HomeMy WebLinkAboutForm 460 - Police Association PAC (2014-05-17)COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. CALIFORNIA 460
FORM
(Government Code Sections 84200-84216.5)
Statement covers period
from 01/0112014
SEE INSTRUCTIONS ON REVERSE through _.;::0.::.5r...;/1:::..7:..t./..::2:,:::0.:::.1..:,4 __ _
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
o Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall
(Also Complete Part 5)
I]] General Purpose Committee
® Sponsored o Small Contributor Committee o Political Party!Central Committee
3. Committee Information
o Primarily Formed Ballot Measure
Committee o Controlled o Sponsored
(A/so Complete Part 6)
o Primarily Formed Candidate!
Officeholder Committee
(Also Complete Part 7)
1.0. NUMBER
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
San Rafael CA 94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 151557
CITY
San Rafael
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
STATE
CA
ZIP CODE
94915-1557
AREA CODE/PHONE
(4l5)485-3000
AREA CODE/PHONE
Date of election if applicable:
(Month, Day, Year)
06/03/2014
2. Type of Statement:
I]] Preelection Statement o Semi-annual Statement o Termination Statement
(Also file a Form 410 Termination)
o Amendment (Explain below)
Treasurer(s)
NAME OF TREASUR
Ms. Beth Minka
MAILING ADDRESS
1520 Fifth Avenue
CITY
San Rafael
NAME OF ASSISTANT TREASURER, IF ANY
Ms. Stacy E. Owens
MAILING ADDRESS
5940 College Avenue
STATE
CA
Page 1 of 106
For Official Use Only
o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection
Statement -Attach Form 495
ZIP CODE
94901
AREA CODE/PHONE
(415)485-3000
CITY STATE ZIP CODE AREA CODE/PHONE
Oakland CA 94618 (510) 652-1000 ~O~PT=I~O~N~AL~:-=FAX~~/=E-~M~A~IL-A~D~D~R~E~S~S-----------------------------------------~
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge t n ained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct. , \
Executed on 05/2212014
Date
Executed on 05/2212014
Date
Executed on
Dete
Executed on
Deta
www.netfile.com
OdP.t.. IYUFJll!t..
By~B~~~~~'~~~~~~~~~~~~~~~~~~~~~==~~~ __ _
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
Type or print in ink. COVER PAGE -PART 2
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME J.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES o NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
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6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION o SUPPORT o 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 o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/OS)
FPPC TolI·Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
-~~--~---,-~.-.. --~~-~~--~,,-,-. _. --.--~-~~".--,--~--.------------.. --,.-
NAME OF FILER
SdH Rafael PoJ.jce Associ.ctt~ io!! Political Action Committ.ee
Contributions Received
1. Monetary Contributions ......... .............. , .................. Schedule A, Line 3
2. Loans Received ..................................................... Schedule B. Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions ................................... Schedule C. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Expenditures Made
6. Payments Made ....................................................... Schedule E. Line 4
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines 8+9 + 10
Current Cash Statement
12. Beginning Cash Balance ......... " ........... Previous Summary Page, Line 16
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
If this IS a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
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Type or print in ink. SUMMARY PAGE
Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460 from 01/01/2014 FORM
through 05/17/2014 Page 3 of 106
1.0. NUMBER
8.31553
ColumnA ColumnB Calendar Year Summary for Candidates
TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE
General Elections
$ 7,208.94 $ 7,208.94
111 through 6/30 7/1 to Date
0.00 0.00
$ 7,208.94 $ 7,208.94 20. Contributions
Received $ $
0.00 0.00 21. Expenditures
$ 7,208.94 $ 7,208.94 Made $ $
Expenditure Limit Summary for State
$ 4,641.45 $ 4,641.45 Candidates
0.00 0.00
22. Cumulative Expenditures Made"
$ 4,641.45 $ 4,641.45 (If Subject to Voluntary Expenditure Limit)
0.00 5,941. 00 Date of Election Total to Date
0.00 0.00 (mm/dd/yy)
$ 4,641.45 $ 10,582.45 --.-1--.-1 __ $
--.-1--.-1 __ $
$ 13,560.54
To calculate Column B, add
7,208.94 amounts in Column A to the
0.14
corresponding amounts 'Amounts in this section may be different from amounts
from Column B of your last reported in Column B.
4,641.45 report. Some amounts in
Column A may be negative
$ 16,128.17 figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
$ 0.00 for this calendar year, only
carry over the amounts
from lines 2, 7, and 9 (if
any).
$ 0.00
$ 5,941. 00 FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Monetary Contributions Received
Type or print In ink.
Amounts may be rounded
to whole dollars. Statement covers period
from 01/01/2014
SCHEDULE A
CALIFORNIA 460
FORM
through 05/17/2014 Page _-,4,--_ of 106 SEE INSTRUCTIONS ON REVERSE NAMEOFFiLER--------~-·-··------·----·--·------·-··------------------------------"--------------+--I.-D-. -NU-M-BE-R--------I
San_ Raf~';.el Pulir:f! Assc)ciation PolitJcal Action Commit.t,ee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE ALSO ENTER '-D. NUMBER) CODE *
Fifth
Fifth
F'i fth
Fifth
Fifth
9490]
member's clURG received tbrouoh
:Lnt~I:·rnedicn:'y: SRPA, 1!:"~2Q Fifth Ave;;'ue, San
QgIND
DeOM
DOTH
DPTY
osee
[KJIND
DeOM
DOTH
DPTY
Dsec
QgINO
DCOM
DOTH
DPTY
Dsce
[KJINO
DCOM
DOTH
DPTY
DSCC
QgIND
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
Off
Cj_ ty of San Rafael
Off
City of San Rafael
San Rafael
San Rafael
cer
City of San Rafael
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100,62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
SUBTOTAL $ :::c""=-".-:::=="':::::=;:.-=c:~_::::;;=_:c::"~._:::.c:=~,-,,:c=_=.:_:.,_= =:...-==--=============~~~~~~~
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................................................................................ $ ___ -""'5 ,,-,,5~3.::..4;,.;. 7-=-.1
2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ ___ -=1 ,:...:6'-'-.7.::..4 '-'" 2:c:.,3
3. Total monetary contributions received this period.
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ____ 7:..;., 2--,-0.::..8.:..:. 9c.::.4
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
~F COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
03 28 2014 Elisha Adams
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
04/15/2014 Elisha Adams
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
04/30/2014 Elisha Adams
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
05/15/2014 Elisha Adams
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Rau Agu~ ar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _...:0:.;:5-'../.:::.1"'"'7/'-'2:.;0:.;:1:..:4'----__
SCHEDULE A (CO NT.)
CALIFORNIA 460
FORM
Page_-=5_ of 106
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Ratael PoTiee Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
OF C0MMITTfE, ALSO ENTER I.D. NUMBER) CODE *
Fifth
Fifth
Fifth
Fifth
San
Raf"el Police Association 1520 Fifth
·Contributor Codes
iNO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g" business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
San
fRJlND
OCOM
DOTH
OPTY
OSCC
[RJIND
OCOM
DOTH
OPTY
OSCC
IXJIND
OCOM
DOTH
OPTY
OSCC
fRJlND
OCOM
DOTH
OPTY
osce
fRJlND
OCOM
DOTH
OPTY
osee
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _...:0::.:5:c./..::1:.:.7."-/.::2.::0::..14-=--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_---'!.6_ of_-,1"'0::.o6<--
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
n.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMmEE, ALSO ENTER to. NUMBER) CODE *
05
01
Fifth
San
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Raul lar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
014 Anthony Augustyn
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Ra Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND o COM
DOTH
DPTY
DSCC
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _-=0:.:5:J.../.::.1..:..7 /~2::.;0:.:1:..:4,--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page __ 7-,--_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers
from 01/01/2014
through _-'0;..:5-'../-"1_7'-/2_0_1:...;4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-,,-8_ of 106
."~--'''-' ---.--.. --..... -----.-... ---.. ---.. ------.• -----------------------'-------------TTI."D'. NJlUi>.:M"'BtI=ERR-----i NAME OF FILER
San Rafael Police Association Political Action Committee 831553
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
Fifth
Police Association 1520 Fifth
eA 94901
CODE *
[KJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
(IF REQUIRED)
11.18 100.62
City of San Rafael
Off cer 11.18 100.62
City of San Rafael
.-.---.-...... --t----.. -----.. -... -...... _ .. " .. ., .. _ .. ---.-.-------+-----+::-:::-::-;----------+-------:;~:;_::;_t----_:;_;;-;:,-_;_;;_i_-------
IKJIND 11.18 100.62 Al~~{Ustyn
Rafael Police Association 1520 Fifth
94.901
du~;s received
San
Police Association 1520 Fifth
San
Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Unio:::l n:.en~bE~r I s dues received through
intermediary: SRPA, 1520 Fift.h Avenue, San
'Contributor Codes
IND -Individual
COM .-Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
DCOM San Rafael
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
San Rafael
cer
City of San Rafael
SUBTOTAL $
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
05
01
Augustyn
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Augustyn
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Au
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Bla Auld
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
San Rafael
Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through __ ~0~5~/~1~7/~2~0~1~4~ __ __
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_--=!.9_ of 106
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC ToII·Free Helpline: 8661ASK·FPPC (866/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
J,:;ln Rdfa.tl Police Association Politic!al Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER!,D, NUMBER)
Fifth
Fifth
Fifth
San
Fifth
San
C/o: San Rafael Police Association 1520 Fifth
Avenut"l;
Scln RA.fael, CA 94901
Union me.mber's dues received through
int.ermediary: San Eafael Police Association;
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH --Other (e.g" business entity)
PTY _. Political Party
sce -Small Contributor Committee
www.netfile.com
CODE *
IKJINO
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
!XlINO
DeOM
DOTH
DPTY
osee
IKJINO
DeOM
DOTH
DPTY
osee
IKJINO
DeOM
DOTH
DPTY
osee
OF BUSINESS)
San Rafael
San Rafael
San Rafael
cer
City of San Rafael
SUBTOTAL $
SCHEDULE A (eONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through 05/17/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
100.62
100.62
10 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafc1el Police Ass~)ciation Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO eNTER 1.0. NUMBER) CODE *
Fifth
Police Association 1~)20 Fifth
9,,901
Police Association 1520 Fifth
Police Association 1520 Fifth
Police Association 1520 Fifth
Avenue
San Rafael, Cl~ 94901
Union member's dues recei.ved through
intermediary: San Rafael Police Association,
'Contributor Codes
IND ··Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -. Other (e.g., business entity)
PTY· Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IRJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
Corporal
City of San Rafael
City of San Rafael
SUBTOTAL $
covers period
from 01/01/2014
through _...:0:..::5"-/.:::.1..:..7/'-'2::.:0:.:1:.:4'--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page_~l",-l_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (JanuaryI05)
FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
James O"'J.J.'~"'Y
