HomeMy WebLinkAboutForm 460 - Police Association PAC (2014-09-30)COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print In Ink. CALlFOR:-;IA 460
"aRM
(G ovemmenl Code Secllon. 84201J.84216 .5)
Statement cover. period
from 01/01/2014
SEE IN STRUCTI ONS ON REVER SE through 09/30/2014
1. Type of Recipient Committee : All CommiltHs-Complete P.rta 1, 2, 3, end'.
o Officehokter. Candidate Controlled CommlUee o Primarily Formed Ballol Measure
Committee o Slale Candidate Elecllon CommlHae o Recall
(Also CompIefe Parl S)
00 General Purpose Committee
Gil Sponsored o Small Coolribulor CommIUae o Poi UcaJ PartylCanlral ConwnIltee
3. Committee Information
o Conlrolled o Sponsored
(Abo~P'8Ife)
o Primarily Formed Candldale!
Officeholder Commlltee --.... "
1.0, NUMBE R
8 31553
COMUITIEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
San Rafael Police As sociat ion politica l Action Committee
STREET ADDRESS (NO P.O. BOX)
15 2 0 Fifth Aven ue
CITY STATE ZIP CODE
S an Rafae l CA 94901
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P .O. Box 151557
CITY STATE ZIP CODE
San Rafael CA 94915 -1557
OPTIONAL: FAX I E-MAIl ADDRESS
4. Verification
AREA COOEIPHOHE
(4 15)485-3000
AREA CODE/PHONE
Oal. of election If applicable :
(Monlh. Day. Vear) Ti e: Page 1 of 96
Ci
11/04/2014 C;i
Clerk's Office
of San Rafael
For Omcial Usa Only
2. Type of Statement:
00 Preelection Statement o Semi-annual Statement o TermlnaUon Slalemenl
(Also file a Form 410 TerminaUon)
o Amendmenl (Elcplaln below)
Treasurer(s)
NAME OF TREASURER
Ms. Be t h Mi nka
MAILING ADDRESS
1520 F i fth Avenue
o Quarterty Slalemenl o Special Odd-Vear Report o Supplemenlal PreelecUon
5181","enl-Allach Form 495
CITY STATE ZIP COCE AREA CODE/PHONE
(415)495 -3000 San Rafael CA 94901
NAME OF ASSISTANT TREASURER. IF ANY
Ms. stacy B. Owens
MAILING ADDRESS
5 94 0 College Avenue
CITY
Oakland
OPTtOHAl: FAX' E·MAtL AOORESS
STATE ZIP CODE
CA 9 4 618
AREA CODE/PHONE
(510) 652-1000
r have used all reasonable diligence in prepanng and reviewing this statement and to the best of my kn,~~~e. ~I e ~,,!oI~IU!,n coI'IaI,n pdl hBfell'8,.d 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 10/05/2014
"'"
Executed on 10 /05/2014 -
Executed on
"'"
Executed on
Dole
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By
By
By
By
-
Si;natlnol Cor1lrt*lg Ollic:Vlotter.carIdIdaIe.SlaIeMeaslnt Pnlponenl FPPC Fonn.eo (JanuaryIOS)
FPPC ToIl-F ... Help/In.: 8WASK·FPPC (H6/275-3772)
StMe 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)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Usl .ny committe ••
not Included In this stat.ment th,t ,re controlled by you or .re pt#matlJy formed to TeCeive
contrlbuUons or make 'Jq)MKltures on beh." of your candld.cy.
COMMITIEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITIEE?
DYES ONO
COMMITIEEADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITIEE?
D YES O NO
COMMITIEE ADDRESS STREET ADDRESS (NO P.D. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
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6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETIER JURISDICTION o SUPPORT o OPPOSE
Idenllfy the contrOlling officeholder. candidate, or ltate m .. lure proponent, " any.
NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Usl names of
offlceholder(s} or candld.te(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 conUnuaUon sheets If necessaty
FPPC Fonn 480 (J.nu.rylOl,
FPPC Toll ..... Helpline: 166IASK .. PPC (1661276-3112)
Billie of C.lifomill
TYpe or print In Ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page
Amount. may be rounded
to whol. doll .... Statemant cove,. period CALIFORNIA 460
FORM 'rom 07/01/2014
I
SEe INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Contributions Received
1. Monetary Contributions ...............................•........... Sch.dule A. Un. 3 $
2. Loans Received ...................................................... Schedule B. Un. 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddUno.1+2 $
4. Nonmonetary Contributions .................................... Schedule C. Uno 3
5. TOTALCONTRIBUnONsRECEIVED ........................... Add Un •• 3.. $
Expenditures Made
6. Payments Made ....................................................... Sch.dul. E. Un.. $
7. Loans Made ...........•................................................. Schedule H. Uno 3
8. SUBTOTAL CASH PAYMENTS .................................... AddUno ••• 7 $
9. Accrued Expenses (Unpaid Bills) ............................... SchoduleF.U .. '
10. Nonmonetary Adjustment .......................................... ScheduleC. Uno 3
11. TOTALEXPENDITUREsMADE ................................ Add Un ••• ""O $
Current Cash Statement
12. Beginning Cash Balance .........•............. PmiousSummaryP.ge. Uno ,. $
ColumnA
TOTALlHSPERIOO
(fROMATTICt£D SCHEDU.£S)
4,848 .54 S
0.00
4.848 .54 $
0 .00
4.848 .54 S
1.982 .40 $
0.00
1,982 .40 S
0 .00
0 .00
1,982.40 $
through
ColumnB
CAUNDARVEAA
lOTALTOIW'"E
14.419.89
0.00
14.419.89
0.00
l4! 419.89
14,154.25
0.00
14,154.25
0 .00
0.00
14,754.25
10.360 .27
4.848.54
To calculale Column 8. add
amoonIs In Column A 10 lhe
09/30/2014 Page 3 of 96
1.0. NUMBE R
831553
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
1/1 through 6/30 71 1 to Date
20. ConlrlbuUOns
Received $ ____ _ $ ______ __
21. ExpendHures MOOe $ _____ __ $ _____ __
Expenditure Limit Summary for State
Candidates
22. Cumulltlv8 Expenditure. Mads-
(II ~to VoIunwy EapendIIuN UrnMl
081e of Eledion
(mmlddIyy)
---1---1 __
ToI"'lo Dale
$--------
$--------
conespondlng amounls "Amounls In IhIs sadlon may be dlfferenl from amounls
from Column B of your lasl repo<1ed In Column B.
13. Cash Receipts .......•...................•..•..•..••..•..•..•.... CobnnA,Uno3e1>cM1
14. Miscellaneous Increases to Cash ........................... Schedule '. Uno. 0 .19
repo<1. Some amounla In
Column A may be negative 15. Cash Payments ................................ .................. Column A. Un. a .bow 1,982.40
16. ENDING CASH BALANCE .......... AddUnes 12 + 13+ 14, then subtract Un" 15 S 13,226.60 figures Ihal should be
subtracted from previous
pertod amounls. If 11110 10 -----------------------------11he firsl repo<1 being filed
If this is a termination statement, Une 16 muat be zelO.
.:.17:.:.~L:::O::A:::N~G:U:::A:RA=N::T~E~E;s:.::R::E~C:::E~IV::E~D::.: ... :;,: .. ;,::.":;':";'::"':;':";'::"':;':"';'::";;"":;,.' ..::ScheduIe==:B . ..:P::Irl::2:.....:$..::::::::::O~.~0:o~ ::s .,:.:a;:lson!y
Cash Equivalents and Outstanding Debts from Unes 2. 7 • ...cj 9 (K any).
18 . Cash Equivalents ........................................ S •• instructions on nwe,u $ 0 .00
19. Outstanding Debts ......................... AddUne2+Un.9inColumnSebow $ 0 .00
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FPPC Form .10 IJlnulrylO5)
FPPC Toll-Frse H.lpllne: .IIIASK·FPPC (' .. 'Z75-3nZ,
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amount. may be rounded
to whole dolll".
FULL NAME. STREET ADDRESS AND ZIP CODE OF COINTFUBUITOIR I CONTRIBUTOR
(lFCOUUrrrEE,ALSOENTEAI.D.NUUBEA, CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SElJL.EWlOYEO, EHTtR NAME
OF BUSINESS,
Rafael Police Assoc i a t ion 1520 Fifth
CA 94901
me,"'.r· s dues received through
San Rafael Police Association,
Fifth
CA 94901
9 dues received through
San Rafael Police Association ,
Pifth
CA 94901
s dues rece i ved thro ugh
San Rafael Police Aasoc i ation,
Fifth
CA 9490 1
s dues rece i ved through
, San Rafael Pol1e:eAB.oe:ia<t1,on ,
1520 Fi fth
CA 9490 1
's dues received through
: San Rafael Association,
Schedule A Summary
1. Amount received this peMod -itemized monetal)' contMbutions .
DCOM
DOTH
DPTY
DSCC
(lg1NO
DCOM
DOTH
DPTY
DSCC
of San Rafael
of San Rafael
of San Rafae l
of San Rafael
o f San Rafael
SUBTOTALS
cova,.
from 01/01/2014
through 09{30(2014
SCH ECULE A
CALIFORNIA 460
FORM
Poge • of 9 6
1.0 . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULAnVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC . 31)
PERELEcnON
TO DATE
(IF REOUIRED)
56.
'Conlrillutor Codes
INC -IndividUal
(Include all Schedule A subtotals.) ........................................................................................................ $ ___ ~4"', !.!7.l.!!.~' 7!.!!.. COM -Redplent Committee
(oilier than PTY or SCC)
OTH -Other (e .g .• business entily)
PTY -POlitical Party 2. Amount received this period -unitemized monetal)' contributions ctless than $100 ............................. $ ____ -=.5~9 .:..!7.!!.6
3. Total monetal)' contributions received this period. SCC -Small ConlrlbutorCommlHee
(Add Lines 1 and 2. Enter here and on the SummaI)' Page. Column A. Line 1.) ....................... TOTAL $ ___ ~4c...~.4~."'.5~4
FPPC Form 460 (January/05)
FPPC TolI·F .... Helpline: H6IASK·FPPC (8H/275-3772)
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Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type Of print In Ink.
Amounls mav be rounded
to whole doll.rs.
DAm
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SEt..f..EMPlO'fED, ENTER NAME
OF BUSINeSS)
(lFCOMMmEE,Al.6OENTER I.D. NUMBER) CODE *
09 30 2014 E isha 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.
1 2 v 4 1
01/15/2014 Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
07/31/2014 Raul Aguilar
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union memberls dues received through
intermediary: San Rafael Police Association.
00/15/2014 Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael CA 94901
2014 Rau gu1 ar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union memberls dues received through
intermediary: San Rafael Police Association,
·Contributor Codes
!ND -Individual
COM -Redplenl CommInee
(olher Ihan PTY or SCC)
OTH -Other (e.g .• business enNIy)
PTY -Polllical Pariy
SCC -Small Conb1butor CommlUee
www.netll/e_com
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
OPTY
Dsec
IXJIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
Off cer
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
ergeant.
City of San Rafael
SUBTOTALS
SIB_teov.1S period
from 07/01/2014
through 09/30/2014.
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Pogo 5 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PERELEcnON
TO DATE
(IF REQUIRED)
11.40 202.14
11.10 202.14
11.10 202.14
11.10 202.14
11.4 202.14
56.50 1
FPPC Fo"" 460 (January/OS)
FPPC TolI-F ... Helpline: 8661ASK -FPPC (886/275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association political Action Committee
"JlIpo or print In Ink.
Amounts may be rounded
to whole dolla ...
DAlE
RECEIVEO
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
09 15 2014 Raul Agu~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.
o v
09/30/2014 Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
07/15/2014 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,
07/31/2014 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,
1520 Fifth Avenue, San Rafael CA 94901
4 Ant ony Augustyn
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues recei ved through
interm~diary: San Rafael Police Association,
'Conlrlbulor Codes
IND-Indlvidual
COM -Redplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g" business entity)
PTY -PoliUcal Party
SCC -Small ConlrlbulorCommlttee
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IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
Sergeant
City of San Rafael
sergeant
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
1cer
City of San Rafael
SUBTOTAL $
Statement covo .. period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CaNt)
CALI F O R N I A 460
FO R M
Pago 6 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.48 202 .14
11.48 202.14
11.18 202 .14
11 .18 202 .14
56.50 1
FPPC Fonn 460 (January/OS)
FPPC TolI-FI88 Helpline: 8661ASK -FPPC (886/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or prinlln Ink.
Amounls may be rounded
to whole doll ....
DATE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMITTEE,ALSOEN1'ER I.D. NUMBER) CODE *
IF AN INDMDUAl, ENTER
OCCUPATION AND EMPLOYER
(IF SELf..fMPLOYED, ENTER NAME
OF BUSINESS)
08 31 2014 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.
1 2 Ave e
09/15/2014 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,
09/30/2014 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,
07/15/2014 Blair 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,
1520 Fifth Avenue. San Rafael. CA 94901
14 Bar u
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
'Canlrlbulor Codes
INO -Individual
COM -Redplenl CommlHee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• buslne •• enlily)
PTY -Polltica( Party
SCC -Small Conlribulor CommlHee
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I!lIND
DCOM
DOTH
DPTY
DSCC
I!lINO
DCOM
DOTH
DPTY
DSCC
Ii1lIND
DCOM
DOTH
DPTY
DSCC
Ii1lIND
DCOM
DOTH
DPTY
DSCC
I!lINO
DCOM
DOTH
DPTY
DSCC
o icer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
o cer
City of San Rafael
SUBTOTALS
Slslsment COYO .. period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.48 202.14
11.48 202.14
11.48 202.14
11.18 202.14
11. 202.14
56.80 1
FPPC Fonn 480 (January/OS)
FPPC TolI·FrH Helpline: 8661ASK-FPPC (8861275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
~pe or prfnt In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMmU.,ALSOENTER I.D. NUMBER) CODe *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SfLF.fMPLOYED, ENTER NAME
OF BUSINESS)
Rafael Police Association 1520 Fifth
Rafael Police Association 1520 Fifth
through
Association.
Fifth
CA 94901
's dues received through
: San Rafael Police Association,
San Rafael Polic e Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member 's dues received through
San Rafael Police Association.
c/o: San Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Unio n member's dues rece i ved through
·Conlrlbutor Codes
IND -Individual
San Rafael Association.
COM -Reciplenl Commlltee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .• business enllly)
PTY -Polilical Pany
SCC -Small Contributor Committee
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DCOM
DOTH
DPTY
DSCC
Ii[JIND
DCOM
DOTH
DPTY
DSCC
IXlINO
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY
DSCC
San Rafael
of San Rafael
of San Rafael
San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
from 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11.4B
56.
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.14
202 ,14
• of 96
PERELECTlDN
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll·Free Helpline: 8661ASK-FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole doN ....
DAlE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lfCOUUfTTEE,ALSOEHTERI.D.NUMBERI CODE *
IF AN INDMDUAL . ENTER
OCCUPATION AND EMPLOYER
OF SElf-EMPLOYED. ENTEA: NAME
OFB~NEI$)
C/o: San Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
's dues received through
1~1'~'~~~i:.ry San Rafael Police Association.
Police Association 1520 Fifth
AVe!nue!
San Rafael. CA 94901
Union member l s dues received through
intermediary : San Rafael Police AB.o.'~~'~ion.
Jalles
c/o : S-an--=-~' Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union memberls dues received through
San Rafael Police Association,
C/o: San
Avenue
Police Association 1520 Fifth
~:;~::~;;:~:~:CA: 94901 dues received through
Rafael Police Association,
Fifth
San Rafael, CA 94901
Union me~r'8 dues received through
intermediary: San Rafael Police AB,.occ~~~i,on.
'ConIrtbulor Codes
INO -Indhlidual
COM -RetIpIen! ConvnIHee
(olher Ihan PTY or SCC)
OTH -Other (e.g .. business enUty)
PTY -Polilical Party
sec -Small ConlribU1or CommlHee
www.netfl/e.com
iKJlNO
DCOM
DOTH
DPTY
Dsec
iKJlNO
DCOM
DOTH
DPTY
Dsec
Iii]INO
DCOM
DOTH
DPTY
DSCC
iKJlNO
DCOM
DOTH
DPTY
DSCC
iKJlNO
DCOM
DOTH
DPTY
Dsec
of San Rafael
of San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTAL$
SCHEDULE A (CONT.)
h1Hn 07/01/2014
CALIFORNIA 460
FORM
throUGh 09/30/2014
AMOUNT
RECEIVED THIS
PERIOD
11.48
5 •.
B31553
CUMULAT1VE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
202.14
at 9.
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 481) (January/OS)
FPPC TolI-F ... Helpline: 8881ASK-FPPC (86&/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association political Action Committee
1\Ipe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMITTEe,ALSOENT£RI.D.NUMSER) CODE.
IF AN INDMDUAL. ENTER
OCCUPAnON AND EMPLOYER
(lF~MPLOYED.ENTER NAME
OF BUSINESS)
07 15 2014 To d 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,
07/31/2014 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.
09/15/2014 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.
OB/31/2014 Todd Berringer
C/o: San Rafael Police Association 1520 F i fth
Avenue
San Rafae l . CA 9490 1
Union member's dues rece ived through
intermediary : San Rafael Police Assoc i ation .
1520 Fifth Avenue San Rafael CA 94901
09 15 2014 T Berr 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,
'Conlrlbulor Codes
INo-lndlvldual
COM -Reclplenl Committee
(olher Ihan PTY or SCC)
OTH -Other (e .g .• business enlily)
PTY -Political Party
SCC -Small Conlribulor Committee
www.netllle.com
Ii[]INo
DCOM
DOTH
DPTY
DSCC
Ii[]INo
DCOM
DOTH
DPTY
DSCC
Ii[)INo
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]INo
DCOM
DOTH
DPTY
DSCC
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
ergeant
City of San Rafael
SUBTOTAL $
Statement covere period
hom 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 10 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TOCATE
(IF REaUIRED)
11 .18 202 .14
11.1B 202.14
11 .18 2 02 .14
11.48 202.14
56 .50 1
FPPC Fonn 460 (January/OS)
FPPC TolI·Free Helpline: 8661ASK·FPPC (8661275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amount. may be rounded
to whole dollo ....
DATE
RECEIVED
FUll NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR
(lFco"umEE,ALSOEKrERI.o.NUMBER) CODe *
IF AN INDMDUAL. ENTER
OCCUPAnON AND EMPLOYER
(IF SELF..£MPLOYED, EHTER NAME
OFB~NE&$)
09 30 2014 To d Berr1nger
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
val
07/15/2014 Geoffrey Bowker
C/o: San Rafael Police Association 1520 Pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
01/31/2014 Geoffrey Bowker
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
08/15/2014 Geoffrey Bowker
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue, San Rafael CA 94901
4 eo rey ower
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
'ConlJibulor Codes
IND-Indlvldual
COM -Recipient Committee
(olher than PTY or SCC)
OnH -Other (e.g .. business enlily)
PTY -Political Party
SCC -Small Contrlbulor Committee
www.netfl/e.com
IKJIND
DCOM
DOTH
DPTY
DSCC
IKJIND
DCOM
DOnH
DPTY
Dsec
IiUIND
DCOM
DOnH
DPTY
Dsec
IKJIND
DCOM
DOnH
DPTY
Dsec
IKJIND
DCOM
DOnH
DPTY
Dsec
Sergeant
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
o ~cer
City of San Rafael
SUBTOTALS
Sm_teave .. period
fi<Mn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Poge 11 of 96
I.D.NUMBER
B31553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PERELEcnON
TO DATE
(IF REOUIRED)
11.48 202.14
11.18 202.14
11.18 202.14
11.18 202.14
11.4
56,50 1
FPPC Fann 460 (Januory/05)
FPPC Tall·Frve Helpline: 8861ASK·FPPC (888/275-3 n2)
Schedule A (Conti nuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Assoc i ation 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 INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. EHTER NAME
OF BUSINESS)
(lFCOMMrTTEE.ALSO£NTERI.D..NUMBER) CODe *
09 15 2014 Geoffrey Bowker
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary : San Rafael Pol i ce Association ,
09/30/2014 Geoffrey Bowker
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues re~eived thro ugh
intermediary : San Rafael Police Association .
07/15/2014 Lynne Bracken
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member 's dues r e ceived through
intermediary I San Rafael Police Association,
07/31/2014 Lynne Bracken
C/o : San Rafael Police Association 1520 Fifth
Av e nue
San Ra f ae l, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association .
1520 Fifth Avenue San Rafael CA 94901
4 ynne rae en
C/o: San Ra f ael Police Associ at i on 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
·Contrlbutor Codes
IND -Individual
COM -Recipient Committee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• business enllly)
PTY -Polilical Party
SCC -Small Conlrlbutor Committee
www.netflle.com
~IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
~rND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
o c er
City of San Rafael
Offl.cer
City of San Rafael
Records Clerk
City of San Rafael
Records Clerk
City of San Rafael
Recor s C er
City of San Rafael
SUBTOTAL$
Statement cove", period
from 07/01/2014
Iltrough 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 12 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVe TO DATE
CALENDAR YEAR
IJAN. 1 • DEC. 31)
PER ELECTION
TO DATE
IIF REQUIRED)
11.4 8 202 ,14
11.48 202.14
8.70 157.50
8.70 l!i7.S0
FPPC FoRO 460 (January/05)
FPPC ToII·Free Helpline: 8661ASK·FPPC (866/275-3n2)
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 doQ ....
DAlE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SEIJ'..£MPlOYEO. ENTER NANE
Of BustNE&$)
(lFCOMMmEE,ALSOENTERI.O.HUMiIER) CODE.
DB 31 2014 Lynne Brae en
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
v
09/15/2014 Lynne Bracken
C/O! San Rafael Police Association 1520 Fifch
Avenue
San Rafael. CA 94901
Union me~r's dues received througn
incermediary: San Rafael Police Associacion,
09/30/2014 Lynne Bracken
C/o: San Rafael Police Associacion 1520 Fifch
Avenue
San Rafael, CA 94901
Union me~er's dues received chrough
incermediary: San Rafael Police Association,
07/15/2014 AntoneCte Bullock
C/o: San Rafael Police Associacion 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael CA 94901
4 tonet e u oc
C/o: San Rafael Police Association 1520 Fitch
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
·ConIrlbulor Codes
INO-Indlvldual
COM -Recipient CommIllee
(olher 1han PlY or SCC)
OTH -Olher (e.g .. business enlily)
PlY -Polilical Party
SCC -Small Con1ribulor CommlHee
www_netfl/e.com
I!JINO
DCOM
DOTH
DPTY
DSCC
I!JIND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
I!JINO
DCOM
DOTH
DPTY
DSCC
I!JINO
DCOM
DOTH
DPTY
DSCC
Recor 8 C ark
City of San Rafael
Records Clerk
ClCy of San Rafael
Records Clerk
Cicy of San Rafael
Officer
Cicy of San Rafael
o 1cer
City of San Rafael
SUBTOTALS
Stal8ment cov .... period
htNn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
POll· 13 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DAlE
(IF REQUIRED)
9.00 157.50
9.00 157.50
9.00 157.50
8.70 166.20
8.7 1
FPPC Form 480 (January/OS)
FPPC TolI-F ... H.lpllne: 8881ASK-FPPC (8661275-3nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Po litical Act i on Commi ttee
'l\lpe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SEl.f.EMPLOYED, ENTER NAME
OF BUSINESS)
08 15 2014 Antonette Bullce
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
20 Fi fth Ave fa 94901
08/31/2 0 14 Antonette Bullock
C/o: San Rafael Police As soc i a tion 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
09/15/2014 Antonette Bullock
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
09/30/2014 Antonette Bullock
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue San Rafael CA 94901
4 l.C ae yers
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues rec eived through
intermediary : San Rafael Pol i ce Asso ciatio n ,
·Conbibulor Codes
INo-lndlvldual
COM -Reclplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .• business enlily)
PTY -Political Party
SCC -Sma" Conbibulor Committee
www.netflle.com
OOINo
DCOM
DOTH
DPTY
DSCC
I!lINo
DCOM
DOTH
DPTY
DSCC
IXJINo
DCOM
DOTH
DPTY
DSCC
I!lINo
DCOM
DOTH
DPTY
DSCC
I!lINo
DCOM
DOTH
DPTY
DSCC
Officer
City of San Rafael
Officer
City of San Rafael
officer
City of San Rafae l
Officer
City of San Rafael
corpora
City of San Rafael
SUBTOTAL $
Statement cov ... period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALI FORNIA 460
FORM
Page 14 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REOUIRED)
8 .70 1 66.20
!'.I .oo 16g .20
9 .00 16tL20
9 .00 16fi . .20
46.881
FPPC Form 460 (January/OS)
FPPC ToII-FI1IO Helpline: 8661ASK.FPPC (886/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association political Action Committee
~pe or print In Ink.
Amounts RIlly be rounded
to whole dolhn.
DATE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAl. ENTER
OCCUPATION AND EMPLOVER
(If SELF..£MPLOYED, ENTER NAME
Of BUS*HE6I)
(lFCOMMITTEE,ALSOENTERI.D.NUMBf.R) CODE *
07 31 2014 M chae Byers
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
Ave
08/15 2014 Michael Byers
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union me~rls dues received through
inte~iary: San Rafael Police Association.
00/31/2014 Michael Byers
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member1s dues received through
intermediary: San Rafael Police Association.
09/15/2014 Michael Byers
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union memberlg dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
4 1C ae yers
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union ~ember's dues received through
inte~ediary: San Rafael Police Association.
'Conlribulor Codes
INC -Individual
COM -Redplenl Committee
(olher ihan PTY or SCC)
OTH -Olhe, (e.g .• business enlily)
PTY -Poillical Party
sec -Small Conbibutor CommiHee
www.netflle.com
Ii[)INC
DCOM
DOTH
DPTY
Dsec
Ii[)INO
DCOM
DOTH
DPTY
Dsec
IiilINC
DCOM
DOTH
DPTY
DSCC
Ii[) INC
DCOM
DOTH
DPTY
DSCC
Ii[) INC
DCOM
DOTH
DPTY
Dsec
Corpora
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corpora
City of San Rafael
SUBTOTALS
Statement cavera period
from 07/01/2014
through 09/30/2014
SCHECULE A (CONT.)
CALIFORNIA 460
FORM
Page 15 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PERELEcnON
TO DATE
(IF REQUIRED)
11.18 202.14
11.10 202 .14
11.40 202.14
11.48 202.14
11.4 • 4
56.001
FPPC Form 4811 (January/OS)
FPPC TolI-F_ Helpline : 8681ASK-FPPC (886/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action committee
'lYpa or print In Ink.
Amounts may be rounded
to whole dolla,..
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(\F coMMrnEE,ALSOENTER I.D..NUMBER) CODE.
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELf-fMPLOYED. EHTtR NAME
OF BUSINES$)
Rafael Police Association IS20 Fifth
Rafael Police Assoc iation 1520 Fifth
Rafae l Police As 8ociation 1520 Fi fth
Rafael Police Association 1 520 Fifth
San Rafael, CA 949 01
Union member's dues r e ceived through
San Ra f ael Asuociation .
c/o: Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
'Conlributor Codes
IND -Individual
eOM -Recipient CommlHee
San Rafael AS.~';~~~1'on .
(olher than PTY or SCC)
OTH -Olher (e .g .. business enllly)
PTY -Polilical Party
sce -Small Conlrlbutor CommlHee
www.netfl/e.com
OCOM
DOTH
OPTY
osce
IXJIND o COM
DOTH
OPTY
osee
OCOM
DOTH
O PTY
osec
San Rafa el
of San Rafael
San Rafael
of S a n Rafael
of San Ra f a el
SUBTOTALS
SCHEDULE A (CONT.)
h1Hn 07/01/2014
C ALIFORN I A 460
FORM
through 09/30/2 014 Page
AMOUNT
RECEIVED THIS
PERIOD
44 .1 0
931553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
16 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC Toll·F .... Hetplln.: 8B8IASK·FPPC (888/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action ComBittee
Type or print In Ink.
Amounts may be round8d
to wIIole dolla ...
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
tlFCOMMIITEE,ALSOEH'TERLD.NUUBER) CODE *
IF AN INDMDUAl. ENTER
OCCUPATION AND EMPlOYER
(I" SfLF-EMPlOYED. ENTER NAME
OF BUSINESS)
09 30 2014 S e y Cade
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
inte~ediary: San Rafael Police Association.
1 venue Sa 94901
07/15/2014 Joseph Camina
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
07/31/2014 Joseph Camins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union meBber's dues received through
intermediary: San Rafael Police Association.
08/15/2014 Joseph Camine
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
4 oeep a1une
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
'Con(ribulor Codes
INO -lndivldtJal
COM -Redplenl ConwnIttee
(olher (han PTY or SCC)
OTH -Olher (e.g .. buslna •• enllly)
PTY -PollUcal Party
SCC -Small Conbibu(or Committee
www.netfi/e.com
I!lINO
DCOM
DOTH
DPTY o sec
I!lINO
DCOM
DOTH
DPTY
DSCC
Iii]INO
DCOM
DOTH
DPTY
Dsec
Iii]INO
DCOM
DOTH
DPTY
DSCC
I!lIND
DCOM
DOTH
DPTY
DSCC
D spacc er
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
cer
City of San Rafael
SUBTOTAL $
Statement co .... period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 11 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 311
PER ELECTION
TO DAlE
(IF REQUIREDI
9.00 157.50
11.18 202 .14
11.18 202.14
11.18 202.14
11.48 .14
FPPC Fonn 480 (January/05)
FPPC TolI-F ... Holpllne: 808IASK-FPPC (880/275-3772)
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
(lFCOMMmEE.ALSOENTERIoD.NUM8ER) CODe *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, EHlER NAME
OF BUSINESS)
09 15 2014 Joseph Camine
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary : San Rafael Police Association,
v
09/30/2014 Joseph carnine
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association ,
07/15/2014 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 .
07/31/2014 David Casalnuovo
5
C/o : San Rafael Police As a ociation 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue San Rafael CA 94901
4 a vl. asa nuovo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 9490 1
Union member's dues rece i ved through
i ntermedi ary: San Rafael Po lice Assoc i at ion,
·Contrlbulor Codes
IND-lndivIduaI
COM -Redplenl CommlUee
(other Ihan PTY or SCC)
OTH -Olher (e .g., business enlily)
PTY -Polilical Party
SCC -Small Contrlbulor CommlUee
www.netfl/e.com
IliJIND
DCOM
DOTH
DPTY
DSCC
IiilIND
DCOM
DOTH
DPTY
DSCC
IliJIND
DCOM
DOTH
DPTY
DSCC
IliJIND
DCOM
DOTH
DPTY
DSCC
IiilIND
DCOM
DOTH
DPTY
DSCC
Off cer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
l.cer
City of San Rafael
SUBTOTALS
Statement cove .. period
fi<Hn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 18 of 96
I.D.NUMBER
83 1 55 3
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
IIF REQUIRED)
11.48 202.14
11.48 202 .14
11.18 202 .14
11.18 202 .14
56.50 1
FPPC Fonn 4611 (January/OS)
FPPC ToII·Frea Halpllne: 8661ASK·FPPC (886/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association political Action committee
lYpe or print In Ink.
Amounlll may be rounded
10 wholo doIlanL
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INOMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF..£MPLOYED, ENTER NAME
OF BUSlNE8I)
(lfCOUUmEE,ALSOENTERI.D.NUMSER) CODE *
Police Association 1520 Fifth
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
: San Rafael Police Association ,
c/o: San Rafael Police As8ociation 1520 Fifth
Avenue
San Rafael.
Union
CA 94901
's dues received through
: San Rafael Police Association,
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
's dues received through
i~I'el~~'~i~ry, San Rafael Police Association,
Police Association 1520 pifth
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
'ConIribulor Codes
IND -individual
COM -Recipient CommiHee
(olhar Ihan PTY or SCC)
OTH -Other (e.g., business enlily)
PTY -Polilical Party
SCC -Small Conbibulor CommlHee
www.netfl/e.com
IXJIND o COM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]IND o COM
DOTH
DPTY
Dsec
of San Rafael
of San Rafael
of San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
cov.,..
~ 01/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pogo
AMOUNT
RECEIVED THIS
PERIOD
56.
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.14
19 of 96
PERELEcnON
TOCATE
(IF REQUIRED)
FPPC Form 480 (January/OS)
FPPC ToII·Froe Helplln.: 88IIASK·FPPC (868/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association political Action Committee
'I\Ipa or print In Ink.
Amounta may be rounded
to whole dollars.
DATE
RECEIVED
FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSlNE6&)
(lFCOMUmEE.ALSOENTERI.D.NUMBfR) CODE *
08 15 2014 A an Castaneda
C/o : San Rafael Police Assoc i ation 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary ! San Rafael Police Association .
v
08 31 2014 Allan Castaneda
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Uni o n memberls dues rece ived thro ugh
i ntermediary : San Rafael Police As80ci ation .
09/15/2014 Allan Castaneda
CIa : San Rafael Police Association 1520 Fifth
Avenue
San Rafae l , CA 94901
Un ion member 's dues received through
intermediary : San Rafael Police Associatio n,
09/30/2014 Allan Castaneda
c/o : San Rafael Police Association 1520 Pifth
Avenue
San Rafael, CA 94901
Uni o n member 's dues received through
intermediary : San Rafael Pol i ce Assoc iation,
1520 Fifth Avenue . San Rafael CA 94901
wa u
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Un i on member's dues received through
intermedi ary: San Rafael Police As .ociation .
'Conlrlbulor Codes
INO-Indlvidual
COM -Reclplenl CommlHee
(olher than PTV or SCC)
OTH -Olher (e .g .. business anllly)
PTV -Polilital Party
SCC -Small ConlrlbulorCommlHee
www.netfl/e.com
OOINO
OCOM
DOTH
OPTV
osec
OOINO
OCOM
DOTH
O PTV osec
Ii1]IND
OCOM
DOTH
OPTV
OSCC
OOINO
OCOM
DOTH
OPTV
OSCC
OOINO
OCOM
DOTH
OPTV
osec
Of cer
City of San Rafael
Officer
City of San Rafael
Offi cer
City of San Rafael
Officer
City of San Ra fael
l.cer
City of San Raf a el
SUBTOTALS
Statement cova .. period
~ 07/01/2 014
through 0'/30/2014
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page 20 of 96
I.D.NUMBER
BlIS53
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 202.14
11.40 :ta2.if
11.40 202.14
11." 202.14
••
56.ao l
FPPC Form 460 (Januery/OS)
FPPC ToII·Free Helpline: 8661ASK-FPPC (886/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
1\Ipe or print In Ink.
Amounll may be rounded
to whole dol .....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF.£MPLOYED, EJn!A NAN!
01" BUSINESS)
(lFCOMMmEE,AlSOENTERI.D.NUMBER) CODE *
Rafael Police Association 1520 Fifth
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union ~r's dues received through
San Rafael Association.
&dward
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association.
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
's dues received through
San Rafael Police Association.
Fifth
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael AB"~'~~~1"n.
·ConIJ1bulor Codes
INO-Indlvidual
COM -Redplenl Committee
(olher than PTY or SCC)
OT.H -Olher (e.g" buslne.s enlily)
PTY -Political Party
SCC -Small Contributor Committee
www.netfl/e.com
Iii]INO
DCeM
DOTH
DPTY
DSCC
IRJINO
DCeM
DOT.H
DPTY
DSCC
IRJINO
DCeM
DOTH
DPTY
Dsec
of San Rafael
of San Rafael
of San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (CaNT.)
h1Hn 01/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pogo
AMOUNT
RECEIVED THIS
PERIOD
11
56.80
B31553
CUMULATIve TO CATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.14
21 of 96
PER ELECTION
TOCATE
(IF REQUIRED)
FPPC Fonn 460 (Januory/05)
FPPC Toll-Free Helpline: 8881ASK-FPPC (860/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounta may be roundad
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR
pFCOMMmEE,Al..SOENTERI.D.NUMBERI CODe *
IF AN INDMDUAL. ENTER
OCCUPAnON AND EMPLOYER
Rafael Pol i ce Associ ation 1520 Fifth
Rafael Police Association 1520 Fifth
through
Association ,
Rafael Police Association 1520 Fifth
CA 94901
member 's dues received through
San Rafael Police Association .
C/o: San Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Fifth
San Rafael, CA 94901
Union member 's dues received through
San Rafael Police Association .
·Conlribulor Codes
IND -Individual
COM -Redpient CommlHee
(other Ihan PTY or SCC)
OTH -Olher (e ,g .. business enlily)
PTY -Polillcal Party
SCC -Small Contributor CommiHee
www.netfile.com
IiilIND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Rafael
o f San Rafael
SUBTOTAL $
SCHEDULE A (CaNT.)
Statement covers
from 07/01/2014
CALIFORN IA 460
FORM
I
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11 ,48
56 .50
B31S SJ
CUMULAnvE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC . 31)
202,14
22 of 96
PERELEcnON
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC ToII·Free Helpline: 8681ASK·FPPC (868/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
Type or print In Ink.
Amounts may be rounded
to_dollors.
DAlE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPAT10N AND EMPLOVER
(IF S!l.f-EMPlOY!D, ENTER NAME
OF8U&1NESS)
(lFCO .... m£E.ALSOEHT£RLD.NUM8ER) CODE *
Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
pifth
San Rafael, CA 94901
union member's dues received through
!ntertlediary! San Rafael Association,
Coale
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
: San Rafael Police Association,
c/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
's dues received through
San Rafael Police Association,
Pifth
San Rafael, CA 94901
Union member's dues received through
int'.rrn~,~i"ry: San Rafael Police Association,
'Contribulor Codes
!NO-individual
COM -Reciplenl CommiHee
(olher then PTY or seC)
OTH -Olher (e.g .• business enlily)
PTY -Polilical Party
sec -Small Conlribulor CommiHee
www.netllle.com
IRlINO
DCOM
DOTH
DPTY
Dsec
o COM
DOTH
DPTY
osee
iXllNO o COM
DOTH
DPTY
DSCC
IRlINO
DCOM
DOTH
DPTY
DSCC
IRlINO o COM
DOTH
DPTY
Dsec
San Rafael
of San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CaNT.)
k<wn 01/01/201'
CALIFORNIA 460
FORM
Ihrough 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
56 .50
B31553
CUMULAT1VE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC . 31)
23 of 96
PER ELECTION
TO DAlE
(IF REQUIRED)
FPPC Fonn 460 (Jonuory/OS)
FPPC ToII·F ... Helpline: 8881ASK·FPPC (868/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafae l Po l ice Assoc iati on Po litical Action committe e
lYpe or print In Ink.
Amounts may be rounded
to whole doIlani.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
Of BUSINESS)
PFCOUMmEE,ALSOENTER I.D.NUMRRI CODE *
0 9 15 2014 Chri stopher Coale
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
o venu 1
09/30 2014 Chri8topher Coale
C/o: San Rafael Police Association 1520 Fi fth
Avenue
San Rafael , CA 94901
Union me~r's dues received through
intermediary: San Rafael Police Association,
01/15/2014 Lori Coen
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
07/31/2014 Lori Coen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael CA 94901
or1 oen
C/o: San Rafael Police Association 1520 Fi fth
Ave:nue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
·Contrtbutor Codes
IND -lndll/ldUal
COM -Redplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .• business enllly)
PTY -PoIllical PBrty
SCC -Small Conlribulor Committee
www.netfl/e.com
Iii]IND
DCOM
DOTH
DPTY
DSCC
Iii]IND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
Iii]IND
DCOM
DOTH
DPTY
DSCC
Iii]IND
DCOM
DOTH
DPTY
DSCC
Sergeant
City of San Rafael
Sergeant
City of San Ra tael
Records Clerk
City of San Rafael
Records Clerk
City of San Rafael
ecor s er
City of San Rafael
SUBTOTALS
Statement cove,. period
htHn 07/01/2014
th ro ug h 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Paga 2 4 of 96
I.D.NUMB ER
8l15S3
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC , 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1 1.48 202 .14
11 .48 202 .14
8.70 157.50
8.70 157 .50
B.7
FPPC Fonn 460 (January/05)
FPPC TolI·Fnte Helpline: 8661ASK·FPPC (8661275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'n'pe or print In Ink.
Amounts may be rounded
to whole doll" ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAI.. ENTER
OCCUPATION AND EMPLOYER
(IF SE1..f..EMPlOTEO, ENTER NAME
OF BUSINESS)
(lFco .... mEE,ALSOENTERI.D.NU .. SER) CODE *
DB 31 2014 Lor Coen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
. f h Avenue Sa a el
09/15/2014 Lori Caen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union me~r's dues received through
inte~ediary: San Rafael Police Association.
09/30/2014 Lori Coen
C/o : San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Associat i on.
01/15/2014 Eric Cogbill
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue, San Rafael. CA 94901
1 rc og~
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association.
'Conlribulor Codes
IND -Individual
COM -Recipient CommlHee
(olher than PTY or seC)
OTH -Olher (e.g ., business entlly)
PTY -PoIllical Party
SCC -Small Conlrlbutor CommlHee
www.netfl/e.com
I!JIND
DCOM
DOTH
DPTY
DSCC
I!JIND
DCOM
DOTH
DPTY
Dsec
IXlIND
DCOM
DOTH
DPTY
DSCC
I!JIND
DCOM
DOTH
DPTY
DSCC
I!JIND
DCOM
DOTH
DPTY
Dsec
Recor s C erk
City of San Rafael
Records Clerk
City of San Rafael
Records Clerk
City of San Rafael
Officer
City of San Rafael
~cer
City of San Rafael
SUBTOTALS
8m_teov ... period
from 07/01/2014
09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 25 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CAlENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TOCATE
(IF REQUIRED)
9.00 157.50
9.00 151 .50
9 .00 151 .50
11.18 202.14
11.1 .14
FPPC Fonn 460 (January/05)
FPPC ToII·F .... Helplln.: 81181A8K·FPPC (8881Z75-3 nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
to whole dollara.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
pFCOMMrnEE,AlSOENTERlD.NUM8ER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELf.EMPlOYEO. ENTER MANE
Of 8USINESS)
C/o: San Rafael Police Association 1520 Fi fth
Avenue
San Rafael. CA 94901
Union member 's dues received through
intermedi ary : San Ra f ael Police Association,
Rafael Police Association 1520 Fifth
through
Associ ation ,
Rafael Police Association 1520 Fifth
CA 94901
's dues received through
: 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 .
Fifth
San Rafael, CA 94901
Union member's dues received through
int;.rm.,di"ry~ San Rafael Association.
·Conlrlbulor Codes
IND -Individual
COM -Redplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .. business enlily)
PTY -Polillcal Party
sec -Small Contributor Committee
www.netfl/e.com
DOTH
DPTY
DSCC
Ii1JIND
DCOM
DOTH
DPTY
DSCC
Ii[)IND
DCOM
DOTH
DPTY
DSCC
Ii[)IND
DCOM
DOTH
DPTY
DSCC
of San Rafael
San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
covers period
from 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
56.80
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.14
26 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/OS)
FPPC ToII·F .... Helpline: 8661ASK·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 dollo ...
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOVER
(IF SElFofMPLOYEO, ENTER NAUE
OF BUSINESS)
(lFCOMMITTE£,ALSOENTEA I.D. NUUBER) CODE *
07 31 2014 Ryan Cog 1
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
. v
08/15/2014 Ryan Cogbill
C/o: San Rafael Police Association 1520 Fifth
AVlI!!nue
San Rafael. CA 94901
Union member's dues received through
interll17diary: San Rafael Police Association.
00/31/2014 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.
09/15/2014 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.
1520 Fifth Avenue, San Rafael. CA 94901
yan og
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
·Conlr1bulor Codes
IND -Individual
COM -Redplenl CommlUee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• business enllly)
PTY -Polilical Party
SCC -Small Conlribulor CommlUee
www.netfl/e.com
~IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
Dsec
Ii1]IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY o sec
Corpora
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
orpora
City of San Rafael
SUBTOTALS
statement co .... period
fi<Kn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIF ORNIA 460
FORM
Page 27 of 96
I.D.NUMBER
931553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO PATE
CALENDAR YEAR
(JAN. 1 • DEC. 311
PER ELECTION
TOOATE
(IF REQUIRED)
11.18 202.14
11.10 202.14
11.40 202.14
11.48 202.14
11.48 • 4
56.001
FPPC Fonn 480 (January/05)
FPPC TolI·Frae Helpline: 8881ASK·FPPC (888/275-3 772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Associ ation pol itical Action Committee
"lYpe or print In Ink.
Amounts may be rounded
10 whole dolle ...
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCCJWNmU..ALSOENTERI.D.NUMBER) CODE *
IF AN INDMDUAl. ENlER
OCCUPATION AND EMPLOYER
OF SElf..fMPlOVm, fHT(R NANI
Of BUSINESS)
07 15 2014 Thomas Col ~ns
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
v
07 31 2014 Thomas Collins
C/O! San Rafael Police Association 1520 Pifth
Ave:nue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
08 /15 /2014 Thomas Collins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member 's dues received through
interm~diary: San Rafael Police Association,
08 /31 /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.
1520 Fifth Avenue San Rafael CA 94901
omas Co ~ns
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
·Conlribulor Codes
IND -Individual
COM -RecipJenl Committee
(olher Ihan PTY or seC)
OTH -Olher (e.g .• business enllly)
PTY -Polilical Party
SCC -Small Contributor Committee
www.netfl/e.com
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
Dsec
IXJIND
DCOM
DOTH
DPTY
Dsec
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY o sec
o cer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
~cer
City of San Rafael
SUBTOTALS
Statement cove .. p .... od
from 01101/2014
through 09/30/2014
SCHEDULE A (CONT.)
C ALIFORNIA 460
FORM
Pago 28 or 96
I.D.NUMBER
831553
AMOUNT
RECEIVEO THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31 )
PER ELECTION
TOOATE
(IF REQUIRED)
11.18 202.14
11.18 202.14.
11.18 202.1 4
11.48 202.14
••
56.501
FPPC Fonn 480 (January/OS)
FPPC TolI·Froa Helpline: 8881ASK·FPPC (886/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
'l\'pe or print In Ink.
Amounts may be rounded
to whole dolla,..
DAle
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. EHleR
OCCUPATION AND EMPLOYER
(IF SEL,f:.£UPLQYED, ENT£R NAME
Of BUSINESS)
(lFCOUUmEE,AI..5OENTERI.D.NUMaER) CODE.
Fifth
Fifth
San Rafael, CA 94901
Union member's dues received through
: San Rafael Association,
Ryan Marta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
's dues received through
: San Rafael Police Association,
Fifth
CA 94901
's dues received through
inl:e'~~,~i~lry San Rafael Police Association,
Fifth
San Rafael, CA 94901
Union member's dues received through
. San Rafael Police Association.
·Conlributor Codes
IND-lndMdual
COM -Redp/enl CommiHee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -PoIlllcal Party
SCC -Small Contributor CommlUee
www.netflle.com
IXIIND
DCOM
DOTH
DPTY
DSCC
IXIIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
San Rafael
of San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
cove,.
h1Hn 07/01/201'
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
56.
831553
CUMULATIVE TO DAle
CALENDAR YEAR
(JAN. 1 -DEC. 31)
202.14
202.
29 of 96
PER ElECnON
TO DATE
(IF REQUIRED)
FPPC Form 480 (JonuoryI05)
FPPC ToII·F .... Helpline: 8661ASK·FPPC (8661275-3n2)
Schedule A (Continuati on Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association political Action Committee
Typo or print In Ink.
Amounts may be rounded
to whoia doll ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INOMOUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(lFCOMMITTEE,ALSOENTERLD, NUMBER) CODE.
09 15 2014 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,
1 520 Fifth Avenue San Rafael CA 94901
09/30/2014 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,
07/15/2014 Christian Diaz
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
interm~diary : San Rafael Police Association,
07/31/2014 Christian Diaz
C/O l San Rafael Police Associatio n 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael CA 94901
08 IS 014 r st an az
C/o : San Rafael Pol i ce Association 1520 Fifth
Avenue
San Rafael. CA 94901
Unio n member's dues received through
interm~diary : San Rafael Police Association,
·Conlributor Codes
IND-Indlvidu.1
COM -Redplent CommlHee
,O/her than PTY or se C)
OTH -Other (e .g .• business enfily)
PTY -Polillcal Party
SCC -Sm.1I ConlributorCommlttee
www.netfl/e.com
il[]IND
DCOM
DOTH
DPTY
DSCC
il[]IND
DCOM
DOTH
DPTY
DSCC
IXlINO
DCOM
DOTH
DPTY
osee
il[]IND
DCOM
DOTH
DPTY
DSCC
il[]IND
DeoM
DOTH
O PTY
Dsec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
1cer
City of San Rafael
SUBTOTAL $
Statement covara period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
P.ge 30 of 96
1.0. NUMBER
B31553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC. 311
PER ELECTION
TO DATE
(IF REQUIREDI
11.48 202.14
11 .48 202 .14
11 ,I B 202.14
11 .18 202.14
56.5°1
FPPC Fonn 460 'January/05)
FPPC TolI·Free H.lplln.: 8661ASK·FPPC ,8661275-3n21
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'l\lpe or print In Ink.
Amounts may be rounded
to whole doll ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OFCOMMmEE,ALSOENTERlD.NUMBER) CODE *
IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-fMPlOYED, ENTER NAME
OFBUSINESSI
Chr 8t~an D1az
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
2 if :v nue San 1
09/15/2014 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 ,
09/30/2014 Christian Diaz
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm7diary: San Rafael Police Assoeiation.
07/15/2014 Christopher Duncan
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Poliee Assoeiation,
1520 Fifth Avenue. San Rafael, CA 94901
7 r stop er 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,
'Conlrlbulor Codes
IND -Individual
COM -Redplenl ConvnlHee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• business entily)
PTY -PoIllical Party
SCC -Small Contr1butorCommlHee
www.netfl/e.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND o COM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
~cer
City of San Rafael
SUBTOTALS
statament co .... period
h<Hn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page II or 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOO
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • OEC . 31)
PER ELECTION
TOOATE
(IF REQUIREO)
11.48 202.14
11.48 202 .14
11.48 202 .14
11.18 202 .14
11.18 • 4
56.S 01
FPPC Form 480 (January/05)
FPPC Toll·Free Helpline: I1681ASK·FPPC (8116/275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
1\Ipe or print In Ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOUMmEE.ALSOENTERI.D.NUUBER) CODE *
IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF seLF-EMPLOYED, ENTER NAME
OF BUSINESS)
Association 1520 Fifth
Fi fth
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
Duncan
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael , CA 94901
Union me mber'o dueo recei ved through
San Rafael Associatio n,
Rafael Police Association 1520 Fifth
?:;~::~:;:~:~:CA: 94901 dues received through
Rafael Police Association.
San Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
·Contributor Codes
IND -I-..al
San Rafael Police ~Bociation.
COM -Reclplenl Conwnlttee
(olher than PTY or SCC)
OTH -Olher (e .g " business enUIy)
PTY -Political Party
SCC -Small Contrlbulor Committee
www.netflle.com
DCOM
DOTH
DPTY
DSCC
IiilIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
San Rafael
of San Rafael
of San Rafael
of San Rafael
San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
cova ..
hom 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Paga
AMOUNT
RECEIVED THIS
PERIOD
11.48
56.
831553
CUMULATIVE TO DATE
CAlENDAR YEAR
(JAN. 1 -DEC. 31)
202.14
32 of 96
PER ELECTION
TOOATE
(IF REQUIRED)
FPPC Fonn 460 (Januall//OB)
FPPC TolI-FnHI Helpline: 8661ASK-FPPC (8BB/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action committee
~pe or print In Ink.
Amounts may be rounded
to whole dollara.
cove,.
from 01/01/2014
through 09/30/2014
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Pog8 33 of 96
831553
DATE
RECEIVED
IF AN INDMDUAL ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND E'MPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
PFCOMMITTEE,AI.SOENTER 1.0. HUYlER) ;C;0;D:E~.~~~;'~~~~~~~"",,:E~i __ ~P~E~R:10~DIT:1it~(~JA~N~.~1~.~D~E~C~. ~3~')~+_~(:IF~R~Ea~U~I:R~E~D~) __
: San Rafael Police Association 1520 Fifth of San Rafael
through
Association,
Rafael Police Association 1520 Pifth
Scott
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member1s dues received through
San Rafael Police Association.
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
dues received through
Rafael Police Association,
Fifth
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Association,
'Contribulor Codes
IND -Individual
COM -Redplent CommlUee
(olher than PTY or SCC)
OTH -Olher (e .g., business entily)
PTY -PoIllical Party
SCC -Small Conlribulor CommlUee
www.netflle.com
IiUIND
oCOM
DOTH
oPTY
OSCC
Il1IIND
oCOM
DOTH
oPTY
oscc
Il1IIND
oCOM
DOTH
oPTY
osee
of San Rafael
San Rafael
of San Rafael
SUBTOTAL $ 56.
FPPC Fonn 460 (January/OS)
FPPC TolI·F ... Helpline: 8881A SK·FPPC (BIIlI/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OFFILER
San Rafael Police Assoc i ation 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
(lFCOMMmEE.AlSOEHTERtD.NUMBER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER NAME
OF BUSINESS)
07 15 2014 r~8top er Fuller
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary~ San Rafael Police Association .
07 /31/2014 Christopher Fuller
C/o : San Rafael Police Association 1520 Fifth
Av enue
San Rafae l . CA 94901
Union member's dues received through
interm7diary! San Rafael Police Association .
08 /15 /2014 Christopher FUller
C/O f San Rafael Pol i ce Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
08 /31/2014 Christopher Fuller
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
1520 Fifth Avenue. San Rafael CA 94901
r1stop er er
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association.
·Contributor Codes
IND -Individual
COM -Redplent Committee
(o!her Ihan PTY or SCC)
OTH -Olher (e .g .. business enllly)
PTY -Polilical Party
SCC -Small Conlribuior Committee
www.netflle.com
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
Police Officer
City of San Rafael
Police Officer
City of San Rafa ~l
Po lice Officer
City of San Rafael
Police Officer
City of San Rafael
1ce 1cer
City of San Rafael
SUBTOTAL $
Statement covers period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 34 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC . 31)
PERELEcnON
TO DATE
(IF REQUIRED)
11.18 202.14
11 .18 202.14
11.1& 202.14
11.-48 202.14
56.50 1
FPPC Fonn 460 (January/OS)
FPPC ToII·Fnte Helpline: 8661ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
Type or prlntln Ink.
Amounts may be rounded
to whole dollara.
DIlle
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN lNDMDUAl. ENTER
OCCUPATION AND EMPLOYER
01'" stLF..£MPLOVED, EHlER NAME
OF BUSINESS)
(lFCO .... ITTfE,ALSOENTERI.D.NUMBER) CODE *
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
's dues received through
i~l~e.~~~i:'~: San Rafael Police Association.
Association 1520 Fifth
Association 1520 Fifth
San Rafael. CA 94901
Union member's dues received through
San Rafael Association.
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
San Rafael Association.
c/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
'Cantrlbutor Codes
INO -Individual
memb"r's dues received through
San Rafael Police Association.
COM -Redplent Committee
(other than PTY or SCC)
OTH -Olher (e.g .. buslne •• enllly)
PTY -Political Party
SCC -Small Canlribulor Committee
www_netllle.com
Ii[]IND
DCOM
DOTH
DPTY o sec
Ii[]IND
DCOM
DOTH
DPTY
Dsec
Ii1IIND
DCOM
DOTH
DPTY
Dsec
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
OTH
PTY
SCC
of San Rafael
San Rafael
San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
fitHn 07/01/2014
CALIFORNIA 460
FORM
lllrough 09/30/2014. Page
AMOUNT
RECEIVED THIS
PERIOD
56
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
202.14
35 of 96
PER ElEcnON
TO DAle
(IF REQUIRED)
FPPC Fonn 480 (January/OS)
FPPC Ta"-F ... Hetpllne: II6&IASK-FPPC (86&1Z75-3nZ)
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.
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOUMrTTE£.AL50ENTERI.D.NUMBEAI CODE *
IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(lFS~"Pl.OY£D.fHTER NAME
OFBUSINES$)
09 15 2014 sa v.nor e Garanz n
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
v •
09/30/2014 Salvatore Garanzin1
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union ~mber'8 dues received through
intermediary : San Rafael Police Association,
07/15/2014 Michael Garrison
C/o : San Rafael Police Associat i on 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary: San Rafael Police Association.
07 /31 /2014 Michael Garrison
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary ! San Rafael Po l ice Association .
1520 Fi f t h Avenue San Rafael CA 94901
e ae arr1son
C/o : San Rafael Pol t ee Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
'Conlrlbulor Cod ••
IND -Individual
COM -Redplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher C •. 9 .• business enlily)
PTY -PoIllical Party
SCC -Small Conlrlbu1or Committee
www.netflle.com
IiDIND
DCOM
DOTH
DPTY
DSCC
IiDIND
DCOM
DOTH
DPTY
Dsec
Ii[JIND
DCOM
DOTH
DPTY
DSCC
IiDIND
DCOM
DOTH
DPTY
DSCC
IiDIND
DCOM
DOTH
DPTY
Dsec
Off cer
City of San Rafael
Officer
City of San Rafael
Officer
City o f San Rafael
Of beer
City of San Rafael
1cer
City of San Rafael
SUBTOTAL $
Statement cava,. perfod
filHn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALI F ORNIA 460
fORM
Pagl 36 of 96
to. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PERELEcnON
TO DAlE
(IF REOUIRED)
11.48 202,14
11.48 202 .14
11.18 .l02.14
11.19 20l.14
• •
56.S0 1
FPPC Form 460 (JanualY/05)
FPPC TolI·Froa Helpline: 8661ASK·FPPC (868/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
~pe or prtnt In Ink.
Amount. may be rounded
to whole dou....
DATE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF.£MPLOYED, EHT!II: NAt.!!
(lFCOUMITIEE.Al..SO EHTERI.D. NUM8ER) CODE *
Police Association 1520 Fifth
Fifth
San Rafael. CA 94901
union ~mber'8 dues received through
San Rafael Association.
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association.
c/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901 u;,~~:~:~;~~~;;B dues received through ~: San Rafael Police Association.
San Fifth
Avenue
San Rafael. CA 94901
Union me~er's dues received through
·Conlribulor Codes
INO -Iodlvldual
COM -Reciplenl CommiHee
San Rafael Police Association,
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• business enUIy)
PTY -PoIllical Party
SCC -Small Conlribulor CommlHee
www.netll/e.com
o COM
DOTH
DPTY
Dsce
Ii]INO o COM
DOTH
DPTY
Dsce
OOINO
DCOM
DOTH
DPTY
DSCC
OOINO o COM
DOTH
DPTY
DscC
Ol""BU&lN!SS)
of San Rafael
of San Rafael
of San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (CDNT.)
statement COY ....
from 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pille
AMOUNT
RECEIVED THIS
PERIOD
11.48
56
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.14
37 of 96
PERELEcnON
TO DATE
(IF REQUIRED)
FPPC Fonn 480 (January/OS)
FPPC TolI·Frae Helpline: 88I1ASK-FPPC (888/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
"!ypo or prfnt In Ink.
Amounts may be rounded
to whole cIolla ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMOUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SElJ'-EUPLOYeo, ENTER NAME
OF 8US1NE&S)
{lFCOUUmEE,ALSOENTEA I.D. NUUBER) CODe *
08 15 2014 L a Gavlick
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
v
08 31 2014 LLlah Gavlick
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
09/15/2014 Lilah Gavlick
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
09/30/2014 Lilah Gavliek
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 pifth Avenue San Rafael CA 94901
ustl.n Gra am
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association .
'Conlrtbulor Codes
IND -individual
COM -Redplent Committee
(alher Ihan PTY or SCC)
OTH -Olher (e .g " bu.in ••• entity)
PTY -Polillcal Party
SCC -Small Contributor Committee
www.netfl/e.com
IiDIND
DCOM
DOTH
DPTY
DSCC
I!lIND
DCOM
DOTH
DPTY
Dsec
IiiJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IiDIND
DCOM
DOTH
DPTY o sec
Po ce 0 cer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Rafael
orpora
City of San Rafael
SUBTOTAL$
Statemont cavo ... period
from 01/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
C ALIFORNIA 460
FORM
Pago 39 of 96
I.D .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11 .18 202 .14
11.4B 2 0 2.14
11.48 202 .14
11 .4B 202 .14
56.Bol
FPPC Fann 460 (JanuaryI05)
FPPC Tall·F ..... Helpllno: 8681ASK·FPPC (8661275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
lYpe or prlnlln Ink.
Amoun'" may be rounded
10 whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SElF..£UPLOYED.!NTER NAME
Of BU6tNESS)
(lFCOMMITTEE,ALSOENTER I.D. NUMBER) CODE *
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
interm,.dil.,~: San Rafael Police Association.
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
: San Rafael Police AssociAtion,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
's dues received through
: San Rafael Police Association.
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association,
Fifth
San Rafael. CA 94901
Union member's dues received through
San Rafael As"OC'~~~i'on.
'ConlJibulor Codes
IND -Individual
COM -Reclplenl CommlUee
(o!he, !han PTY or SCC)
OTH -Olher (e.g .• business enllly)
PTY -PoIlllcal Parfy
SCC -Small ConlribulorCommlUee
www.netflle.com
Iii]IND
DCOM
DOTH
DPTY
DSCC
Iii]IND
DCOM
DOTH
DPTY
Dsec
of San Rafael
of San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
cov ....
from 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pilla
AMOUNT
RECEIVED THIS
PERIOD
56.
831553
CUMULATIVE TO OATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
.14
39 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 460 (January/OS)
FPPC TolI·F ... Helpline: 8881ASK·FPPC (888/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
Type or prfnt In Ink.
Amounts may be rounded
to whole dolla",.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED , fNT!R NA.ME
OFBUSIHfSS)
(lFCOUMmEE,AlSOENiERI.D.NUMBERI CODE *
07 15 2014 Jull.e Grl.ffith
C/o : San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
v
07 31 2014 Juhe Griffith
C/o : San Rafael Police Association 1520 Fifth
AV\I!!nue
San Rafael . CA 9490 1
Un i on meBberls dues received through
intermediary : San Rafael Police Associ ation,
OS/15/2014 Julie Griffith
Clo t San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Un i on member's dues received through
intermediary: San Rafael Police Association .
OS/31/2014 Julie Griffith
C/o: San Rafael Police Association 1520 Fi fth
Avenue
San Rafa e l . CA 9490 1
Union member 's dues received through
intermediary: San Rafael Police Associ at i on,
1520 Fifth Avenue San Rafael CA 94901
u 1e r t
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
·Conlrfbulor Code.
IND -Individual
COM -Reciplenl Committee
(other Ihan PTV or SCC)
OTH -Olher (e.g., business enllly)
PTV -Political Party
SCC -Small Contributor CommlHee
www.netflle.com
I!lIND
DCOM
DOTH
DPTV
DSCC
I!lIND
DCOM
DOTH
DPTV
Dsec
IXJIND
DCOM
DOTH
DPTV
DSCC
I!lIND
DCOM
DOTH
DPTV
DSCC
I!lIND
DCOM
DOTH
DPTV o sec
ReeD seer
City of San Rafael
Records C er
City of San Rafael
Records Clerk
City of San Rafael
Records Clerk
City of San Rafael
eco 8 er
City of San Rafael
SUBTOTALS
Statement cov .... period
from 07/01/2014.
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 40 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
8.70 122 .70
8.70 122 .7Q
S.70 122 .70
9.00 122.70
FPPC Fonn 480 (January/OS)
FPPC TolI·F"", Helpline: 8661ASK·FPPC (866/Z75-3nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
'n'pe or print In Ink.
Amounts may be round.t
10 whole do" ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF COI.UtlBUITOIR I CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOVER (lFCOMMmEE,ALSOENTERI.D.NUMBER) CODE *
08
Rafael Police Association 1520 Fifth
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association,
C/o: San Rafael Police Association 1554 Fifth
Avenue
San Rafael, CA 94935
Union ~mber'B dues received through
San Rafael Police Association.
C/o: San Rafael Police Association 1554 Fifth
Avenue
San Rafael, CA 94935
's dues received through
San Rafael Police Association.
Fifth
pifth
San Rafael. CA 94935
Union member's dues received through
inte<rn"di.ary: San Rafael Association,
'Conlrlbulor Codes
INO-Indlvidual
COM -Recipient Convnlttee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• business enllly)
PTY -PoIiUcal Party
SCC -Small Conlribulor Committee
www.netfl/e.com
IXJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCDM
DOTH
DPTY
DSCC
IRJINO
DCOM
DOTH
DPTY
DSCC
of San Rafael
of San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
from 07/01/2014
CALIFORNIA 460
FORM
Ihrough 09/30/2014 Plgo
AMOUNT
RECElVED THIS
PERIOD
44.10
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
41 of 96
PERELEcnON
TO DATE
(IF REQUIRED)
FPPC Form 480 (Jonuary/OS)
FPPC TolI-FrH Helpllno: 8681ASK-FPPC (8881275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Ralael Police Association Political Action committee
lYpa or print In Ink.
Amount. may be rounded
to whole dollara.
DATE
RECEIVED
FUll NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAl . ENTER
OCCUPATION AND EMPLOYER
(IF SEIJ'-ENPLO'tED, ENTER NAME
Of BUSINESS)
UFCOMMmEE.ALSOENTERI.D.NUMSER) CODE *
C/o: San Rafael Police Association 1554 Fifth
Avenue
San Rafael, CA 94935
s dues received through
San Rafael Police Association,
C/o : San Rafael Police Association 1554 Fifth
Avenue
San Rafael, CA 94935
Union member's dues received through
. San Rafael Police Association.
Fifth
San Rafael. CA 94901
Union member's dues received through
: San Rafael A8.0,o~~0<10n ,
c /o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
int;.rm.,di."ry~ San Rafael A8.~"~~<1 ·on .
152 0 Fifth
San Rafael , CA 94901
Union member's dues receiv ed through
·Conlribular Codas
IND -Individual
COM -Raclpienl CommlHee
~ San Rafael A8.~"~~<1 ·o n .
(olher Ihan PTY or SCC)
OTH -Olher (e .g .• business enlily)
PTY -Political Party
sec -Small eonlribulor eommlHee
www.netflle.com
OOIND
DeOM
DOTH
DPTY
Dsce
IXJIND
DeOM
DOTH
DPTY
Dsce
I&lIND
DeOM
DOTH
DPTY
DSCC
OOIND
DeOM
DOTH
DPTY
Dsce
of San Rafael
San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
h1Hn 07/01/2014
C ALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
51.54
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
42 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 460 (January/OS)
FPPC TolI·Free Holplln.: 8681ASK-FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action committee
l\Ipe or print In Ink.
Amounts m.y be rounded
to whole doll ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER (lFCOMMmEE,AL&OEHTERI.D.NUMBfR) CODE *
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
San Rafael Police Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
San Rafael Police Association,
c/o: San Rafael Police Association 1520 Pifth
Avenue
San Rafael. CA 94901
s dues received through
San Rafael Police Association.
Fifth
pifth
San Rafael. CA 94901
Union member's dues received through
. San Rafael Association.
·Contributor Codes
IND-)ndlvidua)
COM -Recipient CommlHee
(other than PTY or SCC)
OTH -Other (e.g .• business entity)
PTY -Polltlcat Party
SCC -Smalt Contributor CommlHee
www.netllle.com
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY o sec
of San Rafael
of San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CaNT.)
~ 07/01/2014
CALIFORNIA 460
FORM
,
Ihrough 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11.18
56
B31553
CUMULATIVETO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
43 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fo"" 460 (January/OS)
FPPC TolI·Frae Helpline: 8881ASK·FPPC (888/275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'JlIpe or print In Ink.
Amounts may be rounded
to whole dollars.
DAle
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OF COMMITTEE, ALSO EKrER 1.0, NUMBER)
IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(IF SELf.EMPlOVED, ENTER NAME
OF BUSINESS)
09 15 2014 J . Alexander Holm
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association ,
08/31/2014 J. Alexander Holm
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary : San Rafae l Police Association,
09/15/2014 J. Alexander Holm
c/o: San Rafael Police Associ ation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Assoc i ation,
09/30/2014 J. Alexander Holm
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
4 L1sa 0 ton
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Pol i ce Associ ation ,
·Conlributor Codes
IND -Individual
COM -Recipient Committee
(orher Ihan PlY or SCC)
OTH -Other (e.g .. business entity)
PlY -Political Party
SCC -Small Conlrtbutor Committee
www.netflle.com
CODE *
IRJIND
DCOM
DOTH
DPlY
DSCC
IRJIND
DCOM
DOTH
DPlY
DSCC
IXJIND
DCOM
DOTH
DPlY
DSCC
IRJIND
DCOM
DOTH
DPlY
DSCC
IRJIND
DCOM
DOTH
DPlY
DSCC
Corporal
City of San Rafael
Corpora
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Sergeant
City of San Rafael
SUBTOTALS
Ststement covers period
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORN I A 460
F ORM
Page 44 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DAle
(IF REQUIRED)
11.18 202.14
11.48 202.14
11.48 202.14
11.48 202.14
56.S01
FPPC Form 460 (JanuaI')l/05)
FPPC ToII·Free Helpline: 8661ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FlLER
San Rafael Police Association political Action Committee
'n'pe or print In Ink.
Amounts may be rounded
10 whole dolla ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP COCE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
{IF SElF-EMPLOYED, ENTER HAM!
(lFCOMMmEE,ALSOENTERI.D.HUM&ER) CODE.
07 31 2014 L sa Holton
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
v ael
08/15/2014 Lisa Holton
C/o: San Rafael Police Association 1520 Fifch
Avt!!nue
San Rafat!!l. CA 94901
Union member's dues received through
Intt!!rm 7dlary: San Rafael PolIce Association.
08/31/2014 Lisa Holton
C/o : San Rafael Police Association 1520 Pifth
Avt!!nue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Pollct!! Associacion.
09/15/2014 Lisa Holton
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Pifth Avenue. San Rafael. CA 94901
sa 0 ton
C/o: San Rafael Police Association 1520 Pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intt!!rmediary : San Rafael Police Association.
'ConIribulor Code.
INO-Indlvidual
COM -Redplenl CommlHee
(olher than PTY or SCC)
OTH -Olher (e .g., business enlily)
PTY -PollUcal Party
sec -Small Contribulor CommlHee
www.netfl/e.com
OOINO
DCOM
DOTH
DPTY
Dsec
OOINO
DCOM
DOTH
DPTY
Dsec
OOIND
DCOM
DOTH
DPTY
DSCC
OOINO
DCOM
DOTH
DPTY
DSCC
OOINO
DCOM
DOTH
DPTY o sec
OfBUSlNW)
Sergeant
City of San Rafael
Sergeant
City of San Rafat!!l
Sergeant
City of San Rafael
Sergeant
City of San Rafael
ergeant
City of San Rafat!!l
SUBTOTALS
Slalement cavora parfod
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Pago 45 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMUlATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 202.14
11 .18 202 .14.
11.48 202 .14
11.48 202.14
11.4 • 4
56 .ao l
FPPC Fonn 480 (Janua'Y/05)
FPPC ToIl-F ... Helpline: 8881ASK-FPPC (888/275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OFFILER
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 INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF saF-EMPLOYED, EHlER NAME
OF BUS*NESS)
(lFCOUUITTEE.ALSOENTCRI.D.NUMBER) CODE *
07 15 2014 Kyle Hornstein
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
o F h Avenu 4901
07/31/2014 Kyle Hornstein
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
00/15/2014 Kyle Hornstein
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
v
08/31/2014 Kyle Hornstein
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael CA 94901
09 15 2014 Y e ornste n
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
·ConlrllKllor Codes
IND -Individual
COM -Recipient CommiHee
(other than PTY or SCC)
OTH -OIher (e.g .. business enlily)
PTY -Polilicel Party
SCC -Small ConlrilKltorCommlHee
www.netfl/e.com
Il[)IND
DCOM
DOTH
DPTY
DSCC
Il[)IND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
Il[)IND
DCOM
DOTH
DPTY
DSCC
Il[)IND
DCOM
DOTH
DPTY
DSCC
Corpora
Ci ty of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
orpora
City of San Rafael
SUBTOTALS
Statement cove", period
from 0 7/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CAUfORN IA 460
FORM
Page 46 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 202.14
11.18 202.l4
11.1 8 202 .14
11.48 202 .14
56.50 1
FPPC Fonn 460 (January/OB,
FPPC TolI·FntO Helpline: 8661ASK·FPPC (868/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FlLER
San Rafael Police Association Political Action ComNittee
1\'"" ... p~nlln Ink.
Amounts ONlY be ro_
10 whole don ....
DAlE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lfCOlUTTEE,N.SOEHTfRLD.NUM8ER) CODE *
IF AN INDMDUAL, ENTER
OCCUPATION AND EMPlOYER
(I' RL1..fMPLOVED, ENTER NAMf
OF BUSINESS)
09 30 2014 Ky e Hornate n
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
venue S 94901
07/15/2014 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,
07/31/2014 Carl Huber
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union meMber1s dues received through
intermediary: San Rafael Police Asaociation,
08/15/2014 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,
1520 Fifth Avenue, San Rafael, CA 94901
2014 ar er
C/o: San Rafael Police As8ociation 1520 Pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'ConlrilJolor Codes
INO-lndlviduaI
COM-R~C~n~
(oliler lhan PTY or seC)
OTH -Oliler (e.g., business enilly)
PTY -Polilical Party
sec -Smell Conlribuior CommlHee
www.netfl/e.com
(j[]INO
DCOM
DOTH
DPTY
Dsec
(j[]INO
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY o sec
IXlINO
DCOM
DOTH
DPTY
DSCC
(j[]INO
DCOM
DOTH
DPTY
DSCC
corpora
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
ergean
City of San Rafael
SUBTOTALS
8Io_co .... period
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 47 0' 96
1.0. NUMBER
831553
AlotOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DAlE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTION
TO DAlE
(IF REQUIRED)
11.48 202.14
11.19 202.14
11 .18 202.14
11.18 202.14
11.4 2.14
56.50 1
FPPC Form 460 (January/OS)
FPPC TolI-FrH Helpline: 8661ASK-FPPC (886/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'J\Ipe or print In Ink.
Amounts may be rounded
to whole dolla ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OFCOMMmEE,ALSOENTER t D.NUMBER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SElf-EMPLOYED, ENTER NAME
OF BUSINESS)
0 9 1 5 2014 Carl Huber
C/o: San Rafael Po lice Associat ion 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary; San Rafael Poli c e Assoc i ation.
1 2 Fif ve ue S Rafae
09 30 2014 Carl Huber
C/o: San Rafael Police Associat i on 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary : San Rafael Police Association.
07/15/2014 Scott Ingels
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
interm~diary: San Rafael Police Assoc i ation .
07/31/2014 Scott Ingels
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael. CA 94901
4 cott nge 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-lndIvIduaI
COM -Redplent Committee
(other than PTY or SCC)
OTH -Olher (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DeOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
IKlIND
DCOM
DOTH
DPTY
DSCC
Se rgeant
City of San Rafae l
s ergeant
City of San Rafael
Corporal
City of San Rafae l
Corporal
City of San Rafael
orpora
City of San Rafael
SUBTOTAL$
Statement cove ... period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CaNT.)
CALIFORNIA 460
FORM
Page 48 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11 .48 20 .14
11.48 :202.14.
11.18 20~ .14
11 ,18 202.14
• •
56.5°1
FPPC Fo"" 460 (January/05)
FPPC TolI-FI88 Helpline: 8681ASK-FPPC (8661275-3n2)
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 dolla ...
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMmEE,AI..SOENTER I.D. NUM8fR) CODe *
IF AN INOMOUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SElF..£MPLOYED, ENTER NAME
OF BUSINESS)
08 31 2014 Scott Inge 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.
ift v Ra 1
09/15/2014 Scott Ingels
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
09/30/2014 Scott Ingels
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
07/15/2014 Lynette Keller
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael CA 94901
ynette e er
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
·Conlributor Codes
INo-lndividual
COM -Redplent CommlHee
(olher than PTY or SCC)
OTH -Other (e .g .. business entity)
PTY -Political Party
SCC -Small Contributor CommlHee
www.netfl/e.com
I!lINo
DCOM
DOTH
DPTY
DSCC
I!lINo
DCOM
DOTH
DPTY
Dsec
IXJIND
DCOM
DOTH
DPTY
Dsec
I!lINo
DCOM
DOTH
DPTY
DSCC
I!lINo
DCOM
DOTH
DPTY
Dsec
Corpora
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Community Service Officer
City of San Rafael
Commun ty erv ce 1cer
City of San Rafael
SUBTOTAL $
Statement cov ... period
~ 01/01/2014
through 09/30/20l4
SCHEDULE A (COOT.)
CALIFORNIA 460
FORM
Pago 49 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMUlATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TOCATE
(IF REQUIRED)
11.48 202.14
11.48 202 .14
11.48 202.14
8.70 148.80
.1
51.84 1
FPPC Fonn 460 (January/OS)
FPPC Toll-Frae Helpline: 86&1ASK-FPPC (8661275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Po lice Assoc i ation political Action committee
~pe or print In Ink.
Amounts may be rounded
to whole doll ....
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
pFCOMMmEE,ALSOENTER I.D. NUMBER) CODE *
IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
Of BUSINESS)
Rafael Po lice Associ ation 1520 Fifth
San Rafael, CA 94901
Unio n member's dues received through
, San Rafael Police Association.
; San Rafae l Police Association 1 52 0 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
San Rafael Associat i on .
Lynette
C/Ol San Rafae l Police Associ at i on 1520 F i fth
Avenue
San Rafael . CA 9490 1
I S dues received through
San Rafael Pol i ce Association,
Fifth
CA 94901
's dues received through
San Rafael Police Association,
Police Association 1520 Fifth
CA 94901
·Conlribulor Codes
IND -Indlvillual
COM -Redplenl CommIttee
's dues received through
: San Rafael Police Association .
(olher Ihan PTY or SCC)
OTH -Olher (e .9, business enllly)
PTY -Polilical Party
SCC -Small ConlrfbtJlorCommlHee
www.netfl/e.com
IXJIND
DCOM
DOTH
O PTY
Dsec
Rafael
Rafael
Rafael
Rafael
SUBTOTALS
SCHEDULE A (CaNT.)
covers
from 07/01/2014
CAL I FORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
44 .40
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC , 31)
so of 96
PER ELECTION
TOOATE
(IF REQUIRED)
FPPC Fonn 460 (JanuaIl//05)
FPPC Toll·Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAIAE OF FILER
San Rafael Police Association Political Action Committee
'l\'pe or print In Ink.
Amount. may be rounded
to whole dog ....
DA1£
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF'COMMmEE,ALSOEHT'ERLD.NUUIER) CODE *
IF AN INDMOUAL. ENTER
OCCUPATION AND EMPLOYER
(1F 6E.L.F-aIPlOYED, ENTER NA.U!
07 31 2014 Re ecca Kuga
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
inte~edi.ry: San Rafael Police Association.
Avenue S 94901
08/15/2014 Rebecca Kuga
C/o: San Rafael Police Assoeiation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues receive d through
intermediary: San Rafael Police Association.
08/31/2014 Rebecca Kuga
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union mellber's dues received through
interm~iary: San Rafael Police Association.
09/15/2014 Rebecca Kuga
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael. CA 94901
2014 Re cca uga
C/o : San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
'Contributor Codes
(NO-Individual
COM -Recfplent COITWTiUee
(olher than PTY or seC)
OTH -Other (e.g .• bu.lness enllly)
PTY -Palillcal Party
SCC -Small ConlrlbutorCommiHee
www.netl//e.com
IilJINO
DCOM
DOTH
DPTY
Dsec
OOINO
DCOM
DOTH
DPTY
DSCC
IilINO
DCOM
DOTH
DPTY
Dsec
IilJIND
DCOM
DOTH
DPTY
DSCC
IilJIND
DCOM
DOTH
DPTY
DSCC
OF BUSINESS)
YSB supervisor
City of San Rafael
YSB supervisor
City of San Rafael
YSB Supervisor
City of San Rafael
YSB Supervisor
City of San Rafael
Y uperv sor
City of San Rafael
SUBTOTAL $
StolerMntco .... period
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 51 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUIAULAnVE TO DA1£
CALENDAR YEAR
(JAN. 1 -DEC. 311
PERELECnDN
TODA1£
(IF REQUIREDI
8.70 157.50
9.70 157.50
9.00 157.50
9.00 157.50
1 .5
44.40 1
FPPC Form 480 (January/OS}
FPPC Toll·Frse Halpllne: 8881ASK·FPPC (888/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Act i on Comm i ttee
"Jypa or print In Ink.
Amounts may be rounded
to whole dollars.
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMmEE,AlSOENTERIoD.NUMBER) CODE *
IF AN INOMOUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SfLF.EMPlOVED, ENTER NAME
OF BUSINESS)
Fifth
CA 9490 1
s dues rece ived through
San Rafael Police Associat i on,
Police Association 1520 Fifth
Police Association 1520 Fifth
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association,
Marc
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues rece ived thrQugh
intermediary: San Rafael Police Association .
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member 's dues received through
int:e<me,di,.ry: San Rafael Police Association,
·Contnbutor Codes
IND -lndMOOsl
COM -Redplenl Committee
(olher Ihan PlY or SCC)
OTH -Olher (e .g .• business enlily)
PlY -Polillcal Party
SCC -Small ConlrlbulorCommlHee
www.netfl/e.com
IRJIND
DCOM
DOTH o PlY
Dsec
IRJIND
DCOM
DOTH o PlY
DSCC
IRJIND
DCOM
DOTH o PlY
DSCC
IRJIND
DCOM
DOTH o PlY
DSCC
IRJIND
DCOM
DOTH o PlY
DSCC
of San Rafael
of San Rafael
of San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
from 07/01/2014
CA LI FOR NIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
$6.S0
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
52 of 96
PER ELECTION
TO DAlE
(IF REQUIRED)
FPPC Fonn 460 (Janua1Y/051
FPPC TolI·Free Helpline: 8661ASK·FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
"ntpe or prtnt In Ink.
Amount. I1IIIY be rounded
to whole doll--.
DAlE
RECEiVED
FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR
(lFco .... mEE.ALSO£NTERI.D.NU .. SER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
Police Association 1520 Fifth
Police Association 1520 Fifth
San Rafael, CA 94901
through
Association.
Fifth
Union member's dues received through
San Rafael Police Association.
c/o: San Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
's dues received through
San Rafael Police As8ociation,
Fifth
San Rafael, CA 94901
Union member's dues received through
inte~ediary: San Rafael Police Association.
'Contributor Codes
IND -IndIvIdUal
COM -Recipient ConvnIHee
(other Ihan PTY or SCC)
OTH -Olher (e.g .• business enUty)
PTY -PoIllical Party
SCC -Small Conbibulor CommlHee
www_netflle_com
IXJIND
DCDM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
of San Rafael
of San Rafael
of San Rafael
San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
from 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 PIIfI·
AMOUNT
RECEIVED THIS
PERIOD
56.50
831551
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
.14
5) of 96
PERELEcnON
TO DAlE
(IF REQUIRED)
FPPC Form 480 (JonuoryI05)
FPPC Toll-FnHI Helplln.: 8881ASK-FPPC (8661275-3n2)
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.
covers period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 54 of 96
831553
DATE
RECEIVED
IF AN INDMDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TOOATE
pFCOMUmEE.ALSO ENTERI.D. NUMBER) C~O~DE~*~L~:~jm~~t::::_~_~P~E~R~IO~D~;-;j_~(J~A~N~.~l ~'~D~E~C:. 3:'~)IT~_~(I~F~R~E~a~U~I~RE~D~)~_
Police Association 1520 Fifth
Police Association 1520 Fifth
San Rafael. CA 94901
Union member's dues received through
San Rafael Association.
Lee
C/o : San Rafael Police Assoc iation 1520 Fifth
Avenue
San Rafael, CA 94901
Un i on member 's dues received through
intermediary: San Rafael Police Association,
Lee
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
: San Rafael Association,
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
·Conlribulor Codes
IND -lndMdual
COM -Redplenl CommlHee
: San Rafael Police Association,
(olher Ihan PTY or SCC)
OTH -Olher (e.g .. business enlily)
PTY -PoIiUcal Pany
SCC -Small Conlribulor CommlHee
www.netfl/e.com
DCOM
DOTH
DPTY
DSCC
IiilIND
DCOM
DOTH
DPTY
Dsec
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
of San Rafael
of San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
8.70 157 .50
8.70
49.0~
FPPC Fonn 460 (January/05)
FPPC TolI·Fraa Helpline: 8661ASK·FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
~ptI or print In Ink.
Amounts ruy be roundod
tawholedolla ....
DATE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMmEE,AL50EHTERI.D.NuMaER) CODE *
IF AN INOMDUAl. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPlOYED, ENTER MANE
OF8U81NE68)
08 31 2014 Anndora Lee
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
if ve S
09/15/2014 Anndora Lee
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
i nte~diary: San Rafael Police Association,
09/30/2014 Anndora Lee
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
07/15/2014 Rogalio Leon
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael, CA 94901
1 age 0 eon
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 -Redplenl ConvnlHee
(alher Ihan PTY ar SCC)
OTH -Olher (e.g .• business anllly)
PTY -Poillfcal Party
SCC -Small Conlribulor CommlHee
www.netfl/e.com
IRl'ND
DCOM
DOTH
DPTY
DSCC
IRlINO
DCOM
DOTH
DPTY
Dsec
Ii)'ND
DCOM
DOTH
DPTY
DSCC
IRlIND
DCOM
DOTH
DPTY
DSCC
IRlIND
DCOM
DOTH
DPTY
Dsec
D1spatc er
City of San Rafael
Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafae l
SUBTOTALS
SIs_tea ..... period
~... 07/01/2014
Ihrough 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
55 of 96
I.D.NUMBER
B31553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO OATE
CALENDAR YEAR
(JAN. 1 • DEC. 31,
PER ELECTION
TO DATE
(IF REQUIRED,
9.DO 157 .50
9.00 157 .50
9.00 157 .50
11.18 202 .14
11.18
FPPC Fann 468 (JanuaIY/OS,
FPPC Tall·FrH Holpllne: 8881ASK·FPPC (868/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
1\'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 INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(lFCOMMmEE,ALSOENTERI.D.NUMBERI CODe *
San Rafael Police Association 1520 Fifth
CA 94901
u~~~~~:~~~~~:. dues received through ~ Rafael Police Association,
Police Association 1520 Fifth
CA 94901
8 dues received through
San Rafael Police Association ,
Rafael Police Association 1520 Fifth
CA 94901
s dues received through
San Rafael Police Association,
San Rafael Police Association 1520 Fifth
CA 94901
u~~~.~:~;~~;~: s dues received through ~ San Rafael Pol i ce Association ,
Police Association 1520 Fifth
CA 94901
s dues received through
"Conlrlbulor Codes
INO -Individual
COM -Redplent CommlHee
(other than PTY or seC)
OTH -Olher (e .g .• business entily)
PTY -Polillcal Party
sec -Small eonlribulor eommlHee
www.netllle.com
San Rafael Police Association,
Ii[)IND
DeOM
DOT.H
DPTY
osee
Ii[)IND
DeOM
DOTH
DPTY
osee
Ii[)IND
DeOM
DOTH
DPTY
osee
Ii[)IND
DeoM
DOTH
DPTY
osee
Ii[)IND
DeoM
DOT.H
DPTY
osee
of San Rafael
San Rafael
of San Rafael
San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (eONT.)
hom 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
56.80
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC. 31)
56 or 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 460 (January/05)
FPPC TolI·FI1I8 Helpline: 8661ASK·FPPC (8661Z75-3nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME Of FILER
San Rafael Police A8sociation Political Action Committee
1\'pe or prlnt In Ink.
Amounts ""'l' be rounded
to whole doU ....
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAl. ENTER
OCCUPATtoN AND EMPlOYER
(IF SELF.£MPLOYEO, EHlER NAME
OF BUSINESS)
(lfCOlMTTEE,AL50ENT!RI.D.NUM8ER) CODE *
07 31 2014 Kevin Macdougald
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
ve ue S 94901
08/15/2014 Kevin HAcdougald
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
09/31/2014 Kevin Macdougald
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Ratael. CA 94901
Union member's dues received through
interm~iary: San Rafael Police Association,
09/15/2014 Kevin M&cdougald
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Pifth Avenue. San Rafael. CA 94901
14 v n ac ouga
C/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
inte~.diary: San Rafael Police Association,
'Canlrlbutor Codes
INO-lndMdual
COM-RedplentCorrrniItee
(other !han PTY or seC)
OTH -OIher (e.g .. business entity)
PTY -Polilical Party
SCC -Small Conlrlbu(orCommlHee
www.netf//e.com
~IND
DCOM
DOTH
DPTY
Dsec
~IND
DCOM
DOTH
DPTY
DSCC
Ii]INO
DCOM
DOTH
OPTY
Dsec
~INO
DCOM
DOTH
DPTY
DSCC
~IND
DCOM
DOTH
DPTY
DSCC
o ieer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
1cer
City of San Rafael
SUBTOTALS
Stotamantco • .,. poriod
k<Hn 07/01/201'
through 09/30/2014
SCHEDULE A (COOT.)
CALIFORNIA 460
FORM
Page 51 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PERELECnoN
TO DAlE
(IF REQUIRED)
11.18 202.l4
11.19 202.14
11.4B 202.14
11.4B 202.14
11.4 .14
56.BO I
FPPC Fonn 480 (January/05)
FPPC TolI·F ... Helpline: 8661ASK·FPPC (886/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'I\Ipe or print In Ink.
Amounts may be rounded
to whole dollara.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(If' SELF.£MPLOYEO, ENTER NAME
Of BUSINESS)
(lFCOMMrTTEE,ALSOENTER I.D. NUMBER) CODE *
0 7 /15 /2014 Car as Maldonado
Cl o ~ San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Un i on member 's dues rec eived through
intermediary : San Rafael Police Association .
07/31/2014 Carlos Maldonado
C/o: San Rafael Police A88ocia ~ion 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
08/15/2014 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.
08/31/2014 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.
1520 Fifth Avenue, San Rafael. CA 94901
aros a onao
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
·Conlribulor Codes
IND -Individual
COM -Reclplenl CommlUee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .• business enllly)
PTY -Political Party
SCC -Small Conlribulor CommlUee
www.netfl/e.com
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
IXlIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
Officer
City of San Rafael
Officer
City of San Rafael
Officer
Ci ty of San Rafa@l
Officer
City of San Rafael
1cer
City of San Rafael
SUBTOTALS
Statement covers period
from 07/01/2014
I
through 09/30/2014
SCHEDULE A (CONT.)
CA LI FORNIA 460
FORM
Page 58 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TQDATE
(IF REQUIRED)
11.18 202 .13
11.18 202.1]
11.18 202.13
11.48 202,1]
.48
s •. sol
FPPC Fonn 460 (January/05)
FPPC TolI·Free Helpline: 8661ASK-FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action C~ittee
1\'pe or Pflnl In Ink.
Amounts may be ro_
10 whole dollar..
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(IF SELF-EUPLOYED. EHTER NAME
OFBUsmESS)
(!FCOMUITTEE,AL&O£NTERI.D.NUWBER) CODE *
09 30 2014 Carlos Hal onado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union me~r'8 dues received through
intermediary: San Rafael Police Association,
1 ve 4
01/15/2014 Michael Mathis
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
01/31/20l4 Michael Mathis
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
inte~ediary: San Rafael Police Association.
08/15/2014 Michael Mathis
C/o: San Rafael Police Association 1520 Pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue, San Rafael, CA 94901
2014 Ml.c ae at 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 Code.
(NO -Individual
COM -RedpIenI Comminee
(olher lhan PTY or SCC)
OTH -Other (e.g .. business enUIy)
PTY -Poillical Party
SCC -Small Conbibutor CommlHee
www.netl/Ie.com
I!lINO
DCOM
DOTH
DPTY
Dsec
I!lINO
DCOM
DOTH
DPTY
DSCC
iXllNO o COM
DOTH
DPTY
DSCC
I!lINO
DCOM
DOTH
DPTY
DSCC
I!lIND
DCOM
DOTH
DPTY
DSCC
Off car
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
orpora
City of San Rafael
SUBTOTALS
SIs_co .... period
ktMn 07/01/201'
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page S9 of 96
1.0. NUMBER
831553
AloIOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DAlE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TOOATE
(IF REQUIRED)
11.48 202.13
11.18 202.14
11.18 202.14
11.18 202.14
1 .4 2 2.14
56.501
FPPC Form 480 (January/05)
FPPC TolI-FIH Helpline: B6&1ASK-FPPC (86&/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
"nrpe 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 INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(lFCOMMmEE,AI.SOENTERI.D.NUMBER) CODE *
09 15 2014 Michael Math18
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary~ San Rafael Police Association,
1 2 F
09/30/2014 Michael Mathis
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary: San Rafael Police Association,
07/15/2014 Kelly Mauel
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary I San Rafael Police Association,
07/31/2014 Kelly Mauel
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues receiv ed through
intermediary : San Rafael Police Assoc iation,
1520 Fifth Avenue, San Rafael CA 94901
y aue
C/o: San Rafae l Po l ice Association 1 520 Fifth
Avenue
San Rafae l , CA 94901
Union member's dues received through
intermediary: San Rafael Police Association .
·Contributor Codes
IND -Indlvidua)
COM -Reclplenl CommlUee
(olher Ihan PTY or SCC)
OTH -Olher (e.g., bus)ness enllly)
PTY -PolII)cal Party
SCC -Small ConlribulorCommlUee
www.netfile.com
Ii[)ND
DCOM
DOTH
DPTY
DSCC
Ii[)IND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
Ii[)IND
DCOM
DOTH
DPTY
DSCC
Ii[)IND
DCOM
DOTH
D PTY
DSCC
Corporal
City of San Rafael
Corporal
City of San Rafael
Records Clerk
City of San Rafae l
Re cords Clerk
City of San Rafael
eco . er
City of San Rafael
SUBTOTALS
Statement covers period
hom 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
C ALIFORNIA 460
FORM
Paga 60 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11 .48 202 .14
11 .48 202.14
8 .70 131.40
8 .70 131.40
1 ••
FPPC Fonn 480 (January/OS)
FPPC TolI·Frae Helpline: 8661ASK·FPPC (888/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association political Action Committee
'l\lpe or prlnlln ""'.
Amounts may be rou_
lowholedollora.
DAlE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. E.HTEA NAN!
(lFCO .... ITT£E.ALSOEHT£RI.D.NUM8EA) CODE *
08 31 2014 Ke y Mauel
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
ve e S
09/15/2014 Kelly Mauel
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
inte~7diary: San Rafael Police Association.
09/30/2014 Kelly Hauel
C/o: San Rafael Police Association 1520 Fifth
AVl!!!nul!!!
San Rafael. CA 94901
Union ~ember's dues received through
intermediary: San Rafael Police As.ociation,
07/15/2014 Abigail Mcelderry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
4 19a1 ce erry
C/o: San Rafael Police Aa8ociation 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues recl!!!ived through
intermediary: San Rafael Police Association,
'Conlr1bulor Code.
IND -Individual
COM -Recipient CommIUee
(oiher Ihan PTY or SCC)
OTH -Olher (e.g .• buslne •• enHIy)
PTY -PoIlHcal Party
SCC -Sma" Conlrtbulor CommlUee
www.netll/e.com
il[]IND
DCOM
DOTH
DPTY o sec
OOIND
DCOM
DOTH
DPTY
Dsec
IiilINO
DCOM
DOTH
DPTY
Dsec
il[]IND
DCOM
DOTH
DPTY
Dsec
il[]IND
DCOM
DOTH
DPTY
Dsec
OF BUSINESS)
Records Cler
City of San Rafael
Records Clerk
City of San Rafael
Records CIl!!!rk
City of San Rafael
Dispatchl!!!r
City of San Rafael
D1spatc er
City of San Rafael
SUBTOTALS
Stat.nlellt co.,.,.. period
~~ 07/01/2014
through _-,0",9",'=.3 0",'",2"0-,1,,,' __ _
seHEDULE A (CaNT.)
CALIFORNIA 460
FORM
poge 61 of 96
1.0. NUMBER
931553
AMOUNT
RECEIVED THIS
PERIOD
CUMULAnVE TO DAlE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PERELEcnON
TO DAlE
(IF REQUIRED)
9.00 131. 40
9.00 131.40
9.00 131. 40
8.70 158.96
8.70 1
FPPC Form 460 (January/OS)
FPPC ToII-FrH H.lpllne: H8IASK-FPPC (888/275-3772)
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.
Statement covers
from 07/01/2014
Ihrough _-,O",9.!..1",30",1",2:.:0",1",4 __ _
I
SCHEDULE A (CONT.)
CALI F ORN I A 460
FO R M
Page 62 of 96
831553
DAle
RECEIVED
IF AN INDMDUAL ENlER AMOUNT CUMULATIVE TO DAle PER ELECTION FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND E'MPLOVER RECEIVED THIS CALENDAR YEAR TO DATE
(lFCOMMmEE,ALSOENTERI.D.NUMBER) C~O~D;E~'~k~;~~~~~~:~_~_~P~E~R~IO~D~i7.~_~(J~AN~.~1 ~_~D~E~C~. 3~'~)%t_~(I~F~R~E~a~U~I ~RE~D~)~_
Association 1520 F i fth San Rafael
2014
San Rafael, CA 94901
Union member 's dues received through
intermediary: San Rafael Police Assoc i ation.
C/o: San Rafael Association 1520 Fifth
Avenue
San Rafael, CA 94901
Un i on member's dues received through
San Rafael Police Association,
C/o: San Rafael
Avenue
San Rafael CA 94901
Association 1520 Fifth
s dues received through
San Rafael Police Association,
Association 1520 Fifth
Police Association 1520 Fifth
San Rafael, CA 94901
Un i on member 's dues received thro ugh
San Rafael Police Association.
·Contributor Codes
IND-Individual
COM -Redplenl ConvnlUee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .. business enllly)
PTY -Political Party
SCC -Small ConlribuiorCommlUee
www.netflle.com
I!lIND
DCOM
DOTH
DPTY
osee
of San Rafael
of San Rafael
San Rafael
SUBTOTALS 4 6 .88
FPPC Fonn 460 (January/OSI
FPPC ToII·FnHI Helpline: 8861ASK-FPpe (8661275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAUEOFFILER
San Rafael Police Association Political Action Committee
l\Ipe ... pftntln Ink.
AmounlslM)l be rou.-
10 whole doU ....
DAle
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INOMDUAl. ENTER
OCCUPATlON AND EMPLOYER
(If SElF..£t.lPlQYEO. ENTER NAME
OF BUSINESS)
(FCOUIMTTEE.ALSOEHTERID.NUUBER) CODe *
07 31 2014 Phi P Melodia
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member1s dues received through
intermediary: San Rafael Pol i ce Association.
v e Sa 01
08/15/2014 Phillip Helod!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,
08/31/2014 Phillip Helodia
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union .ember's dues received through
inte~ediary: San Rafael Police Association ,
09/15/2014 Phillip Helodia
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue. San Rafael. CA 94901
2014 ~ pea
C/o: San Rafael Police As8ociation 1520 Pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
'CooIrIbuIor code.
IND-lndMduaI
COM -RedpIenI CoowniHee
(other lhen PTY or seC)
OTH -Olller (e.g .• buslnes. entily)
PTY -PollUcal Party
sec -Small Conlrlbulor CommlHee
www.netfile.com
OOIND
DeOM
DOTH
DPTY
osee
OOIND
DCOM
DOTH
DPTY
Dsce
Ii1lIND
DCOM
DOTH
DPTY
o sec
OOINO
DCOM
DOTH
DPTY
osee
OOINO
DCOM
DOTH
DPTY
Dsec
o cer
City of San Rafael
Officer
City ot San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
cer
City of San Rafael
SUBTOTAL$
Stalttm<lfll co .... period
h1Hn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 63 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 & DEC. 31)
PER ElEcnON
TOD"lE
(IF REOUIRED)
11.18 202.14
11.18 202.14
11.48 202.14
11.48 202.14
11.4 .14
56.80 1
FPPC Fonn 480 (January/05)
FPPC TolI·F ... Helpline: 8661ASK·FPPC (8661Z75-3nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
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 INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(lF CCIIIMTTD!,.ALSOENTERI.D.NUMBER) CODE *
Rafael Police Association 1520 Fifth
CA 94901
s dues received through
San Rafael Police Association ,
Rafael Police Association 1520 Fifth
C/o: San Rafael Pol i ce Association 1520 Fi fth
Avenue
San Rafael,
Union
CA 94901
's dues received
, San Rafael
through
Association,
C/O l San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
's dues received through
: San Rafael Police Association,
Fifth
CA 94901
's dues received through
: San Rafael Police Association.
·Conlribulor Codes
IND -Individual
COM -Redplent Committee
(o!her Ihan PTV or SCC)
OTH -Olher (e.g .. business enllly)
PTV -PoIllical Party
SCC -Small Conlrlbutor Committee
www.netfl/e.com
I!JIND
DCOM
DOTH
O PTV
DSCC
IRJIND
DCOM
DOTH
DPTV
DSCC
San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
~Ofln 07/01/2014
I
CALIFORNIA 460
FO RM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
8.70
404.1Q
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
157.50
64 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 480 (January/OS)
FPPC Toll-Frae Helpline: 81181ASK-FPPC (8681275-3n21
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action C~ittee
1\'pe or prtntln Ink.
Amounlll may be rounded
to wholo cIoIlons.
DAlE
RECEIVED
FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF.£MPLOYED, E.HTet NAME
01" BUSINESS)
(lFCOMMITIEE.AlSOENTERtD.NUMBER) CODE *
Rafael Police Association 1520 Fifth
Rafael Police Association 1520 Fifth
Fifth
CA 94901
's dues received through
: San Rafael Police Association,
c/o: San Rafael Police Association 1520 pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
int:e'~~'~i~lry: San Rafael Police Association,
Fifth
San Rafael, CA 94901
Union member's dues received through
San Rafael A.".O<'~~ti,'n,
'ConIribulOl Codes
IND-Indlvldual
COM -Reciplenl COIMlIHee
(olher Ihan PTY Ol SCC)
OTH -Olher (e.g., buslne •• enlily)
PTY -PoIllical Party sec -Small Conlrtbutor CommlHee
www.netfl/e.com
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY o sec
of San Rafael
of San Rafael
SUBTOTAL$
SCHEDULE A (CONT.)
cove ..
h1Hn 07/01/201'
CALIFORNIA 460
FORM
through 09/30/2014 Pogo
AMOUNT
RECEIVED THIS
PERIOD
•••
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
.50
6S of 96
PERELEcnON
TO DAlE
(IF REQUIRED)
FPPC Fonn 480 (January/OS)
FPPC TolI·F ... Halpllna: 8881ASK·FPPC (88l1/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafae l Po lice Association Pol itical Acti on Committee
"nrpe or print In Ink.
Amounts may be rounded
to wltole dollarw.
DAlE
RECEIVeO
FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOVER
tF £t1I.fMPLOYfD, fHTER NAME
OF BUSINESS)
(lFCOMMrnEE,AlSOENTERI.O.NUMBER) CODE *
0 9 IS lOl C o rge Nava rro
C/o : San Rafael Police Association 1 520 Fifth
Av enue
San Rafael. CA 94901
Union member's dues received through
i ntermediary : San Rafael Pol ice Associ ation.
. Ave ue S n R fael
0 9/3 0/2 01 4 Jorge Navarro
C/OJ San Rafael Police Association 1520 Pifth
Avenue
San Rafael . CA 94901
Un ion me mber's dues received through
i n t ermediary : San Rafael Poli ce Association,
07/15 /2014 Alexia Nielsen
C/o : San Rafael Pol i ce Associ ation 1520 Pifth
Avenue
San Rafael , CA 94901
Unio n member 's dues r eceived through
intermediary : San Rafael Pol i ce Associat i on ,
07 /31 /2014 Alexi a Nielsen
C/o: Sa n Rafael Pol i ce Associat i on 1 52 0 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
i ntermediary: San Rafael Pol i ce Assoc iation.
1 52 0 F i f t h Avenue , San Rafael CA 94901
us esen
C/O ! San Rafael Po l i ce Association 1520 Fi f t h
Av enu e
San Ra f ael , CA 9 4 901
Union member's dues received through
intermediary : San Rafael Po lice Associat ion,
'Conlrlbulo< Codes
INO -individual
COM -Reclplenl Committee
(oilier than PTY or SCC)
OTH -Olher (e .g .• business enllly)
PTY -Pollllcal Pany
SCC -Small Conlribulor Committee
www.netfl/e.com
(RJINO
DCOM
DOTH
DPTY
DSCC
(RJINO
DCOM
DOTH
DPTY
DSCC
IiiJINO
DCOM
DOTH
DPTY
DSCC
(RJINO
DCOM
DOTH
DPTY
DSCC
(RJINO
DCOM
DOTH
DPTY
DSCC
Ev ence Tee 1C an
City of San Rafael
Ev ence Te e n c i an
City of San Rafael
Di spatcher
City of San Rafael
Dispatche r
Ci ty of Sa n Ra f ael
1spatc e r
City o f San Rafae l
SUBTOTALS
Statement covers period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
C ALI FORN I A 460
FORM
Page 66 of 96
1.0 . NUMBER
B31553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR VEAR
(JAN. 1 • DEC . 31)
PER ELECTION
TOCATE
(IF REQUIRED)
9.00 157.50
9.00 157.50
8.70 157.50
8.7Q 151 .50
..... 101
FPPC Form 480 (January/05)
FPPC TolI·Free Helpline : I1661ASK·FPPC (8661275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
lYpe or print In Ink.
Amounb may be rounded
to whole doll ....
DATE
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INOMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELf.£MPLOYED ,I!HTER NAME
OF BUSINESS)
(lFCOMMmEE,ALSOEHTERtD.NUMBER) CODE *
Rafael Police Association 1520 Fifth
1520 Fifth
C/o: San Rafael Police Association 1520
Avenue
San Rafael,
Union
CA 94901
's dues received through
Fifth
: San Rafael Police Association.
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
's dues received through
i~t:er~~'~i~lry: San Rafael Police Association,
Fifth
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael "''''0<'~~~1''n.
·Conlnbulor Codes
INO-Indlvldual
COM -Redplenl Committee
(olher !han PTY or SCC)
OTH -Olher (e .g" business enlily)
PTY -PoilUcal Party
SCC -Small Conllibutor Committee
www.nelfl/e.com
IRlINO
DCOM
DOTH
DPTY
DSCC
IRlINO
DCOM
DOTH
DPTY o sec
of San Rafael
of San Rafael
of San Rafael
San Rafael
of San Rafael
SUBTOTAL$
SCHEOULE A (CONT.)
cove ...
fi<wn 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pago
AMOUNT
RECEIVED THIS
PERIOD
49 .36
931553
CUMULATIve TO OATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
61of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 460 (January/OS)
FPPC ToII·F .... Helpline: 8681ASK·FPPC (8661Z75-3nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'l\lpe or print In Ink.
Amounts may be rounded
to whole dollars.
DAlE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMmEE,ALSOENTERI.D.NUMBER) CODE *
IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(IF SELf..EMPLOYED, ENTER NAME
OF BUSINESS)
DB 15 2014 Lee 1e OToole
C/o: San Rafael Police Associat i on 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary r San Rafael Police Association.
09/31/2014 Leslie OToole
C/o: San Rafael Police Asso ciation 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
09/15/2014 Leslie OToole
C/o: San Rafael Police Association 1520 Fi fth
Avenue
San Rafael. CA 94901
Union member 's dues received through
intermediary: San Rafael Police Association.
09/30/2014 Leslie OToole
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
intermediary : San Rafae l Police Association .
1520 Fifth Avenue San Rafael. CA 94901
07 15 2014 Meag an Pang
C/o: San Rafael Police Association 1 520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
·Conlribulor Codes
INO -Individual
COM -Recipient Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .. business enllly)
PTY -Polilical Party
SCC -Small Conbibutor CommiHee
www.netfl/e.com
Ii[]IND
DCOM
DOTH
OPTY
OSCC
Ii[]IND
OCOM
DOTH
DPTY
osee
Ii1)IND
DCOM
DOTH
DPTY
OSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Officer
Ci ty of San Rafael
Ofhcer
City of San Rafael
Officer
City of San Ra f ael
Officer
Ci ty of San Rafael
spa c er
City of San Raphael
SUBTOTALS
Statement covel'S period
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORN IA 460
FORM
Page 68 of 96
I.D.NUMBER
B31553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PERELEcnON
TOCATE
IIF REQUIRED)
11 .18 202 .14
11.48 202 .14
11 .48 202 ,14
11 .c8 202 .14
FPPC Fonn 460 (January/OS)
FPPC TolI·Fraa Helpline: 8661ASK-FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action committee
'I\Ipe or print In Ink.
Amounts may be rounded
to whole don.n..
DAlE
RECEIVED
FUll NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMrTTEE,ALSOENTERI.D.NUMBER) CODE *
IF AN INOMDUAl. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OfBUSlNU$)
0 7 31 2014 Meaghan Pang
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
if Avenue Sa el
08/15/2014 Me:aghan Pang
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union ~mber's dues received through
inte~ediary : San Rafael Police Association,
08/31/2014 Heaghan Pang
C/o : San Rafael Police Asoociation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dueo received through
interm~diary: San Rafael Police Association.
09/15/2014 Meaghan Pang
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1520 Fifth Avenue, San Rafael. CA 94901
eag an ang
c/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
·CDnlrlbulo< Codes
IND-Indlvldual
COM -Redplent Committee
(olher than PTY Dr SCC)
OTH -Oll>er (e.g .• business enlily)
PTY -Pollilcal Party
SCC -Small CDnb1bulDr Committee
www.netfl/e.com
Il[]IND
DCOM
DOTH
DPTY
DSCC
Il[]IND
DCOM
DOTH
DPTY
Dsec
IiUINO
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY o sec
D1spatc er
City of San Raphael
Dispatcher
City of San Raphael
Dispatcher
City of San Raphael
Dispatcher
City of San Raphae l
1spatc er
City of San Raphael
SUBTOTALS
Slatementcove.., period
htKn 01/01/201'
Ihrough 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 69 of 96
1.0 . NUMBER
B31553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PERELEcnON
TOCATE
(IF REOUIRED)
8.70 157 .50
8.70 157 .50
9.00 157 .50
9.00 157.50
9.00
FPPC Fonn 480 (J.nu.ry/05)
FPPC Toll-Frae Helpline: 8881ASK-FPPC (8B81275-3n2)
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 AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(lFSE~PlOVED , ENTER NAME
OF BUSINESS)
(lFCOMMmEE,ALSOENTERtD.NUMBER) CODE.
0 7 15 2014 Nl.cO a Pata
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Un i on member's dues received through
intermediary ; San Rafael Pol ice Association,
o v f 1 01
07/31/2014 Nicola Pata
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Un ion member 's dues received through
interme diary : S an Rafae l Pol i c @ Ass oc i atio n,
08/15/2014 Ni cola Pata
C/o: San Rafael Police Asso ciation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Po l ice Assoc i ation ,
08/31/2014 Nicola Pata
C/o l San Rafae l Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
i ntermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael CA 94901
4 ~co a ata
C/o: San Ra f ael Po l ice Associ ation 1520 Fifth
Avenue
San Rafael , CA 9490 1
Union member's dues rece ived through
intermediary : San Rafael Police Association .
'Conlribulor Codes
INO -Individual
COM -Redplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g" business entity)
PTY -Political Party
SCC -Small Conlribulor Committee
www.netflle.com
Ii[]IND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
Ii[]IND
DCOM
DOTH
DPTY
Dsec
!KlINO
DCOM
DOTH
D PTY
DSCC
Dl.spatcher
City of San Rafael
Di spatcher
City of San Rafael
Dispatchl!l r
Ci ty of San Rafael
Di spatcher
City of San Ra f ael
~spatc er
City of San Rafael
SUBTOTALS
Ststement covers period
from 07/01/2014
through _-,0",9!..13",0",1"2"0,,,1,,,4 __ _
SCHEDULE A (CONT.)
CALifORNIA 460
FORM
Page 70 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REOUIRED)
8,7 0 157 .50
15'7.50
8.70 IS7 ,50
9_00 lS7.S0
44 .101
FPPC Fonn 460 (January/OS)
FPPC Toll-F/1IO Helpline: 8661ASK-FPPC (B86/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action C~ittee
Type or print In Ink.
Amoum. may be rounded
to whole doUors.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION ANO EMPLOYER
(II'" SElF-EMPLOYED. ENTER NAME
Of BUSINESS)
(IF COMMITTEE, Al.I5O ENTER I.D. NUMBER) CODe *
Rafael Police Association 1520 Fifth
Fifth
San Rafael, CA 94901
Union member's dues received through
San Rafael Association,
c/o: San Rafael Police Association 1520 Pifth
Avenue
San Rafael. CA 94901
IS dues received through
San Rafael Police Association.
Fifth
CA 94901
dues received through
Rafael Police Association.
Pifth
San Rafael, CA 94901
Union member's dues received through
San Rafael Police Association,
-Conltibutor Code.
IND-I-"I
COM -Redplenl CommIttee
(oiller /han PlY or SCC)
OTH -Olher (e.g .. buslnes. enUIy)
PlY -PO/llieal Party
SCC -Small Contributor Committee
www.netf/Ie.com
IKJIND o COM
DOTH o PlY
DSCC
I&JIND
DCOM
DOTH o PlY
DSCC
IliJIND
DCOM
DOTH o PlY
DSCC
San Rafael
San Rafael
of San Rafael
of San Rafael
San Rafael
SUBTOTALS
SCHEDULE A (COOT.)
COy ....
hom 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECElVED THIS
PERIOD
11.18
54
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
202.14
11 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 480 (JonuoIl//05)
FPPC TolI-FIH Helpline: II&61ASK-FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association pol itical Ac t ion Commi ttee
TYpe or print In Ink.
Amounts may be rounded
to whole dollars.
DAlE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENlER
OCCUPATION AND EMPLOYER
{If Sru;e.MPlOYED, ENTER NANE
OF BUSINESS)
(lFCOMUmEE,ALSOENTER f .D,NUMBER) CODE *
09 15 2014 Br 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.
1 Fif v e S Raf el 94901
09/30 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 .
07/15/2014 Buffy Paxson
C/o: San Rafael Po li ce Assoc i ation 1520 Fifth
Avenue
San Rafae l . CA 94901
Union member's dues received through
intermediary : San Rafael Police Association.
07/31/2014 Buffy Paxson
C/o: San Rafael Police Association 1 520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues recei ved through
intermediary : San Rafael Police Association .
1520 Fifth Avenue San Rafael CA 94901
08 15 2014 Bu y Paxson
C/O I San Rafael Police Association 1520 Fi fth
Avenue
San Rafae l, CA 94901
Union member's dues received through
intermediary : San Rafael Polic e Association .
·Conlribulor Codes
INC-Individual
COM -Reclplenl Committee
(olher than PTY or SCC)
OTH -Olher (e .g .. business enlily)
PTY -Political Party
SCC -Small Conlribolor Committee
www.netfl/e.com
ll1lINC
DCOM
DOTH
DPTY
DSCC
ll1lINC
DCOM
DOTH
DPTY
DSCC
Ii(] INC
DCOM
DOTH
DPTY
DSCC
ll1lINC
DCOM
DOTH
DPTY
DSCC
ll1lINC
DCOM
DOTH
DPTY
DSCC
o 1cer
City of San Rafael
Off cer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
l.cer
City of San Rafael
SUBTOTALS
Statement covers period
~0flA 07/01/2014
through 09/30/2014
SCHECULE A (CONT.)
CALIFOR NIA 460
F ORM
Page 72 of 96
to. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31 )
PERELEcnON
TO DAlE
(IF REOUIRED)
11.48 202.14
11.48 202 .14
1 1.18 202. "
H.1 e 202.77
S60501
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 8881ASK·FPPC (868/275-3n2J
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME Of FILER
San Rafael Police Association Political Action Committee
1\Ipe ... print In Ink.
Amounts ""'l' be rounded
to whole doU ....
DAle
RECEIVED
FUll NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAl. ENTER
OCCUPATlON AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
Of BUSINESS)
(lFCOIAIITTEE,AL60EHT!RI,D.NUU8ER) CODE *
08 31 2014 Buffy Paxson
C/o: San Rafael Police As8ociation 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 v a 901
09/15/2014 Buffy Paxson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
09/30/2014 Buffy Paxson
C/o: San Rafael Police Associacion 1520 Fifth
Avenue
San Rafael, CA 94901
Union .ember's dues received through
inte~ediary: San Rafael Police Association,
07/15/2014 Jason Perry
C/o: San Rafael Police Associacion 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
014 Jason erry
C/o: San Rafael Police Associacion 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
'Contrlbulor Codes
INO-Indlvldual
COM -Reclplenl Commlt1ee
(other than PTY or seC)
OTH -Other (e.g .• buslnes. enlily)
PTY -Political Party
SCC -Small Conbibulor CommlHee
www.netfi/e.com
OOINO
DCOM
DOTH
DPTY
Dsec
OOINO
DCOM
DOTH
DPTY
DSCC
IiUINO
DCOM
DOTH
DPTY
Dsec
OOINO
DCOM
DOTH
DPTY
DSCC
OOINO
DCOM
DOTH
DPTY
DSCC
o cer
City ot San Rafael
Officer
City of San Rafael
Officer
City ot San Rafael
Officer
City of San Rafael
cer
City at San Rafael
SUBTOTAL $
SIIl_t co .... period
h1Kn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 73 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULAnve TO DAle
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECT10N
TO DAle
(IF REQUIRED)
11.48 202.77
11.48 202.77
11.48 202.77
11.18 168.60
11. 6 •
56.80 1
FPPC Fonn 480 (January/OS)
FPPC TolI·F ... He(pllne: 8661ASK·FPPC (886127fi.3n2)
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 doll ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELf.EMPLOYED. ENTER NAME
OF BUSINESS)
OF COMMmEE. AlSO ENTER LO. NUMBER)
DB 15 2014 Jason 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,
08/31/2014 Jason 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.
09/15/2014 Jason 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,
09/30/2014 Jason 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,
1520 Fifth Avenue San Rafael, CA 94901
07 15 2014 Jess ca perry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafae l. CA 94901
Union member's dues received through
intermediary: San Rafael Polic e Association ,
*Contributor Codes
IND-I_
COM -Redplenl CommlHee
(olher Ih.n PTY or SCC)
OTH -Olher (e .g ., business enlily)
PTY -Political Party
SCC -Small Conlrlbulor CommlHee
www.netflle.com
CODe *
I!lIND
DCOM
DOTH
DPTY
DSCC
I!lIND
DCOM
DOTH
DPTY
DSCC
I&]IND
DCOM
DOTH
DPTY
DSCC
I!lIND
DCOM
DOTlH
DPTY
DSCC
I!lIND
DCOM
DOTH
DPTY
DSCC
Off cer
Ci ty of San Rafael
Officer
Ci ty of San Rafael
o ffi cer
Ci ty of San Rafael
Officer
City of San Rafael
l.cer
City of San Rafael
SUBTOTALS
Statement coye .. period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
C ALIFORNIA 460
FORM
P.ge 74 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATlVETQ DATE
CALENDAR YEAR
(JAN . 1 • DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.18 16 8 .60
11.48 1 68 .60
11 .48 168.60
11 .48 168.60
56.S0 1
FPPC Fonn 460 (J.nu.ry/05,
FPPC Toll·Free Helpline: 8661ASK·FPPC (866/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAMe OF FILER
San Rafael Police A88ociation Political Action Committee
Type or print In Ink.
Amounts may be roundod
to whole doll ....
DATE
RECEIVED
FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
PF SElF-EMPLOYED, ENTER twoIE
Of BUSINESS)
(lFCOMMmEE,ALSOENTER I.D. NUM8ER) CODe *
07 31 2014 Jess ca 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.
1 2 ve ue S 94901
08 15/2014 Jessica 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.
08/31/2014 Jessica Perry
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union ~mber's dues received through
intermediary : San Rafael Police Association,
09/15/2014 Jessica 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,
1520 Fifth Avenue, San Rafael, CA 94901
2014 Jess ca t!!rry
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 Code.
IND -(ndividual
COM -Redplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• business entily)
PTY -Polilical Party
SCC -Small Contributor Committee
www.netfi/e.com
!&lIND
DCOM
DOTH
DPTY
DSCC
!&lIND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
!&lIND
DCOM
DOTH
DPTY
DSCC
!&l(ND
DCOM
DOTH
DPTY
DSCC
Off cer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City at San Rafael
a cer
City of San Rafael
SUBTOTALS
Statamant cov.", period
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Pago 7S of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMUlATIVE TO DATE
CAlENDAR YEAR
(JAN . 1 • DEC. 31)
PER ELECTtoN
TO DATE
(IF REQUIRED)
11.18 202.14
11.18 202 .14
11.48 202.14
11.48 202.14
11 .4 .14
56.80 1
FPPC Form 480 (J.nuary/OS)
FPPC TolI ·F .... Helpline: 8861ASK·FPPC (886/275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'l\Ipe 0' print In Ink.
Amounls may be rounded
to wIIola dolla ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(lfCOMMITIEE,ALSOENTER I.D. NUMBERI CODE *
07 15 2014 Aaron Pombo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary : San Rafael Police Association,
07/31/2014 Aaron piombo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
08/15/2014 Aaron Piambe
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
08/31/2014 Aaron pi ambo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association.
1520 Pifth Avenue, San Rafael CA 94901
ron 0 0
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary : San Rafael Police Association,
·Conb1butor Codes
IND-Indlvldual
COM -Reclplenl CommlHee
(olher Ihan PTY or SCC)
OTH -Olbe, (e .g .. business enlily)
PTY -Polilical Party
SCC -Small Conlrlbuto, CommlHee
www.netfl/e.com
Il[)IND
DCOM
DOTH
DPTY
DSCC
Il[)IND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
Il[)IND
DCOM
DOTH
DPTY
DSCC
Il[)IND
DCOM
DOTH
DPTY
DSCC
Off cer
City of San Rafae l
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
cer
City of San Rafael
SUBTOTALS
Slstem.nt cov .... period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 76 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TOOATE
(IF REQUIRED)
11 .18 202.14
11 .1 8 202 .U
11.18
11 _48 202.U
56.50 1
FPPC Form 460 (January/OS)
FPPC Toll-Free H.'pllne: I1661ASK·FPPC (888/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
1\Ipe or print In Ink.
Amounts may be rounded
to_dol .....
DATE
RECEIVED
FULL NAME. STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFCOMMmEE,AlSOENTERI.D.NUUBER) CODe *
IF AN INDMDUAL. ENTER
OCCUPATiON AND EMPLOYER
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
. San Rafael Police Association,
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
San Rafael Police Assoeiation,
c/o: San Rafael Police Association 1520 Fifth
AVl!nue
San Rafael, CA 94901
s dues received through
San Rafael Police Assoeiation.
Police Association 1520 Fifth
94901
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union meMber's dues received through
·ConI"bul", Codes
INO-Indlvldual
COM -Redplenl CommiHee
San Rafael . Association.
(olher Ihan PlY or SCC)
OTH -Other (e.g .• business enllly)
PlY -Polilical Party
sec -Small Contributor CommlHee
www.netflle.com
I&JINO
DCOM
DOTH o PlY
Dsec
IRJINO
DCOM
DOTH o PlY
Dsec
IRJIND
DCOM
DOTH o PlY
Dsec
of San Rafael
of San Rafael
San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
fitMn 07/01/201'
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
56
B31S53
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
11 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 480 (January/05)
FPPC ToII·Free Helpline: 8881ASK-FPPC (861i/275-3n2)
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 doUars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER ~E
OF BUSINESS)
(lFCOMMITTEE,ALSOENTERIoD.NUMSER) CODe.
09 15 2014 Dennis Prince
C/o: San Rafael Po l ice Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Ra f ael Police Association.
2 v 1
09 /3 0/2014 Dennis Prince
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafae l , CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association.
07 /15 /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,
07 /31/2014 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,
1520 Fifth Avenue. San Rafael. CA 94901
4 on a eese
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Unio n member's dues received through
intermediary: San Rafael Police Assoc i ation,
·Conlrlbulor Codes
IND -Individual
COM -Reclplenl Committee
(olher Ihan PlY or SCC)
OTH -Other (e.g .. business enUIy)
PlY -Polilical Party
SCC -Small Conlrlbutor Committee
www.netfl/e.com
IlilIND
DCDM
DOTH
DPlY
DSCC
IlilIND
DCOM
DOTH
DPlY
DSCC
IiUIND
DCOM
DOTH
DPlY
DSCC
IlilIND
DCOM
DOTH
DPlY
DSCC
IlilIND
DCOM
DOTH
DPlY
DSCC
o 1cer
City of San Rafael
Offl.cer
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
orpora
City of San Rafael
SUBTOTALS
Statement cove .. period
from 0 1/01 /2014
through 09/30/2014
SCHEDULE A (CaNT.)
CALI FORNIA 460
F ORM
Page 78 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULAnve TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TOCATE
(IF REQUIRED)
11.48 202.14
11 .48 202 .14
11.18 202.14
11 ,18 202 .14
..
s6.501
FPPC Fonn 460 (January/05)
FPPC Toll·Frae Helpline: 8661ASK·FPPC (866/275-3n2)
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 dollara.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMOUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SElF.£MPLOVED. ENTER NMlE
OF BUSINESS)
(lFCOMMmEE,Al..SOEHTER I.D. NUMSER) CODe.
Fifth
CA 94901
8 dues received through
San Rafael Police Association.
Rafael Police Association 1520 Fifth
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association,
Ronda Reese
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union ~ember'8 dues received through
San Rafael Association.
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
's dues received through
San Rafael Police Association.
: San Rafael Police Association 1520 Fifth
Avenue
San Rafael .
Union
·Conlribulor Codes
INO -(ndividual
COM-ReapemC~n~
CA 94901
's dues received through
: San Rafael Police Association.
(other than PTY or SCC)
OTH -OIher (e.g., busln ... eoUty)
PTY -Political Party
SCC -Small Contributor Cornmlnee
www.netfile.com
I!lINO
DCOM
DOTH
DPTY
DSCC
I!lINO
DCOM
DOTH
DPTY
DSCC
iXllNO
DCOM
DOTH
DPTY
DSCC
of San Rafael
San Rafael
ot San Rafael
of San Rafael
of San Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
fitHn 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014. Page
AMOUNT
RECEIVED THIS
PERIOD
11.48
51.84
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
130.50
79 of 96
PERELECTlON
TO DATE
(IF REQUIRED)
FPPC Form 480 (January/05)
FPPC Tolt·F ... Helpline: 8681ASK·FPPC (8681275-3 n2)
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
(IFCOMMITTEE,At.50ENTERI.O.NUMBER) CODe *
IF AN INDMDUAL. ENTER
OCCUPAnON AND EMPLOYER
(IF SELf.EMPlOYED, ENTER NAME
OF BUSINESS)
DB 15 2014 Margo Rohrbacher
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
52 Fif h Av
01/15/2014 Peggy Ruge
c /o : San Rafael Police Associat i on 1520 Fifth
Avenue
San Rafae l. CA 94901
Union member's dues rece ived through
interm~diary; San Rafael Pol i ce Assoc i ation.
07/31/2014 Peggy Ruge
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association . . v
08 /15/2014 Peggy Ruge
C /o ~ San Rafael Police Association 1520 Fifth
Avenue
San Rafae l , CA 94901
Union member's dues received through
inte rmediary: San Rafael Pol i ce Association,
1520 Fifth Avenue San Rafael. CA 94901
2 4 eggy uge
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Union member's dues received through
intermediary: San Rafae l Pol t ce Associ ation .
'Conlrlbulor Codes
INO-lndIvidual
COM -Redplenl CommlHee
(olher Ihan PTY or SCC)
OTH -Other (e ,g" business entity)
PTY -Polilical Party
SCC -Small Conlrlbutor CommlHee
www.netllle.com
Ii[]INO
DCOM
DOTH
DPTY
DSCC
Ii[]INO
DCOM
DOTH
DPTY
DSCC
Ii[]INO
DCOM
DOTH
DPTY
DSCC
Ii[]INO
DCOM
DOTH
DPTY
DSCC
Ii[]INO
DCOM
DOTH
DPTY
DSCC
C v Iian Superv1Bor
City of San Rafael
Community Service Officer
City of San Rafael
Commun i ty Service Officer
City of San Rafael
Community Service Officer
City of San Rafael
Commun ty Serv1ce 0 1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT,)
CALIFORNIA 460
FORM
Page 80 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
8.70 130.50
8.70 157.50
8.70 157.50
8 .70 157.50
9.00 157.50
43.80 1
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helplln.: 8661ASK-FPPC (B661275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
~pe or print In Ink.
Amounts may be rounded
\0 whole dolll,..
DAlE
RECEIVED
FULL NAME. STREET AODRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lFco .... mEE.ALSOENrfRI,D.NUMBER) CODE *
IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Police Association 1520 Fifth
CA 94901
B dues received through
San Rafael Police Association.
Rafael Police Assoeiation 1520 Fifth
Fifth
San Rafael, CA 94901
Union member's dues received through
inlte."".di,.",: San Rafael Association.
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
's dues received through
: San Rafael Association.
c/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael.
Union
'Conlribulor Codes
INO-Individual
COM -Reclplenl CommltIee
CA 94901
's dues received through
: San Rafael Police Association.
(olher than PTY or SCC)
OTH -Other (e.g •• busln ••• enllly)
PTY -Polilical Party
SCC -Small Contrlbulor Committee
www.netfile.com
I&)INO
DCOM
DOTH
DPTY
DSCC
I!lIND
DCOM
DOTH
DPTY
DSCC
IXIINO
DCOM
DOTH
OPTY
DSCC
Rafael
Rafael
SUBTOTAL $
SCHEDULE A (CONT.)
covers
fiom 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pago
AMOUNT
RECEIVED THIS
PERIOD
11.18
51.54
831553
CUMULATIVE TO DAlE
CAlENDAR YEAR
(JAN. 1 -DEC. 31)
202.l4
81 of 96
PER ELECTION
TO DAlE
(IF REQUIRED)
FPPC Fonn «0 (Janulry/OS)
FPPC TolI·FIH Helpline: 8S8IASK-FPPC (8681275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police Association Political Action Committee
'l\lpe or print In Ink.
Amounts may be rounded
to whole dollal1l.
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CAli F ORNIA 460
FORM
Page 82 of 96
831553
DAle
RECEIVED
CDN·rRIIIUTOR ! IF AN INDMDUAL ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TOOATE
(IFCOMMITTEE,ALSOENTERI.D, NUMBER) ~C;O~D:E~'~~~;'~~~~~~:::'_f-_~P~E:R:IO:Drr:4it~(~JAN:::.~1~-~D:E~C~. ;31~)14f-_~(:IF~R:E:Q:U:I:R:E:D~) __
Rafael Police Association 1520 Fifth of San Rafael
Rafael Police Association 1520 Fifth
Fifth
CA 94901
's dues received through
i~~~l~~'~i~r¥, San Rafael Police Association,
Police Association 1520 Fifth
Fifth
San Rafael, CA 94901
Union member's dues received through
San Rafael Police Association.
·Contributor Codes
IND-Indlvidual
COM -Reclplenl CommlUee
(other Ihan PTY or SCC)
OTH -Olher (e.g .. business enllly)
PTY -Political Party
SCC -Small Conlributor CommlUee
www.netfile.com
oPTY
OSCC
oCOM
DOTH
oPTY
oscc
IXJIND
oCOM
DOTH
oPTY
OSCC
IiUIND
oCOM
DOTH
oPTY
OSCC
IiUIND
oCOM
DOTH
oPTY
oscc
of San Rafael
of San Rafael
San Rafael
San Rafael
SUBTOTALS
11.48 202 .14
56 .
FPPC Fonn 460 (January/05)
FPPC ToII·FI1I8 Helpline: 8661ASK-FPPC (8661Z75-3nZ)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME
San Rafael Police Association Political Action committee
'n'pe or print In Ink.
Amountal1\llY be rou_
10 whole doU ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(If SEt.f.EMPLOYED, ENTER NAME
OF BUSINESS)
(lFco .... mEE,ALSOENTmI.o .NU .. BER) CODE *
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
Rafael Police Association 1520 Fifth
San Rafael. CA 94901
union member's dues received through
inte]"'''~<!i.uy" San Rafael Association.
c/o : Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 949Dl
Union Member's dues received through
: San Rafael Police Association.
c/o: Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
's dues received through
: San Rafael Police Association.
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police ""8OC,U.t1,on.
·Conlribulor Code.
INO -Individual
COM -Reciplenl Cornmitlee
(olher Ihan PTY or SCC)
OTH -Olher (e.g .• buslne •• enllly)
PTY -PoIllical Party
SCC -Small Conlribulor Committee
www.netfl/e.com
oCOM
DOTH
oPTY
oSCC
iXllNO
o COM
DOTH
oPTY
OSCC
iRllNO
oCOM
DOTH
oPTY
OSCC
iRllNO
o COM
DOTH
oPTY
oSCC
San Rafael
of San Rafael
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CaNT.)
cove ...
from 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Pogo
AMOUNT
RECEIVED THIS
PERIOD
56 .80
8)1553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. I -DEC. 31)
83 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 480 (January/05)
FPPC TolI-F ... Holpllno: 8881ASK-FPPC (888/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
-nrpe 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 INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELf.EMPLOYEO. ENTER NAME
OF BUSINESS)
(lFCOMMITTEE,ALSOENlERI.D.NUMBER) CODE *
Fifth
CA 94901
's dues received through
! San Rafae l Police Association.
Police Association 1520 Fifth
CA 9490 1
's dues received through
San Rafael Police Association .
Police Association 1520 Fifth
San Rafael. CA 94901
Union member's dues received through
inlt.,~.d i ;.ry. San Rafael Police Association .
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received thro ugh
: San Rafael Association ,
c/o: Rafael Pol ice Association 1520 Fifth
Avenue
San Rafael, CA 9490 1
Union member's dues received through
'Conlrfbulor Codes
IND -Individual
COM -Reclplenl Committee
: San Rafael Association.
(olher Ihan PTY or SCC)
OTH -Olher (e .g., business enllly)
PTY -Polilical Party
SCC -Small Conb1butor Commihee
www.netlile.com
I!JIND
OCOM
DOTH
OPTY
oscc
I!JIND
OCOM
DOTH
OPTY
oscc
IiJIND
OCOM
DOTH
OPTY
OSCC
DOTH
OPTY
OSCC
of San Rafael
San Rafael
of San Rafael
of San Rafael
of San Ra f ael
SUBTOTAL $
SCHEDULE A (CO NT.)
covars
hom 07/01/2014
C ALIFO R NIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEtvEO THIS
PERIOD
11 .
56 .8 0
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC . 31)
.H
84 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Fonn 460 (January/OS)
FPPC TolI·Free Helpline: 8681ASK·FPPC (868/275-3n21
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
'n'pe or print In Ink.
Amounts may be rounded
to whole dolla ....
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF+EMPlO'fED, ENTER NAME
OF BUSINESS)
pFCO .... mEE,AlSOEHTERtD.NUMBER) CODE *
C/o: San Police Association 1520 Pifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police ASS~,~~,<.on,
1520 Fifth
Schraeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
San Rafael Police Association,
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
s dues received through
San Rafael Police Association.
Rafael Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
·Conlrtbulor Codes
IND-Indlvldual
COM -Reaplenl Comm)Hee
San Rafael Association.
(other Ihan PTY or SCC)
OTH -Other (e.g .. business enlily)
PTY -POlitical Party
SCC -Small Conlrtbulor Comm)Hee
www.netfl/e.com
Il1JIND
DCOM
DOTH
DPTY
DSCC
Il1JIND
DCOM
DOTH
DPTY
Dsec
of San Rafael
of San Rafael
of San Rafael
San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT.)
~ 07/01/2014
CALIFORNIA 460
FORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
56
831553
CUMULATIVE TO DATE
CAlENDAR YEAR
(JAN. 1 -DEC. 31)
85 of 96
PER ELECTION
TOOATE
(IF REQUIRED)
FPPC Fonn 480 (JonuoryIOS)
FPPC Toll-Free Helplln.: 81I1ASK-FPPC (8681275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF RLER
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
(lFCCMrIIIlTH.,ALSOENTER I.D. NUMBER) CODE *
IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS}
09 30 2014
07/15/2014
07/31/2014
08/15/2014
1 14
Justin Schraeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
. h Av n f 1 94901
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,
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,
Wanda Spaletta
C/o: San Rafa@l Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermed i ary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
Wan a spa etta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
i ntermediary : San Rafael Police Association .
·Contributor Codes
IND -Individual
COM -Reclplenl Committee
(olher Ihan PTY or SCC)
OTH -Olher (e .g .• business enlily)
PTY -Polilical Party
SCC -Small Conlribulor Committee
www.netflle_com
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
IXJIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
OOIND
DCOM
DOTH
DPTY
DSCC
Off cer
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
ergeant
City of San Rafael
SUBTOTALS
Slatement covers period
from 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Pogo 86 of 96
1.0. NUMBER
B3ISS3
AMOUNT
RECEIVED THIS
PERIOD
CUMULAnVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11.48 202.14
11.18 202.14
11 .18 202.14
11.18 202.14
56.5°1
FPPC Fa"" 460 (Jonuory/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8861275-3n2)
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 doll ....
DAlE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
OFCO"'UlTEE,ALSOEIn'ERI,D.NUMBER) CODE *
IF AN INDMDUAL. ENlER
OCCUPATION AND EMPLOYER
(If SfU"..f.MPLO'fED, ENTER NAME
OF BUSINESS)
09 15 2014 Wan a spa etta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1 venue Sa Ra 4901
09/3D/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.
07/15/2014 Christopher Sweeney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union ~enher's dues received through
intermediary: San Rafael Police Association.
07/31/2014 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.
1520 Fifth Avenue, San Rafael. CA 94901
1 014 r stop er weeney
C/o; San Rafael Police Association 1520 pifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
-Contributor Codes
INO-lndMdual
COM -Redplent Convnrnee
(olher than PTY or SCC)
OTH -Olher (e.g .. busln.ss enllly)
PTY -Polilical Party
SCC -Small Contribulor CommlHee
www.nett/le.com
OOINO
DCOM
DOTH
DPTY
DSCC
OOINO
DCOM
DOTH
DPTY
DSCC
IiiJINO
DCOM
DOTH
DPTY
DSCC
OOINO
DCOM
DOTH
DPTY
DSCC
OOINO
DCOM
DOTH
DPTY
DSCC
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
cer
City of San Rafael
SUBTOTAL $
Statement cove", period
from 07/01/2014
through 09/30/2014.
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 87 of 96
to. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DAlE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTlON
TO DAlE
(IF REQUIRED)
11.48 202.14
11.48 202.14
11.18 202.14
11.18 202.14
11.1 202.14
56.50 1
FPPC Fonn 480 (January/05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (8861275-3 n2)
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 INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(tF~"PlOYED.ENTERNAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENnR 1.0. NUMBER)
08 31 2014 Chr stopher 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 .
09/15/2014 Christopher Sweeney
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
union member 's dues received through
interm~diary: San Rafael Police Association.
09/30/2014 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.
07/15/2014 Charly Taylor
C/o: San Rafael Police Association 1 520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association.
1520 Fifth Avenue, San Rafael, CA 94901
ar y ay or
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary ! San Rafael Police Association,
·Contribulor Codes
IND -IndIvidual
COM -Reclplenl CommlHee
(olher Ihan PTV or SCC)
OTH -Olher (e.9 .• busIness enllly)
PTV -Po"Ucal Party
SCC -Small ContrfbutorCommlHee
www.netfl/e.com
CODE *
Il1lIND
DCOM
DOTH
DPTV
Dsec
Il1lIND
DCOM
DOTH
DPTV
DSCC
IiiJIND
DCOM
DOTH
DPTV
DSCC
Il1lIND
DCOM
DOTH
DPTV
DSCC
OOIND
DCOM
DOTH
DPTV
DSCC
o cer
City of San Rafael
Officer
City of San Rafae l
Offic e I:'
City of San Rafael
Civil ian Supervisor
City of San Ra f a @l
v~ ~an uperv Bor
City of San Rafael
SUBTOTALS
Ststement co .... period
~ 07/01/2014
through 09/30/2014
SCHEDULE A (CDNT.)
CALI F ORNIA 460
FORM
Page Be of 96
1.0. NUMBER
83 1$53
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
11 .48 202.14
11.48 202 .14
1 1.48 202,14
8.10 1 5 7 .50
7.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 8861ASK-FPPC (888/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
San Rafael Police As8ociation Political Action Committee
Type or print In Ink.
Amounts may be rounded
to whole doll.,..
cove,.
h<Hn 07/01/2014
through 09/30/20l4
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 89 of 96
831553
DAlE
RECEIVED
IF AN lNDMDUAL. ENTER AMOUNT CUMULATlVETO DATE PER ELECTION FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPlOYER RECEIVED THIS CALENDAR YEAR TO DATE
(lFCOUUmEE,ALSOEHTER I.D. NUUBER} ~C~O~O~E~.~~IV";;'~~~~~~:_+ __ ~PE~R~I~O~O~:7iJ~(~JAN~.~I~-~O~E=C~.:'3;1)~~ __ (~IF~R~E~O~U~IR~E~O~) __
Police Association 1520 Fifth
CA 94901
's dues received through
San Rafael Police Association.
Police Association 1520 Fifth
CA 94901
's dues received through
San Rafael Police Association,
Police Association 1520 Fifth
San Rafael, CA 94901
Union member's dues received through
San Rafael Association .
C/o: Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
member's dues received through
~~I:~'~~'~i~',¥: San Rafael Police Association.
Rafael Police Association 1520 Pifth
Avenue
San Rafael.
Union
CA 94901
·Conlribulor Codes
INO -individual
COM -RedpIenI CommInee
(other Ihan PlY or SCC)
OTH -Olher (e.g .• business entity)
PlY -Polillcal Party
SCC -Small Contrlbulor Commlnee
www_netfile.com
dues received through
Rafael Police Association.
Ii1JINO
DCOM
DOTH o PlY
DSCC
Rafael
of San Rafael
SUBTOTALS
9. 157.50
46.
FPPC Fonn 480 (Januaty/05)
FPPC Toll-Free Helpline: 8681ASK-FPPC (888/275-3 n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Commi tt ee
~pa or print In Ink.
Amounts may be rounded
to whole dollars.
OATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDMDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELf.EMPLOYEO. ENTER NAME
OF BUSINESS)
(lFCO"''''I'ITEE,ALSOEHTERI.D ,NUMBER) CODE *
07 31 2014 Henry T rre
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association.
v
08/15/2014 Henry Tirre
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafae l , CA 9490 1
Unio n member's d ues rec eived through
intermediary. San Rafael Police Association .
08/31/2014 Henry Tirre
C/O l San Rafael Police Association 1520 Fifth
Avenue
San Rafael . CA 94901
Un i on member's dues received through
i ntermediary: San Rafael Police Associat i on,
09/15/2014 Henry Ti rre
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafae l , CA 94901
Union me mber's dues r ecei ved through
intermediary: San Rafael Police Association ,
1520 Fifth Avenue, San Rafae l CA 94901
14 enry rre
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafae l Po l ice Associ ation,
·Conlribulor Codes
IND-Indlvidual
COM -Reclplenl Committee
(other than PTY or SCC)
OTH -Olher (e .g .. business enllly)
PTY -Polili .. 1 Party
SCC -Small Conlributor Committee
www.netflle.com
IRJIND
DCDM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IiilIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
IRJIND
DCOM
DOTH
DPTY
DSCC
Ofhcer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
1cer
City of San Rafael
SUBTOTALS
Statement cova .. period
h<Hn 07/01/2014
through _-,0:.:9",/",3",0/"2,,0,,1,,,4 __ _
SCHEDULE A (CONT.)
C ALIFORN IA 460
FOR M
Paga 90 of 96
I.D .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REOUIRED)
11 .18 202,14
lL18 202.14
11.48 202 .14
11.48 202.14
• 4
56 .eo l
FPPC Fonn 460 (January/DB)
FPPC ToII·Frsa Holpllna: 8661ASK·FPPC (8B6I275-3n2)
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 doll.rs.
DATE
REceIVED
FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN 1N0MDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-alPLOYED, ENTER NAME
OF BUSINESS)
(lFCOMMrnEE,ALSOENTER to. NUMIER) CODE.
01 1 5 2014
01/31/2014
08/15/2014
08/31/2014
5 14
Michae Vergara
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
1 v S a 4
Michael Vergara
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Michael Vergara
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
Michael Vergara
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
H~c ae ergara
C/o: San Rafael Police Association 1520 Pifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermediary: San Rafael Police Association.
·Conlrlbulor Codes
INO -individual
COM -Recipient CDITWTllttee
(olher than PTY or SCC)
OTH -Olher (e.g .. business enlily)
PTY -Political Party
SCC -Small Con(rlbulor Committee
www.netfi/e.com
i&]INO
DCOM
DOTH
DPTY
DSCC
i&]INO
DCOM
DOTH
DPTY
DSCC
!i1}1NO
DCOM
DOTH
DPTY
DSCC
i&]INO
DCOM
DOTH
DPTY
DSCC
i&]INO
DCOM
DOTH
DPTY
DSCC
Sergeant
City of San Rafael
Sergeant
City ot San Rafael
Sergeant
City of San Rafael
sergeant
City of San Rafael
ergeant
City of San Rafael
SUBTOTALS
SIB_teo .... pariod
h<Mn 07/01/2014
through 09/30/2014
SCHEDULE A (CeNT.)
CALIFORNIA 460
FORM
Page 91 of 96
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER elECTION
TO DATE
(IF REQUIRED)
11.18 202.14
11.18 202 .14
11.18 202.14
11.48 202.14
11.4 202.14
56.50 1
FPPC Fonn 480 (Jonuory/05)
FPPC TolI·Free Helpline: B661ASK·FPPC (8661275-3 n21
Schedule A (Continuation Sheet)
M onetary Contributions Received
San Rafael Police Association Political Action committee
'Jypa 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 INDMDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(lFCOMMmEE,ALSOENTERI.D.NUMBER) CODE.
Police Association 1520 Fifth
Fifth
through
Association.
Rafael Police Association 1520 Fifth
San Rafa ~l. CA 94901
Union member's dues received through
. San Rafael Association,
c/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
s dues received through
San Rafael Polic e Association .
Fi fth
CA 94901
's dues rece i ved through
: San Raf ~el Poli c e As .c e iation .
"Contributor Codes
IND -Individual
COM -Redplent CommlHee
(olher Ihan PTY or SCC)
OTH -Olher (e ,g " business enllty)
PTY -Political Party sec -Small Conlrlbutor CommlHee
www.netflle.com
IXJIND
DeOM
DOTH
DPTY
DSCC
of San Rafael
of San Rafael
SUBTOTALS
SCHEDULE A (CONT,)
from 07/01/2014
CALIFORNIA 460
F ORM
through 09/30/2014 Page
AMOUNT
RECEIVED THIS
PERIOD
11.1B
5o,.so
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN, 1 -DEC. 31)
202.14
92 of 96
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (January/05)
FPPC TolI·F",e Helpline: 8681ASK-FPPC (886/275-3n2)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
1\'pe or prinlln Ink.
Amounts may be rounded
Ia whole doU.,..
DAlC
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE,ALSO I!:NTER I.D.NUUBERI CODe *
IF AN INDMDUAL, ENTER
OCCUPATIONANDEMPLOVER
(I,. RU"..f."PLO'fEO, ENTER NAME
OF BUSINESS)
09 15 2014 Mar W nson
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael. CA 94901
Union ~mberl8 dues received through
interMediary : San Rafael Police Association.
v nue 94 01
09 )0 2014 Mark W k nBon
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 Code.
INO-lndlviduaI
COM -RedpienI ComniItee
(other lhan PTY or seC)
OTH -Olher (e.g., bu.ln ••• enUIy)
PTY -Polillcal Party sec -Small Conlribu1or Committee
www.netfl/e.com
Il[]INO
DCOM
DOTH
DPTY o sec
(gJ1NO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
Dsec
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
Off cer
City of San Rafael
Officer
City of San Rafael
SUBTOTALS
S ... _lco • .,. period
h1Mn 07/01/2014
through 09/30/2014
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Pago 93 of 96
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTtoN
lOCATE
(IF REQUIRED)
11.48 202.14
11.48 202.14
FPPC Fonn 480 (January/05)
FPPC TolI-FnHI Helpline: 8661ASK-FPPC (880/275-3772)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
09/18/2014
NAME OF CANDID.(J"E, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LEITER AND JURISDICTION.
OR COMMITIEE
Mar i n county Emergency Communications and
911 Response Measure
Measure: A
Marin County , CA
~ Support o Oppose
o Support o Oppose
o Support o Oppose
Schedule D Summary
Type or print In Ink.
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT DESCRIPTION
UF REQUIRED)
I!l Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expendnure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expendnure
sctEIJULED
Statement covers period
CALIFORNIA 460
FORM from 07/01/2014
through 0 9 /30/2014 Page 94 of 9G
1.0. NUMBER
S31SSl
CUMULATIve TO DATE PER ELECTION
AMOUNT THIS CALENDAR YEAR TO DATE
PERIOD (JAN.1 ·oeC.31 ) UF REQ utRED}
1 ,000.00 1,000 .00
SUBTOTAL $ ,.000 .0°1
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................... $ ___ .!o'L!. O!.!!O!!.,O .c!!0:!!.0
2. Unitemized contributions and independent expenditures made this period of under $1 00 ••............................................................................... $ _____ ~o '". o~o
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ ___ ~1 .c!0~0~0 '". o~o
www.netflle.com
FPPC Form 460 (Jan/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHElJU.E E ScheduleE
Payments Made
Type or print In Ink.
Amount. may ba rounded
to whol. dollars.
Statemant cov ..... period
from 07/01/2014
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through 0'/30/2014 Page .5 of 96
NAME OF FILER 1.0 . NUMBER
San Rafael Police Association Politic al Action Committee 831553
CODES : If one of the following codes accurately describes the payment. you may enter the code. Otherwise. dascribe the payment.
O.f' campaign paraphernalia/misc . r.tlR member communlcaUons RAe radio airtime and producUon costs
CNS campatgn consuhants MIG meetings and appearances RFD relurned conlrtbulions
CTB conlrfbullon (explain nonmonetary)· OFC office expenses SAL campaign workers ' salaries
eve dvlc donations R:I" pelillon drculaUng 1EL tv. or cable airtime and producUon cosls
FIL candidate flllngiballol lees R«) phone banks 1RC candidate travel. lodging . and meals
FNl lundralslng events POL po/ling and survey research lRS staff/spouse travel . lodging . and meals
NJ Independent expenditure supporting/opposing olhers (explain)" f'OS postage, deWYOf}' and messenger services TSF transfer between committees 01 Ihe same candidate/sponsor
lEG legal delense FRO professtonal services (legal . accounUng) VCT voter reglslraUon
UT campaign merature and mailings AU prtnl ads w:a Inlonnation Iechno/ogy costs (Internet .... mall )
NAME AND ADDRESS OF PAYEE
PF COMMm'£E, ALSO ENTER 1.0 . HUYSER) CODE OR DESCRIP TI ON OF PAYMEN T AM OU NT PAID
Marin for 911 -Yes on A (10# 1369822) eTB 1,000 .00
116 Alexander Avenu e
Larkspur, CA 94939
The Henry Levy Group PRO 982.40
5940 College Avenue
Oakland, CA 94618
• Payments that are contributions or Independant expenditure. mu.t .'ao be aummarlzed on Schedule D. SUBTOTALS 1,982.40
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals .) .............................................................................................................. $ ___ --.!' ... , ",'"",2",.",4",0
2. Unitemized payments made this period of under $1 00 .......................................................................................................................................... $ _____ -'o".~o",o
3. Total interest patel this period on loans . (Enter amount from Schedule B, 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 $ ___ --=.'", .,,":.:2:.: . .:.4;:.0
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FPPC Fonn 480 (January/OS)
FPPC TolI·Free Helplln.: 808IASK·FPPC (880/275-3n2)
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Act i on Comn Lttee
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMmEE, AlSO ENTER 1.0. NUMBER)
Attach addiffonal infolTTlalion on appropriately labeled conffnuation sheets.
Schedule I Summary
l}rpe or prfnt In Ink.
Amounts may be rounded
to whole dollars.
Statement covers perfod
from 07/01/2014 ,
through 09 (30(2014
DESCRIPTION OF RECEIPT
SUBTOTAL $
1. Itemized increases to cash this period ........................................................................................................................ $ ____ ......!!o-".o!!.!!o
2. Unitemized increases to cash of under $100 this period ...........................................................•................................. $ _____ 0~.~1~9
3. Total of all interest received this period on loans made to others. (Schedule HI Column (e).) ................................. $ _____ o~.~o~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~.1~9
SCHEDULE I
CALIFORN IA 460
FORM
pege 96 of 96
I.D.NUMBER
83 1 553
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (January/05)
FPPC TolI"'r .. Helpline: 866/ASK.FPPC (866/275-3772)
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