police ASS iation 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 66.50 261.90 261.90 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.) IYlvrimary I.Onumutions Keceivea Amounts may be rounded Statement covers period to whole dollars. ■ from 07/01/2021 O' . through 12 /31/2 021 Page 120 of 199 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committe 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/317.021 Phillip MeladiaX❑IND Officer 13.30 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM San Rafael, CA 94901 ❑OTH Received through into madiary: San Rafael Police Ass Ration ❑ PTY 1520 Fifth Avenue E] SCC San Rafael, CA 94901 09/15/2021 Phillip Melodta X❑IND Officer 13.30 261.90 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑COM San Ra San Rafael, CA 94901 ❑OTH Received through inte medlaey: ❑ PTY San Rafael Police Ass 1520 Fifth Avenue iation ❑.SCC San Rafael, CA 94901 09/30/2021 Phillip Melodia E] IND Officer 13.30 261.90 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑OTH Received through inte mediary: ❑ PTY San Rafael Police Ass 1520 Fifth Avenue iciation El SCC San Rafael, CA 94901 07/15/2021 Daniel Mendoza Ochoa IND Police Officer 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass ediary: ci$tion ❑ PTY 1520 Fifth Avenue E] SCC. San Rafael, CA 94901 Daniel Mendoza Ochoa [g]IND Police ❑ icer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑OTH Received through irtta San Rafael Police As .edi4ry: ciation ❑ PTY 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. 1 , from 07/01/2021 through 12/31/2021 Page 121 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 7REC7EIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER AMOUNT RECEIVEDP CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF COMMITfEE,ALSO ENTER ID NUMBER) CODE * YED,E ODTHIS (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13Daniel MendozaOchoa RIND Police Officer 1.3.JU 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass 1dlary: lotion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 08,131/2021 Daniel Mendoza Ochoa El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue DOTH Received through into Police Ass diary: lation San Rafael, CA 94901 San Rafael ❑ PTY 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 09/15/2021 Daniel Mendoza Ochoa RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through into San Rafael Police Ass diary: Clailnn ❑ PTY1520 FifLh Avenue ❑ SCC San Rafael, CA 94901 09/30/2021 Daniel Mendoza Ochoa X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police Ass mediary: clation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC 7/ 117 Daniel Mendoza Ochoa x❑ IND Police Officer iJ..3u 3 Til C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through ince San Rafael Police As diary= Clacton El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / ` from 07 /01/2 02 1 ■ through 12/31/2021 Page 122 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2021 Daniel Mendoza Ochoa X❑IND Police Officer i3.30 341.70 C/o: San Rafael Police Association 1520 Fifth COM City Of San Rafael Avenue Received through inte edlaryi San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation [j PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Daniel Mendoza Ochoa x❑IND Police Officer 13.30 3+11.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ci.ation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Daniel Mendoza OchoaX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass 41ation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑..SCC. 12/15/2021 Daniel Mendoza Ochoa E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte etliary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciao ion PTY Fifth Avenue E] San Rafael, CA 94901 San ❑ SCC 12131/2021 Daniel Mendoza Ochoa x❑IND Police Otticer 13.3u C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ci tion PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.ne[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 may be rounded Statement covers period to whole dollars. from o7/01/2021 FF9 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO ENTER I -D. NUMBER OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15 7.0?.1 Lilah MG Barnes QIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 07/31/2021 Lilah MG BarnesX❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through intermediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 08/13/2021 Lilah MG Barnesx❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Lilah MG Barnes El IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC 9 Lilah Barnes ZIIND Police Corporal 13.3U 341./u C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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 periodFPag, to whole dollars.■from 07/01/2021through 12/31/2021 124 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * O(I SELF-EMPLOYED, EATION AND NTER NAME IODTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Of 34 2021 Lilah MG Barnes X[]IND Police Corporal 13.30 311.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .SCC 10/15/2021 Lilah MG Barnes RIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass elation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Lilah MG Barnes QIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through int. madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass iacion El PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Lilah MG Barnes X❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY Fifth Avenue El San Rafael, CA 94901 San El SCC lSCPolice 11/30/2021 Lilah MG 1Sarnes ZIND Corporal s.su 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince madiaryi San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTM 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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 1 from 07/01/2021 " through 12/31/2021 page 125 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ALSAND (IF COMMITTEE, I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2021 Lilah MG Barnes x❑IND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Lilah MG Barnes RIND Police Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 07/15/2021 Beth Minka x❑IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑PTY 1520 Fif Ch Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Beth MinkaX❑IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Association mediary: PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.S. C.0 1 Beth Minka x❑IND Administrative Technician lU.4U 267.10 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue Received through incemediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 57.80 *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: 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 07/01/2021 FORM through 12/31/2021 Page 126 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2021 Beth Minka x❑IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [jCOM City of San Rafael Avenue Received through inte didry: San Rafael, CA 94901 DOTH San Rafael Police Ass ciatiOA PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 09/15/2021 Beth Minka. x❑IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte iary: San Rafael, CA 94901 DOTH San Rafael Police Ass 8iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Beth Minka E] IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue DOTH Received through inte diary: Yon San Rafael, CA 94901 San Rafael Police Ass ciat ❑PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Beth Minka MIND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince ediary: San Rafael, CA 94901 DOTH San Rafael Police Ass iation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 El SCC 1 Bet Mxn a MIND Administrative 'lecnnlclan 10.4D 267.1 C/o: San Rafael Police Association 1520 Fifth [3ComReceived City of San Rafael Avenue San Rafael, CA 94901 DOTH through ince San Rafael Police Ass diary: ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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. 1 i from 07/01/2021 • through 12/31/2021 page 127 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO 1.0 NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11115 2021 Beth Minka El IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte adliry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ .SCC 11/30/2021 Beth Minkax❑IND Administrative Technician 10.40 26"1.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte iary- San Rafael, CA 94901 ❑OTH San Rafael Police Assimciation El PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Beth Minka x❑IND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Beth Minka KIND Administrative Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince fary: Ciet ion San Rafael, CA 94901 ❑OTH San Rafael Police Ass 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ .SCC Jessica Mitz [91 IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mvdidry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 54.90 *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) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A (CONT Page 128 of 194 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR AIF IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET COMMIT-FEE,RALSAND I D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 07/3172021 Jessica Mitz [K]IND Police Officer 13.30 311.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince �edkary: San Rafael, CA 94901 DOTH San Rafael Police Ass lotion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Jessica Mitz E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte amdiary: San Rafael, CA 94901 DOTH sen Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Jessica Mitz x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince mndlary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Jessica Mitz El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass Biation ACAn ElPTY SanORafael, 94901 ❑ SCC —09/30/2021 Jessica Mita 91 IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth❑COM City Of San Rafael Avenue Received through inte Twidiary., San Rafael, CA 94901 DOTH San Rafael Police Ass 4lation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC. SUBTOTAL$ 66.50 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT. Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ' from 07/01/2021 • ' through 12/31/2021 Page 129 of 194 NAME OF FILER San Rafael Police Association Political Action Committee DATEI FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 10115/2021 Jessica Mitz C/o: San Rafael Avenue San Rafael, CA Police 94901 Association 1520 Fifth RIND [3Com ❑ OTH ❑ PTY []SCC 10/31/2021 Jessica Mitz RIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 ❑ PTY ❑ SCC 11/15/2021 Jessica Mitz RIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 11/30/2021 Jessica Mitz E] IND C/o: San Rafael Police Association 1520 Fifth El COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC .. ess ca Matz X❑IND C/o: San Rafael Police Association 1520 Fifth El COM Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee www.netfile.com IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Police Officer City Of San Rafael lice Officer ty Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael I.D. NUMBER 831553 AMOUNT CUM U LATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) 13.30 341.70 Received through int: mediary San Rafael Police As ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through intemediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 Received through inte mediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 lice utticer ty Of San Rafael Received through incemediary: San Rafael Police Ass ciation 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 66.50 341.70 341.70 PER ELECTION TO DATE (IF REQUIRED) 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. 