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HomeMy WebLinkAboutForm 460 - Police Association PAC (2023-12-31) Semi-AnnualRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2023
through 12/31/2023
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall O Controlled
(Also Complete Part5) O Sponsored
(Also Complete Part 6)
® General Purpose Committee
Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
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
Date of election
(Month, D:
DL9 Igo LS gat,WaIS
abl %N 2 6 2024
woo
ear)
CITYCLERK'S OFFICE
2. Type of Statement:
❑ Preelection Statement
® Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page 1 of 175
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
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
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
IPage 2 of 175
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER I JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
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
'RRR{ attach GOntinuation shl"151i%
FPPC Form 460 (Jan/2016)
Ith"ddvice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Campaign Disclosure Statement
Amounts may be rounded
Summary Page to whole dollars.
Statement covers period
from 07/01/2023
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE I through 12/31/2023 I Page 3 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action
Committee
831553
Contributions Received
Column A
TOTALTHISPERIOD
(FROM ATTACHED SCHEDULES)
Column B
CALENDARYEAR
TOTALTO DATE
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3
$
11, 772.60
$
24,357.40
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
$
11,772.60
$
24,357.40
20. Contributions
Received $ $
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 + 4
$
11,772.60
$
24,357.40
Made $ $
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4
$
3,624.89
$
6,919.22
7. Loans Made ........
Schedule H, Line 3
0.00
0.00
8. SUBTOTALCASH PAYMENTS ....................................
Add Lines 6 + 7
$
3,624.89
$
6,919.22.
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F, Line 3
0.00
0.00
10. Nonmonetary Adjustment ..........................................
ScheduleC, Linea
0.00
0.00
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8 + 9 + 10
$
3,624.89
$
6,919.22
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 $
www.neffile.com
190,055.32
To calculate Column B, add
11,772.60
amounts in Column A to the
corresponding amounts
9.72
from Column B of your last
3,624.89
report. Some amounts in
Column A may be negative
198, 212.75
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
0.00
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
0.00
0.00
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 (8661275-3772)
www.fppc.ca.gov
Srharli fla A
SCHEDULE A
Monetary Contributions Received Amounts may be rounded
ry dollars.
Statement covers period
to whole
'
from 07/01/2023
•
through 12/31/2023
Page 4 Of 175
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
1 831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
14.80
07/01/2023
Elisha Adams
®IND
Officer
177.60
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inter
San Rafael Police Ass
d:..: ,
latlo:l
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑S.CC
07/01/2023
Alison Ager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inter
San Rafael Police Ass
ediary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Alison Ager
®IND
Police Officer
14.80
355.20
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 Asscciation
ediary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15/2023
Alison Ager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inter
"ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
FifthACAn94901
❑ PTY
SanORafael,
❑ SCC
nAlison
Ager
®IND
Police icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ince
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Asa
iation
PTY
1 52❑
San ORafael , Ave CAa94901
❑ 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 $
11,486.20
286.40
11,772.60
"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 (866/276-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2023
• '
through 12/31/2023
Page 5 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Alison Ager
®IND
Po ice Officer
14.8
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received through irate
San Rafael Police Ass
diary:
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC.
09 30 2023
Alison Ager
®IND
Police Officer
14.80
355.20
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:
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Alison Ager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10 31 2023
Alison Ager
®IND
P°lice Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
Alison Ager
®IND
O ice Officer 111. du
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
tenon
❑ 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
www.netfile.com
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc-.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
• '
from 07/01/2023
•
through 12/31/2023
Page 6 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Alison Ager
®IND
Po ice officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Association
ediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S.CC
12 15 2023
Alison Ager
®IND
Police officer
14.80
355.20
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
mediac
Sation
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Alison Ager
®IND
Police Officer
14.80
355.20
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
ediary:
ciacion
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/01/2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
ediary:
ciacirni
PTY
152o Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Raul gui ar
®IND
Sergeant
.
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through ince
San Rafael Police Asa
ediary:
ciacion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.neffile.com
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 07/01/2023
• '
through. 12/31/2023
Page 7 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE,RALSAND
I.D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15 2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
Ass
RSan Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC.
31 20 3
Rau Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/15/2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30/2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary;
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Raui Aguilar
®IND
ergean
..2
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through Lnte
ediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police n■e
iat ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neifile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
CALIFORNIA
,
from 07/01/2023
• '
Page 8 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Sergeant
14.
355.20
10 31 2023
Raul Aguilar
®IND
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
urn:
cation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
[-]SCC
11 15 2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
mediary:
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
COM
San Rafael, CA 94901
�OTH
Received through irate
San Rafael Police Ass
mediary:
ciati 0.
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/15/2023
Raul Aguilar
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
Raul Aguilar
®IND
ergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through Snte
San Rafael Police Ann
diary:
ciation
ElPTY
Fifth
San ORafael , Avenue
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONY.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2023
• •
through 12/31/2023
Page 9 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE * OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 01 2023
Leslie Ahlenslager
®IND
Police Officer
14.80
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
cation
El PTY
SanCA ORafael, Avenue
94901
❑ SCC
07 31 2023
Leslie Ahlenslager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
San Rafael, CA 94901
[:]COMCity
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTM
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/31 2023
Leslie Ahlenslager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
Leslie Thienslager
®IND
O ice Officer
.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901,
❑ SCC
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
SUBTOTAL$ 74.00I 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
CALIFORNIA '
from 07/01/2023
• '
through 12/31/2023
Page 10 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 30 2023
Leslie Ahlenslager
®IND
Po ice Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte; Assmedociation
San Rafael Police Ass
CiaCion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Leslie Ahlenslager
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through i
San Rafael Police ASS—iation
mediacy:
❑ P-�
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
S
❑ OTH
Received through inte
San Rafael Police Ass
ciatioy:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2023
Leslie Ahlenslager
®IND
Police Officer
14.80
355.20
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
rad-.on
riat_nn
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
is . oU
Leslie Ahlenslager
®IND
Po -ice officer
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
m.:c:
1...�.-
❑ PTY
Fifth
San15 2ORafael , ACAn94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I t
from 07/01/2023
FPage
through 12/31/2D23
11 of 175
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)
CODE * OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 15 2023
Leslie Ahlenslager
®IND
Police Of icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received through irate
San Rafael Police Ass
"diary;
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12. 31 2023
Leslie Ah ens ager
®IND
Po ice Officer
14.80
355.2U
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
�OTH
Received through irate
San Rafael Police Ass
iatioy:
ciation
�PTY
1520 Fifth Avenue
.SCC
San Rafael, CA 94901
07/01/2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediaty:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through irate
iioy:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
cia
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
Cott Brooks
®IND
Police corporal
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through into
San Rafael, CA 94901
❑ OTH
San Rafael Police qs
ciatiomediary:
ciatio»
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
i 1
from 07/01/2023
through 12/31/2023
page 12 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 31 2023
Scott Brooks
®IND
Police Corporal14.90
5 0
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
ary:
iatiOn
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
09 15 2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
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
tizy:
ciaolAtlon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Sari Rafael, CA 94901
❑OTH
Received through in te
San Rafael Police Ass
diary:
eiation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
10/15/2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Ciatioy:
1A[lOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Scott Brooks
®IND
To - -ice Corporal
14.80
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAssnte
ediary
miation:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciatian
❑ PTY
San ORafael,FiftACAn94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Parry
SCC — Small Contributor Committee
www.neifile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
NIA
CALIF/
to whole dollars.
'
from 07/01/2023
• '
through 12/31/2023
Page 13 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(ECOMMIT .D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 2023
Scott Brooks
®IND
Pollce corporal
14.80
355.2
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
mediary:
ia[ion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
SCC
11 30 2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through in te
San Rafael Police Ass
diary:
iatian
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/15/2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
12 31 2023
Scott Brooks
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciat ion
❑ PTY
152 Fifth
SanORafael, ACAnue 94901
❑ SCC
tonette Buiiock
®IND
community ervice triter
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
trsdiacy:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iaCiott
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
www.netfiie.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
t
from 07/01/2023
• '
through 12/31/2023
Page 14 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
Antonette Bullock
®IND
Community Service O icer
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 15 2023
Antonette Sullock
®IND
Community Service Officer
11.00
:: 00
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:
iatiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2023
Antonette Bullock
®IND
Community Service Officer
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 15 2023
Antonette Bullock
®IND
Community Service Officer
11.00
264.00
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
Antonette Builock
®IND
ommunl y ervice ce i=
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
❑ue
PTY
San ORafael ,Fifth ACAn94901
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
I ,
from 07/01/2023
• '
through 12/31/2023
Page is of 175
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
(COMMIT-FEE,ALSND .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 2023
Antonette Pullock
®IND
Community Service O icer
11.00
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
diary:
iaGion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10 31 2023
Antonette Bullock
®IND
Community Service icer
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inta
San Rafael Police Ass
MtAiary:
cation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑SCC
11/15/2023
Antonette Bullock
®IND
Community Service Officer
11.00
264.00
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
Fifth Avenue
San
San Rafael, CA 94901
❑ SCC
11 30 2023
Antonette Bullock
®IND
Community Service Officer
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
diary:
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Ass
cation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ S('..C..
Antonette Bullock
®IND
ommunl y ervlce icer11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through into
me
San Rafael, CA 94901
❑OTH
San Rafael Police Aso
ttdiary:
Ciatlo
❑ 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
www.netfile.com
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE A (CONT.)
Page 16 of 175
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
1
Antonette Bullock
®IND
Community Service O icer
11.00
264.00
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
ciamedtiy:
Ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
07 01 2023
Joseph Camins
®IND
Officer
14.80
355.20
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
madiary:
iaticn
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑SCC
®IND
07/31/2023
Joseph Camins
Officer
14.80
355.20
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
madiary:
Cation
PTY
1520 Fith Avenue
❑
San Raffael, CA 94901
❑ SCC
08/15/2023
Joseph Camins
®IND
Officer
14.80
355.20
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
Ljosepn camins
®IND
Otticer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass
San Rafael Police Ass
diary:
Ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
[]SCC
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Parry
SCC—Small Contributor Committee
www.netfile.com
SUBTOTAL$ 70.20
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
• .
NIA
CALIF/
to whole dollars.
'
from 07/01/2023
•
through 12/3 1/2 023
Page 17 of 175
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 COMMITfEE,ALSO ENTER ID.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Joseph Camins
®IND
Otticer
14.80
355.20
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
clat.,:r
ctatio:i
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Joseph Camins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police As
mediary:
Sacion
❑ PTY
Fifth Avenue
San
San Rafael, CA 94901
❑ SCC
10/15/2023
Joseph Camins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
cation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 31 2023
Joseph Camins
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
SanRafael Police Ass Ass
eiation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
El SCC
osepn Camins
®IND
leer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
madiary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ASS
eiation
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
www.nefile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
• '
Page 18 of 175
through 12/31/2023
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,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)
11 30 2023
Joseph Camins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
clot ion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Joseph Camins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
Satlon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Joseph Camins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
"diary --
cation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
07/01 2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through i
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Ass
clarion
ue
El PTY
Rafael,FifthACAn94901
San Rafael
❑ SCC
07/31/2023
arissa Carney
®IND
a Taker Records
1.
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through inte
:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
lotioniation
1520 Fifth Avenue
❑ PTY
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
www.netfile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through_ 12/31/2023
SCHEDULE A (CONT.)
Page 19 of 175
I.D. NUMBER
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(COMMIT E,ALSENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
RECEIVED
PERIOD
CALENDAR YEAR
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 87 15 2023
Marissa Carney
®IND
Ca a er & PecorTs
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through intevediat,
San Rafael, CA 94901
❑OTH
San Rafael Police Association
152 OFifth Avenue
❑ PTY
San Rafael , An94901
El SCC
08 31 2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
—diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
madiary
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
eiation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09/30 2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through iAssnte
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Association
ciation
❑ PTY
ue
san0Rafael, ACAn94901
El SCC
arissa Carney
®IND
a a er Records
.
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
adiary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
CALIFORNIA
/ t
from 07/01/2023
FORM
through 12/31/2023
Page 20 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
IT
(IF COMMITTEE, I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
El COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
ediary:
ciatlon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 15 2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
Specialist
Avenue
San Rafael, CA 94901
❑OTH
City Of San Rafael
Received through irate
San Rafael Police Ass
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ Scc
11/30/2023
Marissa Carney
®IND
Call Taker & Records
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
[-]COM
City Of San Rafael
Sari Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
eediary:
iaGlott
PTY
Fifth Avenue
❑
San
San Rafael, CA 94901
❑SCC
12 15/2023
Marissa Carney
®IND
Call Taker & Records
11-00
242.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
El
Received through inte
San Rafael Police AssoCiation
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
arissa Carney
®IND
a a er Records
.
