Loading...
HomeMy WebLinkAboutForm 460 - Police Association PAC (2013-10-19) AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from - 09/22/2013 through 10/19/2013 Date of election if applicable: (Month, Day, Year) 11/05/2013 Page Of 3 9 For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: F] Officeholder, Candidate Controlled Committee n Primarily Formed Ballot Measure Preelection Statement n Quarterly Statement 0 State Candidate Election Committee Committee Semi-annual Statement ® Special Odd -Year Report 0 Recall 0 Controlled ® Termination Statement E] Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 (Also Complete Part 6) Amendment (Explain below) General Purpose Committee 0 Sponsored Primarily Formed Candidate/ Member dues mistakenly double entered. 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, under penalty of perjury under the laws of the State of California that the foregoing is ti Executed on 10/28/2013 By Date Executed on 10 / .8/2Q12 By Date Executed on Date Executed on Date www.netfile.com 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 ms - Rt-acOwens MAILING ADDRESS 5940 College Avenue CITY STATE ZIP CODE AREA CODE/PHONE Oakland, CA 94618 OPTIONAL: FAX/ E-MAIL ADDRESS . . I I . - -- -1 --- L1 - - - - - - t- _J :_ I 1 14; 1Ut1and complete. certify ����kyj 5 �#JgNmi By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California f 4 ! o A CALIFORNIA .. . - 460 FORM 5, Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES Q NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE www.netfile.com Page 2 of 3 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION C] SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7, Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Farm 460 (January/05) FPPC Tall -Free Helpline. 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee Contributions Received Column A TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 1,609.16 $ Statement covers period from 09/22/2013 through Column B CALENDAR YEAR TOTALTO DATE 20,361.44 2. Loans Received ...................................................... Schedule B, Line 3 0.00 0.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 1,609.16 $ 20,361.44 4. Nonmonetary Contributions .................... ............... Schedule C, Line 3 0.00 0.00 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $ 1,609.16 $ 20,361.44 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 $ 16,028.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 1,624.85 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 11. TOTAL EXPEN DITU RES MADE ................................ Add Lines 8 + 9 + 10 $ 17,652.85 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 43,177.5-9-17 13. Cash Receipts ................................................... Column A, Line 3 above 1,609.16 14. Miscellaneous Increases to Cash .................... _ . Schedule 1, 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 $ 28,759.01 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................. ........ Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18, Cash Equivalents ................................ _... .. See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 1,624.85 R 23,639.05 0.00 $ 23,639.05 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). 10/19/2013 Page 3 of 39 I.D. NUMBER 831553 .-alendar Year Summary for Candidates Cunning in Both the State Primary and 3eneral Elections 1/1 through 6/30 7/1 to Date !0. Contributions Received $ $ !1. Expenditures Made $ Expenditure Limit Summary for State .Pandidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) J $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) We= MT Statement covers period ERRO CALIFORNIA A, C A SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee from MEN909M through 10/19/2013 1 Page 4 of 39 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 Elisha Adams ®IND Officer 11.17 296.61 r-1 COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 C_ Union member's dues received through intermedia 2'V:IqSCan RafaEl Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 10/15/2013 Elisha Adams nx IND Officer 11.17 296.61 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 n Union member's dues received through intermedia2'V: Sscan Rafa El Association, 1520 Fifth Avenue, SZLn Rafael, CA 94901 09/30/2013 Raul Aguilar nx IND "Police Sergeant 11.17 296.61 n COM 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 NYQNC�afael Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 10/15/2013 Raul Aguilar FX -1 IND Sergeant 11.17 296.61 COM C/o: 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 ry:EINCilafaEl Police Association, 1520 Fifth Avenue, S Rafael, CA 94901 09/30/2013 Anthony Augustyn ®IND Officer 11.17 296.61 F1 COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue ❑PTY ,Union San Rafael, CA 94901 member's dues received through intermedia 4y:EAPCCafadl Police Association, 152d Fifth Avenue, Sin Rafael, CA 949dl 85 SUBTOTAL$ 55. Schedule A Summary 1. Amount received this period — itemized monetary contributions. (include all Schedule A subtotals.) ........................................................................................................ $ 1,515.14 EMEM#eriod — unitemized monetary contributions of less than $100 ............... ............. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 1,609.16 PPC Form 46 0 (January/081n] PC Toll-Free Helpline: 866/ASK-FPPC (8661275-3774 IND - Individual Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party scc_ - Si Lfffte- Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary GontributionS Received Amounts may be rounded Statement covers period t0 whole dollars. from 0912212013 through 10/19/2013 Page 5 of 39 NAME OF FILER I.D. NUMBER 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 Anthony Augustyn ❑X IND Officer 11.17 296.61 ❑ COM C/o: San Rafael Police Association ® OTH 1520 Fifth Avenue © PTY City of San Rafael San Rafael, CA 94901 member's dues received throu h intermedia qSCCUnion afae Police Association 1520 Fifth Avenue San Rafael CA 94901 09/30/2013 Blair Auld ®IND Officer 11.17 296.61 ❑ 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 :`";an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Blair Auld RIND Officer 11.17 296.61 ❑ 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 intermediazy:qaSnCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 / James Bellamy X IND Of 11.17 296.61 