1 from 07/01/2021 " through 12/31/2021 page 130 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D-NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2021 Jessica Mitz x❑IND Police Officer 13.30 311.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Cdiary: San Rafael, CA 94901 ❑OTH ,an Rafael Police Ass cLatinn PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 07/.15/2021 Cynthia Morgan X❑IND Call Taker and Records 10.4U 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through inte mt-diaxy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass kation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Cynthia Morganx❑IND Call Taker and Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through inte "diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia Cion PTY 1520 Fifth Avenue El San Rafael, CA 99901 ❑ SCC 08./13/2021 Cynthia Morgan 7{IND Call Taker and Records 10.40 26`1.14 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through inte CjaFy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 78/31/2021 Cynthia Morgan RIND Call Taker and Records 10.40 C/o: San Rafael Police Association 1520 FifthSpecialist Avenue ❑COM City Of San Rafael Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTM 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY— Political Parry SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 54.90 1 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. ■ 0 from 07/01/2021 7Pag,-131 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2021 Cynthia MorganX❑IND Call Taker and Records lU.4U 267.10 C/o: San Rafael Police Association 1520 Fifth D COM Specialist AvenueCity Of San Rafael Received through inte edirry: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 09/3¢/2021 Cynthia Morgan x❑IND Call Taker and Records 10.40 261.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Receivedthrough inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass iaiion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Cynthia Morgan X❑IND Call Taker and Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [-]COM Specialist Avenue City Of San Rafael Received through inte nediary: San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY 1520 Fil Lh Avenue ❑ San Rafael, CA 94901 E] SCC 10/31/2021 Cynthia Morgan El IND Call Taker and Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC -71/15/2021 Cynthia Morgan %❑IND Call Taker and Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through inte Viary: San Rafael, CA 94901 DOTH San Rafael Police Ass cI." Fifth Avenue El PTY San Rafael, CA 94901 San D SCC 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 52.00 11 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 07/01/2021 • through 12/31/2021 Page 132 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF DDRESS CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (ET ALSO ENTER/ DNUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/34/2021 Cynthia Morgan X❑IND Call Taker and Records lU.4U 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through inte_ mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/15/2021 Cynthia MorganX❑IND Call Taker and Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [:]COM Specialist Avenue City Of San Rafael Received through irate mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Cynthia Morgan El IND Call Taker and Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [:]COM Specialist Avenue City Of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 07/15/2021 Lynn Murphy E] IND Mental Health Outreach 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Provider Avenue City Of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC Lynn Mu X❑IND ental Health Outreach 10.9 267.10 C/o: SanPRafael Police Association 1520 Fifth Provider Avenue ❑COM City of San Rafael Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciat ion ORafael ACAn ❑Fifth PTY San , 94901 ❑ SCC SUBTOTAL$ 52.00 "Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Can Pnf-1 Pnlir Accnriatinn Pnlifiral Artion Committee Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period from 07/01/2021 through 12/31/2021 page 133 of 194 I.D. NUMBER 831553 *Contributor Codes IND—individual 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 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08.11312021 Lynn Murphy XIND ❑ Mental Health Outreach 1U.4U 2n'7.1.❑ C/o: San Rafael Police Association 1520 Fifth [:]Com Provider Provider Avenue of San Rafael Received through ince diary: San Rafael, CA 94901 [DOTH San Rafael Police Assliciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 . ❑ SCC 08/31/2021 Lynn Murphy Z] IND Mental Health Outreach 10.40 2.67.14 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael Received through inte mediaxy: San Rafael, CA 94901 [DOTH San Rafael Police Ass CAation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Lynn Murphy MIND Mental Health Outreach 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael Received through inte diary: San Rafael, CA 94901 [DOTH San Rafael Police Ass cation E] PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Lynn Murphy F1 IND Mental Health Outreach 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Provider Avenue City of San Rafael Received through inte diary: San Rafael, CA 94901 [DOTH San Rafael Police Ass elation 1520 Fifth Avenue ❑ PTY ae San Rafl, CA 94901 ❑ SCC. Lynn Murp y RIND Mental Health Outreach 10.4U 267.10 C/o: San Rafael Police Association 1520 Fifth F] COM Provider Avenue City Of San Rafael Received through inte Lacy: San Rafael, CA 94901 [DOTH San Rafael Police Ass ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 1 "Page - NAME to whole dollars. a from 07/01/2021 through 12/31/2021 194 OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/31/2021 Lynn Murphy ❑RIND Mental Health Outreach C/o: San Rafael Police Association 1520 Fifth Provider Avenue []COM City of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 11/15/2023 Lynn Murphy RIND Mental Health Outreach C/o: San Rafael Police Association 1520 Fifth❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 11/30/2021 Lynn Murphy XIND Mental Health Outreach C/o: San Rafael Police Association 1520 Fifth [:]COM Provider AvenueCity of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/15/2021 Lynn Murphy X❑IND Mental Health Outreach C/o: San Rafael Police Association 1520 Fifth Provider Avenue ❑ COM City of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC Mental Health uutreacn 3 Lynn Muzp y X❑IND C/o: San Rafael Police Association 1520 FifthProvider Avenue ❑ COM City of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com AMOUNT RECEIVED THIS PERIOD 10.90 Received through inte San Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 10.90 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 257.10 aesary: iation 267.10 Received through it t�oadla ry: San Rafael Police Ass ciaCion 1520 Fifth Avenue San Rafael, CA 94901 10.401 267.10 Received through ince diary: San Rafael Police Ass Fiaiio. 15 20 Fif Lh Avenue San Rafael, CA 94901 10.40 267.10 Received through ince iary: San Rafael Police Ass Ciation 1520Fifth Avenue San Rafael, CA 94901 IU. 40 267.10 Received through inte mediary. San Rafael Police Ass dation 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 52.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / ; ` from 07/01/2021 FORM through 12/31/2021 Page 135 of 194 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 I CUMULATIVE TO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITEE,ALSO ENTER LD NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07115r2021 Brandon Nail x❑IND Police Officer 5.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.SCC 07131/21721 Brandon Nail 21IND Police Officer 13.30 34.1.70 C/o: San Rafael Police Association 1520 Fifth [ICOM City Of San Rafael Avenue Received through inte madlary: San Rafael, CA 94901 [1OTH San Rafael Police Ass dation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 08/13/2021 Brandon Nail x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Receivedthrough inte madl4ry: San Rafael, CA 94901 [1OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Brandon NailQIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte lacy: San Rafael, CA 94901 [1OTH San Rafael Police Ass siation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Brandon Nail x❑IND Police OTticer 341.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass istion PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 FORM through 12/31/2021 page 136 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE RECEIVED ALSOND IT .D.N (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/7.021 Brandon Nail X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue Received through inte ed=ary: San Rafael, CA 94901 DOTH San Rafael Police Ass clAtion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC, 10/15/2021 Brandon Nail RIND Police Officer 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte Lary: San Rafael, CA 94901 DOTH San Rafael Police Ass CiatiOn ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Brandon Nailx❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Brandon NailX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass cietion PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC —11/3,0/2D21 Brandon Nail x❑IND Police Ottzcer 13.30 341.30 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass dation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12715/2021 Brandon Nail X❑IND Police Officer C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/31/2021 Brandon Nail E] IND Police Officer C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/15/2021 Jorge Navarro xIND Evidence Technician C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/31/2021 Jorge Navarro X❑IND Evidence Technician C/o: San Rafael Police Association 1520 Fifth [_]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC --68/13/2021 Jorge Navarro RIND Evidence Technician C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SCHEDULE A (CONT.) Statement covers period CALIFORNIA 460 from 07/01/2021 FORM through 12/31/2021 page 137 of 194 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 13.30 341.70 Received through inteediAr San Rafael Police Ass clAtion 1520 Fifth Avenue San Rafael, CA 94901 13.30 341.70 Received through inte mediary: San Rafael Police Ass C1Ation 1520 Fifth Avenue San Rafael, CA 94901 10.40 267.10 Received through inte diary: San Rafael Police Ass Clat1OT 1520 Fifth Avenue San Rafael, CA 94901 10.40 267.10 Received through inte'madlary: San Rafael Police Ass ciation 1520Fifth Avenue San Rafael, CA 94901 1U. 14U 267.10 Received through inte medlary: San Rafael Police Ass clation 1520 Fifth Avenue San Rafael, CA 94901 57.80 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 1 from 07/01/2021 • through 12/31/2021 page 138 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT i CUMULATIVE TO DATE PER ELECTION DATE DATE (E COMMITTEE, ALSO .D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2021 Jorge Navarro X❑IND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth El City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/15/2021 Jorge Navarro FJIND Evidence Technician 10.90 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue F)OTH Received through inte mediary: San Rafael, CA 94901 San Rafael Police Ass ciation I—I PTM 1520 Fifth Avenue l San Rafael, CA 94901 F-] SCC 09/30/2021 Jorge Navarro RIND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY1520 Fif Ch Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Jorge Navarro QIND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑.SCC 1 Jorge Navarrox❑IND Evlaence 1ec nlclan 10. vu 2b'/.1U C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com FPPC Form 460 (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. 