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Sari Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
iation
1520 Fifth Avenue
ElPTY
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
/ '
from 07/01/2023
• '
through 12/31/2023
Page 21 of 175
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 COMMITfEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 01 2023
Trevor Carney
®IND
Corporal
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received throughAss i
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 31 2023
Trevor Carney
®IND
Corpora
14.80
35 .20
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 Assiciation
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2023
Trevor Carney
®IND
Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
cation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
08 31/2023
Trevor Carney
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
lation
El PTY
ue
San ORafael , FifthACAn94901
❑ SCC
Trevor Carney
®IND
orpora
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
_
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
page 22 of 175
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)
09 30 2023
Trevor Carney
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
ietion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
10 15 2023
Trevor Carney
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
diary:
Cia[ion
[]PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
10/31/2023
Trevor Carney
®IND
Corporal
14.80
355.20
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
iary:
iation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Trevor Carney
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
S
❑OTH
Received through irate
San Rafael Police Ass
iary :
iaC107f
❑Fifth
PTY
SanOue Rafael, ACAn94901
❑SCC
11/30/2023
revor Carney
®IND
Corporal
.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
iaCion
❑ 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 Parry
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
-
from 07/01/2023
•
through 12/31/2023
page 23 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,ALSAND
I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
14.80
12 15 2023
Trevor Carney
®IND
Corporal
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
Avenue94901
❑ PTY
SanORafael, CA
❑SCC
12 31 2023
Trevor Carney
®IND
Corporal
14.80
355.20
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
07 O1 2023
Edward Chiu
®IND
Officer
14.80
355.20
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:
iition
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑SCC
07/31/2023
Edward Chiu
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
AssFifth
1520 Avenue
El PTY
San Rafael, CA 94901
❑ SCC
Edward iu
®IND
icer
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 74.00I
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
'
from 07/01/2023
• '
through 12/31/2023
Page 24 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 31 20 33
Edward Chiu
®IND
z
O cer
14.80
355.20
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
diary:
Cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 15 2023
Edward Chiu
®IND
Officer
14.80
355.210
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑OTH
Received through i
Ass
San Rafael Police Association
mediary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC..C,
09/30/2023
Edward Chiu
®IND
Officer
14.80
355.20
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:
eiation
PTY
Fifth Avenue
❑
San
San Rafael, CA 94901
❑ SCC
10/15/2023
Edward Chiu
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Sari Rafael, CA 94901
[-]COM
❑ OTH
Received through inte
San Rafael Police Ass
diary :
Sation
PTY
Fifth
❑152
SanORafael,ACAnue 94901
❑scc
war iu
®IND
UFF3—cer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑ OTH
Received through Snte
San Rafael Police Ass
diary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY— Political Party
SCC—Small Contributor Committee
www.neffile.com
SUBTOTAL$ 74.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
•
through 12/31/2023
Page 25 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(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)
11 15 20 33
Edward Chiu
®IND
Officer
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
El COM
❑OTH
Received through i
San Rafael Police Ass Ass
edi n:•;
ci:rt: r�
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 30 2023
Edward Chiu
®IND
Officer
14.80
355.::0
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
12/15/2023
Edward Chiu
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Received through inta
San Rafael Police Ass
—diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
12/31 2023
Edward Chiu
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
iation:
❑us
PTY
SanORafael,152 Fifth ACAn94901
❑ SCC
®IND
Richard ary
Police icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
m diary:
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
/ o
from 07/01/2023
•
through 12/31/2023
Page 26 of 175
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)
0 31 2023
Richard ary
®IND
Police Officer
14.80
355.20
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
diary:
Ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08 15 2023
Richard F. Clary
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
ediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2023
Richard F. Clary
®IND
Police Officer
14.80
355.20
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 Assi
a`adiary:
elatioA
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑SCC
09 15/2023
Richard F. Clary
®IND
Police officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:3Com
San Rafael, CA 94901
❑ OTH
Received through iAss
San Rafael Police Ass
ciation:
ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
[:]SCC
Richard ary
®IND
Police Officer
IT7110
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑Com
San Rafael, CA 94901
❑OTH
Received through ante
San Rafael Police Aea
diary:
tion
Fifth
❑ PTY
SanO Rafael ,ACAnue 94901
❑.S. CC
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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
.
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
page 27 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EFTA COMMITTEE, SAND
.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 2023
Richard . Cary
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
-Richard F. Cary
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
Lation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC.
11/15/2023
Richard F. Clary
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
Fifth Avenue
El
San
San Rafael, CA 94901
❑ SCC
11/30/2023
Richard F. Clary
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Association
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
_
Richard Clary
®IND
o ice icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received throuh is
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police As
ce As
cation
❑ PTY
OFifth Avenue
San Rafael, CA94901
❑ 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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded statement covers period ICALIFORNIA
to whole dollars.
1
from o7/01/2023
•'
Page 28 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
ADDRESS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(EET
COMMIT -FEE, .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31 2 23
Richard F. Clary
®IND
Po ice Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through intermediary:
Ass San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 01 2023
Robert Cleland
®IND
Sergeant
14.80
355.20
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
wadiary:
Ciatirn
El PT.
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Robert Cleland
®IND
Sergeant
14.80
355.20
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
diaryt
ation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15/2023
Robert Cleland
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
S
❑ OTH
Received through iAss
San Rafael Police Ass
diary:
iacion
❑ PTY
Fifth ue
SanORafael, ACAn94901
❑ SCC
08/31/2023
Robert e an
®IND
aergean E
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation:
ia[ion
El PTY
Fifth
SanORafael ,ACAn94901
❑ SCC
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
SUBTOTAL$ 74.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.nefile.com www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2023
• '
through 12/31/2023
Page 29 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT
(IF COMMITTEE. I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 1
Robert C e an
®IND
ergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
madiary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
O Fifth
ACAn94901
❑
San Rafael,
❑.S. CC
09 30 2023
Robert Cleland
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑COM
❑OTH
Received through ine
San Rafael Police Asts
diary:
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Robert Cleland
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
iiry:
iition
PTY
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
Robert Cleland
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
aryt
San Rafael, CA 94901
❑OTH
San Rafael Police AssiWkatlon
PTY
152 Fifth❑ ue
SanORafael, ACAn94901
❑ scc
oOer elan
®IND
Sergeant.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
10n
1ation
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 Parry
SCC —Small Contributor Committee
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
from 07/01/2023
•'
through 12/31/2023
Page 30 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Sergeant
14.80
355.20
11 3 0 3
Robert Cleland
®IND
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
diary:
cation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 15 2023
Robert Cleland
®IND
Sergeant
14.80
355.20
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
12/31/2023
Robert Cleland
®IND
Sergeant
14.80
355.20
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
diary:
iation
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑SCC
07/01/2023
Thomas Collins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY
Fifth Avenue
El
San Rafael, CA 94901
San
❑ SCC
07/31/2023
Thomas Collins
®IND
officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received througe Aas h inte
San Rafael Polic:
edicationary
1520 Fifth Avenue
❑ PTY
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
,from
07/01/2023through
F
31 of 175
12/31/2023
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,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)
0 15 20 33
Thomas Collins
®IND
O icer
14.80
3 5.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through irate
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
Fifth ue
ACAn94901
ElPTY
SanO Rafael,
❑ SCC
08 31 2023
Thomas Collins
®IND
officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
iary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑.S. CC
09/15/2023
Thomas Collins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Thomas Collins
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
152 Fifthue
SanORafael,ACAn94901
❑ SCC
omas Coiling
®IND
urricer
_-. -
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
'
from 07/01/2023
• '
page 32 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EFTA COMMITTEE, NNTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Thomas Collins
®IND
officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police ASSOCiaGion
.t ion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Thomas Collins
®IND
Officer
14.80
355.20
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
weary:
Ciatioo
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2023
Thomas Collins
®IND
Officer
14.80
355.20
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
aediary:
cation
El PTY1520
Fifth Avenue
an Rafael, CA 94901
❑ SCC
12/15/2023
Thomas Collins
® IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
Ccationllktjan
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
_
omas o ins
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[3Com
San Rafael, CA 94901
❑ OTH
Received through ante
San Rafael Police Ass
:
clatioy
ciation
1520 Fifth Avenue
❑ PTY
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
I • t
from 07/01/2023
• '
through 12/31/2023
page 33 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(COMMITTEE,ALSND .D.NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 Ol 2023
Ronda Cordero
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
AvenueReceived
[:]COM
through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
07 31 2023
Rona Cordero
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2023
Ronda Cordero
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
Fifth Avenue
El
San
San Rafael, CA 94901
❑ SCC
08/31 2023
Ronda Cordero
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑ SCC
Ronda Cor ero
®IND
ergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assr
ation
❑ 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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers perio—d—7111111CALIFORNIA
to whole dollars.
/ 1
from 07/01/2023
'
through 12/31/2023
Page 34 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 30 2023
Ronda Cordero
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
mediary:
elation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Ronda Cordero
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through iAss
San Rafael Police Ass
mediary:
lation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
[]SCC
10/31/2023
Ronda Cordero
®IND
Sergeant
14.80
355.20
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:
iatlon
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
SCC
11/15/2023
Ronda Cordero
® IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
ediary:
c1AtiOn
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
Ronda Cordero
®IND
ergean
.
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 As
diary:
Satlon
Avenue1520 Fifth
❑ PTY
s.. Rafael, CA94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
_
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
Page 35 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
12 15 2023
Ronda Cor ero
®IND
Sergeant
14.80
3'' :
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[3Com
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
12 31 2023
Ronda Cor ero
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through iAss.te Association
San Rafael Police Ass
mdiion
Ciation
❑ PTY
Fifth Avenue
San
San Rafael, CA 94901
❑.SC,C.
07/01/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
wwdiary-
iation
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
07/31/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
rodiary.
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciat:on
❑PTY
O Fifth
SanRafael.ACAn94901
❑.S. CC
Heinrichu y
®IND
To -.Lice Corporai
14.bu
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
ciat ion
❑ PTY
1520 fth Avenue
San RafFiael, 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.neffile.com 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.
/ '
E
from 07/01/2023
through 12/31/2023
Page 36 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06 31 2023
Heinrichu y
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
mediary:
cfation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 15 2023
Heinrich Cuddy
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
odiary:
ciatlon
❑ PTY
Fifth Avenue
San Rafael, CA 94901
San
❑ SCC
09/30/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
diary:
ration
❑ PTY
1520 Fifth Avenue
San Rafael, CA 99901
❑SCC
10/15/2023
Heinrich Cuddy
® IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
ration
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
HeinrichCuddy
®IND
Police Corporal
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Sari Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
ediary:
Sation
❑ 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
www.neifile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
/ 1
from 07/01/2023
• '
Page 37 of 175
through 12/31/2023
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,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)
14.80
11 15 2023
Heinrich Cuddy
®IND
Police Corpora
35 .20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
PTY
Fifth
ACAnue
❑
SanORafael , 94901
❑ SCC
11 30 2023
HeinrichCuddy
®IND
Police Corpora
14.80
355.20
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 Assiociation
mediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/15/2023
Heinrich Cuddy
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
Fifth Avenue
❑
San
San Rafael, CA 94901
❑ SCC
12 31 2023
HeinrichCuddy
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through irate
ciation:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
ris op er De Leon Esparza
®IND
Police Officer
11.00
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ante
mediary:
San Rafael, CA 94901
❑ OTH
sin Rafael Police Association
❑ 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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
I 1
from 07/01/2023
•
through 12/31/2023
Page 38 of 175
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
(EFTA COMMITTEE, SENTERI.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Christopher De Leon Esparza
®IND
officer
Po ice O
11.
1 2.8
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Assiociation
ary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 30 2023
Christopher De Leon Esparza
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
eiation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10/15/2023
Christopher De Leon Esparza
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
iary:
Sation
PTY
Fifth Avenue
El
San Rafael, CA 94901
San
❑ SCC
10 31 2023
Christopher De Leon Esparza
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
Christopher De Leon Esparza
®IND
o ice ricer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
!atlon�
❑ 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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period I•
.
CALIF460
to whole dollars.
from 07/01/2023
FORM
through 12/31/2023
page 39 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 2023
Christopher De Leon Esparza
®IND
Police OFficer
11.00
102.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ante
median p .
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Sation
PTY
ue
FifthACAn94901
El
San1S2ORafael ,
❑.SCC
12 15 2023
Christopher a Leon Esparza
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police AssilCiation
mediaryi
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
El SCC
12/31/2023
Christopher De Leon Esparza
®IND
Police Officer
14.80
102.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Assi
mediary:
ociation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
07 01/2023
Casey DeBolt
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
'City Of San Rafael
Avenue
❑ COM
Received through irate
ciation:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
152 Fifth❑
SanORafael, ACAn94901
[]SCC
Casey DeBolt
®IND
Police icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
rediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2023
• '
Page 40 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMIT .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)
08 715 2023
Casey DeBo t
®IND
Po ice officer
14.80
355.20
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
❑ SC.C.
08 31 2023
Casey DeBo t
®IND
Police officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
®IND
09/15/2023
Casey DeBolt
Police Officer
14.80
355.20
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
diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ .SC.C.
09 30/2023
Casey DeBo t
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iatio»
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Casey DeBolt
®IND
Police zicer
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
Ciatio»
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.001
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Parry
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
41 of 175
II.D.
NAME OF FILER
UMBER
San Rafael Police Association Political Action Committee
53
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
IT .D.NUMBER)
(IF COMMITTEE, ALSO ENTER
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Casey DeBolt
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte Ass
San Rafael Police Ass
iaClon
ciat
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 15 2023
Casey DeBolt
®IND
Police Officer
14.80
355.20
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
'wediacy:
Sation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11/30/2023
Casey DeBolt
®IND
Police Officer
14.80
355.20
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
Ciatioy:
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15 2023
Casey DeBolt
®IND
Police Officer
14.80
355.20
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
diary:
lltion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Casey e Olt
®IND
'15o ice i c e r
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received through inte
San Rafael Police Ass
diary:
cation
❑ PTY
Fitt
San O Rafael, ACAn94901
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I ,
from 07/01/2023
•
Page 42 of 175
through 12/31/2023
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
THIS
CUMULATIVETO DATE
PER ELECTION
TO DATE
RECEIVED
(ETITE,ALSENTERI.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
RECEIVED
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 01 2023
Rebecca DeLaTorre
®IND
Ca 1 Taker & Records
11.00
264.00
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
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 31 2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City of San Rafael
Received through inte
mediaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/31/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑4.CL.
e ecca e a orre
®IND
a Taker Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City of San Rafael
Received c l�rough ince
diary:
San Rafael, CA 94901
❑ OTH
San Refael Pol ca Aan
cation
❑ PTY
SanORafael,FifthACAn94902
❑SCC
SUBTOTAL$ 55.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Parry
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
+ / '
from 07/01/2023
•
Page 43 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
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)
0 97TOM20 33
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through inte
madiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
Fifth Avenue
❑ PTY
San
San Rafael. CA 94901
❑SCC
10 15 2023
Rebecca DeLaTorre
®IND
Call -Taker & Records
11.00
264.00
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
10/31/2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑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
11 15 2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
152 Fifthue
ACAn94901
❑ PTY
SanORafael,
❑ S. CC
Rebecca DeLaTorre
®IND
Cali a er ecor s
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
AveFifh
El PTY
sanORafael, CAn94901
❑ 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
www.nefile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period ICALIF•
_
NIA
to whole dollars.
I '
from o7/01/2023
•
through 12/31/2023
Page 44 of 175
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)
2 15 2023
Rebecca DeLaTorre
®IND
Call Taker & Records
11.00
264.00
c/o San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 31 2023
Rebecca DeLaTorre
®IND
Cali Taker & Records
11.00
264.00
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 Association
❑ PTY
Fifth Avenue
San Rafael, CA 94901
San
❑ SCC
07/01/2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
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
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
❑SCC
07/31/2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Blake Deizell
173-1-1ce Sergeant
®IND
v
-155.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through irate
edia: -.
San Rafael, CA 94901
❑OTH
San Rafael Police Assm
iat: ::
❑ PTY
A
SanORafael, CAn94901
[]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
www,netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
/ t
from 07/01/2023
• '
through 12/31/2023
page 45 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(COMMITTEE,ALSENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 31 2023
Blake Deizell
®IND
Po ice Sergeant
14.80
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
-1_,.: i .
