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Home My WebLink AboutForm 460 - Police Association PAC (2013-10-19)Recipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applicab* from 09/22/2013 (Month, Day, Year) S 0 ff C SEO!- K 'Ji �?7%` "a e through _10/19/2013 11/05/2013 Ra, 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee E:] Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored General Purpose Committee (Also Complete Part 6) 0 Sponsored F] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) 1520 Fifth Avenue CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94901 (415) 485-3000 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 151557 CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94915-1557 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 10/24/2013 By Date Executed on 10/24/2013 Date Executed on Date Executed on Date Page of For Official Use OAn 2. Type of Statement: F&] Preelection Statement Quarterly Statement Semi-annual Statement F -I Special Odd -Year Report Termination Statement Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Minka MAILING ADDRESS 1520 Fifth Avenue CITY STATE ZIP CODE AREA CODE/PHONE San Rafael, CA 94901 (415) 485-3000 NAME OF ASSISTANT TREASURER, IF ANY ME. 2Lacy E. Qweaa— MAILING ADDRESS 5940 College Avenue CITY STATE ZIP CODE AREA CODE/PHONE L)akland, CA 94618 OPTIONAL: FAX/ E-MAIL ADDRESS GOMM=,- I By signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate. State Measure Proponent By Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC For 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES F] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I,D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES L] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) s 6. Primarily r Formed Ballot rrr Committee • NAME OF BALLOT MEASURE COVER PAGE - PART 2 BALLOT NO. OR LETTER JURISDICTION SUPPORT [� OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee 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 Ej OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT r] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [:] SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE Attach continuation sheets if necessary FPPC Fort 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be roundeli' Summary Page to whole dollars. Statement covers period from 09/22/2013 SEE INSTRUCTIONS ON REVERSE through 10/19/2013 Page 3 s 55 Of NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2.413.74 $ 21,166.02 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ....................... .... Schedule B, Line3 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ 2f413.74 $ 21,166.02 20. Contributions Received $ $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 0.00 0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 2, 413.74 $ 21,166.02 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 16,028.00 7. Loans Made ............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 16, 428.44 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 11624.85 10. Nonmonetary Adjustment ......................................... Schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 17,652.85 Current Cash Statement 12, Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 43,177.59 13. Cash Receipts ................................................... Column A, Line 3 above 2,413.74 14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 0.26 15. Cash Payments .................................................. Column A, Line 8 above 16,028.00 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 29,563.59 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES Cash quivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 1.624. 5 $ 23,639.45 0.00 $ 231639.05 1,624.85 0.00 $ 25,263.90 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ $ *Arnounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. .., -1- - . -- San Rafael Police Association Political Action Committee Statement covers period from 09/22/2013 through 10/19/2013 6011AWMINT11 4 1 r, r, Page OT Jj I.D.NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE NNNN" 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. I - DEC, 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Elisha Adams ®IND Officer 11.17 307.78 MCOM C/o: San Rafael Police Association F-1 OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 Union member's dues received throug�i intermedia V:[qSaCnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Elisha Adams ®IND Officer 11.17 307.78 F_1COM C/o: San Rafael Police Association ❑OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia v:E4SCnCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Elisha Adams FX -1 IND Officer 11-17 307.78 F-1 COM C/o: San Rafael Police Association CATH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermedia uy:QWCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Raul Aguilar RIND Sergeant 11.17 307.78 EICOM C/o: San Rafael Police Association BOTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received through intermediary:QWC afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Raul Aguilar ®IND Sergeant 11.17 307.78 - EICCM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe h intermedia L:OAPC�afa4l Police Association, 152d Fifth Avenue, Sin RafaeCA 949dl _ _, _ SUBTOTAL $ 55.85 Schedule A Summary *Contributor Codes 1. Amount received this period — itemized monetary contributions. IND- Individual (include all Schedule A subtotals.) ............................................................................................. ......... $ 2f339.79 COM - Recipient Committee (other than PTY or SCC) 2. Amount received this period - uniternized monetary contributions of less than $100 ......... ......... ........ $ 73.95 OTH - Other (eg., business entity) PTY - Political Party 3. Total monetary contributions received this period. SCC - Small Contributor Committee (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 2, 413.74 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary uontrioutionsKeceivea Amounts may be rounded Statement covers period to whole dollars. OA CALIFRNI 460 from 09/22/2013 FORM through 10/19/2013 Page 5 of 55 NAME OF FILER I.D. 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) 10/15/2013 Raul Aguilar IND Sergeant 11.17 307.78 com C/o: San Rafael Police Association ❑ CITH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia xv:qaSnCCRafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 09/30/2013 Anthony Augustyn F_xj IND Officer 11.17 307.78 n com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia rv: qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 nthony Augustyn N IND Officer 11.17 307.78 ncom C/o: San Rafael Police Association DOTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xv:an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Anthony Augustyn nx IND Of f icer 11.17 307.78 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901❑ member's dues received through intermediary: qUnion anSCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Blair Auld ®IND Officer 11.17 307.78 El COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediA_Ay:EZP;afae Police Association L_ 1520 Fifth Avenue SAn Rafael, CA 9490 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55-85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A(CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through 10/19/2013 Page 6 of 55 NAME OF FILER I.D. NUMBER Sara 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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Blair Auld Fx-] IND Officer 11.17 307.78 El COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia 'rv:q,SnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Blair Auld Fx_j IND Officer 11-17 307.78 ❑ com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 James Bellamy nx IND Officer 11.17 307.78 El COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F1 PTY Union member's dues received throuqh intermedia iv: q anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 James Bellamy M IND Officer 11.17 307.78 F-1 COM C/o: San Rafael Police Association UOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY Union member's dues received through intermedia ry:qaSnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 James Bellamy ®IND Officer 11.17 307.78 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermed-i�Lil:.-�L4 §r9�Z1 afae Police Association SUBTOTAL $ 55.85 1114 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 through 10/19/2013 Page 7 of 55 NAME OF FILER I.D. 