1 � from 07/01/2021 FORM Page 139 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/15/2021 Jorge Navarro xIND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass madiary: riot Sr+n PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Jorge Navarro x❑IND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte "diary-, San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation [71 PTY 1520 Fifth Avenue San Rafael, CA 94901 Ll SCC 12/15/2021 Jorge Navarro El IND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue Received through inte dlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciat Aon ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Jorge Navarro X❑IND Evidence Technician 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte did Cyt San Rafael, CA 94901 ❑OTH San Rafael Police Ass inion 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 0-1/15/2021 A exis Nielsen X❑IND Lead Communications lU.SU lfl C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through inte nerijary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass-�ciation - E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.ne[file.com SUBTOTAL$ 52.001 1 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 07/01/2021 F 140 of 194 through 12/31/2021 NAME OF FILE I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2021 Alexis Nielsen MIND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through irate diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciati•,,t PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 58/13/2021 Alexis NielsenX❑IND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael Received through inte msdlibrr San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatin El PTY 152_0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Alexis Nielsen MIND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael Received through ince Metliary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/15/2021 Alexis Nielsen MIND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through inteva6diary4 San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 79/3:0 /2021Alexis Nielsen RIND Lead Communications lU.4U C/o: San Rafael Police Association 1520 Fifth El COM Dispatcher Avenue City of San Rafael Received throughice in diary: San Rafael, CA 94901 ❑OTH San Rafael PolAssce -1a[ien - ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.neffile.com SUBTOTAL$ 52.00 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. 1 60 from 07/01/2021 • through 12/31/2021 Page 191 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/1572021 Alexis Nielsen IND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through ince madi�ry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass 10e tion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Alexis Nielsen x❑IND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael Received through inte msdlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11115/2021 Alexis Nielsen RIND Lead Communications 10.40 267.10 C/O: San Rafael Police Association 1520 Fifth El COM Dispatcher Avenue City of San Rafael Received through ince amciiarY4 San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Alexis Nielsen X❑IND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 12/15/2021 Alexis Nielsen RIND Lead Communications 10.40 267.10 C/O: San Rafael Police Association 1520 Fifth Dispatcher Avenue El COM City of San Rafael Received through irate mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass eiacion PTY1520 Fifth Avenue [j San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice&ppc.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 periodF . to whole dollars. 1 from 07/01/2021 through 12/31/2021 142 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 127317202-1 Alexis NielsenX❑IND Lead Communications 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 07/15/2021 Oscar O'conX❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary; San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation E] PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Oscar O'con ®IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince edisry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass" iation PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Oscar O'con x❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince Twd.laryz San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 1 Oscar O'conX❑IND Corporal 13. 3U C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass .tion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 63.60 '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. 1 � from 07/01/2021 • through 12/31/2021 page 143 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND DEO 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) 09/15/2021 Oscar O'con XDIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El City Of San Rafael Avenue DOTH Received through ince San Rafael Police Ass Bdiaryl cation San Rafael, CA 94901 El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2D21. Oscar O'con El IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue DOTH Received through inte Police Ass mddiary[ Motion San Rafael, CA 94901 San Rafael El PTY 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 10/15/2021 Oscar O'con XDIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue DOTH Received through inte San Rafael Police Ass diary: ciation San Rafael, -CA 94901 ❑ PTY 1520 Fifth Avenue ❑ SCC San Rafael, CA 94901 10/31/2621 Oscar O'con X❑IND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass Mciary= ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 D SCC 11/15/2021 Oscar O'con x❑IND Corporal 1.5..sU 341.75 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass ediaY.y: cldtion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 'Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 • through 12/31/2021 page 144 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR EMPLOYER OFF RECEIVED CALENDAR YEAR DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (ISELPEMP OENTER YYED, IODTHIS (JAN. 1 -DEC. 31) (IF EQUIRED ) REQUIRED) OF BUSINESS) 11/30/2021 Oscar O'con MIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass eiation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 12/15/202.1 Oscar O'con MIND Corporal 13.30 34.1.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte mediac.y: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Oscar O'con MIND Corporal 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cfaeion ❑ PTY 152 0Filth Avenue San Rafael, CA 94901 ❑ SCC.. 07/15/2621 Elizabeth Paez MIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince m diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC, Elizabeth Paea MIND Dispatcher 10.40 2 67. IT C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediary7 San Rafael, CA 94901 ❑OTH San Rafael Police Aa iCtation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 60.70 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period CALIFORNIA 460 from 07/01/2021 FORM through 12/31/2021 page 145 of 194 I.D. NUMBER 831553 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13/2021 Elizabeth Paezx❑IND Dispatcher 10.40 267,10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte is di4ry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 .SCC 08/31/2021 Elizabeth Paez X❑IND Dispatcher 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte mediary: Sari Rafael, CA 94901 ❑OTH San Rafael Police Ass clativrt El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Elizabeth Paez X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte � diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ctati CP ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 09/30/2021 Elizabeth Paez E] IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue [-]Com Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass dation El PTY Fifth Avenue San Rafael, CA 94907 San ❑ SCC -70_715/201 E izabeth Paez X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte Lary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 52.00 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com FPPC Form 460 (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 07/01/2021 • through 12/31/2021 page 196 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2021 Elizabeth Paez RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cLatinn El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/151202.1 Elizabeth Paezx❑IND Dispatcher 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte mb6air3': San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatinn ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Elizabeth Paez RIND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Lation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Elizabeth Paez El IND Dispatcher 10.40 26-1.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte did Cy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ClAtiOn 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 12/3112021 Elizabeth Paez X❑IND Dispatcher lU.gU 267.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte med16VY! San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC; SUBTOTAL$ 52.00 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.nefile.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 0 from 07/01/2021 • through 12/31/2021 Page 147 of 194 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 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2021 Brian PattersonX❑IND Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte medlary7 San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 01/31/2021 Brian Patterson x❑IND -ricer 13.30 '.