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PT(Y� City of San Rafael San Rafael, CA 94901❑ Union member's dues received through intermedia :qan �Zafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2013 James Bellamy RX IND Of f icer 11.17 296.61 Q 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 afaell Police Association 1520 Fifth Avenue S n Rafael CA 9490 Codes IND—individual RecipientCommittee (other than PTY or SCC) OTH — Other • # business PTYPoliticalParty SCC — Small Contributor SUBTOTAL i s s FPPC Form 460 (January/05) FPPC Tull -Free Helpline: 866/ASK-FPPC (8661275-3772) Lei i III i j Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 49/2212013 FORM through 14 / 19 I2 O L 3 Page 6 of 39 NAME OF FILER I.D. NUMBER 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 OF 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 IC/o: R IND Corporal 11,17 296.61 ❑COM San Rafael Police Association ❑ CO 1520 Fifth Avenue ®PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :`man Rafae Police Association 1524 Fifth Avenue San Rafael CA 9494 14/15/2413 Todd Berringer RIND Corporal 11.17 296.61 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ® PTY City of San Rafael San Rafael, CA 94901 ((��jj Union member's dues received through intermedia :`-fan Rafael Police Association 1524 Fifth Avenue San Rafael CA 9494 09/30/2013 / Geoffrey Bowker ®IND Officer 11.17 296..61 [I 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 :`;anRafae Police Association 1520 Fifth Avenue San Rafael CA 9494 10/15/2413 Geoffrey Bowker X IND Of f icer 11.17 296.61 R 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 throu h intermedia :`- anRafae Police Association, 1524 Fifth Avenue, San Rafael, CA 9494 09/30/2413 Lynne Bracken RIND Records Clerk 8.69 230.54 ❑ 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 ' ���� afae Police Association 1524 Fifth Avenue S n Rafael CA 9494 *Contributor Codes ! - Individual (otherCOM — Recipient Committee PTY or SCC) ! !(e.g., business entity) PartyPTY — Political • wwwxetfile.com SUBTOTAL$ 53.37§ FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (6661275-3772) Schcmdule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary t ontrlbutlonS Kecelved Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09122,[2013 FORM through 1011912013 Page i of 39 NAME OF FILER I.D. NUMBER 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 Lynne Bracken Fx� IND Records Clerk 8.69 230.50 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94 901 member's dues received throw h intermdia e qSCCunion :RafaelPolice Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Michael Byers nIND Corporal 11.17 296.61 ❑ 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 throw h intermedia qaSnCCRaf : ae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 / Michael Byers QX IND Corporal 11.17 296.61 M ❑ 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 ` :�anRafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Shelly Cade x IND Dispatcher P 8.69 230.50 ❑ 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 q s anaR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2013 Shelly Cade ®IND Dispatcher 8.69 230.50 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 ���� `afae Police Association 1520 Fifth Avenue S n Rafael CA 94901l *Contributor Codes IND - Individual Recipient (otherPTY or SCC) OTH — Other # business :PoliticalParty CaildbilAiLaicituitit SUBTOTAL $ 1 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in inks SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09Z22/2013 FORM through 10 l 19 Z2 013 Page 8 of 39 NAME OF FILER I.D. NUMBER 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 Joseph Camins ® IND Officer 11.17 296.61 ❑ COM C/o: San Rafael Police Association �OTH 1520 Fifth Avenue [] PTY City of San Rafael San Rafael, CA 94901 member's dues received throw h intermedia qSCCUn'on : an Police Association 1520 Fifth Avenue , n Rafael CA 9490 10/15/2013 Joseph Camins � IND Officer ---S, 11.17 296.61 ❑ 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 :`-`fan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 David Casalnuovo ❑X IND Officer 11.17 296.61 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY ❑� P City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :Dan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 David Casalnuovo FX -1 IND Officer 11.17 296.61 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 :` anRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Allan Castaneda nIND Officer 11.17 296.61 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia `� afae Police Association 1520 Fifth Avenue 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 (8651275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions deceived Amounts may be rounded Statement covers period e � � � to whole dollars. 1 from 49/22/2413 ��. . through 10/19/2013 Page 9 of 39 NAME OF FILER I.D. NUMBER 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 Ilan CasLaneda x IND Officer 11.17 296.61 R COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 j�j Union member's dues received through intermedia :`-San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9494 09/30/2013 Edward Chiu RIND Officer 11.17 296.61 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94941 ((�� Union member's dues received through intermedia :`5an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Edward Chiu ❑x IND Officer 11.17 296.61 ❑ 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 intermediaxy:OodSnCRafael Police Association 1520 Fifth Avenue San Rafael CA 9494 09/30/2413 Robert Cleland X IND Officer 11.17 295.61 R COM C/o: San Rafael Police Association n OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 9490.❑}} Union member's dues received throe h intermedia : `--fan Rafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9494 14/15/2013 Robert Cleland QIND Officer 11.17 296.61 ❑ 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 :Q afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 `Contributor Codes ! — Individua ! Recipient Cs (other OTH — Other "` • business ■r TY — Political Party tCaftfribut If.