..... ...
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 15 2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
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 A.Saclation
iary:
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SC.C,
09/30/2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
madiasy:
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
diary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Blake Delzeii
®IND
To -ice Sergeant
14.80
;7.2u
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
El
San Rafael Police Ass
Cia[io 11
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA
to whole dollars.
/ 1
'
from 07/01/2023
•
through 12/31/2023
EPage__±6_ of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
B31553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.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)
1 1 20 3
Slake Delzell
®IND
Police Sergeant
14.80
355.2
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
COM
San Rafael, CA 94901
❑ OTH
Received through iAssnte
San Rafael Police Ass
clation
Satlou
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
11 30 2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
COM
City Of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
m diary:
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[]SCC
12/15/2023
Blake Delzell
®IND
Police Sergeant
14.60
355.20
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:
iatiaU
1520 Fifth Avenue
ElPTY
San Rafael, CA 94901
❑SCC
12/31/2023
Blake Delzell
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
❑ SCC
y er Delzell
®IND
Police icer
1.
C/O: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94902
❑OTH
San Rafael Police Ass
ciatmediioy:
elation
❑ue
PTY
San ORafael, Fifth ACAn94901
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• .
NIA
CALIF'
to whole dollars.
from 07/01/2023
•
through 12/31/2023
Page 47 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Skyler Delzell
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94902
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
clan :on
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Skyler Delzell
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94902
❑OTH
Received through inte
San Rafael Police Ass
dlany:
Laden
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10/15/2023
Skyler Delzell
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94902
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 31. 2023
Skyler Delzell
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94902
❑ OTH
San Rafael Police Ass,
Ciatlon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
xyler Delzeil
®IND
011ce officer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
ciation:
San Rafael, CA 94902
❑ OTH
A
San Rafael Police ss
ciation
El PTY
1520 Fifth Avenue
San Rafael. CA 94901
❑.S. CC,
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I ,
from 07/01/2023
• '
page 48 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERID.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)
1.1 30 2023
S y er Delzell
BIND
Po ice icer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94902
❑ OTH
Received through i
Ass San Rafael Police Ass
diary:
C/ition
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Sky er De ze 1
®IND
Police officer
11.00
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
Sari Rafael, CA 94902
❑OTH
Received through inte
San Rafael Police Association
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Skyler Delzell
®IND
Police Officer
14.80
102.80
C/o: San Rafael Police Association 1521 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94902
❑OTH
Received through inte
San Rafael Police Ass
m diary:
ciation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/01/2023
Shannon Diana
®IND
Police 0 ficer
14.80
236.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAss
San Rafael Police Ass
ciatioy:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
-777
Shannon Diana
®IND
o ice Ullicer
14.80
.:_u
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
d-dry:
idtlon
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
SUBTOTAL$ 66.401
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
'
Page 49 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15 2023
S annon Tana
®IND
Police Officer
14.80
236.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ine
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Asts
ciation
PTY
152 Fifth❑
ACAn94901
SanORafael,
❑ SCC
08 31 2023
Shannon Diana
IND
®❑
Police Officer
14.80
236.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
COM
❑OTH
Received through inte
San Rafael Police AssICIAtion
iacye
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
diary:
iation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31 2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through interwdiaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
SanO Rafael, ACAn94901
❑SCC
us in o son
®IND
Sergeant
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
CiAtio�diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
/ 1
from 07/01/2023
• '
Page So Of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
8315S3
DATE
A
ADDRESSZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
ITTEE .D.N
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2023
Justin Dodson
®IND
Sergeant
14.80
35 .20
C/o: San Rafael Police Association 1S20 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
F.ed::l:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ci.. •.ion
PTY
1520 Fifth Avenue
❑
San Rafael. CA 94901
❑.S. C.C.
09 15 2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
us in o son
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
1a[Son
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
�.
to whole dollars.
I t
from 07/01/2023
• '
through 12/31/2023
Page 51 0f 175
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
(EFTA COMMITTEE, SANDZI .D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
11 15 2023
Justin Dodson
®IND
ergeant
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
S
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation:
ciation
❑PTY
O Fifth A
SanRafael, CAn94901
❑ SCC
11 30 2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael eolice Association
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. CC
12/15/2023
Justin Dodson
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary;
ciation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
12/31 2023
Justin Do son
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
eaon
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ClatitiOn
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/01/2023
ames Dooley
®IND
Police Corporal
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through into
ediary:
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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
from 07/01/2023
• ' �
through 12/31/2023
Page 52 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(COMMIT-FEE,ALSAND
I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
James Dooley
®IND
Police Corporal
14.80
2G
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
S
❑ COM
❑ OTH
Received through ince
San Rafael Police Ass
atio
lation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 15 2023
James Dooley
®IND
Police Corporal
14.80
355.20
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
mndiary:
ia[ion
PTY
Fifth Avenue
❑
San
San Rafael, CA 94901
❑ SCC
08/31 2023
James Dooley
®IND
Police Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
lation
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
[-]SCC
09/15/2023
James Dooley
®IND
Police Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ince
!a=y:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
!aLlen
El PTY
Fifth
San ORafael,Aue CAn94901
❑ SCC
ames Doo.Ley
Fj]IND
o ice corporai.
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
diary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
lation
❑ 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
www.netfile.com
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
/ 1
from 07/01/2023
through 12/31/2023
Page 53 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EFTA COMMITTEE, SAND
.D-NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 2023
James Dooley
®IND
Police Corporal
14.80
355.20
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
diary -
fation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 31 2023
James Dooley
®IND
Police Corporal
14.60
355.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑
AssOTH Received through i
San Rafael Police Ass
diary:
Sation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11/15/2023
James Dooley
®IND
Police Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
eediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC.
11/30 2023
James Dooley
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
James Dooiey
®IND
Police Corporal
-14.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Cint10T
El PTY
Fifth
San ORafael , ACAT 94901
❑.S. CC
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
•.
to whole dollars.
I ,
from 07/01/2023
•
through 12/31/2023
Page 54 of 175
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
(COMMIT E,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)
12 31 2023
James Dooley
®IND
Police Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Association
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ S. CiCi
07 01 2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
®IND
07/31/2023
Christopher Duncan
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15/2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through intermediary:
San Rafael, CA 94901
S
❑ OTH
Ass
San Rafael Police Association
❑ PTY
SanORafael, ACAn94901
❑ SCC
Christopher Duncan
®IND
o 1ce 6ergeant
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period ICALIFORNIA
to whole dollars.
/ '
from 07/01/2023
'
through 12/31/2023
page 55 Of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOMMITTEE,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)
09 15 2023
Christopher Duncan
®IND
Police Sergeant
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
ciat ,r
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 30 2 23
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Assipciation
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 15/2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
diary:
iatian
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through irate
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Sa[Son
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
Christopher Duncan ®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue El COM
Received through irate
diary:
San Rafael, CA 94901 ❑OTH
San Rafael Police Tea
clat ioit
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
1
from 07/01/2023
•'
through 12/31/2023
Page 56 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
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
. t: y:
C:..t :on
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
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:
eiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Christopher Duncan
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through ints
San Rafael Police Ass
Ciation
ation:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07 01/2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
:
cation
PTY1520
Fifth Avenve
❑
San Rafael, CA 94901
El SCC
evin finer y
®IND
o ice icer
.
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Aoa
ary:
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"Contributor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Parry
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I ,
from 07/01/2023
'
through 12/31/2023
Page 57 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(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)
08 15 2023
Kevin Finerty
KIND
Po ice Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94901
❑ OTH
Association
San Rafael Police Ass
iation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
08 31 2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
nediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/15/2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inta
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 30 2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SCC.
evin inerty
®IND
Police icer
.
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received thrgh into
wediary:
San Rafael, CA 94901
❑OTH
San Rafael Pooulice A66
ration
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2023
• '
Page s8 Of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(E COMMITTEE,RALSAND
.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)
10 31 2 23
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
ty:
ciciae:on
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through iAssnte
San Rafael Police Ass
miation
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
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
diary:
lotion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2023
Kevin Finerty
®IND
Police Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
Lary:
ia[Son
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
Danleile Fry
®IND
a a er ecor s
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through inte
diary;
San Rafael, CA 94901
C OTH
San Rafael Police Ass
tiaa
C PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
SUBTOTAL$ 70.20
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.netfile.com www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I 1
from 07/01/2023
• '
through 12/31/2023
Page 59 of 175
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
(COMMITTEE,ALSND D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
Danielle Fry
®IND
Cai Ta er Recor s
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through irate
¢ ,I_ :y
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
i.r:_n
PTY
O Fifth
ACAn94901
❑
SanRafael ,
❑ SCC
08 15 2023
Danielle Fry
®IND
Call Taker Recor s
11.00
264.00
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
08/31/2023
Danielle Fry
®IND
Call Taker/Records
11.00
264.00
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
09 15 2023
Danielle Fry
®IND
Call Taker/Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
ElCOM
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
�OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
anie e ry
®IND
aTaker/Records
11.00
264.00
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neifile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
1
from 07/01/2023
'
through 12/31/2023
Page 60 of 175
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
(COMMITTEE,ALSENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
167 1 23
Danielle Fry
®IND
Ca 1 Taker/Recor d s
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through irate
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciatiomediarn:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 31 2023
Danielle Fry
®IND
Call Taker/Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2023
Danielle Fry
®IND
Call Taker Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ S(. C
11/30/2023
Danielle Fry
®IND
Call Taker/Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
Fifth Avenue
El
San Rafael, CA 94901
San
❑ SCC
iyanielie Fry
Tali Taxer Records
i.
C/o: San Rafael Police Association 1520 Fifth
®IND
Specialist
Avenue
❑ COM
City Of San Rafael
Sari Rafael, CA 94901
OTH
Received through irate
San Rafael Police Ass
mediary:
ciation
PTY
ue
SanFifthCA 1520 Rafael An94901
El SCC`
SUBTOTAL$ 55.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
'
through 12/31/2023
Page 61 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, I.D. NUMBER)
IT
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31 2023
Danielle Fry
®IND
Call Ta er Recoras
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 01 2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rapolice Ass
fael
mediary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
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
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 15 2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
ediary:
ciation
FifthACAn94901
, 52El ORafael
PTY
San ,
SCC
Anna Fulgado
®IND
ispatcner
.
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
edlary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ia[}on
❑ 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
www.neffile.com
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
/ 1
from 07/01/2023
'through
FPag,
12/31/2023
62 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
031553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
I.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
O Fifth
ACAn94901
❑us
SanRafael ,
❑S.cCi
09 30 2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
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
10/15/2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 31 2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
iary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
PTY
152 FifthEl
SanORafael,ACAn94901
❑ SCC
Anna Fulgaao
®IND
Dispatcher
11.00
264.00
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.fppc.ca.gov
www.neifile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
/ 1
from 07/01/2023
•
through 12/31/2023
Page 63 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSOENTERLD.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 2023
Anna Fu ga o
®IND
Dispatcher
11.00
264.00
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
El
San Rafael, CA 94901
❑ SCC
®IND
12 15 2023
Anna Fu ga o
Dispatcher
11.00
264.00
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
El
San Rafael, CA 94901
❑ SCC
12/31/2023
Anna Fulgado
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
El COM
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
iaGion
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
®IND
07/01/2023
Christopher Fuller
Corporal
14.60
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iio
San Rafael, CA 94901
❑ OTH
SanRafael Police Association
AsscFifth
1520 Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
Christopher tuiier
®IND
Corporal
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
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
www.netfile.com
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 Ill
CALIFO
to whole dollars.
� � 1
from 07/01/2023
• '
through 12/31/2023
Page 64 of 175
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(E COMMITTEE,RALSAND
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)
08 7 15 2023
Christopher Fuller
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte:nedia
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
ation
PTY
Fifth
❑
SanORafael ,ACAnue 94901
❑ .SCC
08 31 2023
Christopher Fuller
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
med-,ary:
ciatlon
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/15/2023
Christopher Fuller
®IND
Corporal
14.60
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/30/2023
Christopher Fuller
®IND
Corporal
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation:
lation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
Christopher Yulier
®IND
Corporal
0
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 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
www.netfile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE A (CONT.)
Page 65 of 175
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(COMMIT E,ALSNDI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Christopher Fuller
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
medi a ty:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
c:atlo:i
ORafael, Avenue
El PTY
SanCA 94901
❑ SCC
11 15 2023
Christopher Fuller
®IND
Corporal
14.80
355.20
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 At
medla y
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 30/ 0023
Christopher Fuller
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
m diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC.
12/15/2023
Christopher Fuller
®IND
Corporal
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAss
ciation
San Rafael, CA 94901
❑ OTH
san Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
ris op er er
®IND
orpora14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
,
from 07/01/2023
•
through._ 12/31/2023
Page 66 of 175
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
7 Ol 2 3
Jennifer Gamble horta
®IND
Po ice Officer
14.80
355.20
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:
cia Lion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
07 31 2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through i
Ass
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
06/15/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
ediary:
ciation
PTY
Fifth Avenue
❑
San
San Rafael. CA 94901
❑ SCC
08/31/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received throuAss gh i
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
jermiter Gamble Horta
®IND
Police Otticer
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
San Rafael Police Ass
Ass
mediary:
ciation
1520 Fifth Avenue
❑ PTY
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.neffile.com www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
from 07/01/2023
• -
through 12/31/2023
page 67 Of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
B31553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE PER ELECTION
(IF COMMITfEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
09 30 2023
Jennifer Gamble Horta
®IND
Police >cer
14.80
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:
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
35S.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
San Rafael, CA 94901
❑OTH
Received through ine
San Rafael Police Asts
ediary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
355.20
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
,diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
ll 15/2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received througAss h i
San Rafael Police Ass
mediary:
ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC,
enni er Gamble Horta
®IND
olice Officer
.
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
'
from 07/01/2023
'
through 12/31/2023
page 68 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
®IND
OF BUSINESS)
1 15 20 3
Jennifer Gamble Horta
Po ice 0 icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police As
diary.
ciat ion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
[:]SCC
12 31 2023
Jennifer Gamble Horta
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
miation:
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/01/2023
Salvatore Garanzini
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
iery:
iation
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Salvatore Garanzini
®IND
officer
14.60
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police A—sclation
:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Salvatore Garanzini
®IND
officer
14.80
.34U.4u
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
Satlon
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period I•
. NIA
CALIFI
to whole dollars.
,
from 07/01/2023
• '
through 12/31/2023
Page 69 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A ZIP CODE
RE SS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
ND
IT
(IF COMMITTEE,
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)
0 31 2023
Salvatore Garanzini
®IND
Officer
14.80
340.40
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 15 2023
Salvatore Caranzini
®IND
Officer
14.80
340.40
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
El
San Rafael, CA 94901
❑ SCC
09/30/2023
Salvatore Garanzini
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
10 15 2023
Salvatore Garanzini
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
❑PTY
Say. Fla ael,ACAn94901
El SCC
a vatore aranzini
®IND
1: c e r14.80
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
1520 Fifth Avenue
❑ PTY
San Rafael,CA 94901
El SCC
SUBTOTAL$ 74.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
_
to whole dollars.
I a
from 07/01/2023
•
through 12/31/2023
Page 70 of 175
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
(EFTA COMMITTEE, SENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 2023
Salvatore Garanzini
®IND
0 lcer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
S
El
Received through inte
San Rafael Police Ass
edia:
iauor
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 30 2023
Salvatore Garanzini
®IND
officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Assliciation
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/15/2023
Salvatore Garanzini
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inta
San Rafael Police Ass
madlaxy:
ciation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
07/01 2023
Cristian Gomez Tum
®IND
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
m-d:t.ay:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
int:on
Fifth
ACAnue
❑ PTY
SanORafael , 94901
❑ SCC
ris lan omez m
®IND
Police Otficer
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
S
San Rafael, CA 94901
❑ OTH
Received through into
San Rafael Police Aes
:
Qatioy
ciation
1520 Fifth Avenue
El PTY
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
from 07/01/2023
FORM
through 12/31/2023
Page 71 of 175
I.D. NUMBER
NAME OF FILER
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 ENTERI.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 15 2023
Cristian Gomez Tum
®IND
Police O icer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
c
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ation
ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
08 31 2023
Cristian Gomez Tum
®IND
Police officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Cristian Gomez Tum
®IND
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 730 2023
Cristian Gomez Tum
®IND
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
ristian omez um
®IND
o ice tticer
14.80
302.4o
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through roterftary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assation
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
/ ,
from 07/01/2023
• '
through 12/31/2023
Page 72 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVETO DATE
PER ELECTION
IT I.D.N
(IF COMMITTEE,
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Cristian Gomez um
®IND
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
mcd_azy:
elation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 15 2023
Cristian Gomez Tum
®IND
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
edf ary:
eclat
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
®IND
11/30/2023
Cristian Gomez Tum
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
ediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2023
Cristian Gomez Tum
®IND
Police Officer
14.80
302.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
San Rafael Police Ass Ass
.ediary:
iAtion
1520 Fifth Avenue
❑ PTY
San Rafael. CA 94901
❑ SCC
Cristian Gomez rum
®IND
O lce Officer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
ediary:
at ion
1520 Fifth Avenue
❑ PTY
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
I '
from 07/01/2023
F
through. 12/31/2023
73 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(COMMIT E,ALSENTERI.D.NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 77 01 2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
aution
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Ass
lation
PTY
IS2 Fifth Avenue
❑
SanORafael, An94901
❑ SCC
07 31 2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
06 31 2023
Justin Graham
®IND
Sergeant
14.80
3S5.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
Omedia
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
claClon
n
ElPTY
Fifth
SanOue Rafael, ACAn94901
El SCC
us in ra am
®IND
ergean14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inedlary:
m
San Rafael, CA 94901
❑OTH
San Rafael Police Asste
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 Parry
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers Wod ICALIFORNIA
to whole dollars.
/ 1
from o�/o1/zoz3
• '
through 12/31/2023
FPage---L'--of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EFTA COMMITTEE, SAND
.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 F30 2023
Justin Graham
®IND
Sergeant
14.80
3 5.2
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciatiowediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Received through iAssnte
San Rafael Police Ass
eiatiomediary:
1ACion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
madiaryt
eion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11/15/2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAss
diary:
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Association
❑us
PTY
San ORafael , Fifth ACAn94901
❑.S. CC
us in Graham
®IND
ergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
diary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
'
from 07/01/2023
through 12/31/2023
Page 75 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT
(IF COMMITTEE, .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 1Justin
Graham
®IND
Sergeant
14.80
355.20
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
asy:
ciAtion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
12 31 2023
Justin Graham
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2023
Silvia Gramajo Mazariegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94903
❑OTH
Received through inte
San Rafael Police Assimiation
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
09 15 2023
Silvia Gramajo Mazariegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94903
❑ OTH
Ass
San Rafael Police Ass
Ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
[:]SCC
09/30/2023
via rama3o azar egos
®IND
Police icer
.
C/O: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
Received through into
m:
San Rafael, CA 94903
❑ OTH
son Rafael Police As
iation
iation
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
• NIA
CALIF/ '
from 07/01/2023
• '
through 12/31/2023
Page 76 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IF COMMITfEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 023
Silvia Gramajo Mazariegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94903
❑ OTH
Received through iAssnte
San Rafael Police Ass
ciatio�ediary:
eietion
PTY
Fifth Avenue
El
San
San Rafael, CA 94901
❑SCC
10 31 2023
Si via ramajo Mazariegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94903
❑OTH
Received through inte
San Rafael Police Ass
iation:
iet ion
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
[:]SCC
11/15/2023
Silvia Gramajo Mazariegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94903
❑ OTH
Received through irate
San Rafael Police Ass
nediar
Sation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑SCC
11/30/2023
Silvia Gramajo Mazariegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94903
❑ OTH
Received through irate
San Rafael Police Ass
ciatioy:
eietion
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Silvia ramajo mazarlegos
®IND
Police Officer
11.00
102.80
C/o: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94903
❑ OTH
Received through irate
San Rafael Police Ass
SatiOn
niation
❑ 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 Parry
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
NIA
CALIFI
to whole dollars.
'
from 07/01/2023
•
through 12/31/2023
Page 77 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31 2023
Silvia Gramalo Mazarlegos
®IND
Police Officer
14.80
102.80
C/o: San Rafael Police Association 1522 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
medtary:
San Rafael, CA 94903
❑ OTH
San Rafael Police Assisciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
[]SCC
07 01 2023
Harlee Ann Harwood
®IND
Police officer
14.80
298.60
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31/2023
Harlee Ann Harwood
®IND
Police Officer
14.80
298.60
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.
iat Son
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2023
Harlee Ann Harwood
®IND
Police Officer
14.80
298.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:]COM
Received through rote
medtary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ta[ion
PTY
15 2❑
San ORafael , Fifth ACAn94901
El SCC
ar ee n arwco
®IND
olice tticer
.
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 Assm
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
IFAX a
from 07/01/2023
• '
through 12/31/2023
Page 78 of 175
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
7ECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Harlee Ann Harwood
®IND
Police Officer
14.80
298.60
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass
diary:
ciatlon
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑.S. C.C.
09 30 2023
Harlee Ann Harwood
®IND
Police Officer
14.80
298.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through rote
San Rafael Police Ass
diary:
Ciatioil
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Harlee Ann Harwood
®IND
Police Officer
14.80
298.60
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
madiary:
cation
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10/31/2023
Harlee Ann Harwood
®IND
Police Officer
14.80
298.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass
eadiary:
iatlon
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
El SCC
®IND
ar ee n arwoo
Police icer
.
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
S
San Rafael, CA 94901
❑ OTH
Received through rota
San Rafael Police Ass
diary:
cation
1520 Fifth Avenue
❑ PTY
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
i ,
from 07/01/2023
'
through 12/31/2023
Page 79 of 17S
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE,RALSAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 2023
Har ee Ann Harwoo
®IND
o ice Oiticer
14.80
298.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
coat,::
iaC: o::
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 15 2023
Har ee Ann Harwco
®IND
Police Officer
14.80
298.60
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
"diary:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07 Ol/2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
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:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 31 2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciat ion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
cliristopher R Heinlein
®IND
Police icer
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:]COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
son Rafael Police Aae
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
/ ,
from 07/01/2023
• '
through 12/31/2023
Page 80 of 175
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,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 31 2023
C ristop er R Heinlein
®IND
Police Officer
14.80
355.20
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 Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[:]SCC
09 15 2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
-diary:
ciat ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
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
10/15/2023
Christopher R Heinlein
®IND
police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through irae
"diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Asts
ciation
152 Fifth
ElPTY
SanORafael,ACAnue 94901
❑.S. CC
Christopher ein ein
®IND
o ice lcer
.
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through irate
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
❑ PTY
SanORafael,Fifth ACAn94901
❑.S. CC
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
• -
through 12/31/2023
Page 81 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COADDRE,ALSAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 T2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94901
❑ OTH
Association
San Rafael Police Ass
cia[ion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 30 2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inteAssocatioy:
San Rafael Police Asslati011
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/31/2023
Christopher R Heinlein
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAssnte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciatio�diary:
eiation
ue
Fifth ACAn94901
ORafael
❑ PTY
San ,
❑SCC
Robert Henkie icer 14.80
®IND
355.20
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
Avenue ❑ COM
Received through iAss
miation
San Rafael, CA 94901
El San Rafael Police Ass.
iation
1520 Fifth Avenue
❑ PTY 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
/ 1
from 07/01/2023
• '
through 12/31/2023
Page 82 of 175
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
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
Robert Henkle
®IND
O icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
152 Fifth❑
ACAn94901
PTY
SanORafael,
❑ SCC
08 15 2023
Robert Henkle
®IND
Officer
14.80
355.20
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!
ciatlon
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/31/2023
Robert Henkle
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
modiary:
Ciation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
09/15 2023
Robert Henkle
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
ryt
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
atiOn
❑ PTY
San ORafael , Fifth Avenue
An94901
El SCC
o erc en a
®IND
cer
1.4.30
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
t
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2023
• '
through 12/31/2023
Page 83 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(COMMITTEE,ALSND I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE as
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 — DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 2023
Robert Henk a
®IND
O icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received throuh inte
San Rafael Poligce Ass
mca.
ciat;onon
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
10 31 2023
Robert Henkle
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
rsdiary:
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2023
Robert Henkle
®IND
Officer
14.80
355.20
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
medlaty:
Ciation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 30. 2023
Robert Hen le
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
^iaCion
152 Fifth❑ ue
ACAn94901
PTY
SanORafael,
SCC
o ert en e
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ia[i on
1520 Fifth Avenue
❑ PTY
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
FORM
through 12/31/2023
Page 84 of 175
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
(COMMITE,ALSENTERI.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31 2023
Robert Henkle
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
miation:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
07 Ol 2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
ediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
07/31/2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
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:
iation
PTY
Fifth Avenue
El
San
San Rafael, CA 94901
❑ SCC
08/15/2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
PTY
1 52❑ Avenue
ORafael
San , An94901
❑ SCC
Sonia Herectia
®IND
Communication Dispatcher
11.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mdiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
Fif th
San ORafael,ACAn94901
❑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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
I '
from 07/01/2023
F
through 12/31/2023
85 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTERLD NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through ine
San Rafael Police Asts
diary:
ciation
1520 Fifth Avenue
❑ PTY
San Rafael. CA 94901
❑ SCC
09 30 2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
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
diary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
El scc
10 31 2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiciatim
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11/15/2023 Sonia Heredia Communication 1.spatcner 11.00
®IND
C/o: San Rafael Police Association 1520 Fifth City Of San Rafael
Avenue ❑ COM
Sari Rafael, CA 94901 Received through inte
❑ OTH San Rafael Police Ass
mediary:
iation
152 Fifth❑ PTY SanORafael. ACAn94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
SCHEDULE A (CONT.)
Amounts may be rounded I Statement covers period
to whole dollars. CALIFORNIA
460
from 07/01/2023 •
i through 12/31/2023
Page 86 of 175
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)
11 30 2023
Sonia Here is
®IND
Communication Dispatcher
11.00
220.00
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received througAss h iAs
San Rafael Police
ediar y:
1a[ion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[]SCC
12 15 2023
Sonia Here is
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received throug
olih inte
San Rafael Pce Ass
mediary:
lation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Sonia Heredia
®IND
Communication Dispatcher
11.00
220.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/ 0023
Kyle Horn
®IND
Police Officer
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Ass
ciatian
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
EISCC
Kyle Horn
®IND
o ice Officer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
Ass
San Rafael Police Ass
clation
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 Parry
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• _
NIA
CALIFI
to whole dollars.
'
from 07/O1/2023
• '
through 12/31/2023
Page 87 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A ZIP
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT
(IF COMMITTEE, .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15 2023
Kyle Horn
®IND
Police Officer
14.80
296.00
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
sat.Qn,
c1a[io::
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08 31 2023
Kyle Horn
®IND
Police officer
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Kyle Horn
®IND
Police Officer
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
ediary:
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC.
09/30 2023
Kyle Horn
®IND
Police Officer
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
miation
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
A
SanO Rafael, CA94901
❑ SCC
Kyle orn
®IND
Police icer
. ts
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
medlaty:
San Rafael, CA 94901
❑ OTH
san Rafael Police Ass
ciation
El PTY
Fifth
San ORafael , ACAn94901
❑.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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA
to whole dollars.
/ 1
from 07/01/2023
• •
through 12/31/2023
Page 88 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESSDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT .D.N
(IF COMMITTEE,
*
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)
1 31 2023
Kyle Horn
®IND
Police Officer
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Assiciation
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07 01 2023
Scott Ingels
®IND
Sergeant
14.80
355.20
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
nediary:
iation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑SCC
07 31/2023
Scott Ingels
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte,diary:
San Rafael Police Association
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15/2023
Scott Ingels
®IND
Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through iAss
diary:
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Scott nge s
—7e—rgeant
®IND
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inse
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
iatio
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
�.
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
Page 69 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.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)
0 97 15 2023
Scott Ingels
®IND
Sergeant
14.80
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cia:.,cy
ciat:o:.
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Scott Ingels
®IND
Sergeant
14.80
355.20
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
mcdiary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Scott Ingels
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
Fifth Avenue
❑
San
San Rafael, CA 94901
❑ SCC
10 31/2023
Scott Ingels
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
-diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
AssFifth
❑ PTY
1520 Avenue
San Rafael, CA 94901
❑ SCC
Scott ingels
®IND
ergean
.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
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
www.neffiie.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2023
• '
through 12/31/2023
Page 90 of 175
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
(EFTACOMMITTEE,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)
11 30 2023
Scott Inge s
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAss
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciat:::.
riat:7y
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Scott Ingels
®IND
Sergeant
14.80
355.20
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
ediery:
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/31/2023
Scott Ingels
®IND
Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
y:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ccatioiation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
T71-1=2
JosephJordan
®IND
o ice icer
14.80
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
ciat ion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
J
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE A (CONT.)
Page 91 of 175
I.D. NUMBER
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 87 15 2023
Joseph Jordan
®IND
Police Officer
14.bo
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
152 OFifth
San Rafael , ACAn94901
❑ SCC
08 31 2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
ary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09/30 2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
madiary;
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
AssRafael,
El PTY
Fifth
San Rafael, ACAn94901
[]SCC
osep or an
®IND
Police ices
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through it
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• _
NIA
CALIF/
to whole dollars.
1
from 07/01/2023
• '
through 12/31/2023
Page 92 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Po ice Officer
14.80
355.20
10 31 2023
Joseph Jordan
®IND
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 15 2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
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
ary:
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
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
diary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/15/2023
Joseph Jordan
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Joseph Jordan
®IND
o ice icer
.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
vwdiary-
'
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
15 2❑
San ORafael, ifthACAn94901
❑ SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 74.00I
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppe.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
•
through 12/3 1/2 023
Page 93 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
I
ZIPDE O
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMITTEE,ADDRESS
.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVEDCODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
—0170112023
Anndora Lee
®IND
Lead Dispatcher
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
ciation
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
ACAn94901
❑us
San'Rafael,
❑ SC.C.
07 31 2023
Anndora Lee
®IND
Lead Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
"diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
madiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
5873172023
Anndora Lee
®IND
Lead Dispatcher
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
iation
❑ PTY
152a Fifth Avenue
San Rafael, CA 94901
[:]SCC
Anndora Lee
®IND
eao ispatcner
11.UU
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assr
ation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ Ss-00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA
to whole dollars.
I 1
from 07/01/2023
•
Page 94 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
( COMMIT E,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)
09 3072023
Anndora Lee
®IND
Lea Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
ediaty:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
PTY
Fifth
El
SanORafael,ACAnue 94901
❑SCC
10 15 2023
Anndora Lee
®IND
Lea Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediaty:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
El SCC
10/31/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11/15/2023
Anndora Lee
®IND
Lead Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
oediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. C,C.
Anndora Lee
®IND
Lea ispa c er11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
a�ediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from
07/01/2023
SCHEDULE A (CONT.)
;A FORM FNIA 460
FOR
through 12/31/2023
Page 95 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI.D.NUMBER)
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)
1 15 20 3
Ann ora Lee
®IND
Lead Dispatcher
11.00
i):1
C/o: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑OTH
Received through ante
Received
San Rafael Police As
ciao n
ciatio
PTY
1520 Fifth Avenue
a
San Rafael, CA 94901
[]SCC
12 31 2023
Ann ora Lee
®IND
Lead Dispatcher
11.00
264.00
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
m diary:
ciation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
diary:
ia[ion
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
El SCC
07/31 2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ante
tarn:
San Rafael, CA 94901
❑ OTH
son Rafael Police Ass
Sation
Avenue94901
❑ PTY
SanORafael, CA
❑ SCC
Karl Lutimann.
®IND
o ice otricer
14.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ante
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
eietiwt
1520 Fifth Avenue
❑ PTY
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
/ 1
from 07/01/2023
• '
through 12/31/2023
Page 96 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 31 T2023
Karl Luhmann
®IND
PO ice Officer
14.80
355.20
C/o: San Rafael Police Association 1520 FifthCity
Of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
medlary:
c1at SOn
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 15 2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Recei ved through irate
San Rafael Police Ass
medlary:
clatlon
PTY152
0 FifthRafaelAvenue
❑
San , CA 94901
❑.S. CC
09/30/2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Association
medlary:
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10/15/2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass6clation
diary,
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
Karl u mann
®IND
01ice urricer
14.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through irate
San RafaelPolice Ass
mcdiary:
c10[10t1
1520 Fifth Avenue
❑ PTY
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
CALIFO460
to whole dollars.
from 07/01/2023
FORM
through 12/31/2023
Page 97 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP CODE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
( COMMITTEE, ALSO ENTER
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 1 20 3
Karl Luhmann
®IND
Police officer
14.80
>5.:;0
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAss
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 30 2023
Karl Luhmann
®IND
Police officer
14.80
355.20
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 AssiCiation
ary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
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
diary:
iation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 31 2023
Karl Luhmann
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
son Rafael Police Ass
iation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑SCC
aitlin Maley
®IND
Police icer
14.80
281.20
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
iation
1520 Fifth Avenue
❑ PTY
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
/ 1
from 07/01/2023
•
through 12/31/2023
Page 98 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COADDRE,ALSAND
.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
ait in Maley
®IND
Police Officer
14.80
281.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through i
Ass San Rafael Police Ass
mea-:
ciat,
:^;
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 15 2023
Kaitlin Maley
®IND
Police Officer
14.80
281.20
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
mediae;::
ciatlon
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
08/31/2023
Kaitlin Maley
®IND
Police Officer
14.80
281.20
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 Assi,ciation
..diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09/15/2023
Kaitlin Maley
®IND
Police Officer
14.80
281.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiclation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC.
Kaitlin Maley
®IND
Police tticer
.
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
ary:
San Rafael, CA 94901
❑OTH
olice Ass
San Rafael Pvenue
Cation
❑ PTY
1520 Ffth A
San Raiael, 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• .
NIA
CALIFI
to whole dollars.
'
from 07/01/2023
• '
through_ 12/31/2023
Page 99 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(COMMIT E,ALSNDI.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 20 33
Kait in Maley
®IND
Police Officer
14.80
.... ...
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
San Rafael, CA 94901
S
❑ OTH
fael afael Police Ass
Ra
an on
cation
PTY
FifthACAn94901
El
SanORafael,
El SCC
07 01 2023
Lyla Marshall
IND
®❑
Police officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
lAtioh
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
07/31/2023
Lyla Marshall
®IND
Police Officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15 2023
Lyla Marshall
®IND
Police officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
ciation:
San Rafael, CA 94901
❑ OTH
Ass
Rafael San l Police Ass
ietion
❑ PTY
1520 ifth Avenue
San RaFfael, CA 94901
❑ SCC
y a Marsnail
®IND
o ice icer
.
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 (8661275-3772)
www.fppc.ca.gov
www.nefile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
to whole dollars.
A '
from 07/01/2023
• '
Page 100 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
9 15 2023
Lyla Marshall
®IND
Police Officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Lyla Marshall
®IND
Police Officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
"!diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Lyla Marshall
®IND
Police Officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
"ediary:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2023
Lyla Marshall
®IND
Police Officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
uodiaryl
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
152 FifthEl
SanORafael, ACAn94901
❑ SCC
y a ars a
®IND
o ice icer
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
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
www.netfile.com
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE A (CONT.)
Page 101 of 175
I.D. NUMBER
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.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)
®IND
OF BUSINESS)
11 0 3
Ly a Marsha
Po ice 0 icer
14.80
351.4,0
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Ly a Marshall
®IND
Police officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
[—]SCC
12/31/2023
Lyla Marshall
®IND
Police Officer
14.80
351.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
El COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
Fifth Avenue
El
San Rafael, CA 94901
San
❑ SCC
07 01 2023
Miranda Martinez
®IND
Dispatcher
11.00
264.00
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.SC..C,
Miranda Martinez
®IND
Dispatcher
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
I 1
from 07/01/2023
'
through 12/31/2023
Page 102 of 175
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,ALSND I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15 2023
Miranda Martinez
®IND
Dispatcher
11.00
_r,.):;
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass
1aL1on
ci tion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑.S. CC
08 31 2023
Miranda Martinez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intex
San Rafael Police Ass
nediary:
iation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
09/15/2023
Miranda Martinez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City Of San Rafael
Avenue
Sari Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/30/2023
Miranda Martinez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
eRafael ived hPolice1Ass
San Rafael, CA 94901
❑OTH
San
iati*n
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Mirancla Martinez
®IND
1spatc er
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
!a[ion
PTY
ElCAn94901
SanORafael,FiftA
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE A (CONT.)
Page 103 of 175
I.D. NUMBER
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESS
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(EET
ITTEE .D.N
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 202
Miranda Martinez
®IND
Dispatc er
11.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
med'-r:y
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ci.i
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Miranda Martinez
®IND
Dispatc er
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
El COM
❑OTH
Received through inte
San Rafael Police Ass
medlary:
eiation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑.S. CC
11/30/2023
Miranda Martinez
®IND
Dispatcher
11.00
264.00
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 AssoCiAtiqU
4my:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
12/15 2023
Miranda Martinez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
iranaa arrinez
®IND
ispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police has
iation
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 07/01/2023
FPage__104
through 12/31/2023
of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 Ol 2023
Lee Masten
®IND
Po ice Otticer
14.80
207.20
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
:ar/:
ciac1a[:on
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
0 31 023
Lee Masten
®IND
Police Officer
14.80
207.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
madiary:
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
®IND
07/01/2023
Michael Mathis
Police Sergeant
14.80
355.20
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
diary:
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31 2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
madiary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SC.,C..
c ae Mathis
Michael
®IND
Police ergean
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
medlary:
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Ass
ciat Son
❑ PTY
OFifth Avenue
San Rafael, CA94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
/ ,
from 07/01/2023
•'
through 12/31/2023
Page 105 of 175
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
(COMMIT-FEE,ALSND .D.NUMB
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 31 2023
Michael Mathis
®IND
Po ice Sergeant
14.80
355.20
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:
cation
PTY
1S20 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 15 2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Sari Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
mediary:
Ciatian
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
10 15 T2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Assiciation
aty:
PTY
152 Fifth❑ ue
SanORafael, ACAn94901
❑ SCC
Michael at is
®IND
o ice sergeant
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:3ComReceived
through inte
diary:
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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
•
to whole dollars.
I t
from 07/01/2023
• '
through 12/31/2023
Page 106 of 175
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
(COMMITTEE,ALSND I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 T2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
awdiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
aiatien
PTY
1S2❑ O Fifth
SanRafael, Avenue
An94901
❑ SCC
11 30 2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
12/15/2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
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
12/31/2023
Michael Mathis
®IND
Police Sergeant
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
Received through inte
y:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
eiatiociation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
erara c ar y
®IND
o ice icer
u
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
AvenueReceived
[:]COM
through inte
a diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA .14901
❑.S. CC
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
•
to whole dollars.
I '
from 07/01/2023
• '
through 12/31/2023
Page 107 of 175
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
( COMMITTEE, ALSO ENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
Gerard F McCarthy
®IND
Police Officer
14.80
355.20
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 Association
PTY
O Fifth Avenue
❑
San Rafael, An94901
❑ SCC
08 15 2023
Gerard F McCarty
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through ine
San Rafael Police Asts
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[-]SCC
013/31/2023
Gerard F McCarthy
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
El COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09/15/2023
Gerard F McCarthy
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
El PTY
Fifth
San Rafael, ACAn94901
❑ SCC
Gerard F McCarthy
®INDPolice
Officer
s
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
eiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00I
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.IL
�.
/ 1
from 07/O1/2023
through 12/31/2023
Page 108 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 1 2 3
Gerard F McCarty
®IND
Po ice Officer
14.80
355.20
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
ciatiomdiary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
10 3I 2023
GerardF McCarty
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Rceived through inte
Saen Rafael Police AssiCiation
mrodiary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
11/15/2023
Gerard F McCarthy
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police AssoCiation
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11/30/2023
Gerard F McCarthy
®IND
Police Officer
14.80
355.20
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
diary:
cation
O Fifth Avenue
❑ PTY
San Rafael, An94901
❑ SCC
erar c ar y
®IND
Police icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
OTH
Received through i
Ass
San Rafael Police Ass
diary:
e1a[ion
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
from 07/01/2023
FPage
through 12/31/2023109
of 17s
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(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)
12 7 31 20 33
Gerard F McCarty
®IND
Po ice Otricer
14.8u
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAss
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 01 2023
Daniel Mendoza Oc oa
®IND
Police officer
14.80
355.20
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
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07 31/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
355.20
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
El
San Rafael, CA 94901
❑ SCC
08 15 2023
Daniel Mendoza Oc oa
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Association
diary:
Fifth
ACAn94901
❑ PTY
SanOue Rafael,
❑SCC
anie en oza c oa
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ria[ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
I t
from 07/01/2023
• '
through 12/31/2023
Page 110 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(COMMITTEE,ALSND .D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Daniel Mendoza Ochoa
®IND
Police O icer
14.80
;55.2_
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 eolice Ass
ociaclon
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
09 30 2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
duty:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10/15/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
355.20
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 Ass1oC1&ti0n
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
mediaryi
San Rafael, CA 94901
❑ OTH
San Rafael Police AssioCiation
El PTY
SanoRafael, ACAn94901
❑ SCC
Daniel Mendoza ocrioa
®IND
Police icer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:3ComReceived
through inte
diary:
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
www.neffile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
SCHEDULE A (CONT.)
through 12/31/2023
Page ill of 175
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)
11 30 2023
Daniel Mendoza Ochoa
®IND
ier
Police Officer
14.80
`S
3.2
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
.ediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
12 15 2023
Daniel Mendoza Oc oa
®IND
Police Officer
14.80
355.20
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
"diary:
ciation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Daniel Mendoza Ochoa
®IND
Police Officer
14.80
355.20
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
mediaty:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael. CA 94901
❑ SCC
08/15/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
296.00
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
cation
ietion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
Ll an MG Barnes
®IND
o ice corporalo
.
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�ci
'r a
atat;on
Fifth Avenue
1S2ORafael
PTY
El94901
An
San ,
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2023
• '
through 12/31/2023
Page 112 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT I.D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 023
Lilah MG Barnes
®IND
Police Corporal
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
ar
San Rafael, CA 94901
❑ OTH
Assmedociation
San Rafael Police Ass
iation
❑ PTY
Fifth
SanORafael, ACAnue 94901
❑ SCC
09 30 2023
Lilah MG Barnes
®IND
Police Corporal
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
m diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
m diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10/31/2023
Lilah MG Barnes
®IND
Police Corporal
14.80
296.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
i aBarnes
®IND
Polite Corporal
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through rote
ediary:
San Rafael, CA 94901
❑ OTH
son Rafael Police Asa
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
[-]SCC
SUBTOTAL$ 74.00 1
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
i '
from 07/01/2023
FORM
through 12/31/2023
Page 113 of 175
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
(CODDRE,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)
11 30 2023
LilaLilah MG Barnes
®IND
Police Corporal
14.80
296.00
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
iation
PTY
FifthACAn94901
❑
SanORafael,
❑ SCC
12 15 2023
Lilah MG Barnes
®IND
Police Corporal
14.80
296.00
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
.adiary:
iation
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/01/2023
Beth Minks
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Assiciation
mediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 31 2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediar y:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
ElPTY
Fifth
SanORafael , ACAnue 94901
El SCC
e in a
®IND
Administrative Technician
11.00
264.00
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
iation
❑ 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 Parry
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neifile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFO.NIA
to whole dollars.
�frorn
/ 1
07/01/2023
• '
through 12/31/2023
Page 114 of 175
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
(COMMIT E,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)
08 31 2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S.CC
09 15 2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police AssoCiAtion
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
10 15/ 0023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
in
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Clatiolon
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Beth in a
®IND
minis rative Technician
Ii.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
miation
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
El SCC
SUBTOTAL$ 55.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• _
NIA
CALIF/
to whole dollars.
1
from 07/01/2023
•
through 12/31/2023
Page 115 Of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
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
median
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ .SCC
11 30 2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
❑ PTY
Fifth Avenue
San Rafael, CA 94901
San
❑ SCC
12/15/2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
Ciation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
12/31/2023
Beth Minka
®IND
Administrative Technician
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Assiciation
152 Fifth
ACAnue
ElPTY
SanORafael, 94901
❑S.CC
Jessica Mitz
®IND
o ice Officer
.
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
Ciotion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ -98.80
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
NIA
CALIFI
to whole dollars.
,
from 07/01/2023
•
through 12/31/2023
Page 116 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT D NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
Jessica Mitz
®IND
PO 1ce 51ticer
14.80
281.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
received through inte
dla ry:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cmciation
Fifth
ACAnue
ElPTY
SanORafael , 94901
❑.S. CC
08/15/2023
Jessica Mitz
®IND
Police officer
14.80
281.20
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
08/31/2023
Jessica Mitz
®IND
Police Officer
14.80
281.20
C/o: San Rafael Police Association 1520 Fifth
El COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
iary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 15/2023
Jessica Mitz
®IND
Police Officer
14.80
281.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
miatioediarn
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
JessicaMirz
®IND
o ice icer
.
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Parry
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• .
to whole dollars.
I '
from 07/01/2023
•
through 12/31/2023
Page 117 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 T20 33
Jessica Mitz
®IND
Police Officer
14.80
8
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
mediarn
San Rafael, CA 94901
❑ OTH
Ass San Rafael Police Ass
ia[ion
PTY
FifthACAn94901
❑ue
SanORafael ,
❑ SCC
07 O1 2023
Cyntril7a Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Specialist
Avenue
City Of San Rafael
Received through inte
medlary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
medlary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
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
iatlon
El PTY
Fifth
San O Rafael,Aue CAn94901
El SCC
yncnia organ
®IND
a a er and Records
.
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through inte
madiary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ietion
❑ 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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
_
NIA
CALIF/
to whole dollars.
t
from 07/01/2023
• '
through 12/31/2023
Page 118 Of 175
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,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)
09/15/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.011
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received througA h i
ss
San Rafael Police Ass
Ciat: o:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑SCC
9 3 23
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Specialist
Avenue
City Of San Rafael
Received through inte
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
crei.,
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
[:]SCC
10/15/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
"diary;
clation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
10/31 2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
clatlon
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
za organ
®IND
a Taker an ecor s
I=
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through iAsa�ediary:
San Rafael, CA 94901❑
OTH
San RafaelPoliceAssiatlon
El PTY
San ORafael,FifthACAn94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
'
from 07/01/2023
FPage---!-19—
through 12/31/2023
Of 175
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
, ..
(IF COMMITTEEALSO ENTER *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1- DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 20 3
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through irate
c
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Cynt is organ
®IND
Ca Taker an Records
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
❑COM
Specialist
Avenue
City Of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Cynthia Morgan
®IND
Call Taker and Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through irate
mediaryt
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.0
07 Fo1/2 223
Lynn Murphy
®IND
MentalHealth Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑.S. CC
—07-5172023
ynn Murpny
®IND
Mental ea L u reaC
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑ COM
City of San Rafael
Received through irate
media Cy:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
Page 120 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑ COM
City of San Rafael
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
elation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
El SCC
08 31 2023
Lynn Murp y
®IND
Mental Health Outreach
11.00
264.00
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ .S. CiCi
09/15/2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City of San Rafael
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Association
mediary:
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑SCC
09/30/2023
Lynn Murphy
® IND
Mental Health Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑ COM
City of San Rafael
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
ediary;
ciation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑.SCC
ynn urp y
®IND
Mental Health urreacn
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑ COM
City of San Rafael
Received through irate
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
ORafael, ACAn94901
❑th
PTY
San
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2023
• -
through 12/31/2023
Page 121 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
eiation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Provider
Avenue
City of San Rafael
Received through inte
■ediary:
Sari Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11/30/2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑COM
City of San Rafael
Received through inte
=diaryz
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCiC,
12 15 2023
Lynn Murphy
®IND
Mental Health Outreach
11.00
264.00
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
elation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
ynn urpny
®IND
enta eaitu reac
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
cation
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period IM•
.
NIA
CALIF,
to whole dollars.
from 07/01/2023
•
through 12/31/2023 _
Page 122 of 175
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
(COMMIT E,ALSENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 7 Ol 2023
nrandon Mail
®IND
Po ice Officer
14.80
192.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Association
mediary:
PTY1520
Fifth Avenue
❑
,an Rafael, CA 94901
❑ SCC
07 01 2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑OTH
Received through iAss
San Rafael Police Association
mediary:
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/31/2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
S
San Rafael, CA 94901
❑ OTH
Received through iAss
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/15/2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAssciation
San Rafael Police Ass
mediary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
orge Navarro
®IND
1 ence Tec nician
ii. 00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass
San Rafael Police Ass
mediary:
ciation
1520 Fifth Avenue
❑ PTY
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 Parry
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
WWW.netfile.com www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
/ '
from 07/01/2023
• '
through 12/31/2023
Page 123 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
631553
DATE
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EFTA ITRE,ALSANDZI .D.NUMB
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 97 15 2023
Jorge Navarro
®IND
Evi ence Technician
11.00
264.00
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
diary:
eiation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
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
amdiazy:
ciation
PTY
1520 Fifth Avenue
El
San Rafael. CA 94901
❑ SCC
10/15/2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received through ine
San Rafael Police Asts
mediazy:
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
10/31/2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
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
matjon:
iatl0n
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Jorge Navarro
®IND
viaence ecnnician
i.
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mndiazy:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
cation
❑ 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
www. netfile. com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
'
from o7/o1/2oz3
"e_
through 12/31/2023
175
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
(EFTA COMMITTEE, SENTERI.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)
=73H7-210-2Jorge
Navarro
®IND
Evidence Technician
11.00
264.00
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.
12 15 2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
mediary:
lation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[—]SCC
12/31/2023
Jorge Navarro
®IND
Evidence Technician
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01 2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑COM
City of San Rafael
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
ElPTY
Fifth
SanOue Rafael, ACAn94901
❑ SCC,
Alexis Nielsen
®IND
support services
11.00
264AV
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑COM
City of San Rafael
Received through rote
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Aes
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55. o0
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY—Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
Page 125 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15 2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑ COM
City of San Rafael
Received through irate
medlary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
c1atlPn
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
0 87 31 2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑ COM
City of San Rafael
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑COM
Supervisor
Avenue
City of San Rafael
Received through inte
madiary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
elation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
09 30/ 0023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑ COM
City of San Rafael
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
exis Nielsen
®IND
upport services
.'......
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
[:]COM
City of San Rafael
San Rafael, CA 94901
❑ OTH
Received throAss ugh irate,on
San Rafael Police
ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY —Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
/ 6 '
from 07/01/2023
through 12/31/2023
Page 126 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITfEE,ALSO ENTERLD.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Alexis Nielsen
®IND
upportServices
11.00
264.0
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑COM
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 15 2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Supervisor
Avenue
City of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Assi
ctati*n
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
11/30/2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑COM
City of San Rafael
Received through inte=AftaZyz
San Rafael, CA 94901
❑OTH
San Rafael Police ASSI
miation
PTY
Fifth Avenue
❑
San
San Rafael, CA 94901
❑ SCC
12/15 2023
Alexis Nielsen
®IND
Support Services
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑COM
City of San Rafael
Received through inte
iary:
San Rafael, CA 94901
❑OTH
San Rafael Police AssilCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
exis 1e sen
®IND
Supportery ces
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Supervisor
Avenue
❑ COM
City of San Rafael
Received through inte
diary:
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑.SCiC
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
•
to whole dollars.
I '
from 07/01/2023
•
through 12/31/2023
Page 127 of 17S
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE,RALSAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
7 01 T20 33
Oscar O'con
®IND
Corporal
14.80
...5(i
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
cation
❑ PTY
O
SanRafael, Fifth Avenue
An94901
❑ SCC
07 31 2 23
Oscar O'con
®IND
Corporal
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
EISCC
08/15/2023
Oscar O'con
®IND
Corporal
14.80
340.40
C/O: San Rafael Police Association 1520 Fifth
COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Assiociation
mediary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
0 s7 31 2023
Oscar O'con
®IND
Corporal
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
COM
Received through irate
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
ciation
1520 Fifth Avenue
PTY
San Rafael, CA 94901
❑SCC
Oscar con
®IND
C?rporaI
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through ante
'"diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
PTY
15 2❑ue
San O Rafael , Fifth ACAn94901
❑ 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
www.neffiie.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ ,
from 07/01/2023
• '
through 12/31/2023
Page 128 of 175
I.D. NUMBER
NAME OF FILER
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
D
73223
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Oscar con
®IND
Corporal
14.80
340.40
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
mcdiary:
Sation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[]SCC
10 15 2023
Oscar O'con
®IND
Corporal
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
San Rafa
Sel Police Ass Received through iAssociation
mcdiary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
®IND
10/31/2023
Oscar O'con
Corporal
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑OTH
Received through i.texmedlaryt
San Rafael Police Ass
latiOn
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
11/15/2023
Oscar O'con
®IND
Corporal
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
Oscar con
®IND
orpora
.
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
medlaty:
ciation
❑ PTY
Fifth
SanOue Rafael, ACAn94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I /
from 07/01/2023
• '
through 12/31/2023
Page 129 of 175
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)
127 15 20 33
Oscar O'con
®IND
Corporal
14.80
'.
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
ton
1ilon
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 01 2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
355.20
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 Assoc
ediary;
zation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08 15/2023
Genesis Ortiz Rubio
®IND
Police officer
14.80
355.20
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 AsSeCiation
diizy:
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
Genes isOrtizRubio
®IND
o ice icer
=80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through ince
San Rafael, CA 94901
❑ OTH
SanPolice Asa
iaiicn:
iation
.Rafael
1520 Fifth Avenue
El PTY
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2023
• '
through 12/31/2023
Page 130 of 175
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 ID.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15 2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
iazy:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 30 2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
355.20
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:
cSation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
355.20
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:
Sation
PTM
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10/31/2023
Genesis Ortiz Rubio
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
Genesis Ortiz Rubio
®IND
Police Officer
355.20
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:
CiaCSo»
1520 Fifth Avenue
El PTY
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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• �
to whole dollars.
/ � ,
from 07/01/2023
• '
through 12/31/2023
IPage 131 of 175
NAME OF FILER
NUMBER
San Rafael Police Association Political Action Committee
553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 2023
Genesis Ortiz Ru io
®IND
Police icer
I4.80
355. 0
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
cation
PTY
152 Fifthue
ACAn94901
El
SanORafael,
❑ SCC
12 15 2023
Genesis Ortiz Rubio
®IND
Police officer
14.80
355.20
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
mediaty:
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[]SCC
®IND
12/31/2023
Genesis Ortiz Rubio
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediatyi
Sation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police AsspCiation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Elizabeth aez
®IND
ispatcner
11.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through i
adiary:
San Rafael, CA 94901
❑ OTH
Ass
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 Parry
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
.
to whole dollars.
•
1
from 07/01/2023
• '
through 12/31/2023
Page 132 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER ID.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)
0 5 2 23
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
ataxy:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑SCC
08 31 2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through irate
San Rafael Police Ass
diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael. CA 94901
❑ SCC
09/30/2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irae
San Rafael Police Asts
diary:
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Elizabeth aez
®IND
Dispatclier
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
iation
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 Parry
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
NIA
CALIF/
to whole dollars.
1
from 07/01/2023
• '
through 12/31/2023
Page 133 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A DE O
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT .D.N
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
m
San Rafael, CA 94901
❑OTH
San Rafael Police Ass.—rt
,ia,o:
ic:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S.CC.
11 15 2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through rote
San Rafael Police Assi,Ciaticm
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
Sari Rafael, CA 94901
COM
❑OTH
Received through rote
San Rafael Police Ass
■adiary:
cation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
12 15 2023
Elizabeth Paez
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Let ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
1za e th Paez
®IND
Dispatcher
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through rote
miatlon
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
El PTY
us
SanORafael, 152 FifthACAn94901
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
/ '
from 07/01/2023
• '
through 12/31/2023
Page 134 of 175
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)
07 01 2023
Brian Patterson
®IND
O icer
14.80
355.2
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
e ry:
Sation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 31 2023
Brian Patterson
®IND
Officer
14.80
355.20
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
medlnry:
ciat ion
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2023
Brian Patterson
®IND
Officer
14.80
355.20
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:
Ci ation
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/31/2023
Brian Patterson
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAss
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
iation:
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94902
❑ SCC
Brian Patterson
®IND
cer
.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
El SCC
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
SUBTOTAL$ 74.00I
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2023
•
through 12/31/2023
Page 135 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(EETAITRE,ALSANDZI.D.NDEO
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)
0 973-072023
Brian Patterson
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received through inte
San Rafael Police Ass
ediary!
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Brian Patterson
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
m diary:
❑ PTY
Fifth Avenue
San
San Rafael, CA 94901
❑ SCC
10/31/2023
Brian Patterson
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
medlaty:
ciation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
El SCC
11 15 2023
Brian Patterson
®IND
Officer
14.60
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Clatiry:
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Brian Patterson
®IND
Officer
.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAss
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
cation:
❑ PTY
San O Rafael, Fifth Avenue
An94901
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 07/01/2023
•'
through 12/31/2023
ge 136 of 175
11,
NAME OF FILER
.NUMBER
San Rafael Police Association Political Action Committee
1553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(A ITTEE,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)
®IND
OF BUSINESS)
12 15 20 3
Brian Patterson
OTricer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
Received through inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police ASS4elotion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 31 2023
Brian Patterson
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
cation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
®IND
07/01/2023
Dennis Prince
Officer
14.80
355.20
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
nediary:
iation
PTY
Fifth Avenue
El
San
San Rafael, CA 94901
❑ SCC
07/31/2023
Dennis Prince
®IND
officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
oiation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Dennis Prince
®IND
Otticer
14.80
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
adiaryo
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Sat10n
❑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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
i 1
from 07/01/2023
FORM
through 12 /31/2 023
Page 137 of 175
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
CUMULATIVETO DATE
PER ELECTION
TO DATE
( COMMITTEE, ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 1 023
Dennis Prince
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
❑ SCC
09 15 2023
Dennis Prince
®IND
Officer
14.80
355.2
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. CC.
09/30/2023
Dennis Prince
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediaty:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Dennis Prince
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through irate
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
ennis rince
®IND355.20
nicer
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 Asa
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC..('..
SUBTOTAL$ 74.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
'
from 07/01/2023
• '
through 12/31/2023
Page 138 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.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)
-TI71S/2023
DennisPrince
®IND
O icer
14.80
55.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
ReceivASS ed through i
,an Rafael Police Ass
mediary:
SaGion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
11 30 2023
Dennis Prince
®IND
Officer
14.80
355.20
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 Ass4ci.tion
diary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/15/2023
Dennis Prince
®IND
Officer
14.80
355.20
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
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12/31/2023
Dennis Prince
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Edgar Rodriguez
®IND
o 1ce icer
.
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
mediity:
iation
1520 Fifth Avenue
❑ PTY
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 Parry
SCC—Small Contributor Committee
www.neifile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
/ d '
from 07/01/2023
• '
through 12/31/2023
Page_139 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
TO DATE
DATE
(COMMITTEE,ALSND .D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 20 33
Edgar Rodriguez
®IND
Po ice officer
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
nediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.C.
08 15 2023
Edgar Rodriguez
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
06/31/2023
Edgar Rodriguez
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
nediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S.CC
09/15/2023
Edgar Rodriguez
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police A&Ciat
ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
Edgar Rociriguez
®IND
o ice icer
. 80
7W
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
to whole dollars.
•.
t
from 07/01/2023
• '
through 12/31/2023
Page 140 of 175
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
(COMMITTEE,ALSENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Po ice officer 14.80
3 5.2
10 1 2033
Edgar Rodriguez
®IND
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
Edgar Rodriguez
®IND
Police Officer
14.80
355.20
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:
cia[ion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2023
Edgar Rodriguez
®IND
Police Officer
14.80
355.20
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
eediary;
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 30/2023
Edgar Rodriguez
®IND
Police Officer
14.80
355.20
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:
1aC1on
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
Edgar Rodriguez
®IND
Police Otticer
14.80
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:
cation
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 (866/275-3772)
WWW.netfile.com www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
460
from 07/01/2023
• •
through_ 12/31/2023
FP.ge__141 of 175
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
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(COMMITTEE,ALSND .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31 2023
Edgar Rodriguez
®IND
To ice 0 icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intermediary;
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
tation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07 01 2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31 2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
iary:
i.ltion
PTY1520
Fifth Avenue
❑
an Rafael, CA 94901
❑ SCC
08/15/2023
Noemi Rossotti Gallo
®IND
police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
oemi ossot i al o
®IND
Police L icer
14.80
35S.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
_
to whole dollars.
CALIF• NIA
1
from 07/01/2023
• '
through 12/31/2023
Page 142 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EFTA COMMITTEE, SAND
.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)
Police Otricer
14.80
355.20
09 15 2023
Noemi Rossotti Gallo
®IND
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
mediin
ciition
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑S.CC
09 TTO T2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through iAssnte Assowediciation
San Rafael Police Ass
ry-
elation
❑ PTM
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through ine
San Rafael Police Asts
ditty:
iition
❑ PTY
Fifth Avenue
San Rafael, rA 94901
San
❑ SCC
10 31/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
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
diary:
1iCSon
PTY1520
Fifth Avenue
❑
an Rafael, CA 94901
❑ SCC
Noemi ossot i a o
®IND
roiice O dicer
J
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through iAss
San Rafael Police Ass
eatl:,
lit ;:
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
❑ SCC
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
SUBTOTAL$ 74.00I
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Inrww.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period ICALIFORNIA
to whole dollars.
I '
11
from 07/01/2023
• '
Page 143 of 175
through 12/31/2023
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
(COMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30 20 3
oemi Rossotti Gallo
®IND
Po ice Officer
14.80
.2
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
at'—
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Ass
c iat :c:.
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SC.C.
12 15 2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
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
•ediary:
cation
❑ PTY
Fifth Avenue
San Rafael, CA 94901
San
❑ SCC
12/31/2023
Noemi Rossotti Gallo
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
Sari Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
diary:
cation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑SCC
07/01/2023
Jessica Sanchez
®IND
Cal Ta er Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
i ediary:
San Rafael, CA 94901
BOTH
San Rafael Police Ass
iation
PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑SCC
Jessica Sanctiez
®IND
a a er ecor s
.
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through inte
niation
San Rafael, CA 94901
S
❑ OTH
San Rafael Police Ass
cation
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2023
• '
through 12/31/2023
Page 144 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15/2023
Jessica Sanchez
®IND
a a er ecor s
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Assoclatt.oz,
ia:y:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 31 2023
Jessica Sanchez
®IND
Call Taker Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police AssiCiation
wwdinryt
❑ PTY
Fifth Avenue
San
San Rafael, CA 94901
❑ SCC
09/15/2023
Jessica Sanchez
®IND
Call Taker/Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police AssiCiation
diary:
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09 30 2023
Jessica Sanchez
®IND
Call Taker Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Jessica Sanchez
®IND
`-a Take ecoras
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
meat. -on
ci.�c:on
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 55.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
• .
to whole dollars.
I ,
from 07/01/2023
•ki
through 12/31/2023
Page 145 of 175
NAME OF FILER
I.D. NUMBED
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Jessica Sanchez
®IND
Ca Taker Recor s
11.00
264.00
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 As
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC.,
11 15 2023
Jessica Sanchez
®IND
Call Taker/Records
11.00
264.00
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
EISCC
11/30/2023
Jessica Sanchez
®IND
Call Taker/Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑COM
City Of San Rafael
Received through inte
mediary:
San Rafael, CA 94901
El
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
12 15 2023
Jessica Sanchez
®IND
Call Taker Records
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
Specialist
Avenue
❑ COM
City Of San Rafael
Received through i
mediary:
Sari Rafael, CA 94901
❑ OTH
Ass San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
SCC
essica anc ez
®IND
aTaker/Records
11.00
264.00
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
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ ,
from 07/01/2023
• '
through 12/31/2023
Page 146 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 01 2023
Sebastian Sanchez
®IND
Police Officer
14.80
355.20
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
diary:
riation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07 31 2023
Sebastian Sanchez
®IND
Police Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[3Com
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
eiaCion
ciamedtion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08/15/2023
Sebastian Sanchez
®IND
Police Officer
14.80
355.20
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
mediacy:
Sation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08/31/2023
Sebastian Sanchez
®IND
Police Officer
14.80
355.20
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
diary:
ciation
Fifth
ElPTY
SanORafael,Aue CAn94901
❑ SCC
ebastian 6ancnez
®IND
o ice Officer
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
A
San Rafael Police ss
ciation
Fifth Avenue
n94901
El PTY
Rafael,
San Rafael
❑ 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
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period
• . NIA
CALIFI
to whole dollars.
'
from 07/01/2023
• '
through_ 12/31/2023
Page 147 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTERI.D.NUMBER)
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)
0 30 20 33
Sebastian Sanc ez
®IND
Po ice O icer
14.80
s55.�o
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through i
Ass San Rafael Police Ass
medx.�ry
claUon
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
1 15 2023
Sebastian Sanchez
®IND
Police Orficer
14.80
355.20
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
diary:
cation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31/2023
Sebastian Sanchez
®IND
Police Officer
14.80
355.20
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
diary:
iation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
11 15/2023
Sebastian Sanchez
® IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
iazyx
San Rafael, CA 94901
❑ OTH
San Rafael Police A
ssFifth
anion
PTY
1520 Avenue
❑
San Rafael, CA 94901
❑ SCC
Sebastian Sanchez
®IND
Police icer
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police aa Aion
Sa[
1520 Fifth Avenue
El PTY
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 Parry
SCC —Small Contributor Committee
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
/ ,
from 07/01/2023
•
Page 148 of 175
through 12/31/2023
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,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)
12 15 2023
Sebastian Sanchez
®IND
Police officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
El COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
at ion
a[Son
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12 31 2023
Sebastian Sanchez
®IND
Police Officer
14.80
355.20
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:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/2023
Justin Schraeder
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑.SCC
07/31/2023
Justin Schraeder
®IND
0 icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
n Saafael Police Ass
RAss
ciation
❑ PTY
sanOFifth us
Rafael, ACAn94901
❑ SCC
Dustin Schraeaer
®IND
ZTT—icer
14.80
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 (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
from 07/01/2023
•
through 12/31/2023
Page 149 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.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 31 2023
Justin Schraeder
®IND
Officer
14.80
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through int
t it -
San Rafael, CA 94901
❑ OTH
San Rafael Police At s
lo
iaCion
at
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09 15 2023
Justin Schraeder
®IND
Officer
14.80
355.20
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
mediaty:
ieCion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
09/30/2023
Justin Schraeder
®IND
Officer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciatioa
PTY
Fifth Avenue
El
San Rafael, CA 94901
San
❑ SC.C.
10/15 2023
Justin Schraeder
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
ustin Schraeder
®IND
icer
14.80
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
ietion
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
SCHEDULE A (CONT.)
Amounts may be rounded Statement covers period • _ ' ,
- to wnoie aonars.
from 07/01/2023
• '
through 12/31/2023
Page 150 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(EFTA ITRE,ALSAND
.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 2023
Justin Schraeder
®IND
O icer
14.80
355.20
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
11 30 2023
Justin Schraeder
®IND
Officer
14.80
355.20
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
12/15/2023
Justin Schraeder
®IND
Officer
14.80
355.20
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
12/31/2023
Justin Schraeder
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciation
Fifthue
ACAn94901
El PTY
SanORafael ,
❑ SCC
isna snopp
®IND
To-1-ice Otticer
14.80
192.
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through ins7dia
ry:
San Rafael, CA 94901
❑ OTH
San Rafael Police hsaCion
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
www.netfile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE A (CONT.)
Page 151 Of 175
I.D. NUMBER
831SS3
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
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)
07 01 2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
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
O Fifth Avenue
❑
SanRafael, An94901
❑ SCC
07 31 2023
Natassja B. Springer
®IND
Dispatc er
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
iation
PTY
1520 Fifth Avenue
El
San Rafael. CA 94901
❑ SCC
08/15/2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
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
iation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑.S. CC
08/31 2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
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
❑.S. CC
Natassja B. Springer
®IND
Dispatclier
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through intemediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Asss
iitiOn
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. cC
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I•
_
NIA
CALIFI
to whole dollars.
1
from 07/01/2023
• -
through 12/31/2023
Page 152 of 175
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 COMMITfEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 30 2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAss
San Rafael Police Association
ciation
PTY
1 52 0Fifth Avenve
❑
San Rafael, CA 94901
❑SCC
10 15 2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑S.CC
10/31/2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
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
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iatlon
❑PTY
O Fifth
San Rafael, ACAn94901
❑ SCC
Natassja B. springer
®IND
lspatcner
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
El PTY
1520 Fifth Avenve
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
www.neffile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
SCHEDULE A (CONT.)
through 12/31/2023 Page 153 of 175
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,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)
12 715 T20 33
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through iAss
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCiC.
12 31 2023
Natassja B. Springer
®IND
Dispatcher
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
mediary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
®IND
07/bl/2023
Lynette Starnes
Community Service Officer
11.00
264.00
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
iation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31 2023
Lynette Starnes
®IND
Community Service Officer
11.00
264.00
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through i
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass Ass
ciation
152 Fifth❑ ue
ACAn94901
PTY
SanORafael,
[:]SCC
tarnes
®IND
Community Service icer
11.00
264.00
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
iation
El PTY
1520 fth Avenue
San RafFiael, 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
NIA
to whole dollars.
,
from 07/01/2023
•
through 12/31/2023
Page 154 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31) (IF REQUIRED)
OF BUSINESS)
I
08/31/2023
Lynette Starnes
®IND
Community Service 0 icer
11.00
264.Do
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
09 15 2023
Lynette Starnes
®IND
Community Service Officer
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through intermediary:
San Rafael Police Ass
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2023
Lynette Starnes
®IND
Community Service Officer
11.00
264.00
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
El
San Rafael, CA 94901
❑ SCC
10/15/2023
Lynette Starnes
®IND
Community Service Officer
11.00
264.00
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
Lynette Starnes
®IND
7ommuni y service otticer
ii. DO
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑ OTH
Received thrugh inte
San Rafael Poolice Ass
ediary:
CiatiOn
PTY
OFifth Avenue
SanRafael, A94901
❑SCC
SUBTOTAL$ 55.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Parry
SCC—Small Contributor Committee
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
,
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
e 155 of 175
ILD.
NAME OF FILER
UMBER
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
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 2023
Lynette Starnes
®IND
Community Service Officer
11.00
254.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
inte
ReeRafael Police
throlice Ass
ciat iugh
ciatr
o:i
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. CC
11 30 2023
Lynette Starnes
®IND
Community Service Officer
11.00
264.00
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 Assiciation
mwKary:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
12/15/2023
Lynette Starnes
®IND
Community Service Officer
11.00
264.00
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
El
San Rafael, CA 94901
❑ SCC
12/31/2023
Lynette Starnes
�JIND
Community Service Officer
11.00
264.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
Sari Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Ciatioy:
iatioo
❑ PTY
152 Fifthue
SanORafael, ACAn94901
❑ SCC
emington Stono
®IND
o ice Otticer
14.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary;
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Sation
❑ 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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded statement covers period ICALIFORNIA
to whole dollars.