C/o: San Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
04/15/2014 James Bellamy
04
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 James Be
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO o COM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
City of San Rafael
City of San Rafael
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
covers
from 01/01/2014
CALIFORNIA 460
FORM
through __ ~0~5~/~1_7~/2~0~1~4~ __ __ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
1
100.62
100.62
12 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME
Sr:tn Ra.fite] Bo-j :Lce AS8i0Ciation po1.itical .1\.ction Committee
"TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE *
Police Association 1520 Fifth
?olice Association 1520 Fifth
P~)lice Association 1520 Fifth
94901
Police Association 1520 Fifth
Police Association 1.520 Fifth
CA 9490l
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g .. business entity)
PTY .. Political Party
sec -Small Contributor Committee
www.netfile.com
San
lK]IND
DCOM
DOTH
DPTY
DSCC
lK]IND
DCOM
DOTH
DPTY
DSCC
lK]IND
DCOM
DOTH
DPTY
DSCC
lK]IND
DCOM
DOTH
DPTY
DSCC
lK]IND
DCOM
DOTH
DPTY
DSCC
City of San Rafael
ant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
covers period
from 01/01/2014
through _--20:..:5,-,-/~1..:..7,-,/2::.:0:..:1:..:4~ __
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _.....=01'"-.3 _ of 106
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
"TYpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
(IFCOMMITIEE,ALSO ENTER I.D. NUMBER) CODE *
04
05
Police Association 1520 Fifth
94901
San
C/o: San Ra Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Todd nger
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Todd Berringer
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IK]IND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IK]IND o COM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
covers
from 01/01/2014
through ___ 0_5~/_1~7/~2_0_1_4 ____ __
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _--=.14=---of 106
R
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
Dj7:1n R.:ifael P01ice Associatioa P'')litical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMIHEE, ALSO ENTER LD, NUMBER) CODE *
San Raf<-":.l.el/ ell. 94901
(J,lion member'" dues received through
intermediary: SRPl',-, 1!J20 Fi.fth Avenue, San
'Contributor Codes
IND"" Individual
COM -ReCipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
pry --Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
[KjIND
OCOM
DOTH
OPTY
OSCC
fKllND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
Off
City of San Rafael
Off
City of San Rafael
Officer
City of San Rafael
cer
of San Rafael
cer
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _--'0:..:5'"-/..=1.;...7'-/2=-0:..:1:..:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-=.lS"-.. of 106
!.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Poli.,':"e Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
'Contributor Codes
IND -·Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH --Other (e,g" business entity)
PTY -. Political Party
SCC -Small Contributor Committee
www.netfile.com
Fifth
San
Fifth
Fifth
Police Association 1520 Fifth
Police Association 1520 Fifth
94901
fKllND
oeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
fKllND
oeOM
DOTH
DPTY
osee
fKllND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
OPTY
osee
cer
City of San Rafael
Off r
City of San Rafael
Off r
City of San Rafael
Corporal
City of San Rafael
City of San Rafael
SUBTOTAL $
covers
from 01/01/2014
through __ o.::.:5"'lcc1=-.7--'/...:2::.;0'-'1:..:4=--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page __ ~1~6_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC, 31)
PER ELECTION
TO DATE
(IF REQUIRED)
,18
11,18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
S:::-in Hdfdel Policf! Association Political Action committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER I.D. NUMBER) CODE *
Police Association 1520 Fifth
Fifth
Police Asscciation 1520 Fifth
94901
San
Police Association 1520 Fifth
'14901
San
r~ul ice ASEociacion 1520 Fifth
Avenu.e
82.m Rafael, ell. 94901
UnJon member' [:: dues recRived through
int.erm"diary: SRPA, 1520 Fifth Avenue, Scm
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -. Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
Rafael
Rafael
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _--'0:..:5'-'-1-=1-'...7:..../2::..0::...:1::...:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _--,,-17!..-of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.1.8
11.18
11. 18 100.62
11.18 100.62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _-'0:.;:5:.:../.::.1.::.7'-'/2:::.:0:.;:1:.;:4'---__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page 18 of _-,1,-,0,-,6~
--.-.-.-.----.--.-----.-------------______ . __ ... _ .. ____________ . _____________________ -L ____ ----------1-'1."0'. N:ilU"Miii'B"'E:;:R,------i
NAME OF FILER
San 9.afd.eJ Police Aosociation Pc>lit.ical Action committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, A.LSO ENTER 1.0, NUMBER)
Police Association 1520 Fifth
Police Association 1520 Fifth
949CJl
Fifth
Fifth
C/o~ San Rafael Police Association 1520 Fifth
Avenue
San Rafael f CA 94901
Union membe~"" dues received thl'ough
interrnedia~-y: Gan Rafael Police Association,
'Contributor Codes
IND --Individual
COM --Recipient Committee
(other than PTY or seC)
OTH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
CODE *
iKIlND
oeOM
DOTH
OPTY
osee
IKJIND
DeoM
DOTH
DPTY
osee
lRJlND
oeOM
DOTH
OPTY
osee
iKIlND
oeOM
DOTH
OPTY
osee
IKJIND
oeOM
DOTH
OPTY
osee
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
Corpora
City of San Rafael
City of San Rafael
Off
City of San Rafael
Off
City of San Rafael
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers period
from 01/01/2014
through _..:0:.::5:.!../~1..:.7~/ 2=-.0:.::1:.::4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _-=.19,,--of 1 06
--.--.. -.-.... ~-.-.-.-.--.--.--... ----.-____ .. _ ... ____ .. _ .. _._ ... _____________________ --L _______ -------tIlLD".t:NiliUiiiMiOB"ER"------j
NAME OF FILER
San Rafael ];-'olice Assocjation Political Action Committee
DATE
RECEIVED
FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Association 1520 Fifth
Fifth
San
Fifth
San
Fifth
San
Fifth
l .. .venue
E;an Rafael, C'A 94901
Union member (s due~~ received through
·jntGyrnediary: San Rafael Police Association,
'Contributor Codes
IND ·-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH --Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IXJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
San Rafael
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11,18
11.18
ll.18
ll.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _...:O:::5:!./c::1.:.7 '-.:/ 2::.:0::.::1:..:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-,,-2~O_ of 106
-«----~------.----.----------------------~-----.-----.-----------------------------------------L-------------f-'lr.D"_ NMiU:liM"'B"E"'R,-------NAME OF Fll.FR
E'·a,n Rafael 1?uiice Assocjation Political Action Committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMM!TTEEALSO ENTER I.D NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
AMOUNT
RECEIVED THIS
PERIOD
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS) ---'~~-~~-",-",,"",--"·-+--------'-cc----~---------------------------------1-----~=----.-::::--=::::::=------j-----_:;_:;__c;n+_----_:;_;;;;_:;:;;_1-------
rKIlND cer
Police Association 1520 Fifth
-C·asa1'nu·;.}vo
C/o: San Rafael Folice Association 1520 Fifth
94901
Fifth
Fifth
c/o: San Rafael Police Association lS20 Fifth
hvenue
San R.:=tfael, CI\ 9490J
Union member / s due.s rf:ced ved t.hrough
intel'-mediary: San Rafael Police AssociatioTI f
'Contributor Codes
IND -Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH -. Other (e,g" business entity)
PTY -, Political Party
SCC -Small Contributor Committee
www.netfile.com
DCOM 'ty of San Rafael
DOTH
DPTY
DSCC
[RjIND
DCOM
DOTH
DPTY
DSCC
rKIlND
DCOM
DOTH
DPTY
DSCC
rKIlND
DCOM
DOTH
DPTY
DSCC
rKIlND
DCOM
DOTH
DPTY
DSCC
San Rafael
San Rafael
San Rafael
cer
City of San Rafael
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
'1}tpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
04
Fifth
San
Fifth
San
Casalnuovo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 David Casalnuovo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g .. business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
San Rafael
San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _....:0:.=5-'-/,::1-'-7/'-'2:;.;0;.:1;.:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
21 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 480 (January/OS)
FPPC Toll-Free Helpline: 8881ASK-FPPC (888/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DArE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(If COMMITTt',E" ALSO ENTER!.D, NUMBER) CODE *
C/o: Sq.n Rafael Police Association 1520 Fifth
Avenue
San Rarae1., CA 9'1901
Union member's dtles received through
intermF5diary: San Rafael Police Association,
4 Allan Castaneda
C/o: San Rilfael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union men-;ber I S dues received through
intermedj.ary: San Rafael Police Association f
lRJlND
DeOM
DOTH
DPTY
Dsee
IK]IND
DeOM
DOTH
DPTY
Dsee
[KjIND
DeOM
DOTH
DPTY
Dsee
OF BUSINESS)
City of San Rafael
Officer
City of San Rafael
SCHEDULE A (eONT.)
covers
from 01/01/2014
CALIFORNIA 460
FORM
through __ 0--,5..:../-,1_7!-/ 2'--0:...:1:...:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC, 31)
100.62
100.62
22 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
+-,--,-----------------._-.,._ ... _.,--------------,---+-----+:::-;:-;:-:----------+-----:;-:;--:;--;;i------:;-;:;-;;-;:~--------
Castaneda lRJlND Officer 11.18 100.62
: San Rafael poJ.ice Association 1520 Fifth DeOM City of San Rafael
,Raf(h~l, CA 94901
member! ~:; dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, Cj\ 94901
Union member's dues received through
intermediary: Em FA , 1520 Fifth Avenue, San
'Contributor Codes
INO -Individual
COM --ReCipient Committee
(other than PTY or SCC)
OTH --Other (e,g" business entity)
PTY -Political Party
see --Small Contributor Committee
www.netfile.com
DOTH
DPTY
Dsee
lRJlND
DeOM
DOTH
DPTY
Dsee
cer
tty of San Rafael
SUBTOTAL $
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME FILER
SnH Rafael Police AssGciation PC11itical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
(If COMMITTfE. ALSO ENTER I.D. NUMBER) CODE *
Fifth
San
Fifth
San
Fifth
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael., CA 94901
Union mernbe:r r 8 du:es ):-ecei ved through
int_errnediary: San Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SeC)
OTH -Other (e.g., business entity)
PTY -Political Party
see -Small Contributor Committee
www.netfile.com
IK]IND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IK]IND
DeOM
DOTH
DPTY
osee
IK]IND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
r
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (eONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _-=0:..:5,,-/..::1..:..7:...:/ 2::c0:.:1:.:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
I.D.
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
23 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF R
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
01
02
02
03
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
14 Edward
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IJf]IND
DCOM
DOTH
DPTY
DSCC
lKJlND o COM
DOTH
DPTY
DSCC
IJf]IND
DCOM
DOTH
DPTY
DSCC
IJf]IND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
covers period
from 01/01/2014
through _-'0:..;:5.!../.:;.1-'-7/:....;2::..c0:..;:1:..;:4c--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-=.24.=--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Hdfae,~~ Pol ice A88oc.iation Poli tical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
DF BUSINESS)
(IF COMMITTEE,ALSO ENTER I.D, NUMBER) CODE *
Fifth
San
Fifth
IKJIND
DCOM
DOTH
DPTY
DSCC
SCHEDULE A (CONT.)