•41.70+ C/o: San Rafael Police Association 1520 Fifth ❑COM qty of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Brian Patterson El IND Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte iriediary4 San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 08/31/2021 Brian Patterson x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation PTY 1520 Fifth Avenue ❑ San Rafael, CA 99901 ❑ SCC 09115/2021 Brian Patterson x❑IND Officer 13.30 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince iwdlaryr San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑SCC 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.501 1 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. 1 * i from 07/01/2021 • through 12/31/2021 page 148 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 4/30/2621 Brian Patterson x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Association PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 10/15f2021 Brian Patterson X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte d-1 ry: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation ❑ PTY ]57.0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Brian Patterson x❑IND Officer -- 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince iary: San Rafael, CA 94901 DOTH ,an Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Brian Patterson X❑IND Officer 13.30 341.70 C/O: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC —11/30/2021 Brian Patterson X❑IND Officer 13.su 41. 70 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass CLatinn PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A Page 149 of 194 I.D. NUMBER 831553 "Contributor Codes IND—individual 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 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, D.N IT CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 1 115 20 1 Brian Patterson x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael - Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Brian Patterson x❑IND Officer 13.30 341. 0 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ' ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 07/15/2021 Dennis Prince RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte miliary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass tatICA ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Dennis Prince X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince Mdinr)+: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC Renis Prince x❑IND Orticer J.SU 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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. 1 � from 07/01/2021 FORM through: 12/31/2021 page 150 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO ENTER I.D. NUMBER) 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) Da/31/207.1 Dennis PrinceBIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince edlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass s}atlne ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 [3SCC 04/15/2021 Dennis Prince X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte wdlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Gi Rtion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Dennis Prince RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciaeion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 EJ SCC 10/15/2021 Dennis Prince X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM Received through inte didry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CSation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑SCC Dennis Prince x❑IND Otticer 11.30 3A1.7 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass diary: ciation 1520 Fifth Avenue El PTY San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Ran PafF al Pnl ira A.qcnri At inn Pnl iti cal Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A (CONT.) Page 151 of 194 I.D. NUMBER 831553 *Contributor Codes IND—Individual 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 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15 2021 Dennis PrinceX❑IND Officer !3.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte 049' San Rafael, CA 94901 DOTH San Rafael Police Ass Cietion PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Dennis Prince MIND Officer 13.3u` 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue Received through inte aaediary: San Rafael, CA 94901 ❑ OTH San Rafael Police Ass ciatiorl ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Dennis Prince x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte IaCdlary: San Rafael, CA 94901 DOTH San Rafael Police Ass CiatiOR ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Dennis Prince MIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince iary: San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 El SCC --67115/2021 Edgar Rodriguez [g] IND Police Url cer 13.30 341.7U C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte edlary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY 152 ORafael, ACAn ❑ San 94901 ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 07/01/2021through FPage_ 12/31/2021 152 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 13.30 _ 07 31/2023 Edgar Rodriguez X❑IND Police Officer 341-70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08/13/2021 Edgar Rodriguez EIIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑OTH Received through inte aaediary: San Rafael, CA 94901 San Rafael Police Ass ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Edgar Rodriguez x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Asslociation ❑ PTY 152 0Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Edgar Rodriguez RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue Received through inte Glary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑.S. CC 79/30/2021 Edgar Rodriguez - X❑IND Police Orricer 13.30 41.7U C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cladGn PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC_ SUBTOTAL$ 66.50 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 0 ' from 07/01/2021 " through 12/31/2021 page 153 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committ-, 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A ZIP RE, CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ALSAND (IF COMMITTEE. I D. NUMBER) IT CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2021 Edgar Rodriguez RIND Police Officer 13.30 341.%0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 10/31/2021 Edgar Rodriguez X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 [jOTH San Rafael Police Ass ciation E] PTY 152_0 Fifth Avenue San Rafael, CA 94901 ❑SCC 11/15/2021 Edgar Rodriguez XIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Assipciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑SCC 11/30/2D21 Edgar Rodriguez ❑X IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through intermediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC -72/1512071 Edgar Ro rigtiez E] IND Police Officer 13.30`� 7U C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inLa "diary: San Rafael, CA 94901 ❑OTH San Rafael Police Aba Ciation vue FifthACA ORafael - ❑ PTY San , 94901 ❑ SCC *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Amounts may be rounded Statement covers period ff IWOM M. ' to whole dollars. ■ N from 07/01/2021 � IPffiage154 through 12/31/2021 of 94 !!! NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE 712 ZIPDEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO ENTER .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 3112021 Edgar Rodriguez MIND Police Officer 13.30 391.76 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 07/15/2021 Noemi Rossotti Gallox❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciarion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Noemi Rossotti Gallo x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY1520 Fiflh Avenue ❑ San Rafael, CA 94901 ❑ SCC 08/13/2021 Noemi Rossotti Gallo MIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince modiaryt San Rafael, CA 94901 DOTH San Rafael Police Ass cation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Noemi Rossotti Gallo RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte medip yp San Rafael, CA 94901 DOTH San Rafael Police Ass iation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER can Rafa l Pnl i— Aacnriatinn Pnl itical Action Commit Amounts may be rounded to whole dollars. SCHEDULE A (CONT Statement covers period from 07/01/2021 through 12/31/2021 I Page 155 of 194 I.D. NUMBER 1 831553 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 j FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/1572021 Noemi Rossotti Gallo X❑IND Police Officer 13.3U 341..70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 00TH Received through inte San Rafael Police Ass Sexy; iatidn PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/30/2021 Noemi Rossotti Gallo x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue Received through inte mediary. San Rafael, CA 94901 00TH San Rafael Police Ass Cia[ion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Noemi Rossotti GalloPolice Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth © COM City of San Rafael Avenue Received through ince adiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass etatlon PTY 1520 Fifth Avenue L1 San Rafael, CA 94901 ❑ .SCC 10/31/2021 Noemi Rossotti Gallo E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mBdiary: San Rafael, CA 94901 00TH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC -117T37-2U-?T_Nnemi Rossotti Gallia x❑IND Police UYticer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through Snte mediary: San Rafael, CA 94901 00TH San Rafael Police Ass istivn ORafael ACAn94901 ❑Fifth PTY San , ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 j FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) MnnPtary Cnntrihutinns Received SCHEDULE A (CONT.) Amounts may be rounded Statement covers period , ' - to whole dollars. , from 07/01/2021 •kyl through 12/31/2021 page 156 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 1 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ALSOND (IF COMMITTEE, I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/3021021 Noemi Rossotti Gallo x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue ❑OTH Received through inte San Rafael Police Ass mediary: Pci.tion San Rafael, CA 94901 PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/15/2021 Noemi Rossotti Gallo x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue ❑OTH Received through inte San Rafael Police Ass mediary: ciation San Rafael, CA 94901 ❑ PTY Fifth Avenue San Rafael, CA 94901 Sao ❑ SCC l 12/31/2021 Noemi Rossotti Gallo QIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue ❑OTH Received through inte San Rafael Police Ass mediary: ciation San Rafael, CA 94901 ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑.ScC 07/15/2021 Peggy Ruge E] IND Lead Communications 10.40 235.90 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San afael, CA 99901 R ❑ SCc 07/31/2021 Peggy A°le X❑IND Lead Communications 1 .9 235.90 C/o: San Rafael Police Association 1520 Fifth El COM Dispatcher Avenue City of San Rafael Received through ante mediary: San Rafael, CA 99901 ❑OTH San Rafael Police Asp ciaii4n ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC. 