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Home My WebLink AboutForm 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 www.netfile.com 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 www.netfile.com 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