� SUBTOTAL ` s s 1=PPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-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 to whole dollars. CALIFORNIA 460 from 09/2222013 FORM through 10/19/2013 Page 10 Of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831.553 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 Fx� IND Sergeant 11.17 296.61 [:] Com C/o: San Rafael Police Association Q OTH 1520 Fifth Avenue R PTY City of San Rafael San Rafael, CA 94901 [;SCC Union member's dues received through intermedia ax an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Christopher Coale Rx IND Sergeant 11.17 296.61 F-1 COM C/o: San Rafael Police Association F] OTH 1520 Fifth Avenue F1 PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:[;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lori Coen Rx IND Records Clerk 8.69 230.50 RCOM 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 intermediaxy:E;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lori Coen RX IND Records Clerk 8.69 230.50 000M C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue City of San Rafael San Rafael, CA 94901❑PTY Union member's dues received throug�i intermedia dy:E;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Eric Cogbill RX IND Officer 11.17 296.61 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 �nion member's dues received through intermediady:Q29(:�afae1l Police Association, 1520 Fifth Avenue, Sin Rafael.,L CA 9490L *Contributor Codes IND — Individual I COM — Recipient Committee (other than PTY or SCC) #TH — Other (e.g., business entit PTY — Political Party SCC — Small Contributor Committel SUBTOTAL $ 50.89_ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. I 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 11 Of 39 - NAME OF FILER I.D. NUMBER 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 Eric Cogbill Rx IND Officer 11.17 296.61 R COM 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 xv:E San Police Association. 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Ryan Cogbill Rx IND Corporal 11.17 296.61 R 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 intermediaiy:qanCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Ryan Cogbill Rx IND Corporal 11.17 296.61 r-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 intermediazy: qan RPolice Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Thomas Collins RIND Officer 11.17 296.59 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia iy: anqscR afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Thomas Collins RIND Officer 11.17 296.59 RCOM 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�V:Q§P�Zafaell Police Association, 1520 Fifth Avenue SIn Rafael, CA 9490L *Contributor C••- • • dedivid COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 55.85 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) NAME OF FILER San Rafael Police Association Political Action Committee Type or print in ink. Type Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period from 09/22/2013 through 1011912 013 I Page 12 _ of 39 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 Antonette Cook fX_� IND Dispatcher 8.69 230.50 F1 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 j� Union member's dues received through intermediaxy: E;aSnCCRafael Police Asgociation, 1520 Fifth Avenue, San Rafael. CA 94901 10/15/2013 Antonette Cooknx IND Dispatcher 8.69 230.50 ncom C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 CC Union member's dues received through intermedia yy:qaSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Jaime Correa nx IND Sergeant 11.17 296.59 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 intermediax-y:[;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Jaime Correa nx IND Sergeant 11.17 296.59 ncom C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 saRafae member's dues received through intermedia zy: qUnion an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Ryan De Marta ®IND Officer 11.17 296.59 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue❑ PTY City of San Rafael San Rafael, CA 94901 1Union member's dues received through intermedia&:Q§i9CZafae1l Police Association, 1520 Fifth Avenue, Sin Rafael, CA 94901l *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) #TH — Other (e.g., business entity) PTY — Political Party lt•uffmfte_ SUBTOTAL $ 50.89 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 13 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF 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 Ryan De Marta X IND Officer 11.17 296.59 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue [� PTY City of San Rafael San Rafael, CA 94941 member's dues received throe h intermedia qSCCpion : an Police Association 1520 Fifth Avenue S n Rafael CA 9490 09/30%2013 Christian Diaz BIND Officer 11.17 296.59 R COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 �jSCC Union member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Christian Diaz RIND Officer 11.17 296.59 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 :`-San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09%30/2013 Christopher Duncan RX IND Officer 11.17 296.59 ❑ COM C/o: San Rafael Police .Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901q Union member's dues received throe h intermedia : anRafae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2013 Christopher Duncan ❑X IND Officer 11.17 296.59 R 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 intermediab:Q�P�Zafaell Police Association 1520 Fifth Avenue SL Rafael CA 9490 *Contributor Codes Individual ! Recipient Cs (other than PTY or ! Other Political SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline. 866/ASK-FPPC (6661275-3772) 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 0912212013 .O. through 10119/2013 Page 14 of 39 NAME OF FILER I.D. NUMBER 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 Scott Eberle IC/o: BIND Sergeant 11,17 290.59 ❑COM San Rafael Police Association F] OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 member's dues received throu h intermedia qonion :an Rafae Police Association. 520 Fifth Avenue San Rafael CA 9490 10/15/2013 Scott Eberle � IND Sergeant 11.17 296.59 R COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 j�jSCC Union member's dues received through intermedia :`;an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Christopher Fuller ❑X IND Police Officer 11.17 296.60 ❑ 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 intermediaxv:qanCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Christopher Fuller [x IND Police Officer 11.17 296.60 CI 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 throu h intermediaxy:qaSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Salvatore Garanzini ❑X IND Officer 11.18 296.64 R 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 afaell Police Association 1520 Fifth Avenue S n Rafael CA 9490 ..- r RecipientCommittee (otheror OTH Other (eg., business Political Party _. SUBTOTAL $ 55.86 FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 09/2212013 through 10/19Z2013 I Page 15 _ of 39 • 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 Salvatore Garanzini ❑IND Officer 11.18 296.64 r-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 intermediazy:[WRCRafael Police Association. 1520 Fifth Avenue ,_agn Rafael, CA 94901 09/30/2013 Michael Garrison nx IN® Officer 11.18 195.84 n Com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia y:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Michael Garrison RIND Officer 11.18 195.84 ncom C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 E; Union member's dues received through intermediaxy:aSAC(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Justin Graham nx IND Officer 11.18 296.64 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 throw intermediaxy:1;aSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Justin Graham [_Xj IND Officer 11.18 296.64 Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San San Rafael, CA 94901 member's dues received through intermedia�V:QW�Rafaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entit PTY — Political Party SCC — Small Contributor Committe'l 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 to whole dollars. CALIFORNIA 460 from 09 2212013 FORM through 10/19Z2013 Page 16 _ of 39 NAME OF FILER I.D. NUMBER 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 Julie Griffith ®IND Records Clerk 8.70 230.53 ❑ com C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SCCl member's dues received through intermediary: qUnion an Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Jul ie Griffith rx-1 IND Records Clerk 8.70 230.53 RCOM C/o: San Rafael Police Association ❑OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 nion member's dues received through intermedia xy:E4aSnCCZafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lori Hendricks [Z IND Dispatcher 8.70 230.53 El COM C/o: San Rafael Police Association 0 OTH 1554 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94935 Union member's dues received through intermedia xy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lori Hendricks RX IND Dispatcher 8.70 230.53 RCOM C/o: San Rafael Police Association R OTH 1554 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94935 Union member's dues received through intermedia xy:qaSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Robert Henkle RX IND Officer 11.18 296.64 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 &:Q§P�Zafae1l Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) Other business enti PTY — Political Party SCC — Small Contributor Committel SUBTOTAL $ 45.98 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 1 Monetary Contributions GCelrk Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 from 09122/2013 FORM through 10/19/2013 Page 17 of 39 NAME OF FILER I.D. NUMBER 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 Robert Henkle R IND Officer 11.18 296.64 ❑COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue F] PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :``fan Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 09/30/2013 J. Alexander Holm ❑ IND Officer 11.18 296.64 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ® PTY City of San Rafael San Rafael, CA 94901 nn Union member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 J_ Alexander Holm ®IND Officer 11.18 296.64 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 intermediazy:qanCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30%2013 Lisa Holton ❑ X IND Sergeant g 11.18 296.64 ❑ COM C/o: San Rafael Police Association R OTH 1520 Fifth Avenue ❑PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaxy:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2013 Lisa Holton ®IND Sergeant 11.18 296.64 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 nion member's dues received through intermedia&:QP;afae1l Police Association 1520 Fifth Avenue SL Rafael CA 9490 *Contributor Codes Individual Recipient* ee (other than PTY or SCC) OTH — Other • business • Political • • . _- SUBTOTAL $ 55.90 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8551ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in inks SCHEDULE A (CONT:) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars.460 CALIFORNIA from 09/2212013 FORM through 10/19/2013 Page 18 of 39 NAME OF FILER I.D. NUMBER 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 Kyle Hornstein ❑X IND Corporal 11.18 295.64 El COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ® PTY City of San Rafael San Rafael, CA 94901 SCC E; member's dues received through int media :`-5an R.afae Police Association 1520 Fifth. Avenue San Rafael CA 9490 10/15/2013 Kyle Hornstein RIND Corporal 11.18 296.64 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SCCnion member's dues received throe h intermedia q :an Raf ael Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Carl Huber RIND Corporal 11.18 296.64 R COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 nion member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Carl Huber RIND Corporal 11.18 296.64 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PT[Y; City of San Rafael San Rafael, CA 94901 {� Union member's dues received through intermedia :';an �2afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Eric Huot RIND Officer 11.18 296.64 COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94 901 Union member's dues received through intermediax1y:Q§iY(;,afae1l Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes IND—individual ! Recipient Committee r n PTY or SCC) OTH — Other (e.g., * business entity) Political r i r Small Contributor SUBTOTAL $ 55. 90 I=PPC Form 460 (January/05) FPPC Tall -Free Helpline: 8661ASK-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 CALIFORNIA to whole dollars. 460 from 09Z22/2013 FORM 1 through 10119Z2013 Page 19 - of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Eric Hunt RIND Officer 11.18 296.64 El COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 r'*C I Union member's dues received through intermediaxy:qaSn' Rafael Police Association, 1520 Fifth Avenue, S n Rafael, CA . 