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) 09/30/2013 Todd Berringer IND Corporal 11.17 307.78 COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Todd Berringer Fx_j IND Corporal 11.17 307.78 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 odd Berringer IND Corporal 11-17 307.78 com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia. iV:qaSnCR alae 1 Police Association, 1520 Fifth Avenue,, San Rafael, CA 94901 09/30/2013 Geoffrey Bowker F_xj IND Officer 11.17 307.78 EICOM C/o: San Rafael Police Association D OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia q(� anafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Geoffrey Bowker BIND Officer 11.17 307.78 E]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael J_ San Rafael, CA 94901 Union member's dues received through intermedia alae PO�lice�As�soci�ati�on-152�O _Fif�thA�yen�qe _S�n_Rafael, CA 9490� *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55-85 FPPC Form 460 January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary UontrioutionS Kecelvea Amounts may be rounded Statement covers period - Recipient Committee to whole dollars. (other than PTY or SMI CALIFONI RA 460 - Other (e.g., business entity) from 09/22/2013 FORM SCC - Small Contributor Commiftee through 10119/2013 Page 8 of 55 NAME OF FILER I.D. NUMBER Sari 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 (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Geoffrey Bowker nx IND Officer 11.17 307.78 F1 Com C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:q,SnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lynne Bracken [Z IND Records Clerk 8.69 239.19 El COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue r-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy: qaSnCCRafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 09/30/2013 Lynne Bracken Fx� IND Records Clerk 8.69 239.19 000M C/o: San Rafael Police Association CITH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia iv:qaSnCRafael Police AssociatiDn, 1520 Fifth Avenue, San Rafael CA 94901 10/15/2013 Lynne Bracken FX -1 IND Records Clerk 8.69 -1 239.19 El COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 Q PTY Union member's dues received throe h intermedia :qasncRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490. 09/30/2013 Michael Byers IND Corporal 11.17 307.78 COM C/o: San Rafael Police Association CITH 1520 Fifth Avenue Ej PTY City of San Rafael --------- ... San Rafael, CA 94901 Union member's dues received thr :EAP:�afae Police Association 1520 Fifth Av�enue_S n Rafael,, CA 9490� SUBTOTAL $ 48.41 IND - Individual COM - Recipient Committee (other than PTY or SMI OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Commiftee FPPC Form 460 (January/05) om - Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January 05 FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/275-3772) through 10/19Z2013 Page 9 of 55 NAME OF FILER I.D. 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) 09/30/2013 Michael Byers Fxj IND Corporal 11.17 307.78 000M C/o: San Rafael Police Association E] LITH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Michael Byers Fx_j IND Corporal 11.17 307.78 F-1 COM C/o: San Rafael Police Association ❑ CITH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv: qaSnCCRafael Police AssociatiDn, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Shelly Cade nx IND Dispatcher 8.69 239.19 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received through intermedia -rV: anSCt afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Shelly Cade [E IND Dispatcher 8.69 239.19 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ry: Tan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Shelly Cade [E IND Dispatcher 8.69 23-9.19 000M C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedi,�&:L,af CA 9490 SUBTOTAL $ 48.41 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January 05 FPPC Toll -Free Helpline: 866/AS1 -FPPC (866/275-3772) MUM WITAT11:9012 San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 through 10/19/2013 1 Page 10 _ of 55 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) 09/30/2013 Joseph Camins nX IND Officer 11.17 307.78 FI CUM C/o: San Rafael Police Association E] CITH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Joseph Camins nx IND Officer 11.17 307-78 F1 COM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Joseph Camins [2] IND Officer 11.17 307.78 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: S anCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 David Casalnuovo ®ND Officer 11.17 307.78 Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 David Casalnuovo MIND Officer 11.17 307.78 EICUM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Umb nion meer's dues received through intermedi rC' :49h, af (�1 ae I Police Association 1520 Fifth Avenue 5 Rafael, CA 9490' *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -- Small Contributor Committee SUBTOTAL $ 55.85 1 FPPC Form 460 (January/05) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary %.#oninDutions P eceivea Amounts may be rounded Statement covers period COM - Recipient Committee to whole dollars. (other than PTY or SCC) A A - Other (e.g., business entity) from 09/22/2013 - Political Party Page 11 - Of 55 - Small Contributor Committee through. 10/19Z2013 NAME OF FILER I.D. 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 / 15/2 013 David Casalnuovo ND Fx_] IND. Officer - 11.17 307.78 [] Com C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermedia rv:aSnCRafael :qan Police Association, 1520 Fifth Avenue. San Rafael, CA 9490 09/30/2013 Allan Castaneda ®IND Officer 11.17 307.78 El COM C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv: `man Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Allan Castaneda QIND Officer 11.17 307.78 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901❑PTY Union member's dues received through intermedia rv:qdsncl�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Allan Castaneda [�] IND Of f icer 11.17 307.78 [ICOM C/o: San Rafael Police Association Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PT(Y Union member's dues received through intermediary: an SCafael q � Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Edward Chiu nx IND Officer 11.17 307.78 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediA&:L afaeL Police Association, 1520 Fifth Avenue, S n Rafael, CA 949011 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55-85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Receivel" Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 *Contributor Codes IND - Individual COM 0/19Z203 through 1 1 1 Page 2 _ of 55 NAME OF FILER - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee I.D. NUMBER Sari 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) 09/30/2013 Edward Chiu nx IND Officer 11.17 307.78 F] COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia rv: Tan Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Edward Chiu Fxj IND Officer 11-17 307.78 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Robert Cleland [Z IND Officer 11.17 307.78 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received throe g.11 intermediary:Tan (� afael Police AssociatiDn, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Robert Cleland [X] IND Officer 11.17 307.78 com C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue Cit y of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediary: Tan Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Robert Cleland [Z IND Officer 11.17 307.78 El COM C/o: San Rafael Police Association E] (STH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe qh_interm�L . afae Police Association 1520 Fifth Avenue S n Ra ael CA 9490� SUBTOTAL $ 55-85 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) A i monetary uontrwutionS Kecelvea Amounts may be rounded Statement covers period - Recipient Committee to whole dollars. (other than PTY or SCC) CALIFORNIA 460 - Other (eg., business entity) from 09/22/2013 FORM Page 13 of 55 - Small Contributor Committee through 14119/2013 NAME OF FILER I.D. 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) 09/30/2013 Christopher Coale IND Sergeant 11.17 307.78 F1 COM C/o: San Rafael Police Association C]OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCCRafael Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Christopher Coale Fx_j IND Sergeant 11.17 307.78 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 10/15/2013 Christopher Coale [A IND Sergeant 11.17 307.78 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Q Union member's dues received through intermediary: qan Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lori Coen nx IND Records Clerk 8.69 239.19 F] com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 F] Union member's dues received through intermedia ry:E;,SnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lori Coen nx IND Records Clerk 8.69 239.19 n COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermeqLjy:Q§P;Zafaek Police Association, 1520 Fifth Avenue S n Rafael, CA 9490� I IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 50.89 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 'fll 1111111 iij]l Il through 10/19/2013 NAME OF FILER San Rafael Police Association Political Action Committee Page 14 _ of 55 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION 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) 10/15/2013 Lori Coen Fxj IND Records Clerk 8.69 239.19 EICOM C/o: San Rafael Police Association Ej OTH 1520 Fifth AvenueF-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael,, CA 94901 09/30/2013 Eric Cogbill rx-1 IND Officer 11-17 307.78 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Eric Cogbill [2] IND Officer 11.17 307.78 EICOM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Ej Union member's dues received through intermediaiV:qaSnCCRafae1 Police Association, 1520. Fifth Avenue, San Rafael, CA 9490 10/15/2013 Eric Cogbill nx IND Officer 11.17 307.78 000M C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY Union member's dues received through intermedia ry:E;,SnNafaeL Police Association, 1520 Fifth Avenue,, San Rafael,, CA 94901 09/30/2013 Ryan Cogbill N IND Corporal 11.17 307.78 El COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedi,�� :Q�P�Raf A 9490 SUBTOTAL $ -53.37 -14 *Contributor Codes IND - Individual I COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER Sari Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 through 10Z19/2013 Page 15 _ of 55 I.D. NUMBER 831553 DATE RECEIVED 09/30/2013 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Ryan Cogbill C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermedia rv:OSECCRafael CONTRIBUTOR CODE IND RCOM n OTH F] PTY IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Corporal City of San Rafael Police Association, 1520 AMOUNT RECEIVED THIS PERIOD 11-17 Fifth Avenue, San CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 307.78 Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 10/15/2013 Ryan Cogbill Fx] IND Corporal 11-17 307-78 F] COM C/o: San Rafael Police Association 0 OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Thomas Collins M IND Officer 11.17 307.76 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PT(Y City of San Rafael San Rafael, CA 94901 member's dues received through intermediary: qan`tafaeUnion l Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Thomas Collins FX -1 IND Officer 11.17 307.76 000M C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901[ PTY member's dues received through intermediary: �Union an SCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Thomas Collins LR IND Officer 11.17 307.76 El COM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 -Union member's dues received through intermedia�&:Q§W(�af CA 94901 SUBTOTAL $ 55-85 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) ffi r 'isome aL 96M&Wi k Effiffiffiffi Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 through 1011912 013 Page 16 _ of 55 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE RECEIVED 09/30/2013 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I. D. NUMBER) Antoinette Cook C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 -Member's dues received throe intermediarv: CONTRIBUTOR CODE FXI IND 000M F1 OTH n PTY qUnion anSCRafae IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Dispatcher City of San Rafael l Police Association, 1520 AMOUNT RECEIVED THIS PERIOD 8.69 Fifth Avenue, San CUMULATIVE TO DATE CALENDAR YEAR (JAN. I - DEC. 31) 239.19 Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 09/30/2013 Antonette Cook nx IND Dispatcher 8.69 239.19 SCC F-1 COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:q,SnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Antoinette Cook 10/15/2013 N IND Dispatcher 8.69 239.19 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia rv:qanScic� afael Police Association, 1520 Fifth Avenue,, San Rafael, CA 94901 09/30/2013 Jaime Correa FRI IND Sergeant 11.17 307.76 r-1 com C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 ❑ PTY qanRafaeUnion member's dues received through intermediary: l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Jaime Correa [8] IND Sergeant 11.17 307.76 F1 COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia�y:EZ��afae Police �Ass�ociation520 Fifth Avenue nuSIn Rafael �el, CA 9490l1 SUBTOTAL $ 48.4 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 pill FPPC Form 460 (January/05) 7.PPr.1 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 SCHEDULE A (CONT) *Contributor Codes IND - Individual COM ® Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY ® Political, Party SCC - Small Contributor Committee FPLC Form 460 {January 05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) through 10Z19/2013 Page - 17 of 55 NAME OF FILER I.D. NUMBER Sari 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) 10/15/2013 Jaime Correa Fxj IND Sergeant 11.17 307.76 F] COM C/o: San Rafael Police Association E] OTH 1520 Fifth AvenueCity F-1 PTY of San Rafael San Rafael, CA 94901 Union member dues intermedia rv:q,SnCCRafae1 Police Association. 1520 Fifth Av,e.nue, San Rafael, CA 9490 09/30/2013 Ryan De Marta Fx_j IND Officer 11.17 307.76 ncom C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member 's dues received throe gh intermedia -rv: qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Ryan De Marta N IND Officer 11-17 307.76 ncom C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 F] PTY member's dues received through intermedia rv:dsncRafael qUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Ryan De Marta Fx] IND Officer 11.17 307.76 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901PTY Union member's dues received through intermediary: LmaSnCCRaf ael Police Association, 1520FifthAvenue, San Rafael, CA 94901 09/30/2013 Christian Diaz [IND Officer 11.17 307.76 El COM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue Ej PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: FL -4-1 §195Laf�ae Police Ass�oci�ati�on1520 1 Fifth _SIn _Rafa(l CA 9490 SUBTOTAL $ 55-85 *Contributor Codes IND - Individual COM ® Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY ® Political, Party SCC - Small Contributor Committee FPLC Form 460 {January 05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) S hedule A (Continuation Sheet) Type or print in ink. SCHEDULE A CONT. onetaryC}ilii"IbUtlQilG'IV'd Amounts maybe rounded Statement covers period to whole dollars. CALIFORNIA 460 from 0912212013 FORM through _ 10/19/2013 page 18 of 55 NAME OF FILER I.D. 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. 1) (IF REQUIRED) OF BUSINESS) 09/30/2413 Christian Diaz � IND ❑ Officer 11.17 307.76 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue [j PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia n :qan Rafae Police Association 1524 Fifth Avenue San Rafael CA 9494 10/15/2013 Christian Diaz [Z IND Of f icer 11.17 307.76 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Christopher Duncan X IND Officer ...11.17... 347.76 [l COM[]OTH C/o: San Rafael Police Association 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 Q PTY Union member's dues received through intermediarV:E;aSnCCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 0913012013 Christopher Duncan X IND Officer 11.17 307.76 COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia [� anRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 1011512013 Christopher Duncan IND Officer 11.17 307.76 L] COM C/o: San Rafael. Police Association FJOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia i �� afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 SUBTOTAL $ 55.85 �Contributor Codes I IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH _ Other e.g., business entity) PTY - Political Party SCO - Small Contributor Committee FPPC Form 460 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) !_ __ -1 — 1V1%J11WLC21y %-*V11L11LJUL10"b MeCelVeU Amounts may oe rouncle Statement covers period COM to whole dollars. CALIFORNIA 0 46 OTH from 09/22/2013 FORM 1 Page 19 Of 55 SCC - through ___l_0_/ 19 / 2 013 NAME OF FILER I.D. 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.©.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) 09/30/2013 Scott Eberle nx IND Sergeant 11.17 307.76 EICOM C/o: San Rafael Police Association r_1 OTH 1520 Fifth Avenue E] PTY City of San Rafael —Union San Rafael, CA 94901 member's dues received through intermedia rv: Tan CRafael Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Scott Eberle [Z IND Sergeant 11-17 307.76 CO C/o: San Rafael Police Association EMl OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia _rv:q,SnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Scott Eberle nx IND Sergeant 11.17 307.76 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 T PTY Union member's dues received through intermediary: :Tan R afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Christopher Fuller OIND Police Officer 11.17 307.77 El COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermediary: q anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Christopher Fuller nx IND Police Officer 11.17 307.77 F] COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia�y :Q§W(:�afael 152 Police Association, _�i� fth_Avenue, S n Rafael, CA 94901 *Contributor Codes IND - Individual COM - Recipient Committee I �ether than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55.85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) J% btc.whedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) IVIUI W11.4111 %oun-trioutions meceivea Amounts may ne rounded y Statement covers period to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM Page 20 of 55 through- 10/19/2013 NAME OF FILER I.D. 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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Christopher Fuller Fxj IND Police Officer 11.17 307.77 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received. throucfh intermedia v:qaSnCCRafael Police Association. 1520 Fifth Avenue. San Rafael, CA 94901 09/30/2013 Salvatore Garanzini r_xj IND Officer 11.18 307.82 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:q,SnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Salvatore Garanzini Fx_j IND Officer 11-18 307.82 F1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901q PTY Union member's dues received throuqh intermediarv:l anSCRafae❑ Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Salvatore Garanzini IND Of f icer 11.18 307.82 com C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia ry:qanRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Michael Garrison [IND Officer 11.18 207.02 ocom C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia_ &r_1L_�§P;ZafaeL Police Association, 1520, Fifth Avenue, San Rafael, CA 94901 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Commiftee SUBTOTAL $ 55-89 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through_10/19/2013 Page 21 , of 55 NAME OF FILER I.D. 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) 09/30/2013 Michael Garrison IND Officer 11.18 207.02 © COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 member's dues received throucfh intermediarv: qUnion anSCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Michael Garrison nx IND Officer 11.18 207.02 ncom C/o: San Rafael Police Association El OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnC CRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lilah Gavlick N IND Police Officer 11.18 106.22 ncom C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [] Union member's dues received through intermediarv: qsc(� an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lilah Gavlick nx IND Police Officer 11-18 106.22 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 PTY Union member's dues received through intermedia iy:�anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lilah Gavlick [E IND Police Officer 11.18 106.22 000M C/o: San Rafael Police Association []{STH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901'§W(� Union member's dues received through intermediarIv:L-8' of A 9490� SUBTOTAL $ 55.90 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee I it FPPC Form 460 (January/05) FPPC Toll -Free ;; i 1 - - Schedule A (Continuation Sheet) Type Individual COM - Recipient Committee or print in ink. OTH SCHEDULE A(CONT) Monetary Contributions Received Amounts may be rounded Statement covers periocl--m—, to whole dollars. CALIFORNIA 460' from 09/22/2013 FORM through 10/19/2013 Page 22 _ of 55 NAME OF FILER I.D. 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) 09/30/2013 Justin Graham IND officer 11.18 307.82 F] COM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Justin Graham nx IND Officer 11.18 307.82 n COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe gh intermedia rv: qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Justin Graham N IND Of f icer 11.18 307.82 ncom C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [] Union member's dues received through intermediary: an afael :pan Police Association r 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Julie Griffith nx IND Records Clerk 8.70 239.23 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 E] PTY Union member's dues received throe ��y:qaSnKafael Police Association, 1520Fifth Avenue, San Rafael, CA 94901 09/30/2013 Julie Griffith IND Records Clerk 8.70 239.23 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia &:Q§P:�af CA 9490 J_ SUBTOTAL $ 1 50.94 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Amounts may e rounded 1V1C;11WLdF_ %-#untrivuxions meceivea y Statement covers period d' to whole dollars. CALIFORNIA 4 U from 09/22/2013 FORM Page 2 3 , of 55 through 10/19/2013 NAME OF FILER I.D. NUMBER Sari Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION 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) 10/15/2013 Julie Griffith ❑ IND Records Clerk 8.70 239.23 El COM C/o: San Rafael Police Association r-1 4TH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:q,SnCCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09/30/2013 Lori Hendricks MIND Dispatcher 8.70 239.23 F-1 COM C/o: San Rafael Police Association ❑ CITH 1554 Fifth Avenue PTY City of San Rafael San Rafael, CA 94935 Union member's dues received through intermedia iv:qaSnCCRafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09/30/2013 Lori Hendricks nx IND Dispatcher 8.70 239.23 ncom C/o: San Rafael Police Association OTH 1554 Fifth Avenue City of San Rafael San Rafael, CA 94935❑ PTY Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lori Hendricks IND Dispatcher 8.70 239.23 com C/o: San Rafael Police Association OTH 1554 Fifth Avenue City of San Rafael San Rafael, CA 94935 PTY Union member's dues received through intermediary: anSCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Robert Henkle nx IND Officer 11.18 307.82 F] COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901r__1 Union member's dues received thr2_u�� §�CR af _ae olice _A�sso�ciat�ion�l5�2O�Fif�thAvenue, S Rafael, CA 9490[L IND - Individual COM - Recipient Committee (other than PTY or SCC) OTSI - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 45.98 FPPC Form 460 {January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) mcmetary uontrioutlonS Kecelved Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through 10/19/2013 Page 2 4 of 55 - NAME OF FILER I.D. NUMBER Sari 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) 09/30/2013 Robert Henkle IND Of (icer 11.18 307.82 F] COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 10/15/2013 Robert Henkle N IND Of f icer 11-18 307.82 [Q COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue F-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv: qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 J. Alexander Holm r-xl IND Officer 11-18 307.82 ❑com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ❑ Union member's dues received throe intermedia rV:E;dSnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 J. Alexander Holm r_Xj IND Of f icer 11.18 307.82 El COM C/o: San Rafael Police Association Fj OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: anSCR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 J. Alexander Holm FX] IND Officer 11.18 307.82 F] COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throuqh intermedia &:QW�afqqeLPolice Association.L 1520 Fifth Avenue SAn Rafael, CA 9490� *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPLC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers per 'o d� to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through 10/19/2013 Page 2 5 of 55 NANE OF FILER I.D. 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) 09/30/2013 Lisa Holton Rx IND Sergeant 11-18 307.82 E]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediarv: qUnion anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lisa Holton ®IND Sergeant 11.18 307-82 El COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue [] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia-ry:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lisa Holton Fxj IND Sergeant 11-18 307.82 [] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue [-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiV:qaSnNafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Kyle Hornstein N IND Corporal 11.18 307.82 F-1 COM C/o: San Rafael Police Association GOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E] Union member's dues received through intermedia iy:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Kyle Hornstein [E IND Corporal 11.18 307-82 000M C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe qh intermedia r% V:[A�Q�af CA 9490L_ SUBTOTAL $ 55.90 *Contributor Codes IND - Individual C0M - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPLC Form 460 (January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 4601: from 09/22/2013 FORM through 10/19Z2013 Page 26 of 55 NAME OF FILER I.D. 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. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Kyle Hornstein rx] IND Corporal 11.18 307.82 ncom C/o: San Rafael Police Association r] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia iv: `man Police Association, 1520 Fifth Avenue San Rafael. CA 94901 09/30/2013 Carl Huber nx IND Corporal 11.18 307.82 El COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Carl Huber Fx_j IND Corporal 11-18 307.82 © COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue [] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:E;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Carl Huber nx IND Corporal 11.18 307.82 F-1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia ry:E;aSnCRafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Eric Huot nX IND Officer 11.18 307.82 F] COM C/o: San Rafael Police Association Ej OTH 1520 Fifth Avenue Ej PTY City of San Rafael San Rafael, CA 94901 Union member's dues received thr2Rqhintermedia afa& Police Association, 1520 Fifth Avenue SAn Rafael CA 9490j *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 January 05 FPLC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period Individual to whole dollars. — Recipient Committee A A 1 (other than PTY or SCC) from 09/22/2013 0 PTY — Political Party through 10/1912013 Page 27 _ of 55 NAME OF FILER I.D. 