1
from 07/01/2023
• '
through 12/31/2023
Page 156 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 77 3 ErTO23
Remington Stobo
®IND
Police Of icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass
mediary:
latlon
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 15 23
Remington Stobo
®IND
Police officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City Of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through intepwdiary:
San Rafael Police Ass
i.tion
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2023
Remington Stobo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Assiciation
diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Remington Stobo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through irate
miion
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ciaiation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Remington Stobo
®IND
Police icer
0-0
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
diary:
ciation
El PTY
SanORafael, ACAn94901
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONY.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
CALIFORNIA '
from 07/01/2023
FORM
through 12/31/2023
Page 157 of 175
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,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)
10 15 2023
Remington Sto o
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[3Com
S
San Rafael, CA 94901
❑ OTH
Received through iAss
San Rafael Police Ass
mediary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
Remington Stobo
®IND
Police officer
14.80
355.20
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
mediaryi
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2023
Remington Stobo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAss
San Rafael Police Ass
mediary:
ciation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11 30 2023
Remington Stobo
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
mediary:
ciation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
Remington o o
®IND
o ice Officer
712f. so
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through int
San Rafael Police Asss
mcdlery:
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
from 07/01/2023
• '
through 12/31/2023
Page 158 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831SS3
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.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)
12 31 2023
Remington Stobo
®IND
PoTice officer
14.8
315.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
ary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ialion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
07/01/2023
C ary Taylor
®IND
Civilian Supervisor
11.00
143.00
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
diary:
iation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
SCC
07/01/2023
Jessica Trujillo
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
Sari Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Association
"diary:
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
07/31/2023
Jessica Trujillo
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:]COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation:
Cietion
❑PTY
O Fifth
SanRafael,ACAn94901
❑ SCC.
Jessica Tru3i11O
la—®IND tricer
.
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
Ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 70.20I
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
CALIFORNIA
to whole dollars.
/ � ,
from 07/01/2023
• •
1 through 12/31/2023
Page 159 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(EETA ITRE,ALSAND
.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
31 2023
Llessica Trujillo
®IND
icer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
ciation
PTY
152 Fifth❑ ue
ACAn94901
San"Rafael,
El SCC
09 15 2023
Jessica Trujillo
®IND
Officer
14.80
355.20
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:
iation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
[]SCC
09/30/2023
Jessica Trujillo
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
mediary:
iation
PTY1520
Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 15 2023
Jessica Trujillo
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
iation
❑ PTY
152o Fifth Avenue
San Rafael, CA 94901
❑ SCC
essica ru]l110
®IND
icer
14.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑COM
Received through inte
diary:
San Rafael, CA 94901
❑OTH
San Rafael Police As e
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 74.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
IBM
from 07/01/2023
through 12/31/2023
Page 160 of 175
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
(COMMITTEE,ALSND .D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 15 20 33
Jessica Trujillo
®IND
1 c e r
14.80
355.20
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
11 30 2023
Jessica Trujillo
®IND
Officer
14.80
355.20
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
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
[]SCC
12/15/2023
Jessica Trujillo
®IND
Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
San eRafaelvedhrouPolicelAss
mlation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Jessica Trujillo
®IND
Officer
14.80
355.20
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
tioy:
c Set ion
PTY1520
Fifth Avenue
El
San Rafael, CA 94901
El SCC
Sasxia Van Buuren
®IND
Communications Dispazcner
11.00
24 717-
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
Avenue
❑Fifth
SanORafael,
❑SCC
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
SUBTOTAL$
70.20
I
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.
460
from 07/01/2023
• •
through 12/31/2023
Page 161 of 175
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
(COMMITE,ALSND.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31 2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
42.0^
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
media: •�
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iat:o:.
❑PTY
O Fifth
SanRafael , ACAn94901
❑ SCC
08 15 2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
242.00
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:
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑.S. cC
08/31/2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
—diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Ass
iation
PTY
Fifth Avenue
❑
San Rafael, CA 94901
San
❑ SCC
09 15 2023
Saskia Van Buuren
®IND
Communications Dispatcher
11.00
242.00
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
El SCC
as is an uuren
®IND
Communications Dispatcher11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
AvenueReceived
[:]COM
through inte
mediary:
San Rafael, CA 94901
❑OTH
San Rafael Polce Ass
ciation
❑ PTY
1520 Fifth AveAveue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ -95.00
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA J '
from 07/01/2023
•
through 12/31/2023
Page 162 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD (JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Dispatcher
11.00 242.00
10 15 F2023
Saskia Van Buuren
®INpCommunications
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte mediary:
San Rafael Police Ass ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
Sas is Van Buuren
®IND
Communications Dispatcher
11.00
242.00
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
Communications Dispatcher
11.00
242.00
11/15/2023
Saskia Van Buuren
®IND
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
11/30/2023
Saskia Van Buuren
® IND
Communications Dispatcher
11.00
242.00
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
El
San Rafael, CA 94901
El SCC
/
Saskia Van Buuren
®IND
communications ispatcner
1.
2.0
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through intermediary!
San Rafael Police Ass
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑SCC
SUBTOTAL$ ss.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2023
• '
through 12/31/2023
Page 163 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE,RALSAND
I.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31 20 33
Sas is Van Buuren
®IND
Communications Dispatcher
11.00
242.00
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
mediaty:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
ctation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑.S. CC
07 01 2023
Lorena Vega
®IND
Police officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
Sari Rafael, CA 94901
El COM
❑OTH
Received through inte
San Rafael Police Ass
diary:
cation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/31/2023
Lorena Vega
®IND
Police Officer
14.80
355.20
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 AssoCiatiml
media[
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
08 15/2023
Lorena Vega
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
miation
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
❑ PTY
SanORafael, 152 FifthACAn94901
❑SCC
orena ega
®IND
Police rricer
14.80
355.20
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
iation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 7070
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neifile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
• '
from 07/01/2023
• ' •
through 12/31/2023
Page 164 of 175
I.D. NUMBER
NAME OF FILER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(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)
09 15 2023
Lorena Vega
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through i
Ass San Rafael Police Ass
diary:
ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
09 30 2023
Lorena Vega
®IND
Police Officer
14.80
355.20
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
diaty:
iation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/15/2023
Lorena Vega
®IND
Police Officer
14.80
355.20
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
diary:
Sacion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
10/31 2023
Lorena Vega
®IND
Police Officer
14.80
355.20
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
media:y:
iation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑.S. C,C.
11/15/2023
Lorena Vega
®IND
Police Otticer
14.80
355.2U
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
mn'it,on
ciaCou
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.netfile.com www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
.
to whole dollars.
/ '
from 07/01/2023
FPage
through 12/31/2023
165 of 175
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
(COMMIT E,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)
11 30 T20 33
Lorena Vega
®IND
Police Officer
14.80
,=5
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
12 15 2023
Lorena Vega
®IND
Police Officer
14.80
355.20
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:
Cation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/31/2023
Lorena Vega
®IND
Police Officer
14.80
355.20
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
diary:
Ciation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
07/01/2023
Juan J. Villalobos Guzman
®IND
Police Officer
11.00
191.60
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
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ ScCi
07/31/2023
uan J. viiialobos Guzman
®IND
o ice Officer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
Received through inte
diary:
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
latial
❑ 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 Parry
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www. netfile. com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period ICALIFORNIA
to whole dollars.
4 '
from o7/o1/zoz3
•
through 12/31/2023
Page 166 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTERI.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 1-9 T2023
Juan J. Villalobos Guzman
®IND
Po ice Officer
11.00
1 1. 0
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAssnte
San Rafael Police Association
miation
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
08 31 2023
Juan J. Villalobos Guzman
®IND
Police Officer
11.00
191.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inteme&Sryt
San Rafael Police Ass
cation
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Juan J. Villalobos Guzman
®IND
Police Officer
14.80
191.60
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
y:
elatiociation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/30/2023
Juan J. Villalobos Guzman
®IND
Police Officer
14.80
191.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAsselation
San Rafael Police Ass
diary:
PTY
FifthACAn94901
El
SanORafael ,
❑SCC
JuanVillalobos Guzman
®IND
o ice cer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received throu gh inte
San Rafael Police As
enediary:
eiation
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
.
to whole dollars.
I '
from 07/01/2023
• '
through 12/31/2023
Page______167 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 31 2023
Juan J. Villalobos Guzman
®IND
Po Ice Officer
14.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass
media[y:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
11 15 2023
Juan J. Villalobos Guzman
®IND
Police Officer
14.80
191.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through rote
San Rafael Police Ass
ciation
ciation
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30/2023
Juan J. Villalobos Guzman
®IND
Police Officer
14.80
191.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through rote
San Rafael Police Ass
,jdiary:
ciation
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑ SCC
12 15 2023
Juan J. Villalobos Guzman
®IND
Police Officer
14.80
191.60
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[3Com
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass6ciation
ciation:
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑S.C.0
marki inson
KINDCity
icer
14.80
340.40
C/O: San Rafael Police Association 1520 Fifth
of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through rote
San Rafael Police Ass
mediary:
ciation
1520 Fifth Avenue
❑ PTY
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
www.nefile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars.
A 1
from 07/01/2023
-
through 12/31/2023
Page 168 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EFTA COMMITTEE, SAND
.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)
07 31 023
Mark Wilkinson
®IND
of T1cer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through iAss Association
San Rafael Police Ass
ary-
cia[ion
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑S.CC
08 15 2023
Mark Wilkinson
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through i
SaAss
n Rafael Police Association
diary:
El PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/31/2023
Mark Wilkinson
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Ass
ary:
Ciation
❑ PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
09/15/2023
Mark Wilkinson
®IND
Officer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through inte
San Rafael Police Ass
diary:
Cia[ion
Fifthue
El PTY
SanORafael,ACAn94901
❑ SCC
MarkWilkinson
®IND
1cer
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through
ointe
San Rafael Plice Ass
ediary:
iation
ue
ORafael,An94901
❑ PTY
San CA
❑ 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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period
• .
NIA
CALIFI
to whole dollars.
'
from 07/01/2023
• "
through 12/31/2023
Page 169 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT D.N
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10 15 2023
Mark Wilkinson
®IND
O icer
14.80
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through iAssnte
ciation
San Rafael, CA 94901
❑ OTH
San Rafael Police Association
PTY
1520 Fifth Avenue
❑
San Rafael, CA 94901
❑ SCC
10 31 2023
Mark Wilkinson
®IND
Officer
14.80
340.40
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑OTH
Received through inte
San Rafael Police Association
m diary:
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/15/2023
Mark Wilkinson
®IND
Officer
14.80
340.40
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
San Rafael, CA 94901
❑ COM
❑OTH
Received through inte
San Rafael Police Ass
eediary:
iation
El PTY1520
Fifth Avenue
San Rafael, CA 94901
❑ SCC
11/30 2023
Mark Wilkinson
®IND
Officer
14.60
340.40
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
m diary:
San Rafael, CA 94901
❑OTH
San Rafael Police Association
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
12/15/2023
Mark i inson
®IND
arricer
14.80
340.40
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
Received through inte
San Rafael, CA 94901
❑ OTH
San Rafael Police Ass
Cia-ioy:
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
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
,
from 07/01/2023
•
Page 170 of 175
through 12/31/2023
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A
ADDRESSZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EET SAND
IT 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)
0 Ol 2 23
Ethan Wo gam0tt
®IND
Po lce lcer
14.80
310.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San R. Police Ass
fael
midi
cation
ion
PTY
1520 Fifth Avenue
El
San Rafael, CA 94901
❑.S. CC
07 31 2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑OTH
Received through irate Association
San Rafael Police Ass
lotion
❑ PTY
1520 Fifth Avenue
San Rafael, CA 94901
❑ SCC
08/15/2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
S
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
anon:
cation
❑ PTY
1520 Fifth Avenue
,an Rafael, CA 94901
❑SCC
08/31/2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
[:]COM
San Rafael, CA 94901
OTH
Received through irate
son Rafael Police Ass
cxyt
cation
m
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
❑ SCC
Ethan olgamoLL
®IND
O 1Ce ricer
C/o: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through irate
San Rafael Police Ass
on
latloa
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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period I•
.
NIA
CALIFI
to whole dollars.
'
from 07/01/2023
•
through 12/31/2023
Page 171 of 175
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPDE O
CONTRIBUTOR IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE,RALSAND
.D.N
CODE * OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 30 2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
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
1520 Fifth Avenue
❑ PTY
San Rafael. CA 94901
❑S.CC
10 15 2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
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
10/31/2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
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
11 15 2023
Ethan Wolgamott
®IND
Police Officer
14.80
310.80
C/O: San Rafael Police Association 1520 Fifth
City Of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Received through in
San Rafael Police Ass
mediary:
ciation
1520 fth Avenue
❑ PTY
San RafFiael, 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 (866/275-3772)
www.fppc.ca.gov
www.nefile.com
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2023
through 12/31/2023
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 172 of 175
I.D. NUMBER
831553
E
CMP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT AMOUNTPAID
Donor Stack, LLC
WEB
69.49
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC
WEB
149.46
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC
WEB
70.59
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL$ 289.54
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. ................
$
3,574.89
2. Unitemized payments made this period of under $100..........................................................................................................................................
$
50.00
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 $
3,624.89
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule E SCHEDULE E
(Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA
,
Payments Made to whole dollars. from 07/01/2023 FORM
through—
SEE12/31/2023 Page 173 of 175
INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee I 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
RAID
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)
WEB
Donor Stack, LLC
66.02
312 Clay Street, Suite 300
Oakland. CA 94607
Donor Stack, LLC WEB
312 Clay Street, Suite 300
Oakland, CA 94607
Donor Stack, LLC WEB
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company I PRO
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company I PRO
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
164.52
33.31
419.00
596.00
SUBTOTAL $ 1, 278.85
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-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
San Rafael Police Association Political Action Committee
Statement covers period
from 07/01/2023
through 12/31/2023
SCHEDULE E
Page 174 of 175
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
RAID
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
Lrr
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
665.5C
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
330.5C
312 Clay Street, Suite 300
Oakland, CA 94607
S.E. Owens & Company
PRO
484.5C
312 Clay Street, Suite 300
Oakland, CA 94607
S.E_ Owens & Company
PRO
526.00
312 Clay Street, Suite 300
Oakland, CA 94607
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
www.netfile.com
SUBTOTAL $ 2,006.50
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule I
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE FULL NAME AND ADDRESS OF SOURCE
RECEIVED I (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Statement covers period
from 07/01/2023
through 12/31/2023
DESCRIPTION OF RECEIPT
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.)........................................................................................................................... TOTAL $ —
www.neffile.com
SCHEDULEI
Page_ 175 of 175
I.D. NUMBER
831553
AMOUNT OF
INCREASE TO CASH
SUBTOTAL $ 0.00
0.00
9.72
0.00
9.72
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov