HomeMy WebLinkAboutForm 460 - Police Association PAC (2023-06-30) Semi-AnnualRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2023
through 06/30/2023
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 Part5) 0 Sponsored
(Also Complete Part 6)
J General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part7)
3. Committee Information I 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)
CITY STATE ZIP CODE AREA CODE/PHONE
San Rafael CA 94901 (
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
COVER PAGE
Date of election if appli g JUL 2 7 2023
(Month, Day, Year) ge 1 of 186
For Official Use Only
C,
CLERK'S OFFICE
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
® 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 (
NAME OF ASSISTANT TREASURER, IF ANY
Stacy E. Owens
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
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
COVER PAGE - PART 2
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES . ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page 2 of 186
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.qov
Campaign Disclosure Statement SUMMARY PAGE
Amounts may be rounded Statement covers periodCALIFORNIA
Summary Page to whole dollars. _ '
from 01/01/2023
through
06/30/2023
Page 3 of 186
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action
Committee
831553
Column B
Calendar Year Summary for Candidates
Contributions Received
ToColum Roo
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTALTODATE
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3
$
12, 584.80
$
12, 584.80
1/1 through 6/30 7/1 to Date
2. Loans Received......................................................
Schedule B, Line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 + 2
$
12,584.80
$
12,584.80
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, 584.80
$
12, 584.80
Made $ $
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4
$
3,294.33
7. Loans Made.............................................................
Schedule H, Line 3
0.00
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6+7
$
3,294.33
9. Accrued Expenses (Unpaid Bills
Schedule F, Line 3
-416. 50
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
0.00
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8+9+10
$
2,877.83
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
15. Cash Payments .................................................. column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
180,755.72
12,584.80
9.13
3,294.33
190,055.32
0.00
0.00
0.00
$ 3,294.33
0.00
$ 3,294.33
0.00
0.00
$ 3,294.33
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)
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.qov
Schedule A
SCHEDULE A
Monetary Contributions Received Amounts may be rounded
ry
Statement covers period
CALIFORNIA
to whole dollars.
• '
from 01/01/2023
FORM
through 06/30/2023
page 4 of 186
SEE INSTRUCTIONS ON REVERSE
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Elisha Adams
®IND
Officer
14.80
162.80
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
01/31/2023
Elisha Adams
®IND
Officer
14.80
162.80
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 Asscciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
02/15/2023
Elisha Adams
®IND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
02/28/2023
Elisha Adams
®IND
Officer
14.80
162.80
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
03 15 2023
Elisha Adams
®IND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inter
San Rafael Police Association
ediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................ $
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
12,268.00
316.80
12,584.80
'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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 5 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
03/30/2023
Elisha Adams
BIND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Elisha Adams
®IND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary
Sari Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San P.afael, CA 94901
❑SCC
04/28/2023
Elisha Adams
R]IND
Officer
14.80
162.80
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
05/15/2023
Elisha Adams
K]IND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 31 2023
Elisha Adams
®IND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2023through
F
C6/30/2023
6 of 186
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)
06/15/2023
Elisha Adams
®IND
Officer
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through P
mediary:
Sari Rafael, CA 94901
❑ OTH
ASS
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Alison Ager
®IND
Police Officer
14.80
177.60
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
01/31/2023
Alison Ager
IND
Police Officer
14.80
177.60
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
02/15/2023
Alison Ager
E]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Alison Ager
®IND
Police Officer
14.80
177.60
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:
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 7 of 186
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
(COMMITTEE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OFBUSINESS)
03/15/2023
Alison Ager
®IND
Police Officer
14.80
177.60
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'.,
03/30/2023
Alison Ager
®IND
Police Officer
14.80
177.60
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
❑SCC
04/14/2023
Alison Ager
F41 IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
can Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Alison Ager
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .SCC
05 15 2023
Alison Ager
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.from
01/01/2023through
F
06/30/2023
8 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Alison Ager
®IND
Police Officer
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Alison Ager
®IND
Police Officer
14.80
177.60
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
06/30/2023
Alison Ager
BIND
Police Officer
14.80
177.60
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.
01/15/2023
Raul Aguilar
FC]IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01 31 2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
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
[-I PTY
1520 Fifth Avenue
San Rafael, CA 94901
i
❑ SCC
I
I
I
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)
www.fppC.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 9 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITfEE,ALSND I.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)
02/15/2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
03/15/2023
Raul Aguilar
R]IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
03/30/2023
Raul Aguilar
El IND
Sergeant
14.80
177.60
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
04 14 2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2023
'
through 06/30/2023
page 10 of 186
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 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)
04/28/2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
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
05/15/2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
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
05/31/2023
Raul Aguilar
R]IND
Sergeant
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
06/15/2023
Raul Aguilar
FC1 IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Raul Aguilar
®IND
Sergeant
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 11 of 186
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,ALSND .D.NUMB
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 9%01
❑ SCC
01/31/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
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
02/15/2023
Leslie Ahlenslager
R]IND
Police Officer
14.80
177.60
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.
02/28/2023
Leslie Ahlenslager
KIND
Police Officer
14.80
177.60
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
03 15 2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1320 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
"
through 06/30/2023
page 12 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO .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)
03/30/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Leslie Ahlenslager
®INp
Police Officer
14.80
177.60
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
04/28/2023
Leslie Ahlenslager
R]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
05/15/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 31 2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fpi3c.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
'
from O1/01/2023
through 06/30/2023
page 13 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Leslie Ahlenslager
®IND
IND
Police Officer
14.80
177.60
C/O: San Rafael Police Association 1520 Fifth
❑
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SC(..
06/30/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
01/15/2023
Zachary Brickell
KIIND
Officer
14.80
148.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SCC
01/31/2023
Zachary Brickell
El IND
Officer
14.80
148.00
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
02 15 2023
Zachary Brickell
®IND
Officer
14.80
148.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fvPc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I ,
from 01/01/2023
•
through 06/30/2023
page 14 of 186
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
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)
02/28/2023
Zachary Brickell
®IND
Officer
14.80
148.00
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
03/15/2023
Zachary Brickell
®IND
Officer
14.80
148.00
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
03/30/2023
Zachary Brickell
R1IND
Officer
14.80
148.00
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
04/14/2023
Zachary Brickell
FKIIND
Officer
14.80
148.00
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
04 28 2023
Zachary Brickell
®IND
Officer
14.80
148.00
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$ 4.00
*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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period ECALIFORNIA
to whole dollars.
/ '
from 01/01/2023
FORM
through 06/30/2023
page 15 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Zachary Brickell
®IND
Officer
14.80
148.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑ COM
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCiC.
05/31/2023
Zachary Brickell
®INp
Officer
14.80
148.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Scott Brooks
�INJD
Police Corporal
14.80
177.60
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
01/31/2023
Scott Brooks
BIND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 15 2023
Scott Brooks
®IND
Police Corporal
14.80
177.60
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 16 of 186
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)
02/28/2023
Scott Brooks
®IND
Police Corporal
14.80
177.60
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
03/15/2023
Scott Brooks
®IND
Police Corporal
14.80
177.60
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
03/30/2023
Scott Brooks
F41 IND
Police Corporal
14.80
177.60
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
04/14/2023
Scott Brooks
ElIND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Sari Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 28 2023
Scott Brooks
®IND
Police Corporal
14.80
177.60
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 O1/01/2023
through 06/30/2023
page 17 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Scott Brooks
®IND
Police Corporal
14.80
177.60
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
05/31/2023
Scott Brooks
®IND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Scott Brooks
RIND
Police Corporal
14.80
177.60
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
06/30/2023
Scott Brooks
E]IND
Police Corporal
14.80
177.60
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
01 15 2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
medi ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20
'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)
www.fppc.ca.clov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 18 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i ntei
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Antonette Bullock
R1IND
Community Service Officer
11.00
132.00
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.
03/15/2023
Antonette Bullock
BIND
Community Service Officer
11.00
132.00
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
03 30 2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
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$ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
/ '
from 01/01/2023
'
through 06/30/2023
page 19 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMIT7EE,ALSO .D.NUMB
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Antonette Bullock
BIND
Community Service Officer
11.00
132.00
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
04/28/2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
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
05/15/2023
Antonette Bullock
MIND
Community Service Officer
11.00
132.00
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
❑ SCC.
05/31/2023
Antonette Bullock
BIND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
El
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 20 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Antonette Bullock
®IND
Community Service Officer
11.00
132.00
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
01/15/2023
Joseph Camins
®IND
Officer
14.80
177.60
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
01/31/2023
Joseph Camins
F41 IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
02/15/2023
Joseph Camins
KIIND
Officer
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Joseph Camins
®IND
Officer
14.80
177.60
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$ 70.20
*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 (8661275-3772)
www.fppC.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
'from
01/O1/2023
FPage
through 06/30/2023
21 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Joseph Camins
®IND
Officer
14.80
177.60
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
03/30/2023
Joseph Camins
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC,
04/14/2023
Joseph Camins
R]IND
Officer
14.80
177.60
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.
04/28/2023
Joseph Camins
RIND
Officer
14.80
177.60
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
05 15 2023
Joseph Camins
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 22 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Joseph Camins
®IND
Officer
14.80
177.60
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
06/15/2023
Joseph Camins
®IND
Officer
14.80
177.60
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
06/30/2023
Joseph Camins
F41 IND
Officer
14.80
177.60
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.
02/15/2023
Marissa Carney
BIND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Marissa Carney
®IND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of Sari Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SCC
SUBTOTAL$ 66.40
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
A
WO
from 01/01/2023
FORM
through 06/30/2023
page 23 of 186
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
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)
03/15/2023
Marissa Carney
BIND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Marissa Carney
®IND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
04/14/2023
Marissa Carney
IND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
an aae
CityOf SRafael
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
04/28/2023
Marissa Carney
RIND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of Sari Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
05 15 2023
Marissa Carney
®IND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Received through inte
mediary:
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)
www,fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I ,
from 01/01/2023
•
through 06/30/2023
Page 24 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Marissa Carney
BIND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rz fael, CA 94901
❑ SCC
06/15/2023
Marissa Carney
®IND
Call Taker & Records
11.00
110.00
C/O: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Marissa Carney
R]IND
Call Taker & Records
11.00
110.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
01/15/2023
Trevor Carney
IND
Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01 31 2023
Trevor Carney
®IND
Corporal
14.80
177.60
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$ 62.60
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 25 of 186
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 COMMITTEEALSO 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)
02/15/2023
Trevor Carney
®IND
Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Trevor Carney
®IND
Corporal
14.80
177.60
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
03/15/2023
Trevor Carney
IND
Corporal
14.80
177.60
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
03/30/2023
Trevor Carney
MIND
Corporal
14.80
177.60
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
04 7-1-47 2 02 3
Trevor Carney
®IND
Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through i me
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ 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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 26 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/28/2023
Trevor Carney
®IND
Corporal
14.80
177.60
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
❑ SCC
05/15/2023
Trevor Carney
®IND
Corporal
14.80
177.60
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
05/31/2023
Trevor Carney
R1IND
Corporal
14.80
177.60
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
❑ SCC
06/15/2023
Trevor Carney
El IND
Corporal
14.80
177.60
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
06 30 2023
Trevor Carney
®IND
Corporal
14.80
177.60
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:
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 01/01/2023
through 06/30/2023
page 27 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Edward Chiu
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Edward Chiu
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/13/2023
Edward Chiu
R IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.C.
02/28/2023
Edward Chiu
FIND
Officer
14.80
177.60
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
03 15 2023
Edward Chiu
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through into
mediary:
San Rafael, CA 94901
❑OTH
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/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I '
from C1/01/2023
•
through C6/30/2023
page 28 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2023
Edward Chiu
®IND
Officer
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Edward Chiu
®IND
Officer
14.80
177.60
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
04/28/2023
Edward Chiu
R]IND
Officer
14.80
177.60
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
05/15/2023
Edward Chiu
FLI IND
Officer
14.80
177.60
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
05 31 2023
Edward Chiu
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIF/
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
Page 29 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Edward Chiu
®IND
Officer
14.80
177.60
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
06/30/2023
Edward Chiu
®IND
Officer
14.80
177.60
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
mediary:
Sdri Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
01/15/2023
Richard F. Clary
F IND
Police Officer
14.80
177.60
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,
01/31/2023
Richard F. Clary
ElIND
Police Officer
14.80
177.60
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
02 15 2023
Richard F. Clary
®IND
Police Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCCi
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A • R
to whole dollars.
I '
from 01/01/2023
• �
through 06/30/2023
page 30 of 186
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
(IFCOMMITfEE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/28/2023
Richard F. Clary
®IND
Police Officer
14.80
177.60
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
03/15/2023
Richard F. Clary
®IND
Police Officer
14.80
177.60
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
03/30/2023
Richard F. Clary
R]IND
Police Officer
14.80
177.60
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.
04/14/2023
Richard F. Clary
]IND
Police Officer
14.80
177.60
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
04 28 2023
Richard F. Clary
®IND
Police Officer
14.80
177.60
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
1121 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
from 01/01/2023
• '
through 06/30/2023
page 31 of 186
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
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)
05/15/2023
Richard F. Clary
®IND
Police Officer
14.80
177.60
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
05/31/2023
Richard F. Clary
®IND
Police Officer
14.80
177.60
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
06/15/2023
Richard F. Clary
KIIND
Police Officer
14.80
177.60
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
06/30/2023
Richard F. Clary
IND
Police Officer
14.80
177.60
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
ciati cn
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SC.0
01 15 2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
son Rafael Police Ass
ciation
ElPTY
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 32 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND .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)
01/31/2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Robert Cleland
IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
Sari Rafael, CA 94901
❑OTH
San RafaelPolice Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Robert Cleland
FL]IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
❑
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 30 2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
page 33 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Robert Cleland
R]IND
Sergeant
14.80
177.60
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
05/31/2023
Robert Cleland
KIIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 7_57 2023
Robert Cleland
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
from 01/01/2023
through 06/30/2023
page 34 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMTTEE,ALSO I.D.NUMB
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Robert Cleland
KIIND
Sergeant
14.80
177.60
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
01/15/2023
Thomas Collins
®IND
Officer
14.80
177.60
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
01/31/2023
Thomas Collins
]IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through i me
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Thomas Collins
ElIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Thomas Collins
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
Page 35 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Thomas Collins
®IND
Officer
14.80
177.60
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
03/30/2023
Thomas Collins
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Thomas Collins
R]IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
Received through rote
mediary:
San Rafael, CA 94901
❑
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
04/28/2023
Thomas Collins
FKI IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El 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
05 15 2023
Thomas Collins
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 01/01/2023
• 'IdKL
through 06/30/2023
page 36 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Thomas Collins
]IND
Officer
14.80
i77.60
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
06/15/2023
Thomas Collins
®IND
Officer
14.80
177.60
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
1520Fifth Avenue
San Rafael, CA 94901
❑SCC
06/30/2023
Thomas Collins
R]IND
Officer
14.80
177.60
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
01/15/2023
Ronda Cordero
IND
Sergeant
14.80
177.60
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.
01 31 2023
Ronda Cordero
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
i
❑ SCC
I
I
I
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 37 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Ronda Cordero
®IND
Sergeant
14.80
177.60
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
02/28/2023
Ronda Cordero
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Ronda Cordero
RIIND
Sergeant
14.80
177.60
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police AS
ciation
❑ PTY
1520Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Ronda Cordero
KIIND
Sergeant
14.80
177.60
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
04 14 2023
Ronda Cordero
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
i
❑ SCC
I
I
I
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
CALIFORNIA
to whole dollars.
I '
from 01/01/2023 -
FORM
through 06/30/2023
Page 38 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
OFBUSINESS)
04/28/2023
Ronda Cordero
BIND
Sergeant
14.80
177.60
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
05/15/2023
Ronda Cordero
®IND
Sergeant
14.80
177.60
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
05/31/2023
Ronda Cordero
FJIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
06/15/2023
Ronda Cordero
El IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.C.
06 30 2023
Ronda Cordero
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through into
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
'
from 01/01/2023
'
through 06/30/2023
page 39 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
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
01/31/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
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
❑ SCiC.
02/15/2023
Heinrich Cuddy
KIIND
Police Corporal
14.80
177.60
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
❑ SCC
02/28/2023
Heinrich Cuddy
BIND
Police Corporal
14.80
177.60
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
03 15 2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
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
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)
www.fvpc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
page 40 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE,ALSND 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)
03/30/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑
Received through i
Association
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
[:1OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
04/28/2023
Heinrich Cuddy
KIND
Police Corporal
14.80
177.60
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
O5/15/2023
Heinrich Cuddy
E]IND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
OS 31 2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
Fifth
ACAn
SanO Rafael, 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)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 41 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
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
06/30/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
177.60
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
01/15/2023
Casey DeBolt
R]IND
Police Officer
14.80
177.60
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 9490,
❑ SCC
01/31/2023
Casey DeBolt
K]IND
Police Officer
14.80
177.60
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
02 15 2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
from 01/01/2023
'
through 06/30/2023
page 42 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO I.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)
02/28/2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
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
03/15/2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
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
[:1 PTY
1520 Fifth Avenue
❑SCC
San Rafael, CA 94901
03/30/2023
Casey DeBolt
R]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
04/14/2023
Casey DeBolt
FIND
Police Officer
14.80
177.60
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:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 28 2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
�
through 06/30/2023
page 43 of 186
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
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)
05/15/2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
,an Rafael, CA 94901
❑ SCC
05/31/2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
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
06/15/2023
Casey DeBolt
F41 IND
Police Officer
14.80
177.60
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
1520Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Casey DeBolt
®IND
Police Officer
14.80
177.60
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
01 15 2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City of San Rafael
Received throuch inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20
'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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
. NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
Page 44 of 186
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 TTEE,ALSND 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)
01/31/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
Cityof San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Rebecca DeLaTorre
IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
Cityof San Rafael
Received through rote
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Rebecca DeLaTorre
KIIND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 30 2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1320 Fifth
Specialist
Avenue
El COM
City of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
Page 45 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO .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)
04/14/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
Cityof San Rafael
Received through rote
mediary.
Sari Rafael, CA 94901
❑OTH
San Rafael Police A55
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
Cityof San Rafael
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
05/15/2023
Rebecca DeLaTorre
KIND
Call Taker & Records
11.00
132.00
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
San Rafael, CA 94901
❑ SCC
05/31/2023
Rebecca DeLaTorre
R]IND
Call Taker & Records
11.00
132.00
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
06 15 2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFO R
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
page 46 of 186
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
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)
06/30/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
132.00
c/o San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
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
01/31/2023
Blake Delzell
R]IND
Police Sergeant
14.80
177.60
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
02/15/2023
Blake Delzell
MIND
Police Sergeant
14.80
177.60
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
02 28 2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
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$ 70.20
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I '
from O1/01/2023
• '
through 06/30/2023
Page 47 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
03/15/2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
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
,,an Rafael, CA 94901
❑ SCC
03/30/2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
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
,an Rafael, CA 94901
El SCC
04/14/2023
Blake Delzell
]IND
Police Sergeant
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Blake Delzell
KIIND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 T2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 48 of 186
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
(IFCOMMTTEE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through rote
mediary:
S
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Blake Delzell
®IND
Police Sergeant
14.80
177.60
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
06/30/2023
Blake Delzell
FIND
Police Sergeant
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Shannon Diana
]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through iota
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01 31 2023
Shannon Diana
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1120 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
from 01/01/2023
through 06/30/2023
page 49 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831353
DATE
ND DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
QFCOMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Shannon Diana
®IND
Police Officer
14.80
177.60
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
02/28/2023
Shannon Diana
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 152C 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
03/15/2023
Shannon Diana
R]IND
Police Officer
14.80
177.60
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
03/30/2023
Shannon Diana
®IND
Police Officer
14.80
177.60
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
04 19 2023
Shannon Diana
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I
I '
from 01/O1/2023
•
through 06/30/2023
page 50 of 186
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,ALSND 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)
04/28/2023
Shannon Diana
®IND
Police Officer
14.80
177.60
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
05/15/2023
Shannon Diana
®IND
Police Officer
14.80
177.60
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
05/31/2023
Shannon Diana
F4]IND
Police Officer
14.80
177.60
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
El SCC
06/15/2023
Shannon Diana
El IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Shannon Diana
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
R San afael, 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I t
from 01/01/2023
•
through 06/30/2023
page 51 of 186
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
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)
01/15/2023
Justin Dodson
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Justin Dodson
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
02/15/2023
Justin Dodson
El IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Justin Dodson
KIIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-I COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 15 2023
Justin Dodson
®IND
Sergeant
14.80
177.60
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 As
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
NIA
CALIF/
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
page 52 of 186
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)
03/30/2023
Justin Dodson
®IND
Sergeant
14.80
177.60
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 Association
❑ PTY
1520Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Justin Dodson
®IND
Sergeant
14.80
177.60
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
04/28/2023
Justin Dodson
RIIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
San Rafael
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Justin Dodson
{lIND
Sergeant
14.80
177.60
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
05 31 2023
Justin Dodson
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Pifth 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
page 53 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND 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)
06/15/2023
Justin Dodson
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Justin Dodson
®IND
Sergeant
14.80
177.60
C/O: San Rafael Police Association 152.0 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
medlars:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
James Dooley
R]IND
Police Corporal
14.80
177.60
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
❑ SCC
01/31/2023
James Dooley
BIND
Police Corporal
14.80
177.60
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
02 15 2023
James Dooley
®IND
Police Corporal
14.80
177.60
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
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
Page 54 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
02/28/2023
James Dooley
®IND
Police Corporal
14.80
177.60
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
03/15/2023
James Dooley
®IND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
03/30/2023
James Dooley
R]IND
Police Corporal
14.80
177.60
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
❑ SCC
04/14/2023
James Dooley
ElIND
Police Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
0 47-2-87 2023
James Dooley
®IND
Police Corporal
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 55 of 186
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
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)
05/15/2023
James Dooley
®IND
Police Corporal
14.80
177.60
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
05/31/2023
James Dooley
®IND
Police Corporal
14.80
177.60
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
06/15/2023
James Dooley
KIIND
Police Corporal
14.80
177.60
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.
06/30/2023
James Dooley
KIIND
Police Corporal
14.80
177.60
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.
01 15 2023
Christopher Duncan
®IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
i
❑ SCC
I
I
I
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I '
from 01/01/2023
• '
through 06/30/2023
page 56 of 186
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 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)
01/31/2023
Christopher Duncan
®IND
Police Sergeant
14.80
177.60
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
02/15/2023
Christopher Duncan
®IND
Police Sergeant
14.80
177.60
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
02/28/2023
Christopher Duncan
BIND
Police Sergeant
14.80
177.60
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
03/15/2023
Christopher Duncan
BIND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 30 2023
Christopher Duncan
®IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through rote
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023FORM
through 06/30/2023
page 57 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO 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)
04/14/2023
Christopher Duncan
]IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 99901
❑ SCC
04/28/2023
Christopher Duncan
®IND
Police Sergeant
14.80
177.60
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
05/15/2023
Christopher Duncan
F41 IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Christopher Duncan
KIIND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Christopher Duncan
®IND
Police Sergeant
14.80
177.60
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 As
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 99901
i
❑ SCC
I
I
I
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
from 01/01/2023
through 06/30/2023
page 58 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Christopher Duncan
]IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San, Rafael, CA 94901
❑ SCC
01/15/2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
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 Pclice Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Kevin Finerty
R]IND
Police Officer
14.80
177.60
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
❑ SCC
02/15/2023
Kevin Finerty
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
'
from 01/01/2023
•
through 06/30/2023
page 59 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
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
03/30/2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
mediary
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Kevin Finerty
]IND
Police Officer
14.80
177.60
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
04/28/2023
Kevin Finerty
R]IND
Police Officer
14.80
177.60
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
OS 15 2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
from 01/01/2023
�
through 06/30/2C23
page 60 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831SS3
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
05/31/2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
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
06/15/2023
Kevin Finerty
®IND
Police Officer
14.80
177.60
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
06/30/2023
Kevin Finerty
R]IND
Police Officer
14.80
177.60
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
❑ SC(.
01/15/2C23
Danielle Fry
FIND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El 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
01 31 2023
Danielle Fry
®IND
Call Taker Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El 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
SUBTOTAL$ 66.40
*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)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 61 of 186
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
(IFCOMMITfEE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Danielle Fry
®IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Danielle Fry
®IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
CityOf 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
03/15/2023
Danielle Fry
]IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
CityOf SRafael an ae
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
03/30/2023
Danielle Fry
]IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Danielle Fry
®IND
Call Taker Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of Sari Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
152C 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 I•
.
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
• '
through 06/30/2023
Page 62 of 186
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,ALSND 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)
04/28/2023
Danielle Fry
®IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Danielle Fry
®IND
Call Taker/Records
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
05/31/2023
Danielle Fry
F41 IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1320 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
❑ SCC
San Rafael, CA 94901
06/15/2023
Danielle Fry
KIIND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Danielle Fry
®IND
Call Taker Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
CityOf San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I t
from 01/01/2023
FORM
through 06/30/2023
page 63 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMIT-FEE,RALSAND
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)
01/15/2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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
01/31/2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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 Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
02/15/2023
Anna Fulgado
IND
Dispatcher
11.00
132.00
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
❑ SCC
02/28/2023
Anna Fulgado
El IND
Dispatcher
11.00
132.00
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
03 15 2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
i
❑ SCC
I
I
I
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 64 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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 Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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 Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
04/28/2023
Anna Fulgado
FC]IND
Dispatcher
11.00
132.00
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
❑ SCC
05/15/2023
Anna Fulgado
BIND
Dispatcher
11.00
132.00
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
05 31 2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94.901
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 65 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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
06/30/2023
Anna Fulgado
®IND
Dispatcher
11.00
132.00
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
01/15/2023
Christopher Fuller
R]IND
Corporal
14.80
177.60
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
01/31/2023
Christopher Fuller
FXjIND
Corporal
14.80
177.60
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
02 15 2023
Christopher Fuller
®IND
Corporal
14.80
177.60
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$ 66.40
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I
I '
from 01/01/2023
FORM
through 06/30/2023
page 66 of 186
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
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)
02/28/2023
Christopher Fuller
]IND
Corporal
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Christopher Fuller
®IND
Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
AveSannue
Received through inte
mediary:
Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Christopher Fuller
FIND
Corporal
14.80
177.60
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
04/14/2023
Christopher Fuller
KIIND
Corporal
14.80
177.60
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.
04 28 2023
Christopher Fuller
®IND
Corporal
14.80
177.60
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 As
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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
'
through 06/30/2023
page 67 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Christopher Fuller
®IND
Corporal
14.80
177.60
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
05/31/2023
Christopher Fuller
®IND
Corporal
14.80
177.60
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
06/15/2023
Christopher Fuller
R1IND
Corporal
14.80
177.60
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
06/30/2023
Christopher Fuller
FLI IND
Corporal
14.80
177.60
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
01 15 2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
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 As
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 99901
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 01/01/2023
'
through 06/30/2023
page 68 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Jennifer Gamble Horta
ElIND
Police Officer
14.80
177.60
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
02/15/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
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
02/28/2023
Jennifer Gamble Horta
R]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
mediary:
Sari Rafael, CA 94901
❑OTH
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Jennifer Gamble Horta
E]IND
Police Officer
14.80
177.60
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
03 30 2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIF• .
NIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 69 of 186
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 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)
04/14/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
mediary:
Sari Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through late
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Jennifer Gamble Horta
RIND
Police Officer
14.80
177.60
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
05/31/2023
Jennifer Gamble Horta
KIIND
Police Officer
14.80
177.60
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,
06 15 2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
El PTY
1520 Fifth Avenue
San Rafael, CA 99901
Iciation
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 70 of 186
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
(IFCOMMITfEE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Salvatore Garanzini
®IND
Officer
14.80
177.60
�C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
01/31/2023
Salvatore Garanzini
R]IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Salvatore Garanzini
IND
Officer
14.80
177.60
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Sari Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SCC
02 28 2023
Salvatore Garanzini
®IND
Officer
14.80
177.60
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 71 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Salvatore Garanzini
®IND
Officer
14.80
177.60
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
03/30/2023
Salvatore Garanzini
®IND
Officer
14.80
177.60
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
04/14/2023
Salvatore Garanzini
KIIND
Officer
14.80
177.60
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
❑ SC(_.
04/28/2023
Salvatore Garanzini
BIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Salvatore Garanzini
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
elation
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period 0•
.
NIA
CALIF/
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
page 72 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Salvatore Garanzini
]IND
Officer
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Salvatore Garanzini
®IND
Officer
14.80
177.60
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
06/30/2023
Salvatore Garanzini
F41 IND
Officer
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Cristian Gomez Tum
ElIND
Police Officer
11.00
124.80
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
02 15 2023
Cristian Gomez Tum
®IND
Police Officer
11.00
124.80
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$ 66.40
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
'
through 06/30/2023
Page 73 of 186
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)
02/28/2023
Cristian Gomez Tum
MIND
Police Officer
11.00
124.80
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
Received
Received through rote
mediary:
SanCA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
,an Rafael, CA 94901
❑ SCC
03/15/2023
Cristian Gomez Tum
®IND
Police Officer
11.00
124.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Cristian Gomez Tum
R]IND
Police Officer
11.00
124.80
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
❑ SCC
04/14/2023
Cristian Gomez Tum
IND
Police Officer
11.00
124.80
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:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 28 2023
Cristian Gomez Tum
®IND
Police Officer
11.00
124.80
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$ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
FORM
through 06/30/2023
page 74 of 186
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 .D.NUMB
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Cristian Gomez Tum
®IND
Police Officer
11.00
124.80
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
05/31/2023
Cristian Gomez Tum
®IND
Police Officer
11.00
124.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Cristian Gomez Tum
FIND
Police Officer
i1.00
124.80
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
06/30/2023
Cristian Gomez Tum
KIIND
Police Officer
14.80
124.80
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
01 15 2023
Justin Graham
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 62.60
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
page 75 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ND DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Justin Graham
BIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
Fifth Avenue
San
San Rafael, CA 94901
❑ SCC
02/15/2023
Justin Graham
®IND
Sergeant
14.80
177.60
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
02/28/2023
Justin Graham
IND
Sergeant
14.80
177.60
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
03/15/2023
Justin Graham
{]IND
Sergeant
14.80
177.60
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
03 30 2023
Justin Graham
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94.901
❑ 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 (8661275-3772)
www.fvvc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period i•
.
CALIFNIA
to whole dollars.
/ '
from 01/01/2023
•
through 06/30/2023
Page 76 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Justin Graham
MIND
Sergeant
14.80
177.60
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
04/28/2023
Justin Graham
®IND
Sergeant
14.80
177.60
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
05/15/2023
Justin Graham
BIND
Sergeant
14.80
177.60
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
❑ SCC
05/31/2023
Justin Graham
ElIND
Sergeant
14.80
177.60
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
06 15 2023
Justin Graham
®IND
Sergeant
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
. �
to whole dollars.
� '
E
from 01/01/2023
6
through 06/30/2023
Page 77 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Justin Graham
®IND
Sergeant
14.80
177.60
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
01/15/2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Harlee Ann Harwood
R]IND
Police Officer
11.00
135.80
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
❑ SCC
02/15/2023
Harlee Ann Harwood
ElIND
Police Officer
11.00
135.80
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
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$ 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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Y
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
• '
through 06/30/2023
Page 78 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through is
mediary:
Sari Rafael, CA 94901
❑ OTH
s
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
04/14/2023
Harlee Ann Harwood
R]IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Harlee Ann Harwood
IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary_
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1320 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1521 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
/ '
from 01/01/2023
FORM
through 06/30/2023
Page 79 of 186
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 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)
05/31/2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Harlee Ann Harwood
®IND
Police Officer
11.00
135.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
06/30/2023
Harlee Ann Harwood
RIND
Police Officer
14.80
135.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Christopher R Heinlein
E]IND
Police Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
O1 31 2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
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$ 66.40
*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)
www.fpi3c.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
Page 80 of 186
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)
02/15/2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
mediary:
Sari Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
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
03/15/2023
Christopher R Heinlein
F41 IND
Police Officer
14.80
177.60
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.
03/30/2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
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:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police As
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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
'
from 01/01/2023
through 06/30/2023
Page 81 of 186
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, ALSENTERI.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/28/2023
Christopher R Heinlein
FL]IND
Police Officer
14.80
177.60
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
05/15/2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
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
El SCC
05/31/2023
Christopher R Heinlein
BIND
Police Officer
14.80
177.60
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
06/15/2023
Christopher R Heinlein
RIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through int.
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Christopher R Heinlein
®IND
Police Officer
14.80
177.60
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:
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2023
FORM
through 06/30/2023
Page 82 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Robert Henkle
®IND
Officer
14.80
177.60
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
01/31/2023
Robert Henkle
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Robert Henkle
RIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
Sari Rafael, CA 94901
❑OTH
San Ra_ael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Robert Henkle
KIIND
Officer
14.80
177.60
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 As
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
03 15 2023
Robert Henkle
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
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/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from O1/O1/2023FORM
through 06/30/2023
Page 83 of 186
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,ALSNTERI.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)
03/30/2023
Robert Henkle
BIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Robert Henkle
®IND
Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
04/28/2023
Robert Henkle
F41 IND
Officer
14.80
177.60
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.
05/15/2023
Robert Henkle
ElIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through ints
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 31 2023
Robert Henkle
®IND
Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
Page 84 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Robert Henkle
®IND
Officer
14.80
177.60
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
06/30/2023
Robert Henkle
®IND
Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Kyle Horn
F41 IND
Police Officer
14.80
177.60
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
01/31/2023
Kyle Horn
IND
Police Officer
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 15 2023
Kyle Horn
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fooc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
Page 85 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/28/2023
Kyle Horn
®IND
Police Officer
14.80
177.60
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
03/15/2023
Kyle Horn
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Kyle Horn
R]IND
Police Officer
14.80
177.60
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.
04/14/2023
Kyle Horn
K]IND
Police Officer
14.80
177.60
C/O: San Rafael Police Association 1320 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 28 2023
Kyle Horn
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023FORM
through 06/30/2023
Page 86 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Kyle Horn
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
OS/31/2023
Kyle Horn
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Kyle Horn
R]IND
Police Officer
14.80
177.60
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
06/30/2023
Kyle Horn
El IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
—diary:
Sari Rafael, CA 94901
❑
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
01 15 2023
Scott Ingels
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• R
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
Page 87 of 186
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
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)
01/31/2023
Scott Ingels
W1IND
Sergeant
14.80
177.60
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
152o Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Scott Ingels
®IND
Sergeant
14.80
177.60
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
-elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Scott Ingels
R]IND
Sergeant
14.80
177.60
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
❑ SCC
03/15/2023
Scott Ingels
KIIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
03 30 2023
Scott Ingels
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
Page 88 of 186
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,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)
04/14/2023
Scott Ingels
®IND
Sergeant
14.80
177.60
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
,an Rafael, CA 94901
❑ SCC
04/28/2023
Scott Ingels
®IND
Sergeant
14.80
177.60
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
05/15/2023
Scott Ingels
FIND
Sergeant
14.80
177.60
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
05/31/2023
Scott Ingels
KIIND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through rote
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Scott Ingels
®IND
Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
.
CALIF• NIA
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
Page 89 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Scott Ingels
®IND
Sergeant
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
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
01/31/2023
Joseph Jordan
R]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association IS20 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
02/15/2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 152C 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
02 28 2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 9490,
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023IdLL
through 06/30/2023
Page 90 of 186
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
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)
03/15/2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
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
03/30/2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Joseph Jordan
RIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
through intermediary:
Sari Rafael, CA 94901
❑ OTH
R-ed
San San Raafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
04/28/2023
Joseph Jordan
KIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
0.
to whole dollars.
I ,
from 01/01/2023
through 06/30/2023
page 91 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO .D.NUMB
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
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
06/15/2023
Joseph Jordan
®IND
Police Officer
14.80
177.60
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
06/30/2023
Joseph Jordan
F41 IND
Police Officer
14.80
177.60
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
❑ SCC
01/15/2023
Anndora Lee
BIND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01 31 2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
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$ 66.40
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
from
Statement covers period
01/01/2023
SCHEDULE A (CONT.)
through 06/30/2023
Page 92 of 186
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
TO DATE
(IF COMMITTEE,ALSENTERI.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)
02/15/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through rote:
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
[-1COM
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
03/15/2023
Anndora Lee
R]IND
Lead Dispatcher
11.00
132.00
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
03/30/2023
Anndora Lee
KIIND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through rote
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through rote
mediary:
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 93 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/28/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
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
05/15/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Anndora Lee
R]IND
Lead Dispatcher
11.00
132.00
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
ciatior:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Anndora Lee
RIND
Lead Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through rote
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Anndora Lee
®IND
Lead Dispatcher
11.00
132.00
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$ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 94 of 186
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
(IFCOMMIT7EE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
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
02/15/2023
Karl Luhmann
RIND
Police Officer
14.80
177.60
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
02/28/2023
Karl Luhmann
E]IND
Police Officer
14.80
177.60
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
152C Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 15 2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I t
from 01/01/2023
through 06/30/2023
page 95 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND .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)
03/30/2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
S
❑ OTH
afa
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
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
04/28/2023
Karl Luhmann
F41 IND
Police Officer
14.80
177.60
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,
OS/15/2023
Karl Luhmann
BIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 31 2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
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 (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
ORM
through 06/30/2023
page 96 of 186
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
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)
06/15/2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
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
06/30/2023
Karl Luhmann
®IND
Police Officer
14.80
177.60
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
01/15/2023
Kaitlin Maley
]IND
Police Officer
14.80
177.60
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
01/31/2023
Kaitlin Maley
RJIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑ OTH
son Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
02 15 2023
Kaitlin Maley
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
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 (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIF• R
to whole dollars.
/ � '
from 01/01/2023
•
through 06/30/2023
Page 97 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/28/2023
Kaitlin Maley
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Kaitlin Maley
®IND
Police Officer
14.80
177.60
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 eolice As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Kaitlin Maley
RIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Kaitlin Maley
ElIND
Police Officer
14.80
177.60
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
04 28 2023
Kaitlin Maley
®IND
Police Officer
14.80
177.60
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
i
❑ SCC
I
I
I
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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
O
through 06/30/2023
page 98 of 186
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
TO DATE
(IF COMMITTEE,ALSNTERI.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)
05/15/2023
Kaitlin Maley
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Kaitlin Maley
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Kaitlin Maley
F41 IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Kaitlin Maley
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Ol 15 2023
Lyla Marshall
®IND
Police Officer
11.00
173.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20
*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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I
/ '
from 01/01/2023
FORM
through 06/30/2023
Page 99 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
through into
mediary:
San Rafael, CA 94901
❑
San an R-aed
San afael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
02/28/2023
Lyla Marshall
RJIND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into-mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Lyla Marshall
]IND
Police Officer
14.80
173.80
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
San Rafael, CA 94901
❑ SCC
03 30 2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1320 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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2023
through 06/30/2023
page 100 of 186
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
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)
04/14/2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
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
,an Rafael, CA 94901
❑ SCC
04/28/2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 152C 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
05/15/2023
Lyla Marshall
RIIND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assi,ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Lyla Marshall
KIIND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City Of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ' li
from 01/01/2023
•
through 06/30/2023
page 101 of 186
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
(IFCOMMITfEE,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Lyla Marshall
®IND
Police Officer
14.80
173.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑ OTH
e Ass
San Rafael Police
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
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
❑ SCC
01/31/2023
Miranda Martinez
RIND
Dispatcher
11.00
132.00
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
❑ SCC
02/15/2023
Miranda Martinez
ElIND
Dispatcher
11.00
132.00
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1320 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94.901
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period 111111110
CALIFO A
to whole dollars.
460
from 01/01/2023
FORM
through 06/30/2023
page 102 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
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
San Rafael, CA 94901
❑ SCiC.
03/30/2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
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
04/14/2023
Miranda Martinez
FIND
Dispatcher
11.00
132.00
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
❑ SCC
04/28/2023
Miranda Martinez
R]IND
Dispatcher
11.00
132.00
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
0 57-1-57 2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
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$ 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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIF• A
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 103 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
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
06/15/2023
Miranda Martinez
®IND
Dispatcher
11.00
132.00
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
❑ SCC
06/30/2023
Miranda Martinez
IND
Dispatcher
11.00
132.00
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
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Lee Masten
ElIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1320 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
01 31 2023
Lee Masten
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 62.60
*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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
�
FORM
through 06/30/2023
Page 104 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Lee Masten
®IND
Police Officer
14.80
177.60
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
02/28/2023
Lee Masten
®INp
IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑
City Of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
[:1OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
03/15/2023
Lee Masten
R]IND
Police Officer
14.80
177.60
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
❑S.C.C.
03/30/2023
Lee Masten
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through -intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Lee Masten
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 105 Of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/28/2023
Lee Masten
®IND
Police Officer
14.80
177.60
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
05/15/2023
Lee Masten
®IND
Police Officer
14.80
177.60
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
05/31/2023
Lee Masten
KIND
Police Officer
14.80
177.60
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.
06/15/2023
Lee Masten
KIND
Police Officer
14.80
177.60
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:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 T2033
Lee Masten
®IND
Police Officer
14.80
177.60
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:
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 106 of 186
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, ALSOENTERLD.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)
01/15/2023
Michael Mathis
®IND
Police Sergeant
14.80
177.60
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
01/31/2023
Michael Mathis
®IND
Police Sergeant
14.80
177.60
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
02/15/2023
Michael Mathis
kjIND
Police Sergeant
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .SCC'.
02/28/2023
Michael Mathis
KIIND
Police Sergeant
14.80
177.60
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
03 15 2023
Michael Mathis
®IND
Police Sergeant
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I t
from 01/01/2023
FORM
through 06/30/2023
page 107 of 186
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)
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)
03/30/2023
Michael Mathis
®IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 99901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Michael Mathis
®IND
Police Sergeant
14.80
177.60
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
❑ SCC
04/28/2023
Michael Mathis
R]IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through late
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Michael Mathis
KIND
Police Sergeant
14.80
177.60
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:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 31 T2023
Michael Mathis
®IND
Police Sergeant
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
�
FORM
through 06/30/2023
page 108 of 186
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
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)
06/15/2023
Michael Mathis
�IND
Police Sergeant
14.80
177.60
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
06/30/2023
Michael Mathis
®INp
Police Sergeant
14.80
177.60
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
01/15/2023
Daisy B Mazariegos
F41IND
Police Officer
14.80
148.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through ints
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Daisy B Mazariegos
F41IND
Police Officer
14.80
148.00
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
02 15 2023
Daisy B Mazariegos
®INp
Police Officer
14.80
148.00
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
/ '
from 01/01/2023
•
through 06/30/2023
page 109 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND .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)
02/28/2023
Daisy B Mazariegos
®IND
Police Officer
14.80
148.00
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
03/15/2023
Daisy B Mazariegos
®IND
Police Officer
14.80
148.00
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
03/30/2023
Daisy B Mazariegos
FIND
Police Officer
14.80
148.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through ints
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Daisy B Mazariegos
FLIIND
Police Officer
14.80
148.00
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
04 28 2023
Daisy B Mazariegos
®IND
Police Officer
14.80
148.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
i
❑ SCC
I
I
I
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 110 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Daisy B Mazariegos
]IND
Police Officer
14.80
148.00
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
05/31/2023
Daisy B Mazariegos
®IND
Police Officer
14.80
148.00
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
1S20 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Gerard F McCarthy
R]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Gerard F McCarthy
R]IND
Police Officer
14.80
177.60
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
02 15 2023
Gerard F McCarthy
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Y
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
•
through 06/30/2023
page 111 of 186
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
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)
02/28/2023
Gerard F McCarthy
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
ediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Gerard F McCarthy
®IND
Police Officer
14.80
177.60
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
03/30/2023
Gerard F McCarthy
FIND
Police Officer
14.80
177.60
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.
04/14/2023
Gerard F McCarthy
BIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through inte
ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 F2_87 2023
Gerard F McCarthy
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023FORM
through 06/30/2023
page 112 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Gerard F McCarthy
®IND
Police Officer
14.80
177.60
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
05/31/2023
Gerard F McCarthy
®IND
Police Officer
14.80
177.60
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
06/15/2023
Gerard F McCarthy
IND
Police Officer
14.80
177.60
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.
06/30/2023
Gerard F McCarthy
KIIND
Police Officer
14.80
177.60
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
01 15 2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 113 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
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
02/15/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
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
02/28/2023
Daniel Mendoza Ochoa
R]IND
Police Officer
14.80
177.60
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
03/15/2023
Daniel Mendoza Ochoa
BIND
Police Officer
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 30 2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
. NIA
CALIFI
to whole dollars.
'
from 01/01/2023
•
through 06/30/2023
page 114 of 186
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
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)
04/14/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
through rote
mediary:
Sari Rafael, CA 94901
❑ OTH
Rafael
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
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
05/15/2023
Daniel Mendoza Ochoa
KIIND
Police Officer
14.80
177.60
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
OS/31/2023
Daniel Mendoza Ochoa
]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 115 of 186
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
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)
06/30/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
177.60
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
01/15/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
01/31/2023
Lilah MG Barnes
F41 IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
02/15/2023
Lilah MG Barnes
ElIND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through ints
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• .
to whole dollars.
from 01/01/2023
•
through 06/30/2023
page 116 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
through into
mediary:
San Rafael, CA 94901
❑ OTH
San R-aed
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
04/14/2023
Lilah MG Barnes
F41 IND
Police Corporal
14.80
162.80
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
❑ SCC
04/28/2023
Lilah MG Barnes
]IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
ediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
OS 15 2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 117 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
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
06/15/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
162.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Beth Minka
F41 IND
Administrative Technician
11.00
132.00
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
❑ SCC
01/31/2023
Beth Minka
IND
Administrative Technician
11.00
132.00
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
02 15 T2023
Beth Minka
®IND
Administrative Technician
11.00
132.00
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$ 62.60
'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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 01/01/2023 —
FORM
through 06/30/2023
page 118 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND .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)
02/28/2023
Beth Minka
®IND
Administrative Technician
11.00
132.00
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
❑ SCC
03/15/2023
Beth Minka
®IND
Administrative Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
median y:
.San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Beth Minka
IND
Administrative Technician
11.00
132.00
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.
04/14/2023
Beth Minka
BIND
Administrative Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
04 28 2023
Beth Minka
®IND
Administrative Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
PTY
Fifth Avenue
1520El
San Rafael, CA 94901
�ciati
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2023
'
through 06/30/2023 :::_
page 119 of 186
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
(IFCOMMITfEE,ALSNTERI.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)
05/15/2023
Beth Minka
BIND
Administrative Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Beth Minka
®IND
Administrative Technician
11.00
132.00
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
06/15/2023
Beth Minka
R]IND
Administrative Technician
11.00
132.00
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.
06/30/2023
Beth Minka
]IND
Administrative Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01 15 2023
Jessica Mitz
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
PTY
Fifth Avenue
152.El
San Rafael, CA 99901
�ciati
❑ 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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
,
to whole dollars.
I '
from 01/01/2023
�
through 06/30/2023
page 120 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831SS3
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
01/31/2023
Jessica Mitz
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑ COM
Avenue
Received through late
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Jessica Mitz
®IND
Police Officer
14.80
177.60
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
02/28/2023
Jessica Mitz
BIND
Police Officer
14.80
177.60
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
03/15/2023
Jessica Mitz
E]IND
Police Officer
14.80
177.60
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
03 30 2023
Jessica Mitz
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 99901
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
'
from 01/01/2023
�
through 06/30/2023
page 121 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ND DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
QFCOMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Jessica Mitz
FIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
❑ COM
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Jessica Mitz
®IND
Police Officer
14.80
177.60
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
05/15/2023
Jessica Mitz
R1IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
05/31/2023
Jessica Mitz
]IND
Police Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Jessica Mitz
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SCC
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)
www.fppc.ca.nov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.IdLL
I M
from O1/O1/2023
through 06/30/2023
page 122 of 186
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
(IFCOMMITfEE,ALSNTERI.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)
06/30/2023
Jessica Mitz
BIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
Specialist
Avenue
CityOf San Rafael
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC,
01/31/2023
Cynthia Morgan
K IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Cynthia Morgan
El IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El 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
02 28 2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El 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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 123 of 186
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 .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)
03/15/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of Sari Rafael
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 99901
❑ SCC
03/30/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
y an City Of SRafael
through irate
mediary:
San Rafael, CA 94901
❑OTH
San R-aed
San afael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
04/14/2023
Cynthia Morgan
IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Cynthia Morgan
KIND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
CityOf SRafael an aae
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from O1/01/2023
FORM
through 06/30/2023
page 124 of 186
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
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)
05/31/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf 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
06/30/2023
Cynthia Morgan
R1IND
Call Taker and Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through ints
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
01/15/2023
Lynn Murphy
El IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
El 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
01 31 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
El 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
i
❑ SCC
I
I
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)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIF• . NIA
to whole dollars.
AW '
from 01/01/2023
FORM
through 06/30/2023
page 125 of 186
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
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)
02/15/2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Provider
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
City Of San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Lynn Murphy
F41 IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
Cityof San Rafael
Received through rote
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Lynn Murphy
FLI IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City of San Rafael
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
El 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
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)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I ,
from 01/01/2023
'
through 06/30/2023
e 126 of 186
ILD.
NAME OF FILER
NUMBER
San Rafael Police Association Political Action Committee
553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
04/28/2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
Cityof San Rafael
Received through rote
mediary:
Sari Rafael, CA 94901
[:1OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Lynn Murphy
R]IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
Cityof San Rafael
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Lynn Murphy
ElIND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Provider
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
. ,
CALIF460
to whole dollars.
from 01/01/2023
FORM
through 06/30/2023
page 127 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Brandon Nail
®IND
Police Officer
14.80
177.60
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
01/31/2023
Brandon Nail
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i:
San Rafael, CA 94901
❑
Association
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Brandon Nail
R1IND
Police Officer
14.80
177.60
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
❑ SCC
02/28/2023
Brandon Nail
ElIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 15 2023
Brandon Nail
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 128 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2023
Brandon Nail
®IND
Police Officer
14.80
177.60
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .SCC
04/14/2023
Brandon Nail
®IND
Police Officer
14.80
177.60
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
❑ SCC
04/28/2023
Brandon Nail
F41 IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Brandon Nail
F41 IND
Police Officer
14.80
177.60
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
05 31 2023
Brandon Nail
®IND
Police Officer
14.80
177.60
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A • R
to whole dollars.
I � t
from 01/01/2023
•
through 06/30/2023
page 129 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND 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)
06/15/2023
Brandon Nail
KIIND
Police Officer
14.80
177.60
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
❑S.C.0
06/30/2023
Brandon Nail
®IND
Police Officer
14.80
177.60
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
01/15/2023
Jorge Navarro
F41 IND
Evidence Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
Rafael
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Jorge Navarro
ElIND
Evidence Technician
11.00
132.00
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
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
02 15 2023
Jorge Navarro
®IND
Evidence Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
elation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 62.60
*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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 130 of 186
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 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)
02/28/2023
Jorge Navarro
®IND
Evidence Technician
11.00
132.00
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
❑ SCC
03/15/2023
Jorge Navarro
®IND
Evidence Technician
11.00
132.00
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 As
ciation
❑ PTY
1520 Fifth Avenue
San P.afael, CA 94901
❑ SCC
03/30/2023
Jorge Navarro
R]IND
Evidence Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
S
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Jorge Navarro
BIND
Evidence Technician
11.00
132.00
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 28 2023
Jorge Navarro
®IND
Evidence Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
Page 131 of 186
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
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)
05/15/2023
Jorge Navarro
®IND
Evidence Technician
11.00
132.00
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
05/31/2023
Jorge Navarro
®IND
Evidence Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Jorge Navarro
RIIND
Evidence Technician
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Jorge Navarro
RIND
Evidence Technician
11.00
132.00
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
01 15 2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
El 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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A O . A
to whole dollars.
460
from 01/01/2023
FORM
through 06/30/2023
page 132 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Dispatcher
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
Cityof 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
02/28/2023
Alexis Nielsen
R]IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
oan
Cityf SRafael
Received through i
mediary:
San Rafael, CA 94901
❑
San Rafael Police Ass
Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Alexis Nielsen
KIIND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Dispatcher
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 30 2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
El 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 11901
❑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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2023
FORM
through 06/30/2023
page 133 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
Cityof 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
05/15/2023
Alexis Nielsen
RIND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
City of Sari Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Alexis Nielsen
KIIND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
City of San Rafael
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 15 2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Dispatcher
Avenue
El COM
City of San Rafael
Received through inte
mediary:
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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
page 134 of 186
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,ALSND 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)
06/30/2023
Alexis Nielsen
®IND
Lead Communications
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Dispatcher
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Oscar O'con
®IND
Corporal
14.80
177.60
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
01/31/2023
Oscar O'con
F41 IND
Corporal
14.80
177.60
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
02/15/2023
Oscar O'con
KIIND
Corporal
14.80
177.60
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
02 28 2023
Oscar O'con
®IND
Corporal
14.80
177.60
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
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20
*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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.nov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
•
through 06/30/2023
page 135 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Oscar O'con
®IND
Corporal
14.80
177.60
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
03/30/2023
Oscar O'con
®IND
Corporal
14.80
177.60
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 Pclice Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Oscar O'con
IND
Corporal
14.80
177.60
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
❑ SCC
04/28/2023
Oscar O'con
IND
Corporal
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Oscar O'con
®IND
Corporal
14.80
177.60
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
elation
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 — Smalf Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.qov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A O R A
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
page 136 of 186
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 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)
05/31/2023
Oscar O'con
®IND
Corporal
14.80
177.60
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
06/15/2023
Oscar O'con
®IND
Corporal
14.80
177.60
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
06/30/2023
Oscar O'con
F IND
Corporal
14.80
177.60
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
01/15/2023
Genesis Ortiz Rubio
MIND
Police Officer
14.80
177.60
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,
01 31 2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 137 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
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
02/28/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
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
03/15/2023
Genesis Ortiz Rubio
R]IND
Police Officer
14.80
177.60
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
03/30/2023
Genesis Ortiz Rubio
k]IND
Police Officer
14.80
177.60
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
04 14 2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 14901
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 138 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO 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)
04/28/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through rote
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
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
05/31/2023
Genesis Ortiz Rubio
RIND
Police Officer
14.80
177.60
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
06/15/2023
Genesis Ortiz Rubio
ElIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
177.60
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
i
I '
from 01/01/2023
FORM
through 06/30/2023
page 139 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMIT 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)
01/15/2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
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
San Rafael, CA 94901
❑ SCC
01/31/2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
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
02/15/2023
Elizabeth Paez
FIND
Dispatcher
11.00
132.00
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
❑ SCC.
02/28/2023
Elizabeth Paez
KIND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 15 T2033
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
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$ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 140 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
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
San Rafael, CA 94901
❑ SCC
04/14/2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Elizabeth Paez
R]IND
Dispatcher
11.00
132.00
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.
05/15/2023
Elizabeth Paez
KIIND
Dispatcher
11.00
132.00
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
san Rafael, CA 94901
❑ SCC
05 31 2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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 (8661275-3772)
www.fm3c.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 141 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITfEE,ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
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
06/30/2023
Elizabeth Paez
®IND
Dispatcher
11.00
132.00
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
01/15/2023
Brian Patterson
]IND
Officer
14.80
177.60
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
01/31/2023
Brian Patterson
FLI IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through rote
mediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
02 15 T2033
Brian Patterson
®IND
Officer
14.80
177.60
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
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 66.40
"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)
www.fppc.ca.nov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 142 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND 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)
02/28/2023
Brian Patterson
®IND
Officer
14.80
177.60
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
San Rafael, CA 94901
❑ SCC
03/15/2023
Brian Patterson
®IND
Officer
14.80
177.60
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
03/30/2023
Brian Patterson
KIIND
Officer
14.80
177.60
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
04/14/2023
Brian Patterson
ElIND
Officer
14.80
177.60
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
04 28 2023
Brian Patterson
®IND
Officer
14.80
177.60
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
1S20 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
�
through 06/30/2023
page 143 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO .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)
05/15/2023
Brian Patterson
®IND
Officer
14.80
177.60
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
05/31/2023
Brian Patterson
®IND
Officer
14.80
177.60
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
06/15/2023
Brian Patterson
]IND
Officer
14.80
177.60
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
06/30/2023
Brian Patterson
KIIND
Officer
14.80
177.60
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
01 15 2023
Dennis Prince
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
from 01/01/2023
through 06/30/2023
page 144 of 186
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,ALSND .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)
01/31/2023
Dennis Prince
FC1IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Dennis Prince
®IND
Officer
14.80
177.60
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
02/28/2023
Dennis Prince
R]IND
Officer
14.80
177.60
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
❑ SCC
03/15/2023
Dennis Prince
{lIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 30 2023
Dennis Prince
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1,120 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/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca,gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
4 '
from 01/01/2023
through 06/30/2023
!Page 145 of 186
NAME OF FILER
UMBER
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Dennis Prince
®IND
Officer
14.80
177.60
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 99901
❑ SCC
04/28/2023
Dennis Prince
®IND
Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Dennis Prince
R]IND
Officer
14.80
177.60
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
❑ SCC
05/31/2023
Dennis Prince
KIND
Officer
14.80
177.60
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
06 15 2023
Dennis Prince
®IND
Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period 0CALIFORNIA
to whole dollars.
t
from 01/01/2023
'
through 06/30/2023
Page 146 of 186
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,ALSENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/30/2023
Dennis Prince
®IND
Officer
14.80
177.60
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
01/15/2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
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
01/31/2023
Edgar Rodriguez
R]IND
Police Officer
14.80
177.60
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
El SCC
02/15/2023
Edgar Rodriguez
ElIND
Police Officer
14.80
177.60
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
❑ SCC
02 28 2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through ints
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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFO
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
Page 147 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OFBUSINESS)
03/15/2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
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
03/30/2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through i
mediary:
Sari Rafael, CA 94901
❑
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Edgar Rodriguez
R]IND
Police Officer
14.80
177.60
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
❑.S. CC
04/28/2023
Edgar Rodriguez
BIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through inte
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
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 As
ciation
❑ PTY
1520 Fifth Avenue
ae
San Rafl, 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2023
�
FORM
through 06/30/2023
Page 148 of 186
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,ALSND 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)
05/31/2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
AveSan
Received through
rough i
mediary:
Rafael, CA 94901
❑ OTH
San Rafael Police Association
Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Edgar Rodriguez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
06/30/2023
Edgar Rodriguez
R]IND
Police Officer
14.80
177.60
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.
01/15/2023
Noemi Rossotti Gallo
El IND
Police Officer
14.80
177.60
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
01 31 2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Y
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
i
/ '
from 01/01/2023
FORM
through 06/30/2023
page 149 of 186
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,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
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
02/28/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
[-1COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
n SaRafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Noemi Rossotti Gallo
R]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
Received through i
mediary:
San Rafael, CA 94901
❑
San Rafael Police Association
Ass
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Noemi Rossotti Gallo
El IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
i
❑ SCIC
I
I
I
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 01/01/2023
through 06/30/2023
page 150 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
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)
04/28/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
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
05/15/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
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
05/31/2023
Noemi Rossotti Gallo
RIND
Police Officer
14.80
177.60
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
❑ SCC
06/15/2023
Noemi Rossotti Gallo
IND
Police Officer
14.80
177.60
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
06 30 2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
FORM
through 06/30/2023
Page 151 of 186
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 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)
01/15/2023
Jessica Sanchez
®IND
Call Taker/Records
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of Sari Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 99901
❑ SCC
01/31/2023
Jessica Sanchez
®INp
Call Taker/Records
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1S20 Fifth Avenue
San Rafael, CA 94901
❑SCC
02/15/2023
Jessica Sanchez
FIND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
CityOf San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Jessica Sanchez
ElIND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03 15 2023
Jessica Sanchez
®IND
Call Taker Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Received through inte
mediary:
Sari 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 (8661275-3772)
www.fppc,ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A • R
to whole dollars.
I � '
from 01/01/2023
•
through 06/30/2023
page 152 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831SS3
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/30/2023
Jessica Sanchez
BIND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/14/2023
Jessica Sanchez
®INp
Call Taker/Records
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
CityOf San Rafael
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Jessica Sanchez
R1IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
CityOf San Rafael
Received through irate
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Jessica Sanchez
]IND
Call Taker/Records
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 31 2023
Jessica Sanchez
®IND
Call Taker Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2023
FORM
through 06/30/2023
page 153 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Jessica Sanchez
®IND
Call Taker/Records
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Jessica Sanchez
®IND
Call Taker/Records
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
CityOf San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
01/15/2023
Sebastian Sanchez
FC1 IND
Police Officer
14.80
177.60
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.
01/31/2023
Sebastian Sanchez
]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 15 2023
Sebastian Sanchez
®IND
Police Officer
14.80
177.60
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$ 66.40
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
page 154 of 186
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
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)
02/28/2023
Sebastian Sanchez
®IND
Police Officer
14.80
177.60
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
03/15/2023
Sebastian Sanchez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/30/2023
Sebastian Sanchez
F41 IND
Police Officer
14.80
177.60
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
❑ SCC
04/14/2023
Sebastian Sanchez
BIND
Police Officer
14.80
177.60
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
04 28 2023
Sebastian Sanchez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
page 155 of 186
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 .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)
05/15/2023
Sebastian Sanchez
®IND
Police Officer
14.80
177.60
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
05/31/2023
Sebastian Sanchez
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through Into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Sebastian Sanchez
F41 IND
Police Officer
14.80
177.60
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
06/30/2023
Sebastian Sanchez
El IND
Police Officer
14.80
177.60
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
01 15 2023
Justin Schraeder
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
•
through 06/30/2023
page 156 of 186
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
TO DATE
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Justin Schraeder
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Justin Schraeder
®IND
Officer
14.80
177.60
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
❑ SCC
02/28/2023
Justin Schraeder
F41 IND
Officer
14.80
177.60
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
03/15/2023
Justin Schraeder
FLI IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through rote
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
san Rafael, CA 94901
❑ SCC
03 30 2023
Justin Schraeder
®IND
Officer
14.80
177.60
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 157 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Justin Schraeder
®IND
Officer
14.80
177.60
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 Association
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Justin Schraeder
®IND
Officer
14.80
177.60
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
05/15/2023
Justin Schraeder
F41 IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through i
mediary:
Sari Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Justin Schraeder
KIIND
Officer
14.80
177.60
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
06 15 2023
Justin Schraeder
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIAI
to whole dollars.
'
from 01/01/2023
FORM
through 06/30/2023
page 158 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND 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)
06/30/2023
Justin Schraeder
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through inte
mediary:
San Rafael, CA 94901
MOTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Alisha Shopp
R]IND
Police Officer
14.80
177.60
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
❑ SCC
02/15/2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
'
through 06/30/2023
page 159 of 186
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
QFCOMMITtE,ALSNTERI.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)
03/15/2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
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
03/30/2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
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
04/14/2023
Alisha Shopp
IND
Police Officer
14.80
177.60
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
❑ SCC
04/28/2023
Alisha Shopp
IND
Police Officer
14.80
177.60
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
05 71-57 2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2023
SCHEDULE A (CONT.)
through 06/30/2023
page 160 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
through rote
mediary:
San Rafael, CA 94901
❑ OTH
R-ed
San San Raafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCiC.
06/15/2023
Alisha Shopp
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Alisha Shopp
F4jIND
Police Officer
14.80
177.60
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
01/15/2023
Natassja B. Springer
BIND
Dispatche
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of Sran 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
01 31 2023
Natassja B. Springer
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 66.40
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
CALIFONIA li
to whole dollars.
I ,
from 01/01/2023
FORM
through 06/30/2023
page 161 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE,ALSND 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)
02/15/2023
Natassja B. Springer
]IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through into
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/28/2023
Natassja B. Springer
®IND
Dispatcher
11.00
132.00
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
El SCC
03/15/2023
Natassja B. Springer
R]IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through into
mediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
03/30/2023
Natassja B. Springer
El IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
04 14 2023
Natassja B. Springer
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 01/01/2023
•
through 06/30/2023
page 162 of 186
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 COMMITTEEALSENTERI.D. NUMBER)
,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/28/2023
Natassja B. Springer
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through irate
mediary:
S
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
05/15/2023
Natassja B. Springer
®IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Natassja B. Springer
RIND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Association.
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Natassja B. Springer
F{]IND
Dispatcher
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06 30 2023
Natassja B. Springer
®IND
Dispatcher
11.00
132.00
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
❑ PTY
1520 Fifth Avenue
San Rafael, CA 99901
�ciation
❑ 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)
www.fopc.ca.CIov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
•
through 06/30/2023
page 163 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
01/15/2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El 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
01/31/2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
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
02/15/2023
Lynette Starnes
FIND
Community Service Officer
11.00
132.00
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.
02/28/2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
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
San Rafael, CA 94901
❑ SCC
03 15 2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I M
from 01/01/2023
•
through 06/30/2023
page 164 of 186
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
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)
03/30/2023
Lynette Starnes
BIND
Community Service Officer
11.00
132.00
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
04/14/2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
04/28/2023
Lynette Starnes
R1IND
Community Service Officer
11.00
132.00
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
❑ SCC
03/15/2023
Lynette Starnes
R]IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
OS 31 2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
A O R
to whole dollars.
/ '
from 01/01/2023
�
FORM
through 06/30/2023
page 165 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
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
06/30/2023
Lynette Starnes
®IND
Community Service Officer
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through inte
Received
mediary:
SanCA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Remington Stobo
R IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through intermediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Remington Stobo
KIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
mediary:
Sari Rafael, CA 94901
❑ OTH
Ass San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 15 2023
Remington Stobo
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 66.40
`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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 01/01/2023
FORM
through 06/30/2023
page 166 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
02/28/2023
Remington Stobo
BIND
Police Officer
14.80
177.60
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
San Rafael, CA 94901
❑ SCC
03/15/2023
Remington Stobo
®IND
Police Officer
14.80
177.60
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
03/30/2023
Remington Stobo
R]IND
Police Officer
14.80
177.60
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
04/14/2023
Remington Stobo
k]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
through rote
mediary:
San Rafael, CA 94901
❑ OTH
R-ed
San San Raafael Police Ass
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
04 28 2023
Remington Stobo
®IND
Police Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ � '
from 01/01/2023
•
through 06/30/2023
page 167 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE,ALSND
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Remington Stobo
®IND
Police Officer
14.80
177.60
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
❑ SCC
05/31/2023
Remington Stobo
®IND
Police Officer
14.80
177.60
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
06/15/2023
Remington Stobo
R1IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through iAss
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Remington Stobo
KIIND
Police Officer
14.80
177.60
C/O: San Rafael Police Association 1520 Fifth
El 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
❑ SCC
01 15 2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20
"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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
t
from 01/01/2023
FORM
through 06/30/2023
page 168 of 186
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
(IFCOMMlE,ALSENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
OF BUSINESS)
01/31/2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El 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
❑ SCC
02/15/2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
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
❑ SCC
02/28/2023
Charly Taylor
BIND
Civilian Supervisor
11.00
132.00
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.
03/15/2023
Charly Taylor
ElIND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El 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
❑ SCC
03 30 2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
mediary:
Sari 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 01/01/2023
through 06/30/2023
page 169 of 186
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.NUMB
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/14/2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through intermediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Charly Taylor
R]IND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/31/2023
Charly Taylor
KIND
Civilian Supervisor
11.00
132.00
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
06 15 2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
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
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
FORM
through 06/30/2023
page 170 of 186
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
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)
06/30/2023
Charly Taylor
®IND
Civilian Supervisor
11.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
ElOTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Jessica Trujillo
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
[—]COM
City Of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
❑OTH
fael afae_ Police Ass
Ra
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Jessica Trujillo
R]IND
Officer
14.80
177.60
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
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02/15/2023
Jessica Trujillo
BIND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through rote
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
02 28 2023
Jessica Trujillo
®IND
Officer
14.80
177.60
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
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20
'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 (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
/ '
from 01/01/2023
•
through 06/30/2023
Page 171 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Jessica Trujillo
®IND
Officer
14.80
177.60
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
03/30/2023
Jessica Trujillo
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC..(..
04/14/2023
Jessica Trujillo
R]IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04/28/2023
Jessica Trujillo
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05 15 2023
Jessica Trujillo
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police As
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I t
from 01/01/2023
'
through 06/30/2023
page 172 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831353
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF 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)
05/31/2023
Jessica Trujillo
®IND
Officer
14.80
177.60
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
06/15/2023
Jessica Trujillo
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Jessica Trujillo
F41 IND
Officer
14.80
177.60
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
San Rafael, CA 94901
❑ SCC
02/15/2023
Saskia Van Buuren
ElIND
Communications Dispatcher
11.00
110.00
C/o: San Rafael Police Association 1320 Fifth
City Of San Rafael
Avenue
El COM
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
02 28 2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
110.00
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
i
❑ SCC
I
I
I
SUBTOTAL$ 66.40
'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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIAfrom
to whole dollars.
01/01/2023
FORM
through 06/30/2023
page 173 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DE
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
03/15/2023
Saskia Van Buuren
]IND
Communications Dispatcher
11.00
110.00
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
03/30/2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
110.00
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
04/14/2023
Saskia Van Buuren
R]IND
Communications Dispatcher
11.00
110.00
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
04/28/2023
Saskia Van Buuren
FLI IND
Communications Dispatcher
11.00
110.00
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
05 15 2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
110.00
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
El
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)
www.fppc.ca.CIov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
/ '
from 01/01/2023
•
through 06/30/2023
page 174 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ADDRESSZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/31/2023
Saskia Van Buuren
El IND
Communications Dispatcher
11.00
110.00
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
06/15/2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
110.00
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/30/2023
Saskia Van Buuren
IND
Communications Dispatcher
11.00
110.00
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 Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/15/2023
Lorena Vega
BIND
Police Officer
14.80
177.60
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
01 31 2023
Lorena Vega
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
ael, San RafCA 94901
❑ SCC
SUBTOTAL$ 62.60
*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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 01/01/2023IdLL
through 06/30/2023
Page 175 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/15/2023
Lorena Vega
®IND
Police Officer
14.80
177.60
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
02/28/2023
Lorena Vega
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
03/15/2023
Lorena Vega
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
03/30/2023
Lorena Vega
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
04 14 2023
Lorena Vega
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
•
through 06/30/2023
page 176 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
04/28/2023
Lorena Vega
®IND
Police Officer
14.80
177.60
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
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Lorena Vega
®IND
Police Officer
14.80
177.60
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
05/31/2023
Lorena Vega
]IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
Rece rRthrough intermediary:
-Rafael
San Rafael, CA 94901
❑ OTH
sued
San Police As
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
06/15/2023
Lorena Vega
IND
Police Officer
14.80
177.60
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
06 30 2023
Lorena Vega
®IND
Police Officer
14.80
177.60
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.
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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 01/01/2023
�
through 06/30/2023
page 177 of 186
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
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)
01/15/2023
Mark Wilkinson
®IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
Received through rote
—diary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
01/31/2023
Mark Wilkinson
®IND
Officer
i4.80
177.60
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
02/15/2023
Mark Wilkinson
R]IND
Officer
14.80
177.60
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
02/28/2023
Mark Wilkinson
KIIND
Officer
14.80
177.60
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
03 15 2023
Mark Wilkinson
®IND
Officer
14.80
177.60
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 Association
❑ 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01/01/2023
FORM
through 06/30/2023
page 178 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
I.D.
(IF COMMITTEEALSOENTER 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)
03/30/2023
Mark Wilkinson
®IND
Officer
14.80
177.60
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
04/14/2023
Mark Wilkinson
®IND
Officer
14.80
177.60
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
04/28/2023
Mark Wilkinson
F41 IND
Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Received through rote
mediary:
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/15/2023
Mark Wilkinson
El IND
Officer
14.80
177.60
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
El
San Rafael, CA 94901
❑ SCC
05 31 2023
Mark Wilkinson
®IND
Officer
14.80
177.60
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
7
from 01/01/2023
FORM
through 06/30/2023
page 179 of 186
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
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.NUMB
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2023
Mark Wilkinson
®IND
Officer
14.80
177.60
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
,an Rafael, CA 94901
❑ SCC
06/30/2023
Mark Wilkinson
®IND
Officer
14.80
177.60
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
01/15/2023
Ethan Wolgamott
F41 IND
Police Officer
14.80
177.60
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
01/31/2023
Ethan Wolgamott
KIIND
Police Officer
14.80
177.60
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
02 15 2023
Ethan Wolgamott
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 01/01/2023
•
through 06/30/2023
page 180 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMTTEE,ALSO .D.NUMB
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
02/28/2023
Ethan Wolgamott
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El 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
❑ SCC
03/15/2023
Ethan Wolgamott
®IND
Police Officer
14.80
177.60
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
03/30/2023
Ethan Wolgamott
KIIND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
El 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
❑ SCC
04/14/2023
Ethan Wolgamott
ElIND
Police Officer
14.80
177.60
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
09 28 2023
Ethan Wolgamott
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police 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)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
� '
460
from 01/01/2023
FORM
through 06/30/2023
page 181 of 186
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE,ALSND .D.NUMB
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
05/15/2023
Ethan Wolgamott
®IND
Police Officer
14.80
177.60
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 Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
05/31/2023
Ethan Wolgamott
®IND
Police Officer
14.80
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
OTH
Received through into
mediary:
Sari Rafael, CA 94901
El
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Ethan Wolgamott
IND
Police Officer
14.80
177.60
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
06/30/2023
Ethan Wolgamott
IND
Police Officer
14.80
177.60
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
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 59.20
*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 (8661275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Payments Made
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2023
SEE INSTRUCTIONS ON REVERSE through 06/30/2023 page 182 of 186
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP
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) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Donor Stack, LLC WEB 227.82
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC WEB 293.46
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC I WEB 1 I 24.53
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 545.81
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ 3,294.33
2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00
3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column e . $ 0.00
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 3,294.33
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Statement covers period
from 01/01/2023
SCHEDULE E(CONT)
Page 183 of 186
I.D. NUMBER
San Rafael Police Association Political Action Committee 1 831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
through 06/30/2023
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
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Donor Stack, LLC
WEB
70.52
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
497.00
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
309.00
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
107.50
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
450.00
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,434.02
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
SCHEDULE E (CONT.)
(Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA
� '
Payments Made from 01/01/2023to whole dollars.FORM ,
SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 184 of 186
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIMP
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)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
S.E. Owens & Company
PRO
353.00
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
260.00
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
136.50
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
565.00
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,314.50
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULEF
Schedule F Amounts maybe rounded Statement covers period •' • ,
Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2023 •'
through 06/30/2023
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Page 185 of 186
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)
(
(
(c)
(
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTAA NDING
AMOUNTIN CURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
S.E. Owens & Company
PRO
309.00
0.00
309.00
0.00
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
107.50
0.00
107.50
0.00
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 416. 50$ 0. 00 $ 416. 50$ 0.00
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)......
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.) .
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)................................................................................................
.... INCURRED TOTALS $
PAID TOTALS $
MKI
416.50
............................ NET $ v negative
May be a ne ative number
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Crhorl11110 I
Sr:HFnl11 F I
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2023
through 06/30/2023
CALIFORNIA
•
FORM
page 186 of 186
NAME OF FILER
San Rafael Police Association Political Action Committee
I.D. NUMBER
831553
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
1. Itemized increases to cash this period..........................................................................................................
2. Unitemized increases to cash of under $100 this period...............................................................................
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...................
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.)...........................................................................................................................
SUBTOTAL$
$ 0.00
$ 9.13
$ 0.00
TOTAL $
9.13
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov