HomeMy WebLinkAboutForm 460 - Police Association PAC (2015-12-31)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers periodI Date of election if appl
from
07/01/2015 (Month, Day, Year)
through 12/31/2015
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall
Q Controlled
(Also Complete Part 5)
O Sponsored
(Also Complete Part 6)
❑x General Purpose Committee
® Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
831553
_
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
San Rafael Police Association Political Action Committee
STREET ADDRESS (NO P.O. BOX)
1520 Fifth Avenue
CITY STATE
ZIP CODE AREA CODE/PHONE
San Rafael CA
94901 (415)485-3000
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 151557
CITY STATE
ZIP CODE AREA CODE/PHONE
San Rafael CA
94915-1557
OPTIONAL: FAX/ E-MAIL ADDRESS
COVER PAGE
(j JAN 2 US 2016
(� P ge of 191
CITY CLERK'S OF 1CFFor Official Use Only
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Ms. Beth Minka
MAILING ADDRESS
1520 Fifth Avenue
CITY STATE ZIP CODE AREA CODE/PHONEII
San Rafael CA 94901 (415)485-300Q
Ms. Stacy E. Owens
MAILING ADDRESS
5940 College Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Oakland CA 94618 (510)652-100
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info' ation c
under penalty of perjury under the laws of the State of California that the foregoing is true and correct. f , i of 1, �1�
Executed on 01/22/2016
Date
Executed on 01/22/2016
Date
Executed on
Date
Executed on
Date
www.netfile.com
By
By
herein and in the attached schedules is true and complete. I certify
or
By
Signature of Controlling Officeholder, Candidate, Stale Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
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: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMM ITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
COVER PAGE - PART 2
Page 2 of 191 I
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Campaign Disclosure StatementSUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIASummary Page to whole dollars. _ '
from 07/01/2015 •
SEE INSTRUCTIONS ON REVERSE through 12/31/2015 Page 3 of 191
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 631553
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3 $
2. Loans Received...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ......• ....................AddLines3+4 $
Column A
TOTALTHIS PERIOD
(FROMATTACHED SCHEDULES)
13,040.40 $
0.00
Column B Calendar Year Summary for Candidates
CALENTOTAL
ODATEAR Runningin Both the State Prima and
TOTALTO DATE Primary
General Elections
22,783.13
1/1 through 6/30 7/1 to Date
0.00
13,040.40 $ 22,783.13
50.00 50.00
13,090.40 $ 22,833.13
Expenditures Made
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
6. Payments Made .......................................................
Schedule E, Line
$
1,612.68
$
3,041.69
7. Loans Made.............................................................
Schedule H, Linea
1,612.68
0.00
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
0.00
8. SUBTOTALCASH PAYMENTS ....................................
Add Lines 6+7
$
1,612.68
$
3,041.69
9. Accrued Expenses (Unpaid Bills
Schedule F, Line
0.00
0.00
10. Nonmonetary Adjustment ..........................................
Schedule C, Line
50.00
18. Cash Equivalents ........................................ See instructions on reverse
50.00
11. TOTAL EXPENDITURES MADE ................................
Add Lines a+9+10
$
1,662.68
$
3,091.69
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
$
25, 282.66
To calculate Column B, add
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule /, Line 4
13,040.40
1.42
amounts in Column A to the
corresponding amounts
from Column B of your last
15. Cash Payments .................................................. Column A, Line 8above
1,612.68
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
36,711.80
figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero.
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
$
0.00
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Y
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
$
0.00
19. Outstanding Debts ......................... Add Line 2+Line 9 in Column B above
$
0.00
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20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(1f Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
I
`Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SrhPrll iIp A
SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars.
Statement covers period
CALIFORNIA t
from 07/01/2015
FORM
through 12/31/2015
Page 4 of 191
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT I.D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Elisha Adams
[!]IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
ir9n Pifth Avenue- San R;3fapl- CA 94901
[-]SCC
07/31/2015
Elisha Adams
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
08/15/2015
Elisha Adams
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
jc;,�n Fifth Avenue. San Rafapl CA 94901
❑ SCC
08/31/2015
Elisha Adams
®IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
097-15-7-2015
Elisha Adams
❑X IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1-;90 Fifth Avenue, San Rafael, CA 949Q)_
❑ SCC
SUBTOTAL$ 72.68
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................ $
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
13,040.68
-0.28
3. Total monetary contributions received this period.
Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 13, 040.40
www.netfile.com
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 5 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER D NDE
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Elisha Adams
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Elisha Adams
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11/04/2015
Elisha Adams
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael CA 94901
11/18/2015
Elisha Adams
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth[:]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
E is a A ams
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity,
PTY— Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I '
from 07/01/2015
• "
Page 6 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIPDE O
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
ITfEE I.D.N
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Elisha Adams
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Elisha Adams
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1990 Fifth Avenue- San Rafael. CA 94901
❑ SCC
07/15/2015
Raul Aguilar
x❑IND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 94901
07/31/2015
Raul Aguilar
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08 15 T2015
Raul Aguilar
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.
SUBTOTAL$ 72.68
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 7 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSZIPCODE O
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT O ENTER
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08731/2015
Raul Aguilar
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Raul Aguilar
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
[:]SCC
09/30/2015
Raul Aguilar
BIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael. A 0
10/15/2015
Raul Aguilar
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Rau Agui ar
X❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period —111
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2016
Page 6 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER LD NUMBER)
CODE *
OCCUPATION AND EMPLOYER
( IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Raul Aguilar
%❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[3Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Raul Aguilar
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
12/15/2015
Raul Aguilar
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. San Rafael, CA 94 901
12/31/2015
Raul Aguilar
El IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Anthony Augustyn
MIND
officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 9 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Anthony Augustyn
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Anthony Augustyn
91 IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenup. San Rafael. CA 94901
❑ SCC
08/31/2015
Anthony Augustyn
QIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 2 FifthAvenue. San Rafael,CA 4 01
09/15/2015
Anthony Augustyn
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
09730/2015
Anthony Augustyn
x❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael. CA 94901
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan12016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 10 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPCODE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Anthony Augustyn
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Anthony Augustyn
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. qan Rafael. CA 94901
❑ SCC
11/18/2015
Anthony Augustyn
BIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. an Rafael. CA 94901
11/30/2015
Anthony Augustyn
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/T0_15
Ant ony Augustyn
RIND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 11 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT 1. D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Anthony Augustyn
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Blair Auld
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenup. San Rafael, CA 94901
❑ SCC
07/31/2015
Blair Auld
BIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. n Rafael. CA 94 901
08/15/2015
Blair Auld
QIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
B air Au
%❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I a '
from 07/01/2015
• '
through 12/31/2015
page 12 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I D. NUMBER)
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Blair Auld
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Blair Auld
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafgel. CA 94901
❑ SCC
10/15/2015
Blair Auld
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152 Fifth Avenue.n Rafael. CA 4 0
11/04/2015
Blair Auld
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P7Y
intermediary: San Rafael Police Association,
[—]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
B air Au
[g] IND
Otticer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 13 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11730/2015
Blair Auld
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Blair Auld
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
Rafael,11,20 Fifth Avenue. San
❑ SCC
12/31/2015
Blair Auld
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, CA 01
07/15/2015
James Bellamy
x❑IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
James Bellamy
91 IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2016
page 14 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
IT I.D. NUMBER)
(IF COMMITTEE
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
James Bellamyx❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
James Bellamy
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafael, CA 94901
[:]SCC
09/15/2015
James Bellamy
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, n Rafael. CA 94 901
09/30/2015
James Bellamy
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
James Be amy
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael __CA__2A2Q,L__
❑ SCC
SUBTOTAL $ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
to whole dollars.
I '
from 07/01/2015
• "
Page 15 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZI O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
IT .D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
James Bellamy
]IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
James Bellamy
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[:]SCC
11/30/2015
James Bellamy
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael. CA 94901
12/15/2015
James Bellamy
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
James Bellamy91IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael, CA 94901
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2015
• "
through 12/31/2015
Page 16 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
D NDE
(E COMMITTEE, ALSOAENTERND
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Todd Berringer
x❑IND
Sergeant
11.46
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Todd Berringer
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
19?0 Fifth Avenue. San Rafael, CA 94901
❑ SCC
08/15/2015
Todd Berringer
®IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, CA 94 901
08/31/2015
Todd Berringer
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/15/2015
To Berringer
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
to whole dollars.
I '
from 07/01/2015
F
through 12/31/2015
17 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IT
CODE *
OCCUPATION AND EMPLOYER
(IFSELF•EMPLOYEO,ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Todd Berringer
]IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Todd Berringer
9)IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11/04/2015
Todd Berringer
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, an Rafael. CA 94901
11/18/2015
Todd Berringer
]IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
To Berringer
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
411
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
Page 18 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSENTERI.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Todd Berringer
X❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Todd Berringer
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/15/2015
Geoffrey Bowker
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael. CA 94901
07/31/2015
Geoffrey Bowker
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/15/2015
Geoffrey Bowker
x❑IND
O icer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 19 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIP
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT I D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Geoffrey Bowker
X❑IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Geoffrey Bowker
x❑IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
09/30/2015
Geoffrey Bowker
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94 901
10/15/2015
Geoffrey Bowker
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Geoffrey Bowker
DIND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 20 of 151
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Geoffrey Bowker
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Geoffrey Bowker
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[:]SCC
12/15/2015
Geoffrey Bowker
N] IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
I 20 Fifth Avenue. San Rafael, CA 94 901
12/31/2015
Geoffrey Bowker
X❑IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2015
Lynne Bracken
[91 IND
Records clerk
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 70.20
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2015
•
through 12/31/2015
Page 21 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Lynne Bracken
jIND
Records Clerk
12.00
249.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Lynne Bracken
KIND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
08/31/2015
Lynne Bracken
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, an Rafael. CA 94901
09/15/2015
Lynne Bracken
El IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
Lynne Brac en
X❑IND
Records Clerk
12.00
249.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I
from 07/01/2015
• '
through 12/31/2015
page 22 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT .D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF•EMPLOYED,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Lynne Bracken
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Lynne BrackenX❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth P
❑ SCC
11/18/2015
Lynne Bracken
X❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael. CA 94901
11/30/2015
Lynne Bracken
FK] IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Lynne Brac en
RIND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 23 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(EET
IT D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Lynne Bracken
X❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Antonette Bullock
X❑IND
Community Service Officer
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
07/31/2015
Antonette Bullock
FK] IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue.an Rafael. CA 4 01
08/15/2015
Antonette Bullock
QIND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
Antonette Bullock
x❑IND
Community Service Otticer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[:] COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I 0 '
from 07/01/2015
• _
through 12/31/2015
Page 24 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET SAND
IT NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Antonette Bullock
FK] IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:IOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Antonette Bullock
x❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
10/15/2015
Antonette Bullock
FL] IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, an Rafael CA 94 901
11/04/2015
Antonette Bullock
X❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Antonette Buiioc
x❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 25 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
IT I.D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Antonette Bullock
RIND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Antonette Bullock
X❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
[-]SCC
12/31/2015
Antonette Bullock
FK] IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Aven n Rafael. CA 94 901
07/15/2015
Michael Byers
x❑IND
Police Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 31 2015
Mic ae Byers
KIIND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL$ 62.78
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 26 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Michael Byers
]IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Michael Byers
x❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1-;9.0 Fifth Avenue. San Rafael. CA 94901
❑ SCC
09/15/2015
Michael Byers
EIIND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael CA 94901
09/30/2015
Michael Byers
]IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10715/2015
Michael Byers
x❑IND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[_]SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
'from
07/01/2015through
FPage__27
12/31/2015
Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
RECEIVED
(EET
IT I D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Michael Byers
]IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Michael Byers
x❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
[:]SCC
11/30/2015
Michael Byers
BIND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, San Rafael CA 94 901
12/15/2015
Michael Byers
El IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
Mic ae Byers
X❑IND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 28 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ADDRESSZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
SAND
IT D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Shelly Cade
RIND
Dispatcher
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Shelly Cadex❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
[:]SCC
08/15/2015
Shelly Cade
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[—]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael CA 94901
08/31/2015
Shelly Cade
El IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
_U§7_15 -F2_015
S e y Ca a
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 949QI__
[:]SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2015
FORM
through 12/31/2015
Page 29 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
DATE
TOQUIR
RECEIVED
(IFCOMMITfEE,ALSO ENTER IDNUMBER)
CODE *
OC SELLF-EMPLOYED, ENTER NAMCUPATION AND E
IODTHIS
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Shelly Cade
KIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Shelly CadeX❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
[10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
[-]SCC
11/04/2015
Shelly Cade
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Shelly Cade
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[-]OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/_50T2_015
5 e y Ca a
KIIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL$ 60.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity,
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• _
through 12/31/2015
Page 30 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAENTERND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Shelly Cade
]IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Shelly Cade
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
07/15/2015
Joseph Camins
X❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
[:1
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, A 4 01
07/31/2015
Joseph Camins
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/15/2015
Joseph Caminsx❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 66.08
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
460
from 07/01/2015
FORM
through 12/31/2016
Page 31 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Joseph Camins
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Joseph Camins
KIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
[-]SCC
09/30/2015
Joseph Camins
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union members dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 4 01
10/15/2015
Joseph Camins
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Joseph Camins
]IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
from 07/01/2015
• '
through 12/31/2015
page 32 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER ID NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Joseph Camins
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Joseph Camins
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
12/15/2015
Joseph Camins
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth venue San Rafael. CA 4 01
12/31/2015
Joseph Camins
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2015
Jac Carpenter
RIND
O icer
11.48
214.22
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
to whole dollars.
from 07/01/2015
• "
through 12/31/2015
page 33 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
.D.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Jack Carpenter
X❑IND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
[ICOM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Jack Carpenter
KIND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
08/31/2015
Jack Carpenter
x❑IND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue San Rafael. A 94901
09/15/2015
Jack Carpenter
X❑IND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
JacT Carpenter
[X]IND
officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 34 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
DATE
TO
RECEIVED
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
CODE *
O
(IF SELLF-EMP OY`ED.ENTERNAAMER
THIS
IOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Jack Carpenter
FK] IND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Jack Carpenter
MIND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/18/2015
Jack Carpenter
X❑IND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael. CA 94 901
11/30/2015
Jack Carpenter
RIND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12715/2015
Jack Carpenter
MIND
O icer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ pTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael
[-]SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
from 07/01/2015
• '
through 12/31/2015
page 35 of 151
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Jack Carpenter
RIND
Officer
15.30
214.22
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
David Casalnuovo
X❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/31/2015
David Casalnuovo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
David Casalnuovo
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
Davi Casa nuovo
[91 IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
a
to whole dollars.
I ,
from 07/01/2015
• '
through 12/31/2016
page 36 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
IT .D NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
David Casalnuovo
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
David Casalnuovo
El IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[]SCC
10/15/2015
David Casalnuovo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. an Rafael CA 94 901
11/04/2015
David Casalnuovo
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Davi Casa nuovo
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2016
Page 37 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAENTERND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11730/2015
David Casalnuovo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
David Casalnuovo
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[—]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael. CA 94901
❑ SCC
12/31/2015
David Casalnuovo
x❑IND
Officer
15.30
317-54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, CA 94901
07/15/2015
Allan Castaneda
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 31 2015
Allan Castane a
91 IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period 1CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
Page 38 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO I.D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Allan Castaneda
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Allan Castaneda
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
Avenue,1520 Fifth
[-]SCC
09/15/2015
Allan Castaneda
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue.an Rafael CA 4 0
09/30/2015
Allan Castaneda
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
107 15 2015
Allan Castaneda
®IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I t
from 07/01/2015
• '
through 12/31/2016
Page 39 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Allan Castaneda
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Allan Castaneda
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/30/2015
Allan Castaneda
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, CA 4 01
12/15/2015
Allan Castaneda
E] IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12731/2015
Allan Castane aX❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
15')0 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I'
from 07/01/2015
• _
FPag,___4i0_
through 12/31/2015
of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECPERIODHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
DATE
TO
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
O(IOAND
FSELLFEMP OYED,ENTERNAAMER
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Edward Chiu
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Edward Chiu
91 IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
[-]SCC
08/15/2015
Edward Chiu
E] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, n Rafael. A 94901
08/31/2015
Edward Chiu
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/15/2015
E war T -CH iu
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 41 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT O ENTERI.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Edward ChiuX❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Edward Chiu
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[—]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/04/2015
Edward Chiu
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, San Rafael. CA 94901
11/18/2015
Edward Chiu
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
Edward Chiu
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC— Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
/'
from 07/01/2015
FORM
through 12/31/2016
Page 42 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
HIS
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
DATE
TO
RECEIVED
(IFCOMMITfEE,ALSO ENTER I.D NUMBER)
CODE *
OC F ELLFEMPLOYED,ENTERNAAMER
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Edward Chiu
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Edward Chiux❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/15/2015
Robert Cleland
X❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
20 Fifth Avenue San Rafael. CA 94901
07/31/2015
Robert Cleland
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08715/2015
Robert Cleland
X❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I 1
from 07/01/2015
• '
through 12/31/2016
Page 43 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 31/2015
Robert Cleland
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Robert Cleland
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1590 Fifth Avenue. San Rafael, CA 94901
[-]SCC
09/30/2015
Robert Cleland
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael CA 94901
10/15/2015
Robert Cleland
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11704/2015
Robert Cleland
El IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 44 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(E COMMITTEE ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFBLISINESS)
11/18/2015
Robert Cleland
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Robert Cleland
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenup. San Rafael. CA 94901
❑ SCC
12/15/2015
Robert Cleland
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[IOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue San Rafael, CA 94901
12/31/2015
Robert Cleland
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Christopher Coa a
91 IND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
[10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
ElSCC
1520 Fifth Avenue.
SUBTOTAL$ 72.68
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I t
from 07/01/2015
• "
through 12/31/2015
Page 45 of 151
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVEDHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D NUMBER)
CODE *
OCCUPATIONMPLOYR
D,E E
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Christopher Coale
X❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Christopher Coale
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
08/31/2015
Christopher Coale
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael A 94901
09/15/2015
Christopher Coale
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09730/2015
Christopher Coa a
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 76.50
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2016
Page 46 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(E COMMITTEE, ALSO I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Christopher Coale
X❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Christopher Coale
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/18/2015
Christopher Coale
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 4 01
11/30/2015
Christopher Coale
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12715/2015
Christopher Coa e
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
towholedollars.
I 1
from 07/01/2015
• "
through 12/31/2015
Page 47 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECDREODDTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
DATE
TOQUIR
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
O(IF ELLF-EMPLOCCUPATION YED, ENND TER NAME
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12731/2015
Christopher Coale
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Ryan Cogbill
91 IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
07/31/2015
Ryan Cogbill
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
0 Fifth Avenue, San Rafael. CA 94901
08/15/2015
Ryan Cogbill
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08731/2015
Ryan Cog i
x❑IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P7Y
intermediary: San Rafael Police Association,
152o Fifth Avenue.
[-]SCC
SUBTOTAL$ 72.60
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
4601
from 07/01/2015
FORM
through 12/31/2015
Page 48 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
( IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Ryan Cogbill
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Ryan Coghill
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[:)SCC
10/15/2015
Ryan Cogbill
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, an Rafael, CA 94 901
11/04/2015
Ryan Cogbill
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11718/2015
Ryan Cogbill
x❑IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
to whole dollars.
'
from 07/01/2015
• "
through 12/31/2015
Page 49 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED HIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
O
(IF SELLF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Ryan Cogbill
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Ryan Coghill
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
[_10TH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenup. San Rafael. CA 94901
❑ SCC
12/31/2015
Ryan Cogbill
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue. San Rafael, A 94 901
07/15/2015
Thomas Collins
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Thomas Collins
[91 IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 949Q2
❑ SCC
--
SUBTOTAL$ 72.68
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers periodF
_
to whole dollars.
A 0 1
from 07/01/2015
through 12/31/2015
50 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
THIS
HIS
CUMULATIVETO DATE
PER ELECTION
TO DATE
DATE
(IF COMMITTEE, ALSO ENTER I. D. NUMBER)
*
O
(IFSELLFEMP
RECEIVED
CALENDAR YEAR
RECEIVED
CODE
SELF-EMPLOYED, NAMER
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Thomas Collins
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:IOTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Thomas Collins
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
199.0 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/15/2015
Thomas Collins
QIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue,n Rafael CA 4 01
09/30/2015
Thomas Collins
KIIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
10715/2015
Thomas Collins
91 IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 7a_so
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I ,
from 07/01/2015
• '
page 51 Of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Thomas Collinsx❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Thomas Collins
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 949071
❑ SCC
11/30/2015
Thomas Collins
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Thomas Collins
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
T omas Co insx❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 52 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Ryan De Marta
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Ryan De Marta
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue,1920 Fifth
❑ SCC
08/15/2015
Ryan De Marta
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
Ryan De Marta
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
09715/2015
Ryan De Marta
91 IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
0 Fifth Avenue. San Rafael. CA 94901
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA I � '
from 07/01/2015
• "
through 12/31/2015
Page 53 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPCODE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER
CODE *
OCCUPATION AND EMPLOYER
(IFSELF•EMPLOYED,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Ryan De Marta
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Ryan De Marta
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Rafael.1920 Fifth Avenue. San
[:]SCC
11/04/2015
Ryan De Marta
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, n Rafael. CA 94 901
11/18/2015
Ryan De Marta
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
Ryan De Marta
RIND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I'
from 07/01/2015
• "
through 12/31/2015
Page 54 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Ryan De Marta
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Ryan De Marta
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, rA_q4qnl
❑ SCC
07/15/2015
Angela Delnevo
FK] IND
Communications Dispatcher
9.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue an Rafael. CA 4 01
07/31/2015
Angela Delnevo
]IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
08715/2015
Angela Delnevo
QIND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. rA q4qnl
[]SCC
SUBTOTAL$ 63.60
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 55 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/31/2015
Angela Delnevox❑IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Angela Delnevo
BIND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
[-]SCC
09/30/2015
Angela Delnevo
7{❑IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael CA 94901
10/15/2015
Angela Delnevo
X❑IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11704/2015
Angela Delnevo
x❑IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 60.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
Page 56 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Angela Delnevo
}C❑IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Angela Delnevo
X❑IND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
[-]SCC
12/15/2015
Angela Delnevo
RIND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, an Rafael. CA 94901
12/31/2015
Angela Delnevo
QIND
Communications Dispatcher
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
07715/2015
Christian Diaz
x❑IND
0 icer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 59.48
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• '
through 12/31/2015
Page 57 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(E COMMITTEE, ALSO ENTER D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Christian Diazx❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Christian Diaz
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
08/31/2015
Christian Diaz
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue. San Rafael, A 94901
09/15/2015
Christian Diaz
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09730/2015
Christian Diaz
RIND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. rA q4qnl--
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
0
to whole dollars.
I ,
from 07/01/2015
9.11 '
through 12/31/2016
Page 58 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
(E COMMITTEE, ALSO I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Christian Diaz
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Christian DiazX❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue.1920 Fifth
❑ SCC
11/18/2015
Christian Diaz
BIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, CA 94901
11/30/2015
Christian Diaz
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[—]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Christian DiazX❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• "
through 12/31/2015
Page 59 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSENTERI.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12 31/2015
Christian Diaz
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[_]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Christopher Duncan
X❑IND
Officer
11.46
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue,1920 Fifth
❑ SCC
07/31/2015
Christopher Duncan
El IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,San Rafael, CA 4 01
08/15/2015
Christopher Duncan
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08731/2015
Christopher Duncan
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460F
from 07/01/2015
FORM
through 12/31/2015
Page 60 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT I.D. NUMBER)
(IF COMMITTEE.
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Christopher Duncan
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Christopher Duncan
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
10/15/2015
Christopher Duncan
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. San Rafael, CA 94 901
11/04/2015
Christopher Duncan
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11718/2015
Christopher Duncan
[F]IND
off -icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[3Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 61 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Christopher Duncan
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Christopher Duncan
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue.1920 Fifth
❑ SCC
12/31/2015
Christopher Duncan
BIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, an Rafael, CA 4 01
07/15/2015
Scott Eberle
RIND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07731/2015
Scott Eberle
]IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2016
Page 62 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Scott Eberle
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Scott Eberle
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Rafael.1520 Fifth Avenue. San
[:]SCC
09/15/2015
Scott Eberle
El IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152Q Fifth Avenue, n Rafael, CA 94901
09/30/2015
Scott Eberle
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10 15 2015
Scott Eberle
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL $ 76.50
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
page 63 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I. D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 04/2015
Scott Eberle
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Scott Eberle
Z]IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
199.0 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11/30/2015
Scott Eberle
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue n Rafael, A 94901
12/15/2015
Scott Eberle
E❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12 31/2015
Scott E er a
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 64 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIP
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
SAND
IT .O NUMBER)
(IF COMMITTEE.
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Ami Esparzax❑IND
Communications Dispatcher
9.00
186.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Ami Esparza
x❑IND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
08/15/2015
Ami Esparza
x❑IND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, CA 94901
08/31/2015
Ami Esparza
x❑IND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2015
Ami Esparza
BIND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 65 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT .D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Ami Esparza
RIND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Ami Esparza
x❑IND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth AvpnuE!, San Rafael, CA 94901
❑ SCC
11/04/2015
Ami Esparza
x❑IND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, an Rafael, CA 94901
11/18/2015
Ami Esparza
X❑IND
Communications Dispatcher
12.00
186.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Christopher Fu er
x❑IND
Police officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[—]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 59.48
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 66 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A ZIP
RE S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
II I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07 31/2015
Christopher Fuller
X❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Christopher Fuller
91 IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
08/31/2015
Christopher Fuller
%❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael. CA 4 0
09/15/2015
Christopher Fuller
N] IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
C ristop er Fuller
x❑IND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 76.50
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 67 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EETAIF COMMITTEE, SANDZIO ENTER .O.N
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OFBUSINESS)
10/15/2015
Christopher Fuller
X❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Christopher Fuller
x❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/18/2015
Christopher Fuller
RIND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael. CA 94 901
11/30/2015
Christopher Fuller
x❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Christopher Fu er
X❑IND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � t
from 07/01/2015
•
through 12/31/2015
page 68 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE ALSO.D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Christopher Fuller
]IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Salvatore Garanzini
91 IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ 0TH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/31/2015
Salvatore Garanzini
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue an Rafael, A 94901
08/15/2015
Salvatore Garanzini
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08731/2015
Salvatore Garanzini
KIIND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue- San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodFPage
towholedollars.I
'from
07/01/2015through
12/31/2015
69 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(E COMMITTEE. ALSO NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Salvatore Garanzini
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Salvatore Garanzini
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
Avenue.1520 Fifth
❑ SCC
10/15/2015
Salvatore Garanzini
NJ IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[JPTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, A 94901
11/04/2015
Salvatore Garanzini
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
117-187-f 0 1-5
Salvatore Garanzini
91 IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity,
PTY – Political Party
SCC–Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 70 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE. ALSO ENTER I. D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Salvatore Garanzini
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Salvatore Garanzini
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue,1-i?O Fifth P
[-]SCC
12/31/2015
Salvatore Garanzini
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael, A 94901
07/15/2015
Michael Garrison
X❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 31/2015
Mic ae Garrison
IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 71 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSO ENTER I.D NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Michael Garrison
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Michael Garrison[X]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
09/15/2015
Michael Garrison
El IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue an Rafael A 94 901
09/30/2015
Michael Garrison
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
Michael Garrison
[g]IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
460
fro m 07/01/2015
FORM
through 12/31/2015
Page 72 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN- 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Michael Garrison
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Michael Garrison
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
(-]PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/30/2015
Michael Garrison
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. San Rafael CA 94 901
12/15/2015
Michael Garrison
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12 31 T2015
Michael Garrison
RIND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.from
Sam
07/01/2015
through 12/31/2015
Page 73 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE,ALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(EET
IT O ENTERI.D. NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Lilah Gavlick
x❑IND
Police Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
EJ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Lilah Gavlick
KIND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue.1520 Fifth
[-]SCC
08/15/2015
Lilah Gavlick
91 IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,an Rafael. A 4 01
08/31/2015
Lilah Gavlick
X❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09715/2015
Lilah Gavlick
[K]IND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 74 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVEDCODE
(EETAIF COMMITTEE,RS SAND
I.D NUMBER)
*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Lilah Gavlick
]IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Lilah Gavlick
RIND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
11/04/2015
Lilah Gavlick
E] IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael. CA 94901
11/18/2015
Lilah Gavlick
X❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 30 2015
Lilah Gavlick
x❑IND
Police officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 75 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
B31553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Lilah Gavlick
x❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Lilah Gavlick
x❑IND
Police Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/15/2015
Justin Graham
x❑IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue. an Rafael. CA 94901
07/31/2015
Justin Graham
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08715/2015
Justin Graham
91 IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue
[:]SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• '
through 12/31/2015
Page 76 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Justin Grahamx❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Justin Grahamx❑IND
Corporal
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
09/30/2015
Justin Graham
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94 901
10/15/2015
Justin Graham
91 IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Justin Graham
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76-50
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
460 '
from 07/01/2015
FORM
through 12/31/2015
Page 77 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
TO DATE
DATE
(E COMMITTEE, ALSO I.D NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Justin Graham
x❑IND
Corporal
15.30
317-54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Justin Graham
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Rafael.1920 Fifth Avenue. San
❑ SCC
12/15/2015
Justin Graham
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael CA 94901
12/31/2015
Justin Graham
]IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Julie Gri it
x❑IND
Records Clerk
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 70.20
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 78 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A RE
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT ALSO ENTER I.D. NUMBER)
(IF COMMITTEE.
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Julie Griffith
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Julie Griffith
X❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
08/31/2015
Julie Griffith
BIND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. n Rafael, CA 94901
09/15/2015
Julie Griffith
N] IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09730/2015
Julie Griffith
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_]OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2015
• "
through 12/31/2015
Page 79 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Julie Griffith
X❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Julie Griffith
RIND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/18/2015
Julie Griffith
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
[-]OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael. CA 94901
11/30/2015
Julie Griffith
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Julie Gri it
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period 4111
to whole dollars.
I '
from 07/01/2015 • "
through 12/31/2015 page 8o Of 191
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Julie Griffithx❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Lori Hendricks
RIND
Dispatcher
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94935
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
[:]SCC
07/31/2015
Lori Hendricks
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue.an Rafael CA 94 0
08/15/2015
Lori Hendricks
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
08731/2015
Lori Hendricks
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 57.00
`Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
NIA
CALIFI
to whole dollars.
'
from 07/01/2015
• '
through 12/31/2015
Page 61 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, D NDE
IT
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15/2015
Lori Hendricks
x❑IND
Dispatcher
12 00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Lori Hendricks
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94935
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenup. Ran Rafael. CA 94901
❑ SCC
10/15/2015
Lori Hendricks
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Lori Hendricks
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Lori Hendricks
91 IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
I '
from 07/01/2015
FPage__M§2
through 12/31/2015
Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAENTERND
.O.N
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Lori Hendricks
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Lori Hendricks
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94935
❑
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
[:]SCC
12/31/2015
Lori Hendricks
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94935
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94 901
07/15/2015
Robert Henkle
X❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Ro ert Hen a
)c❑IND
O -icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue
[:]SCC
SUBTOTAL$ 62.78
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from o7/0l/2015
• '
Page 83 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Robert Henkle
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Robert Henkle
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
09/15/2015
Robert Henkle
E] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. an Rafael. CA 94 901
09/30/2015
Robert Henkle
KIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
Ro ert Hen a
X❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[:]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period —11111111111111111
to whole dollars.
CALIFORNIA '
from 07/01/2015
• '
through 12/31/2015
Page 84 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I. D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN- 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Robert Henkle
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Robert Henkle
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 949ni
❑ SCC
11/30/2015
Robert Henkle
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Robert Henkle
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
—He-n-RIe
12 31 2015
Ro ert
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 85 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
J. Alexander Holm
MIND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
J. Alexander Holm
MIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;9.0 Fifth Avenue. San Rafael, CA 94901
❑ SCC
08/15/2015
J. Alexander Holm
MIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth[:]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. San Rafael. CA 94 901
08/31/2015
J. Alexander Holm
MIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/15/2015
J. Alexander Ho m
MIND
Corporal
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.66
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 86 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.O. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
J. Alexander Holm
BIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
J. Alexander Holm
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/04/2015
J. Alexander Holm
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael, CA 94901
11/18/2015
J. Alexander Holm
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
J. Alexander Ho m
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]Com
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers periodFPage
to whole dollars.
'from
o7/01/2ols
through 12/31/2015
87 pf 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAENTERND
.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
J. Alexander Holm
%❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
J. Alexander Holm
QIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Aypnup. San Rafael, CA 94901
❑ SCC
07/15/2015
Lisa Holton
RIND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael. CA 94901
07/31/2015
Lisa Holton
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
of f 7 15 T2015
Lisa Ho Tton
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 949GI-_
[-]SCC
SUBTOTAL$ 72.68
`Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
I t
from 07/01/2015
• "
IPa'ge-813'
through 12/31/2015
of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSOAND
NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D.
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Lisa Holton
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Lisa Holton
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
09/30/2015
Lisa Holton
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94901
10/15/2015
Lisa Holton
RIND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Lisa Ho Tton
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfiie.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
FORM
through 12/31/2015
Page 89 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Lisa Holton
]IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Lisa Holton
]IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
12/15/2015
Lisa Holton
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94 901
12/31/2015
Lisa Holton
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Kyle Hornstein
X❑IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � ,
from 07/01/2015
• _
through 12/31/2016
Page 90 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I.D NUMBER)
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Kyle Hornstein
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Kyle Hornstein
91 IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue,1920 Fifth
❑ SCC
08/31/2015
Kyle Hornstein
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael. CA 4 01
09/15/2015
Kyle Hornstein
]IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
Kyle Hornstein
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• '
through 12/31/2015
Page 91 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALS.D NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF•EMPLOYED,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Kyle Hornstein
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Kyle Hornstein
[KIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1990 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/18/2015
Kyle Hornstein
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael, CA 4 1
11/30/2015
Kyle Hornstein
E] IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Kyle Hornstein
[KIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[:]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
ME 'from
07/01/2015
through 12/31/2015
page 92 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
OF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Kyle Hornstein
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Carl Huber
x❑IND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
[:]SCC
07/31/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2 Fifth Avenuean Rafael. CA 0
08/15/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2015
Car Hu er
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 93 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSOAENTERND
.D.N
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(1F REQUIRED)
OF BUSINESS)
09/15/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Carl Huber
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
10/15/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. Rafael. A 94901
11/04/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 1B 2015
Carl Huber
[g] IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 520Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 94 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER I. D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Carl Huber
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue. San Rafael. CA 94901
[:]SCC
12/31/2015
Carl Huber
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,an Rafael. CA 4 01
07/15/2015
Scott Ingels
X❑IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Scott Inge s
x❑IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
Page 95 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITfEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Scott Ingels
]IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Scott Ingels
91 IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/15/2015
Scott Ingels
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue. San Rafael,CA 94901
09/30/2015
Scott Ingels
%❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
Scott Inge I s
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
page 96 of ___111
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Scott Ingels
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Scott Ingelsx❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avpnup. San Rafael. CA 94901
❑ SCC
11/30/2015
Scott Ingels
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael. A 94901
12/15/2015
Scott Ingels
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
Scott Inge s
]IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union members dues received through
❑ PTy
intermediary: San Rafael Police Association,
1S20 Fifth Avenue,
[:]SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
Page 97 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPCODE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Rebecca Jensen
]IND
Records Clerk
9.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Rebecca Jensen
x❑IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
08/15/2015
Rebecca Jensen
RIND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue, San Rafael. CA 4
08/31/2015
Rebecca Jensen
FK] IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/15/2015
Re ecca Jensen
x❑IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 57.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 98 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Rebecca Jensen
]IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Rebecca Jensen
X❑IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11/04/2015
Rebecca Jensen
x❑IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94 901
11/18/2015
Rebecca Jensen
E] IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
Re Fe Jensen
91 IND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 949QI--
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity,
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodil!
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 99 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Rebecca Jensen
MIND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Rebecca Jensen
MIND
Records Clerk
12.00
249.00
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue. San Rafael, CA 94901
❑ SCC
07/15/2015
Lynette Keller
MIND
Community Service Officer
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael, CA 94901
07/31/2015
Lynette Keller
x❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08715-F2 01-5
Lynette Keller
MIND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,
SUBTOTAL$ 57.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodCALIFORNIA
to whole dollars.
I '
from o�/0l/2ols
• "
through 12/31/2015
Page 100 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ADDRESSZIP
A
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET SAND
IT D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Lynette Keller
X❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Lynette Keller
X❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue- San Rafael, CA 94901
❑ SCC
09/30/2015
Lynette Keller
x❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2 Fifth Avenue.n Rafael, A 4 01
10/15/2015
Lynette Keller
FK] IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 04 2015
Lynette Keller
91 IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 52 0 Fifth Avenue, San Rafael__CA__3_13_Q3_
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
Page 101 Of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Lynette Keller
MIND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Lynette Keller
x❑IND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 FifthE]
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue.1520 Fifth
[-]SCC
12/15/2015
Lynette Keller
MIND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
Lynette Keller
MIND
Community Service Officer
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Re ecca Kuga
MIND
YSB Supervisor
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]Com
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 57.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I 'from
07/01/2015through
FPage
12/31/2016
102 pf 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Rebecca Kuga
x❑IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Rebecca Kuga
91 IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
08/31/2015
Rebecca Kuga
x❑IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael, CA 94901
09/15/2015
Rebecca Kuga
%❑IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
09 30 2015
Re ecca Kuga
x❑IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.neffile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 07/01/2015
• 'Jill
through 12/31/2015
page 103 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A ZIP
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT I D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Rebecca Kuga
]IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Rebecca Kuga
91IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
[-]SCC
11/18/2015
Rebecca Kuga
X❑IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael, CA 94901
11/30/2015
Rebecca Kuga
El IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Re ecca Kuga
x❑IND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
'
through 12/31/2016
page 104 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER LD NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OFBUSINESS)
12/31/2015
Rebecca Kuga
RIND
YSB Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[_]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Marc Laplante
RIND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
[:]SCC
07/31/2015
Marc Laplante
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Av nu San Rafael CA 94901
08/15/2015
Marc Laplante
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
Marc Laplante
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
[-]COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
[:]SCC
SUBTOTAL$ 69.38
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2015
• "
through 12/31/2015
Page 105 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Marc Laplante
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Marc Laplante
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEJ
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
10/15/2015
Marc Laplante
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael, CA 94901
11/04/2015
Marc Laplante
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Marc Laplante
]IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I_
to whole dollars.
I ,
from 07/01/2015
FORM
through 12/31/2016
Page 105 Of 191
NAME OF FILER
I.D- NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSOAND
D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Marc Laplante
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Marc Laplante
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. C 94901
❑ SCC
12/31/2015
Marc Laplante
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. San Rafael, CA 94901
07/15/2015
Kimberly Larkey
]IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Kimberly Larkey
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � ,
from 07/01/2015
• "
through 12/31/2015
page 107 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
06/15/2015
Kimberly Larkey
KIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Kimberly Larkey
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael, CA 94901
[]SCC
09/15/2015
Kimberly Larkey
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,n R 94901
09/30/2015
Kimberly Larkey
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
K—imEerly Larkey
DIND
office
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � ,
from 07/01/2015
•
through 12/31/2015
Page 108 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
031553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO .D NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Kimberly Larkey
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Kimberly Larkey
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
[:]SCC
11/30/2015
Kimberly Larkey
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152 Avenue, an Rafael CA 94901
12/15/2015
Kimberly Larkey
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
Kimberly Larkey
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
Page 109 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Anndora Lee
x❑IND
Dispatcher
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Anndcra Lee
Z] IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
08/15/2015
Anndora Lee
FK] IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 94901
08/31/2015
Anndora Lee
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/1-9/2015
Ann ora Lee
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 57.00
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY—Political Party
SCC — Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• "
through 12/31/2015
Page 110 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO I D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(iFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1- DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Anndora Lee
FK] IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Anndora Lee
KIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[-]SCC
11/04/2015
Anndora Lee
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue. San Rafael, CA 94901
11/18/2015
Anndora Lee
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
Ann ora Lee
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
FORM
through 12/31/2015
Page 111 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER I D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Anndcra Lee
]IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Anndora Lee
RIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
07/15/2015
Judy Lee
X❑IND
Records Specialist
9.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael CA 94901
07/31/2015
Judy Lee
%❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08 15 2015
Ju y Lee
X❑IND
Records specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 949Q2—
❑ SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
46(V
from 07/01/2015
FORM
through 12/31/2015
Page 112 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER I.D NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Judy Lee
X❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Judy Lee
x❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue,1520 Fifth
❑ SCC
09/30/2015
Judy Lee
BIND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94901
10/15/2015
Judy Lee
x❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/TO-15
Ju y Lee
x❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
[j COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 949Q2--
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 113 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
AIF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Judy Lee
X❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Judy Lee
]IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[-]SCC
12/15/2015
Judy Lee
X❑IND
Records Specialist
12.00
150.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Av nu San Rafael CA 94901
12/31/2015
Judy Lee
x❑IND
Records Specialist
12.00
150.00
C/O: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
[10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Roge io Leon
X❑IND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 59.48
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 07/01/2015
• "
through 12/31/2016
Page 114 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT LD NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Rogelio Leon
%❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Rogelio Leon
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
08/31/2015
Rogelio Leon
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
152Q Fifth Avenue San Rafael. CA 94901
09/15/2015
Rogelio Leon
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
Roge to Leon
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ P'jY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• .
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 115 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Rogelio Leon
x❑IND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Rogelio Leon
X❑IND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, rA_ q4q01
❑ SCC
11/18/2015
Rogelio Leon
x❑IND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue. n Rafael, CA 94901
11/30/2015
ROgelio Leon
]IND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Roge io Leon
91 IND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
[:]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY—Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2015
• "
through 12/31/2015
Page 116 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT 1. D. NUMBER)
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Rogelio Leon
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Kevin Macdougald
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/31/2015
Kevin Macdougald
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. San Rafael, CA 94901
08/15/2015
Kevin Macdougald
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[-]OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2015
Kevin Macdougaid
El IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period I•
_
to whole dollars.
460'
from 07/01/2015
FORM
through 12/31/2015
Page 117 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE. ALSO ENTER .D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09T15/2015
Kevin Macdougald
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Kevin Macdougald
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
10/15/2015
Kevin Macdougald
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
20 Fifth Avenue, San Rafael A 94901
11/04/2015
Kevin Macdougald
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Kevin Mac ouga
%❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 949Q)_
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I ,
from o7/al/zols
•"
through 12/31/2015
Page 11a of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ADDRESSZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
SAND
(IF COMMITTEE, .D. NUMBER)
IT
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Kevin Macdougald
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Kevin Macdougald
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
12/31/2015
Kevin Macdougald
RIND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael C 94901
07/15/2015
Carlos Maldonado
®IND
Officer
11.48
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Carlos Maldonado
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
0TH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I ,
from 07/01/2015
• "
through 12/31/2015
Page 119 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
631553
DATE
ADDRESS
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE,
ITTEE .D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Carlos Maldonado
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Carlos Maldonado
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/15/2015
Carlos Maldonado
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. A 94901
09/30/2015
Carlos Maldonado
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/261-f—
Carlos Maldonado
RIND
O -icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[:]SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND – Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 120 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Carlos Maldonado
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Carlos Maldonado
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
11/30/2015
Carlos Maldonado
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 94901
12/15/2015
Carlos Maldonado
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/31/2015
Carlos Maldonado
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
—IE
to whole dollars.
I ,
from 07/01/2015
Page 121 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT I.D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
0 77 1_5_F2 0 1-5
Michael Mathis
FK] IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Michael Mathis
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
08/15/2015
Michael Mathis
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 94901
08/31/2015
Michael Mathis
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/15/2015
Mic ae Mat h is
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
`Contributor Codes
IND–Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 122 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
IT .D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Michael Mathis
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Michael Mathis
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/04/2015
Michael Mathis
E] IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael CA 94901
11/18/2015
Michael Mathis
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/j-o7To—i5_M_1—c_F_ael
Mathis
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 949QI--
[:]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC -- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 123 of_ 19.1
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Michael Mathis
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Michael Mathis
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 520 Fifth Avenue. San Rafael, CA 94901
[]SCC
07/15/2015
Kelly Mauel
RIND
Records Clerk
9.00
249.00
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Kelly Mauel
a] IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/15/2015
K eT y Maue
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
El SCC
SUBTOTAL$ 63.60
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
I 1
from 07/01/2015
F
through 12/31/2015
124 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESS
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
SAND
(IF COMMITTEE, I D. NUMBER)
IT
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
-08 31/2015
Kelly Mauelx❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Kelly Mauel
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
09/30/2015
Kelly Mauel
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[j COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 20 Fifth Avenue,n Rafael. CA 94901
10/15/2015
Kelly Mauel
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 04 2015
Ke y Maue
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 949Q.2--
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
e
to whole dollars.
I t
from 07/01/2015
• "
through 12/31/2015
page 125 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Kelly Mauel
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Kelly Mauel
®IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
0TH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
12/15/2015
Kelly Mauel
x❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94901
12/31/2015
Kelly Mauel
X❑IND
Records Clerk
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
igai Mce erry
X❑IND
Dispatcher
9.00
165.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC-- Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•RM
through 12/31/2015
page 126 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET SAND
IT I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Abigail Mcelderry
]IND
Dispatcher
12.00
165.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Abigail Mcelderry
RIND
Dispatcher
12.00
165.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael. CA 94901
❑ SCC
08/31/2015
Abigail Mcelderry
RIIND
Dispatcher
12.00
165.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. an Rafael, CA 94 901
09/15/2015
Abigail Mcelderry
QIND
Dispatcher
12.00
165.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15 2015
Phillip Me o is
x❑IND
officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
El COM
San Rafael, CA 94901
[_]0TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue
[-]SCC
SUBTOTAL$ 59.48
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2015
• "
through 12/31/2015
Page 127 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Phillip Melodia
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Phillip Melodia
El IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue- San Rafael. CA 94901
[-]SCC
08/31/2015
Phillip Melodia
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Phillip Melodia
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
09 30 2015
Phillip Me o is
X❑IND
officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 07/01/2015
• "
through 12/31/2015
page 128 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT O ENTERI.D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Phillip Melodia
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Phillip Melodia
pIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
11/18/2015
Phillip Melodia
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, n Rafael. CA 94901
11/30/2015
Phillip Melodia
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
P 1 ip Melodia
RIND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San RatACj__fA_ 94901
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I t
from 07/01/2015
• _
through 12/31/2015
page 129 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE, ALSO ENTER I.D NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED,ENiER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Phillip Melodia
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Beth Minka
91IND
Administrative Technician
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
[:]SCC
07/31/2015
Beth Minka
x❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, A 94901
08/15/2015
Beth Minka
x❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
OB 3-1/2015
Bet Minka
X❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
ElSCC
0 Fifth Avenue, San Rafael. CA 949Q.]__
SUBTOTAL$ 60.30
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period ICALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
page 130 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSO LD NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Beth Minka
MIND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Beth Minka
91 IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
10/15/2015
Beth Minka
x❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 94901
11/04/2015
Beth Minka
x❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/TO-15
Bet F Min Wa
MINDAdministrative
Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I 1
from 07/01/2015
• "
through 12/31/2015
Page 131 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
IT I.D. NUMBER)
(IF COMMITTEE.
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Beth Minka
x❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Beth Minkax❑IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
12/31/2015
Beth Minka
FL] IND
Administrative Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, CA 94901
07/31/2015
Lynn Murphy
RIND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
087157201-9
Lynn Murphy
X❑IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
Provider
Avenue
❑ COM
City of San Rafael
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 520Fifth Avenue.
-]SCC
SUBTOTAL$ 60.00
"Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � 1
from 07/01/2015
• '
through 12/31/2015
Page 132 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(E COMMITTEE, ALSOAND .D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED
CALENDAR YEAR
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Lynn Murphy
X❑IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Lynn Murphy
91 IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
El COM
Provider
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
09/30/2015
Lynn Murphy
RIND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
Provider
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 94901
10/15/2015
Lynn Murphy
X❑IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Lynn Murp y
Z] IND
Menta Health Outreach12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC --Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I'
from 07/01/2015
• '
page 133 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZI O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT .D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
117 18 T2015
Lynn Murphy
]IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 FifthProvider
[-]COM
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Lynn Murphy
91 IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Provider
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Aypnilp, San Rafael. CA 94901
[]SCC
12/15/2015
Lynn Murphy
E] IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
Provider
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth v n n Rafael. 94901
12/31/2015
Lynn Murphy
x❑IND
Mental Health Outreach
12.00
132.00
C/o: San Rafael Police Association 1520 FifthProvider
[-]COM
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Jorge Navarro
El IND
Evidence Technician
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 134 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Jorge Navarro
x❑IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Jorge Navarro
MIND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, (A q4qnl
❑ SCC
08/31/2015
Jorge Navarro
MIND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael, CA 94901
09/15/2015
Jorge Navarro
x❑IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
Jorge Navarro
MIND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period I
CALIFORNIA
to whole dollars.
t
460,
from 07/01/2015
FORM
through 12/31/2015
page 135 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZI O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER[. D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Jorge Navarro
xIND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Jorge Navarro
]IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/18/2015
Jorge Navarro
x❑IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
Jorge Navarro
x❑IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12 1-9/2015
Jorge Navarro
x❑IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
to whole dollars.
I '
from 07/01/2015
• '
page 136 of 191
through 12/31/2016
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO .D.N
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Jorge Navarro
]IND
Evidence Technician
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:1OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Alexis Nielsen
RIND
Lead Communications
9.00
249.00
C/o: San Rafael Police Association 1520 FifthF]
COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/31/2015
Alexis Nielsen
E] IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
520 Fifth Avenue. n Rafael, CA 94901
08/15/2015
Alexis Nielsen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
A rexis Nie sen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
COM
Dispatcher
Avenue
❑
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015page
137 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE, ALSO ENTER I.D NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Alexis Nielsen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 FifthDispatcher
[-]Com
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Alexis Nielsen
91 IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
Dispatcher
AvenueCity
of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
10/15/2015
Alexis Nielsen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. n Rafael, A 94 901
11/04/2015
Alexis Nielsen
El IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
A exis Nie sen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
•
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 138 of_ 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO I.D.N
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11 30/2015
Alexis Nielsen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Alexis Nielsen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
199.0 Fifth Avenue. San Rafael, CA 94901
❑ SCC
12/31/2015
Alexis Nielsen
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, C 4 01
07/15/2015
Leslie O'Toole
X❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 31 2015
Leslie O'Toole
91 IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PN
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.
SUBTOTAL$ 62.78
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.neffile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period•
_
to whole dollars.
I 0 t
from 07/01/2015
• '
through 12/31/2015
page 139 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Leslie O'Toole
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Leslie O'Toole
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/15/2015
Leslie O'Toole
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, an Rafael. CA 94 901
09/30/2015
Leslie O'Toole
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
Leslie O'Toole
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael__CA__3A3_Q_L_
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIAfrom
to whole dollars.
07/01/2015
• "
through 12/31/2015
page 140 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D.NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Leslie O'Toole
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Leslie O'Toole
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1q20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
11/30/2015
Leslie O'Toole
EIIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, CA 94 901
12/15/2015
Leslie O'Toole
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12731/2015
Leslie O'Toole
91 IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 141 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
.D NDE
(E COMMITTEE, ALSAND
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Nicola Pata
FK] IND
Dispatcher
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Nicola Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Avenue. San Rafael. CA 94901
[:]SCC
08/15/2015
Nicola Pata
QIND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael,CA 94901
08/31/2015
Nicola Pata
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_]OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/15/2015
N1co a Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 57.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2015
• '
through 12/31/2015
Page 142 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
CODE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Nicola Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Nicola Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11/04/2015
Nicola Pata
FK] IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. San Rafael. CA 94901
11/18/2015
Nicola Pata
X❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11730/2015
Nicola Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 60.00
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � '
from 07/01/2015
• '
through 12/31/2015
page 143 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ADDRESSZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
ITTEE .D. NUMBER)
(IF COMMITTEE,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Nicola Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
E] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Nicola Pata
x❑IND
Dispatcher
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafael. CA 94901
[-]SCC
07/15/2015
Brian Patterson
x❑IND
officer
11.48
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152 Fifth Avenue, an Rafael. CA 4 01
07/31/2015
Brian Patterson
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/15/2015
Brian Patterson
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 66.08
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
page 144 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IFCOMMITfEE, ALSO ENTER I D NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Brian Patterson
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Brian Patterson
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/30/2015
Brian Patterson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael. CA 94901
10/15/2015
Brian Patterson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Bran Patterson
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity;
PTY— Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• _
through 12/31/2015
Page 145 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Brian Patterson
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Brian Patterson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael. CA 94901
[:]SCC
12/15/2015
Brian Patterson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael A 4 01
12/31/2015
Brian Patterson
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2015
Bu y Paxson
x❑IND
officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 146 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
IT .D. NUMBER)
(IF COMMITTEE,
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Buffy Paxson
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Buffy Paxson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
08/31/2015
Buffy Paxson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue. a Rafael, CA 4 01
09/15/2015
Buffy Paxson
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09 30 2015
Buffy Paxson
91 IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 52 0 Fifth Avenue, San Rafael. CA 94901
❑ SCC
SUBTOTAL$ 76.50
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
•
through 12/31/2015
Page 147 of 151
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Buffy Paxson
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Buffy Paxson
MIND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/18/2015
Buffy Paxson
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael. CA 4 01
11/30/2015
Buffy Paxson
x❑IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Bu y Paxson
MIND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC—Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 148 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
HIS
RECEIVED
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
O`
(jSELLFEMOA
P OENTER RNAAMER
ID
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Buffy PaxsonX❑IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Jessica Perry
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avpnue, San Rafael. CA 94901
[:]SCC
07/31/2015
Jessica Perry
E]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
152 Fifth Avenue, an Rafael. CA 94901
08/15/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
El SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
Jessica Perryx❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
CALIFORNIA I '
from 07/01/2015
FORM
through 12/31/2015
page 149 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER .D NDE
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue. San Rafael, CA 94901
❑ SCC
10/15/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael. CA 94901
11/04/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Jessica Perry
91 IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
a
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 150 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Jessica Perry
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
12/31/2015
Jessica Perry
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue. San Rafael. CA 94 901
07/15/2015
Aaron Piombo
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
07731/2015
Aaron Pio 0
KIIND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I 1
from 07/01/2015
• "
through 12/31/2015
Page 151 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
.D
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08 15/2015
Aaron Piombo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Aaron Piombo
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1-;20 Fifth Avenue. San Rafael. CA 94901
[:]SCC
09/15/2015
Aaron Piombo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael, A 4 01
09/30/2015
Aaron Piombo
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
Aaron Piombo
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 152 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(EET
IT i.D NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Aaron Piombo
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Aaron Piombo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/30/2015
Aaron Piombo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. n Rafael. CA 4 01
12/15/2015
Aaron Piombo
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12 31 2015
Aaron Piombo
91 IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1 52 0 Fifth Avenue, San Rafael- CA 94901
❑ SCC
SUBTOTAL$ 76.50
"Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
'
from 07/01/2015
• '
through 12/31/2015
page 153 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Allyson Powell
X❑IND
Communications Dispatcher
9.00
195.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Allyson Powell
X❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1r,20 Fifth Avenue. San Rafael. CA 94901
[]SCC
08/15/2015
Allyson Powell
x❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue n Rafael, CA 94901
08/31/2015
Allyson Powell
]IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09715/2015
A yson Powe
x❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 57.00
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 154 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
( IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Allyson Powell
RIND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union members dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Allyson Powell
RIND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/04/2015
Allyson Powell
x❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael.CA 4 0
11/18/2015
Allyson Powell
RIND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11T3_0/2015
Allyson Powe
x❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 60.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Parry
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
1 '
from 07/01/2015
• '
through 12/31/2016
page 155 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TODATE
RECEIVED
(IFCOMMITfEE,ALSO ENTER ID.NUMBER)
CODE *
O(IFSELPFEMPLOYED ETION AND NTER NAME
IODTHIS
(JAN. 1 - DEC. 31)
(IF REQUIRED )
OF BUSINESS)
12/15/2015
Allyson Powell
x❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Allyson Powell
x❑IND
Communications Dispatcher
12.00
195.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
[:]SCC
07/15/2015
Dennis Prince
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue. n Rafael, CA 94901
07/31/2015
Dennis Prince
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
o8715/2015
Dennis Prince
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 66.08
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
a .
to whole dollars.
'do '
from 07/01/2015
•
through 12/31/2015
page 156 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(E COMMITTEE ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Dennis Prince
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Dennis Prince
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1990 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/30/2015
Dennis Prince
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, n Rafael. CA 4 01
10/15/2015
Dennis Prince
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11704/2015
Dennis Prince
91 IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period•
_
to whole dollars.
from 07/01/2015
FPage___11_57
through 12/31/2015
of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Dennis Prince
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Dennis Prince
]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
12/15/2015
Dennis Prince
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael. A 4 1
12/31/2015
Dennis Prince
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07715/2015
Gino Rantissi
x❑IND
officer
11.48
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
1
from 07/01/2015
• '
through 12/31/2015
Page 158 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED
CUMULATIVETO DATE
PER ELECTIONOCCUPATION
TO DATE
DATE
RECEIVED
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
AND
IFSELLF-EMPLOYYED,ENTER NAME R
PERIOD
O
CALENDAR YEAR
(JAN. 1 -DEC. 31)
REQUIRED)
IF RED)
OF BUSINESS)
07/31/2015
Gino Rantissix❑IND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Gino Rantissi
BIND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue. San Rafael. CA 94901
❑ SCC
08/31/2015
Gino Rantissi
x❑IND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, n Rafael, CA 94 901
09/15/2015
Gino Rantissi
RIND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09730/2015
Gino Rantissi
x❑IND
officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
City of San Rafael
[:]COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
.
to whole dollars.
I '
from 07/01/2015
"
through 12/31/2015
Page 159 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Gino Rantissi
X❑IND
Officer
15.30
317.54
C/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Gino Rantissi
91 IND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/18/2015
Gino Rantissi
RIND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,an Rafael.CA 4 01
11/30/2015
Gino Rantissi
x❑IND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12715/2015
Gino Rantissi
x❑IND
0 icer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael__CA__3_43_Q2__
[:]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
•
to whole dollars.
-40 '
from 07/01/2015
• "
through 12/31/2015
Page 160 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECD
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITEE,ALSO ENTER I.D.NUMBER)
CODE *
O
(IF ELLF-EMP OYYED,ENTERNAAMER
RIODDTHIS
(JAN. 1 -DEC 31)
(1F REQUIRED)
OF BUSINESS)
12/31/2015
Gino Rantissi
x❑IND
Officer
15.30
317.54
c/o San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PT(
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Ronda Reese
x❑IND
Corporal
11.48
317.54
C/o: San Rafael Police Association 1520 FifthEl
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafat-1. CA 94901
❑ SCC
07/31/2015
Ronda Reese
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael CA 94901
08/15/2015
Ronda Reese
El IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08731/2015
Ronda Reese
x❑IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTf
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
A 0 '
from 07/01/2015
• '
through 12/31/2015
Page 161 pf 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 15/2015
Ronda Reese
]IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Ronda Reese
91 IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
IS20 Fifth Avenue. San Rafael. CA 94901
[-]SCC
10/15/2015
Ronda Reese
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael, CA 4 0
11/04/2015
Ronda Reese
RIND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11718/2015
Ronda Reese
x❑IND
Corpora
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 162 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(EET
IT D NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Ronda Reese
]IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[_]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Ronda Reese
X❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1r,9.0 Fifth Avenue. San Rafael. CA 94901
[]SCC
12/31/2015
Ronda Reese
x❑IND
Corporal
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.n Rafael. CA 4 01
07/15/2015
Peggy Ruge
x❑IND
Lead Communications
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
[_10TH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07[-31- 2015
Peggy RugeX❑IND
Lea Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 66.90
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 163 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Peggy Ruge
&]IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Peggy Ruge
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth❑
COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
[10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
199.0 Fifth Avenue. San Rafael. CA 94901
❑ SCC
09/15/2015
Peggy Ruge
RIND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue.n Rafael. CA 4 01
09/30/2015
Peggy Ruge
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10/15/2015
Peggy Ruge
X❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.
SUBTOTAL$ 60.00
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
from 07/01/2015
• '
through 12/31/2016
Page 164 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(IF COMMITTEEALSO ENTER LID NUMBER)
,
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1- DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Peggy Rugex❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Peggy Ruge
RIND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
19?0 Fifth Avenue, San Rafael. CA 94901
[:]SCC
11/30/2015
Peggy Ruge
x❑IND
Lead Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
City of San Rafael
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 20 Fifth Avenue. San Rafael, CA 94 901
12/15/2015
Peggy Ruge
X❑IND
Lead Communications
12.00
249.00
C/O: San Rafael Police Association 1520 Fifth
❑ COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12 31 2015
Peggy Ruge
91 IND
Lea Communications
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[]COM
Dispatcher
Avenue
San Rafael, CA 94901
❑ OTH
City of San Rafael
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,1152 0 Fifth
Avenue,
❑ SCC
SUBTOTAL$ 60.00
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY—Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
FORM
through 12/31/2015
page 155 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO .D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OFBUSINESS)
07/15/2015
Thomas Sabido
x❑IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Thomas Sabido
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1990 Fifth Avenue. San RafaF-1. CA 94901
❑ SCC
08/15/2015
Thomas Sabido
BIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1 20 Fifth Avenue an Rafael, CA 4 01
08/31/2015
Thomas Sabido
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
09715/2015
Thomas Sabido
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 72.613
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
page 166 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSOAENTERND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09 30/2015
Thomas Sabido
%❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Thomas Sabido
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 949nl
❑ SCC
11/04/2015
Thomas Sabido
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/18/2015
Thomas Sabido
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/30/2015
T omas Sa 1 o
91 IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
[-]Com
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
NIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 167 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(EET
IT I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/201-9
Thomas Sabido
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Thomas Sabido
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
07/15/2015
Anthony Scalercio
R1IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Av nu an Rafael, CA 94 901
07/31/2015
Anthony Scalercio
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08715/2015
Anthony Scalercio
91 IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael __CA__q45L.L_
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I � '
from 07/01/2015
• _
Page 166 of 191
through 12/31/2016
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Anthony Scalercio
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Anthony Scalercio
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael, CA 94901
❑ SCC
09/30/2015
Anthony Scalercio
x]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael A 94901
10/15/2015
Anthony Scalercio
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 04/2015
Anthony Scalercio
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2016
Page 169 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSO ENTER .D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Anthony Scalercio
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Anthony Scalercio
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenup. San Rafael, CA 94901
❑ SCC
12/15/2015
Anthony Scalercio
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue,San Rafael, A 4 01
12/31/2015
Anthony Scalercio
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07715/2015
George Sc i ore
X❑IND
officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
•
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 170 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER 1. 0. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
George Schikore
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
George Schikore
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1S20 Fifth Aypnup. San Rafael, CA 94901
[-]SCC
08/31/2015
George Schikore
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 4 0
09/15/2015
George Schikore
E] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09 30 2015
George Sc i ore
91 IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,.1520 Fifth
Avenue,
ElSCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity;
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
.
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 171 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
A
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
THIS
CUMULATIVETO DATE
PER ELECTION
TO DATE
(EET
IT I.D.N
*
OCCUPATION AND EMPLOYER
RECEIVED
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
George Schikore
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
George Schikore
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
I -i90 Fifth Avenue. San Rafael, CA 94901
❑ SCC
11/18/2015
George Schikore
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94 901
11/30/2015
George Schikore
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
George Schikore
MIND0
icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL$ 76.50
"Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• _
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 172 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER LD NUMBER)
CODE
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
George Schikore
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Justin Schraeder
BIND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
❑ OTH
San Rafael, CA 94901
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
07/31/2015
Justin Schraeder
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 94901
08/15/2015
Justin Schraeder
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue, San Rafael, CA 94901
08731/2015
Justin Schraecter
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
❑ SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC -- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periodCALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 173 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
AND ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO D NDE
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Justin Schraeder
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Justin Schraeder
N] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11;20 Fifth Avenue. San Rafael. CA 94901
[-]SCC
10/15/2015
Justin Schraeder
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94 901
11/04/2015
Justin Schraeder
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 18/2015
Justin Sc rae er
x❑IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[-]SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIAfrom
to whole dollars.
07/01/2015
• '
Page 174 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
(E COMMITTEE, ALSO ENTER .D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Justin Schraeder
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Justin Schraederx❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael. CA 94901
❑ SCC
12/31/2015
Justin Schraeder
QIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, CA 4 0
07/15/2015
Wanda Spaletta
KIIND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Wanda Spa etta
X❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[:]SCC
SUBTOTAL$ 72.68
"Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
CALIFORNIA
to whole dollars.
I � '
from 07/01/2015
• '
through 12/31/2015
page 175 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
S
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
SAND I.D. NUMBER)
PF COMMITTEE
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF•EMPLOYED.ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
lci20 Fifth Avenue, San Rafael, CA 94901
❑ SCC
09/15/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
20 Fifth Avenue. n Rafael, CA 4 01
09/30/2015
Wanda Spaletta
%❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
10 _15_T2 0 1-5
Wanda Spaletta
RIND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
"Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period I
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
Page 176 of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(IF COMMITTEE, ALSO ENTER I. D. NUMBER)
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED,ENiER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/04/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Wanda Spaletta
g] IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
11/30/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael. CA 4 1
12/15/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12731/2015
Wanda Spaletta
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity,
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period ICALIFORNIA
to whole dollars.
I '
from 07/01/2015
• '
through 12/31/2015
Page 177 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
TO DATE
DATE
OFCOMMITTEE ALSO ENTER I D NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/15/2015
Christopher Sweeney
FK] IND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/31/2015
Christopher Sweeney
E]IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue- San Rafael. CA 94901
❑ SCC
08/15/2015
Christopher Sweeney
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael CA 94901
08/31/2015
Christopher Sweeney
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09715/2015
Christopher Sweeney
X❑IND
0 icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
❑ COM
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 72.68
'Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
.
to whole dollars.
I ,
from 07/01/2015
a "
through 12/31/2015
page 170 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, ALSENTERI.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/30/2015
Christopher Sweeney
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
10/15/2015
Christopher Sweeney
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafael. CA 94901
❑ SCC
11/04/2015
Christopher Sweeney
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue an Rafael. CA 94 901
11/18/2015
Christopher Sweeney
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11730/2015
Christopher Sweeney
91 IND
O icer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[:]SCC
SUBTOTAL$ 76.50
`Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from o7/01/2015
FORM
through 12/31/2015
Page 179 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
ZIPO
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE. ALSOAND
I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/15/2015
Christopher Sweeney
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[]COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[_]PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
12/31/2015
Christopher Sweeney
MIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_]0TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
07/15/2015
Charly Taylor
RIIND
Civilian Supervisor
9.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael. CA 94 901
07/31/2015
Charly Taylor
]IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
OB 15 2015
Charly Taylor
x❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 63.60
`Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC-- Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I ,
from 07/01/2015
• "
Page leo Of 191
through 12/31/2015
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
PER ELECTION
TO DATE
(EET
IT I.D. NUMBER)
*
OCCUPATION AND EMPLOYER
CALENDAR YEAR
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/31/2015
Charly Taylor
X❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Avenue San Rafael CA 94901
09/15/2015
Charly TaylorX❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
El COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[:]SCC
09/30/2015
Charly Taylor
x❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. San Rafael, CA 4 01
10/15/2015
Charly Taylor
91 IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
11/04/2015
Charly Tay or
x❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
ElSCC
SUBTOTAL$ 60.00
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 181 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
A ZIPDE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE ADDRESS
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(EET
IT .D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/18/2015
Charly Taylor
x❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/30/2015
Charly Taylor
91IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
11,20 Fifth Avenue, San Rafael, CA 94901
[-]SCC
12/15/2015
Charly Taylor
x❑IND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, an Rafael, A 94 901
12/31/2015
Charly Taylor
RIND
Civilian Supervisor
12.00
249.00
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/15/2015
Henry Tirre
91IND
officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 59.48
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
'
from 07/01/2015
• '
through 12/31/2015
page 182 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMFLorED,ENiER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
07/31/2015
Henry Tirre
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
08/15/2015
Henry Tirre
91IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
Avenue.1920 Fifth
❑ SCC
08/31/2015
Henry Tirre
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue. San Rafael. CA 94901
09/15/2015
Henry Tirre
91 IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
09/30/2015
Henry Tirre
X❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity,
PTY - Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
_
to whole dollars.
from 07/01/2015
• "
through 12/31/2015
page 183 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO ENTER LID NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/15/2015
Henry Tirre
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/04/2015
Henry Tirre
91 IND
Officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Aypniip. San Rafael, CA 94901
❑ SCC
11/18/2015
Henry Tirre
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
2 Fifth Avenue. n Rafael, CA 94901
11/30/2015
Henry Tirre
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12/15/2015
Henry Tirre
[Z]IND
officer
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC —Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period•
_
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
page 184 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IF COMMITTEE, ALSO ENTER 1-0. NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
12/31/2015
Henry Tirre
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:] COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
07/15/2015
Michael Vergara
x❑IND
Sergeant
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
OTH
San Rafael, CA 94901
❑
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue, San Rafael, CA 94901
❑ SCC
07/31/2015
Michael Vergara
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael, A 94 901
08/15/2015
Michael Vergara
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[:]Com
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
08/31/2015
Michaei Vergara
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTy
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
[:]SCC
SUBTOTAL$ 72.68
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I '
from 07/01/2015
• "
through 12/31/2015
Page 185 of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
AND ZIPO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(E COMMITTEE, ALSO .D. NUMBER)
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
09/15/2015
Michael Vergara
FK] IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
09/30/2015
Michael Vergara
91 IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
[:]SCC
10/15/2015
Michael Vergara
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue.an Rafael.CA 4 01
11/04/2015
Michael Vergara
N] IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[]SCC
1520 Fifth Avenue, San Rafael, CA 94901
11 18 2015
Michael Vergara
x❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
[-]SCC
SUBTOTAL $ 76.50
'Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY -Political Party
SCC - Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
e
to whole dollars.
I '
I I
from 07/01/2015
• "
through 12/31/2015
page 186 Of 191
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER 10. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/30/2015
Michael Vergara
RIND
Sergeant
15.30
317.54
C/O: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
12/15/2015
Michael Vergarax❑IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1920 Fifth Avenue. San Rafael. CA 94901
❑ SCC
12/31/2015
Michael Vergara
FK] IND
Sergeant
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
[_10TH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
[:]SCC
1520 Fifth Av nue San Rafael CA 94 901
07/15/2015
Mark Wilkinson
RIND
Officer
11.48
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
07/31/2015
Mark Wilkinson
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 72.68
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY- Political Party
SCC -Small Contributor Committee
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
statement covers period
_
to whole dollars.
IF
from o7/ol/zols•
_through
12/31/2015
Page 197 Of
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITfEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE
(IF SELF•EMPLOVED,ENiER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
08/15/2015
Mark Wilkinson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
[-]SCC
1520 Fifth Avenue San Rafael CA 94901
08/31/2015
Mark Wilkinson
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael. CA 94901
❑ SCC
09/15/2015
Mark Wilkinson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue. an Rafael CA 4 1
09/30/2015
Mark Wilkinson
El IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
[-]Com
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[:]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
1071-57201-5
Mark Wilkinson
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
City of San Rafael
Avenue
❑ COM
San Rafael, CA 94901
[:10TH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue.
❑ SCC
SUBTOTAL$ 76.50
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
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FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period_
NIA
CALIFOI
to whole dollars.
'
from 07/01/2015
•
through 12/31/2015
Page 188 Of 191
NAM E O F FI LE R
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
,
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
(IFCOMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(F REQUIRED)
OF BUSINESS)
11/04/2015
Mark Wilkinson
x❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue San Rafael CA 94901
11/18/2015
Mark Wilkinson
X❑IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1990 Fifth Avpnup, San Rafael. CA 94qnj
❑ SCC
11/30/2015
Mark Wilkinson
RIND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth❑
COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
❑ PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 FifthAvenue San Rafael.CA 4 0
12/15/2015
Mark Wilkinson
FK] IND
Officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
❑ SCC
1520 Fifth Avenue, San Rafael, CA 94901
12 31 2015
Mar Wilkinson
x❑IND
officer
15.30
317.54
C/o: San Rafael Police Association 1520 Fifth
❑ COM
City of San Rafael
Avenue
San Rafael, CA 94901
❑ OTH
Union member's dues received through
[-]PTY
intermediary: San Rafael Police Association,
1520 Fifth Avenue,
❑ SCC
SUBTOTAL$ 76.50
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC -Small Contributor Committee
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FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule C
SCHEDULE C
Nmounrs may oe rounaeo
Nonmonetary Contributions Received to whole dollars.
Statement covers period
• -
• '
from 07/01/2015
• -
through 12/31/2015
Page 189 of 191
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
DATE
RECEIVED
ZIP CODE OF CONTRIBUTOR
NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
IF REQUIRED
(IF COMMITTEE, ALSO ENTER I.D.
NAME OF BUSINESS)
(JAN 1 - DEC 31)
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
[-]IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions.
(Include all Schedule C subtotals.)..................................................................................................................... $
2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
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'Contributor Codes
IND -Individual
0.00 COM -Recipient Committee
(other than PTY or SCC)
50.00 OTH - Other (e.g., business entity)
PTY- Political Party
SCC- Small Contributor Committee
-90.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from 07/01/2015
through 12/31/2015
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE
Page 190 of 191
I.D. NUMBER
631553
CMP
campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)`
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNTPAID
The Henry Levy Group
PRO
1
923.03
5940 College Avenue
Oakland, CA 94618
The Henry Levy Group PRO 665.65
5940 College Avenue
Oakland, CA 94618
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,588.68
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals................................................................................................ $ 1,588.68
2. Unitemized payments made this period of under $100 ..................................... .................... $ 24.00
3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) .................... $ 0.00
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. . TOTAL $ 1,612.68
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
www.netfile.com
Cr•hnr1111A I
SCHEDULEI
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2015
through 12/31/2015
CALIFORNIA
_ •
Page 191 of 191
NAME OF FILER
San Rafael Police Association Political Action Committee
I.D. NUMBER
831553
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER LD, NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this period........................................................................................................................ $ 0.00
2. Unitemized increases to cash of under $100 this period............................................................................................. $ 1.42
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 0.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ 1.42
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com