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 60.701 1 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 t from 07/01/2021 FORM through 12/31/2021 page 157 of 194 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 (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13/2021 Peggy Ruge© IND Lead Communications 10.40 235.90 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation =i PTY 1520 Fifth Avenue San Rafael, CA 94901 _ J SCC 08/31/2021 Peggy Ruge X❑IND Lead Communications 10.40 235.90 C/o: San Rafael Police Association 1520 Fifth El COM Dispatcher Avenue City of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 152 0Fifth Avenue - San Rafael, CA 94901 ❑ SCC 09/15/2021 Peggy Ruge El IND Lead Communications 10.40 235.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue Cit of San Rafael y Received through rote mediary: San Rafael, CA 94901 ❑ OTH San Rafael Police Ass ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Peggy Ruge KIND Lead Communications 10.40 235.90 C/o: San Rafael Police Association 1520 Fifth EIC Dispatcher Avenue City of San Rafael Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Assliciation PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 10/15/2021 Peggy Ruge RIND Lead Communications iU.vU 23S.9U C/o: San Rafael Police Association 1520 Fifth Dispatcher Avenue ❑COM City of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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. 1 from 07/01/2021 page 158 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (ET I - D. COMMITTEE, ALSO ENTER /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) 10/31/2021 Peggy Ruge X❑IND Lead Communications 10.40 235.90 C/o: San Rafael Police Association 1520 Fifth El COM Dispatcher Avenue City of San Rafael Received through inte d1ary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2421 Peggy Ruge X❑IND Lead Communications 1U.4U 235.90 C/o: San Rafael Police Association 1520 Fifth [-]COM Dispatcher Avenue City of San Rafael Received through irate medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Travis Ruggles x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince m dlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 07/31/2021 Travis Ruggles E] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciat loo PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑.SCC-, 08/13/2021 Travis Ruggles X❑IND Police Officer . C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through into asnry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC I _ SUBTOTAL$ 60.70 *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 Keylll 9 . , to whole dollars. I ' from 07/01/2021 • through 12/31/2021 page 159 of 194 I.D. NUMBER NAME OF FILER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2021 Travis Ruggles x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince san Rafael Police Ass diary: cialion 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 09/15/2021 Travis Ruggles RIND Police Officer 13.30 341.70. C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte m diary: Sari Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Travis Ruggles Q IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte .diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciat Lon El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Travis Ruggles El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte diaryi San Rafael, CA 94901 ❑OTH San Rafael Police Ass riation 1520 Fifth Avenue L1 PTY San Rafael, CA 94901 ❑SCC —10/31/2021 Travis Ruggles RIND POl1Ce UttlCer �• 30 3-41.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte medlaryo San Rafael, CA 94901 ❑OTH San Rafael Police Ass iRrion ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 11/15/2021 Travis RugglesX❑IND Police Officer C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 11/34/2021 Travis Ruggles MIND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/15/2021 Travis Ruggles ®IND Police Officer C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/31/2021 Travis Ruggles x❑IND Police Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07115/2021 Jessica Sanchez MIND Call Taker Records C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ r *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC–Small Contributor Committee www.netfile.com Statement covers period from 07/01/2021 • through 12/31/2021 Page — AMOUNT RECEIVED THIS PERIOD 13.30 Received through inte San Rafael Police Ass 152 0 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte San Rafael Police Ass 157_0 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte San Rafael Police Ass 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through inte San Rafael Police Ass 1520Fifth Avenue San Rafael, CA 94901 Received through int San Rafael Police As 1520 Fifth Avenue San Rafael, CA 94901 63.60 I.D. NUM 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 341.70 tion 341.70 Lary: tion 341.70 laryi tion 341.70 inry: tion iaxyl [ion SCHEDULE A (CONT.) 160 of 194 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodki . to whole dollars. 1 from 07/01/2021 through 12/31/2021 page 161 of 194 NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07/31/2021 Jessica Sanchez X❑IND Call Taker/Records C/o: San Rafael Police Association 1520 FifthSpecialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 08/13/2021 Jessica Sanchez x❑IND Call Taker/Records C/o: San Rafael Police Association 1520 FifthEl COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 08/31/2021 Jessica Sanchez El IND Call Taker/Records C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 09/15/2021 Jessica Sanchez QIND Call Taker/Records C/o: San Rafael Police -Association 1520 Fifth Specialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY - ❑ SCC 09130/2021 Jessica Sanchez MIND Specialist Ta er Records C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com AMOUNT RECEIVED THIS PERIOD Received through inte San Rafael Police Assn 1520 Fifth Avenue San Rafael, CA 94901 10.40 Received through inte San Rafael Police Ass 152_0 Fifth Avenue San Rafael, CA 94901 10.40 Received through inte San Rafael Police Ass 1520 Fif Ch Avenue San Rafael, CA 94901 10.40 Received through ince San Rafael Police Ass 152 0 Fifth Avenue San Rafael, CA 94901 Received through SnCC San Rafael Police hAl 1520 Fifth Avenue San Rafael, CA 94901 52.00 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 267.10 4Y� •+�• 4ary; Cion 267.10 iary: tion 26-+.]0 iary: tion 267.10 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I � from 07/01/2021 • through 12/31/2021 page 162 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 16/15/2021 Jessica Sanchez IND Call Taker/Records 10.40 ia"1,_' C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through ince edia:y: San Rafael, CA 94901 DOTH San Rafael Police Assciati ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Jessica Sanchez x❑IND Call Taker/Records 10.40 261.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through ince madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass siation ❑ PTY 7520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Jessica Sanchezx❑IND Call Taker/Records 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael Received through inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciatlnR El PTY1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Jessica Sanchez El IND Call Taker/Records 10.40 267.10 C/o: San Rafael Police Association 1520 FifthSpecialist Avenue ❑COM City Of San Rafael Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 15 Jessica Sanchez OIND Call Taker/Records -LU. vu C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael Received through irate meds ary: San Rafael, CA 99901 DOTH San Rafael Police Ass �1aLion 1520 Fifth Avenue ❑ PTM San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2021 • through 12/31/2021 page 163 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTERLD.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2021 Jessica Sanchez 91 IND Call Taker/Records 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth E] Com Specialist Avenue City Of San Rafael Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 07/15/2021 Sebastian Sanchez ]IND Police Officer 13.30 341.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madlaty: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation C1 PTY 152_0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Sebastian Sanchez x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte adlary; San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 El SCC 08/13/2021 Sebastian Sanchez X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ration Fifth Avenue ❑ PTY San Rafael, CA 94901 San ❑ SCC 1 se ast an Sanchez x❑IND Police Officer l.s..sU _34_.70 C/o: San Rafael Police Association 1520 Fifth ❑(OM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass diary: Ciatfori ue FifthACA L] PTY Sano Rafael, 94901 ❑ SCC SUBTOTAL$ 63.60 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Parry SCC—Small Contributor Committee www.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. from 07/01/2021 FORM through 12/31/2021 page 164 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/7.02.1 Sebastian Sanchez 91IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte m diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/30/2921 Sebastian Sanchez 91 IND Police Officer 13.30 391.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM ^ity Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass mediarye ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Sebastian Sanchez F1 IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary; San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC. 10/3172021 Sebastian Sanchez X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through intemadiaYy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation PTY Fifth,A Ll Sano Rafael 94901 ❑ SCC 11/15/2021 Sebastian 3anc ez X❑IND Police Of icer 1 .30 341.70 C/o: San Rafael Police Association 1520 Fifth Of San Rafael Avenue [:]COMCity Received through iYiCQ aia�v: San Rafael, CA 94901 ❑OTH San Rafael Police Ans Ciatlan ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC— Small Contributor Committee www.neffile.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. 1 60 from 07/01/2021 ■ " through 12/31/2021 Page 165 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2021 Sebastian Sanchez x❑IND Police Officer 13.30 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diaYy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 2/15/2021 Sebastian Sanchez X❑IND Police Officer 1 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte t4dlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation ❑ PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Sebastian Sanchez RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through intela diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatlon ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Anthony Scalercio E] IND Officer 13.30 235.30 C/o: San Rafael Police Association 1520 Fifth of San Rafael Avenue [:]COMCity Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Elation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC ❑ 1/ Arty ony Scalercio X❑IND officer 13 Ju C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through int: iary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia[ion PTY 152 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee SUBTOTAL$ 66.50 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. 