94901 09/30/2013 Scott Ingels RIND Corporal 11.18 296.64 R COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 FI Union member's dues received through intermedia iv: SanSCRafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Scott Ingels RIND Corporal 11.18 296.64 R 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 xy:qanCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Lynette Keller RX IND Community Service Officer 8.70 230.53 R COM 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 xy:[;anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Lynette Keller RX IND Community Service Officer 8.70 230.53 R com C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 pion member's dues received through intermedia afore Police Association, 1520 Fifth Avenue SIn Rafael, CA 9490� *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SUBTOTAL$ 50.94 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 I CALIFORNIA to whole dollars 460 from 09/2212013 e • through 10/1912013 Page 20 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE '* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 09/30/2013 Rebecca Kuga � IND YSB Supervisor 8.70 230.53 ❑ COM C/o: San Rafael Police Association OTH 1524 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 F� Union member's dues received through intermedia :``SanRafae Police Association 1520 Fifth Avenue San Rafael CA 94901 10/15/2013 Rebecca Kuga X IND YSB Supervisor 8.70 230.53 [I 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 :qan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Marc Laplante BIND Officer 11.18 296.63 ❑ 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 :(��an Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Marc Laplante RIND Officer 11.18 296.63 R COM C/o: San Rafael Police Association ❑ DTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 (; Union member's dues received through intermedia -man �2:`afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Kimberly Larkey RIND Officer 11.18 296.63 COM C/o: San Rafael Police Association OTH City of San Rafael 1520 Fifth Avenue ❑ PTY Sari Rafael, CA 94901 I�i1R Union member's dues received through intermedia .LLss Ing' afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes IND — Individual COM Recipient Committee (otheror OTH — Other (e.g., ContributorPTY — Political Party SCC — Small • SUBTOTAL $ 50.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 09122/2013 FORM through 10/19/2013 Page 21 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Kimberly Larkey Rx IND Officer 11.18 296.63 F-1 Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 SCC union member's dues received through intermedia xv:-15an Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 09/30/2013 Anndora Lee Rx IND Dispatcher 8.70 230.53 R Com C/o: San Rafael Police Association M OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia xy:qanSC Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Anndora Lee Rx IND Dispatcher 8.70 230.53 RCOM 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 xy:E;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Rogelio Leon ❑ IND Sergeant 11.18 296.63 ❑ COM C/o: San Rafael Police Association F] OTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 Union member's dues received throu2h intermediaiy:E;anC(�afael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Rogelio Leon RIND Sergeant 11.18 296.63 EICOM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 Union member's dues received through intermedia&:QW:�afaeIl Police Association, 15201 Fifth Avenue, S 1 Rafael, CA 949011 1 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party Small Contributor Committee L SUBTOTAL$ 50.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE+ RType or print in ink. Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 09/2212013 . through 10/19/2013 page 22 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Kevin Macdougall X IND Officer 11.18 296.64 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 [;SCC [ Union member' dues received through intermedia :`-San Police Association 1520 Fifth .Avenue San Rafael CA 9490 10/15/2013 Kevin Macdougall X IND Officer 11.18 296.64 R COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue Q PTY City of San Rafael San Rafael, CA 94901 nn nion member's dues received through intermedia :`man Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Michael Mathis RIND Corporal 11.18 296.64 ❑ 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 :�anRafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Michael Mathis FIND Corporal 11.18 296.64 ❑ COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 nn {� nion member's dues received through intermedia :`man � afae Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Kelly Mauel ®IND Records Clerk 8.70 230.55 ❑ COM C/o: San Rafael Police Association ❑ OTH City Of San Rafael 1.520 Fifth Avenue ❑ PTY San Rafael, CA 94901. Union member's dues received through intermedia�V:Q§PCRafaell Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes Individual Recipient (other. or ! Other • business PTY — Political Party -. SUBTOTAL$ 53.42 FPPC Fora 460 (January/05) FPPC Toll -Free Helpline: 8561ASK-FPLC (8681275-3772) 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 from 09/22Z2013 through 1011912013 page 23 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 a DEC. 31) (IF REQUIRED) OF BUSINESS) 10%15%2013 Kelly Mauel x IND Records Clerk 8.70 230.55 ❑ COM C/o: San Rafael Police Association ❑ (STH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 jn�j pion member's dues received through intermedia Rafae :`-San� Police Association 1520 Fifth Avenue S n Rafael CA 9490 09%30/2013 Abigail Mcelderry X ❑ IND Dispatcher 8.70 230.55 ❑ 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 throw h intermedia :`'San Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 10/15/2013 Abigail Mcelderry ❑x IND Dispatcher 8.70 230.55 ❑ 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 intermediaiy:E;dSnCRafae1 Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Phillip Melodia x IND Officer 11.18 296.66 ❑ COM 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 intermediaiy:E;aSnRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15%2013 Phillip Melodia RIND Officer 11.18 296.66 Q COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue [� PTY San Rafael, CA 94901 r+ Union member's dues received through intermedia afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor •d - !Individual Recipient.. (other OTH Other f business Political Party Cottributor Cottinittee SUBTOTAL j 8.46 I`PPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (6661275-3772) 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. 46 0 from 09/22/2013 FORM through 10/19/2013 Page 24 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 ® DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Beth Minka Fx� IND Administrative Technician 8.70 230.55 EICOM 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 intermediaxy; anqSCRafae l Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 10/15/2013 Beth Minka R IND ... Administrative Technician 8.70 230.55 F COM C/o: San Rafael Police Association F OTH 1520 Fifth Avenue F PTY City of San Rafael San Rafael, CA 94901 FISCC Union member's dues received through intermediary: :`San Rafael Police Association,, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Jorge Navarro RIND Evidence Technician 8.70 230.55 FCOM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue Fj PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermediaxy:qdSPRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Jorge Navarro BIND Evidence Technician 8.70 230.55 F COM C/o: San Rafael Police Association R OTH City of San Rafael 1520 Fifth Avenue F PTY San Rafael, CA 94901 Union member's dues received through intermedia y:EAnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Alexis Nielsen BIND Dispatcher 8.70 230.55 RCOM C/o: San Rafael Police Association F OTH City of San Rafael 1520 Fifth Avenue F� PTY San Rafael, CA 94901 Union member's dues received through intermedia4V:Q§P(;,afae1l 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 $ 43.50 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) 'k 1.7 ro OR A7 -ea meffam 0 7�wn z Rremwml Wak., 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 09/2212013 through 10/19/2013 Page 25 _ of 39 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JW 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Alexis Nielsen rX-1 IND Dispatcher 8.70 230.55 ® 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 intermediaxy: qSCC an Rafael Police Association, 1520 Fifth Avenue, S n Rafael, CA 94901 09/30/2013 Leslie O'Toole [Z IND Officer 11.18 296.66 RCOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw intermedia xy:E;aSnCCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Leslie O'Toole RIND Officer 11.18 296.66 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 xy:qdSnCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Meaghan Pang RX IND Dispatcher 8.70 230.55 RCOM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue PTY City of San Raphael San Rafael, CA 94901 Union member's dues received throw intermediazyJ;aSnRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Meaghan Pang RX IND Dispatcher 8.70 230.55 ❑ Com C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Raphael San San Rafael, CA 94901 member's dues received through intermediaJy:Q29(;�afaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490k *Contributor 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-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 CALIFORNIA to whole dollars. 4 60 from 09/22Z2013 FORM through 10/19Z2013 Page 26 of 39 - NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO ENTER I.D. NUMBER) , CO®E OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Nicola Pata ❑IND Dispatcher 8.70 230.55 ❑ 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 xy:qanCCRafael Police Association. 1520 Fifth Avenue, S n Rafael CA 94901 10/15/2013 Nicola Pata nx IND Dispatcher 8.70 230.55 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 iv:qanSC Rafae l Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Brian Patterson ®IND Officer 11-18 296.66 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 intermediaxy:qdSnCRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Brian Patterson nX IND Officer 11.18 296.66 n COM 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 intermediaxy:E;anCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Buffy Paxson nX IND Officer 11.18 296.66 COM C/o: San Rafael Police Association ❑ OTH City ©f San Rafael 1520 Fifth Avenue ❑ PTY San Rafael, CA 94901 Union member's dues received through intermediJy:Q§Ff(;ZafaeL Police Association, 1520 Fifth Avenue, S Rafael, CA 9490� Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party RCC — Siiiall Caistributor Cotuitittee SUBTOTAL $ 50.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may �e rounded Statement covers period CALIFORNIA to whole dollars. 460: from 09/2212013 FORM through 10/19/2013 page 27 of 39 NAME OF FILER I.D. NUMBER 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 Buffy Paxson X IND Officer 11.18 296.66 ® COM C/o: San Rafael Police Association ® OTH 1524 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 member's dues received throe h intermedia qSCCUnion : an Police Association 1520 Fifth Avenue , --S n Rafael CA 9490 09/30/2013 Aaron Piombo X ❑ IND Officer 11.18 296.66 ® 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 :`Aan Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Aaron Piombo OIND Officer 11.18 296.66 ❑ 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 : `San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Dennis Prince BIND Officer 11.18 296.66 R 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 intermediaiy:E;anRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2013 Dennis Prince RIND Officer 11.18 296.66 ❑ 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 . afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes Individual • Recipient # # `: ` (otheror • # business Political SCC — Small Contributor • `_ www.netfile.ccs SUBTOTAL$ 55.90 FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 8661ASK-FPPC (8651275-3772) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 09/22/2013 • RM through 10/19/2013 Page 28 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE 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) (IF CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Ronda Reese RIND Corporal 11.18 296.66 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 �j Union member's dues received through intermedia :`-San Rafae Police Association 1520 Fifth Avenue S n Rafael CA 9490 10/15/2013 Ronda Reese X oral Corporal P 11.18 296.66 ❑ COM C/o: San Rafael Police Association ❑ OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 j� SCC Union member's dues received through intermedia : `'San Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Margo Rohrbacher RIND Civilian Supervisor 8.70 230.55 ❑ COM C/o: San Rafael Police Association [� OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 (�j Union member's dues received through intermedia :`-San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Margo Rohrbacher XIND Civilian Supervisor p 8.70 230.55 R COM 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 intermediaxy:E;anRafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 09/30/2013 Peggy Ruge RIND Community Service Officer 8.70 230.62 R 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 through intermedia afaell Police Association 1520 Fifth Avenue S n Rafael CA 9490 *Contributor Codes E - Individua Recipient ®. (other. PTY or Other s business PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 48.46 FPPC Farm 460 (January/05) FPPC Tull -Free Helpline: 866/ASK-FPPC (866/275-3772) NAMEOFFILER San Rafael Police Association Political Action Committee Type or print in ink. Amounts may be rounded to whole dollars. I T-001: I a -bill Statement covers period from 09/22Z2013 through 10/19Z2013 I Page 29 _ of 39 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) 10/15/2013 Peggy Ruge FX_� IND Community Service Officer 8.70 230.62 r] 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 zy:qaSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 - 09/30/2013 Thomas Sabido Rx IND Officer 11.18 296.66 RCOM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 E;SCC Union member's dues received through intermediaxv: an Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Thomas Sabido [IND Officer 11.18 296.66 RCOM 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 intermediJy:E;anIilafae1 Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 George Schikore RX IND Officer 11.18 296.66 F-1 COM 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 intiermedia y:E;aSPRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 George Schikore ®IND Officer 11.18 296.66 R Com 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 intermediady:QW;Zafaell Police Association, 15201 Fifth Avenue, S Rafael, CA 9490L *Contributor 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) An 111 1111 ��i� 1111111L� � I l�� III Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601 from 09122/2013 FORM 11 through 10/19/2013 Page 30 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2013 Justin Schraeder Fx IND Officer 11.18 296.66 r-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 intermedia xy:E;aSnCCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Justin Schraeder Fx IND Officer 11.18 296.66 El COM C/o: San Rafael Police Association F-1 OTH 1520 Fifth Avenue ❑ PTY city of San Rafael San Rafael, CA 94901 F_1SCC Union member's dues received through intermediaxy: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Wanda Spaletta [_jIND Sergeant 11.18 296.66 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 intermediaxy:qanCRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2013 Wanda Spaletta Fx IND Sergeant 11.18 296.66 FCOM C/o: San Rafael Police Association F OTH City of San Rafael 1520 Fifth Avenue PITY San Rafael, CA 94901 Union member's dues received throw intermedia zy:E;aSnC�Zafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2013 Christopher Sweeney FIND Officer 11.18 296.66 EICOM 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 through intermediady:QW�Rafaell Police Association, 1520 Fifth Avenue, S Rafael, CA 9490L *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party 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 CALIFORNIA to whole dollars. 460 from 0912212013 O RM through 10/19/2013 Page 31 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * {IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2013 Christopher Sweeney Rx IND Officer 11.18 296.66 ❑ COM C/o: San Rafael Police Association ® OTH 1520 Fifth Avenue T PTY City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :`-San Rafae Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Charly TaylorIND X T Civilian Supervisor P 8.70 230.62 ❑ COM C/o: San Rafael Police Association ® OTH 1520 Fifth Avenue T PTY City of San Rafael San Rafael, CA 94901 Union member's dues received throw h intermediaxv:E;aSnCCRafae1 Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15/2013 Charly Taylor RIND Civilian Supervisor 8.70 230.62 ❑ COM C/o: San Rafael Police Association ® OTH 1520 Fifth Avenue ❑ PTY City of San Rafael San Rafael, CA 94901 nion member's dues received through intermediaxy:E;anCRafael Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Henry Tirre XIND ❑ Officer 11.18 296.66 F j COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue [-1 PTY San Rafael, CA 94901 Union member's dues received throw h intermediazy:E;aSnRafael. Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 10/15/2013 Henry Tirre [fix IND Officer 11.18 296.66 COM C/o: San Rafael Police Association ❑ OTH City of San Rafael 1520 Fifth Avenue PTY San Rafael, CA 94901 I�1'i"R Union member's dues received through intermedia .tt afae Police Association 1520 Fifth Avenue S n Rafael CA 9490 Individual Recipient Committee (otherPTY or OTH — Other t business s Political Party SCC — Small Contributor Committee SUBTOTAL$ 50.94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) III �illill 11,111 llllq� 11111111 � 1114 1114 1 .11 '1 Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460'i from 0912212013 O RM through 1011912013 Page 32 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DA FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION {IF COMMITTEE, ALSO ENTER IDNUMBER) 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 Michael Vergara X IND ❑ Sergeant 11.18 296.66 ❑ COM C/o: San Rafael Police Association ® OTH 1520 Fifth Avenue ® PTY City of San Rafael San Rafael, CA 94903 IC pion member's dues received throucfh intermedia :qan Police Association 1520 Fifth Avenue San Rafael CA 9490 10/15%2013 Michael Vergara � IND ❑ Sergeant 11.18 296.66 ❑ COM C/o: San Rafael Police Association OTH 1520 Fifth Avenue PTY City of San Rafael San Rafael, CA 94901 j� IC Union member's dues received through .intermedia :5an Police Association 1520 Fifth Avenue San Rafael CA 9490 09/30/2013 Mark Wilkinson ®IND Officer 11.18 195.86 ❑ COM C/o: San Rafael Police Association ® OTH 1520 Fifth Avenue PTY ❑ T(� City of San Rafael San Rafael, CA 94901 Union member's dues received through intermedia :qan � afae Police Association 1520 Fifth Avenue San Rafael CA 9490 10%15/2013 Mark Wilkinson X IND Officer 11.18 195.86 ® COM 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 intermediaxy:qanRafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 IND ❑ COM ® OTH ❑ PTY [:] SCC *Contributor Codes • . Recipient Committee (otheror OTH #(e.g., business entity) CommitteePTY — Political Party SCC — Small Contributor SUBTOTAL $ 44.72 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) RR 1=9 M r:71 1:4 !1114 :1 Summary Qt txpenclitures Type or print in ink. Statement covers period Amounts may be rounded supportinci/Opposing Other to dollars. CALIFORNIA 4601 law whole from 09/22/2013 FORM Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through 10/19/2013 Page 33 of 39 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 - 10/08/2013 Greg GBrockbank 250.00 250.00 Monetary City Council Member Contribution City of San Rafael, CA Nonmonetary Contribution E] Independent Support Oppose Expenditure 10/01/2013 Kate Colin Monetary 3,000.00 7,889.00 Contribution City Council Member City of San Rafael, CA Nonmonetary Contribution Independent Support Oppose Expenditure 10/10/2013 Kate Colin Mailer including 4,889.00 7,889.00 E] Monetary production and postage in Contribution support of Kate Colin for City Council. City Council Member City of San Rafael, CA E] Nonmonetary Contribution nX Independent nx Support Oppose Expenditure SUBTOTAL $ 8,139.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ......................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL4 16,028-00 16,028.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) (Continuation Sheet) Summary of Expenditures Supporting/Opposing Othel Statement covers period CALIFORNIA 460 rom 09/22/2013 FORM t;anawates, measures ana committees through 10/19/2013 Page 34 of 39 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 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 3,000.00 7,889.00 Monetary City Council Member Contribution City of San Rafael, CA Nonmonetary Contribution Independent Support Oppose Expenditure 10/10/2013 Maribeth Bushey -Lang Mailer including 4,889.00 7,889.00 ® Monetary production and postage City Council Member Contribution in support of Maribeth Bushey -Lang for City City of San Rafael, CA Nonmonetary Counci Contribution FRI Independent Support Oppose Expenditure E] Monetary Contribution Nonmonetary Contribution Independent ❑ Support Oppose Expenditure Monetary Contribution Nonmonetary Contribution Independent El Support Oppose Expenditure SUBTOTAL $ 7,889.00 FPPC Form 460 (January/05) FPPC: Toil -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Payments Madc SEE 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 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 35 Of 39 I.D. NUMBER 831553 CUP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Brockbank for city council 2013 51355049) CTB 250.00 35 St. Francis Lane San Rafael, CA 94901 Freeman Public Affairs, Inc. IND Mailer including production and postage in support of Kate 4,889.00 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 4,889.00 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$ 10,028.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 16,028.00 2. Uniternized payments made this period of -under $100 .......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................ TOTAL $ 16,028.00 FPPC Form 460 (January/06) 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. Statement covers period from 09/22/2013 SEE INSTRUCTIONS ON REVERSE through 10/19/2013 Page 36 of 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL U. 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 ND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candid ate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Friends of Kate Colin for San Rafael City Council 2013 (41357514) 18 Culloden Park Road San Rafael, CA 94901 CTB 3,000.00 Maribeth Bushey -Lang for San Rafael City Council 2013 (#1358370) 12 San Marino Drive San Rafael, CA 94901 CTB 3,000.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE L fAl , Ljj:KSj San Rafael Police Association Political Action Committee Statement covers period from 09/22/2013 through 10119Z2013 I Page 37 of 3 9 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODEOR(a) OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD The Henry Levy Group PRO 0.00 1,624.85 0.00 1, 624 . 85 5940 College Avenue Oakland, CA 94618 Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00 $ 1,624.85 $ 0.00$ 1,624.85 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 1,624 .85 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) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) MIR tement covers period CALIFORNIA from 09/22/2013 FORM 460 throuqh10/19/2013 38 39 Page Oil I.D. R NUMBER NAME OF FILE San Raf ael Police Association Political Action Committee 831553 NAME OF AGENT OR INDEPENDENT CONTRACTOR Freeman Public Affairs, Inc. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 V\EB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID U.S. Postmaster IND Postage for mailer in support of 2,400.00 Kate Colin for San Rafael City 1433 Marcelina Avenue Council Torrance CA 90501 U.S. Postmaster IND Postage for mailer in support of 2,400.00 Maribeth Bushey -Lang for San 1433 Marcelina Avenue Rafael City Council Torrance CA 90501 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 4,800.00 Do not transfer to any other schedule or to 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) Q^hd%A111jM I .jI— ­ r'. Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 09/22/2013 through 10/19/2013 CALIFORNIA I FORM 4601 Page 39 of 39 NAME OF FILER San Rafael Police Association Political Action Committee I.D. NUMBER 831553 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCEDESCRIPTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF RECEIPT AMOUNTOF INCREASE TO CASH 1111 1111 , �, 111 111; Schedule I Summary 1. Itemized increases to cash this period . ....................................................................................................................... $ 0.00 2. Unitemized increases to cash of under $100 this period . ............................................................................................ $ 0.26 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) .... ............ .................................................................................................... TOTAL $ 0.26 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)