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HomeMy WebLinkAboutForm 460 - Police Association PAC (2022-12-31) Semi-AnnualRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2022
through 12/31/2022
1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑R General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee InformationI 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)
COVER PAGE
Date of election if ap �i ! JAN 3 Q 2023 ff, 1 192
(Month, Day, Ye rr �s age of
For Official Use Only
CI CLERK'S OFFICE
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑x Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Cynthia Morgan
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 (
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
San Rafael CA 94901 ( Stacy E. Owens
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94915-1557
OPTIONAL: FAX / E-MAIL ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Oakland CA 94607 (
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 01/19/2023
u.,l„
Executed on 01/19/2023
Date
Executed on
Date
Executed on
Date
By
By
attached schedules is true and complete. I certify
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr r. -
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 ID 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
COVER PAGE - PART 2
Page 2 of 192
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOTNO.ORLETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnne em nnv
Campaign Disclosure Statement SUMMARY PAGE
Amounts may be rounded Statement covers period • -
Summary Page to whole dollars.
from 07/01/2022 •
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
through 12/31/2022 Page 3 of 192
I.D. NUMBER
831553
Expenditures Made
Column A
6. Payments Made .......................................................
Column B
Calendar Year Summary for Candidates
Contributions Received
7. Loans Made ................................... ...:....... :....... :.......
TOTALTHISPERIOD
CALENDARYEAR
8. SUBTOTALCASH PAYMENTS ....... .............................
Add Lines 6 + 7
$
2,114.62
9. Accrued Expenses (Unpaid Bills
.... Schedule F, Line 3
Running in Both the State Primary and
416.50
10. Nonmonetary Adjustment ..........................................
(FROM ATTACHED SCHEDULES)
TOTALTO DATE
11. TOTAL EXPENDITURES MADE .......................... ..Add
Lines 8 + s + 10
$
2,531.12
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3
$
12, 777.70
$
24,S61.50
1l1 through 6/30 7!1 to Date
2. Loans Received......................................................
Schedules, Line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS ...................'.
... . Add Lines 1 +2
$
12, 777.70
$
24,561.50
20. Contributions
Received $ $
4. Nonmonetary Contributions ....................................
schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ..........
............... Add Lines 3+4
$
12,777.70
$
24,561.50
Made $ $
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4
$
2,114.62
7. Loans Made ................................... ...:....... :....... :.......
Schedule H, Line 3
0.00
8. SUBTOTALCASH PAYMENTS ....... .............................
Add Lines 6 + 7
$
2,114.62
9. Accrued Expenses (Unpaid Bills
.... Schedule F, Line 3
416.50
10. Nonmonetary Adjustment ..........................................
schedule C, Line
0.00
11. TOTAL EXPENDITURES MADE .......................... ..Add
Lines 8 + s + 10
$
2,531.12
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 170,083.98_
13. Cash Receipts ................................................... Column A, Line 3 above 12,777.70
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 8.66
15. Cash Payments .................................................. column A, Line 8 above 2,114.62
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 180,755.72
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED Schedule s, Part 2 $ _ 0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line s in Column a above $
0.00
416.50
$ 10,265.33
0.00
$ 10,265.33
416.50
0.00
$ 10,681.83
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
IJ $
I $.
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr r. n-
Schedule A Amounts may be rounded
Monetary Contributions Received to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
.Can Rafael Pnlir A.—rriatinn Pnlitiral Art -inn C'nmmittaa
SCHEDULE A
Statement covers period
from 07/01/2022
through 12/31/2022 Page 4 of 192
I.D. NUMBER
831553
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)..........................................................................
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......
$ 12,597.50
$ 180.20
................. TOTAL $ 12,777.70
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr ra nnv
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 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)
MIND
OF BUSINESS)
07/15/2022
Elisha Adams
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
Received through ince
iation:
San Rafael, CA 94901
❑OTH
San Rafael Police Asa
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/31/2022
Elisha Adams
MIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
❑OTH
Received through ince
ainty:
San Rafael, CA 94901
San Rafael Police Assaaiation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/15/2022
Elisha Adams
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
ediory:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iat-tori
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/31/2022
Elisha Adams
MIND
officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ation;
lation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Elisha Adams
©IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[3ComCity
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[]SCC
SUBTOTAL$ 72.50
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)..........................................................................
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......
$ 12,597.50
$ 180.20
................. TOTAL $ 12,777.70
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period I
CALIFORNIA
to whole dollars.
� �
from 07/01/2022
'
through 12/31/2022
Page 5 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
I
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO 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)
09/30/2022
Elisha Adams
XDIND
Officer
14.80
335.74
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
MAiaryi
San Rafael, CA 94901
DOTH
San Rafael Police AssliciatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .S. CCi
10 15/2022
Elisha Adams
x❑IND
Officer
14.80
335.70
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
10/31/2022
Elisha Adams
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Elisha Adams
X❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
iaxy:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Eiisha Adams
1IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
DOTH
Received through intem
San Rafael Police Ass
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
- fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
■ _
NIA
CALIF'
to whole dollars.
from 07/01/2022
■ '
Page 6 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEEALSO ENTER I. D -NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Elisha Adams
X❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through inte
Bdiary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Elisha Adams
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
Ass
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael. CA 94901
07/15/2022
Alison Ager
x❑IND
Police Officer
13.30
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
E] SCC
07/31/2022
Alison Ager
]IND
Police Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
U8 15 202
Alison Ager
MIND
Police urricer
14.8U
335.70
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
aiaxy:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCiCi
SUBTOTAL$ 72.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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnne r2 nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
•.
to whole dollars.
I ,
from 07/01/2022
• '
through 12/31/2022
page 7 of 192
NAME OF FILER
LD NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
08/31/2022
Alison Ager
x❑IND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Alison Ager
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/30/2022
Alison Ager
x❑IND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10/15/2022
Alison Ager
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
Of San Rafael
Avenue
❑COMCity
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/3112022
Alison Ager
RIND
Police Officer
14.80
335./0
C/o: San Rafael Police Association 1520 Fifth
Of San Rafael
Avenue
[]COMCity
Received through incemediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
ElSCC
SUBTOTAL $ 74.00
*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)
� fnne rm nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement coven; period
•.
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
page 8 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2022
Alison Ager
RIND
Police Officer
14.801
335.70
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 Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.C.
11/30/2022
Alison Ager
x❑IND
Police Officer
14.80
335.70
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
12/15/2022
Alison Agerx❑IND
Police Officer
14.80
335.70
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
12/31/2022
Alison Ager
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
E-] 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
07 15 2022
Raul Aguilar
X❑IND
Sergeant
13.30
335.70
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iat-ion
El PTY
1520 Fifth Avenue
San Wael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
_n , fonr r nn%f
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
•. ,
to whole dollars.
■ '
from 07/01/2022
• '
through. 12/31/2022
Page 9 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ,D. NUMBER)
IT
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Raul Aguilar
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
Received through i
iary:
San Rafael, CA 94901
E]OTH
San Rafael Police Association
Ass
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Raul Aguilar
RIND
Sergeant
14.80
335.70
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
El SCC
08./3112022
Raul Aguilar
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
iary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
Ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Raul Aguilar
x❑IND
Sergeant
14.80
335.70
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
PITY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09 30 2022
Raul Aguilar
MIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCLC
SUBTOTAL$ 74.00
"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)
w f- '� .nv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• . NIA
CALIFJ
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
Page 10 of 192
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
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Raul Aguilar
RIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
diary:
San Rafael, CA 94901
E]OTH
San Rafael Police Assimintion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Raul Aguilar
RIND
Sergeant
14.80
335.70
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
ciaiicn
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
11/15/2022
Raul Aguilar
RIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ince
rdiary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssoCiatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Raul Aguilar
RIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Asa
adiaryy.
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael. CA 949D1
❑ SCC
12/15/2022
Raul Aguilar
RIND
ergeant
14.60
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
wediary.
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
w fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period I
CALIF■ _
to whole dollars.
1 �
from 07/01/2022
■ '
through 12/31/2022
Page 11 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Raul Aguilar
]IND
Sergeant
14.80
335.70
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 Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Leslie Ahlenslager
RIND
Police Officer
13.30
293.40
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
clat ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/31/2022
Leslie Ahlenslager
RIND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
nte
Receivedthrough intermediary-
diary;
San Rafael, CA 94901
San
❑OTH
San Rafael Police Ass
iatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Leslie Ahlenslager
x❑IND
Police Officer
14.80
293.40
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
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Leslie Ahiensiager
RIND
Police urricer
14.80
293.40
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$ 72.50
'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)
- fnnr en nn"
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2022
FORM
through 12/31/2022
Page 12 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC 31)�
(IF REQUIRED)
OF BUSINESS)
09/3.5/2D22
Leslie Ahlenslager
x❑IND
Police Officer
14.80
293.40
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
dation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Leslie Ahlenslager
xDIND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
tarn:
San Rafael, CA 94901
DOTH
Ass
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
10/15/2022
Leslie Ahlenslager
BIND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
dtury : .
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Leslie Ahlenslager
RIND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through intermediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 15 D 2
LeslieAnlenslager
MINDPoiice
Officer
14.80
293.4
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
Cdiaryl
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
Ci
❑ SCC
SUBTOTAL$ 74.00
"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)
w fnnr r2 nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•. ,
to whole dollars.
from 07/01/2022
• '
through 12/31/2022
Page 13 of 192
NAME OF FILER
I.D- NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
1/0/2022
Leslie Ahlenslager
X❑IND
Police Officer
14.80
2'1'- r
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
tarn:
San Rafael, CA 94901
ElOTH
Ass
San Rafael Police Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Leslie Ahlenslager
x❑IND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/31/2022
Leslie Ahlenslager
x❑IND
Police Officer
14.80
293.40
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
James Bellamy
x❑IND
Corporal
13.30
276.50
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
E] OTH
Received through ince
San Rafael Police Ass
ation-
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31/2022
James Bellamy
X❑IND
Corporal
14.80
276.50
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
iary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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)
w fnnr ra -
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 07/01/2022
through 12/31/2022
SCHEDULEA (CONT)
Page 14 of 192
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nnv
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)
276.50
08115/2022
James Bellamy
x❑IND
Corporal
14.80
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
of San Rafael
Avenue
San Rafael, CA 94901
[1OTH
Received through inte
San Rafael Police Ass
iary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
x❑IND
08/31/2022
James Bellamy
Corporal
14.80
276.50
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ine
iary:
San Rafael, CA 94901
[1OTH
San Rafael Police Asts
iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
09/15/2022
James Bellamy
x❑IND
Corporal
14.80
276.50
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
diary:
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2022
James Bellamy
x❑IND
Corporal
14.80
276.50
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough ince
iary:
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
—2071-5/2022
James Bellamy
MIND
Corporal
14.80
276.50
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough "te
iary:
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
.
"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)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement coven; period
•.
to whole dollars.
J
from 07/01/2022
• '
through 12/31/2022
Page 15 of 192
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 CUMULATIVELENDTO DATE
PER ELECTION
DATE
DATE
(IF COMMITEE,ALSO ENTER I D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10./31/2022
James Bellamy
x❑IND
Corporal
14.80
276.50
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
7mdlaryi
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Zachary Brickell
RIND
Officer
13.30
335.70
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 Assliciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/31/2022
Zachary Brickell
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCCi
08/15/2022
Zachary Brickell
FK] IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough inte
San Rafael Police Ass
diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/31/2022
Zachary Brickell
X❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Iation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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)
w fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
1 '
from 07/01/2022
• '
through 12/31/2022
Page 16 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Zachary Brickell
]IND
Officer
14.80
335.70
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
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Zachary Brickell
]IND
Officer
14.80
335.70
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
E] SCC
San Rafael, CA 94901
10/15/2022
Zachary Brickell
x❑IND
Officer
14.80
335.70
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 Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Zachary Brickell
x❑IND
Officer
14.80
335.70
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 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 15 2 02 2
Zachary Brickell
RIND
Otricer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ration
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 74.00
'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)
w fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1 �
from 07/01/2022
• '
through 12/31/2022
Page 17 of 192
NAME OF FILER
I -D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A DEO
RE,ALSAENTER
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
1130/2022
Zachary Brickell
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
t
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
1271512022
Zachary Brickell
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
❑OTH
Ass
San Rafael Police Association
ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
12/31/2022
Zachary Brickell
x❑IND
Officer
14.80
335.70
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 Assiclation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Scott Brooks
RIND
Police Corporal
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Receivedthrough inte
diary;
San Rafael, CA 94901
❑OTH
San Rafael Police Assibuiation
El PTY
152D Fifth Avenue
San Rafael, CA 94901
❑ SCC
07F3-1/2022'
Scott Brooks
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
SUBTOTAL$ 72.50
*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)
wane fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
1 � '
from 07/01/2022
• '
through 12/31/2022
Page 18 Of 192
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
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMIT -D,
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2022
Scott Brooks-
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Receivedthrough inte
i*zY-
San Rafael, CA 94901
❑OTH
San Rafael Police AssiciatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Scott BrooksX❑IND
Police Corporal
14.80
335.70
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
09/15/2022
Scott Brooks
RIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
Received through ince
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cationon
iati:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Scott Brooks
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
-ediary;
San Rafael, CA 94901
❑OTH
San Rafael Police Assi,ciarion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
10715/2022
Scott Brooks
x❑IND
Police Corporal
14.80
335.70
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
4iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SUBTOTAL$ 74.00
*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)
— fnne rn nnv
Schedule A (Continuation Sheet)
Monetary Contributions Received
SCHEDULE A (CONT.)
Amounts may be rounded Statement covers period d
- IU WI WIC UUII410.
A • ,
# `
from 07/01/2022
through 12/31/2022
Page 19 of 192
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
(E 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)
10/31/2022
Scott BrooksRIND
Police Corporal
14.80
335.70
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
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Scott Brooks
x❑IND
Police Corporal
14.80
335.70
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
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Scott Brooks
x❑IND
Police Corporal 1
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
medxary;
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
intion
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Scott Brooks
RIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Receivedthrough ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 31 2022
Scott Brooks
RIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
tiiary:
ciatiun
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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 (8661275-3772)
- fnnr r2 nnm
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
�.
'
from 07/01/2022
'
through 12/31/2022
page 20of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,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)
07/15/2022
Joseph Camins
LBJ IND
Officer
13.30
33.5.70
C/o: San Rafael Police Association 1520 Fifth
C COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Association
diary:
❑ PTY
1520 Fifth Avenue
L] SCC
San Rafael, CA 94901
07/31/2022
Joseph Camins
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ine
nediary:
San Rafael, CA 94901
DOTH
San Rafael Police Asts
iation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/3.5/2022
Joseph Camins
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Sari Rafael, CA 94901
DOTH
Received through ince
San Rafael Police Ass
ediary:
Cidtfon
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/31/2022
Joseph Camins
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
DCOM
Received through inte
, ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
D PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Josepri gamins
RIND
Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:]COM
Received through ante
?diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ci at fon
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnne rn new
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period I
CALIFORNIA
to whole dollars.
I � '
from 07/01/2022
'
through 12/31/2022
Page 21 of 192
NAME OF FILER
I -D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D. NUMBER)
CODE z
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN- 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/33/2022
Joseph Camins
]IND
Officer
14.80
335.70
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
10/15/2022
Joseph Camins
x❑IND
Officer
14.80
335.70
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
10/31/2022
Joseph Camins
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Receivedthrough intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Joseph Camins
MIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
aosepn camins
x❑IND
tticeY
14.80
335.70
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 Aas
diary:
ciation
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
SUBTOTAL$ 74.00 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wane f- r� n^"
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement coven; period
�.
to whole dollars.
■ '
from 07/01/2022
'
through 12/31/2022
page 22 of 192
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
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITEE,ALSO ENTER I.D.NUMBER) CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Joseph Camins
]IND
Officer
14.80
335.70
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
aryo
elation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Joseph Caminsx❑IND
Officer
14.80
335.70
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 ASS00iRriQn.
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
07/15/2022
Marissa Carney
x❑IND
Call Taker & Records
10.40
150.40
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Receivedthrough inte
'diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07/31/2022
Marissa Carney
x❑IND
Call Taker & Records
11.00
150.40
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Receivedthrough inte
iary:
San Rafael, CA 94901
❑OTH
son Rafael Police Ass
Oiatipn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08715/2022
Marissa Carney
X❑IND
Cail Taxer & xecoras
11.00
150.40
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
[]COM
City Of San Rafael
Received through rote
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police nes
iaticn
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 62.00
'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)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
whole dollars.
1 6
'to
from 07/01/2022
• "
through 12/31/2022
Page 23 of 192
NAME OF FILER
I. D_ NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EETA IT I.D. NUMBER)
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Marissa Carney
x❑IND
Call Taker & Records
11.00
150.40
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
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Marissa Carney
RIND
Call Taker & Records
11.00
150.40
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
iativn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
09/30/2022
Marissa Carney
x❑IND
Call Taker & Records
11.00
150.40
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 AssoCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Marissa Carney
x❑IND
Call Taker & Records
11.00
150.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police AssmCiation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10/31/2022
Marissa Carney
BIND
Call Taker & Recor s
11.00
150.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through incerdiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Aasation
1520 Fifth Avenue
❑PTY
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
'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)
- fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period•
. ,
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
page 24 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE, ALSO ENTER I. D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2022
Marissa Carney
]IND
Call Taker & Records
11.00
150.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Trevor Carney
x❑IND
Corporal
13.30
335.70
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
iary:
CiatiOn
D PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/31/2022
Trevor Carney
FK] IND
Corporal
14.80
335.70
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 Association
ediary:
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
0815/2022
Trevor Carney
RIND
Corporal
14.80
335.70
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
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Trevor Carney
1IND
Corporal
14.80
335.7D
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑COM
DOTH
Received through ince
San Rafael Police Ass
ediary:
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 68.70
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1 � '
from 07/01/2022
• '
through 12/31/2022
Page 25 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Trevor Carney
X❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ince
San Rafael, CA 94901
ElOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Trevor Carney
X❑IND
Corporal
14.80
3.35.'70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10/15/2022
Trevor Carney
x❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Trevor Carney
x❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Trevor Carney
x❑IND
Corporal
14.80
335.7
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 Aa
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
- fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement coven; period
_
to whole dollars.
,I '
from 07/01/2022
■ '
through 12/31/2022
Page 26 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2M
Trevor Carney
MIND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
mhdiary2
San Rafael, CA 94901
❑OTH
San Rafael Police ASSjCi&tion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Trevor Carney
MIND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 -Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
sdiaryc
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
12/31/2022
Trevor Carney
MIND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
nsd4axy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
0715/2022
Jack Carpenter
X❑IND
Officer
13.30
202.50
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough ince
adiary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssiCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
67/31/2022
Jack Carpenter
x❑IND
officer
14.80
202.50
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[]COMCity
Received through int e
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnnr r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
to whole dollars.
f
from 07/01/2022
F
through 12/31/2022
27 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, 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)
08/15/2022
Jack Carpenter
x❑IND
Officer
14.80
202.50
C/O: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
inediaryi
San Rafael, CA 94901
DOTH
San Rafael Police Assirciation
PTY
1520 Fifth Avenue
❑
San Rafael. CA 94901
❑ SCC
07,31/2022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Receivedthrough ince
m diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
08/15/2022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through ince
ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2-022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through ince
ediary;
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
El COM
DOTH
Received through ince
San RafaelPolice Ass
diaYy:
Iiation
PTY
1520 Fifth Avenue
San Rafael, CA 949D1
❑ SCc
SUBTOTAL$ 58.80
*Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
�.
to whole dollars.
from 07/01/2022
through 12/31/2022
Page 28 of 192
NAME OF FILER
LD NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A DEO
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(EET
IT .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2M
Melissa Castellucci
X❑IND
Communications Dispatcher
11.00
121.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through ince
diary:
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Melissa Castellucci
RIND
Communications Dispatcher
11.00
121.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
[1OTH
Received through inte
San Rafael Police Ass
is Xy:
Cf aEion
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
10/31/2022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough ince
San Rafael Police Ass
ary,
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
11/15/2022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/3D/2022
Melissa Castellucci
RIND
Communications Dispatcher
11.00
121,06
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
iary:
7
San Rafael, CA 94901
❑0TH
San Rafael Police Ass
ion
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 55.00
"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)
� fnne r. -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
`.
to whole dollars.
� �
from 07/01/2022
"
through 12/31/2022
page 29 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I, D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
11.00
12/15/2022
Melissa Castellucci
]IND
Communications Dispatcher
121.00
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
of San Rafael
Avenue
Received through ince
Mediaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Melissa Castellucci
x❑IND
Communications Dispatcher
11.00
121.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receithrough inte
San Rafael, CA 94901
❑OTH
San Raved
fael Police Ass
ciatioy:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/15/2022
Edward Chiu
RIND
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
nary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssglCiatiCn
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Edward Chiu
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
San Rafael, CA 94901
El
Received through ince
San Rafael Police Assiciatinn
Tmdi&rV7
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08 15 2022
EOwarO C:niu
X❑IND
Otticer
14.8U
335.70
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
diary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
EISCC
SUBTOTAL$ 64.90
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fn r rm nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
■ '
from 07/01/2022
' i
through 12/31/2022
Page 30 Of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT .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)
08/3112022
Edward ChiuRIND
Officer
14.80
335.70
C/O: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
Receivedthrough inte
ediary;
San Rafael, CA 94901
❑OTH
San Rafael Police AssiHliatibn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Edward ChiuX❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ince
m:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iationatfgn
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
09/30./2022
Edward Chiu
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Receivedthrough inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatibn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Edward Chiu
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough inte
9diary..
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatibn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Edward C Flu
DIND
utricer
14.80
335.70
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
cation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 74.00
"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)
m u fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
4601 � '
from 07/01/2022
• '
through 12/31/2022
Page 31 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE '*
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
11/15/2022
Edward ChiuRIND
Officer
14.80
335.70
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
11/30/2022
Edward Chiu
91 IND
Officer
14.80
335.70
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
❑ SCCi
12/15/2022
Edward Chiu
x❑IND
Officer
14.80
335.70
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 Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Edward Chiu
FUND
Officer
14.80
335.70
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
Ll PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/1572022
Richard '. Clary
x❑IND
Police O Ticer
13.10
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
L:1 COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
El SCC
SUBTOTAL$ 72.50
*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)
- fnne rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
'
from 07/01/2022
�
through 12/31/2022
Page 32 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Richard F. Clary
X❑IND
Police Officer
14.80
335.70
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
eaiary:
ciat San
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Richard F. Clary
MIND
Police Officer
14.80
335.70
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
n
Satiotion
❑ PTY
1520 Fifth Avenue
El SCC
Police Officer
San Rafael, CA 94901
14.80
335.70
08/31/2022
Richard F. Clary
x❑IND
C/o: San Rafael Police Association 1520 Fifth
COM
City Of San Rafael
Avenue
S an Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
a
ciatiOntian
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
09/15/2022
Richard F. Clary
Z] IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
iary:
iaticn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09F30/2022
Richard F. Clary
RIND
Po ice Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through in[
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iat}op
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnnr r2 nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
� �
from 07/01/2022
• '
through 12/31/2022
Page 33 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
,
CODE * (IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Richard F. Clary
x❑IND
Police Officer
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Richard F. Clary
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inceis
ry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Richard F. Clary
RIND
Police Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Richard F. Clary
X1 IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Richard F. Clary
X❑IND
Police Officer
14.817
335.70
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
mdiall
iati0a
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w f- en nn"
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
�.
1'
from 07/01/2022
through 12/31/2022
Page 34 of 192
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
IF
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI.D.NUMBER)
CODE *
AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12./31/2022
Richard F. Clary
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COMCity
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
07/15/2022
Robert Cleland
x❑IND
Sergeant
13.30
335.70
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
Ci9tion
❑ PTY
152 0Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/31/2022
Robert Cleland
RIND
Sergeant
14.80
335.70
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
08/15/2022
Robert Cleland
X❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
di Rry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/3'1/2022
Robert Cleland
RIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
medi ary:
San Rafael, CA 94901
❑OTH
San Rafael Police las
cia t 10
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
w fnne- ra nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2022
i
'
through 12/31/2022
Page 35 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(ETITE,ALSO ENTERI.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Robert Cleland
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
El OTH
Received through inte
San Rafael Police AsSeCiation
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Robert Cleland
RIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
10/15/2022
Robert Cleland
BIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
miatiOn
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciat ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Robert Cleland
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough inte
medlary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11115/2022
Robert Cleland
x❑IND
Sergeant
14.80
5.7
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
1aYy:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
u fnnr — —
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
■ � '
from 07/01/2022
• '
through 12/3112022
page 36 of 192
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 CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMITTEE, ALSOAND
I.D.N *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2022
Robert Cleland
]IND
Sergeant
14.80
335.70
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 AssiMiation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Robert Cleland
x❑IND
Sergeant
14.80
335.70
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
ia[ian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12131/2022
Robert Cleland
x❑IND
Sergeant
14.80
335.70
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 Assiiciarion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Thomas Collins
x❑IND
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inteprediaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07131/2022
Thomas Collins
X❑IND
Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through ince
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciatidn
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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)
- fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFO_NI ,
to whole dollars.
460
from . 07/01/2022
FORM
through 12/31/2022
Page 37 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAENTER
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2022
Thomas Collins
]IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
D COM
City of San Rafael
Avenuefmdiaryl
Received through i
San Rafael, CA 94901
❑ OTH
Assnte San Rafael Police Ass
cianationon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Thomas Collins
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through iAss
tion
Sari Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/15/2022
Thomas Collins
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
D COM
City of San Rafael
Avenue
Received through iAss
San Rafael, CA 94901
❑ OTH
Association
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Thomas Collinsx❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
ediary-
San Rafael, CA 94901
DOTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
16/1_5/2M
Thomas Collins
x❑IND
Olticer
14.90
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
7M4iorp
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnnr ro nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
• .
NIA
CALIF/
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
Page 38 of 192
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
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT I.D_N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2022
Thomas Col ins
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
tarn:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Thomas Collins
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
Lary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
11/30/2022
Thomas Collins
a] IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
adtatnr
San Rafael, CA 94901
DOTH
San Rafael Police Assilciatinn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Thomas Collins
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[I]COM
Received through ince
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police AssiuiatlOh
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2G22
'i'nomas c,oilins
x❑IND
utt cer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through int
medinry:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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)
� fnne en nnv
Schedule A (Continuation Sheet) SCHEDULEA
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. a ■
from 07/01/2022 •
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE
07/15/2022 Ronda Cordero x❑IND
C/o: San Rafael Police Association 1520 Fifth ❑ COM
Avenue
San Rafael, CA 94901 []OTH
❑ PTY
❑ SCC
07/31/2022 Ronda Cordero X❑IND
C/o: San Rafael Police Association 1520 Fifth []COM
Avenue
San Rafael, CA 94901 ❑ OTH
❑ PTY
❑ SCC
08/15/2022 Ronda Cordero Ex IND
C/o: San Rafael Police Association 1520 Fifth n COM
Avenue
San Rafael, CA 94901 DOTH
❑ PTY
❑ SCC
08/31/2022 Ronda Cordero QIND
C/o: San Rafael Police Association 1520 Fifth [:]COM
Avenue
San Rafael, CA 94901 ❑ OTH
❑ PTY
❑ SCC
09/1572022 Ronda Cordero RIND
C/o: San Rafael Police Association 1520 Fifth [:]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
through 12/31/2022 Page 39 of 192
IF AN INDIVIDUAL, ENTER
AMOUNT
OCCUPATION AND EMPLOYER
RECEIVED THIS
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
OF BUSINESS)
831553
Sergeant
13.30
City of San Rafael
PER ELECTION
Received through ince
San Rafael Police Ass
(JAN 1
1520 Fifth Avenue
San Rafael, CA 94901
Sergeant
14.80
City of San Rafael
¢diary:
Received through inte
San Rafael Police Ass
iation
1520 Fifth Avenue
San Rafael, CA 94901
Sergeant
14.80
City of San Rafael
.diary:
Received through ince
San Rafael Police Ase
Lation
1520 Fifth Avenue
San Rafael, CA 94901
Sergeant
14.80
City of San Rafael
3diary:
Received through intE
San Rafael Police As:
iation
1520 Fifth Avenue
San Rafael, CA 94901
ity of San Rafael
Received through int
San Rafael Police An
1520 Fifth Avenue
San Rafael, CA 94901
SUBTOTAL$ 72.50
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nn'.
LD NUMBER
831553
CUMULATIVETO
DATE
PER ELECTION
CALENDAR YEAR
TO DATE
(JAN 1
- DEC 31)
(IF REQUIRED)
.335.70
¢diary:
iation
335.70
.diary:
Lation
335.70
3diary:
iation
335.70
ediary:
iation
335.70
ediary:
iation
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nn'.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
�.
from o7/ol/zozz
e
q
through 12/31/2022
Page 40 of
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,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)
09/30/2022
Ronda Cordero
MIND
Sergeant
14.80
335.70
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 ASSIPCiation
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Ronda Cordero
MIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
San vedthrough ince
San Rafael Police Ass
iation
iation
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
10/31/2022
Ronda Cordero
x❑IND
Sergeant
14.80
335.70
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
ediary:
Ciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/1512022
Ronda Cordero
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .SC. C
11/30/2022
Ronda Cor ero
MIND
Sergeant
14.80
335.'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 A69
aiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnnr ra nn%,
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
,
from 07/01/2022
FORM
through 12/31/2022
Page 41 of 192
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 COMM ITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Ronda Cordero
x❑IND —
Sergeant
14.8U
335.70
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
mediary:
Ciatlgp
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Ronda Cordero
E]IND
Sergeant
14.80
335.70
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
iaLion
❑ PTY
1520 Fifth Avenue
[71 SCC
San Rafael, CA 94901
07/15/2022
Guy Crow
Z❑IND
Communications Dispatcher
10.40
157.20
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Guy Crow
X❑IND
Communications Dispatcher
11.00
157.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
ediaryo
San Rafael, CA 94901
DOTH
San Rafael Police A994iciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Guy Crow
Z] IND
Communications Dispatcher
11.00
157.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Ass
mediary-
Ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .S. CiC
'Contributor 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$ 62.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nnv
Schedule A (Continuation Sheet) SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. 1 1.11 111 1 1■
NAME OF FILER
San Rafael Police Association Political Action Committee
from 07/01/2022
through 12/31/2022 I Page 42 of 192
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI.D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07115/2022
Heinrich Cuddy
X❑IND
Police Corporal
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
mediaryz
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Heinrich Cuddyx❑IND
Police Corporal
14.80
335.70
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
Ciati On
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
08/15/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through iAssnte
San Rafael, CA 94901
❑OTH
Association San Rafael Police Ass
ciatidn
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
08/31/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
iary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09F15/2022
Heinrich Cuacy
x❑IND
Police Corporal
14.80
335.7p
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
-0TH
Received through ince
diary:
San Rafael, CA 94901
San Rafael Police Ass
Giation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 07/01/2022
'
through 12/31/2022
Page 43 of 192
NAMEOFFILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EETA IT I.D.NUMBER) CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
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
C1aCion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
ma iary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through ince
r
San Rafael, CA 94901
ElOTH
San Rafael Police Ass
ciatition
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/1512022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
m --diary:
San Rafael, CA 94901
DOTH
SanRafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 74.00
*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)
� fnnr ra nn.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
• . NIA
CALIF1
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
Page 44 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(ET
COMMITTEE. ALSO ENTER I_D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Heinrich Cuddy
x❑IND
Police Corporal
14.80
335.70
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&CiAtiGn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Heinrich Cuddy
X❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
ry:
San Rafael, CA 94901
❑OTH
San Rafael Police Assaciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/15/2022
Casey DeBoltx❑IND
Police Officer
13.30
335.70
C/O: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
iery:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
07/31/2022
Casey DeBolt
x❑IND
Police Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
GM5/2022
Casey DeBolt
RIND
Police UT icer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
- fnne en nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
A e A
to whole dollars.
/ �
from 07/01/2022
'
through 12/31/2022
Page 45 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
335.70
08/31/2022
Casey DeBoltX❑IND
Police Officer
14.80
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 AsspriatiOrk
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
EISCC
09/15/2022
Casey DeBoltx❑IND
Police Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/30/2022
Casey DeBolt
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City Of San Rafael
Avenue
Receivedthrough ince
diary)
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Casey DeBolt
RIND
Police Officer
14.80
335.70
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 AssikCiAtion
ediaxy:
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Casey DeBolt
RIND
Police Officer
14.8U
335.70
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
Giatiars
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 74.00
*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 (8661275-3772)
- fnnr r. -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
•.
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
Page 46 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,
i
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE PER ELECTION
(EET
IT ALSO ENTER I.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN 1 -DEC. 31) (IF REQUIRED)
OF BUSINESS)
11/15/2022
Casey DeBolt
RIND
Police Otticer
14.80
335.70
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 Asalkciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Casey DeBoltx❑IND
Police Officer
14.80
335.70
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
❑ SCC
San Rafael, CA 94901
12/15/2022
Casey DeBolt
x❑IND
Police Officer
14.80
335.70
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 Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Police Officer
14.80
335.70
12/31/2022
Casey DeBolt
]IND
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15 2022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
10.40
256.20
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through antediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ase
❑ PTY
1520 Fifth Avenue
ration
San Rafael, CA 94901
❑ SCC;
SUBTOTAL$ 69.60
"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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
� i �
from 07/01/2022
• '
through 12/31/2022
Page 47 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
11.00
256.20
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
❑ SC.0
08/15/2022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
[]COM
Specialist
Avenue
City of San Rafael
Receivedthrough inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
[-]COM
Specialist
Avenue
City of San Rafael
Received through intediary.
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Satlun
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Rebecca DeLaTorre
%❑IND
Call Taker & Records
11.00
256.20
C/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Receivedthrough ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Rebecca DeLaTorre
RIND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
[j
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*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)
uuuuw fnnr ra nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
CALIFORNIA
,
from 07/01/2022
FORM
through 12/31/2022
Page 48 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
10/15/2022
Rebecca DeLaTorre
RIND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
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
10/31/2-022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
11.00
256.20
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 ASSOCiation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/15/2022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City of San Rafael
Received through inte
VedlaryL
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
11/30/2022
Rebecca DeLaTorre
x❑IND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City of San Rafael
Received through inte
mediaryi
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
El Pte,
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Re eccaDeLaTorre
MIND
faker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
Specialist
Specialist
Avenue
❑COM
City of San Rafael
Received through inte
wediary.
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
'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)
w fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A • A
to whole dollars.
1 * '
from 07/01/2022
• '
through 12/31/2022
Page 49 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, 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)
12/31/2022
Rebecca DeLaTorre
91 IND
Call Taker & Records
11.00
256.20
c/o San Rafael Police Association 1520 Fifth
[j COM
Specialist
Avenue
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
PTY
152o Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Blake Delzell
RIND
Police Sergeant
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through ince
ediery:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/31/2022
Blake Delzell
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑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
08/15/2022
Blake Delzell
RIND
Police Sergeant
14.80
335.70
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 AssiiCi2ktion
ediary-
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Blake Deizeii
x❑IND
Police Sergeant
14.80
35.70
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
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 68.70
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
—fnnr — —
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement coven; period
•.
to whole dollars.
O
I,
from 07/01/2022
• '
through 12/31/2022
Page 50 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER LD NUMBER) *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
09/1512022
Blake Delzell X❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth ❑COM ICity
Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901 ❑OTH
San Rafael Police Ass
ciation
Ll PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Blake Delzell
X❑IND
Police Sergeant
14.80
335.70
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
152 0Fifth Avenue
❑SCC
San Rafael, CA 94901
10/15/2022
Blake Delzell
x❑IND
Police Sergeant
14.80
335.70
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 Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑SCC
10/31/2022
Blake Delzell
x❑IND
Police Sergeant
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 15 2622
Baxe llelzell
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
ediary;
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
152a Fifth Avenue
San Rafael, CA 94501
❑ SCC
SUBTOTAL$ 74.00
'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)
uuunu fnne r2 nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
# _ ,
to whole dollars.
from . 07/01/2022
• '
through 12/31/2022
Page 51 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
(IF COMMITTEE, ALSO ENTER I D NUMBER)
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
11/30/2022
Blake Delzell
X❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inti
tarn:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Blake Delzellx❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Received through ince
ciation:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
12/31/2022
Blake Delzell
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City Of San Rafael
Avenue
Received through ince
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
titian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/1512022
Justin Dodson
RIND
Police Corporal
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inti
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass.
iation
❑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
SUBTOTAL$ 72.50
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I ,
from 07/01/2022
F
through 12/31/2022
52 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOND 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)
08/15/2022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
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 Assipciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
09/15/2022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
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
Ci&t 104
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Justin Dodson
El IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assimiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10 —15/2022
Justin Dooson
RIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through int.
ediary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
El 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$ 74.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period 0
CALIFORNIA
to whole dollars.
A '
from 07/01/2022
FORM
through 12/31/2022
Page 53 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
(EET
IT I.D.NUMBER)
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
1'.131..'2022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough inte
San Rafael Police AssiCiation
nary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Justin Dodson
X❑IND
Police Corporal
14.80
335.70
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
11/30/2022
Justin Dodson
®IND
Police Corporal 1
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
ediary r
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
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
TLedinry.
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/3112022
Justin Dodson
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
Of San Rafael
[]COM
Avenue
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
diary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
_ ,
to whole dollars.
•
1 '
from 07/01/2022
• '
through 12/31/2022
Page 54 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITfEE,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)
13.30 335.70
07/15/2022
James Dooley
MIND
Po ice Corporal
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through ince ediary;
San Rafael Police Ass riation
❑ PTY
1520 Fifth Avenue
❑ SC.C.
San Rafael, CA 94901
07/31/2022
James Dooley
MIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through ince Association San Rafael Police Ass
Cidtion
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/15/2022
James Dooley
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through iAss
San Rafael Police Association
ciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
08/31/2022
James Dooley
RIND
Police Corporal
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022 James Dooiey MIND Police �orporai 14.80
335.70
C/o: San Rafael Police Association 1520 Fifth City Of San Rafael
❑COM
Avenue Receivedthrough . to
San Rafael, CA 94901 ❑OTH San Rafael Police Ass
diary:
ClaCi9M1
PTY 1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnnr en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
■ � 01
from 07/01/2022
'
through 12/31/2022
Page 55 of 192
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
CODENUMBER)
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2022
James Dooley
RIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough ince
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
James Dooley
RIND
Police Corporal
14.80
335.70
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
ciatia4
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
James Dooley
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Received through in
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15./2022
James Dooley
x❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
El SCC
IPo
11/30/2022
James Dooley
x❑IND
ice Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ini.e
San RafaelPolice Ass
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnnr rn nn�
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
• NIA
CALIF'
from 07/01/2022
• '
through 12/31/2022
Page 56 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I. D. NUMBER)
CODE
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
RIND
OF BUSINESS)
12/15/2022
James Dooley
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received through intermediary:
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
James Dooley
RIND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Sari Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
07/15/2022
Christopher Duncan
QIND
Police Sergeant
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received
Received through iAss Association San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
07/31/2022
Christopher Duncan
x❑IND
Police Sergeant
14.80
335.70
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:
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
_T8711
❑SCC
5 2022
Cnristopner Duncan
X❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Received through ince
San Rafael Police Ass
mediary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnnr r= nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
•. ,
to whole dollars.
1
from 07/01/2022
• '
through 12/31/2022
Page 57 of 192
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
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EETA ITRE,ALSAND
I.D.NUMBER) CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Christopher Duncanx❑IND
Police Sergeant
14.80
335.7.0
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Receivedthrough ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ci.tion
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Christopher Duncan
X❑IND
Police Sergeant
14.80
335.70
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
ciatien
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Christopher Duncan
x❑IND
Police Sergeant
14.80
335.70
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
iatiun
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Christopher Duncan
x❑IND
Police Sergeant
14.80
335.70
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
10/31/2022
Christopher Duncan
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
mediaxyi
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 74.00
"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 (8661275-3772)
— fnnr — —
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
+
to whole dollars.
/ '
from 07/01/2022
through 12/31/2022
Page 58 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO ENTER I.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2M
Christopher Duncan
RIND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough inte
mediary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatli
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Christopher Duncan
RIND
Police Sergeant
14.80
335.70
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
❑ SCC
San Rafael, CA 94901
12/15/2022
Christopher Duncan
x❑IND
Police Sergeant
14.80
335.70
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
datien
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
12/31/2022
Christopher Duncan
RIND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
iary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciasion
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Kevin Finerty
x❑IND
Police Officer
i3.30
335.70
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
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 72.50
*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)
- fnnr r2 nm,
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•. ,
to whole dollars.
I ,
from 07/01/2022
• '
through 12/31/2022
Page 59 of 192
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 CUMULATIVETO DATE
RECEIVED THIS CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO LD NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Kevin Finerty
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]POM
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
08/15/2022
Kevin Finerty
x❑IND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/31/2022
Kevin Finerty
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09115/2022
Kevin Finerty
x❑IND
Police Officer
14.80
335.70
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
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Kevin Finerty
RIND
Police ur icer
14.8
335.70
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 ASSAiciation
PTY
1520 Fifth Avenue
E]
San Rafael, CA 9.901
❑ SCC
SUBTOTAL$ 74.00
*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)
u fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
1'
from 07/01/2022
'
through 12/31/2022
Page 60 of 192
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
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I,D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Kevin Finerty
%❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
adiary:
San Rafael, CA 94901
DOTH
San Rafael Police Asa
ciaticn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Kevin Finerty
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City Of San Rafael
Avenue
Received through intelmadiary.
San Rafael, CA 94901
DOTH
San Rafael Police A996ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
11/15/2022
Kevin Finerty
x❑IND
Police Officer
14.80
335.70
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
Cintion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
11/30/2022
Kevin Finerty
]IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through intermediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12.15 2022
Fevin Finerty
]IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
mediasy:
San Rafael, CA 94901
DOTH
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
SUBTOTAL$ 74.00 771
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
unuuv fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ �
from 07/01/2022
• '
through 12/31/2022
Page 61 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSOENTERI.0.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Kevin Finerty
]IND
Police Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Jenna Fisher
RIND
Call Taker & Records
10.40
212.20
c/o San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City of San Rafael
Received through inte
vwadlaxyz
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
riariVii
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07/31/2022
Jenna Fisher
x❑IND
Call Taker & Records
11.00
212.20
c/o San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City of San Rafael
Received through ince
rrdiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08'/312022
Jenna Fisher
x❑IND
Call Taker & Records
11.00
212.20
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
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
09/15/2022
Jenna eisner
%❑IND
Ca11 Taxer & Records
ll.uu
21 .20
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through inte
dia
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciat innry:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 58.20
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
�.
to whole dollars.
■ '
from 07/01/2022
'
through 12/31/2022
page 62 of 192
NAME OF FILER
LD NUMBER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2022
Jenna Fisher
X❑IND
Call Taker & Records
11.00
212.20
c/o San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City of San Rafael
Received through inte'ttacliarr:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10 15/2022
Jenna Fisher
KIIND
Call Taker & Records
11.00
212.20
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Jenna Fisher
x❑IND
Call Taker & Records
11.00
212.20
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 Assqciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Jenna Fisher
x❑IND
Call Taker & Records
11.00
212.20
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
iatiaa
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Danielle Fry
91 IND
Call Taker/Records
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through irate
iary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
E]
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
� �
from 07/01/2022
'
Page 63 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
, CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D,NUMBER) CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Danielle Fry
RIND
Call Taker%Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through ince
ediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Danielle FryX❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑ SC.0
San Rafael, CA 94901
08/31/2022
Danielle Fry
x❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through intermediary'.
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09115/2022
Danielle Fry
x❑IND
Call Taker/Records
11.00
256.20
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Danielle Fry
91 IND
Call 'i-axer/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
media"-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciacion
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
"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)
- fnnr r2 nn.,
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
Page 64 of_ 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Danielle Fry
X❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Receivedthrough inte
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Danielle Fry
[j IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[ COM
Specialist
Avenue
MOTH
Cit Of San Rafael
y
Received through inte
mediary:
San Rafael, CA 94901
C
San Rafael Police Ass
ciation
[� PTY
1520 Fifth Avenue
❑ SCC
Call Taker/Records
San Rafael, CA 94901
11.00
256.20
11/15/2022
Danielle Fry
RIND
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 Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
11/30/2022
Danielle Fry
X❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Receivedthrough intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/512022
Danielle Fry
x❑IND
Call Taker/Records
11.UU
256.20
C/O: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through intemediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 55.00
"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)
w fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
f_ ,
to whole dollars.
1 0 '
from 07/01/2022
� "
through 12/31/2022
Page 65 of 192
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
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT I.D.N
(IF COMMITTEE,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
MIND
OF BUSINESS)
12/31/2022
Danielle Fry
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[]COM
Specialist
Avenue
City Of San Rafael
Receivedthrough inte
.ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Anna Fulgado
MIND
Dispatcher
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through int -
tarn
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
CS6tiaTl
❑ PTY
152 0Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/31/2022
Anna Fulgado
x❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City Of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police AsslpCi&tior
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Anna Fulgado
RIND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/Ml
Anna Fulgado.
X❑IND
17ispatc er
il.00
56.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•.
to whole dollars.
I 1
from 07/01/2022
• '
through 12/31/2022
Page 66 of 192
NAME OF FILER'
D NUMBER
San Rafael Police Association Political Action Committee
631553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT 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)
256.20
09/15/2022
Anna Fulgado
RIND
Dispatcher
11.00
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
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09130/2022
Anna Fulgado
RIND
Dispatcher
11.00
256.20
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 Assli.iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
10/15/2022
Anna Fulgado
F11 IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
5ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
10/31/2022
Anna Fulgado
x❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Anna Fulgaa°
X❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑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
SUBTOTAL$ 55.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period■
_
to whole dollars.
1
from 07/01/2022
FPage
through 12/31/2022
67 of 1192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSI NESS)
11/30/2022
Anna Fulgado
X❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
mediaryr
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Anna Fulgado
Z] IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
madiary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Anna Fulgado
RIND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
iaty:
San Rafael, CA 94901
DOTH
San Rafael Police Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Christopher Fuller
Y1 IND
Corporal
13.30
335.70
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
ISCCorporal
07/31/2022
Christopher Fuller
ZliND
14.80
5.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through intC
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
cation
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
SUBTOTAL $ 61.10
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnne en nn.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
from 07/01/2022
A
through 12/31/2022
Page 68 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO 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)
08115/2022
Christopher Fuller
x❑IND
Corporal
14.80
335.70
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
iary:
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Christopher Fullerx❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through intediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
"*n
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
09/15/2022
Christopher Fuller
x❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑0TH
Received through ince
San Rafael Police Ass
ediary;
cation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
09/30/2022
Christopher Fuller
p
x❑IND
Corporal
p
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
-TFF2512022
Christopher Fuller
x❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough . t
ediary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ase
ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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)
unuui fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
� 4 19 MAW 1
to whole dollars.
01
� 'from
W
07/01/2022
0
through 12/31/2022
page 69 Of 192
NAMEOFFILER
[b7NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE PER ELECTION
(IFCOMMITfEE,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)
10/31,2022
Christopher Fuller
X❑IND
Corporal
14.80
335.76
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through ince
mediary:
San Rafael, CA 94901
E]OTH
San Rafael Police Ass
ci ativn
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11115/2022
Christopher Fuller
x❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ince
d-iary4
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Christopher Fuller
©IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ince
miation
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
0 SCC
San Rafael, CA 94901
12/15/2022
Christopher Fuller
p
x❑ IND
Corporal
p
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
tiry:
ciaCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 31 20.Z2
Christopher Fuiier
KIND
Corporai
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
I
SUBTOTAL$ 74.00
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr 'n -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
4
to whole dollars.
'
from 07/01/2022
"
through 12/31/2022
Page 70 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
13.30
07/15/2022
Jennifer Gamble Horta
x❑IND
Police Officer
335.70
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
iation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Jennifer Gamble Horta
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through inte
ilryl
tiOn
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatipn
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/15/2022
Jennifer Gamble Horta
©IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[3Com
Of San Rafael
Avenue
Received through inte
Received
metion
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑PTY
152 0Fifth Avenue
❑ SCC
San Rafael, CA 94901
08/31/2022
Jennifer Gamble Horta
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough intermediary;
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09115/2052
JeI]Illter CiamDle riorta
X❑IND
POl1Ce VL icer
4.
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through SRt9
ediaiy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnne rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
■
from 07/01/2022
■ '
through 12/31/2022
page 71 of 192
NAME OF FILER
I D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
09F30/2022
Jennifer Gamble Horta
x❑IND
Police Officer
14.80
335.70
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
cation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Jennifer Gamble Horta
91 IND
Police Officer
14.80
335.70
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
Ciutipn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
10/31/2022
Jennifer Gamble Horta
x❑IND
Police Officer
14.80
335.70
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
❑ SCC
San Rafael, CA 94901
11/15/2022
Jennifer Gamble Horta
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Asswriation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Jenniter Gamble Horta
RIND
Police Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
wmdiaryr
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
CAStion
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnnr rn n^N1
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
to whole dollars.
'
from 07/01/2022
FPage
through 12/31/2022
72 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT .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)
12/15/2022
Jennifer Gamble Horta
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Received through inte
n
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
catiotion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Jennifer Gamble Hortax❑IND
Police Officer
14.80
335.70
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
ation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07/15/2022
Salvatore Garanzini
RIND
Officer
13.30
335.70
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
cietian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Salvatore Garanzini
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
iaLy:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
iaCion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/1512022
Salvatore Garanzini
MIND
Officer
14.
35. D
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through into
Mediary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period I
CALIFORNIA
to whole dollars.
1 � ,
from 07/01/2022
• '
through. 12/31/2022
Page 73 of 192
NAME OF FILER
LD NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Salvatore Garanzini
X❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through rote
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Salvatore Garanzini
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assibeiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2022
Salvatore Garanzini
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Salvatore Garanzini
EIIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[DCOM
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
10/31/2022
Salvatore Garanzini
RIND
Officer
14.80
335.70
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
mediary:
iation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnnr r2 nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
t
from 07/01/2022
"
through 12/3112022
Page 74 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
11/15/2022
Salvatore Garanzini
x❑IND
Officer
14.80
335.70
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
iaLion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Salvatore Garanzini
RIND
Officer
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Salvatore Garanzini
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
of San Rafael
Avenue
Received through ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
miation
❑ PT,
152 0Fifth Avenue
San Rafael, CA 94901
❑SCC
12/31/2022
Salvatore Garanzini
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iarion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .S. C.C.
7
Justin Graham
x❑IND
sergeant
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC,
SUBTOTAL$ 72.50
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
u fnnr r2 new
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period I
CALIFORNIA
to whole dollars.
1 �
from 07/01/2022
• '
through 12/31/2022
Page 75 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ACOMMIT-FEE,RALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2D22
Justin Graham
&]IND
Sergeant
14.80
335.70
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 Association
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Justin Graham
BIND
Sergeant
14.80
335.70
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
riation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Justin Graham
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
iery:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PN
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Justin Graham
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
Receivedthrough intermediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
6§7J6/2022
Justin Graham
X❑IND
sergeant
14.80
335.70
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
'Contributor 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$ 74.00
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnnr r. n_
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
■ ,
from 07/01/2022
'
through 12/31/2022
Page 76 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
.
(E COMMITTEE, ALSO ENTER I.D.UMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Justin Graham
x❑IND
Sergeant
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Justin Graham
®IND
Sergeant
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/15/2022
Justin Graham
x❑IND
Sergeant
14.80
335.70
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 Assimiation
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
11/30/2022
Justin Graham
a] IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
3ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
1275/2022
Justin Graham
X❑IND
sergeant
L4.6U
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
Received through int
me iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnne r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
1 * 1
from 07/01/2022
'
through 12/31/2022
page 77 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EETA IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Justin Graham
X❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
Twdiary.
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciatian
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Christopher R Heinlein
x❑IND
Police Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
t
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iaiationion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07/31/2022
Christopher R Heinlein
x❑IND
Police Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08115/2022
Christopher R Heinlein
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
ediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciatida
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2622
Christopher H Heinlein
%❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
� fn ra nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
•
1 '
from 07/01/2022
• '
through 12/31/2022
Page 78 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
IPD.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Police Officer
14.80
335.70
09/15/2022
Christopher R Heinlein
x❑IND
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 AssiWiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Christopher R Heinlein
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
iary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciati6n
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
10/15/2022
Christopher R Heinlein
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iationtion
❑ PTY
152 0Fifth Avenue
San Rafael. CA 94901
❑ SCC
10/31/2022
Christopher R Heinlein
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
mediary-.
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cia Cion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC..
1J,11-5/2022
Christopher R Heinlein
KIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough ince
mediary;
San Rafael, CA 94901
❑OTH
San Rafael Police As
iB tion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
- fnnr r2 nnii
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 07/01/2022
through 12/31/2022
SCHEDULE A (CONT.)
Page 79 of 192
831553
DATE
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(IF COMM IT .D.N *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
11/30/20)22
Christopher R Heinlein
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Receivedthrough inte
San Rafael Police Ass
ediaryc
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Christopher R Heinlein
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City Of San Rafael
Avenue
Received through ince
m@diaty:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/31/2022
Christopher R Heinlein
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
tarn:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
07/15/2022
Robert Henklex❑IND
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssiciAtion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
67/1/2022
Robert Henkle
RIND
Officer
14.84
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through int8riary:
San Rafael Police nsetion
PTY
1520 Fifth Avenue
E]
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
/ 1
from 07/01/2022
• '
through 12/31/2022
Page 80 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER -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)
(18/15/2022
Robert Henkle
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
i—y'
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .S. CCi
08137./2022
Robert Henkle x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth El COM
City of San Rafael
Avenue
Received through inte
San Rafael, CA 94901 ❑OTH
San Rafael Police Ass
Ciationion
El Pte.
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/15/2022
Robert Henkle
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
ataxy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
x❑IND
09/30/2022
Robert Henkle
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
+nedSaryi
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10115/2022
Robert Henkle
[K]IND
otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Receivedthrough inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass4
ciation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
w fnnr rn —
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
•
to whole dollars.
A
from 07/01/2022
• '
through- 12/31/2022
Page 81 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2022
Robert Henkle
X❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough inte
San Rafael Police Ass
diary:
cation
PTY
1620 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Robert Henkle
FK] IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
❑
Association
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Robert Henkle
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received tAss hrough i
San Rafael Police Ass
medtary:
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Robert Henkle
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
of San Rafael
Avenue
Receivedthrough ince
diary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Robert Henkie
KIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[]COMCity
Received through into
.ediary-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciativn
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 74.00
*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/20116)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
� fnnr en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
'
from 07/01/2022
• '
Page 82 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
.
(E COMMITTEE, ALSO ENTER -DNUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2022
J. Alexander Holm I
MIND
Sergeant
13.30
335.70'
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
cation
❑ PTY
Fifth Avenue
San
San Rafael, CA 94901
❑ SCC
07/31/2022
J. Alexander Holm
MIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iati-
ciationon
❑ PN
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/15/2022
J. Alexander Holm
x❑IND
Sergeant
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
08/31/2022
J. Alexander Holm
x❑IND
Sergeant
14.80
335.70
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
ediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
09/15/2022
J. Alexander Holm
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through irate
medi.nry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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)
� fnne ro nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
!
to whole dollars.
n
from 07/01/2022
0.11
through 12/31/2022
Page 83 of 192
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)
09/30/2022
J. Alexander Holm
x❑IND
Sergeant
14.80
335.70
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
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
J. Alexander Holm
91 IND
Sergeant
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
J. Alexander Holm
RIND
Sergeant
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
J. Alexander Holm
]IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
D SCC
11/30/2022
J. Alexander Hoim
RIND
Sergeant
14.60
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through into
.ediary:
San Rafael, CA 94901
DOTH
San Rafael Police A65
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnn r� nn�
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period•.
to whole dollars.
,
from 07/01/2022
s
FPage__E
through 12/31/zozz
4 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I-D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
J. Alexander Holm
RIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[]COM
San Rafael, CA 94901❑OTH
Received through ince
San Rafael Police Ass
iary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
J. Alexander Holm
XIIND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Ass
. iation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
07/15/2022
Kyle Horn
RIND
Police Officer
13.30
335.70
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
mediary:
iatTg
❑ PTY
152 0Fifth Avenue
❑SCC
San Rafael, CA 94901
07/31/2022
Kyle Horn
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Sari Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
0875/2022
Kyle Horn
x❑IND
Police Officer
14.8u
335.7.0
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
from 07/01/2022
■ "
Page 85 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Kyle Horn
x❑IND
Police Officer
14.80
335.70
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
09/15/2022
Kyle Horn
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El 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
El SCC
09/30/2022
Kyle Horn
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
;
San Rafael, CA 94901
❑OTH
San Rafael Police Asa
iAtf ationCn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
10/15./2022
Kyle Horn
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Kyle Horn
91 IND
Police biticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[]COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
. ,
to whole dollars.
i * '
from 07/01/2022
�
through 12/31/2022
Page 86 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER -D-NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/151:2022
Kyle Horn
x❑IND
Police Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Kyle Horn
91 IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
diazy:
San Rafael, CA 94901
DOTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/15/2022
Kyle Hornx❑IND
Police Officer
14.80
335.70
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
iaCion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Kyle Horn
x❑IND
Police Officer
14.80
335.70
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
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2622
Carl Huber
X❑IND
Sergeant
13.30
305.10
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
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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)
w fnnr ra nnv
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
07/01/2022
SCHEDULEA (CONT.)
through 12/31/2022 f Page 87 of 192
I.D. NUMBER
831553
SUBTOTAL$ 74.00
'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
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
.
(E COMMITTEE, ALSO ENTER I.D.UMBER)
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Carl Huber
MIND
Sergeant
14.80
306.10
C/o: San Rafael Police Association 1520 Fifth
El Com
City of San Rafael
Avenue
Received through rote
diary:
San Rafael, CA 94901
[1 OTH
San Rafael Police Ass
a&' ion
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑SCC
08/15/2022
Carl Huber
MIND
Sergeant
14.80
306.10
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
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/31/'2022
Carl Huber
©IND
Sergeant
14.80
306.10
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
Received through rote
mation
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
lation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
09/15/2022
Carl Huber
X❑IND
Sergeant
14.80
306.10
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
ediary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/3t/202
Carl Huber
MIND
Sergeant
14.80
06-.10
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough rote
me -diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ash
iation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
A '
from 07/01/2022
through 12/31/2022
Page 88 Of 192
NAME OF FILER'
D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EETAIF ITRE,ALSANDZIO 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)
14.80
10/15/2022
Carl Huber
X❑IND
Sergeant
306.10
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ia
San Rafael, CA 94901
DOTH
❑
Ass San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Carl Huber
X❑IND
Sergeant
14.80
3D6.10
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
idtion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
x❑IND
11/15/2022
Carl Huber
Sergeant
14.80
306.10
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
Received through inte
ti
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciationon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Carl Huber
x❑IND
Sergeant
14.80
306.10
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
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07 15 202
Scott Ingeis
x❑IND
Sergeant
13.30
335.7
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
iary:
San Rafael, CA 94901
El
San Rafael Police Ass
ciaCion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
Ci
❑ SCC
SUBTOTAL$ 72.50
'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)
- fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• . ,
to whole dollars.
from _ 07/01/2022through
F92
12/31/2022
I
page 89 o
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07T31/2Q22
Scott Ingels
x❑IND
Sergeant
14.80
335.70
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
08/15/2022
Scott Ingels
XIIND
Sergeant
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
08/31/2022
Scott Ingels
x❑IND
Sergeant
14.80
335.70
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
mediary:
Sari Rafael, CA 94901
ElOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Scott Ingels
El IND
Sergeant
14.80
335.70
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/30/2022
Scott Ingeis
x❑IND
Sergeant
14.30
335.70
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
ciation
[j PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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 (8661275-3772)
w fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
•
1 '
from 07/01/2022
• '
through 12/31/2022
page 90 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee j
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOND D NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Scott Ingels
X❑IND
Sergeant
14.80
335.70
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
edi.-.r
r. -'_x .i
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Scott Ingels
x❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
San Rafael, CA 94901
❑OTH
Association San Rafael Police Ass
tial ion
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/15/2022
Scott Ingels
RIND
Sergeant
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Scott Ingels
X❑IND
Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC..
Sergeant 14.60
1 15 02 Scott Ingels x❑IND
335.70
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
❑COM
Avenue Received through ince
mediary;
San Rafael, CA 94901 ❑OTH San Rafael Police Asa
tial ion
❑ PTY 1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnnr r2 nnv
Schedule A (Continuation Sheet) SCHEDULEA (CONT.
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. • '
from . 07/01/2022 • "
through 12/31/2022 page 91 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOMMITTEE,ALSNDI.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Scott Ingels
91 IND
Sergeant
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/15/2022
Lindsey Jeger
[BIND
Dispatcher
10.40
157.20
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
(iation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
07/31/2022
Lindsey Jeger
x❑IND
Dispatcher
11.00
157.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
edinry:
San Rafael, CA 94901
❑OTH
San Rafael Police AssoCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Lindsey Jeger
x❑IND
Dispatcher
11.00
157.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Joseph Jordan
x❑IND
Police Orttcer
13.30
335.70
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 Asa
(iation
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
SUBTOTAL$ 60.50
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
Page 92 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSOENTERI_D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Joseph Jordan
RIND
Police Officer
14.80
335.7❑
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
through ince
diary:
San Rafael, CA 94901
E]Received
OTH
San Rafael Police Ass
iaeCion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Joseph Jordan
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
Received through inte
tion:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iakion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El scc
08/31/2022
Joseph Jordan
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iati:
ciationon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Joseph Jordan
RIND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09130/2022
Joseph Jordan
x❑IND
Police Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
iaiyx
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
61et1aR
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnne ro nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2022
'
through 12/31/2022
Page 93 of 192
NAME OF FILER
I.O. 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
RECE EDDTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATIONR
SELF-EMPLOYED, ANDEMPLOYERPERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
10,'1512022
Joseph Jordan
xIND
Police Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Joseph Jordan
x❑IND
Police Officer
14.80
335.70
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
11/15/2022
Joseph Jordan
x❑IND
Police Officer
14.80
335.70
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
11/30/2022
Joseph Jordan
x❑IND
Police Officer
14.80
335.70
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
12/15/2022
Joseph Jordan
[91 IND
Police otricer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
sae Rafael Police Asa
diary:
ciation
PTY
AFiftCA 49901
El
Sana Raf aeh,
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnne r2 "n.
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
■ '
from 07/01/2022
!
through 12/3 1/2 022
Page 94 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO ENTER .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Joseph Jordan
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Ass
miatimi
ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07./15/2022
Anndora Lee
91IND
Lead Dispatcher
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
[ICOMCity
of San Rafael
Avenue
Received through ince
iary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/31/2022
Anndora LeeRIND
Lead Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received through inte Association
San Rafael Police Ass
ciStion
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/15/2022
Anndora Lee
x❑IND
Lead Dispatcher
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
UA/31/2022
Anndora Lee
X❑IND
Lead Dispatcher
L 1 . U U
256.20
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
Ciatior
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 58.20
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnne en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460' � '
from 07/01/2022
• '
through 12/31/2022
Page 95 of 192
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 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)
09/15/2022
Anndora Lee
RIND
Lead Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Anndora Lee
x❑IND
Lead Dispatcher
11.00
256.20
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
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Anndora Lee
x❑IND
Lead Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Receivedthrough inte
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Anndora Lee
]IND
Lead Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
El COM
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Assliciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11719/200
Anndora Lee
RIND
Lead Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Sari Rafael, CA 94901
DOTH
Received through ince
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
"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 (8661275-3772)
w fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
1 ,
from 07/01/2022
• '
through 12/31/2022
page 96 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
1 831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DEO
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EET
IT ALSO ENTER .D.N
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11130!2022
Anndora Lee
x❑IND
Lead Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Anndora Lee
x❑IND
Lead Dispatcher
11.00
256.20
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
ary:
cation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
12/31/2022
Anndora Lee
RIND
Lead Dispatcher
11.00
256.20
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
dia Yy:
ciation
❑ PTY
1520 Fifth Avenue
❑SCC
x❑IND
San Rafael, CA 94901
07/15/2022
Karl Luhmann
Police Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
nte
Received through intermediary-
ediary-San
SanRafael, CA 94901
❑OTH
San Rafael Police Ass
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/11/M2
Karl Lunmann
x❑IND
Police Otticer
14.80
335.70
C/O: an 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 94901
❑ .S. cC
SUBTOTAL$ 61.10
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Politica I Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
460 � ,
from 07/01/2022
'
through 12/31/2022
Page 97 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2022
Karl Luhmann
X❑IND
Police Officer
14.80
"5.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through iAss
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Association
iation;
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Karl Luhmann
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
■ry:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
09/15/2022
Karl Luhmann
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
D COM
City Of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
El OTH
San Rafael Police Ass
Ciation
ation:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Karl Luhmann
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
San Rafael, CA 94901
DOTH
Receivedthrough ince
San Rafael Police Ass
mediaxy:
Ciation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
D SCC
f6715/2022
Karl Luhmann
91 IND
Police Officer
14.80
335.7
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
D COM
San Rafael, CA 94901
DOTH
Received through ince
San Rafael Police Ass
iaryi
iation
❑ 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
SUBTOTAL$ 74.001 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
— fnne r. n—
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
CALIF• NIA '
from o7/ol/zo22
• '
through 12/31/2022
Page 98 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2M
Karl Luhmann
RIND
Police Officer
14.801
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Karl Luhmann
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
Inediaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
11/30/2022
Karl Luhmann
RIND
Police Officer
14.80
335.70
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
Mw6diary.
iation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
12/15/2022
Karl Luhmann
X❑IND
Police Officer
14.80
335.70
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 Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
1
Kar Lunmann
x❑IND
Police urricer
14.8U
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough interatdiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
SUBTOTAL$ 74.00
*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)
- fnne r2 nnv
Schedule A (Continuation Sheet)
Monetary Contributions Received
SCHEDULE A (CONT.)
Amounts may be rounded Statement covers period
a r ,
' to whole dollars.
j
from 07/01/2022
through. 12/31/2022
page 99 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE PER ELECTION
(E COMMITTEE, ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31) (IF REQUIRED)
OF BUSINESS)
07/15/2022
Kevin Macdougald
x❑IND
Officer
13.30
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Kevin Macdougald
RIND
Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
E] SCC
08/15/2022
Kevin Macdougald
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through iAss
San Rafael, CA 94901
❑ OTH
Association
San Rafael Police Ass
ci ation
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
08/31%2022
Kevin Macdougald
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Receivedthrough intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assbciarian
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
09/15/2022
Kevin Macdougald
x❑IND
Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
Tdiaryl
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 72.50
'Contributor Codes
IND—Individual
COM— Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
unuui fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
•.
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
page 100 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
14.80
09/30/2022
Kevin Macdougald
X❑IND
Officer
3:35.70
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 AsEO
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Kevin MacdougaldX❑IND
Officer
14.80
335.70
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 Assliciation
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
10/31/2022
Kevin Macdougald
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Kevin Macdougald
x❑IND
Officer
14.80
335.70
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
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
—1173-0/2022Kevin
Macciougala
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San RaEael Poliae Asa
cation
❑ PTY
15,20 Fifth Avenue
son Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnne en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I �
from 07/01/2022
'
through 12/31/2022
page 101 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2027
Kevin Macdougald
N]IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12T31/2022
Kevin Macdougaldx❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
ed3Bry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Kaitlin Maley
[]IND
Police Officer
13.30
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
07/31/2022
Kaitlin Maley
]IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El
Received through ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Kaitlin Maley
QIND
Police Otticer
14.00
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[—]COM
Received through int@
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Aso
ciation
PTY
1520 Fifth Avenue
L]
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
"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)
- fnnr r. -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA
to whole dollars.
■ '
from 07/01/2022
• '
through 12/31/2022
page 102 of 192
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
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I D NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Kaitlin Maley
X❑IND
Police Officer
14.80
335.70
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
09/15/2022
Kaitlin Maleyx❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City Of San Rafael
Avenue
Received through ince
medinry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
09/30/2022
Kaitlin Maley
]IND
Police Officer
14.80
335.70
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
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10/15/2022
Kaitlin Maley
x❑IND
Police Officer
14.80
335.70
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
cation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10F31/2022 Kaitlin Maley MIND Police Otticer 14.8U
335.70
C/o: San Rafael Police Association 1520 Fifth City Of San Rafael
❑COM
Avenue Received through ince
diary:
San Rafael, CA 94901 ❑OTH San Rafael Police Ass
cia tion
❑ PTY 1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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)
w fnne en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary contribution$ Keceivea Amounts May Derounaeo
Statement covers period
CALIFORNIA
to whole dollars.
,[ '
from 07/01/2022
FORM
Page 103 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND IPD.NUMBER)
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)
11115/2-022
Kaitlin Maley
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Assiatation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Kaitlin Maley
Z] IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
cation:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
dation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/15./2022
Kaitlin Maley
RIND
Police Officer
14.80
335.70
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
dation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12131/2022
Kaitlin Maley
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
ediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07F15/2022
Lyla Marshall
x❑IND
Police Officer
10.4
256,20
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 Asa
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 69.60
*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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
� fnnr r. —
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFPage_
•.
to whole dollars.
I '
from 07/01/2022
through lz/31/2022
104 of 192
NAMEOFFILER
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
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOAND
I.0. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Lyla Marshall
91IND
Police Officer
11.00
256.20
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
Police Officer
11.00
256.20
08/15/2022
Lyla Marshall
X❑IND
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
E] SCC
08/31/2022
Lyla Marshall
RIND
Police Officer
11.00
256.20
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 AssiPciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Lyla Marshall
Z] IND
Police Officer
11.00
256.20
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 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09F30/2022
Lyla Marshal
RIND
Police Otticer
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
SUBTOTAL$ 55.00
*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)
w fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1 �
from 07/01/2022
'
through 12/31/2022
Page 105 of 192
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
(IFCOMMITfEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Lyla Marshall
X❑IND
Police Officer
11.00
256.20
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
cation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Lyla Marshall
91 IND
Police Officer
11.00
256.20
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
11/15/2022
Lyla MarshallRIND
Police Officer
11.00
256.20
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
iacion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
11/30/2022
Lyla Marshallx❑
IND
Police Officer
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
0/5/2022
Lyla Marshall
jIND
Police Officer
11.00
256.20
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
San Rafael, CA 94901
® SCC
SUBTOTAL$ 55.00
"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)
w fnnr r. -
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period ICALIFORNIA
to whole dollars.
460
from 07/01/2022
FORM
through 12/31/2022
Page 106 of 192
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPDEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(EET
IT ALSO ENTER .D.N
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
11.00 256.20
12/31/2022
Lyla Marshall
x❑IND
Police Officer
C/o: San Rafael Police Association 1520 Fifth
El
City Of San Rafael
Avenue
Received through ince edlary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass laiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Dispatcher
10.40 225.00
07/15/2022
Miranda Martinez
[,iIND
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 dation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
07./31/2022
Miranda Martinez
BIND
Dispatcher
11.00
225.00
C/O: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
ataxy:
San Rafael, CA 94901
❑OTH
afa
San Rafael Police Ass
[talion
PTY
1520 Fifth Avenue
❑ SCC
RIND
San Rafael, CA 94901
08/15/2022
Miranda Martinez
Dispatcher
11.00
225.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through intemadlaryi
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
dation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
-0873-1/2022Miranda
Martinez
X❑IND
Dispatcher
11.00
225.00
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
dation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.C.
SUBTOTAL$ 54.40
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnne rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers periodFF9
to whole dollars.from
07/01/2022through
12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2032
Miranda Martinez
x❑IND
Dispatcher
ii.00
225.00
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
09/30/2022
Miranda Martinez
x❑IND
Dispatcher
11.00
225.00
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 ASSIPOi0tiOU
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10,/15/2022
Miranda Martinez
x❑IND
Dispatcher
11.00
225.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through ince
d#dry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Miranda Martinez
x❑IND
Dispatcher
11.00
225.00
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 Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
11/15/2022
Miranda Martinez
x❑IND
Dl spa cher
11.00
225.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police AsslpCi&tion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
"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)
� fnnr ro nn%o
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 07/01/2022
through 12/31/2022
SCHEDULEA (CONT)
Page 108 of 192
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
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
( COMMITTEE, ALSO ENTER .D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11730/2022
Miranda Mar tinezx❑IND
Dispatcher
11.00
225.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑ COM
Avenue
Received through intediaxy:
S
San Rafael, CA 94901
OTH
San Rafael Police Ass
iaCion
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Miranda Martinez
x❑IND
Dispatcher
11.00
225.00
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/31/2022
Miranda Martinez
x❑IND
Dispatcher
11.00
225.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough ince
mediary;
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/15/2022
Lee Masten
x❑ IND
Police Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
Received through ince
diary:
Sari Rafael, CA 94901
DOTH
San Rafael Police Ass
cation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Lee Masten
X❑IND
Police Officer
J-4 . 80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
iary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 61.10
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
�. ,
to whole dollars.
1 ,
from 07/01/2022
"
Page 109 of 192
I.D. NUMBER l
through 12/31/2022
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT LD. 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)
08/15/2022
Lee Masten
X❑IND
Police Officer
14.80
335.70
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 Ass11Ci&tion
diary;
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Lee Masten
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through i
iaty:
San Rafael, CA 94901
❑OTH
Ass
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/15./2022
Lee Masten
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
ciation:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Lee Masten
N1 IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
Receivedthrough inte
diary:
iation
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Lee Masten
]IND
Police Otticer
14.80
335.7
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through int!iaryj
San Rafael, CA 94901
❑OTH
San Rafael Police Ase
iation
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
SUBTOTAL$ 74.0 J
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1 '
from 07/01/2022
'
through 12/31/2022
page 110 Of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/:W2022 2022
Lee Masten
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
Received through ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciaticn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Lee Masten
RIND
Police Officer
14.80
335.70
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
ciAtion
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 949D1
11/302022
Lee Masten
x❑IND
Police Officer
14.80
335.70
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
ciati Ou
❑ PT/
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
12/15/2022
Lee Masten
x❑IND
Police Officer
14.80
335.70
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
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Lee Masten
x❑IND
Police Otticer
14.80
335.70
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
Ciat%on
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnne rn nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
1 '
from 07/01/2022
• '
through 12/31/2022
page 111 of 192
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
(EFTAIF ITRE,ALSANDZI .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
_
07/15/2022
Michael Mathis
x❑IND
Po ice Sergeant
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through ince
iaxy-
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Michael Mathis
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Assilciation
ediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Michael Mathis
BIND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
Sary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Michael Mathis
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
[-]COM
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
medioryr
cation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Michael Mathis
x❑IND
Police Sergeant
14.80
335.70
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
ciation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
"Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
— fnne en n—
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement coven; period
.
to whole dollars.
• I'
from 07/01/2022
• '
through 12/31/2022
page 112 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2022
Michael Maths:
91 IND
Police Sergeant
14.80
335.70
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
=iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Michael Mathis
RIND
Police Sergeant
14.80
335.70
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
19tign
❑ PTY
152 0Fifth Avenue
❑SCC
San Rafael, CA 94901
10/31/2022
Michael Mathis
x❑IND
Police Sergeant
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through int=
San Rafael Police Assiciation
diary,:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Michael Mathis
RIND
Police Sergeant
14.80
335.70
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 Assimliation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Michael Mathis
x❑IND
Police sergeant
14.bu
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through int=
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
w fnnr en nnu
Schedule A (Continuation Sheet) SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be'
from rounded Statement covers period CALIFOR
----.------------ 07/01/2022 • - - • •
NIA
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
uuwui fnnr rn nnw
through 12/31/2022
Page 113 of192
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
TO DATE
DATE
(E 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)
12/15.2022
Michael Mathis
91 IND
Police Sergeant
14.80
335.70
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 Assliciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Michael Mathis
Z] IND
Police Sergeant
14.80
335.70
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
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Daisy B Mazariegos
x❑IND
Police Officer
13.30
322.40
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
07/31/2022
Daisy B Mazariegos
x❑IND
Police Officer
14.80
322.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
Received through ince
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2022
Daisy B Mazariegos
x❑IND
Police Otticer
14.80
322.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
"Ce7ived through antediary:
San Rafael falxce Ase
ciation
PTY
Pifth Avenue
❑
Sano Rafael,
❑ SCC
SUBTOTAL$ 72.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
uuwui fnnr rn nnw
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
• NIA
CALIFt
from 07/01/2022
• '
through 12/31/2022
Page 114 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
O_/_ 022
Daisy B Mazariegos
MIND
Police Officer
14.80
322.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
09/15/2022
Daisy B Mazariegos
91 IND
Police Officer
14.80
322.40
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
❑SCC
San Rafael, CA 94901
09/30/2022
Daisy B Mazariegos
MIND
Police Officer
14.80
322.40
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
10/15/2022
Daisy B Mazariegos
MIND
Police Officer
14.80
322.40
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 Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
U icer 14.8U
1p 3i 2022 Daisy B Mazariegos MIND
322.40
C/o: San Rafael Police Association 1520 Fifth City Of San Rafael
Avenue El COM
Received through inte
San Rafael, CA 94901 ❑OTH San Rafael Police Ass
mediary:
ciation
❑ PTY 1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
� fnnr r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• . ,
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
Page 115 of 192
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 *
(IFSELF-EMPLOYED, ENTER NAME PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2022
Daisy B Mazariegos
]IND
Police Officer
14.80
322.40
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
San Rafael, CA 94901
❑ SCC
11/30/2022
Daisy B Mazariegos
RIND
Police Officer
14.80
322.40
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/15/2022
Daisy B Mazariegos
x❑IND
Police Officer
14.80
322.40
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
ediary:
San Rafael, CA 94901
❑OTH
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Daisy B Mazariegos
x❑IND
Police Officer
14.80
322.40
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
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
07/15/2622
Gerard F McCarthy
MIND
Police OTticer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-] COM
Received rhraugh ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Palice Ass
ciation
❑ PTY1520
Fifth Avenue
San Rafael, CA 99501
El SCC
SUBTOTAL$ 72.50
'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)
- fnne r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA
to whole dollars.
1 '
from 07/01/2022
"
through 12/31/2022
Page 116 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
14.80
07/31/2022
Gerard F McCarthy
QIND
Police Officer
335.70
1 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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Gerard F McCarthyx❑IND
Police Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/31/2022
Gerard F McCarthy
x❑IND
Police Officer
14.80
335.70
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 AssoCiation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
09/15/2022
Gerard F McCarthy
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
G9/36/2522
Gerard r McCarthy
QIND
Police Officer
14.80
335.70
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
L1 PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnne en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
,
to whole dollars.
I ,
from 07/01/2022
'
through 12/31/2022_
Page 117 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Gerard F McCarthy
]IND
Police Officer
14.80
335.70
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 Assliciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
EISCC
10/31/2022
Gerard F McCarthy
x❑IND
Police Officer
14.80
335.70
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
11/15/2022
Gerard F McCarthy
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City Of San Rafael
Avenue
Received hr ugh i
mediary:
San Rafael, CA 94901
S
❑ OTH
Association
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Gerard F McCarthy
X1 IND
Police Officer
14.80
335.70
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 Assi.ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Gerard F McCarthy
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through ince
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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 (8661275-3772)
u fnnr ra n^"
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
■ '
from 07/01/2022
• '
through 12/31/2022
Page 118 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAENTERI.D.N DEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EETA IT
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Gerard F McCarthy
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
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
07/15/2022
Daniel Mendoza Ochoa
X❑IND
Police Officer
13.30
335.70
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
iaciQn
❑ PTY
152 0Fifth Avenue
❑.SCC
San Rafael, CA 94901
07/31/2022
Daniel Mendoza Ochoa
x❑IND
Police Officer
14.80
335.70
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
El SCC
08/15/2022
Daniel Mendoza Ochoa
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through intepwdiaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
_09731/2022
Daniel Mendoza Ochoa
x❑IND
Police Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough . tor.t�,O.diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
w fnnr rm nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
■
to whole dollars.
1 0 1
from 07/01/2022
■ '
11D_
through 12/31/2022
119 of 192
NAME OF FILER
UMBER
San Rafael Police Association Political Action Committee
1 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 D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Daniel Mendoza Ochoa
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Daniel Mendoza Ochoa
x❑IND
Police Officer
14.80
335.70
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
10/15/2022
Daniel Mendoza Ochoa
OIND
Police Officer
14.80
335.70
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
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Daniel Mendoza Ochoa
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
diary;
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Daniel Mendoza Ochoa
RIND
Police Officer
14.80
335.7
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received throughince
-diary=
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iat ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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 (8661275-3772)
— f— — n^v
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2022
'
through 12/31/2022
page 120 of 192
NAME OF FILER
I D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI.D_NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2022
Daniel Mendoza Ochoa
x❑IND
Police Officer
14.80
3.38.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2922
Daniel Mendoza Ochoa
Z] IND
Police Officer
14.80
335.70
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
[j SCC
San Rafael, CA 94901
12/31/2022
Daniel Mendoza Ochoa
NI IND
Police Officer
14.80
335.70
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 Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
EISCC
07/15/2022
Lilah MG Barnes
x❑IND
Police Corporal
13.30
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S.CC.
07/31/2022 Liiah MG Barnes MIND Police Corporal 14..8
338.70
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
❑COM
Avenue Received through int
ediary:
San Rafael, CA 94901 ❑OTH San Rafael Police Ass
ciaEion
❑ PTY ls2o Fiith Avenue
San Rafael. CA 94901
❑SCC
SUBTOTAL$ 72.50
"Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
w fnnrr r2 nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
_/ � '
from 07/01/2022
• '
through 12/31/2022
page 121 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALS.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2022
Lilah MG Barnes
]IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Receivedthrough ince
San Rafael Police Association
iary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Lilah MG Barnes
91 IND
Police Corporal
14.80
335.70
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/15/2022
Lilah MG Barnes
x❑IND
Police Corporal
14.80
335.70
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 Ass
iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
09/30/2022
Lilah MG Barnes
]IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
L] COM
Avenue
San Rafael, CA 94901
❑ OTH
Ass Received through i
San Rafael Police Association
iary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10115/2d25
Lilah MG Barnes
x❑IND
Police corporal
14.eu
335.70
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
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
� fn rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
'from
BE
o7/ol/2ozz
�
through 12/31/2022
page 122 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EFTA ITRE,ALSANDZI .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2022
Lilah MG Barnes
RIND
Police Corporal
14.80
335.70
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
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Lilah MG Barnes
X❑IND
Police Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
Receivedthrough intermediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/3012022
Lilah MG Barnes
X❑IND
Police Corporal
14.80
335.70
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:
ciation
❑ PTY
1520 Fifth Avenue
❑SCC.
San Rafael, CA 94901
12/15/2022
Lilah MG Barnes
FK] IND
Police Corporal
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCiC.
12131/2022 2022
Ulan MG Barnes
❑IND
Police Corporal
14-80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
L] COM
Received through into
ediary:
San Rafael, CA 94901
DOTH
San RafaelPolice Aas
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, GI 94941
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2022
'
through 12/31/2022
Page 123 of 192
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.NUMBERJ
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
07/15/2012
Beth Minka
KIND
Administrative Technician
10.40
256.20
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 Assliciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Beth Minka
x❑IND
Administrative Technician
11.00
256.20
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
08/15/2022
Beth Minkax❑IND
Administrative Technician
11.00
256.20
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
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31./2022
Beth Minka
MIND
Administrative Technician
11.00
256.20
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
09/15/2022
Beth Minka
%❑IND
Administrative 'technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
[]COMCity
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
A y
to whole dollars.
t
from 07/01/2022'dkL
through 12/31/2022
Page 124 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A DEO
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11.00
256.20
09/30/2022
Beth Minka
RIND
Administrative Technician
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through ince
sdiary;
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Beth Minka
X❑IND
Administrative Technician
11.00
256.20
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
152 0Fifth Avenue
San Rafael, CA 94901
❑SCC
10/31/2022
Beth Minka
x❑IND
Administrative Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
diar}r:
San Rafael, CA 94901
DOTH
Ass
San Rafael Police Ass
Ciati011
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
11/15/2022
Beth Minka
]IND
Administrative Technician
11.00
256.20
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
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30f2022
Beth Minka
KIND
Administrative Technician
11.UU
256.2R
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
SUBTOTAL$ 55.00
*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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
0 a
from 07/01/2022
"
lPa'ge-1215
through 12/31/2022
of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
ALSAND
(IF COMMITTEE, I.D. NUMBER)
IT
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC- 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Beth Minka
X❑IND
Administrative Technician
11.00
256.20
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
Madiary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Beth Minka
RIND
Administrative Technician
11.00
256.20
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 Assimiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Jessica Mitz
x❑IND
Police Officer
13.30
335.70
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 Assipc4ation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Jessica Mitz
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Ass
diary:
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Jessica Mitz
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
mediaty:
San Rafael, CA 94901
DOTH
San Rafael Police Ase
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 64.90
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnne ro -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•.
to whole dollars.
1 '
from 07/01/2022
• '
through 12/31/2022
Page 126 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT
(IF COMMITTEE, -D. NUMBER) CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Jessica Mitz
X❑IND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Jessica Mitz
RIND
Police Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/30/2022
Jessica Mitz
x❑IND
Police Officer
14.80
335.70
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
El PTY
1520 Fifth Avenue
San Rafael. CA 94901
Ci
❑ SCC
10/15/2022
Jessica Mitz
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through ince
mediery:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Jessica Mitz RIND
Police OLTicer
14.8U
335.70
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 74.00
*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)
� fnnr r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
1 i
•
from 07/01/2022
through _ 12/31/2022
page 127 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAENTER
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2022
Jessica Mitz
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COMCity
Of San Rafael
Avenue
Receivedthrough inte
adiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Jessica Mitz
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
❑
Association
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/15/2022
Jessica Mitz
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City Of San Rafael
Avenue
Received through iAss
ciation
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Jessica Mitz
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Cynthia Morgan
91 IND
Call Taker and Records
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
ediary!
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 FiftRafaeh Avenue
San l, CA 94901
❑ SCC
SUBTOTAL$ 69.60
"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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
■ ,
from 07/01/2022
• '
through 12/31/2022
Page 128 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER .D.NUMBER) *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Cynthia Morgan
x❑IND
Call Taker and Records
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
rrkdsu�:.
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iaClor.
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Cynthia Morgan
X❑IND
Call Taker and Records
11.00
256.20
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
Ciatim
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08/31/2022
Cynthia Morgan
x❑IND
Call Taker and Records
11.00
256.20
C/o: San Rafael Police Association 1520 FifthSpecialist
❑COM
Avenue
City Of San Rafael
Receivedthrough ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ ScCi
09/15/2022
Cynthia Morgan
X❑IND
Call Taker and Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Receivedthrough ince
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
o.973-0/2022
Cynthia Morgan
KIIND
Call Taker and Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through sate
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Asa
iaricri
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*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)
w fnnr en new
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
.1 �
from 07/01/2022
• '
through 12/31/2022
Page 129 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE,ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Cynthia Morgan
X❑IND
Call Taker and Records
11.00
256.20
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
giation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Cynthia Morgan
RIND
Call Taker and Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
Cit Of San Rafael
y
Received through rote
miation:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cia[ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
11/15/2022
Cynthia Morgan
RIND
Call Taker and Records
11.00
256.20
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
dation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Cynthia Morgan
X❑IND
Call Taker and Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
dation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
U/1572025
Cynthia Morgan
x❑IND
Call Taker and Records
11.00
256.20
C/o: San Rafael Police Association 1520 FifthSpecialist
Avenue
[-]COM
City Of San Rafael
Receivedthrough rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
dation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 55.00
*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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr rn -
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
from 07/01/2022
through 12/31/2022
Page 130 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EETA ITRE, ALSANDZIO ENTER I. D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11.00
12/31/2022
Cynthia Morgan
]IND
Call Taker and Records
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
iaryo
San Rafael, CA 94901
❑OTH
San Rafael Police Assimiation
El PN
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Lynn Murphy
RIND
Mental Health Outreach
10.40
255.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Received through irate
ry:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass1wiation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/31/2022
Lynn Murphy
x❑IND
Mental Health Outreach
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
[]COM
Avenue
City
City of San Rafael
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Lynn Murphy
x❑IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Received through inte
3ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SCC
08 31 2022
Lynn Murphy
x❑IND
Mental Health Outreach
1"1.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City of San Rafael
Received through inte
diary_
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatiaa
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
� fnnr r2 nn%l
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
1.4,
to whole dollars.
from . 07/01/2022
through 12/31/2022
Page 131 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(EET
IT I.D. NUMBER)
*
OCCUPATION AND EMPLOYER ` RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Lynn MurphyX❑IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
El COM
Provider
Avenue
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assilciatimn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Lynn Murphy
X❑IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Lynn Murphy
[K]IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
COM
Provider
Avenue
City of San Rafael
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Lynn Murphy
X❑IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Received through ince
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11/15/2022
Lynn Murphy
X❑IND
Mental Healtn Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City Of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Aso
ipCip¢
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ -95.00
*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)
w fnnr ra nn.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
_
to whole dollars.
from 07/01/2022
al
through 12/31/2022
Page 132 of 192
NAME OF FILER
10. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2022
Lynn Murphy
MIND
l. Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
[]COM
City of San Rafael
Received through inte
ediary:
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
C.
❑ SCC
12/15/2022
Lynn Murphy
i-x]IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Receivedthrough ince
iary-
San Rafael, CA 94901
[1OTH
San Rafael Police AssipciatiGn
❑ PTY
1520 Fifth Avenue
[71 SCC
San Rafael, CA 94901
12/31/2022
Lynn Murphy
x❑IND
Mental Health Outreach
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Receivedthrough ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatio
❑ PTY
1520 Fifth Avenue
❑SCC
x❑IND
San Rafael, CA 94901
07/15/2022
Brandon Nail
Police Officer
13.30
335.70
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
Received through ince
iary:
San Rafael, CA 94901
[1OTH
San Rafael Police A9941ciation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
0773-1/2022
Brandon Nail
x❑IND
Police Otticer
14.80
3:15 -.70 -
5.70C/o:
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciAtion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 61.10
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g , business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
� fnnr ro new
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 07/01/2022
through 12/31/2022
SCHEDULE A (CONT)
Page 133 of 192
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSOENTERI.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)
08/15/2022
Brandon Nail
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
through inte
iary:
San Rafael, CA 94901
S
[:]Received
OTH
San Rafael Police Ass
ciaCivR
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Brandon Nail
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
dlary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/15/2022
Brandon Nail
RIND
Police Officer
14.80
335.70
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 ion
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Brandon Nail
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cihriOm
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Brandon Nali
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
Odiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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 J
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
• _
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
page 134 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ADDRESSZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
ALSO ENTER .D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2022
Brandon Nail
N❑IND
Police Officer
14.80
335.70
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 Ass4iciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Brandon NailX❑IND
Police Officer
14.80
335.70
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 Assilciation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
11/30/2022
Brandon Nail
RIND
Police Officer
14.80
335.70
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 Assilciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Brandon Nail
N1 IND
Police Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/11/2622
Brandon Nail
N❑IND
Police Officer
14.80
335.70
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
ciation
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnne rn nn%l
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
i
from 07/01/2022
a "
page 135 of 192
through 12/31/2022
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
DATE
(E COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
X❑IND f
OF BUSINESS)
07/15/2022
Jorge Navarro
Evidence Technician
10.40
256.20
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
Ciatl n
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Jorge Navarro
RIND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
iation;
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/15/2022
Jorge Navarro
RIND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough ince
iary.-
San Rafael, CA 94901
❑OTH
San Rafael Police Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Jorge Navarro
RIND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through i
. iary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
ciation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09 15 2022
Jorge Navarro
x❑IND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
❑COMCity
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Asa
diary:
oiation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
� fnnr r� nn,,
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement coven; period
■ _
NIA
CALIF'
to whole dollars.
from 07/01/2022
■'
through 12/31/2022
Page 136 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER D NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/3012022
Jorge Navarro
X❑IND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough ince
San Rafael Police Assiciation
adiaryc
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Jorge Navarrox❑IND
Evidence Technician
11.00
256.20
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
iation
[:1 PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
10/31./2022
Jorge Navarro
x❑IND
Evidence Technician
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciati=
❑PTY
1520 Fifth Avenue
E] SCCSan
Rafael, CA 94901
11/15/2022
Jorge Navarro
RIND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
AvenueReceivedthrough
[-]COM
ince
odiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCiC.
11/30/2022
Jorge Navarro
RIND
Eviaence Technician
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
'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)
- fnne en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
■
to whole dollars.
,i 1
from 07/01/2022
■
Page 137 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI,D.NUMBER)
*
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Jorge Navarro
X❑IND
Evidence Technician
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31./2022
Jorge Navarro
x❑IND
Evidence Technician
11.00
256.20
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07/15/2022
Alexis Nielsen
RIND
Lead Communications
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
COM
Dispatcher
Avenue
City of San Rafael
Receivedthrough inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assipciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Alexis Nielsen
x❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
❑COM
City of San Rafael
Received through ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2M
Alexis Nielsen
x❑IND
Lead communications
1.Q0
256.20
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
❑COM
City of San Rafael
Received through ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Asa
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
'Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
� fnnr r. nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement coven; period
CALIFORNIA
to whole dollars.
1 � '
from 07101/2022
• '
through 12/31/2022
page 138 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO 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)
o8 31 '2022
Alexis Nielsen
x❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Dispatcher
Avenue
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Alexis Nielsen
x❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Dispatcher
Avenue
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2022
Alexis Nielsen
BIND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
City of San Rafael
Receivedthrough ince
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Alexis Nielsen
RIND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
❑COM
City of San Rafael
Receivedthrough ince
.ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
10/31/2022
Alexis Nielsen
X❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
OC
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
'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)
w fnne rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
1 �
from 07/01/2022
'
through 12/31/2022
page 139 of 192
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
DATE
(IF COMMITTEEALSO ENTER I. D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
,
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/1512022 2022
Alexis Nielsen
x❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Dispatcher
Avenue
City of San Rafael
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Eiation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Alexis Nielsenx❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[-]COM
Dispatcher
Avenue
City of San Rafael
Received through intermediary;
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/15/2022
Alexis Nielsen
x❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
City of San Rafael
Receivedthrough ince
iary_
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Alexis Nielsen
x❑IND
Lead Communications
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
El COM
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
61/5/2022
Oscar Ovcon
RIND
Corpora
13.30
335.7
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
iary:
Oiation
PTY
1520 Fifth Avenue
F1
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 57.30
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnnr ra nnv
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 07/01/2022
through 12/31/2022
SCHEDULE A (CONT.)
Page 140 of 192
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
14.80
G7/31/2022
Oscar O'con
RIND
Corporal
335.70
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 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Oscar O'con
WIND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
Of San Rafael
Avenue
Receivedthrough inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Oscar O'con
WIND
Corporal
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/15/2022
Oscar O'con
WIND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
mediary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Oscar O'con
x❑IND
Corporal
14.80
335.70
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 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
_
to whole dollars.
from 07/01/2022
■ "
through 12/31/2022
Page 141 of 192
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)
x❑IND
OF BUSINESS)
10/15/2022
Oscar O'con
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
iaxy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10 31 2022
Oscar O'con
RIND
Corporal
14.80
335.70
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
Ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Oscar O'con
x❑IND
Corporal
14.80
335.70
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 Assimiatim
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Oscar O'con
x❑IND
Corporal
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
iasy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
1277—FI-5/2022 Oscar O'con X❑IND Corporal 14.80
335.70
C/o: San Rafael Police Association 1520 Fifth Of San Rafael
Avenue []COMCity
Received through int"
Sari Rafael, CA 94901 ❑OTH San Rafael Police Aea
diary;
iation
❑ PTY 1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
� fnnr r. -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA '
460
from 07/01/2022
�
• '
through 12/31/2022
Page 142 of 192
NAMEOFFILER
ID 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
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(EETCOMMIT-FEE,ARALSAND
I D. NUMBER) CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Oscar 01con
x❑IND
Corporal
14.80
335.70
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
CiatiCn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Genesis Ortiz Rubio
x❑IND
Police Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass,
clation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
07/31/2022
Genesis Ortiz Rubio
x❑IND
Police Officer
14.80
335.70
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
❑ SCC
San Rafael, CA 94901
08'/15/2022
Genesis Ortiz Rubio
IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Receivedthrough inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Genesis Ortiz Rubio
91 IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
aiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
"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)
w fnnr r= nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
from 07/01/2022through
F
12/31/2022
143 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIP
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D. NUMBER) CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Genesis Ortiz Rubio
g] IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Receivedthrough inte
San Rafael Police Ass
iary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/3012022
Genesis Ortiz Rubio
RIND
Police Officer
14.80
335.70
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
10/15/2022
Genesis Ortiz Rubio
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through intermediary;
San Rafael, CA 94901
S
El OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Genesis Ortiz Rubio
RIND
Police Officer
14.80
335.70
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
11 /15/2022
Genesis Ortiz Rubio
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
mediary:
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnnr ra —
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
■ . NIA
CALIF,f
to whole dollars.
'
from 07/01/2022
■ '
through 12/31/2022
Page 144 of 192
NAME OF FILER
I D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
11/30/2022
Genesis Ortiz Rubio
X❑IND
Police Officer
14.80
335.70
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&clation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .SCC
12/15/2022
Genesis Ortiz Rubio
X❑IND
Police Officer
14.80
335.70
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
iacivn
❑ PTY
1520 Fifth Avenue
.
El SCC
San Rafael, CA 94901
12/31/2022
Genesis Ortiz Rubio
X❑IND
Police Officer
14.80
335.70
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 Asa
dation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
07/15/2022
Elizabeth Paez
x❑IND
Dispatcher
10.40
256.20
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
oiation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Ellzanet Paez
X❑IND
Dispatcner
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
medlary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssFiarion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 65.80
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnnr ro nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
460 � ,
from 07/01/2022
• '
through 12/31/2022
page 145 of 192
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 COMM ITfEE,ALSO ENTER I.D.NUMBER) CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
08/1512022
Elizabeth Paez
FK] IND
Dispatcher
11.00
25'
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Elizabeth Paez
X❑IND
Dispatcher
11.00
256.20
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Elizabeth Paez
x❑IND
Dispatcher
11.00
256.20
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
iatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Elizabeth Paez
x❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
Of San Rafael
Avenue
Received through ince
mediary:
Sari Rafael, CA 94901
DOTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Elizabeth Paez
X❑IND
Dispatcher
11.000
256.20
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
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*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)
u fnne r2 n^N1
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
1 '
from 07/01/2022
• '
through 12/31/2022
page 146 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2022
Eliza eth Paez
91 IND
Dispatcher
11.00
256.20
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 AssiftClation
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Elizabeth Paez
X❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ation
ciation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
11/30/2022
Elizabeth Paez
X❑IND
Dispatcher
11.00
256.20
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
cation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
12/15/2022
Elizabeth Paez
X❑IND
Dispatcher
11.00
256.20
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
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
15751/2M
Elizabeth Paez
RINDDispatcher
11,00
256.20
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 Asa
i.,.ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
"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)
w fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
1 ,
from 07/01/2022
■ "
through 12/31/2022
page 147 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
i
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT 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)
Brian Patterson X❑IND
OF BUSINESS)
07/15/2022
Officer
13.30
C/o: San Rafael Police Association 1520 Fifth ❑COM
City of San Rafael
Avenue
Received through inte
iarr
Sari Rafael, CA 94901 DOTH
San Rafael Police Ass
iation
E] PTY
152D Fifth Avenue
San Rafael, CA 94901
❑ .S. CiCi
07/31/2022
Brian Patterson
X❑IND
Officer
14.80
335.70
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
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Brian Patterson
x❑IND
Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Brian Patterson
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COMCity
of San Rafael
Avenue
Receivedthrough inte
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/15/2022
Brian Patterson
RIND
O ricer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through ince
ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
[-I
San Rafael, CA 94901
❑SCC.
SUBTOTAL$ 72.50
'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)
� fnnr r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
,
to whole dollars.
�.
,['
from 07/01/2022
■ 'AL
through 12/31/2022
page 148 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2022
Brian Patterson
x❑IND
Officer
14.80
335.70
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
dry:
CiatiOn
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC.
10/15/2022
Brian Patterson
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
TedilkrYp
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
10/31/2022
Brian Patterson
x❑IND
Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
11/15/2022
Brian Patterson
x❑IND
'Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
arian Patterson
OIND
Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ante
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ase
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
w fnnr en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
A O
to whole dollars.
i � i
from 07/01/2022
FORM
through 12/31/2022
Page 149 of 192
NAMEOFFILER
I.D NUMBER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RE,ALSAND ZIPER CODE
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(EET
IT *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2022
Brian Patterson
x❑IND
Officer
14.80
335.70
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 Association
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Brian PattersonX❑IND
Officer
14.80
335.70
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
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Dennis Prince
RIND
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Receivedthrough inte
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Assibeiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Dennis Prince
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assiziation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08 15 2022
Dennis Prince
x❑IND
otticer
14.80
335.70
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 ABP
ediary-
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnnr r. -
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
, .
to whole dollars.Key
14 11111111 4 01
from 07/01/2022
1910
through 12/31/2022
page 150 Of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/1022
Dennis Prince
X❑IND
Officer
14.60
335.74
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
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Dennis Princex❑IND
Officer
14.80
335.70
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 Assiciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
09/30/2022
Dennis Prince
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police AsseCiation.
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10/15/2022
Dennis Prince
MIND
Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
_107M/2022
Dennis Prince
X❑IND
Officer
14.80
5.70
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 Association
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
SUBTOTAL$ 74.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnne r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460, � ,
from 07/01/2022
• '
through 12/31/2022
Page 151 of 192
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 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)
14.80
11/15/2022
Dennis Prince
x❑IND
Officer
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Dennis Princex❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
Received through i
mediary:
San Rafael, CA 94901
❑OTH
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Dennis Prince
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through i
mediary:
San Rafael, CA 94901
S
❑ OTH
Ass
San Rafael Police Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Dennis Prince
x❑IND
(Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
Received through i
ediary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑R.CC
07/1512022
Edgar Rodriguez
x❑IND
Police Otticer
13.30
335.70
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
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2022
SCHEDULE A (CONT.)
through 12/31/2022
Page 152 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(EET
IT ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07.312022
Edgar Rodriguez
X❑IND
Police Officer
14.80
335.70
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 A9911ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
Police Officer
14.80
335.70
08/15/2022
Edgar Rodriguez
X❑IND
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Edgar Rodriguez
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
dation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/35/2022
Edgar Rodriguez
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
ediary-.
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09F30/2022 Edgar Rodriguez X❑IND Police Officer 14.80
335.70
C/o: San Rafael Police Association 1520 Fifth City Of San Rafael
El COM
Avenue Received through inceediary:
San Rafael, CA 94901 ❑OTH San Rafael Police Ass
cation
❑PTY 1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
w fnne r2 nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
� �
from 07/01/2022
• '
through 12/31/2022
Page 153 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, 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)
10/15/2022
Edgar Rodriguez
x❑IND
Police Officer
14.80
335.70
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 AssiClation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Edgar RodriguezX❑IND
Police Officer
14.80
335.70
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
El SCC
11/15/2022
Edgar Rodriguezx❑IND
Police Officer
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Edgar Rodriguez
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
Received through ince
wwWiary.
San Rafael, CA 94901
❑OTH
San Rafael Police AssipCiation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
12/15/2022
Eagar Rodriguez
X❑IND
Police Otficer
14.80
35.'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
medlary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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
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 07/01/2022
through 12/31/2022
SCHEDULE A (CONT)
Page 154 of 192
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN 1 - DEC 31) (IF REQUIRED)
OF BUSINESS)
Police Officer 14.80
12./31/2022
Edgar Rodriguez
X❑IND
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through rote
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Noemi Rossotti Gallo
x❑IND
Police Officer
13.30
335.70
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
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
07/31/2022
Noemi Rossotti Gallo
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through rote
San Rafael, CA 94901
DOTH
San Rafael Police Ass
aiatioy:
iatipn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
L) SCC
08/15/2022
Noemi Rossotti Gallo
RIND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
—6-87-3 1 2 U 2 2
Noemi Rossotti Giallo
x❑IND
Police Oiilcer
14.2SU
335.70
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
Clat ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period4.
to whole dollars.
from 07/01/2022
FPage_
through 12/31/2022
155 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT ALSO ENTER I.D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Noemi Rossotti Gallo
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
of San Rafael
Avenue
Received
Received through i
diary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Noemi Rossotti Gallo
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through i
diary:
San Rafael, CA 94901
❑OTH
ASS
San Rafael Police Ass
iakiatl
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10/15/2022
Noemi Rossotti Gallo
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through iAss
San Rafael, CA 94901
❑OTH
San Rafael Police Association
iation:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Noemi Rossotti Gallo
x❑IND
Police Officer
14.80
335.70
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
clation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2M
Noemi Rossotti Gallo
x❑IND
Police OTTicer
14.130
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period I•
.
CALIFNIA
to whole dollars.
460
from 07/01/2022
FORM
through 12/31/2022
Page 156 of 192
NAME OF FILER
LD NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A DEO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT .D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/20122
Noemi Rossotti Gallo
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through inceediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciatian
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Noemi Rossotti Gallo
X❑IND
Police Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
12131/2022
Noemi Rossotti Gallo
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssiquiatiOn
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
El SCC
07/1512022
Benjamin Rubio
RIND
Police Officer
13.30
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
meaiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assuclation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07131/2622
Benjamin Rubio
X❑IND
Police OLLicer
14.80
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
"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)
- fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
_
to whole dollars.
from 07/01/2022
'
through 12/31/2022
Page 157 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, I.D. NUMBER)
IT
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2022
Benjamin Rubio
91 IND
Police Officer
14.80
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through inte
aryo
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
cia[ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Benjamin Rubio
x❑IND
Police Officer
14.80
249.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through iAss
Sari Rafael, CA 94901
❑OTH
Association San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/15/2022
Benjamin Rubio
RIND
Police Officer
14.80
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ince
m
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iatiiacion:
on
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Benjamin Rubio
]IND
Police Officer
14.80
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through ince
iaryc
San Rafael, CA 94901
❑OTH
San Rafael Police Association
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Benjamin Rubio
Z] IND
Police Officer
14.80
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
iary:
San Rafael, CA 94901
❑OTH
San RafaelPolice Ass
ciatic,n
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
- fnne en nnxt
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2022
'
through 12/31/2022
Page 158 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER LD NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/-31/2022
Benjamin Hub10
RIND
Police Officer
14.88
249.00
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[]COMCity
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police AssliciaLion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Benjamin RubioX❑IND
Police Officer
14.80
249.00
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
❑ SCC
San Rafael, CA 94901
07/15/2022
Jessica Sanchez
RIND
Call Taker/Records
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
Cit Of San Rafael
y
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2022
Jessica Sanchez
X❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
08 5/2022
Jessica Sanchez
RIND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Received through ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ana
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCc
SUBTOTAL$ 62.00
'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)
w fnnr rn nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA iR
to whole dollars.
460
from 07/01/2022
FORM
through 12/31/2022
Page 159 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2022
Jessica Sanchez
x❑IND
Call Taker Records
11.00
255.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Receivedthrough inte
diary:
Sari Rafael, CA 94901
❑0TH
San Rafael Police Asseciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Jessica SanchezRIND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
City Of San Rafael
Receivedthrough irate
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Assimiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
09/30/2022
Jessica Sanchez
x❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[j Com
Specialist
Avenue
Cit Of San Rafael
Received through irate
:
Sari Rafael, CA 94901
Ely OTH
San Rafael Police Ass
Ciationidtion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Jessica Sanchez
x❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
diary:
San Rafael, CA 94901
DOTH
San Rafael Police AssiCiation
L] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
10 31 2D2Z
Jessica Sanchez
x❑IND
Call Taker Records
11.Ou
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through ince
diary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*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 (8661275-3772)
- fnnr ra nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
F.�.
to whole dollars.
1 '
from 07/01/2022
'
through 12/31/2022
page 160 of_ 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2022
Jessica Sanchez
X❑IND
Call Taker/Records
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Receivedthrough inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Jessica Sanchez
91 IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Receivedthrough inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
12/15/2022
Jessica Sanchez
X❑IND
Call Taker/Records
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Receivedthrough inte
,ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
eiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Jessica Sanchez
x❑IND
Call Taker/Records
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through ince
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
d7/1§/2022
Senastian Sancnez
X❑IND
Police Officer
13.30
335.7
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
C7ation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 57.30
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
unuui fnne rn ~w
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period I
CALIFORNIA
to whole dollars.
1 � '
from 07/01/2022
FORM
through 12/31/2022
I
page 161 of 192
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,ALSNDI.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE x
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
X❑IND
OF BUSINESS)
07/31/2022
Sebastian Sanchez
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Receivedthrough ince
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciatiaxs
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Sebastian Sanchez
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Receivedthrough inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police ASSICSatien
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/31/2022
Sebastian Sanchez
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[]COM
City Of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ci.ation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Sebastian Sanchez
El IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
Of San Rafael
[]COMCity
Avenue
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Sebastian Sancnez X❑IND
Police 6fficer
14. U0
335.7
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 Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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 (8661275-3772)
w fnne en —
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1 '
from 07/01/2022
�
"
page 162 of 192
I D. NUMBER
through 12/31/2022
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(EET
IT I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
14.80 335.70
10/15/2022
Sebastian Sanchez
x❑IND
Police Officer
C/o: San Rafael Police Association 1520 Fifth
Of San Rafael
Avenue
[]COMCity
Received through intermediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Sebastian Sanchez
QIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through rote
iary:
San Rafael, CA 94901
DOTH
San Rafael Police Association
Ll PTY
1 520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
11/15/2022
Sebastian Sanchez
QIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through rote
eat:ion
Sari Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Sebastian Sanchez
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El
Received through inte
ediary:
San Rafael, CA 94901
DOTH
San Rafael Police Assipciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 15 12022 Senastlan Sancnez x❑IND Police Officer 14.80
335.70
C/o: San Rafael Police Association 1520 Fifth City Of San Rafael
❑COM
Avenue Receivedthrough inte
ediary:
San Rafael, CA 94901 DOTH San Rafael Police Ass
ciation
❑ PTY1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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)
ovum fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
� r i
from 07/01/2022
'
through 12/31/2022
page 163 of 192
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 COMM ITfEE,ALSO ENTER ID.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Sebastian Sanchez
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Received through inte
Spry:
San Rafael, CA 94901
❑OTH
San Rafael Police AssilciatiorL
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. CC
07/15/2022
Justin Schraeder
X❑IND
Officer
13.30
335.70
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 Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑SCC
07/31/2022
Justin Schraeder
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
mndiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08./15./2022
Justin Schraeder
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Receivedthrough inte
dinzyr
San Rafael, CA 94901
❑OTH
San Rafael Police Assipciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
8/31/2022
Justin Schraeder
91 IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 72.50
*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)
w fnnr rn nn.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
NIA
CALIF1
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
page 164 of 192
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIPDEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EET
IT I.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2022
Justin Schraeder
,❑IND
Officer
14.80
335.70
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 Association
mediary,
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Justin Schraeder
X❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
Received through ince
t
San Rafael, CA 94901
S
❑OTH
San Rafael Police Association
ion
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
10/15/2022
Justin Schraeder
,❑IND
Officer
14.80
335.70
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;
iation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
10/31/2022
Justin Schraeder
RIND
Officer
14.80
335.70
,C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑COM
❑OTH
Received through inte
San Rafael Police Ass
iary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Justin Schraeder
x❑IND
VTticer
1.4.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
ary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 74.00
'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)
u fnnr rn nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
! '
from . 07/01/2022
r
through 12/31/2022
Page 165 of 192
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 COMMITEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2022
Justin Schraeder
MIND
Officer
14.80
335.70
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Justin Schraeder
MIND
Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
E] SCC
12/31/2022
Justin Schraeder
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Receivedthrough intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Alisha Shopp
MIND
Police Officer
13.30
293.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Receivedthrough inte
San Rafael Police Ass
Rediary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SCC
07/31/2022
Ailsna Stlopp
MIND
O ticer
14.80
293,40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through int -e
diaxy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ase
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
� fnnr r. nn�
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 07/01/2022
through 12/31/2022
SCHEDULEA (CONT)
CALIFORNIA
FORM 460
Page 166 of 192
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMM ITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2022
Alisha Shopp
RIND
Police Officer
14.80
293.40
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
Cia Cion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08T31/'2022
Alisha Shopp
x❑IND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
09/15/2022
Alisha Shopp
RIND
Police Officer
14.80
293.40
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2022
Alisha Shopp
X❑IND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Aligns. Shopp
x❑IND
Foiice Officer
14.80
293.40
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received throughinte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'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
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFFF
to whole dollars.
from o7/0l/2022
through 12/31/2022
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 COMM ITfEE,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)
293.40
10/312022
Alisha Shopp
X❑IND
Police Officer
14.80
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Alisha Shopp
X❑IND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through i
mediary:
San Rafael, CA 94901
DOTH
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
11/30/2022
Alisha Shopp
El IND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
D SCC
12/15/2022
Alisha Shopp
X❑IND
Police Officer
14.80
293.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Received through inte
mediary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Alisha Shopp
X❑IND
Police Officer
14.60
293.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Received through inte
San Rafael Police Ass
medlury:
ciation
E] PTY
1520 Fifth Avenue
son Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
- fnnr r2 nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•.
to whole dollars.
from 07/01/2022
• '
through 12/31/2022
page 168 of 192
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
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D-NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 15 2022
Natassja B. Springer
x❑IND
Dispatcher
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through iAssnte
ml.liun
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07.31 2022
Natassja B. Springer
x❑IND
Dispatcher
11.00
256.20
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
cation
❑ PTY
1520 Fifth Avenue
❑SCC
Dispatcher
San Rafael, CA 94901
11.00
256.20
08/15/2022
Natassja B. Springer
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through is
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police AAsss
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/31/2022
Natass a B. S rin
Springer
p g
x❑IND
Dispatcher
p
11.00
256.20
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
atioA
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
[K]IND
09/15/2022
Natass0a S. springer
Dispatcher
11.00
256.20
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
%tfon
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 54.40
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnne en nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
i _
to whole dollars.
i
from 07/01/2022
■ '
page 169 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER .D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2022
Natassja B. Springer
x❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
iary:
Sari Rafael, CA 94901
DOTH
San Rafael Police AsSoCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Natassja B. SpringerX❑IND
Dispatcher
11.00
256.20
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Natassja B. Springer
x❑IND
Dispatcher
11.00
256.20
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 Assilciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Natassja B. Springer
x❑IND
Dispatcher
11.00
256.20
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 Aseliciation
diary:
PTY
1520 Fifth Avenue
L]
San Rafael, CA 94901
❑ SCC
11/30/2022
Natassja B. Springer
x❑IND
Dispatcher
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Received through inteediary:
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
"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)
- f- rn env
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
■ '
from 07/01/2022
through 12/31/2022
page 170 of 192
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
PER ELECTION
RECEIVED
(E COMMITTEE, ALSENTERI.D NUMBER) CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
:.2/15/2022
Natassja B. Springer
x❑IND
Dispatcher
11.00
256.20
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
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Natassja B. Springer
RIND
Dispatcher
11.00
256.20
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 Association
iary:
❑ PTY
1520 Fifth Avenue
SCC
San Rafael, CA 94901
07/15/2022
Lynette Starnes
x❑IND
Community Service Officer
10.40
256.20
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
El SCC
X❑IND
San Rafael, CA 94901
07/31/2022
Lynette Starnes
Community Service Officer
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
El COM
❑OTH
Received through ince
San Rafael Police Ass
iary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08 15 2022
Lynette Starnes
x❑IND
Community Service Officer
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through incer
Lary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssEion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S(.0
SUBTOTAL$ 54.40
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
� fnnr ro nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
460 � '
from 07/01/2022
• '
through 12/31/2022
Page 171 of 192
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
DATE
CUMULATIVECALENDAR
PER ELECTION
DATE
(IFCOMM ITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
YEAR
TO DATE
RECEIVED
CODE*
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2'"22
Lynette Starnes
X❑IND
Community Service Officer
11.00
256.20
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 Asslociation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Lynette Starnes
X❑IND
Community Service Officer
11.00
256.20
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
El SCC
09/30/2022
Lynette Starnes
QIND
Community Service Officer
11.00
256.20
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.C.0
10/15/2022
Lynette Starnes
N] IND
Community Service Officer
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑COM
Avenue
Receivedthrough ince
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2022
Lynette Starnes
X❑IND
Community Service Officer
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[]COMCity
Received through intemediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnn ra nn�
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
Page 172 of 192
NAME OF FILER
I D NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMM ITTEE,ALSO ENTER I.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2022
Lynette Starnes
x❑IND
Community Service Otticer
11.00
256.20
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
❑ SCC
11/30/2022
Lynette Starnes
RIND
Community Service Officer
11.00
256.20
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 As
ciation
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
12/152022
Lynette Starnes
x❑IND
Community Service Officer
11.00
256.20
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 SCC
San Rafael, CA 94901
12/31/2022
Lynette Starnes
RIND
Community Service Officer
11.00
256.20
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
07/15/2022
Remington Sto o
QIND
Poiice orricer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through int e
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Aas
3ation
❑ PTY
1570 Fifth Avenue
San Rafael, SCA 99961
❑ 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
aUoivirkL_;P
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
u fnne rn nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period I
CALIFORNIA
to whole dollars.
1 �
from 07/01/2022
"
through 12/31/2022
FPage 173 of 192
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
DATE
(E COMMIT E,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2022
Remington Stobo
]IND
Police Officer
14.80
335.70
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
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2022
Remington Stobo
RIND
Police Officer
14.80
335.70.
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
ias:ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
OS/31/2022
Remington Stobo
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City Of San Rafael
Avenue
Received through inte
diaEry:
San Rafael, CA 94901
❑OTH
San Rafael Police A9911C14tion
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Remington Stobo
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Receivedthrough ince
San Rafael Police Ass
madiary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
0 30 ...
Kemington Stobc,
x❑IND
Police Otticer
14.80
335.70
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
ciation
PITY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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)
- fnnr rm nn.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
■no
from 07/01/2022
'
Page 174 of 192
through 12/31/2022
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER .D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Police Officer
14.80
335.70
10/15/2022
Remington Stobo
X❑IND
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
10/31/2022
Remington Stobo
91 IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
IReceived through ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
11/15/2022
Remington Stobo
RIND
Police Officer
14.80
335.70
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
El SCC
11/30/2022
Remington Stobo
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ince
madiary;
San Rafael, CA 94901
❑OTH
San Rafael Police Asa
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Remington Stobo
x❑IND
Police Officer
14-80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ante
ediary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"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 (8661275-3772)
w fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2022
'
through 12/31/2022
Page 175 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2022
Remington Stobo
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inte
tarn:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
E] PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Charly Taylor
x❑IND
Civilian Supervisor
10.40
256.20
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
Received through ince
pdiaryc
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
E-] SCC
San Rafael, CA 94901
07/31/2022
Charly Taylor
x❑IND
Civilian Supervisor
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
Receivedthrugh inte
diary -
San Rafael, CA 94901
❑OTH
San Rafael Poolice AssilPlatign
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC.
08/15/2022
Charly Taylor
x❑IND
Civilian Supervisor
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
Received through ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
48 _111261Y
Charly 'Taylor
x❑IND
Civilian Supervisor
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 58.20
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
- fnnr en nn%f
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period
• .
to whole dollars.
I '
from 07/01/2022
• '
through 12/31/2022
Page 176 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT _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)
09/15/2022
Charly Taylor
x❑IND
Civilian Supervisor
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough ince
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciatl=
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Charly Taylor
X❑IND
Civilian Supervisor
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Receivedthrough inte
m diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
10/15/2022
Charly Taylor
x❑IND
Civilian Supervisor
11.00
256.20
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
ediaxy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
10/31/2022
Charly Taylor
91IND
Civilian Supervisor
11.00
256.20
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
ciaeion
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
cnar y T'ayior
X❑IND
Civilian Supervisor
11.00
256.2
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
❑COMCity
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
i8t ion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*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)
w fnne rn nnu
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
1 ,
from. 07/01/2022
"
through 12/31/2022
Page 177 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A DEO
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
IT
(IF COMMITTEE, .D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2022
Charly Taylor
X❑IND
Civilian Supervisor
11.00
256.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
7podiaryi
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
dation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2022
Charly Taylor
X❑IND
Civilian Supervisor
11.00
256.24
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
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
12/31/2022
Charly Taylor
x❑IND
Civilian Supervisor
11.00
256.20
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
iatinn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/15/2022
Jessica Trujillo
RIND
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑COM
Avenue
Received through ince
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
Ll
San Rafael. CA 94901
❑ SCC
Q7 31 2022
Jessica Trujillo
g] IND
O (icer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
Received through inte
diaxy:
San Rafael, CA 94901
[1OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
SUBTOTAL $ 61.10
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY— Political Party
SCC— Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
- fnnr ro nn"
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
1'
from 07/01/2022
through 12/31/2022
Page 178 of 19z
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
r
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 -DEC 31)
(IF REQUIRED)
OF BUSINESS)
Officer 14.80
08/15/2022
Jessica Trujillo
x❑IND
335.70
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 Association
diary:
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
08/31/2022
Jessica Trujillo
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
tion:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ip[ion
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
09/15/2022
Jessica Trujillo
x❑IND
Officer
14.80
335.70
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2022
Jessica Trujillo
x❑IND
Officer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10F15/2022
Jessica Trujillo
x❑IND
OTTicer
14.80
335.70
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC
SUBTOTAL$ 74.00
'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)
w fnne rn nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement coven; period
CALIFORNIA
to whole dollars.
from 07/01/2022
FORM
through 12/31/2022
Page 179 of 192
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
(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
_
10131/::022
Jessica Trujillo
]IND
Officer
14.80
335.70
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:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Jessica Trujillo
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through ince
mai iiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Jessica Trujillo
x❑IND
Officer
14.80
335.70
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
'iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
12!-;/2022
Jessica Trujillo
x❑IND
Officer
14.80
335.70
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 Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/31/2G22
Jessica Trujiiio
x❑IND
Otticer
14,80
335.70
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 Aso
iation
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
SUBTOTAL$ 74.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/276-3772)
� fnnr r. -
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
'
from 07/01/2022
• '
through 12/31/2022
page 180 of 192
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
PER ELECTION
RECEIVED
(E COMMITTEE, ALSO ENTER ,D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
13.30
07/15/2022
Lorena Vega
X❑IND
Police Officer
335.70
C/o: San Rafael Police Association 1520 Fifth
Of San Rafael
Avenue
[]COM
Sari Rafael, CA 94901
❑
Received through i
Received
Association
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07131/2022
Lorena Vega
RIND
Police Officer
14.80
335.70
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
mediary:
ciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
08•/15/2022
Lorena VegaRIND
Police Officer
14.80
335.70
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 Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
08/31/2022
Lorena Vega
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
-09TI-5/2022
❑ SCC
Police Officer
14.8U
335.70
Lorena Vega
X❑IND
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ince
San Rafael Police Ass
mediary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
'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)
u fnne em nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
•. ,
to whole dollars.
1
from 07/01/2022
• '
through 12/31/2022
page 181 of 192
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
(E COMMITTEE, ALSO ENTER D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
09/30/2022
Lorena Vega
x❑IND
Police Officer
14.80
3+5.77
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough ince
r"diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC,
10/15/2022
Lorena Vega
x❑IND
Police Officer
14.80
335.70
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
10/31/2022
Lorena Vega
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2022
Lorena Vega
X❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through ince
diary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
E]
San Rafael, CA 94901
❑ SCC
1.1/3072M
Lorena VegaMINDPolice
Officer
14.80
335.7
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through izicadiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Aeam
iatipn
❑ 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
SUBTOTAL$ 74.00
FPPC Form 460 (Jan/20116)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
w fnnr en nnv
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
• NIA
CALIFI '
from 07/01/2022
• ' #
through 12/31/2022
page 182 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITfEE,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)
Police Officer
14.8 335.70
0
12/15/2022
Lorena Vega
x❑IND
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received through inte miation:
San Rafael Police Ass iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2022
Lorena Vega
91 IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received through intermediary:
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
07/15/2022
Mark Wilkinson
RIND
Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
DOTH
Received through iAss
San Rafael Police Ass
diary:
iation
❑ PTY
1520 Fifth Avenue
E] SCC
San Rafael, CA 94901
07/31/2022
Mark Wilkinson
El IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
DOTH
Receivedthrough ince
San Rafael Police AssmCiatiOln
diaxyi
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
OS 15 2022
Mark Wilkinson
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth❑COM
City of San Rafael
Avenue
Received through inte
ardiary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
CiatiOn
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Politica I Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
� fnnr ro nnv
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
1 �
from 07/01/2022
• '
through 12/31/2022
page 183 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN 1 - DEC 31)
(IF REQUIRED)
OF BUSINESS)
08/31 2022
Mark Wilkinson
X❑IND
Officer
14.80
335.70
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:
GiatioR
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Mark Wilkinson
x❑IND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through ince
madiarp
San Rafael, CA 94901
❑OTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2022
Mark Wilkinson
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through ince
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2022
Mark Wilkinson
❑IND
Officer
14.80
335.70
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
ediaty:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
3.0/31/2022
Mark Wilkinson
RIND
Officer
14.813
335.76
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
ediasy:
San Rafael, CA 94901
❑OTH
San Rafael Police A98CiRtip4
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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 (8661275-3772)
w fnnr rn nn.
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA ■ '
from 07/01/2022
'
through 12/31/2022
Page 184 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMM ITTEE, 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)
14.80
335.70
13./15/2022
Mark Wilkinson
X❑IND
Otticer
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intermediary;
San Rafael Police Ass
ciation
❑ PTY
152 0Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2022
Mark Wilkinson
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
aiy:
San Rafael, CA 94901
❑OTH
San Rafael Police Asa
ciation
❑ PTY
1520 Fifth Avenue
❑SCiC
San Rafael, CA 94901
12/15/2022
Mark Wilkinson
x❑IND
Officer
14.80
335.70
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 AselpCiation
diary:
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
12/31/2022
Mark Wilkinson
RIND
Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ince
-ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07115/2022
Et Man
X❑IND
Police Officer
13.30
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ci&tion
❑PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.50
*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)
� fnne ra nnu
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period•
. ,
to whole dollars.
from 07/01/2022
• '
through 12/31/2022
page 185 of 192
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
(EFTA ITfEE,ALSANDZI
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)
07/31/2022
Ethan Wolgamott
MIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Receivedthrough inte
1&X91:
San Rafael, CA 94901
DOTH
San Rafael Police Assimciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ S. CiCi
08.15/.2022
Ethan Wolgamott
RIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Received through inte
tion:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
talion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2022
Ethan Wolgamott
x❑IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through inteimediary.
San Rafael, CA 94901
DOTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2022
Ethan Wolgamott
MIND
Police Officer
14.80
335.70
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
cation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09 30 2022
Ethan Wolgamott
MIND
Police Otticer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
iary:
San Rafael, CA 94901
DOTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*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/20`16)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
� fnnr r. n^"
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
,
to whole dollars.
■,
from 07/01/2022
f '
through 12/31/2022
page 186 of 192
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
(IFSELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2022
Ethan Wolgamott
MIND
Police Officer
14.8 0
335.70
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
iary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10./31/2022
Ethan Wolgamott
MIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through inte=ediAryt
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
El SCC
San Rafael, CA 94901
11/15/2022
Ethan Wolgamott
®IND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through irate
iation:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
F1 SCC
San Rafael, CA 94901
11/30/2022
Ethan Wolgamott
MIND
Police Officer
14.80
335.70
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through interrmediaryl
San Rafael, CA 94901
❑OTH
San Rafael Police Assirciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
12 15 2022
Ethan WolgamottMIND
Police Officer
14.8.0
3'5.7
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through irate
medlary:
San Rafael, CA 94901
❑OTH
San Rafael Police ASK
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 949 01
El SCC
SUBTOTAL$ 74.00
*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)
w fnnrr rz nnv
Schedule A (Continuation Sheet) SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. •
from 07/01/2022 •
through 12/31/2022 Page 187 of 192
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
RECEIVED
(IFCOMMITfEE,ALSO ENTER I.D.NUMBER)
CODE
12/31/2022
Ethan Wolgamott
RIND
C/o: San Rafael Police Association 1520 Fifth
PCOM
Avenue
San Rafael, CA 94901
❑OTH
❑ PTY
❑S.CiCi
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
FIFTY
❑ SCC
❑ IND
I COM
❑ OTH
-_ PTY
I 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
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Police Officer
City.Of San Rafael
AMOUNT
RECEIVED THIS
PERIOD
14.80
Received through ints
San Rafael Police Ass
1520 Fifth Avenue
San Rafael, CA 94901
SUBTOTAL$ 14.80
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
w fnnr en nnu
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 07/01/2022
through 12/31/2022 Page 188 of 192
f 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
Donor Stack, LLC
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC
312 Clay Street, Suite 300
Oakland, CA 94607
CODE OR DESCRIPTION OF PAYMENT
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)
2. Unitemized payments made this period of under $100...............................................................................................................................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)...................................................................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ..............................
AMOUNT PAID
73.94
270.24
78.20
SUBTOTAL$ 422.38
$ 2,114.62
$ 0.00
............ $
TOTAL $
0.00
2,114.62
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
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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.
Statement covers period
from 07/01/2022
through 12/31/2022
SCHEDULE E (CONT.
Page 189 of 192
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
FIND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D- NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
38.37
Donor Stack, LLC
WEB
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC
38.37
WEB
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
466.50
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
319.00
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
434.50
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ 1,296.74
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Heloline: 866/ASK-FPPC (866/275-37721
i
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.
Statement covers period
from 07/01/2022
through 12/31/2022
SCHEDULE E (CONT)
`1
O. •
Page 190 of 192
I.D. NUMBER
831553
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
PRO
DESCRIPTION OF PAYMENT
Annual Fee
AMOUNT PAID
345.50
S.E. Owens & Company
312 Clay Street, Suite 300
Oakland, CA 94607
Secretary of State
1500 11th Street, Room 495
Sacramento, CA 95814
50.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ 395.50
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Heloline: 866/ASK-FPPC (866/275-37721
PAP,
SCHEDULEF
Schedule F Amounts may be rounded Statement covers period ■ -
Accrued Expenses (Unpaid Bills) to whole dollars.■ - •
from 07/01/2022
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
through 12/31/2022
Page 191 of 192
I.D. NUMBER
831553
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D. SUBTOTALS $ 0.00$ 416.50$ 0.00$ 416.50
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 $ 416.50
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 $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)................................................................
0.00
.......................................... NET $ 416.50
May be a negative number
FPPC Form 460 (Jan/2016)
FPPr: Tnll_Fraa HPlnlinP• RAR/OSK_FPPr (RAA177Fi_17771
(
(
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNTINCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
PRO
OF THIS PERIOD
0.00
309.00
(ALSO REPORT ON E)
0.00
OF THIS PERIOD
S.E. Owens & Company
309.00
312 Clay Street, Suite 300
Oakland, CA 94607
PRO
0.00
107.50
0.00
107.50
S.E. Owens & Company
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D. SUBTOTALS $ 0.00$ 416.50$ 0.00$ 416.50
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 $ 416.50
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 $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)................................................................
0.00
.......................................... NET $ 416.50
May be a negative number
FPPC Form 460 (Jan/2016)
FPPr: Tnll_Fraa HPlnlinP• RAR/OSK_FPPr (RAA177Fi_17771
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)
Statement covers period
from 07/01/2022
through 12/31/2022
DESCRIPTION OF RECEIPT
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this period................................................................................................
2. Unitemized increases to cash of under $100 this period.....................................................................
3. Total ofall interest received this period on loans made to others. (Schedule H, Column (e).) .........
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.)....................................................................................................................
Page 192 of 192
I.D. NUMBER
831553
AMOUNT OF
INCREASE TO CASH
0.00
TOTAL $ 8.66
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnne en nnv
$ 0.00
,..........
$ 8.66
.........
$ 0.00
Page 192 of 192
I.D. NUMBER
831553
AMOUNT OF
INCREASE TO CASH
0.00
TOTAL $ 8.66
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
w fnne en nnv