1 � from 07/01/2021 • through 12/31/2021 Page 166 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE RECEIVED (IF COMMIT-FEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/13/2021 Anthony ScalercioX❑IND Officer 13.30 23.5.30 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through inte mvdiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass miation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Anthony Scalercio 21 IND Officer 13.30 235.30 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue Received through inte modiary: Sari Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 L] SCC 07/15/2021 Justin Schraeder El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass i6r}.. Ciatipn - ❑ PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑ SCC 07/31/2021 Justin Schraeder UIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass madiaryc ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC 1 Justin Schraeder X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince edlaryr San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 , 0. to whole dollars. I from 07/01/2021 e page 167 of 194 through - 12/31/2021 NAME OF FILER i I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT I D.N (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 0813112'721 Justin Schraeder X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El City of San Rafael Avenue Received through inteediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/1512021 Justin Schraeder RIND Officer 13.30 341.7' C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 09/30/2021 Justin Schraeder RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue ❑OTH Received through rote media ry: San Rafael, CA 94901 San Rafael Police Ass cla tion ❑ PT 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Justin Schraeder x❑IND Officer 13.30 341,70 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince mediaryc San Rafael, CA 94901 ❑OTH San Rafael Police Ass cation 1520 Fifth Avenue El PTY San Rafael, CA 94901 ❑ SCC i Justin Schraeder x❑IND Otticer 13.J0 41. C/o: San Rafael Police Association 1520 Fifth [I COM City of San Rafael Avenue Received through ince medipry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCIC SUBTOTAL$ 66.50 *Contributor Codes IND— Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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 t from 07/01/2021 • " through 12/31/2021 Page 168 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2021 Justin Schraeder X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 ❑ COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Justin Schraeder®IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth []Com City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Justin Schraeder RIND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue[ -]Received OTH through inte mediary= San Rafael, CA 94901 San Rafael Police Association PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC 12/31/2021 Justin Schraeder E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through intermediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY Fifth ORafael ACAn El San , 94901 ❑ SCC 0 ! a Natass7a B. Springer X[°IND ispatcher 10.40 26/.10 C/o: San Rafael Police Association 1520 Fifth [3Comcity Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass mediary: ciation Fifth Avenue El PTY San Rafael, CA 94901 San ❑ SCIC SUBTOTAL$ 63.60 *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 periodFF9 to whole dollars. from 07/01/2021through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (E COMMITTEE, ALSAND-ZIO ENTER .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) a7/31/2021 Natassja B. SpringerX❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08/13/2021 Natassja B. Springer El IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation E] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .S. C(.. 08/31/2021 Natassja B. SpringerX❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 FifLh Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/15/2021 Natassja B. Springer X❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth El COM (7ity Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Association mediary: 1520 Fifth Avenue ❑ PTY afaelCA 94901 San Rafael, , ❑ SCC 09/30/2021 Natassja B. Springer X❑IND Dispatcher 10.4u Lb/.lU C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 52.00 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 • through 12/31/2021 Page 170 of 194 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 TO DATE DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) i4 15/2021 Natassja B. Springer N❑IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/ 021 Natassja B. Springer E] IND Dispatcher 10.40 26%.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 152 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/15/2021 Natassja B. SpringerQIND -ispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth El COM city Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 11/30/2021 Natassja B. Springer E] IND Dispatcher 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC Natassja B. Springer RIND Dispatcher 10.40 267.1 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciatlon PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC., *Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 52.001 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 I Statement covers period CALIFORNIA to whole dollars. / � from 07/01/2021 • through- 12/31/2021 Page 171 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2021 Natassja B. SpringerX❑IND Dispatcher 10.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 LOTH Received through inte San Rafael Police Ass diary: Clarion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCiC. 07/15/2021 Lynette Starnes RIND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediaay: San Rafael, CA 94901 LOTH San Rafael Police Ass Lation • ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Lynette Starnes ElIND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 LOTH Received through inte San Rafael Police Ass mediary: Ciatlon ❑ PTY Fif Lh Avenue San Rafael, CA 94901 San ❑ SCC 08/13/2021 Lynette Starnes E] IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte ed4ary: San Rafael, CA 94901 LOTH San Rafael Police Ass ciation 1520 Fifth Avenue PTY San Rafael, CA 94901 ❑ SCC ynette Starnes RIND Community Service Orricer 10.40 297,15 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through ince 7wdiary, San Rafael, CA 94901 LOTH San Rafael Police Ass cidtien. ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 52.001 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafaal Pnlice Association Political Action Committee Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period from 07/01/2021 through 12/31/2021 page 172 of 194 I.D. NUMBER 831553 *Contributor Codes IND—Individual 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 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR! CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO ENTER I D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/202.1 Lynette Starnes x❑IND Community Service officer 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass alation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC. 09/30/2021 Lynette Starnes x❑IND Community Service Officer 10.40 257.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte Uediary: San Rafael, CA 94901 ❑OTH san Rafael Police Ass eiation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Lynette Starnes RIND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through int. mad[ary: San Rafael, CA 94901 ❑OTH San Rafael Police As CiatiM F] PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC, 10/311.2021 Lynette Starnes El IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM Received through inte Icud[ary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC i .. Lynette Starnes X❑IND Community Service Officer lu.vu 267.1 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 52.00 *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (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 07/01/2021 through 12/31/2021 Page 173 of 194 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 RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 91 IND OF BUSINESS) 11/30/2421 Lynette Starnes Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte ?diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ci'atiOR PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 12/15/2021 Lynette Starnes RIND ICommunity Service Officer 10.40 267.10 'C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte lnedla;y: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciatinn ❑ PTY 152 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Lynette Starnes El IND Community Service Officer 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte "diary' San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 07/15/2021 Remington Stobo ❑ IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through inte nediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iazion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ scc 77/31/2021 Remington St❑ ❑ IND Police Officer i-5.JU 341. ❑ C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM Received through inte edlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass clation PTY Fifth ACA El Sano Rafael, 94901 ❑ SCC SUBTOTAL$ 57.80 *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: 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 07/01/2021 O' page 174 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATIONEMPLOYER RECEIVEDHIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/13/2021 Remington StoboX❑IND Police Officer !3.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte ndisry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Remington Stobo BIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass tiation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Remington Stobo X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue Received through inte medlary! San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 FifLh Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Remington Stobo MIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cletion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 10/15/2.021 Remington Stobo X❑IND Police Otlicer 13.30 A 1.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte mediery: San Rafael, CA 94901 ❑OTH San Rafael Police Ass tiation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULE A Page 175 of 194 I.D. NUMBER 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2921 Remington Stobo X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass diaSy: La tion PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 11/15/2021 Remington Stobo El IND Police Officer 1 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue Received through inte madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Remington Stobo IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte modiary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑.SCC, 12/15/2021 Remington Stobo RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inte San Rafael Police Ass 91i0ry: ciation 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 ❑ SCC 1 Remington Stobo X❑IND Police Officer 1.3. 0 341.70 C/o: San Rafael Police Association 1520 FifthCity Of San Rafael Avenue ❑COM Received through inte diory: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY Fifth Avenue El San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND -individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I 1 from 07/01/2021 • through 12/31/2021 page 176 of 194 NAME OF FILER I.D. NUMBER San Rafael Polic< tion Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 47/15/2021 Charly Taylor x❑IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mediary: Sari Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 07/31/2021 Charly Taylor El IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation El PTY 152.0 Fifth Avenue San Rafael, CA 94901 D SCC, 08/13/2021 Charly Taylor F91 IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY Fif Lh Avenue San Rafael, CA 94901 San ❑ SCC. 08/31/2021 Charly Taylor E] IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth❑COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 05J15/2021 Charly Tay or X❑IND Civilian Supervisor 1040 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inty ro4pirry: San Rafael, CA 94901 DOTH San Rafael Police h" Ciation ❑ PTY Fifth Avenue San Rafael, CA 94901 San El SCC SUBTOTAL$ 52.00 l "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.neffile.com 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 07/01/2021 • through 12/31/2021 Page 177 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE I.D. (E COMMITTEE, ALSOENTER N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2021 Charly Taylorx❑IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 D SCC 10/15/2021 Charly Taylor RIND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/31/2021 Charly Taylor ©IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Received through inte mediary; San Rafael, CA 94901 DOTH san Rafael Police Ass ciation D PTY1520 Fifth Avenue San Rafael, CA 94901 ❑SCC 11/15/2021 Charly Taylor El IND Civilian Supervisor 10.40 267.10 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 DOTH san Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 Cl SCC -71130/2021 Charly Taylor [91 IND Civilian Supervisor lu.yu 261.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 DOTH SanRafael Police Ass ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 52.00 "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTEROCCUPATION RECEIVED(IF COMMITTEE, ALSO ENTER LD.NUMBER) CODE * AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/15/21021 Charly Taylor MIND Civilian Supervisor C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/31/2021 Charly Taylor MIND Civilian Supervisor C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/15/2021 Jessica Trujillo X❑IND Officer C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 07/31/2021 Jessica Trujillo MIND Officer C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 1 Jessica Trujillo X❑IND Officer C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SCHEDULE A (CONT) Statement covers period CALIFORNIA from 07/01/2021 FORM through 12/31/2021 Page 178 of 194 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED; 10.40 267.10 Received through intelmediary: Ass ciation San Rafael Police 1520 Fifth Avenue San Rafael, CA 94901 Received through into mediary San Rafael Police As ciation 1520 Fifth Avenue San Rafael, CA 94901 13.30 Received through ince mediary: San Rafael Police Ass ciation 1520 Fif Lh Avenue San Rafael, CA 94901 13.30 Received through inte mediary: San Rafael Police Ass ciation 1520Fifth Avenue San Rafael, CA 94901 Received through into iary: San Rafael Police Ap9 cinLion 1520 Fifth Avenue San Rafael, CA 94901 SUBTOTAL$ 60.70 1 341.70 341.70 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 07/01/2021 • Page 179 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committ— 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * FSELLF-EMP SELF-EMPLOYED, ENTER NAME IOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31.12021 Jessica Trujillo RIND Officer i."3..5U 311.70 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cla ion El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Jessica Trujillo E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 152OFifth Avenue San Rafael, CA 94901 ❑ SCC 09/30/2021 Jessica Trujillo E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte medidry: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Jessica Trujillo E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 -70/31/2021 Jessica Trujillo X❑IND Officer 13.3 4 1.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through ince m�diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ciation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC *Contributor Codes IND–Individual COM– Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC–Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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. E � from 07/01/2021 FORM through 12/31/2021 page 180 of 194 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 TO DATE DATE (IF COMMITTEE, ALSO ENTER ID. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2021 Jessica Trujillo X❑IND Officer 13.30 341.74 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte @ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass clation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Jessica Trujillo x❑IND Officer 13.30 34.1.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass cia[i On ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Jessica Trujillo x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince wedi6VYZ San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY 1520 Fif Lh Avenue San Rafael, CA 94901 ❑ SCC 12/31/2021 Jessica Trujillo E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte SAC}: San Rafael, CA 94901 ❑OTH San Rafael Police Ass iation PTY Fifth Avenue El San Rafael, CA 94901 an ❑ SCC ' --67/15/2021 Sas is Van Huuren X❑IND Communications Dispatcher 10.40 (J C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through ince mediavy: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciat ion PTY Fifth Avenue El San Rafael, CA 99901 San ❑ SCC *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 63.60 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 07/01/2021 O' through 12/31/2021 page 181 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ZI NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE 7DATEFULL RE (ECOMMITTEE, ALSAND .D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS)07/3Saskia Van Buuren X❑IND Communications Dispatcher 1u.4u 225.50 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through ince San Rafael Police Ass adiacyt ciatlois ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 06/13/2421 Saskia Van Buuren R] IND ICommunications Dispatcher 10.40 225.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass .cation ❑ PTY 1520 Fifth Avenve San Rafael, CA 94901 ❑ SCC 08/31/2021 Saskia Van Buuren X❑IND Communications Dispatcher 10.40 225.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince modiary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Saskia Van Buuren x❑IND Communications Dispatcher 10.40 225.50 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte medlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 El SCC 0 1 Sas lvan Buuren d MIND Dispatcher lu.vu C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael City Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Assiciation nrd'_ary: 152oFifth Avenue ❑ PTY San Rafael, CA 94901 SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 52.00 ' 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 1 from 07/01/2021 • through 12/31/2021 Page 182 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) X❑IND OF BUSINESS) i4I15 2021 Saskia Van Buuren Communications Dispatcher 10.40 225.50 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Association PTY 1520 Fifth Avenue E] San Rafael, CA 94901 ❑ SCC 14/31/2021 Saskia Van Buuren El IND Communications Dispatcher 1().4(1 225.50 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 152_0 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Lorena Vega x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑ SCC 07/31/2021 Lorena Vega X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass. ciation PTY 1520 Fifth Avenue San Rafael, CA 94901 E] SCC 1 Lorena Vega QIND Police Officer i3.3 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 60.70 *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. A r from 07/01/2021 through 12/31/2021 Page 183 of 194 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 CUMULATIVETO DATE PER ELECTION TO DATE DATE (IFCOMMITEE.ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 00/31/2021 Lorena Vega '.❑{IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte .mediery: San Rafael, CA 94901 DOTH San Rafael Police Assliclation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 09/15/2021 Lorena Vega RIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM ^ity Of San Rafael Avenue Received through ine P*dlarye San Rafael, CA 94901 DOTH San Rafael Police Asts Ciation El PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC _ 09/30/2021 Lorena Vega ©IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass ci.at Ion PTY 1520 Fifth Avenue San Rafael, CA 94901 El SCC 10/15/2021 Lorena Vega XIND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue [:]COM Received through ince dilry= San Rafael, CA 94901 DOTH San Rafael Police Ass einti.n PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑SCC lOY3112021 Lorena Vega X❑IND Police Officer 1s. -1u 1.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM Received through inte madiary: San Rafael, CA 94901 DOTH San Rafael Police Ass iation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC SUBTOTAL$ 66.50 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com FPPC 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 e R A to whole dollars. I � ' from 07/01/2021 FORM Page 184 of 194 through 12/31/2021 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE ALSAND IT I D. NUMBER) (1F COMMITTEE, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2021 Lorena Vega x❑IND lPolice Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Lorena Vega 91 IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 12/15/2021 Lorena Vega 2] IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ .S. CC 12/31/2021 Lorena Vega x❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM city Of San Rafael Avenue Received through ince mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ SCC 77/1512021 Mark Wilkinson E] IND Otticer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation PTY 1520 Ffth Avenue El San Raiael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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 CALIFORNIA to whole dollars. 