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) 09/30/2013 Eric Huot nx IND Officer 11.18 307.82 r-1 com C/o: San Rafael Police Association r-1 OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaS:CCRafael Police Association, 1520 Fifth Avenue, an Rafael,, CA 94901 10/15/2013 Eric Huot ❑IND. ND Officer 11.18 307.82 com C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Scott Ingels Fx_j IND Corporal 11.18 307.82 ©COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E Union member's dues received through intermedia rv: `n® ;an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Scott Ingels FX -1 IND Corporal 11.18 307.82 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 qaSnC(�af Union member's dues received through intermediary: ael Police Association, 1520 Fifth Avenue, San—Rafael, CA 94901 10/15/2013 Scott Ingels nx IND Corporal 11.18 307.82 F1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 r --- I Union member's dues received throii��:afae L_9§P� PoliceAssociation 1520 Fifth Avenue, SAn_Rafael, CA 9490 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (eg., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period 0 to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through 10/19/2013 Page 28 _ of 55 - NAME OF FILER I.D. 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) 09/30/2013 Lynette Keller IND Community Service Officer 8.70 239.23 F] COM C/o: San Rafael Police Association [BOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:q,SnCCRafae1 Police Association, 1520 Fifth Avenue San Rafael, CA 94901 09/30/2013 Lynette Keller nx IND Community Service Officer 8.70 239.23 ncom C/o: San Rafael Police Association 0 OTH 1520 Fifth Avenue 0 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv: qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lynette Keller nx IND Community Service Officer 8.70 239.23 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia rv:qaSnC afael Police Association, 1520 Fifth Avenue,, San Rafael, CA 94901 09/30/2013 Rebecca Kuga nx IND YSB Supervisor 8.70 239.23 n COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 qaSnC( Union member's dues received through intermediary: af ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Rebecca Kuga [ffl IND Y Supervisor 8.70 239.23 F] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia &:LQW�afaej Police Association, 1520 Fifth Avenue ,_SAn Rafael ,_CA9490 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 43.50 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) WM MIMi. 0 M,+TjL4 mmol r Fil 0 ni n ptromt, I Rha,• 9 MAIK0102111:40N San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period from 09/22/2013 through 10/19/2013 1 Page 2 9 . of 55 1 - __if - - I I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION 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) 10/15/2013 Rebecca Kuga nx IND YSB Supervisor 8.70 239.23 000M C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnCCRafael Police Association t 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Marc Laplante N IND Officer 11.18 307.81 El COM C/o: San Rafael Police Association E]OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Marc Laplante Rx IND Officer 11.18 307.81 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue [-] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: qaSnNZaf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Marc Laplante nx IND Of f icer 11.18 307.81 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 qan Union member's dues received through intermediary: Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Kimberly Larkey nx IND Officer 11.18 307.81 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedi :Q§W93Laf�ae Police Association 1520 Fifth Avenue, S Rafael_ CA 9490� *Contributor 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 $ 53.42 1 FPPC Form 460 {January 05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) q & & NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 through 10Z19/2013 Page 30 - of 55 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION 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) 09/30/2013 Kimberly Larkey IND Officer 11.18 307.81 F] COM C/o: San Rafael Police Association CITH 1.520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 ...Kimberly Union member's dues received through intermediaiv:q,S:CCRafael Police Association, 1520 Fifth Avenue Rafael, CA 94901 10/15/2013 Larkey N IND Officer -,—San 11.18 307.81 r-1 COM C/o: San Rafael Police Association ❑CITH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 C Union member's dues received through intermedia iv:qSn(D Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 nndora Lee ®IND Dispatcher 8.70 239.23 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCRafael Police AssociatiDn, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Anndora Lee FX -1 IND Dispatcher 8.70 239.23 000M C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ry:qaSnC_Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Anndora Lee Fxj IND Dispatcher 8.70 239.23 F] COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E_41W�af Union member's dues received aeLPolice Associatior-1520 Fifth Avenue, S Rafael CA _9490 SUBTOTAL $ 48.46 *Contributor Codes IND - Individual I COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 r- --I *Contributor Codes IND - Individual COM - Recipient Committee through 10Z19/2013 (other than PTY or SCC) Page 31 _ of 55 NAME OF FILER PTY - SCC - Political Party Small Contributor Committee I.D. 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, I - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Rogelio Leon ®IND Sergeant 11.18 307.81- F1 COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Rogelio Leon nx IND Sergeant 11.18 307.81 F] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Rogelio Leon OIND Sergeant 11.18 307.81 ncom C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediaiy: qUnion anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Kevin Macdougald rx-1 IND Of f icer 11-18 307.82 El COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Q Union member's dues received through intermedia ry:qaS:CGRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Kevin Macdougald nx IND Officer 11.18 307.82 n COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermeqjp�&:Q§�C�afae Police Association 152�OFi�fth�Aye_nueS n Rafael SUBTOTAL $ 55.90 r- --I *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - SCC - Political Party Small Contributor Committee FPPC Form 460 {January 05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period - Recipient Committee to whole dollars. (other than PTY or SCC) CALIFORNIA 460'� - Other (e.g., business entity) from 09/22/2013 FORM SCC - Small Contributor Committee through 10/19/2013 Page 32 of 55 NAME OF FILER I.D. NUMBER Sari 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) 10/15/2013 Kevin Macdougald Fxj IND Officer 11.18 307.82 F] COM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Michael Mathis rx-1 IND Corporal 11.18 307.82 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Michael Mathis ®IND Corporal 11.18 307.82 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Q, Union member's dues received throe intermedia rV:�anSC Rafael Police Association, 1520 Fifth Avenue, San Rafael CA 94901 10/15/2013 Michael Mathis nx IND Corporal 11.18 307.82 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 c Union member's dues received through intermediary: ana -�Rarael Police Association, 1520 Fifth Avenue, San Rafael,, CA 94901 09/30/2013 Kelly Mauel [IND Records Clerk 8.70 239.25 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia :E_4W�afae t_Police Association, 1520 Fifth Avenue, S Rafael, CA 9490 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 53.42 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/AS1-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type in ink. Individual CONI - Recipient Committee or print (other than PTY or SCC) OTH A (CONT) Mcmetary Contributions Received Amounts may be rounded Statement covers period ---SCHEDULE to whole dollars. 460 CALIFORNIA from 09/22/2013 FORM through 10/19/2013 Page 33 of 55 NAME OF FILER I.D. NUMBER Sari 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 (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Kelly Mauel Fxj IND Records Clerk 8.70 239.25 [] COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermediarv: qSCC an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Kelly Mauel NIND Records Clerk 8.70 239.25 El COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Andrew Maxwell nx IND Police Officer 11.18 106.24 [:]COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qdSnC Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Andrew Maxwell M IND Police Officer 11.18 106.24 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary: �anSC Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Andrew Maxwell [_Xj IND Police Officer 11.18 106.24 000M C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaLQWRaf aeLPol ice Association, 1520 Fifth AvenueS�n Rafael, CA 9490 SUBTOTAL $ 50.94 *Contributor Codes INC} - Individual CONI - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee I. a FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) r, q — 11111111 1111111111111,1111 111; ill�illilli�� 11ALWJL 11 � mm A Monetary Contributions Received Amounts maybe rounded Statement covers Period CALIFORNIA to whole dollars. - Recipient Committee 460 (other than PTY or SCC) from 09/22/2013 FORM PTY - Political Party through 1OZ19/2013 Page 34 _ of 55 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Abigail Mcelderry r_x] IND Dispatcher 8.70 239.25 [JCOM C/o: San Rafael Police Association FICITH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiy:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, an Rafael, CA 94901 09/30/2013 Abigail Mcelderry Fx_j IND Dispatcher 8.70 239.25 Cl COM C/o: San Rafael Police Association []OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 member's dues received through intermediary: Rafael anUnion Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Abigail Mcelderry nx IND Dispatcher 8.70 239.25 El COM C/o: San Rafael Police Association DOTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue,. San Rafael, CA 94901 09/30/2013 Phillip Melodia r_xj IND Officer 11.18 307.84 El COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 qaSnCRaf Union member's dues received through intermediary: ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Phillip Melodia Fxj IND Officer 11.18 307.84 000M C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermedia rly:Q§P(�afae Police Association 1520 Fifth Avenue, S Rafael, CA 9490 *Contributor 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 $ 48.46 1 FPPC Form 460 January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded Statement covers period A A to whole dollars. (other than PTY or SCC) OTH from 09/22/2013 PTY - Political Party SCC through 10/19/2013 35 55 nna of Page . of NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (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) 10/15/2013 Phillip Melodic ❑IND Officer 11.18 307.84 E] COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received throucth intermediarv:qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Beth Minka Fxj IND Administrative Technician 8.70 239.25 n COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue Fj PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCR'afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Beth Minka nx IND Administrative Technician 8.70 239.25 F] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia iv:qaSnCRafael Police Association, 1.520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Beth Minka nX IND Administrative Technician 8.70 239.25 [] com C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue [:] PTY City of San Rafael San Rafael, CA 94901 qS (�afael Union member's dues received through intermedia r y :`--fan Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Jorge Navarro IND Evidence Technician 8.70 239.25 Com C/o: San Rafael Police Association [j OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 ' L Union member's dues received thr2ii�� W�a f ae L-9 _j _Police Association1520 Fifth Avenue, S Rafael ,_CA9490�___ IND ® Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Commiftee SUBTOTAL $ 45.98 FPPC Form 460 (January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period COM to whole dollars. CALIFORNIA 460 OTIC from 09/22/2013 FORM Political Party SCC through 10/19/2013 Page 3 6 _ of 55 NAME OF FILER I.D. NUMBER Sari 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) 09/30/2013 Jorge Navarro ❑IND Evidence Technician 8.70 239.25 DCCDM C/o: San Rafael Police Association FJOTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnCCRafael Police Association, 1520 Fifth Avenj4!g, Rafael, CA 94901 10/15/2013 Jorge Navarro Fx] IND Evidence Technician -,San 8.70 239.25 n COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue r_1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 09/30/2013 lexis Nielsen IND Dispatcher 8.70 239.25 COM C/o: San Rafael Police Association FJOTH ❑❑ 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 [;dS:CRaf Union member's dues received throe gh intermedia ry: ael Police AssociatiDn, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Alexis Nielsen IND Dispatcher 8.70 239.25 com C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:qdSnCRafael Police Association, 1520 Fifth Avenue, S -n Rafael, CA 94901 10/15/2013 Alexis Nielsen MIND Dispatcher 8.70 239.25 F1 COM C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 ---'§1 Union member's dues received thrqqgh_jRj��Av:LQ P�Rafae Police Association. 1.52.0 Fifth Avenue SAn Rafael CA �949�0 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTIC - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 43.50 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 09/22/2013 through 10/19Z2013 Page 37 of 55 NAME OF FILER I.D. 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) 09/30/2013 Leslie O'Toole Fx_] IND Officer 11.18 307.84 Q com C/o: San Rafael Police Association El OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Leslie O'Toole FX -1 IND Officer 11.18 307.84 F] COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Associati:)n, 1520 Fifth Avenue, S Rafael,, CA 94901 10/15/2013 Leslie O'Toole IND Officer 11.18 307.84 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:E;aSnC'�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Meaghan Pang FX -1 IND Dispatcher 8.70 239.25 El COM C/o: San Rafael Police Association [-] OTH 1520 Fifth Avenue E] PTY City of San Raphael San Rafael, CA 94901 Union member's dues received through intermedia ry:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Meaghan Pang FRI IND Dispatcher 8.70 239.25 L]COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue F] PTY City of San Raphael San Rafael, CA 94901 Union member's dues received thrqRqjjintermedia :afaeL Police Association.,_ 1520 Fifth Avenue S Rafael CA 9490� IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 50.94 FPLC Form 460 {January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through 10/19Z2013 Page 3 8 of 55 NAME OF FILER I.D. 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) 10/15/2013 Meaghan Pang FRI IND Dispatcher 8.70 239.25 El COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue PTY City of San Raphael San Rafael, CA 94901 Union member's dues received through intermedia ry:qaSnCCRafael Police Association, 1520 Fifth Avenue, an Rafael, CA 94901 09/30/2013 Nicola Pata Fx_j IND Dispatcher 8.70 239.25 n com C/o: San Rafael Police Association n OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received through intermedia iy: qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Nicola Pata RIND Dispatcher 8.70 239.25 F-1 COM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union mermber's dues received through intermedia ry:qaSnNafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Nicola Pata IND Dispatcher 8.70 239.25 COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 qaCSn Union member's dues received throe intermediary: Raf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Brian Patterson [Z IND Of f icer 11.18 307.84 000M C/o: San Rafael Police Association 0 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 r % '�afaeL Union member's dues received throe intermedia A�:-.[L:-��§l�y Police Association, 1520 Fifth Avenue SAn Rafael CA 9490 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 45-98 L FPPC Form 460 January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 111111 111 11,1111 111111111 I1111liq •1 Mit-1111: M=1=0 I Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA bftO 4A from 09/22/2013 FORM through 10/19/2013 Page 39 of 55 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I. D, NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Brian Patterson Fx_j IND Of f icer 11.18 307.84 FICOM C/o: San Rafael Police Association ®OTH1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Brian Patterson Fx_j IND Officer 11.18 307.84 F-1 COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiy:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Buffy Paxson ®IND Officer 11.18 307.84 ncom C/o: San Rafael Police Association OTH ❑PTY 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:q,SnC Rafael Police Association 1.52.0 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Buffy Paxson nX IND Officer 11.18 307.84 El COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 qaSnCRaf Union member's dues received through intermediary: ael Police Association, 1520 FifthAvenue, San Rafael, CA 94901 10/15/2013 Buffy Paxson N IND Officer 11.18 307.84 El COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia �y:r L-4 e Police Police Association., 1520 Fifth Avenue, SAn Rafael, CA 9490� IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period W to whole dollars. A S A 1 OTH from 09/22/2013 so 0 - Political Party SCC through 10/19Z2013 Page 4 0 _ of 55 NAME OF FILER I.D. 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) 09/30/2013 Aaron Piombo Fxj IND Officer 11.18 307.84 F] COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCCRafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 09/30/2013 Aaron Piombo r_xj IND Officer 11.18 307.84 E] com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rv:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 aron Piombo nx IND Officer 11-18 307.84 n com C/o: San Rafael Police Association n OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iV:Tan Rafae1 Police Association, 1520 Fifth Avenue, San Rafael,, CA 94901 09/30/2013 Dennis Prince M IND Officer 11.18 307-84 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ry:qaS:CRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490L 09/30/2013 Dennis Prince Fx] IND Officer 11.18 307.84 F] COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 r1% Union member's dues received throe h intermedia :afae Police Association �152�0 Fifth AvenuesSJn Rafael, CA 9490k IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 {January 05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Sc;hedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period----= - Recipient Committee to whole dollars. (other than PTY or SCC) CALIFORNIA 460 - Other (e.g., business entity) from 09/22/2013 FORM SCC through 10/19/2013 Page 41 of 55 NAME OF FILER I.D. 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 -EMPLOYE©, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Dennis Prince ❑IND Officer 11.18 307.84 F-1 COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Ronda Reese ❑IND Corporal 11.18 307.84 ❑ com C/o: San Rafael Police Association 0 OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 CRafael Union member's dues received throe gh intermedia rv: qaSnC Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Ronda Reese BIND Corporal 11.18 307.84 EICOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iV:E;dS:CRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Ronda Reese ®IND Corporal 11.18 307.84 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 qaSnCCRaf Union member's dues received throe intermediary: ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Margo Rohrbacher BIND Civilian Supervisor 8.70 239.25 000M C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe qtintermedia afae Police Association, 1520 Fifth Avenue S Rafael CA 9490 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 53.42 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers perio�d1 � �A to whole dollars. 0 from 09/22/2013 through 10/19/2013 Page 4 2 _ of 55 NAME OF FILER I.D. 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) 09/30/2013 Margo Rohrbacher ® IND Civilian Supervisor 8.70 239.25 F] COM C/o: San Rafael Police Association F1 OTH 1520 Fifth Avenue r-1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throucfh intermedia rv:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Margo Rohrbacher nx IND Civilian Supervisor 8.70 239.25 []COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediary:qaSnNzafae1 Police Association, 1520 Fifth Avenue San Rafael, CA 94901 09/30/2013 Peggy Ruge nx IND Community Service Officer 8.70 239.32 000M C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member 's dues received throe gh intermediary: qaS:C(�af ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Peggy Ruge BIND Community Service Officer 8.70 239.32 DCOM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY E] City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaiy:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Peggy Ruge nx IND Community Service Officer 8.70 239.32 F] COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received thr2u�intermedia :L'APCRafaeL Police Association 1520 Fifth Avenue S Rafael, CA 9490� IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 43.50 L FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. Individual SCHEDULE A {CONT.} Wonetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA460 - Other e.., business entity) to whole dollars. Political Party SCC w-- Sell Contributor Committee from 09/22/2013 FORM through 1011912 013 Page 4 3 of 55 NANAE OF FILER I.D. NUMBER Ban Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.a. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/3012013 Thomas Sabido X IND Officer 11.18 307.84 ❑Com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 DC Union member's dues received through intermedia : `man Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 'Phomas Sabido X IND Officer 11.18 307.84 n CQM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 n C Union member's dues received through intermedia : `man Rafael Police Association 1520 Fifth Avenue San Rafael CA 9490 10,E 1512013 Thomas Sabido [Z IND Officer 11.18 307.84 o CoM C/o: San Rafael Police Association [:] OTH 1520 Fifth Avenue Qnn PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 09/30/2013 George Schikore nIND Officer 11.18 307.84 F-1 CCDM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTS San Rafael, CA 94901 Union member's dues received through intermedia : an afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 George Schikore [�X IND Officer 11.18 307.84 ❑ COM C/o: San Rafael... Police Association F] OTH City of Ban Rafael 1520 Fifth Avenue PTY San Rafael., CA 94901 Union member's dues received through intermedia : afae Police Association 1520 Fifth Avenue S n Rafael CA 94}0 SUBTOTAL. $ 55.90 r-____ - 'I *Contributor Codes IND - Individual COM -- Recipient Committee i (other than PTY or SCC) CH - Other e.., business entity) PT`` -- Political Party SCC w-- Sell Contributor Committee FPPC Form 460 (January/05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period AA to whole dollars. 0 1 OTH from 09/22/2013 PTY - Political Party SCC -- through 10Z19/2013 Page 4 4 _ of 55 NAME OFFILER I.D. NUMBER Sari Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 George Schikore Fx] IND Officer 11.18 307.84 ocom C/o: San Rafael Police Association F] CITH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Justin Schraeder N IND Officer 11.18 307.84 El COM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 F-1 ScC Union member's dues received through intermedia rv:--San Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Justin Schraeder IND Officer 11.18 307.84 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :`--fan Police AssociatiDn. 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Justin Schraeder ®IND Officer 11.18 307.84 F-1 COM C/o: San Rafael Police Association [:] OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 nn Union member's dues received through intermedia ry:E;dSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Wanda Spaletta IND Sergeant 11.18 307.84 F1 COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe intermedia :afsje Police Association, 1520 Fifth Avenue, S Rafael, CA _9490 IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -- Small Contributor Committee Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09/22/2013 FORM through 10/19/2013 Page 45 _ of 55 NAME OF FILER I.D. 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) 09/30/2013 Wanda spaletta nx IND Sergeant 11.18 307.84 FICOM C/o: San Rafael Police Association F] 1520 Fifth Avenue PTH PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:0SaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Wanda spaletta [3fl IND Sergeant 11.18 307.84 F1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:08,S:CCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Christopher Sweeney Fx_j IND Officer 11.18 307.84 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv: Tan Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Christopher Sweeney Fxj IND Of f icer 11.18 307.84 ncom C/o: San Rafael Police Association BOTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;aSnCCRaf Union member's dues received throu2'.11 intermedia ry: ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Christopher Sweeney Fx] IND Of f icer 11.18 307.84 F] COM C/o: San Rafael Police Association [] OTH 1520 Fifth Avenue Ej PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throe h intermedia jy:E�W;,af aeL Police Association.L 152�OFi�fth�Ayp_nue S n Rafael, CA 9494 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55.9 0 FPPC Form 460 (January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) � rt � i i owl - I'M 4#0 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 *Contributor Codes IND - Individual through 10/19/2013 Page 4 6 _ of 55 NAME OF FILER (other than PTY or SCC) OTH - Other (eg., business entity) I.D. NUMBER San Rafael Police Association Political Action Committee SCC - Small Contributor Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Charly Taylor INDCivilian Supervisor 8.70 239.32 FICOM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue n PTY City of San Rafael San Rafael, CA 94901 E-1 SCC Union member's dues received through intermediarv:--San Rafael Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Charly Taylor nx IND Civilian Supervisor 8.70 239.32 EICOM C/o: San Rafael Police Association QOTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia -rv:qanSc Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Charly Taylor nx IND Civilian Supervisor 8.70 239.32 EICOM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia ry:qaS:C�Zafael Police Association, 1520 Fifth Avenue,, San Rafael CA 94901 09/30/2013 Henry Tirre RIND Officer 11.18 307.84 EICOM C/o: San Rafael Police Association n OTH City of San Rafael 1520 Fifth Avenue E] PTY San Rafael, CA 94901 Union member's dues received through intermedia ry:E;aSnCRafael Police Association, 1520FifthAvenue, San Rafael, CA 94901 09/30/2013 Henry Tirre nx IND Officer 11.18 307.84 F-1 COM C/o: San Rafael Police Association Q OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 Union member's dues received throe h intermedia :[:�§�_�Ra�fae Police Association 152�O Fifth Avenue, S Rafael CA 9490� SUBTOTAL $ 48.46 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (eg., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 OTH from 09/22/2013 FORM Political Party SCC - through 10/19/2013 Page 4 7 _ of 55 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Henry Tirre nx IND Officer 11.18 307.84 FICOM C/o: San Rafael Police Association E] OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediarv:qaSnCCRafael Police Association, 1520 Fifth Avenue, an Rafael, CA 94901 09/30/2013 Michael Vergara N IND Sergeant 11.18 307.84 ncom C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue E] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iv:qaSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Michael Vergara nx IND Sergeant 11.18 307.84 F-1 COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia iy:E;aSnCiilafae1 Police Association, 1520 Fifth Avenue,, San Rafael, CA 94901 10/15/2013 Michael Vergara ®IND Sergeant 11.18 307.84 DCOM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 q Union member's dues received throuiri intermediary: aSnCRaf ael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Mark Wilkinson MIND Officer 11.18 207.04 F1 COM C/o: San Rafael Police Association n OTH City of San Rafael 1520 Fifth Avenue F] PTY San Rafael, CA 94901 Union member's dues received throw La Police Association 1520 Fifth Avenue, S Rafael, CA 9490� I IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 0 0 0 0 Statement covers period CALIFORNIA from 09/22/2013 FORM 460 through 10/19/2013 Page 48 of 55 - -Ki—AME OF FILER I.D. NUMBER San Raf ael Police Association Political Action Committee 831553 DATE RECEIVED 09/30/2013 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D.NUMBER) Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermedia _rv:qaSnCCRafael CONTRIBUTOR CODE nx IND [JCOM F1 OTH F1 PTY IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Officer City of San Rafael Police Association, 1520 AMOUNT RECEIVED THIS PERIOD 11.18 Fifth Avenue, San CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 207.04 Rafael, CA 94901 PER ELECTION TO DATE (IF REQUIRED) 10/15/2013 Mark Wilkinson Fxj IND Officer 11.18 207.04 F] COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue ] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia rv:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 E] IND n Com F-1 OTH ❑ PTY SCC F] IND [:] com E] OTH [] PTY El SCC E] IND [:] com E] OTH PTY SCC SUBTOTAL $ 22.36 *Contributor Codes IND - Individual CON! - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) bummary OT txpenaitures Type or print in ink. Statement covers period Supporting/Opposing Other Amounts may be rounded CALIFORNIA I 460' to whole dollars. Candidates, Measures and Committees from 09/22/2013 FORM SEE INSTRUCTIONS ON REVERSE through 10/19/2013 Page 49 of 55 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OR COMMITTEE -j-0/08/2013 Greg Bros an 250.00 250.00 Monetary City Council Member Contribution City of San Rafael, CA Nonmonetary Contribution E] Independent FRI Support Oppose Expenditure 10/01/2013 Kate Colin nx Monetary 3,000.00 7r889.00 Contribution City Council Member City of San Rafael, CA ❑ Nonmonetary Contribution Independent Support Oppose Expenditure 10/10/2013 Kate Colin Mailer including 4r889.00 7r889.00 Monetary production and post�Lge in Contribution su�port of Kate Colin for Ci y Council. City Council Member City of San Rafael, CA Nonmonetary Contribution Independent Support Oppose Expenditure SUBTOTAL $ 8r139.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ......................................................... $ q 11 q I III I 1 11 11 � I I � I iiri'I�Iiiii 1 1 11 M=111� I � 16,028.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule D ontinuation Sheet) 3 Summary of Expenditures Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 Supporting/Opposing Other 09/22/2013 FORM from Candidates, Measures and Committees through 10/19/2013 Page 50 of 55 — NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 NWWW DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OR COMMITTEE 10/01/2013 Maribeth Bushey -Lang 3f444.40 7f889.00 f-xl Monetary City Council Member Contribution City of San Rafael, CA F1 Nonmonetary Contribution Independent Support ❑ Oppose Expenditure 10/10/2013 Maribeth Bushey -Lang mailer including 4r889.00 71889.00 Monetary production and postage City Council Member Contribution in support of Maribeth Bushey -Lang for City City of San Rafael, CA Nonmonetary Councl Contribution nX Independent Support ❑ Oppose Expenditure Monetary Contribution Nonmonetary Contribution F1 Independent F1 Support Oppose Expenditure Monetary Contribution Nonmonetary Contribution E] Independent E] Support Oppose Expenditure SUBTOTAL $ 71889.00 FPPC Form 460 January 05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Made SEF_ INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09/22/2013 through 10/19/2013 E0110111*9 Page 51 of 55 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 PUL polling and survey research TRS staffispouse 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) grockbank for City Council 2013 (#1355049) 35 St. Francis Lane San Rafael, CA 94901 Freeman Public Affairs, Inc. CODE OR DESCRIPTION OF PAYMENT CTB I IND mailer including production and postage in support of Kate I Colin for San Rafael City Council 2013. 1405 Marcelina Avenue, Suite 111 Torrance, CA 90501 Freeman Public Affairs, Inc. IND Mailer including production and postage in support of Maribeth Bushey -Lang for San Rafael City Council 2013. 1405 Marcelina Avenue, Suite 111 Torrance, CA 90501 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................ .................................... ........ ........ $ 2. Unitemized payments made this period of under $100 ................................................................... ................. ....... .......... .............. ...... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .......... .............................................. ......... .......... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) . .......... ..... TOTAL $ XMIT03=2 AfTC#4_R_F_PA_U sprig Q'IMI 16fO28.00 0.00 0.00 16,028.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. M Statement covers period 09/22/2013 SEE INSTRUCTIONS ON REVERSE through 10/19/2013 Page 52 of 55 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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) Schedule F Type or print in ink. Amounts may be rounde'j ' Accrued Expenses (Unpaid Bills) to whole dollars. �8=111 10 10019 WINII 9 1501 ILI W Statement covers period from 09/22/2013 through 10/19/2013 _ I Page 53 of 55 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CKAP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants IVITG 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 FRED fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR(a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD The Henry Levy Group PRO 0.00 1, 6 2 4. 8 5 0.00 1, 6 2 4. 8 5 5940 College Avenue Oakland, CA 94618 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 1f624.85 $ 0.00$ 1 f 6 2 4, 8 5 0041"WOR04114 OrQ 1163,016�fffl HOME! 2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ M 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ........... ......... ............. ........ ........ ....... ...... ............ NET $ 1,624.85 May be a negative number FPPC Form 460 (January/05) Schedule G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee NAME OF AGENT OR INDEPENDENT CONTRACTOR Freeman Public Affairs, Inc. Statement covers period from 09/22/2013 through 10/19/2013 SCHEDULE Page 54 of 55 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants IVTG meetings and appearances RFD returned contributions CT13 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 PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 4r8OO.00 Do not transfer to any other schedule oro the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule I Tvnp nr nrint in ink SCHEDULE Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0.00 Schedule I Summary 1. Itemized increases to cash this period . ............................................................................................ .......................... $ 0.00 2. Unite rnized 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 Summary Page, Line 14.) ......... .................. ............. ................... .................................. TOTAL $ M IMI M FPPC Form 460 (January 05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)