covers period
from 01/01/2014
CALIFORNIA 460
FORM
through_--'0:...:5.:.-/.-:;1_7!-/2=-O:...:1:..;4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
25 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
IKJIND
DCOM
DOTH
DPTY
DSCC
---."----",,, .. ,,--,--'--,,---,,,,--, -----,,--+----,-+=-::-::-;---------+-------;~_.;_;;lr_---__:;__;;_;::__;:_;:;+_-------
IK)IND 11.18 100.62
Fifth
Fifth
C/o: San Rafael Pol.ice Association 1520 Fifth
AVt-:!nue
S~n Rafael, CA 91901
Uniool member' 8 dues recei ved through
interml~diaxy: San Rafael Police Association,
'Contributor Codes
INO _. Individual
COM.., Recipient Committee
(other than PTY or SCC)
nTH -Other (e.g., business entity)
PTY.., Political Party
SCC -Small Contributor Committee
www.netfile.com
DCOM San Rafael
DOTH
DPTY
DSCC
IK)IND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
San Rafael
San Rafael
SUBTOTAL $
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
(IF COMMITIEE. ALSO ENTER 1.0. NUMBER) CODE *
03
03
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Robert Cleland
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Robert Cleland
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _--,O:..:5:.!./..=1..:..7:...;/ 2=-0:..;:1:..;:4'----__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
1 0.62
26 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _...:O:..:5'.!../.:::1..:..7t-;./ 2::.:' 0::.:1:..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page 27 of_-=1~0-".6_
----------~-----------~--~--~---------~--------------~-_____ . _____________________________________ 1-___________ -t--lil. 0'. I\iNIIUMMRBEiOiRo;-------j
NAME OF FILER
San Ratael Police AfJsociation Political Action committee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMIT1EE_ ALSO ENfER!.D. NUMBER) CODE *
'Contributor Codes
IND-Individual
COM --Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY --Political Party
sec --Small Contributor Committee
www.netfile.com
Association 1520 Fifth
Fifth
Fifth
Fifth
Fifth
!KlIND
DeOM
DOTH
DPTY
osee
!KlIND
DeOM
DOTH
DPTY
osee
!KlIND
DeOM
DOTH
DPTY
osee
!KlIND
DeOM
DOTH
DPTY
osee
!KlIND
oeOM
DOTH
DPTY
osec
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _~0::.:5:!../..:::1..:..7!.-/ '2.::.' 0:..:1::..:4:.... __
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 28 of 106
._ .. -_ ...... _ .. _-._--.-._-_ ... _ ... __ ._.-.-.... _--···---------·--.. ·---------------------1--------------1-'1"'.D'. "'NUIiiM'-iBC,E"'R'------j NAME OF FILER
San RafaE~l Police Associdlic,n Political Action committee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF (:OMMITIEE A.LSO ENTER 1.0. NUMBER) CODE *
ASBo~iation 1520 Fifth
Fifth
San
Fifth
San
Fifth
San
C/o: 8;,,11 Rafael Police Association 1520 Fifth
AVfo~nue
San Rafat~l, CA 9490J
Un ion membEJT is dUf:8 recei ve.d through
intermediary: San Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH --Other (e.g., business entity)
PTY -Political Party
sec -. Small Contributor Committee
www.netfile.com
lKJlND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
osce
lKJlND
oeOM
DOTH
OPTY
osee
lKJlND
oeOM
DOTH
OPTY
osee
IKJIND
oeOM
DOTH
OPTY
osee
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _~O::.:5::.:/..::1:.:.7.!.../.:::2.::.0:::.14~ __
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page_......!':.2'!...9_ of 106
-.----.. ----.--.---.... --.--.. --.. ______ ...... ___ . _______________________ -1-____________ +'I".D:-;. NWU"M~B:;;:E:;::R.-------j
NAME OF FILER
San Ra.faeJ }JolicE.: Association. P;')litical Action Committee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. A.LSO ENTER LD. NUMBER) CODE *
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael/ CA 94901
Union member!s ;lues received through
interm'ediary: San Rafael Police Association,
Eric
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
U'Clion member'co dues received through
; San Rdfael Police Association,
1KI1ND
DeOM
DOTH
DPTY
osee
IZlIND
DeOM
DOTH
DPTY
osee
1KI1NO
DeOM
DOTH
DPTY
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
OF BUSINESS)
Sergeant
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
osee
····---------------+-.:.:lKI=-IN-O----Ic:O'"'fc-;f"'i-c-e-r---------+------:;-1-:;-1-. -:;-1;:;-8+-------:1~0~O;-.-;:6:-::2;+---------
Fifth City of San Rafael
DeOM
DOTH
DPTY
osee -·~~""··r·=~~-···.j-~,-.. p···""· ... ·c-~;·, .... -·--··· -·-··-----·------------l--==-----ko7'7"J.~c"..e:-:r.,.---------t-----T1'1-. 1"'80+-----1"0'i70'."6'"2+--------
1KI1NO Ci ty of San Rafael Fifth
AveTllle
San Rafael, CA 94901
Union meTnberfr:; dues received through
intermediary: San Raidel Police Associ.ation,
"Contributor Codes
INO ·-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other (e.g., business entity)
PTY -. Political Party
SCC -Small Contributor Committee
www.netfile.com
DeOM
DOTH
DPTY
osee
SUBTOTAL $ 55.90
FPPC Form 460 (January/OS)
FPPC To"-Free Helpline: 866/ASK-FPPC (866/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE *
Fifth
San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
04/15/2014 Eric Cogbill
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
OOIND o COM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
San Rafael
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _-,0:..::5C!../..::1..:..7,-,/ 2=-0:.:1:.:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
30 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
SaE Rafal'::ol Police Association P81itical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF r:OMMITIEE, ALSO ENTER I.D. NUMBER) CODE *
Statement covers period
from 01/01/2014
through _....:O:.::S-'-/.:;:.1c-7 /c..:2;:c0:...::1:...::4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _-",-3 =-1 _ of 106
I.D. NUMBER
831S53
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS) ~,.-.. -.. ----... -.-·---···-----·--·· .. ---·-+-!Kl-x-I-N-D---+O=:Co-r-p-o-r-a'""'l;-------'-----t-------:1;-:1;-:.--:;1~8;-t--------:;-1-;:;0-;:;o-.r6;;-2+----------
Association 1520 Fifth OCOM City of San Rafael
Fifth
OaTH
OPTY
OSCC
IRJIND
OCOM
OaTH
OPTY
Corporal 11.18 100.62
City of San Rafael
OSCC
.. ----..• ----.-.-------.-----+-----li-::------:---------1I------:;-:;----:;-;;t--------:;-;::-;;---;::;:;-t-------
[KJIND Corporal 11.18 100.62
Fifth
Fifth
OCOM City of San Rafael
OaTH
OPTY
OSCC
!KlIND
OCOM
OaTH
OPTY
OSCC
Corporal
City of San Rafael
11.18 100.62
+"'c·c·c-=--"':::-.:.':.-,.-·r'-·-··· .. ·_···· ·-· .. ···------·----·----+-IVl-----+c",.o"'r=p::-,o:c:r::-:a""---------t-----~1"1'.11c8rl------,1nono-. 6i::2rl---------
" R -1 l' • . t' J520 F'fth ~IND Cj.ty of San Rafael : ,~,an .aIae •. Po lCee ",SBOCla lOn. 1. . OCOM
Avenue
San Rafael, CA 9490] DOTH
Union r.1(:!n1ber I s dues rece i ved through 0 PTY
i.ntermediary: SRPA, 1520 Fifth Avenue, San OSCC
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH --Other (e.g., business entity)
PTY -Political Party
SCC--Small Contributor Committee
www.netfile.com
SUBTOTAL $ 55.90
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
TYpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
04
os
Fifth
Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Ryan Cogbill
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Ryan
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _--'0:,:5""/-=1..:..7""/2::.,0:..;1:..;4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
32 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San R&.faeJ Police Associ.3.tiol1 Political Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
0F COMMITTEE ALSO ENTER 1.0, NUMBER) CODE *
Fifth
Fift.h
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
Officer
City of San Rafael
Officer
City of San Rafael
Statement covers period
from 01/01/2014
through _-'0:..::5"-/::::.1..;...7'-.:/2:::..0:..:1:..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _--='.3;:..3 _ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
OSCC ---.----.,-------,----------,-----l--=~-~--------___J----___::__:__c:_::+-----:--::-:--::-:::-1-------
[KJIND Officer 11.18 100.62
Fifth
Fifth
San
C/o; San Rafa.eJ. Poll ce Associa.tion 1520 Fifth
Avenue
Eian Rafael, CA 94901
Union n:ember \ B dues received through
int.E,rmedi2ry: SRPA, 1520 Fifth Avenue, San
OCOM City of San Rafael
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
Officer
Cit.y of San Rafael
o ~cer
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
55.90
------.--.---.----~ -O:::::-;',::-;':-::'-:-;;;:-,;::--=--;:-;-",':;:;--;;:-,-;.:;-=;;;--o;:-,-c.;::.::.=;;::::::=,::,:::::::=:===================================:::'!§~ -----------------;:;
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC --Small Contributor Committee
www.netfile.com
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME
San Rafael Police Association Political Action committee
'TYpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
Fifth
San
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
05/15/2014 Thomas Collins
°
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Ryan De
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
City of San Rafael
Officer
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _....:0c;:5.!.../.::.1.:..c7 /c..:2:;.:0c;:1:..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-=.34-=--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC ToII·Free Helpline: 8661ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _-'0:.::5..:../.::1..:..7/<-:2::.:0:.:1:.:4'---__
SCHEDULE A (CONT)
CALIFORNIA 460
FORM
Page _--=-3 ",5 _ of 106
--.---.. --------. ---.-.. -.--.----... -. -.-.. -.... --------.. ---------.---------------------'--------------t-;I".D' ... N"U"MiOBCECR------i NAME OF FILER
San Rafael PolicF! ASE1ociation Political Action committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(iF (O(,lMMITTf'E, ALSO ENTER I.D. NUMBER) CODE *
Association 1520 Fift.h
Fifth
San. Ra,fael; CA 94901
Union member's dues received through
intermediary: 8dn Rafael Police Association,
De i"1a.rta
: San Ra.fcH~l Police Associr1.tion 1520 Fifth
Avenue,
CA 94901
Union 18 dues received through
interm<'di21ry: SRPA, 1520 Fifth Avenue, San
De ~larta
: San Rafael Police Association 1520 Fifth
94901
San
IKJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
Dsce
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
San Rafael
San Rafael
San Rafael
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
. -------·-----·---·-----·-+-----i="c=e=r-------t-----,,-'--O+-----1'i'i<'i""7rr------
aDlND City of San Rafael Fifth
Rafael l CA 9,,1901
member's dues received through
interm"diury: .':;RPA, 1520 Fifth Avenue, San
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or seC)
OTH-Other (e.g., business entity)
PTY -Political Party
SCC-Small Contributor Committee
www.netfile.com
DCOM
DOTH
DPTY
DSCC
SUBTOTAL $
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
l)'pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
OF BUSINESS)
OF COMMIlTEE, ALSO ENTER I.D. NUMBER) CODE *
Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
14 Ryan De Marta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
01/15/2014 Christian Diaz
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Fifth
Z
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _-=0.::.5:..../1=..7'-'./..;:2.::.0.::.14-=----__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
36 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Pol.ice Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
(IF COMMITT[~. ALSO E.NTER I.D. NUMBER) CODE *
Fifth
Fifth
San
Fifth
San
Fifth
San
Fifth
S.:tn Rafael, CA 94901
Union member' s cJl.I'~8 recei.ved through
intermediary: SdTl Rafael Police Association,
'Contributor Codes
INO --Individual
eOM -. Recipient Committee
(other than PTY or SeC)
OTH -. Other (e.g., business entity)
PTY -Political Party
SCC ... Small Contributor Committee
www.netfile.com
lKJlND
OeOM
DOTH
OPTY
osee
lKJlND
oeOM
DOTH
OPTY
osee
lKJlND
oeOM
DOTH
OPTY
osee
lKJlND
oeOM
DOTH
OPTY
osee
lKJlND
oeOM
DOTH
OPTY
osee
OF BUSINESS)
San Rafael
Officer
City of San Rafael
San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _...:O::.:5:.!-/-=1~7,-/ .,::::~ O::.:l::.:.4~ __
SCHEDULE A (CaNT)
CALIFORNIA 460
FORM
Page _-=-37-,--of 106
I.D.
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
Fifth
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
01/31/2014 Christopher Duncan
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
~IND
OCOM
DOTH
OPTY
OSCC
[!lIND
OCOM
DOTH
OPTY
OSCC
~IND
OCOM
DOTH
OPTY
OSCC
~IND
OCOM
DOTH
OPTY
OSCC
[!lIND
OCOM
DOTH
OPTY
OSCC
OF BUSINESS)
r
City of San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-,0..;;5.:../-,,1-,7/,-,2.;..0;...;1,-,,4 __ _
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_--::..38,,--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael PolicR Association Political Action Committee
lYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE *
Fifth
San
F'ifth
San
Fifth
San
Fifth
C/o: ,san Rafael. P:)lice Association 1520 Fi.fth
AVf'~nue
San Rafael, eli. 94901
Union member IS dU,"8 received t.hl~ough
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IXlIND
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY
DSCC
City of San Rafael
Off eer
City of San Rafael
Officer
City of San Rafael
San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through. 05/17/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 39 of 106
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11. 100.62
11.18 100.62
11.18 100.62
11.18 100_62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
~FcoMMlnEE,ALsOENTERI.D.NUMBER) CODE *
02
02
Police Association 1520 Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Scott
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Scott Ebe
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
rgeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _..:0:..:5:.!./.::1...;.7t....;/ 2::.:0::.:1:.:4~ __ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
40 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27S-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME
.San Rafael Polic(~ Associatio:-l Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
IIFCOMMITTEi",ALSOENTERLD, NlIMBER) CODE *
Fifth
San
: San Fifth
Avenue
8.:;,n Rafae.l, CA 9~~901.
Union member-Is dues received through
interrnt?dial'Y: SRP!~1 1520 Fifth Avenue, San
_ .. ,.-.' ._,-----_ .. _--{ -------"-----.-._-.,",, ..
SccJtt Eber.1 e
C/o: San Rafael Police Association 1520 Fifth
Avenue
SBn Raf~el, CA 94901
Union memb~1.· I B dues reef:; ived through
int.ermediary: San Rafael Police Association,
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, ~A 94901
Union member's JueFl received through
intermediary: SaD Rafael Police Association,
*Contributor Codes
IND --Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e_g., business entity)
PTY· Political Party
sec --Small Contributor Committee
www.netfile.com
lKJlND
OCOM
DOTH
OPTY
OSCC
lKJlND
OCOM
DOTH
OPTY
OSCC
lKJlND
OCOM
DOTH
OPTY
OSCC
lKJlND
OCOM
DOTH
OPTY
OSCC
lKJlND
OCOM
DOTH
OPTY
OSCC
City of San Rafael
cer
San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _--=O:.=5~/-=1-,-7 ,--,I 2::.:0:..:1:..:4'--__
SCHEDULE A (CO NT.)
CALIFORNIA 460
FORM
Page_~4"'-1_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action committee
lYpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
2014
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
02 stopher Fuller
03
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Christopher Fuller
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g" business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
OF BUSINESS)
SUBTOTAL $
SCHEDULE A (CONT.)
covers
from 01/01/2014
CALIFORNIA 460
FORM
through _-'0;..:5..:../..::1-'.7:.../2"-0:...:1;..:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
100.62
100.62
100.62
42 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San RafaeJ Police Asooc:iation poJitical Act.ion Committee
"TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET .. \DDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF C0MMliTEE, ALSO ENTER I.D, NUMBER) CODE *
}\ssociation 1520 Fifth
San
Fifth
C/o: San Rafael. Police Association 1520 Fifth
!:ivenue
San Rafael. C~ 94901
Union member's dues rece.i ved through
interm~;d1ary: San Rafael Police Association,
[KJIND
OCOM
DOTH
OPTY
OSCC
[KJIND
OCOM
DOTH
OPTY
OSCC
[KJIND
OCOM
DOTH
OPTY
Police Officer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Rafael
Statement covers period
from 01/01/2014
through _--,0:.::5,,-/-=:1..:..7,-,1 2::c' 0:.:1:.:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-=-43,,--of 106
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
OSCC
----,·---··,----------t----""-·-----------------------------------f-.------j-::-;:-;:c-;---------+----:;:;-~t_---___::_;;_:;:__;:_;+-------" Salvatore Ganlnzini [KJIND Officer 11.18 100.62
C/o: San Rafael Police Association 1520 Fifth City of San Rafael
OCOM
San REtfael, CA 94901
Ur,ion member's dues re.cei ved through
intermediary: S21lJ. H_afael Police Association,
Fifth
Rafael, CA 94901
me:mber" s dues received through
int.errnediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM --Recipient Committee
(other than PTY or SCC)
OTH --Other (eg., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
DOTH
OPTY
OSCC
[KJIND
OCOM
DOTH
OPTY
OSCC
Of lcer
City of San Rafael
SUBTOTAL $
11.18 100.62
55.90
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print In ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
03
03
1520 Fifth
ore 17araJrJ.z:uu
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Salvatore
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Salvatore
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
City of San Rafael
Officer
City of San Rafael
San Rafael
Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _....:0:.,:5"-/.;;;;.1.;..7'-'/2:;..0:..:1:..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-",-4.=..4_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Nf.I.ME
San Rafael Police Associa.tion Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE *
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael/ C)\ 94901
UllioTJ. member' 1:3 dnes :r-ecei ved through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g, business entity)
PTY-Political Party
SCC -Small Contributor Committee
www.netfile.com
[KJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
cer
City of San Rafael
Off cer
City of San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers
from 01/01/2014
CALIFORNIA 460
FORM
through _--,0,-,5-'../.."-1-,-7 ~/ 2=-0:....:1;...:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
8.31553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
45 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
03
04
Fifth
son
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Garrison
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Michael Garrison
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
!!lIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _....:0:.:5:!,./..::.1.:...7/'-.:2:..:0:;:1:.::4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 46 of 106
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.1 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC ToII·Free Helpline: 886/ASK·FPPC (868/27S·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _-,0:..::5..c../.=1..c.7 '-../2-'-0'-'1'-'4:....... __
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_...:o.4 "-.7_ of 106
-.-,,-.-----.----•... -.-•. ------------... -.-.--~--.-------.--.. ----.-----.--------------------L------------f-"I.D" . .,N"U"Mn;BE"'R;-------j NAME OF FILER
San HafcH~l P(.llice Assot2iation P81.i t.ica~_ Act.ion committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I,D, NUMBER) CODE *
Fifth
Fifth
Fifth
Fifth
Fifth
AvenUE:
E:an Rafaf,l, CA 94901
IJnion member! 8 dues rccei ved through
nterffiE'di(~lry: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM·· Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
fKllND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
fKllND
DCOM
DOTH
DPTY
DSCC
fKllND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
Officer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _~o 5::c/,-,1=-7,-,/:-.:2:..:0:.:1:..:4~ __
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_--,,-48~ of 106
-----.--.. --.. ---.. --.----------.. -.. --.---.--------------------------L--------+,;:;--,::o;~,_--___i
NAME OF FILER
San Rafael POl ice Assl)ci;;t.ion PCJliU.cal Act.ion Committ.ee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITI'EE. ALSO ENTER I.D. NUMBER) CODE *
'Contributor Codes
!ND -. Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH .-Other (e.9., business entity)
PTY -Political Party
SCC -Sma" Contributor Committee
www.netfile.com
Fifth
San
Fift.h
San
Fift.h
San
Fifth
Fift.h
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IX]IND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
cer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
Cit.y of San Rafael
cer
Cit.y of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11..18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Pulice Association political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITIEE. ALSO ENTER I.D. NUMBER) CODE *
Fifth
Ul:ah,~it~--->
: San Rafael Police Association 1520 Fifth
Rafa~~l, eI'\.. 94901
member: s dues rE;:ceived through
ary: Ban Rafael Police Association,
Fifth
Fifth
C/o: San Rafael Police Association 1520 Fifth
Aventle
San Rafael, CA 94901
Union member's dues received through
int.ennedicuy: ORPA, 1520 Fifth Avenue, San
'Contributor Codes
IND -Individual
COM --Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC ---Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-,0:..;:5-'-./.=1..:..7 /<-:2::c' 0:..:1:..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_----"-4"-.9_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.1B 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
OF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
Fifth
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
04 0/2014 Justin Graham
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
of San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
covers
from 01/01/2014
CALIFORNIA 460
FORM
through _...,;0:..:5:.!./..:1c.:.7:.../.:::2.::.0:::.14=--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.1
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
50 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC To"-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Associatio:n poJitical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(iF COMMITI EE. ALSO ENTER !.D. NUMBER) CODE *
C/o; San Rafael Police Association 1520 Fifth
A'.lenue
San Rafael, CA 94901
Union member's clueE' received through
intermediary; SRPA, 1520 Fifth Avenue, San
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY --Political Party
sec -Small Contributor Committee
www.netfile.com
lRJlND
DeOM
DOTH
OPTY
osee
lRJlND
DeOM
DOTH
DPTY
osee
!XlIND
DeOM
DOTH
DPTY
osee
lRJlND
DeOM
DOTH
DPTY
osee
lRJlND
DeOM
DOTH
DPTY
osee
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Offlcer
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _....:0:..::5"-/-=1..:..7'-'/2=-0:..:1:..:4'--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page _......0..51,,--of 106
!.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
55.90
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
04
Fifth
San
04
Fifth
05/15/2014 rt
01
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
014 J.
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
!!lIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
Corporal
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _--=0c:;5-,-/.::1.'-'7 /'-.:2::.:0:..:1:..:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _-",,52,,-of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _....:0:.::5"-/..::1..:.-7:...:12::..:0::..::1:.::4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-=-5,,-3_ of 106
.-..... ,. .. -,.--... --.. -.-----.--... -.-•.. --------.--.-----·---------------------'---------------+--;-LD;::;:.-;:N-;TU;7MT.'B;;:E;;:;R:--------J NAME OF FILER
San Rafael Police Ansociation Politic,ql Action Committee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, AI.SO ENTER !.D. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
AMOUNT
RECEIVED THIS
PERIOD
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS) ·-·-----··-------i--IKJ-,N-D---4-=C-o-rp-o-r-a~l,-----~----+------:1;-:1;-.-:1;-;8;+------:;-1-;::0-;::0-.76"2+----------
Fifth OCOM City of San Rafael
C/o: San Rafael Police Association 1520 Fifth
Avenue
.san Hafael., CA go1901
Union member's dues received throuqh
intermediary: San Rufael Police Association,
,J.
C/o: San Rafael Police Association 1520 Fifth
Avenue
,s'.tll Rafael, CA 94901
Union member's dues J:ecei ved through
intermediz:\:t'Y: S~PA, 1520 Fifth Avenue, San
Fifth
San
DOTH
OPTY
oscc
IKJIND
OCOM
DOTH
OPTY
OSCC
IXlIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
Corporal 11.18 100.62
City of San Rafael
Corporal 11.18 100.62
City of San Rafael
Corporal 11.18 100.62
City of San Rafael
· .. ·---.. ·-.. --··--------+------trC-=occr=p-:::o-=r-=-a'l--------+-----'1'1-.'1801----.--'170"'0'."6"'2+---------
C/o: San RafaE';l Police Association 1520 Fifth OIKJ~gM City of San Rafael
Avenue
,jan Rafael, CA 94901 DOTH
u!liO!l memb'r' E{ dues received through 0 PTY
intermediary: SRPA, 1520 Fifth Avenue, San OSCC
'Contributor Codes
IND ···Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY ~ Political Party
SCC .,. Small Contributor Committee
www.netfile.com
SUBTOTAL $ 55.90
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police 11.B80cd.dt-ion Pol itical Action Comnl-ittee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMI1TEE'. AI.SO ENTER I.D. NUMBER) CODE *
C/o: San Rafael Police Association 1520 Fifth
Avenue
F;an Hafael, CA 94901
Uni.on member's dues received through
intermediary: S~.n Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH-Other (e.g., business entity)
PTY-Political Party
SCC .~ Small Contributor Committee
www.netfile.com
IKJIND
DeoM
DOTH
DPTY
osee
IKJIND
DeoM
DOTH
DPTY
osee
IXlIND
oeOM
DOTH
OPTY
osee
IKJIND
oeOM
DOTH
OPTY
osee
IKJIND
oeOM
DOTH
OPTY
osee
City of San Rafael
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-=0:.:5.:../.::1.:..7'-.:1 2::c0:..::1:..::4'--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page __ -=5~4_ of 106
!.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Ratael Polic(~ AS8oc:iat{on Political Action Committee
'TYpe or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER
(IF COMMmEE,ALSO ENTER I.D. NUMBER) CODE * RECEIVED i (IF SELF-EMPLOYED, ENTER NAME
Statement covers period
from 01/01/2014
through _-=O:..::5:.c/-=:1:..:.7.!-/::.2.:.0 ;:..14"--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-=-55=--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS) -'027:~ 8 726T4t'LTs,.;;-J-{o"ft()n--------·~-----"----"-'-----I--IKJ-IN-D--+S"'e:-::r:-::g:-::ec::a-::n-;:t----~----+-----'1'1-,'lQ8-t-------:1;-;0,-,0",'6"2;-1----------
C/o: San RafaeJ Police Association 1520 Fifth OCOM City of San Rafael
Avenue
San Rafael, C'A 94901 DOTH
Un ion member' s dw~s received through 0 PTY
intermediary: San Rafael Police Association, OSCC
Fifth
San
IKJIND
OCOM
DOTH
OPTY
Sergeant 11.18 100.62
City of San Rafael
OSCC
------"'-:--'''----",i" ',------'''''--''-----'--'------'-----+---==----t-----------+------:-:--:-::i------:;-=---::-:::+--------IKJIND Sergeant 11.18 100.62
Fifth
94901
Union member'H clues received through
j nte:tmediar'l; 8RPA, 152 (] Fifth Avenue I San
Fifth
94901
rnember I 8 dUES re:cei ved through
SR!?A , 1~i2 0 F'ifth Avenue, San
C/o; San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union menil,eY I 6 dues recei.ved through
intermediary: ,san Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e,g" business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
OCOM City of San Rafael
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
55.90
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rdfac:J PoI ice ASB()ciat.:ion j?ol i tical Action committee
"TYpe or print in Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Pitth
Fift.h
rKJlND
oeOM
DOTH
OPTY
osee
rKJlND
oeOM
DOTH
OPTY
Sergeant.
Cit.y of San Rafael
Cit.y of San Rafael
SCHEDULE A (CaNT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _-'0:..:5'-'-/-=1-'..7'-/2-'-0;...;1'-.:4=----__
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
56 of _-,1=-,Of.:;6~
PER ELECTION
TO DATE
(IF REQUIRED)
osee ---.~~---~-~-,~-.-----------.-------.----------------------.----~~-------+------~-----------+-----~1~1~.~1~8+-------~1~0~O-.762~-------------rKJ IND Corporal
: San Rafaf2:1 Police Association 1520 Fifth
Fift.h
Fift.h
San Rafa.el, CA 94.901
on member's dues received t.hrough
interrrcdiaxy: S5.n Rafael Police Associat.ion,
·Contributor Codes
INO -Individual
COM --Recipient Committee
(other than PTY or seC)
OTH --Other (e.g., bUSiness entity)
PTY --Political Party
SCC --Small Contributor Committee
www.netfile.com
oeOM City of San Rafael
DOTH
OPTY
osee
rKJlND
oeOM
DOTH
OPTY
osee
rKJlND
oeOM
DOTH
OPTY
osee
Corporal
Cit.y of San Rafael
Cit.y of San Rafael
SUBTOTAL $
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael PoI ice hssGciation Political Action committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Fifth
San
Fifth
San
Fifth
San
Fifth
Fifth
Rafael, CA 94901
on member I s dUE-~ B rec:e i ved through
inteT1Ttediary: San Rafael Police Association,
'Contributor Codes
IND -.. Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e,g., business entity)
PTY -Political Party
SCC ,-Small Contributor Committee
www.netfile.com
imiNO
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
imiNO
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
City of San Rafael
Corporal
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-,0:..::5:.c./.=1..:..7!..-'/2=-:0:.:1:..:' 4'--__
SCHEDULE A (CO NT.)
CALIFORNIA 460
FORM
Page 57 of 106
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
11,18 10 .62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
lYpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
02
Police Association 1520 Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Carl Huber
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKIIND
OCOM
DOTH
OPTY
OSCC
!!lIND
OCOM
DOTH
OPTY
OSCC
IKIIND o COM
DOTH
OPTY
OSCC
IKIIND
OCOM
DOTH
OPTY
OSCC
IKIIND
OCOM
DOTH
OPTY
OSCC
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through __ ~0~5~/~1~7/~2~0~1~4~ __ __
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _---=-58=__ of 106
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _-,0:.:5,,-/..::1..:..7,-,/2::.0:.:1:..:4:........ __
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page _-",-59=--of 1 0 6
-----------.-------.-.--.-.---.-.-----.• -.--.--------------------------------------'--------------+-~I.D;:;-.-;-N;;-U;-;-M;;:B;;:E:;;R:-------I
NAME OF FILER
San Rafael. Police l;ssocl"tJ.on i?e>litical l\ction Committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE, ALSO ENTER !.D. NUMBER) CODE *
Police Association 1520 Fifth
'14901
member f G d.u~~s r-ecei ved through
: SRP}\., 1520 Fifth Avenue, San
Fifth
San
Fifth
Fifth
Police Association 1520 Fifth
CA 949(11
rCAmbAr's dues rec:ei ved through
'Contributor Codes
IND --Individual
COM -Recipient Committee
,ny: San Rafael Police Association,
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
sec --Small Contributor Committee
www.netfile.com
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Co.rpora
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
11.18
55.90
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
100.62
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
~pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITIEE, ALSO ENTER I.D. NUMBER) CODE *
02
03
c/o: Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
14 Scott lnge
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
014 Scott lnge s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
014 Scott s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
DPTY
DSCC
of San Rafael
ity of San Rafael
Corporal
City of San Rafael
City of San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _....:0""5.:.../.::,1,,,,7 /""2:;,cO""1:..,:4'--__
SCHEOULE A (CONT.)
CALIFORNIA 460
FORM
Page _--",60,,--of 1 ° 6
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San R~fi.:tel Police ASgOC1.dtion Pulitical Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
Avenue
San Rdfat~l, CA 94901
Union member's dues received through
intermediary: E:an Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
City of San Rafael
City of San Rafael
Corporal
City of San Rafael
Off cer
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-,0:..::5~/.::1.:...7,-,/ 2=-0:..:1:..:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_~6~1_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers
from 01/01/2014
through _-,0;...:5...:./_1_7-'.-1_2_0_14-,-__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _-,,-62,,--of 106
----.~ ----------.-.-... ---.... ----., .. ".----.... --_._._ •. __ . __ • __ • _____ ~ __________________ _L_ _____________ hI.MD:I. N"'U"'MWBC,E"'R'-----i
NAME OF FILER
San Rafael Police AnHociation political Action Committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE. ALSO ENTER I.D. NUMBER) CODE *
Fifth [KjIND
oCOM
DOTH
oPTY
OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
. OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
'c--,,,---,-:-c--·-+cc-·--"'· .. --.,,· -.,.--.. --. -·--·----·-·--·-----·----.f-[Kj-X-I-N-D----+7'7"""c-e-r---------+--------;]:-:;.1,.-,-:;1-;:8+------:;-1;:::0;:::0-.6;:::2:;-., t----------
Fifth oCOM City of San Rafael
Fifth
San
Fifth
San
C/o: San Rafael Folice Association 1520 Fifth
A.venue
San Rafae]., CA. 94901
Union member's dues receive.d through
:interlT'.edia:ry: SRP..Z'i t 1520 Fifth Avenlle, .San
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or seC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC· Small Contributor Committee
www.netfile.com
DOTH
oPTY
OSCC
[KjIND
oCOM
DOTH
oPTY
OSCC
[KjIND
oCOM
DOTH
oPTY
OSCC
[KjIND
oCOM
DOTH
oPTY
OSCC
Officer
City of San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael P~")I.ice Associat:ion Pol,itical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(iF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Statement covers period
from 01/01/2014
through_-'0:.:5:.c/..=1...:.7'-/=-20.::..;1::..:4'---__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-'2.6 2...3 _ of 106
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS) -.~-~ .. :-·,--·-_f_,c·-·--c .. -'"""""··-.. -, .. · .. -· .. -· .. ·-·-.. ·-·· .. -----.. -----.. -.. ---l--IXJ-,N-D---kO'""'f""'f'""'i-c-e-r-::...:===------+------:;-1-:;-1-. -:;-ln8+-------.......,1;";O;CO'.--;:6c;:2;-f----------
Pcli ce Association 1520 Fifth OCOM City of San Rafael
Fifth
Folice Association 1520 Fifth
94901
F01ice Association 1520 Fifth
94901
Police Association 1520 Fifth
CA 949U1
Union member's clues received through
intermediary: San Rafael Police Association,
'Contributor Codes
INO .. · .. Individual
COM .. Recipient Committee
(other than PTY or SCC)
OTH .. Other (e.g., business entity)
PTY .. Political Party
SCC .. Small Contributor Committee
www.netfile.com
DOTH
OPTY
OSCC
IXJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IXJIND
OCOM
DOTH
OPTY
OSCC
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
o flcer
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
"TYpe or print In ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
Police Association 1520 Fifth
Police Association 1520 Fifth
94901
San
Fifth
San
Fifth
San
Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
OOIND
OCOM
DOTH
OPTY
OSCC
IKJIND o COM
DOTH
OPTY
OSCC
OOIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
OOIND
OCOM
DOTH
OPTY
OSCC
San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _-,O:.:5C!./.::1..:..7:.../ 2::..0:..:1:..:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_--,,-64=---of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1
1
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC TolI·Free Helpline: 8661ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Sri.n R.ataeJ i~.;ol ice AS8t)ciation Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I.D, NUMBER) CODE *
os L~t';(ey
c/o: Rafael Police Association 1520 Fifth i Avenue. _
San Rafrte1/ CA 94':101
Uni on member' i3 dU0S I.-ecei ved through
intermediary: San Rafael Police Asso~iation,
oi7Ts!:UjJ4-, Roge
I C/o: San Rafael 1'olie0 Association 1520 Fifth
A"',;enue
San Rafael, CA 949<Jl
Union member's dues received through
inte:r'media.ry: San Rafael Police Association,
Leon
: San Rafael pnlice Association 1520 Fifth
94901
Fifth
: Sdll Rdfael Police Association 1520 Fifth
AvenUE,
San Rafael, CA 9';901
Un ion member's ChIPS received through
intermediary: ,san Rafael Police Associat.ion,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e,g., business entity)
PTY -Political Party
sec ... Small Contributor Committee
www.netfile.com
[RJIND
OCOM
DOTH
OPTY
OSCC
lRJlND
OCOM
DOTH
OPTY
OSCC
[RJIND
OCOM
DOTH
OPTY
OSCC
[RJIND
OCOM
DOTH
OPTY
OSCC
lRJlND
OCOM
DOTH
OPTY
OSCC
cer
City of San Rafael
City of San Rafael
Sergeant:
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _..-:0:..::5:.!../..=1.:..7,-/ 2=.0::..:1::..:4=--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_~65,,--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers period
from 01/01/2014
through _-,0,-,5.:...1--,1_7/:..-2_0_1,-4 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-,,-6:::...6_ of 106
--------.---.-~ :_c::----~------·-----·--·-·--·---------------·-----------·-------------------------L-------------T'l.nD_IiNJlUii:MiiiBII=ERR-----i NAME OF FILER
San Rdfacl Pc.) 1 ice ARsociat,ion P,)litical Action Committee
DATE
RECEIVED
NAME_ STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE. ALSO ENTER 1.0_ NUMBER)
Association 1520 Fifth
San
Fifth
San
04/15/2014 Leon
: San Rafae] Pc,lice Associa.tion 1520 Fifth
94901
San
Fifth
Fifth
.:.T:!...venUE:
San Rafael l CA 94:901
Union wember' f! cluei' recejved through
intermediary: San Rafael Police Association,
'Contributor Codes
INO-·lndividual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY --Political Party
sec -Small Contributor Committee
www.netfile.com
CODE *
[KJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
!XlIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
[KJIND
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11_18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN_ 1 -DEC. 31)
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rdf.~el Police Association Political Action committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Police Association 1520 Fifth
Avellue
San Rafael_I CA 94901
Union membe:t" I s dues received through
intennediary: Sa.n }{afael Police Association,
--6i/ 3 i7ia 14 K~v:rl;-Ma-(:do~.lgald·--
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union !Eember' s dues received through
.interme:diary: San Rafael Police Association,
'Contributor Codes
IND-Individual
COM --Recipient Committee
(other than PTY or SCC)
OTH ~ Other (e.g., business entity)
PTY --Political Party
SCC -Small Contributor Committee
www.netfile.com
Police Association 1520 Fifth
94901
Police Association 1520 Fifth
94901
Police Association 1520 Fifth
94901
San
[RJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
[RJIND
DCOM
DOTH
DPTY
DSCC
[RJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
City of San Rafael
Off
City of San Rafael
Officer
City of San Rafael
San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (CaNT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through __ ~O~5~/~1~7~/~2~Ol~4~ __ ___ Page
AMOUNT
RECEIVED THIS
PERIOD
11.1
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
10
100.62
100.62
100.62
67 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San :RJtfael Pol. ice Association Politica.l Action comrnittee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMI"fTEE, ALSO ENTER LD, NUMBER) CODE *
Police Association 1520 Fifth
San
Poli.ce Association 1520 Fifth
San
Police Association 1520 Fifth
rolice Association 1520 Fifth
%901
Fifth
San Rafael, CA 94901
Union member's dlles received through
intermediary: S",n h''-lfael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCe)
OTH-Other (e,g" business entity)
PTY -. Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IK]IND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
OF BUSINESS)
San Rafael
San Rafael
San Rafael
cer
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through __ 0:::5~/~1=-7,-,/..;2:.:~ 0:..:1:..:4:....-__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_--'C6'"-.S_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC, 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1.18
11.18 100.62
11.18 100.62
11.18 100.
FPPC Form 460 (January/OS)
FPPC ToII·Free Helpline: 866/ASK·FPPC (866/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _--'0:..::5'"-1-=1..:...7'-./2=-0:.:1:.:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _-,,-6 ~9 _ of 106
.. --.. ---..... --.... ----.--.. ----...... -...... --.--.----.-----------------------.l.-------------~I_o1."0-;. N~U-;;M:;;B;;;E:;:R:;-------I
NAME OF FILER
SCi.n RafaE'.l Folice Associat:ion Political Action committee
DATE
R.ECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMnTEl', AJ.SO ENTER !.D. NUMBER) CODE *
-·-Ma-f(~;Iia"d~~-~'--··-·---·"-·-'---
San Rafael Police Association 1520 Fifth
94901
Fifth
Fifth
Fifth
San
Fifth
San Rafael, CA 94901
Unj on member! s duet.:: received th:rough
lnterwediat-y: SRPA, 1520 Fifth Avenue, San
'Contributor Codes
INO -Individual
COM-Recipient Committee
(other than PTY or SeC)
OTH --Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfi/e.com
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
OffJ.cer
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.17
11.18
11.18
55.89
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
100.61
100.61
100.61
100.61
100.61
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC To"-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
1\tpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OFCOMMtnEE,ALSOENTERI.D.NUMBER) CODE *
05
Police Association 1520 Fifth
94901
San
os
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Carlos Maldonado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
014 s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
S
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e,g., business entity)
PTY -Political Party
SCC -Sma" Contributor Committee
www.netfile.com
IK]IND o COM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND o COM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
r
City of San Rafael
Officer
City of San Rafael
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _--=0c::5.!..../.::.1-'-'7/c.,:2::.;0;,.:1;,.:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _--,-70,,--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.61
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _--,0:.:5,-,-/-=::1-'..7!.-/ 2:::.:0:..:1:..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _.-:...71",--of 106
.-----.-... --.~ .. ---.---.-.---.-... ----.. -.. ---.-.----····--··----------------------l....-------------+-.. I.D~.-;:N;;-U;;-M;;::S;;::E;::;R--------j NAME OF FILER
San Rafael Policf-~ Association Political Action Committee
DATE
RECEIVED
(11
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE. ALSO ENTER I.D. NUMBER) CODE *
[..1ath:["8'-·----·
San Rafael Police Association 1520 Fifth
94901
Fifth
Fifth
AVenue
San Rafael, CA 9490.1
Union member' 8 dues recei.ved through
inter:medim.:y, SRPA, 1520 Fifth Avenue, San
IKJIND
OCOM
DOTH
OPTY
OSCC
[KJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
-03728'/2014 f1ichael Mathis IKJIND C/o: San Rafael Police Association 1520 Fifth ~~ O~
,San Rafae;, CA :1';9<11 DOTH
Union member t f; du£;s recei ved through 0 PTY
intermediary: SRPA, 1520 Fifth Avenue, San OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
City of San Rafael
Corporal
City of San Rafael
AMOUNT
RECEIVED THIS
PERIOD
1
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
04/15720:[4 MatnE-·---·· .. ---·----·------+--;;[KJ;;-;:IN-;-;D::---jeornoraT---------t-----IT:-fist-----TIi'O":'62I---------
C/o: San R"fael Police Association 1520 Fifth OCOM ity of San Rafael
Avenue
San E2lfael, C'A %901 DOTH
Union member's dues received through 0 PTY
intermediary: SRI'1\., 1520 Fifth Avenue, San OSCC
'Contributor Codes
INO ~ Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
SUBTOTAL $
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
S2ln Rafael Pnlice AssGcizition Political Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IFCoMMITTEE,ALSO ENTER I.D. NUMBER) CODE *
Avenue
San Rafael, CA 94901
Union member's clues received through
"Lnt€::nnediary= San R.afael Police Association,
'Contributor Codes
INO ~·Individual
eOM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
sec --Small Contributor Committee
www.netfile.com
IX]IND
OCOM
DOTH
OPTY
OSCC
IX]IND
OCOM
DOTH
OPTY
OSCC
!KlIND
OCOM
DOTH
OPTY
OSCC
IX]IND
OCOM
DOTH
OPTY
OSCC
IX]IND
OCOM
DOTH
OPTY
osee
OF BUSINESS)
San Rafael
San Rafael
San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through __ ~0~5~/~1~7~/~2~0~14~ __ ___
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC TOil-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
Rafael Police Association 1520 Fifth
Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Phillip Melodia
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
Fifth
San
a
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKIIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
!!lIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
San Rafael
Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through __ ~0~5~/~1~7/~2~0~1~4~ __ __
SCHEDULE A (CO NT.)
CALIFORNIA 460
FORM
Page 73 of 106
I,D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
01
02
Police Association 1520 Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Lesl OToole
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Lesl OToole
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IK]INO
DCOM
DOTH
DPTY
DSCC
IK]INO
DCOM
DOTH
DPTY
DSCC
IK]INO
DCOM
DOTH
DPTY
DSCC
IK]INO
DCOM
DOTH
DPTY
DSCC
IKJINO
DCOM
DOTH
DPTY
DSCC
San Rafael
Rafael
San Rafael
cer
City of San Rafael
SUBTOTAL $
Statement covers
from 01/01/2014
through _--=O:..:5:.t.../-=1..:...7 /~2:..:0:.:1:..:4,--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_----=-74"--of 106
LD.N MBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
Si;ln Rafael Police Association f>olitical Action Commit.tee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
rtF SELF·EMPLOYED, ENTER NAME
\IF CQMMllTEE" ALSO ENTER!.D, NUMBER) CODE *
Fifth
San
Fifth
San
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
, OF BUSINESS)
City San Rafael
Statement covers period
from 01/01/2014
through _-'0:.:5:.<./.::::1-'..7'-/2::..0:..:1:..:4=--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-.!...7S,,---of 106
831S53
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
DSCC --,,----,~----,--... -... -+--_=_c-...... -·,---.. -----··----------------I--.::MX:::..,N-D---f-O-=f-::f:-:-i-c-e-r---------t------:-1 -::-1 -. -::-18::+------:;1-;0;";0:""'.-;6::;2+---------OToole Ll>J
C/o: San Rafael Police Association 1520 Fifth DCOM City of San Rafael
'Contributor Codes
INO -·Individual
COM .. Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY .. Political Party
sec -Small Contributor Committee
www.netfile.com
94901
San
Fifth
Fifth
DOTH
DPTY
OSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]INO
DCOM
DOTH
DPTY
DSCC
San Rafael
City of San Rafael
SUBTOTAL $
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
Police Association 1520 Fifth
terson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
02/14/2014 Brian Patterson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'an Patterson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
rson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Redpient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND o COM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
SCHEDULE A (CO NT.)
covers
from 01/01/2014
CALIFORNIA 460
FORM
through __ 0 __ 5..:../_1_7:.../2_0_1_4 __ _ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
76 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _--,0:.:5,"-/..:;:1,-,-7-,-/.::.2;:...0::..14,,-__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _-,-77-,--of 106
~,--,--, .. ------,---"----"---------"-'---... ---.--.... ----.-----------------------L----------t-;-;:;-;:;-~<=D----___j
NAME OF FILER
9-an R,d",,1 Police AssQcidtion Political Action Commit.tee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lr COMMIHEE, ALSO ENTER LD. NUMBER) CODE *
Police Association 1520 Fifth
94901
San
Fifth
San
Pat ters()u
C/o: San Rafael Police Association 1520 Fifth
'Contributor Codes
INO -Individual
COM .. Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
pry -. Political Party
SCC •. Small Contributor Committee
www.netfile.com
94901
Fifth
Police Association 1520 Fifth
949;)1
[RjIND
DCOM
DOTH
DPTY
DSCC
[RjIND
DCOM
DOTH
DPTY
DSCC
[RjIND
DCOM
DOTH
DPTY
DSCC
[RjIND o COM
DOTH
DPTY
DSCC
[RjIND
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SElF·EMPLOYED, ENTER NAME
OF BUSINESS)
City of San Rafael
Officer
City of San Rafael
San Rafael
San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
8315S3
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
~pe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
02
Police Association 1520 Fifth
94901
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Buffy Paxson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Fifth
San
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND o COM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (CO NT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _-'0;,.:5;.:./..::1..;..7:...;/2:;..0;,.:1:..:4'---__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
101. 25
101. 25
78 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27S-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _.....:0:.:5:.:../.::;.1.:...7t-:/2::.:O:.:1:.:4'--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page 79 of 106
--.-.. -.--.~ .. -... -----.-.... -.. ----.-'-......... _____________ . _________________ .--l _____________ -t ..... I.D".MN"'U"'M;cB"C'ECR------i
NAME OF FILER
El;~n RafEwl Police Ass'lciati.o" Political Action committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR I IIFCOMMI1TEE,ALSOENTERI.DNUMBER) CODE *
I
I
Rafael Police Association 1520 Fifth
AvenuE:
'I San Rafael, CA 94901
Union membflr' fl due." rece i. ved through
intermRdiary: SRPl~" 1520 Fifth Avenue, San
Fifth
Paxson
Rafael Police Association 1520 Fifth
Police Aflsociation 1520 Fifth
94901
Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union membel-' S ,11",,8 received through
intermediary: San Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SeC)
OTH -Other (e.g., business entity)
PTY ~. Political Party
SCC -. Small Contributor Committee
www.netfile.com
[KjIND
DeOM
DOTH
DPTY
Dsee
[KjIND
DeOM
DOTH
DPTY
Dsee
IX]IND
DeOM
DOTH
DPTY
Dsee
[KjIND
DeOM
DOTH
DPTY
Dsee
[KjIND
DeOM
DOTH
DPTY
Dsee
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
o fleer
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
11.18
55.90
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
101.25
101.25
101.25
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
QF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
02
03
03
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Jess Perry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Jess Perry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
Jess Perry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
C/o: San Ra Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IK]IND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
IK]IND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _.....:0:.:5:.!./..::;1..:..7t....:/ 2::.:0:..:1:..;4:...-__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page 80 of 106
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from _. ___ 0_1'-10_1..'-'1'--2_0_1_4'--__ _
through _-,0:.;:5-'...1-=1..:...7,-/2=-0:...:1:...:4,-__
SCHEDULE A (CO NT.)
CALIFORNIA 460
FORM
Page_--,-8~1_ of 106
---.... -.-.. -.. --.. -.------... ---------.-.---.---.. ---.. -----.----------.. --------------L---------t---,-;:;-t.:iIit:ii~---___j
NAME OF FILER
8"m Rafael Pol;ce Association Political Action Committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
ilF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
Police Association 1520 Fifth
94901
vol ice Association 1520 Fifth
Fifth
Fifth
C/o: S2m RaracI P::>lice Association 1520 Fifth
AvenuE:)
San Rafael, CA 9~1901
Union membcn-' s dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
INO --Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
[RjIND
OCOM
DOTH
OPTY
OSCC
[RjIND
OCOM
DOTH
OPTY
OSCC
IK]IND
OCOM
DOTH
OPTY
OSCC
[RjIND
OCOM
DOTH
OPTY
OSCC
[RjIND
OCOM
DOTH
OPTY
OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
San Rafael
San Rafael
San Rafael
City San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San RafaE:l Police ASGociation Political Action Committ_ee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Fifth
Fifth
San
Fifth
San
Fifth
San
: San Rafael Police Association 1520 Fifth
Avenue
San Rafclel, C]l~ 94901
Union member's duee received through
intermf"diary: San Rafael Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY --Political Party
SCC _ .. Small Contributor Committee
www.netfile.com
IKJIND
oCOM
DOTH
oPTY
OSCC
IKJINO
oCOM
DOTH
oPTY
OSCC
IKJIND
oCOM
DOTH
oPTY
OSCC
IKJIND
oCOM
DOTH
oPTY
oscc
IKJIND
oCOM
DOTH
oPTY
OSCC
San Rafael
San Rafael
San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
I CALIFORNIA 460
FORM
th rough _--'0:.:5:.:../-=1--.:7'-'/2=-0::..:1::..:4'---__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
100.62
100.62
82 of _---'1"-'O'-'6~
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael I'olic€;; Assr)ciatioD Political Action Committee
I
Type or print in ink.
Amounts may be rounded
to whole dollars.
RECE.IVED \IFCOMMITfEE ALfO ENTER I D NUMBER) CON6~~~T~R OCCUPATION AND EMPLOYER
. (IF SELF-EMPLOYED, ENTER NAME
Statement covers period
from 01/01/2014
through __ 0_5...:../_1_7:..../2_0_1_4 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page __ 8_3 _ of_...::1.::..0 ,,-6_
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
DATE f' FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OF BUSINESS)
-o57is/2oTi-Aa.-ron P·i.-;:,rrSO -------------------------+-IKJ-IN-D---+O;c:f7=7f~i.,,-e-::-e,.,r------'.----+-------;1--;1'-.--;1'-;8+-------'1:;-0""0;::-. 672",.-t----------
('/0; Sdn Pdf·JEel ;:>0]1'::;.., Assod ation 1520 Fifth 0 City of San Rafael !b~~ ~
'I San Ratetel, CA 9.901 OOTH
Union member's dueo3 received through 0 PTY i interrnediary; San Ra.fael Police Association, OSCC
~/l~/~~r~i~~~-----'-----------~~IKJ~I-N-D--~~O~f~f~i-e-e-r---------~-------,1:;-1~.1:;-8~-----~1~0~0-.~6~2+---------
C/o: Sail Rafael Pc-,Lj Cf; Af:soeiatl0n 1520 Fifth OCOM City of San Rafael
Avenu~
San Rarael, CA 94'101 OOTH
I Unl0n 111en:ber' a duea recf;i ved through 0 PTY I intermediary; San rUdael Police Association, OSCC
--Oli;-D20i4-'T~~~~i~a:I~~::~':~:~~~-AS~:-c-i-a-t-i-o-n-1-5-2-0-F-i-f-t-h-+--IKJ-X-IN-D---+-g-~'--~CC~'--e-~-~-s-a-n-R-a-f-a-e-l----+-------1-1-. -1-8+-------1-0-0-.-6-2-+---------
I Avenue 0 COM I San Pafael, CA 94901 OOTH
I Union In,,mber' 8 dues reee i ved through 0 PTY
! int.ermedi"'.ry: San Rafael Police Association, OSCC
o27i472i5i4l'venn{;;--prTilc-e----·· --IKJIND IC/O: San Rafael Police Association 1520 Fifth
I
Avenue 0 COM
San Rafael, CA 94901 OOTH
Union member's dues received through 0 PTY
I intermediary; Scm Rafael Police Association, OSCC
li27?8 !2(f1rl ~/~~I~-:~r~~~~~·1-~~.::=--Af3S0Ci ation 1520 Fifth IKJIND I Avenue OCOM
San Rafael, CA %901 OOTH
Un ion membE,r' 8 dues received through 0 PTY
. _______ . ____ i~_t~~:'~~~'~~:~S~:.~~:~el Police ~~socjation, OSCC
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
Officer
City of San Rafael
o leer
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
55.90
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
(IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE *
04
04
Fifth
San
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
014 Dennis Prince
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
14 Dennis Prince
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfi/e.com
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND o COM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _-,0:...:5'-!./..::1'-'.7",-/.:;.2.:..0 ;;:.14-=---__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-"-84.:..-of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275·3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Siil1 Rdfael P:.)l:i.ce Af3sociation. Politic~al Action Committee
Type or print In ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
,IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Fifth
~"ifth
ReE;se
C/o: San Rafael Police Assodation 1520 Fifth
San lV:1r;:te;J. t C .. 1l. 94901
mernber'Fl dues received through
S"n Jl.afael Police Association,
Fifth
: ,san Fifth
A-.;.renue
San Ra.fael, CA 9490)1
Union membE:r I s dues recE=d ved through
intermediary: SRPA, 1520 Fifth Avenue, San
'Contributor Codes
INO -Individual
COM --Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IK]IND
DeOM
DOTH
DPTY
osee
IK]IND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
City of San Rafael
City of San Rafael
Corporal
City of San Rafael
SUBTOTAL $
SCHEDULE A (eONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _-'0:..:5"-/:..:1....:7'-'/2=-0:..::1:..::4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
85 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTERI.D. NUMBER) CODE *
04
Fifth
San
se
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
2014 Ronda Reese
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND o COM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
through _--'0:..,:5;..:./..::;1.;,.7:...;/2:;..0:..;:1:..;:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.62
100.62
100.62
86 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC TolI·Free Helpline: 8661ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _-,0..=5.!-/.::.1..:..7 /c..:2::..c0:..::1:..::4c--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_--=-S",-7_ of 106
NAME OF FILER
~,_. ___ ~_ ... _____ ~ _____ , _______________________ l..._ _______ ----+--:-1.-=0""""'. N"""U::cM""B:=:ER::--------j
Sa.n Rafael Pol iCf: Association Political Actton Committee 831553
PER ELECTION
TO DATE
(IF REQUIRED)
DATE" ", I FULL, NAM",E, STREET ADD, RE,S" S, ,AND ZIP"C, ODE OF CONTRIBUTOR CONTRIBUTOR O~C~~A~g~~~;~ME~~~~R RE;E~~~~~HIS CUc~~~T6~~ T~E~~TE
RECEIVED L (IFCOMMITIEI':,ALSOENTERI.D,NUMBER) 18CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31)
01"}:)J/;;;014--! Tho;;':;"s 8ilbTdo~-'----------,-------lKJl-N-D---+O:::-f~f~l;-' c-e-r-, _O_F_B_US_IN_E_S_S) ____ +---____ ----=1:-:1,.-.-::1-::S+-_____ -=-17070 __ 6:::-2;;---t----------
Il,',:/O: San Rafa'ol Police Association 1.520 Fifth DCOM City of San Rafael I Av,mUe
'I san Rafael, CA 94901 DOTH
U'1ion ",'ember' 8 dU,",8 received through 0 PTY
! intermediary: San Hatael Police Association, OSCC
--O;;?i.f72()i4~+r1jo;;:,as?:at;{('fo---------------------------I--lKJ-,N-D----IC=O-::f"'fC7i-c-e-r---------1--------;;-1""1-.1""8::+-------::1-::0-=0-.-::6:-::2+---------
I c/o: San Rafaf>l Police AS>3o(:iation 1520 Fifth DCOM City of San Rafael
AVeIlue
I[ San Rafael, CA. 9,1901 DOTH
, Unj on member's due'S rece! ved through 0 PTY il inte~ediary: San Rafael Police AssOciat_l_·o_n_,_~~-D-S-C-C~-~~~--------~~~-~-~~~~~--~_~~~~_~ _____ ~_
02/28/2014 Thomas ~Libiclo lKJlND Officer 11.18 100.62
C/o: San R"fael Police AGsociation 1520 Fifth DCOM City of San Rafael
\ Avenue
San RafAel, C]-\ 94901 DOTH
Uni on rr,ember' >3 due" r"cei ved through 0 PTY
intermediary: San Rafael Police Association, DSCC
Th;mas···-sabi~~'--"--------~~------~
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Ra.i2Hel, CA 94901
UnioLl merr.be:r-' s dues reCeived through
interme.diary: SRPA, 1520 Fifth Avenue, San
C/o; San Rafael Pol.ice Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member'S dues received through
interm6;diary: SRPA, 1520 Fifth Avenue, San
'Contributor Codes
INO -Individual
COM -ReCipient Committee
(other than PTY or SCC)
a fH-Other (e,g" business entity)
PTY -Political Party
SCC --Small Contributor Committee
www.netfile.com
lKJlND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
Officer
Cicy of San Rafael
Of J.cer
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
01
Fifth
San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Thomas Sabido
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Anthony Scalerc
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
IKIIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
SUBTOTAL $
covers
from 01/01/2014
through _...::O:..:5:.!../..=1..:...7 /~2:..;0:..:1:..:4,---__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page 88 of 106
NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
11.18 100.61
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Scm Rafael Po:! i"e Associat.i.on f\)litical Action committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTI;E, ALSO ENTER i.D. NUMBER) CODE *
02
c/o: San Rafael Police Association 1520 Fifth
I AVF.nue I San Rair-wl, CA 94901
!Union member's dues received through
. intermediary: 8,'m Ri'lfael Police Association,
o-2~i28 2014 r\nthony ere
03/15/2014
C/o: San Rafael Police Association 1520 Fifth
A'JEmue
1 San Rafa~l, CA 94901 I Union member's dues received throuah
! i~term~;diary: San Rafael Polj.ce As~ociat.ionl
i Fl'.t-t:h I C/o; .
Avenue
San Raft-iel , CA 94901
Union member's dues received throuc]h
i.nt.ermediary; RRP!-\., J.520 Fift.h Avenue, San
0)/28 2014. Anthony Scal(:J:cio
C/o; San Rafael Police Association 1520 Fifth
Avenu.e
San Raiciel, CA 94901
Union membE'r' s JIlt'S rC'cei ved through
intermediary; SRPA, 1520 Fifth Avenue, San
Fifth
94 ge,1
mel1'ber'c< dues 1"",",ceived through
; SRPA, 1520 Fifth Avenue, San
'Contributor Codes
IND --Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH --Other (e.g .. business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
!KlIND
OCOM
DOTH
OPTY
oscc
!KlIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
!KlIND
OCOM
DOTH
OPTY
OSCC
!KlIND
OCOM
DOTH
OPTY
oscc
San Rafael
San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
covers period
from 01/01/2014
through _--'0'-=5-'-./.=1..:...7/'-'2;:.:0:.;:1:.;:4'--__
SCHEDULE A (CaNT)
CALIFORNIA 460
FORM
Page_-,,-S=:..9_ of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.17 100.61
11.18 100.61
11.18 100.61
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITIEE,ALSOENTERI.D.NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
01
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 George Schikore
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
[RIIND
DCOM
DOTH
DPTY
DSCC
[RIIND
DCOM
DOTH
DPTY
DSCC
[RIIND
DCOM
DOTH
DPTY
DSCC
[RIIND
DCOM
DOTH
DPTY
DSCC
[RIIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-'0:...:5'"'"/-=1'-'"7..:.../.::.2.:..01::.4"--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _--=0.90,,--of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.1
11.18 100.61
11.18 100.62
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through __ 0;..:5-'-/.;:.1-'..7'-/2-'-0;..:1:.;:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_~91,,--of 106
--,-,,-,~',,-----,-,~,----~--,---, ----------------------------------L--------------t-.-L"'D.'N ... U"M"B"'E:;::R..------......., NAME OF FILER
Sa.n Rafa.el Police ASGociatinrl Political Action Committ.ee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMIlTEE. ALSO ENTER I.D. NUMBER) CODE *
Fifth
Fifth
San
Fifth
San
Fifth
San
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafa<el, C .. q 94901
UnicJrl member' L~ dUf"8 received through
inLermediary: San Rafael Police Association.
'eontributor Codes
IND --Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -. Other (e.g., business entity)
PTY -Political Party
SCC-Small Contributor Committee
www.netfile.com
IKJIND
OeOM
DOTH
OPTY
osee
IKJIND
oeoM
DOTH
OPTY
osee
IXIIND
oeOM
DOTH
OPTY
osee
IKJIND
oeOM
DOTH
OPTY
osee
IKJIND
oeOM
DOTH
OPTY
osee
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
o lcer
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San }<_af.ael p~)].ice Ass-ociatioH Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STRE.ET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMI1TF..E. ALSO ENTER !.D. NUMBER)
Fifth
Fifth
Fifth
Fifth
C/o: San Rafael Police Association 1520 Fifth
Avenue
San R.d,f~~_el, CI~ 94901
TJniC)[l merr.ber! s d1J8S received through
intermedi.ary: E-:aJl Rd.fael Police Association,
'Contrlbutor Codes
INO ·-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH .-Other (e.g., business entity)
PTY -Political Party
sce -Small Contributor Committee
www.netfile.com
CODE *
IK]IND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
!KlIND
DeOM
DOTH
DPTY
osee
!KlIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
cer
City of San Rafael
Officer
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _-'0:..::5'-'-/:..::1:..:.7-'../22.::.0;::.14-=--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page_~92=--of 106
1.0. R
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1
1
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through _-'0:.;:5"-1-=1-=7'-'/2=..0:..:1:.;:4'--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 93 of 106
N-AMfOFR-i.-.E--R---------------------------------------_____________________________________________ -L _________ ----t-ilI.D".r;:;;;;;;.-c:;::;;--------j
S2,n Rafael Police Association Political Action Committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTf'E I,LSO ENTER to. NUMBER) CODE *
Fifth
San
Fifth
San
Fifth
San
Fifth
Fifth
Avenue
San R(J.faf·~ll CP~ 94901
Union member's duel" received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM -. Recipient Committee
(other than PTY or seC)
OTH -Other (e.g_, business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
OF BUSINESS)
City of San Rafael
Officer
City of San Rafael
San Rafael
San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
OFCOMMITIEE,ALSO ENTER I.D. NUMBER) CODE *
02
02
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Wanda Spaletta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Wanda Spaletta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g .. business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
IXIIND
DCOM
DOTH
DPTY
DSCC
IXIIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
City of San Rafael
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _....::0:,:5'.£../.,:::1:....7/!....:2::,.:0::..::1::..::4'---__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_~94=--of 106
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers
from 01/01/2014
through _-,0:.::5:.::-/-.::;1:.::7-'-/-=2-"'-0=.14-=--__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page_-29=:..5_ of 106
--.-----.----.-.-.. ---.. ---... ----.--.-... -... -... ·--·-·-------·---·--------------------L---------t~MIiiW,__,::;,_----
NAME OF FILER
San Rafael Polic;e AssocidtioT""-L I'01itical Action Committee
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
Fifth
San
Fifth
San
Fifth
Fifth
Assodation 1520 Fifth
AVenne
San Rafael, CA 94'JGl
Union memberls clues received through
intermediary: San Rafael Police Association,
'Contributor Codes
IND -Individual
COM·· Recipient Committee
(other than PTY or SCC)
OTH-Other (e.g., business entity)
PTY ... Political Party
sec·· Small Contributor Committee
www.netfile.com
fKJlND
DeOM
DOTH
DPTY
osee
fKJlND
DeOM
DOTH
DPTY
osee
fKJlND
DeOM
DOTH
DPTY
osee
fKJlND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
OF BUSINESS)
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE *
02
ice Association 1520 Fifth
C/o: San Rafael ice Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
2014 Christopher Sweeney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'ce Association 1520 Fifth
San
'ce Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: SRPA, 1520 Fifth Avenue, San
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IRJIND o COM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND o COM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
San Rafael
San Rafael
San Rafael
SUBTOTAL $
Statement covers period
from 01/01/2014
through _...:0.:;,5.:.../1;:,.7""/..:;2...:0.:;,14=--__
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page _--=-96=---of 106
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 100.62
11.18 100.62
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAMEOF LER
San Rafael Police Association Political Action committee
'TYpe or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
05
ce Association 1520 Fifth
San
eney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
014 Christopher Sweeney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Henry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
!ijIND
DCOM
DOTH
DPTY
DSCC
!ijIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOTH
DPTY
DSCC
r
City of San Rafael
Off
City of San Rafael
Officer
City of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
covers
from 01/01/2014
CALIFORNIA 460
FORM
through _-'0"'5..:.../.=1-'-7/'-'2=-0'-"1:..:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
97 of 106
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael PC)) ice Anf3ociation Folitical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE, Al.SO ENTER 1.0. NUMBER) CODE *
Fifth
'lvenue
S2m Rat",,'l, CA 9491H
Huion member's dues received through
intermecHary: San Rafael Police Association,
Henl=y-:fl ire--------------
C/o: San Rafael Police Association 1520 Fifth
Avenue
Sa.n Rafael, CA 94901
lhi on merr,ber' s dUES received through
inteYn1p:c1iary: San Rafael Police Association,
Fifth
San
IKIIND
OCOM
DOTH
OPTY
OSCC
lKJlND
OCOM
DOTH
OPTY
OSCC
San Rafael
San Rafael
Statement covers period
from 01/01/2014
through _---.:0::..::5~/_=::1-'-7'-'/ 2::.:0:.::1::..:4'--__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _-----'"-9"'-8_ of 106
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
10
11.18 100.62
11.18 100.62 IKJIND
DCOM
DOTH
OPTY
OSCC -.---,-----,-,-,---+--------.-~----------,--_._._------.. -----------+---~IKI=:...IN-D---+::-c::-:::-c----------+------::-l-:;-l-. 1:;-;8+-------:;-1;:;00~. 6:c:2+--------
Rafael Police Association 1520 Fifth OCOM San Rafael
.94901
San
Ri'dael Police,; Association 1520 Fifth
l"i.ve.nue
San Rafac-;l, C,P... 94901
Union member' '" duf',s received through
intermediary: SRP}", 1520 Fifth Avenue, San
'Contributor Codes
INO -Individual
COM --Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g .. business entity)
PTY --Political Party
SCC --Small Contributor Committee
www.netfile.com
DOTH
OPTY
OSCC
lKJlND
OCOM
DOTH
OPTY
OSCC
cer
City of San Rafael
SUBTOTAL $
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through __ 0:...;5..:...1 __ 1_7'--/2_0_1_4'---__
SCHEDULE A (eONT.)
CALIFORNIA 460
FORM
Page _--,,-99,,--of 106
--.. -.--... ---------.... -------.. -----------------------------------i--------------t'lr.D'.;:;N"UM""BEi::iRo------j NAME OF FILER
San Rafael Police Associ.ation Political Action Committee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF GOMMITTEE . .III.SO ENTER tD. NUMBER) CODE *
Fifth IKJIND
DeOM
DOTH
DPTY
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
Officer
City of San Rafael
AMOUNT
RECEIVED THIS
PERIOD
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
osee
----'-"---~---'--,+ .. ---... ~-.. , .. --.--."-,-------------·· .. ·-·-----·---I-IKJ::::X=-I-N-D--+O'""f"'f'7i-ce-r----------1-------:;1-:;1-,-;-1-;;-8+--------:;-1"0"0 -:. 602:;i---------
Fifth DeOM City of San Rafael
94901
rnemb(lr'S dues recei veri through
: San Rafael Police Association,
Fifth
Police Association 1520 Fifth
Police Association 1520 Fifth
Avenu~~
S<:tn Rafael f CA 94901
Uni.on membe!:'s (lues received through
intermediary: San Rafctel Police Association,
'Contributor Codes
INO -Individual
COM -Recipient Committee
(other than PTY or seC)
OTH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
DOTH
DPTY
osee
IXlIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
IKJIND
DeOM
DOTH
DPTY
osee
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL $
11.18 100.62
11.18 100.62
11.18 100.62
55.90
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers
from 01/01/2014
through_-'0c.::5-'../..:;.1_7'-.C/2'-0:..cl:..::4:....-__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page _-=-1 0,,-,0,,-of 106
--" ... -----.--.... -.--.. -.. -.--.-..... ----.. ---.-.----·--------------------...L---------ilni\iT~~---1
NAME OF FILER
g;;Ul Rafael l>oljee Association political Action Committee
DATE
RECEIVED
FULL NAME:. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
Police Association 1520 Fifth
94901
Police Association 1520 Fifth
94901
San
Police Association 1520 Fifth
94901
San
Police Association 1520 Fifth
94901
San
PoUce Association 1520 Fifth
CA 9·1901
mernber! s duea re_cei ved through
int",rmediary: San Rafael Police Association,
'Contributor Codes
IND Individual
COM -ReCipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
CODE *
[KJIND
OCOM
DOTH
OPTY
OSCC
[KJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
IKJIND
OCOM
DOTH
OPTY
OSCC
[KJIND
OCOM
DOTH
OPTY
OSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
rgeant
City of San Rafael
Sergeant
City of San Rafael
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through __ 0,--5-'.,/_1_7.:../_2_0_14..:.-__
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page_-=.l"-Ol",,, of 106
i\ipj;'IE-o-F-FILER~'-~" ~-----.---.... -~-..... -...... --.-.. ~ ...... --.... --.. ----------~------------L-.--------------t-.I.D".·N .... U"M"'B>CE:;;---------j
San Rafael Police Association Political Action Committee
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE *
Police Association 1520 Fifth
%901
Fifth
Fifth
Fifth
Fifth
Avenue
SRn Rafael, CA 94901
Union member' '" dues l'ecei ved through
i.ntermediary: ,san Rafael Police Association,
'Contributor Codes
IND -Individual
COM .. Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY .. Political Party
SCC -Small Contributor Committee
www.netfUe.com
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
San Rafael
San Rafael
San Rafael
City of San Rafael
SUBTOTAL $
AMOUNT
RECEIVED THIS
PERIOD
11.18
11.18
11.18
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 .. DEC. 31)
100.62
100.62
100.62
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rd_fr3.el Police ASS8C1.2..tiol1 PoJitical Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *
Police Association 1520 F'ifth
94901
San
F'ifth
San
lKJlND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
San Rafael
SCHEDULE A (CO NT.)
covers period
from 01/01/2014
CALIFORNIA 460
FORM
through __ 0"'5"'/'-'1=-7;..:./...::2::..:0:..:1:..:4'--__ Page
AMOUNT
RECEIVED THIS
PERIOD
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
102 Of_--=l",0-,,-6_
PER ELECTION
TO DATE
(IF REQUIRED)
DSCC ~647i5/ 2-014"-.+-.. -.--.--... ~.--.-----·----.. --··~-------------------I-...:::lKJ=-IN-D---l-O-f-f-,--r----------1-------:-1"'1-. "'1"'8+-------:1:-:0:";0:-.-::6:-::2+---------
Fifth DCOM Cit.y of San Rafael
'Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
San
Fifth
Fift.h
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
lKJlND
DCOM
DOTH
DPTY
DSCC
Officer
City of San Rafael
San Rafael
SUBTOTAL $
11.18 100.62
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule 0
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
San Rafael Police Associaticn Political Action Committee
DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
04/03/20J.4 Connolly
county Supervisor Marin County, CA Dist.rict
1.
rEI Support o Oppose
o Support o Oppose
o Support o Oppose
Schedule 0 Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
~ Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
SCHEDULE D
Statement covers period
CALIFORNIA 460
, FORM from 01/01/2014
through 05/17/2014 Page~ of~
I.D.NUMBER
831553
CUMULATIVE TO DATE PER ELECTION
DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED)
3,000.0 3,000.0
SUBTOTAL $ 3,000.0
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................... $ ___ ....;3"-',~0..:;.0"'-0:....::. 0:..:;.0
2, Unitemized contributions and independent expenditures made this period of under $100 ................................................................................. $ _____ 0:;,;.:..;;;0:..::,0
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ ___ ....:3:...!,.,;:O..::..oo=-.:.,:o...::..o
www.netfile.com
FPPC Form 460 (Jan/OS)
FPPC TolI·Free Helpline: 866/ASK·FPPC
SCHEDULE E
Schedule E
Payments Made
TYpe or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through __ 0_5.:.../_1_7-,-/_2..-01_4 __ _ Page~of~
NAME; OF FILER 1.0. NUMBER
San Rafael Police Association PoU.tical Action Committee 831553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
eMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
eNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary), OFC office expenses SAL campaign workers' salaries
eve civic donations FEr petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHD phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
'NO independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
Lrr campaign literature and mailings PRT print ads VllEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMIT! fe. ALSO eNTER 10. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
.-... --.--... -~-.-.. -.. ---------.. '---".-.-,,---------.------------f-----,-------------------------+--------
Damon Connolly for SupervisQ:t· 201,'; (lDff 1361168)
la88 JI.:l.fJ Gal] inas Avenue
Sa,Yl Rafael, CA 94903
CTB 3,000.00
-_ .... __ .. --_ .. _.-._-_._-... __ .. _ .... _" .. -----.-------.---.. ------------+-------4---------------------.----+--------
Th(-~ Henry I,evy Group PRO 1,077.05
.5940 College ]\venue
Qakland, CA 94618
The Henry T-1f~vy Group PRO 564.40
5940 CoIl Avenue
Oakland, Y4618
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,641.45
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ___ -.-:4"',..::,6..::,4.::1..:. . .::,4=-5
2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ _____ ...:::.0..:,."'-0"-0
3. Total interest paid this period on loans. (Enter amount from Schedule S, Part 1, Column (e).) ............................................................................... $ ______ 0_._0_0
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ____ 4"",_6_4_1_._4_5
www.netfile.com
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
SCHEDULEF
CALIFORNIA 460
FORM
Page~ of~
~5:§.I_t-JSTf3.t!.£TIO_NS OJ':lE~V~~~§ _____________________________________________________ ..L-____________ +-__________ ---j
through 05/17/2014
NAME OF FILER I.D_ NUMBER
San Rafael IJolice Association Politj,cal 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
eNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
cve civic donations FEr petition circulating m 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
lJT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ~_LSO ENTER I.D_ NUMBER)
B'reerrlan Public Affairs, Inc.
1/105 I'Ilaxcelj.na Avenue, Suite 11J
Torrance, CI-... 90S01
CODE OR
DESCRIPTION OF PAYMENT
IND Mailer including
production and postage
in support of Maribeth
Bushey-Lang for San
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
2,970.50
(b) (c) (d)
AMOUNT INCURRED AMOUNT PAID OUTSTANDING
THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ON E) OF THIS PERIOD
0.00 0.00 2,970.50
Rafael City Council
2013 . ----------------j, ~ --.-----·--------·----·---------------------------+I~Nc;;D~M-;;-a~i'l-,-e-c:r---,-in--:-c-="l;--\-ld,.,i--n-g--+--------1f---------o -_ 0-0-+-------0-. 0-0+------2-,-9-7-0-. 5-0 Freeman i'U.LIC Aff,nrs, Inc_ 2,970.50 _
1.405 Marcelina Avenue, Suite III production and postage
Tor_nmee, Cll. 90501 in support of Kate
Colin for San Rafael
City Council 2013.
---------.-,.----.--.------------.------------------.. ----------1-----------+--------+-----------+--------1---------
• Payments that are contributions or Independent expenditures must also be
summarized on Schedule D.
~ ___ ~_~ ••• ___ ~"~_~ __ ~_·_~·~ ___ w ___ •• __ ~_·_· __ •• ____ > _
__ .'_,._~._, __ • __ ~ __ ~ ___ .~ ___ ,_· ___ • __ ._. __ N ___ ~· __ •• _._ " •• "
Schedule F Summary
SUBTOTALS $
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
5,941. 00$ 0.00$ 0.00$ 5,941.00
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ _____ --'0:..:.-=0.::.0
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 $ _____ --'0:..:.-=0.::.0
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 $ ~::-=-;;-;;:=::;;:-;07.0~.~0,:::.0 May be a negative number
www.netfile.com
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule I
Miscellaneous Increases to Cash
San Rafael. PolicE-: AS80r~?idtiQn Political Action committee
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBERj
Attach additional infonnation on appropriately labeled continuation sheets.
Schedule I Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2014
through 05/17/2014
DESCRIPTION OF RECEIPT
SUBTOTAL $
1. Itemized increases to cash this period ........................................................................................................................ $ _____ 0::..;.'-"0"'-0
2. Un itemized increases to cash of under $100 this period ............................................................................................. $ _____ 0:::,.:.c.::1c::.4
3" Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ o:::,.:.c.:::0",-o
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ., ......................................................................................................................... TOTAL $ _____ "'-0:....::.1:....::.4
SCHEDULE I
CALIFORNIA 460
FORM
831553
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.com