1 60 from 07/01/2021 • " through 12/31/2021 Page 185 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 07/31/2021 Mark Wilkinson X❑IND Officer 13.30 343. C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through into diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass elation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Mark Wilkinson El IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue Received through into diary: San Rafael, CA 94901 0OTH San Rafael Police Ass Ciat3an ❑ PTY 1 52 0Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/31/2021 Mark Wilkinson ©IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince mrdlary: San Rafael, CA 94901 ❑OTH San Rafael Police Association ❑ PTY Fifth Avenue San Rafael, CA 94901 San ❑ SCC 09/15/2021 Mark Wilkinson E] IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 DOTH San Rafael Police Ass iation PTY 1520 Fifth Avenue El San Rafael, CA 94901 ❑ scc 0 1 Mark Wilkinson RIND Officer ls.su . C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM Received through into ediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass tiation PTY 1520 Fifth Avenue ❑ San Rafael, CA 99901 ❑ SCC SUBTOTAL$ 66.50 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC 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. 1 � 01 from 07/01/2021 FORM through 12/31/2021 page 186 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO . OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME -PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) I 10/15/2027 Mark Wilkinson X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El City of San Rafael Avenue Received through inte med�Lary: San Rafael, CA 94901 DOTH San Rafael Police Association ❑ PTY 1520 Fifth Avenue San Rafael, CA 99901 ❑ SCC 10/31/2021 Mark WilkinsonX❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte medi pry: San Rafael, CA 94901 DOTH San Rafael Police Ass lOLion ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 SCC 11/15/2021 Mark Wilkinsonx❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth D COM City of San Rafael Avenue Receivedthrough inte diary: San Rafael, CA 94901 DOTH San Rafael Police Ass iation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 11/30/2021 Mark Wilkinson x❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑CDM City of San Rafael Avenue Received through ince adiary: San Rafael, CA 94901 DOTH San Rafael Police Association PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC. 12/15/2021 Mark MIND UtYlcer 13..iU 341.70 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue El COM Received through ince mediary: San Rafael, CA 94901 DOTH San Rafael Police Ass C$d Lien PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 66.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC 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 07/01/2021 FORM through 12/31/2021 Page 187 of 194 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 RECEIVEDTHISHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TO RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * O (IF SELLFEMP OENTER RNAAMER (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 12/31/2021 Mark Wilkinson — X❑IND Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue Received through inte dlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass _lation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/15/2021 Ethan Wolgamott X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM ^ity Of San Rafael Avenue Received through inte mediary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass CiAti On El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 07/31/2021 Ethan Wolgamott X IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through inte madlary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation El PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 08/13/2021 Ethan Wolgamott X❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue E] COM Received through inte medlary San Rafael, CA 94901 ❑OTH San Rafael Police Ass Iation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 08131/2021 Ethan Wolgamott X❑IND Police Officer i.s.-Ju 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Cistion PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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 07/01/2021 through 12/31/2021Page 188 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF DDRESS CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (EET ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 69/15/2021 Ethan WolgamottX❑IND Police Officer 13.30 341.76 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue Received through inte dSaryI San Rafael, CA 94901 DOTH San Rafael Police Ass lation PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC 09/30/2021 Ethan Wolgamott X❑IND Police Officer 13.36 341.70 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue Received through inte medisry: San Rafael, CA 94901 DOTH San Rafael Police Ass Ciatloa ❑ PTY ]520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 10/15/2021 Ethan WolgamottX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue Received through incenediary: San Rafael, CA 94901 DOTH San Rafael Police Ass Sation PTY Fifth Avenue ❑ San Rafael, CA 94901 San ❑ SCC 14/31/2021 Ethan Wolgamott OX IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 DOTH Received through inteiary: San Rafael Police Ass Ciaclan PTY 1520 Fifth Avenue ❑ San Rafael, CA 94901 ❑ SCC —11/1512021 Ethan Wolgamott x❑IND Police Otticer i3.30 341.70 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue [j COM Received through inte vm6lory: San Rafael, CA 94901 DOTH San Rafael Police Ass iation ❑Fifth PTY San ORafael , ACAs 94901 ❑ SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 66.50 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. J from 07/01/2021 through 12/31/2021 page 189 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE 7DATEFULL RE (IF COMMITTEE, ALSO ENTERID.NUMBER)CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) Ethan Wolgamott El IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue Received through ince diary: San Rafael, CA 94901 ❑OTH San Rafael Police Ass Ctation ❑ PTY 1520 Fifth Avenue San Rafael, CA 94901 ❑ SCC 12115/2021 21 Ethan Wolgamott X❑IND Police Officer 1:3.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael -ary; Avenue Received through inte San Rafael, CA 94901 ❑OTH San Rafael Police Ass ciation ❑ PTY 1570 ifth Avenue San RaFfael, CA 94901 ❑ SCC 12/31/2021 Ethan WolgamottX❑IND Police Officer 13.30 341.70 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑OTH Received through inte San Rafael Police Ass diary: alatioa ❑ PTM 1520 FiLh Avenue San Rafaf el, CA 94901 ❑ SCC. ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC []IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 39.90 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.neffile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 07/01/202 through 12/31/2021 I Page 190 of 194 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 831553 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Donor Stack, LLC 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 CODE OR DESCRIPTION OF PAYMENT PRO AMOUNT PAID 52.55 197.50 179.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 429.05 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 567.55 2. Unitemized payments made perun this iod of der $100........................................................................ :.......................:.........,................ 0.20 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............ .......... :...... TOTAL $ www.netfile.com 0.00 567.75 FPPC Form 460 (Jan/2076) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from 07/01/2021 through 12/31/2021 Page 191 of 194 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) q _ swans k Cmmnanv * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 138.50 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfile.com www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 SCHEDULEF Page 192 of 194 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NfrG 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) OR (a) (b) (c) (d) CODE NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNTINCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD S.E. Owens & Company PRO 146.50 0.00 0.00 146.50 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company IPRO 375.00 0.001 0.00 375.00 312 Clay Street, Suite 300 11 Oakland, CA 94607 S.E. Owens & Company PRO 197.50 0.00 197.50 0.00 312 Clay Street, Suite 300 Oakland, CA 94607 " Payments that are contributions or independent expenditures must also be SUBTOTALS $ 719.00$ 0.00$ 197.50$ 521.50 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 $ 2,392.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100. .. PAID TOTALS $ 197.50 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$ 2, 194.50 May be a negative number www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Amounts towholybllars. ed Statement covers period to whole dollars. Accrued Expenses (Unpaid Bills) from 07/01/2021 through 12/31/2021 NAME OF FILER San Rafael Police Association Political Action Committee SCHEDULE F (CONT.) Page 193 of 194 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS$ 0.00$ 2,392.00$ 0.00$ 2,392.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov www.netfile.com (TAA ( (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSNDING AMOUNTIN CURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD PRO 0.00 (ALSO REPORT ON E) OF THIS PERIOD S.E. Owens & Company 1,095.50 0.00 1,095.50 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 0.00 558.50 0.00 558.50 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 0.00 285.50 0.00 285.50 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 0.00 452.50 0.00 452.50 312 Clay Street, Suite 300 Oakland, CA 94607 SUBTOTALS$ 0.00$ 2,392.00$ 0.00$ 2,392.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule I Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED I (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Statement covers period from 07/01/2021 through 12/31/2021 DESCRIPTION OF RECEIPT SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period......................................................................................................... 0.00 2. Unitemized increases to cash of under $100 this period............................................................................ . $ 7.89 3. Total of all interest received this period on loans made to others. Schedule H, Column (e).) ................... .. $ o.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ — 7.89 www.netfile.com Page 194 of 194 I.D. NUMBER 831553 AMOUNT OF INCREASE TO CASH 0.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov