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HomeMy WebLinkAboutForm 460 - Police Association PAC (2013-12-31)4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info mation contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
01/27/2014
Executed on By
to
Executed on 0IZ2222014
Date
Executed on
Date
Executed on
to
www.netfile.com
M
By
Signature of Controlling Officeholder, Cacti e, State Measure Proponent or Responsible Officer of Sponsor
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By Signature of Ctroffing Officeholder, Candidate, State Measure Proms rerpt FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
P COVER PAGE
Committee,
Recipient Comm
or print in ink.
Date Stamp
Campaign Statement
Cover Page
F"
(Government Code Sections 84200-84216.5)
Statement covers period
Date of election if applicable:
1 85
(Month, Day, Year)
Of
Page
from 10/20/2013
J
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
through 12/31/2013
LL
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
T.
Type of Statement:
❑ Officeholder, Candidate Controlled Committee
T Primarily Formed Ballot Measure
Q Preelection Statement
Quarterly Statement
0 State Candidate Election Committee
Committee
Semi-annual Statement
Special Odd -Year Report
0 Recall
0 Controlled
Termination Statement
F-1 Supplemental Preelection
(Also Complete Part 5)
0 Sponsored(Also
file a Form 410 Termination)
Statement - Attach Form 495
General Purpose Committee
(Also Complete Part 6)
T Amendment (Explain below)
Q Sponsored
F� Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information
I.D.NUMBER
1
Treasurer(s)
831553
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
San Rafael Police Association Political
Action Committee
Ms. Beth Minka.
MAILING ADDRESS
1520 Fifth Avenue
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE/PHONE
1520 Fifth Avenue
San Rafael, CA 94901
(415) 485-3000
CITY STATE
ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
San Rafael, CA 94901
(415) 485-3000
Ms- Stag �L 'R_ QweL-s
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
P.O. Box 151557
5940 College Avenue
CITY STATE
ZIP CODE AREA CODE/PHONE
CITY STATE
ZIP CODE AREA CODE/PHONE
San Rafael, CA 94915-1557
Oakland, CA 94612
OPTIONAL: FAX/ E-MAIL ADDRESS
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 mation contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
01/27/2014
Executed on By
to
Executed on 0IZ2222014
Date
Executed on
Date
Executed on
to
www.netfile.com
M
By
Signature of Controlling Officeholder, Cacti e, State Measure Proponent or Responsible Officer of Sponsor
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By Signature of Ctroffing Officeholder, Candidate, State Measure Proms rerpt FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
i i j i< i
!
a• •
CALIFORNIA Aft AM
.. . FORM 4 tz) u
6 Orr•
1 M 1r.
� • i ! i i � • i • •
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES F_� NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
www.netfile.com
#e 2 Of •
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION r] SUPPORT
Q 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
offi-ceholder(s) or candidates) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
� SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
� SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 464 (January/fly)
FPPC Tall -Free Helpline: 866/ASK-FPPC (8£61275-3772)
State of +Califs is
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERS'11
NAME OF FILER
San Rafael Police Association Political Action Committee
Statement covers period
from 10/20/2013
through 12/31/2013 Page 3 of 85
I.D. NUMBER
831553
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4 $ 19,159.55
7. Loans Made ............................................................. Schedule H, Line 3 0.00
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 19,159.55
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 4,316.15
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 50.00
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 23,525.70
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 28,759.01
13. Cash Receipts ................................................... Column A, Line 3 above 3,960.83
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.25
15. Cash Payments .................................................. Column A, Line 8 above 19,159.55
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 13,S60.54
ff this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED .............. 4 ............ Schedule B, Part 2 $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 5, 941 . 00
42,798.60
0.00
$ 42,798.60
5,941.00
50.00
$ 48,789.60
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. I t Is is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
I J $
1 *Amounts in this section may be different from amounts
i reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline:866/ASK-FPPC (866/275-3772)
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHIS PERIOD
CALENDAR YEAR
-a
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3
$ 3,960.83 $
24,322.27
1/1 through 6/30 7/1 to Date
2. Loans Received ......................................................
Schedule B, Line 3
0.00
0.00
3. SUBTOTAL CASH CONTRIBUTIONS.........................
Add Lines I + 2
$ 3,960.83 $
24,322.27
20. Contributions
Received $ $
4. Nonmonetary Contributions....................................
Schedule C, Line 3
50 .00
SO.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 + 4
$ 4,010.83 $
24,372.27
Made $ $
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4 $ 19,159.55
7. Loans Made ............................................................. Schedule H, Line 3 0.00
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 19,159.55
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 4,316.15
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 50.00
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ 23,525.70
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 28,759.01
13. Cash Receipts ................................................... Column A, Line 3 above 3,960.83
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.25
15. Cash Payments .................................................. Column A, Line 8 above 19,159.55
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 13,S60.54
ff this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED .............. 4 ............ Schedule B, Part 2 $
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $ 0.00
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 5, 941 . 00
42,798.60
0.00
$ 42,798.60
5,941.00
50.00
$ 48,789.60
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. I t Is is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
I J $
1 *Amounts in this section may be different from amounts
i reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline:866/ASK-FPPC (866/275-3772)
Schedule A Type or prim in ink. SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA4bo:
from 10/20/X13FORM
through 12/31/2013
Page 4 of 85
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political. Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2413
Elisha Adams
FX�iND
Officer
11.17
352.47
❑ COM
C/o: San Rafael. Police Association
F (OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:ganCRafa
1 Police Association 1520
Fifth Avenue San
Rafael CA 94901
11/15/2413
Elisha Adams
E]IND
Officer
11.17
352.47
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
. 1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
pl
:an Rafa
l Police Association 1520
Fifth Avenue S
n Rafael CA 94901
11/30/2013
Elisha Adams
[2] IND
Officer
11.17
352.47
COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
y:�zlafa
1 Police Association, 1520
Fifth Avenue, San
Rafael, CA 94902
1.2/15/2013
Elisha Adams
nIND
Officer
11.17
352.47
❑ CQM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermedia
y:afa
1 Police Association, 1520
Fifth Avenue, San
Rafael, CA 94984
12%31/2013
Ells a A ams
FIND
Officer
11.18
352.47
0 COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:[1§9 afa
1 Police Association 152d
Fifth Avenue Sin
Rafael CA 949
1
SUBTOTAL
55.80
Schedule A Summary
1. Amount received this period — itemize{ monetary contributions.
(Include all Schedule A subtotals.)........................................................................................................
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
.. .. • ! .. rte.. `
• i i ii"
IND -individual
Recipient • ..
(other than PTY or
OTH — Other (e.g., business entity)
PTY — Political Party
Small + i i Committee
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA Aft
to whole dollars.
4bo
from 10/20/2013
FORM
through 12/31Z2013
Page 5 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Raul Aguilar
Fx-] INDSergeant
11.17
352.47
r-1COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union member's dues received through intermedia zy:
a Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/15f 2013
Raul Aguilar
Fx_j IND
Sergeant
11.17
3S2.47
DCOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
nion member's dues received through intermediarv:an
�SCC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Raul Aguilar
Fx� IND
Sergeant
11.17
352.47
DCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
F-1 SCG
Union member's dues received through intermediaxy:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94903
12/lS/2013
Raul Aguilar
FX1 INC}
Sergeant
11.17
352.47
QCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
[:]PTY
San Rafael, CA 94901
Union member's dues received throuSIh intermediaxy:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94985
12/31/2013
Raul Aguilar
[E INC)
Sergeant
11.18
352.47
Q COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
[:]PTY
San Rafael, CA 94901
Union member's dues received through intermedia
'l:
Q§i9(; Zafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 6 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Anthony Augustyn
rx] IND
Officer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia -rv:
an qSCC Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/15/2013
Anthony Augustyn
[Z IND
.Officer
11.17
352.47
nCOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Anthony Augustyn
Fx] IND
Officer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
71
member's dues received through intermediaiv:q
anUnion Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
12/15/2013
Anthony Augustyn
[_X� IND
Officer
11.17
352.47
F�COM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
F_� PTY
San Rafael, CA 94901
1
Union member's dues received through intermedia xy:�
;anRafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94986
12/31/2013
Anthony Augustyn
®IND
Officer
11.18
352.47
EICOM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901v:
,mbrmd
Union meer's dues received through ince edict
Q§�CtZ afael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490b
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
Small Contributor Committee
SUBTOTAL$
55.86
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10 20/2013
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 46 0 (January/01
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-377
through 12Z31/2013
Page 7 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Blair Auld
NIND
Officer
11.17
352.47
MCOM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermediary:
an Rafael
Police Asgiociation. 1520
Fifth Avenue, San
Rafael, CA 94901
11/15/2013
Blair Auld
Fx_j IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qa'nCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Blair Auld
nx IND
Officer
11.17
352.47
EICOM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qaSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94905)
12/15/2013
Blair Auld
nx IND
Officer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
Union member's dues received throe intermediazy:qaSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94987
13/31/2013
Blair Auld
nx IND
Officer
11.18
352.47
F-1 COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901C%t_*
member's dues received through intermediady.L-49k
afael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490
,Union
SUBTOTAL$ 5S.86
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 46 0 (January/01
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-377
TVpe or print in ink. SCHEDULE A (CONT)
M onetary Contributions Received Amounts may be rounded
Statement covers period
Aak I
CALIFORNIA
to whole dollars.
4bAftu
from 10220/2013
FORM
through 12Z31Z2013
Page 8 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
James Bellamy
Fxj IND
Of f icer
11.17
352.47
F] COM
C/o: San Rafael Police Association
nOTH
1.520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
CUnion
member's dues rgceived through intermediary:
Rafael
qan
Police Association, 1520
Fifth Ay!anue. S
n Rafael, CA- 94901
ll/15/2013
James Bellamy[E
IND
officer
11.17
352.47
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia xv:qaSnC
Rafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94901
11/30/2013
James Bellamy
[j] IND
Off icer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:
anqsaR afael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94906
12/15/2013
James Bellamy
nx IND
Officer
11.17
352.47
FJCOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediaxy.
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94986
12/31/2013
James Bellamy
nx IND
Officer
11.18
352.47
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediady:Q���Zafael
Police Assoc -- iation, 1520
Fifth Avenue, SAn
Rafael, CA 9490b
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.8
6
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
from 10/20/2013
FORM
through 12/31/2013
Page 9 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Todd Berringer
Fx_j IND
Corporal
11.17
352.47
❑ COM
C/o: San Rafael Police Association
�] OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:
qSCC
an Rafael
Police Association, 1520
Fifth Av!Qnue, San
Rafael ,_ -CA 24901
ll/l5/2013
Todd Berringer
RIND
Corporal
11.17
352.47
F1 COM
C/o: San Rafael Police Association
FIOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:qanCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael CA 94901
11/30/2013
Todd Berringer
Rx IND
Corporal
11.17
352.47
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermedia xy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94907
12/15/2013
Todd Berringer
RX IND
Corporal
11.17
352.47
El COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia ry:EAP�af
ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9498
9
12/31/2013
Todd Berringer
[BIND
Corporal
11.18
352.47
EICOM
C/o: San Rafael Police Association .1 -on
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermediadv:Q§�CPafaell
Police Association, 1.520
Fifth Avenue, S
Rafael, CA 9490k
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
SCC — Small Contributor Committee
SUBTOTAL$
-55.86
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA AM i
to whole dollars.
4fdo
from 10/20/2013
FORM
through 12/3lZ2013
Page 10 Of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Geoffrey Bowker
Fx_j IND
Officer
11.17
352.47
FICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael. CA 24901
11/15/2013
Geoffrey Bowker
Fx IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qq':CCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490L
11/30/2013
Geoffrey Bowker
Fx_j IND
Of f icer
11.17
352.47
COM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:1:;dSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9490B
12/15/2013
Geoffrey Bowker
FX -1 IND
Off icer
11.17
352.47
F] COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
1 SC
Union member's dues received through intermedia yy::;anRafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94993
12/31/2013
Geoffrey Bowker
Fx IND
Officer
11.18
352.47
COM
C/o: San Rafael Police Association
R OTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901
,Union member's dues received through intermedia dy:Q§�CPafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
55.86ti
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/20Z2013
604121:951514 AM
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SC
entity)
OTH — Other (e.g., business
PTY — Political Party
SCC — Small Contributor Committee 1
FPPC Form 460 (January/011"
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3i7l
through 12231/2013 Page 11 - Of 85
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Lynne Bracken
FRI IND
Records Clerk
8.69
273.96
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia-rv:r--,-,anSC
Rafael
Police Association, 1520
Fifth avenue. San
Rafael, CA 24901
11/15/2013
Lynne Bracken
nx IND
Records Clerk
8.69
273.96
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's dues received through intermediarv:F---'5a':Cl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Lynne Bracken
nx IND
Records Clerk
8.69
273.96
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:
anqscR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94973
12/15/2013
Lynne -Bracken
nx IND
Records Clerk
8.69
273.96
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throu2h intermedia iy:qaSnC
Zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95055
12/31/2013
Lynne Bracken
nx IND
Records Clerk
8.70
273.96
FICOM
Cl/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dv:QP;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9488L
SUBTOTAL$ 43.46
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SC
entity)
OTH — Other (e.g., business
PTY — Political Party
SCC — Small Contributor Committee 1
FPPC Form 460 (January/011"
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3i7l
I 1- 16 10
IT qJ10 =92. MM, qkTj Lopmes RM 0071n t proul g ffs: - 9 A b
E. MT W1
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/2022013
through 12Z3112013 I Page 12 _ of 85
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
10/31/2013
Kayla Braxton
IND .Officer
8.69
108.66
F� COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermediazy:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/15/2013
Kayla Braxton
Fx_j IND
Off icer
8.69
108.66
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia
:`man Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Kayla Braxton
r_xj IND
Officer
8.69
108.66
[]COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
sa�
Union member's dues received through intermedia zy:
q an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94982
12/15/2013
Kayla Braxton
FX -1 IND
Officer
8.69
108.66
RCOM
C/o: San Rafael Police Association
[BOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
member's dues received through intermediary:anafael
�(';Union
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95061
10/31/2013
Michael Byers
� IND
Corporal
11.17
352.47
RCOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
Pnion member's dues received through intermediady-
1
.afaell
Lg���Z
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
45.93
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
from 10Z20/2013
FORM
through 12/31/2013
Page 13 . of 85
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
C U M U LATIVE 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}
11/15/2013
Michael Byers
nx IND
Corporal
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary:
qainC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Michael Byers
Fx_j IND
-ICOM
Corporal
11.17
352.47
F
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
SCCRafael
-'-San
Union member's dues received through intermedia
v :F-
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94909
12/15/2013
Michael Byers
®INC}
Corporal
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedlaiv:--z
annion Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94991
12/31/2013
Michael Byers
[E INC}
Corporal
11.18
352.47
F�Com
C/o: San Rafael Police Association
F� OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
Union member's dues received throu2h intermediary:
qan�afael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94906
10/31/2013
Shelly Cade
FX -1 IND
Dispatcher
8.69
273.96
E]COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901§��
,mbdL-4
Union meer's dues received through intermedia
V:'Zafaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
53.38
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNI A
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 14 of 85 -
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)
11/15/2013
Shelly Cade
nx IND
Dispatcher
8.69
273.96
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's dues received through intermediaxy:a':Cl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Shelly Cade
[21 INDDispatcher
8.69
273.96
ncom
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94910
12/15/2013
Shelly Cade
Fx_j IND
Dispatcher
8.69
273.96
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
an�Union afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94992
12/31/2013
Shelly Cade
nx IND
Dispatcher
8.70
273.96
[]COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;JSP�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94881
10/31/2013
Joseph Camins
nx IND
Officer
11.17
352.47
EICOM
C/o: San Rafael Police Association
E]OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediad-V:E-_A1�PCR_afae1
Police Association, 1.520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
...........
SUBTOTAL$
45.94
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 15 Of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831C�1C� I
-1-1
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
ITSELF -EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
ll/lS/2013
Joseph Camins
❑IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
FROTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
qSCC
an Rafael
Police Aasociation, 1520
Fifth Lvenue, San
Rafael, CA 94901
11/30/2013
Joseph CaminsFx_j
IND
Officer
11.17
352.47
0 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received throe intermedia ivJ-5an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9491
12/15/2013
Joseph Camins
Fx_j IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qd'nCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94993
12/31/2013
Joseph Camins
®IND
Officer
11.18
352.4'7
[ICOM
C/o: San Rafael Police Association
[:j OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
Union member's dues received throw intermedia Ty-.qaSnC(�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94909
10/31/2013
David Casalnuovo
RIND
Officer
11.17
352.47
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
_L
San Rafael, CA 94901
'Union member's dues received through intermedia
Police Association, 1520
Fifth Avenue SAn
Rafael, CA 9490
11
SUBTOTAL$
*Contributor Codes
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 (January/O
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460% 0
from 10f 20/2013
FORM
through 12/31/2013
Page 16 _ of 85 -
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/1S/2013
David Casalnuovo
Fx_j IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
F-1 SCC
Union member's dues received through int-ermediaiv:--gan
Rafael
Police Association, 1520
Fifth Avgnue, San
Rafael, CA 94901
11/30/2013
David Casalnuovo
nx IN©
.Officer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
-1 SC
Unionmember's dues received through intermediarv:F—Sanl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94912
12/15/2013
David Casalnuovo
N IND
Officer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia 'ry:qanC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94994
12/31/2013
David Casalnuovo
nx INC)
Officer
11.18
352.47
FJCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
❑PTY
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaS:CRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94910
10/31/2013
Allan Castaneda
nx IND
Officer
11.17
352.47
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
.mbdv:
Q§�CP afaell
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490L
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
. . .... .. .
. . .. . ...
SUBTOTAL $
55.86
. . ....... . . . ..
. . .........
FPPC Form 460 (January/OZEVI
sr •s6Toll-Free Helpline: 8661ASK-FPPC (866/275-3774
1 gi Ia =- -:,.,
a
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
I
460
from 10/20/2013
FORM
through 12/31Z2013
Page 17 of 85
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
C U M U LATIVE 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)
11/15/2013
Allan Castaneda
Fx_j IND
Officer
11.17
352.47
COM
C/o: San Rafael Police Association
C/o:
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
-=ban
Union member's dues received through intermedia xy:--8an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Allan Castaneda
FX -1 IND
Officer
11.17
352.47
COM
C/o: C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:
qscRafae
anl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94913
12/15/2013
Allan Castaneda
nx IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;dSP
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94995
12/31/2013
Allan Castaneda
nx IND
Officer
11.18
352.47
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediaxy:E;aSP
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94911
10/31/2013
Edward Chiu
nx IND
Officer
11.17
352.47
EICOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia jV_:Q§�CPafaeL
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55-86
FPPC Form 460 (January/05)
conrii-;; . .. .. .. . .... .
- bd—
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Amounts may be rounded Statement covers period
Monetary Contributions Received CALIFORNIA
to whole dollars. 4100% 0
from 10/20/2013 FORM
through 12231Z2013 Page 18 - Of 85
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)
11/15/2013
Edward Chiu
MIND
Officer
11.17
352.47
DCOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union memb!ar's dues received throuS12 intermedia
qSCC
y: an Rafael
Police Association, 1520
Fifth Lyenue, San
Raf!qel, CA 24901
11/30/2013
Edward Chiu
MIND
Officer
11.17
352.47
MCOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
[:] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:
qsa�
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94914
12/15/2013
Edward Chiu
F� IND
Officer
11.17
352.47
F-1 COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:
q anSC Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94996
12/31/2013
Edward Chiu
BIND
Officer
11.18
352.47
❑COM
C/o: San Rafael Police Association
QOTN
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediazy:
E; anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94912
10/31/2013
Robert Cleland
FX -1 IND
Officer
11.17
352.47
COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
member's dues received through intermedia jv:Q§�CT�Zafaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
,Union
SUBTOTAL $
55.86
71
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
i OTH — Other (e.g., business entity)
Political Party
SCC — Small Contributor Commi
FPPC Form 460 (January/05)
11111111111111 q.=F'_%,,heet) Tvpe or print in ink.
1111111 1 � 1 � � I SCHEDULE A (CONT)
M onetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31Z2013
Page 19 - of 85
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)
11/15/2013
Robert Cleland[3fl
IND
Officer
11.17
352.47
RCOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermedia zy:
an Rafael
Police Assogiation, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Robert Cleland
Fx_j IND
Officer
11.17
352.47
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:q7aS:CCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94915
12/15/2013
Robert Cleland--
Rx IND
Officer
11.17
352.47
F_]COM
C/o: San Rafael Police Association
F -I OTH
1520 Fifth Avenue
D PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qlanSC
Rafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94997
12/31/2013
Robert Cleland
BIND
Officer
11.18
352.47
EICOM
C/o: San Rafael Police Association
� OTH
City of San Rafael
1520 Fifth Avenue
D PTY
San Rafael, CA 94901
Union member's dues received throe intermedia zy:SaS:CRafael
1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94913
10/31/2013
Christopher Coale
Q IND
Sergeant
11.17
352.47
COM
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901§�
nion meer's dues received through intermedia
'Umbdy
C
Pafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL$
55.86
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
q
Monetary Contributions Receiv d Amounts may be rounded
Statement covers period
CALIFRNIA
O
to whole dollars.
460
from 10/20/2013
FORM
through 12/31Z2013
Page 20 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
r� r�
831553I
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)
11/15/2013
Christopher Coale
x INDSergeant
11.17
352.47
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;ScR.afae
Union member I s dues received throu_qh intermedia zy:
an
l Police Association, 1520
Fifth Avenue. San
Rafael CA - 94901
11/30/2013
Christopher Coale
Fx_j IND
Sergeant
11-17
352.47
EICOM
C/o: San Rafael Police Association
R OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
C
Union member's dues received through intermedia yv:E;aSnC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94916
12/15/2013
Christopher Coale
Rx IND
Sergeant
11.17
352.47
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia 'ry:E;aSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94996
12/31/2013
Christopher Coale
FRI IND
Sergeant
11.18
352.47
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediary:
qan `Raf ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94911
10/31/2013
Lori Coen
[Z IND
Records Clerk
8.69
273.96
RCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1_520 Fifth Avenue
PTY
San Rafael, CA 94901
nion meer's dues received through intermedia
,Umbdy
Q2YC
: Vafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
St1-A_C_*Atr0#ujQr Cotimittee.
SUBTOTAL$
53.38
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4(qw;O
from 10Z20/2013
FORM
through 12/31/2013
Page 21 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
r�
8315r, 5I
3
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)
11/15/2013
Lori Coen
NIND
Records Clerk
8.69
273.96
FICOM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:17;aSnCCRafael
Police As.9ociation. 15201
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Lori Coen
FX IND
Records Clerk
8.69
273.96
MCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;SCCRafael
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94917
12/15/2013
Lori Coen
RIND
Records Clerk
8.69
273.96
F-1COM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
I SC(�
union member's dues received through intermedia xy:E;an
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94999
12/31/2013
Lori Coen
FIND
Records Clerk
8.70
273.96
FJCOM
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy.
anqSC (`�.afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94885
10/31/2013
Eric Cogbill
IND
Officer
11.17
352.47
L-1 COM
C/o: San Rafael Police Association
FIOTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901
,Union member's dues received throu2h intermedia�Y:Q§�CZafaell
Police Association, 15201
Fifth Avenue, S
Rafael, CA 94901L
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL.5
45.94
FPPC Form 460 (January/O""
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771
TWO Tvpe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 22 of 85
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)
11/15/2013
Eric Cogbill
FRI IND
Officer
11.17
352.47
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermediaxy:
gn Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Eric Cogbill
nx IND
Officer
11.17
352.47
EICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
v:q7aS:CCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9491B
12/15/2013
Eric Cogbill
nx IND
Officer
11.17
352.47
FICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
Q PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediay-v:l
anRafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95000
12/31/2013
Eric Cogbill
nx IND
Officer
11.18
352.47
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received throe intermediazy:
qsa�
an. afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94915
10/31/2013
Ryan Cogbill
BIND
Corporal
11.17
352.47
El Com
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
[:] PTY
San Rafael, CA 94901
,Union member's dues received through intermed
r
E_19§�CRafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.86
Monetary ContributionsCC'IV'{ Amounts may be rounded
Statement covers period
CALIFORNIA
to whale dollars,
460
from 10/20/2013
FORM
through 12 /31 /2013
Page 23 of 85
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
(IFCOMMITTEE,ALSOENTERI.�.NUMBER)
CODE *
{IF SELF-EMPLOYED, ENTER NAME
PERIOD
{JAN. 1 -DEC. 31}
SIF REQUIRED}
OF BUSINESS)
11/15/2013
Ryan Cogbill
X IND
Corporal
11.17
353.47
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:F;a'nCCRafae1
Police Association, ation 1520
Fifth Avenue San
Rafael, CA 94901
11/30/2013
Ryan Cogbill
X IND
Corporal
11..17
352.47
F] COM
C/o: San Rafael Police Association
F�OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:`man Rafae
Police Association,1520
Fifth Avenue San
Rafael CA 9491
12/15/2013
Ryan Cogbill
BIND
Corporal
11.17
352.47
COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
pion member's dues received through intermedia
:`;an an
Police Association 1520
Fifth Avenue San
Rafael CA 9500
12/31/2013
Ryan Cogbill
FIND
Corporal
11.18
352.47
COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
O PTY
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;'aSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9491
10/31/2013
Thomas Collins
BIND
Officer
11.17
3.52.45
F� COM
C/o: San Rafael Police Association
F-1OTH
City of San Rafael
1.520 Fifth Avenue
� PTY
San Rafael, CA 94901
.Union member's dues received through intermedia
: afael
Police Association 1520
Fifth Avenue S
n Rafael CA 9490
SUBTOTAL $
55,8
*Contributor se
Individual
COM — Recipient Committee
(other than PTY or SCC)
f •
., business entity)
PTY — Political Party
SCC — Small Contributor ..
FPPC Form.
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/20/2013
NNMAENANWKEi
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity) i
Political Party
Small Contributor Committee
FPPC Form 460 (Januaty/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
through 12/31/2013 Page 24 _ of 85
NAME OF FILER I.D. NUMBER
r� _,
San Rafael Police Association Political Action Committee 8315r� SI
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Thomas Collins
IND
Officer
11.17
352.45
F� COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
--1 SC
member's dues received through intermediaxv:qanl
RafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Thomas Collins
[Z IND
Officer
11.17
352.45
❑COIVI
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
SCC
Union member's dues received through intermedia
vJ-8-1 an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94920
12/15/2013
Thomas Collins
Fxj IND
Officer
11.17
3S2.45
[ICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
1 C
Union member's dues received through intermedia xy:[maSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95002
12/31/2013
Thomas Collins
FX IND
Officer
11.18
352.45
Q COM
C/o: San Rafael Police Association
❑F_�OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
1
Union member's dues received throuijh intermediaTy::;a'nCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94917
10/31/2013
Antonette Cook
RIND
Dispatcher
8.69
273.96
F� COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901
Union member's dues received through intermedia
&:Q§�qZafaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 949011
SUBTOTAL $
. .... . . .....
53.38
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity) i
Political Party
Small Contributor Committee
FPPC Form 460 (Januaty/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20Z2013
FORM
t
through 12231/2013
Page 25 . of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Antonette Cook
IND
Dispatcher
8.69
273.96
r-iCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
T PTY
City of San Rafael
San Rafael, CA 94901
Union memh r's dues received through intermedia -rv:qanCCRafael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Antonette Cook
Fx� IND
Dispatcher
8.69
273.96
❑ COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union memher's dues received through intermedia
:`man
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94921
12/15/2013
Antonette Cook
FX IND
Dispatcher
8.69
273 .96
M COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
71SCG
Union member's dues received through intermedia -rv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95003
12/31/2013
Antonette Cook
FX -1 IND
Dispatcher
8.70
273.96
F-1 COM
C/o: San Rafael Police Association
Fj OTH
City of San Rafael
1.520 Fifth Avenue
� PTY
San Rafael, CA 94901
1
Union member's dues received through intermedial:11:;anCRafael
Police Association, 1520
Fifth Avenue, _San
Rafael, CA 94883
10/31/2013
Jaime Correa
BIND
Sergeant
11.17
342.35
F-1 COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
TPTY
San Rafael, CA 94901
Union meer's dues received through intermedia
,mbdll
y: E�CtZaf ae
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
Small Contributor Committee
SCC
SUBTOTAL $
45.94
14 q liq liq ii�
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460ft 0
from 10/20/2013O'
through 12Z31/2013
Page 26 . of 85 -
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)
11/15/2013
Jaime Correa
Fx-] IND
Sergeant
11.17
342.35
MCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediazy:
anRafaeUnion
l Police Association, 1520
-Fifth Avenue, San
Rafa!al, CA 94901
11/30/2013
Jaime Correa
[Z IND
Sergeant
11.17
342.35
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
Q PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94922
12/l5/2013
Jaime Correa
Mx IND
Sergeant
11.17
342.35
MCOM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
M PTY
City of San Rafael
San Rafael, CA 94901
E;sc(�
Union member's dues received through intermedia zy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95004
12/31/2013
Jaime Correa
FX -1 IND
Sergeant
1.08
342.35
FICOM
C/o: San Rafael Police Association
MOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
1
Union member's dues received through intermediaxy:qaSnC(�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94916
10/31/2013
Ryan De Marta
M IND
Off icer
11.17
352.45
mcom
C/o: San Rafael Police Association
MOTH
City of San Rafael
1520 Fifth Avenue
M PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy:QP;,afae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL$
45.76
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 27 _ of 85 -
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Ryan De Marta
rx-1 IND
Officer
11.17
352.45
ncom
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dugs received through intermediary:
qSCC
gn Rafael
Police Association ., 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Ryan De Marta
f_xj IND
Officer
11.17
352.45
ncom
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qa'nCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94923
12/15/2013
Ryan De Marta
Fx_j IND
Officer
11.17
352.45
COM
C/o: C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received through intermediaxy:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95005__
12/31/2013
Ryan De Marta
nx IND
Officer
11.18
352.45
Com
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia i
r___1
an� zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94919
10/31/2013
Christian Diaz
nx IND
Of f icer
11.17
352.45
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediaJy:QP;Zafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL$ 55.86
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
MINE
Monetary Contributions Received Amounts may be rounded
- -- - - - --- --- - I
Statement covers period
i
CALIFORNIA
to whole dollars.
460
from 1422 }/2013
FORM
through 12/31Z2013
Page 28 of 85
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
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Christian Diaz
Fx_j IND
Officer
11.17
352.45
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throw intermedia xv:F;aS:CCRafae1
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Christian Diaz
Rx IND
Officer
11.17
352.45
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qaS:CCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94921
12/l5/2013
Christian Diaz
r_xj IND
Officer
11.17
352.45
FICOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:
q an�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95006
12/31/2013
Christian Diaz
RX IND
Officer
11.18
352.45
EICOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermedia xy:panSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94920
10/31/2013
Christopher Duncan
RX IND
Officer
11.17
352.4.5
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
'Union member's dues received through intermediajV:Q§Ff�Zafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ 55.86
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
M F na
iyae =1
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10Z20/2013
through 12/31/2013 1 Page 29 _ of 85
I.D. NUMBER
WK]"61M
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)
11/15/2013
Christopher Duncan
Fx� IND
Officer
11.17
352.45
r-1 COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throuGh intermedia iv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Christopher Duncan
[j] IND
Officer
11.17
352.45
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
F-�-SaSnCCRafael
Union member's dues received through intermedia rv:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94925
12/15/2013
Christopher Duncan
Fx_j IND
Officer
11.17
352.45
MCOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95007
12/31/2013
Christopher Duncan
[E IND
Officer
11.18
352.45
M COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
q�Zafael
Union member's dues received through intermedialv:aSnC
Police Association, 1520
Fifth Avenue,—San
Rafael, CA 94921
10/31/2013
Scott Eberle
MIND
Sergeant
11.17
352.45
❑ COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy
Q§PqZafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490LL
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
SUBTOTAL$
55.86
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10Z20Z2013
FORM
through 12/31/2013
Page 30 _ of 85
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)
11/15/2013
Scott Eberle
Fx_j IND
Sergeant
11.17
352.45
F-1 COM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received throucih intermedia iv:
an Rafael
Police Association, 1520
Fifth Aygnue. San
Rafael, CA 24901
11/30/2013
Scott Eberle[2]
IND
Sergeant
11.17
352.45
❑COIVI
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94920'
12/15/2013
Scott Eberle
[2] IND
Sergeant
11.17
352.45
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediai'v:
afael
anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9500B
12/31/2013
Scott Eberle
FX -1 IND
Sergeant
11.18
352.45
F] COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermediazy:
qscq�
an 'afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94922
10/31/2013
Christopher Fuller
nx IND
Police Officer
11.17
352.46
ncom
C/o: San Rafael Police Association
FJOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermedia
'dy
: afore
Q§�CR
ll Police Association, 1520
Fifth Avenue S
Rafael, CA 9490L
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
. ........ . .
SUBTOTAL$
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
41b Ab
"IETIMS a a 11 a S
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10Z20/2013
through 12/31/2013 1 Page 31 _ of 85
I.D. NUMBER
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Christopher Fuller
IND
Police Officer
11.17
352.46
❑Com
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:q7a'nCCRafael
Police Association 1523
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Christopher Fuller
[Z IND
Police Officer
11.17
352.46
F-1com
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
__1 SC Q_
Union member's dues received through intermedia xv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94974
12/15/2013
Christopher Fuller
F� IND
Police Officer
11.17
352.46
COM
C/o: San Rafael Police Association
F�OTH
1520 Fifth Avenue
F� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia y-v:qanSC
Rafaeel
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 95056
12/31/2013
Christopher Fuller
®IND
Police Officer
11.18
352.46
❑ COM
C/o: San Rafael Police Association
[] OTH
City of San Rafael
1520 Fifth Avenue
F� PTY
San Rafael, CA 94901
Union member's dues received through intermedia i
an Rafae
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94925
10/31/2013
Salvatore Garanzini
BIND
Officer
11.18
352.54
❑COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
C%11%
Union member's dues received throuqh intermedia
:Q9kCPafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND—individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL$
55.87
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 32 of 85
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)
11/15/2013
Salvatore Garanzini
Fx_j IND
Officer
11.18
352.54
COM
C/o: C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermedia xv:gash
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Salvatore Garanzini
[Z IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediarv:qaS:CCR.afae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
12/15/2013
Salvatore Garanzini
Fx_j IND
Officer
11.18
352.54
F] COM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
Q PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy
:E;SCCR an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94983
12/31/2013
Salvatore Garanzini
FX -1 IND
Off icer
11.18
352.54
F-1 COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
member's dues received intermediaiy:
an Rafaethrouoh
qUnion
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94926
10/31/2013
Michael Garrison
[_Xj IND
Officer
11.18
251.74
FICOM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
,Union member's dues received through intermedial:QP;afae�
Police Association, 1.520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
Reent Committee
(other than PTY or SCC)
CITH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460;
from 10/20/2013
FORM
through 12/31/2013
Page 33 of 85
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)
11/15/2013
Michael Garrison
nx IND
Officer
11.18
251.74
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv-
-.qSCC
an Rafael
Police Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Michael Garrison
FRI IND
officer
11.18
251.74
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E; SC
Union member's dues received through intermediaiv:
anR.afae-
lPolice Association, 1S20
Fifth Avenue, San
Rafael , CA 94975
12/15/2013
Michael Garrison
[j] IND
Of fiver
11.18
251.74
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;sc(�
Union member's dues received through intermediary:
an afael
Police Association, .1520
Fifth Avenue, San
Rafael, CA 95057
12/31/2013
Michael Garrison
FX -1 IND
Officer
11.18
251.74
ncom
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
member's dues received through intermediary:
afael
qannion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94927
10/31/2013
Lilah Gavlick
[2] IND
Police Officer
11.18
150.94
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1120 Fifth Avenue
n PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
mbdv
-.afaeL
L -4'P;
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $ 5 .90
5
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
lililllq imill
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4601
from 10/20/2013
FORM
through 12/31/2013
Page 34 of 85
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)
11/15/2013
Lilah Gavlick
Fx_j IND
Police officer
11.18
150.94
[ICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
qSCC
Union member's dues received through intermediazy:
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Lilah Gavlick
Fx� IND
Police Officer
11.18
150.94
M COM
C/o: San Rafael Police Association
[-] OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qaS:CCRafael
Police Association, 15201
Fifth Avenue, San
Rafael, CA 94977
12/15/2013
Lilah Gavlick
F� IND
Police Officer
11.18
150.94
F�COIVI
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
___1SCRafae
nnl
Union member's dues received through intermedia iv:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95059
12/31/2013
Lilah Gavlick
FX IND
Police Officer
11.18
150.94
mcom
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
E;sc(�
Union member's dues received throu!ah intermediaxy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94928
10/31/2013
Justin Graham
[21 IND
Officer
11.18
352.54
F-1 COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901_M
Union meer's dues received through intermedia
mbd
C
v:Q Pafael
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490L
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
Small Contributor Committee
.. .. .. .
SUBTOTAL $
55.90
FPPC Form 460 (January/05)
40 Mel
I rROTIM I 0��411 � 4 d i
111, M.- ix I gel
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/20/2013
through 12/31Z2013 I Page 35 _ of 85
19-RIKKIM-4isq,
•
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
53.42
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
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)
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)
11/15/2013
Justin Graham
nx IND
Officer
11.18
352.54
El COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:
Rafael
panCUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Justin Graham
nx IND
Officer
11.18
352.54
Com
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94929
12/15/2013
Justin Graham
Fx_j IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
F-Isca
Union member's dues received through intermedia x-v_:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95011
12/31/2013
Justin Graham
FX IND
Officer
11.18
352.54
r-1 Com
C/o: San Rafael Police Association
F� OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
E;an`tz
Union member's dues received through intermediary:
afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94929
10/31/2013
Julie Griffith
[E IND
Records Clerk
8.70
274.03
FlCOM
C/o: San Rafael Police Association
n OTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
Union member's dues received through intermedia Jy:Q§Ff(;Zafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
53.42
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
P14 TIMOM " 2 W NOTE Wo =0
Monetary "Oft ontributions Received Amounts may be rounded
t;
Statement covers period
CALIFORNIA
to whole dollars.
460'
from 10/2002013
FORM
through 12/31/2013
Page 36 of 85
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)
11/15/2013
Julie Griffith
x IND
Records Clerk
8.70
274.03
DCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
nion member's dues received throuoh intermedia-rv:an
�SCC
Rafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901
11/30/2013
Julie Griffith
Rx IND
Records Clerk
8.70
274.03
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
E; S
Union member's dues received through intermedia iv.
: aCRafaenl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94930
12/15/2013
Julie Griffith
RIND
Records Clerk
8.70
274.03
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:E;SCRafael
an
Police Association, 1520
Fifth Avenue, San
RafaelCA 9501iv
12/31/2013
Julie Griffith
RX IND
Records Clerk
8.70
274.03
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
r --- I SC
'anRafael
Union member's dues received throe intermedia iy:'
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94886
10/31/2013
Lori Hendricks
RIND
Dispatcher
8.70
274.03
[-] COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1554 Fifth Avenue
PTY
San Rafael, CA 94935
Union member's dues received through intermedia dv:Q§�CPafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL $
4-3.50
FPPC Form 460 (January/05)
,FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA
to whole dollars. 460
from 10/20/2013 FORM
through 12/31/2013 Page 37 of 85
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)
11/15/2013
Lori Hendricks
Rx IND
Dispatcher
8.70
274.03
RCOM
C/o: San Rafael Police Association
ROTH
1554 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94935
member's dues received throush intermedia-rv:
qanRaUnion fael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Lori Hendricks
Fx_j IND
Dispatcher
8.70
274-03
RCOM
C/o: San Rafael Police Association
ROTH
1554 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received through intermedia yy:qa':CCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94931
12/15/2013
Lori Hendricks
FRI IND
Dispatcher
8.70
274.03
RCOM
C/o: San Rafael Police Association
ROTH
1554 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94935
Union member's dues received through intermediaTy:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95013
12/31/2013
Lori Hendricks
FX -1 IND
Dispatcher
8.70
274.03
RCOM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1554 Fifth Avenue
PTY
San Rafael, CA 94935
EA:C(�afael
Union member's dues received throuSIh intermedia iy:
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94887
10/31/2013
Robert Henkle
RX IND
Officer
11.18
352.54
RCOM
C/o: San Rafael Police Association
EJOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received through intermedia
&:QP;afae1l
Police Association, 1.520
Fifth Avenue, S
Rafael, CA 9490L
'Union
SUBTOTAL$ 45.98
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
Type or print in ink. SCHEDULE A (CONT�.
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31Z2013
Page 38 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
8315S3qc�l
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)
11/15/2013
Robert Henkle
rx-1 IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedialv:
Rafael
panCUnion
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9490L
11/30/2013
Robert Henkle[2]
IND
Officer
11.18
352.54
FICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermediaiy:qaSnC
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94932
12/15/2013
Robert Henkle
®IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iy:qaSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95011
12/31/2013
Robert Henkle
[X] IND
Officer
11.18
352.54
f-1 COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy:
Egan Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9493)
10/31/2013
J_ Alexander Holm
RIND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermediadv-.Lg
§�CPafaell
Police Association, 1520
Fifth Avenue SAn
I
Rafael, CA 9490L
-
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31Z2013
Page 39 _ of 85 -
I.D. NUMBER
NAME OF FILER
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)
11/15/2013
J. Alexander Holm
IND
Officer
11.18
352.54
MCONI
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
[;SCC
Union member's dues received through intermediary:
an Rafael
Police Association, 1520
Fifth venue, San
Rafael, CA 94901
11/30/2013
J. Alexander Holm
[Z IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
_�
r"San
Union member's dues received through intermedia iv
:'CRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94933
12/15/2013
J. Alexander Holm
Fxj IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:
ansa
qRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95015
12/31/2013
J. Alexander Holm
[E IND
Officer
11.18
352.54
[]COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
E;
Union member's dues received through intermediary:
anSCR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94931
10/31/2013
Lisa Holton
FX1 IND
Sergeant
11.18
352.54
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901M
pion meer's dues received through-intermedia
[Umbdy
C
Pafae1l
Police Association, 15201
Fifth Avenue, S
Rafael, CA _9490L
*Contributor Codes
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Contributor Committee
SUBTOTAL$
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period II
CALIFORNIA
to whole dollars.
,
460
from 10/20Z2013
FORM
through 12/31/2013
Page 40 _ of 85
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Lisa Holton
rx-1 IND
Sergeant
11.18
352.54
com
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
F-1 SCC
Union member's dues received through intermedia zy:-8an
Rafael
Police Association, 1520
Fifth &venue, San
Rafael, CA 94901
11/30/2013
Lisa Holton
nx IND
Sergeant
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:qaSnCCZafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94934
12/15/2013
Lisa Holton
0 IND
Sergeant
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qaSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95016
12/31/2013
Lisa Holton
[M IND
Sergeant
11.18
352.54
ncom
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
member's dues received through intermedia
an{;`PafaeUnion
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94932
10/31/2013
Kyle Hornstein
nx IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1S20 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dv:Q§�CI�Zafael
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490L
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SUBTOTAL$
55. 90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
xq;
unts may be rounded
Monetary Contributions Received Amounts
Statement covers period
CALIFORNIA
whole dollars.
460ft 0
from 10/20/2013
FORM
through 12/31/2013
Page 41 _ of 85
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. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
ll/lS/2013
Kyle Hornstein
Fx_j IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia -ry:F;aSn0CRafae1
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94201
11/30/2013
Kyle Hornstein
nx IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:CRafael
�an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94935
12/15/2013
Kyle Hornstein
r_xj IND
Corporal
11.18
352.54
FICOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiy:qdSnCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95017
12/31/2013
Kyle Hornstein
FX -1 IND
Corporal
11.18
352.S4
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediaiy:LSC
:Lan
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94933
10/31/2013
Carl Huber
[K IND
Corporal
11.18
3S2.54
ncom
C/o: San Rafael Police Association
OTH
City of San Rafael
1820 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia d'-E_AMCtZafae1
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
777
Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$ . . . ... ..
5 5 9 0
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Nos- Min
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/20/2013
6:14 ru t z I a M N KK*M Ij
*Contributor Codes
IND—individual
Recipient Committee
(other than PTY or SC
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
through 12/31/2013
Page 42 _ of 85
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)
11/1S/2013
Carl Huber
f x-1 I N D
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
1 SCC
Union member's dues received through intermedia xy:L-4an
Rafael
Police Association, 1520
Fifth Avenue. Sa,
n Rafael
- 9
CA4901
11/30/2013
Carl Huber
nx IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
S
Unionmember's dues received through intermediayv:qanCl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael,
-CA 94936
12/15/2013
Carl Huber
nx IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union members s dues received through intermediaiv:
qaSnCCRaf ael
Police Association, 1520
Fifth Avenue,--- San
Rafael
CA 95016
12/31/2013
Carl Huber
nx IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
FJOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
member's dues received throu2h intermedia-ry.-
qan`Union afore
l Police Association, 1520
Fifth Avenue, San
Rafael,
CA 94931
10/31/2013
Eric Huot
nx IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia&:L�
§� CPafaell
Police Association1.520
Fifth Avenue S
Rafael,
CA 9490L
SUBTOTAL$ 90
*Contributor Codes
IND—individual
Recipient Committee
(other than PTY or SC
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10220/2013
through 12Z31/2013 age 43 _ of 85
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)
11/15/2013
Eric Huot
IND
Officer
11.18
352.54
ncom
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediary
Rafae :F_1SanSC
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Eric Huot
nx IND
Officer
11.18
352.54
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
CC
Union member's dues received through intermedia rv:-F--3an
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94937
12/15/2013
Eric Huot
nx IND
Officer
11.18
352.54
EICOM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;SC�z
Union member's dues received through intermedia 'ry:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95019
12/31/2013
Eric Huot
nx IND
Officer
11.18
352.54
F-1 COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermedia zy:
qanRafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94935
10/31/2013
Scott I ngels
nx IND
Corporal
11.18
352.54
ncom
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediadv:
afael
Police Association, 1520
Fifth Avenue, SIn
Rafael, CA 9490L
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
0 At
. . . . . . . . . . .
SUBTOTAL$
55.09
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
t
Mo netary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460'
from 10/20/2013
FORM
through 12Z31/2013
Page 44 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
, .
(IF COMMITTEEALSO ENTER ID. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Scott Ingels
Fx] IND
Corporal
11.18
352.54
QCOIVI
C/o: San Rafael Police Association
E]OTH
1520 Fifth Avenue
Q PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiy:E;aS
nCCRafae1
Po ice Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Scott Ingels
Fx� IND
Corporal
11-18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E; CR
member's dues received through intermedia iv:
anUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94938
12/15/2013
Scott Ingels
Fx_j IND
Corporal
11.18
352.54
[I COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iy:qaSnCCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95020
12/31/2013
Scott Ingels
RX IND
Corporal
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia
:E;a'nKafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9493
10/32/2013
Lynette Keller
RIND
Community Service Officer
8.70
274.03
RCOM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
'Union member's dues received through intermediady:Q§�qzafaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND—individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
53.42
FPPC Form 460 (January/05)
Fsir C Toll -Free Helpline: ass 1ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whale dollars.
460'i
from 10/20/2013
FORM
through 12/31/2013
Page 45 of 85
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)
11/15/2013
Lynette Keller
x IND
Communit Service Officer
y
8.70
274.03
❑COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:qSCC afae
Police Association 1520
Fifth Avenue San
Rafael CA 24901
11/30/2013
Lynette Keller
x IND
Communit Service Officer
Y
8.70
274.03
QCOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City Of San Rafael
San Rafael, CA 94901
E�`�j
CR
Union member's dues received through intermedia
:`fan an
Police Association 1520
Fifth Avenue San
Rafael CA 9493
12/15/2013
Lynette Keller
ZINC}
❑
CommunityService Officer
8.70
274.03
n COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
L� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:�anRafae
Police Association 1520
Fifth Avenue San
Rafael CA 9502
12/31/2013
Lynette Keller
xIND
CommunityService officer
8.70
274.03
QCOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
(�
(an
Union member's dues received. through intermedia
`
:`-SRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9488
10/31/2013
Rebecca Kuga
nIND
YSR Supervisor
8.70
274.03
❑ COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Inion member's dues received three h intermedia
: afael
Police Association 1.520
Fifth Avenue S
n Rafael CA 9490
*Contributor Codes
Individual
COM — Recipient Committee
than PTY or SCC)
•
Political., business entity)
Party
Cofttribu-tor Cateiiiftee
SUBTOTAL $
43.50
FPPC Form 460
s s Toll -Free i s• s (866/275-3772)
iq��q III,! �I q111111 III �� I
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10220Z2013
FORM
through 12Z31/2013
Page 46 of 85
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)
1l/15/2013
Rebecca Kuga
nx IND
YSB Supervisor
8.70
274.03
F-1 COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
F� SCRLfae
Union member's dues received throw intermediaiv:l
Police Association, 1520
Fifth Avenue, San
Rafael, M 24901
11/30/2013
Rebecca Kuga
[Z IND
YSB Supervisor
8.70
274.03
r-1 COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaS:CCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94940
12/15/2013
Rebecca Kuga
[j] IND
YSB Supervisor
8.70
274.03
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaTy:
q an{; Zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95022
12/31/2013
Rebecca Kuga
nx IND
.YSB Supervisor
8.70
274.03
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
r__1
member's dues received through intermediaxy:L-4l
an�RafaeUnion
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94889
10/31/2013
Marc Laplante
nx IND
Officer
11.18
352.53
F-1 COM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
,Union member's dues received through intermedia
afae,l
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
SCIC — Small Contributor Committee
0 It
. . ... . . . ..
SUBTOTAL $
45.98
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4,w 0
from 10/20/2013
FORM
through 12/31/2013
Page 47 of 85
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)
11/15/2013
Marc Laplante
nx IND
Officer
11.18
352.53
ncom
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:q�anRafael
Police Association, -15 0
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Marc Laplante
nx IND
Officer
11.18
352.53
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
nionmemberIIs dues received through intermedialv:qaSnCl
Rafae
Police Association, 1520
Fifth Avenue . San
Rafael CA 94941
12/15/2013
Marc Laplante
nx IND
Officer
11.18
352.53
F] COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:E;SCCRafael
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95023
12/31/2013
Marc Laplante
BIND
Officer
11.18
352.53
ncom
C/o: San Rafael Police Association
QOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
E;aS:C�Zafael
Union member's dues received through intermedia
:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94937
10/31/2013
Kimberly Larkey
BIND
Officer
11.18
352.53
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
�Jnion member's dues received through intermediadL
�� C
Pafaell
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$55.94
It
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 48 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Kimberly Larkey
FRI IND
Of f icer
11.18
352.53
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
FI SCC
Union member's dues received throe intermedia-rv:---5an
Rafael
Polic!a Association, 1520
Fifth Avenue S
n Rafael, CA 949011
11/30/2013
Kimberly Larkey
[j] IND
Of f icer
11.18
352.S3
nCOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:�6SHCCRafael,
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94942
12/15/2013
Kimberly Larkey
[ZIND
Officer
11.18
352.S3
QCom
C/o: San Rafael Police Association
�OTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qaS:CRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95021
12/31/2013
Kimberly Larkey
®IND
Officer
11.18
352.53
[:] COM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
Union member's dues received throu2h intermediaxy:E;aSnCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94936
10/31/2013
Anndora Lee
FIND
Dispatcher
8.70
274.03
EICOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
� PTY
San Rafael, CA 94901
Union member's dues received through intermedia&:L-4
r_M(;,afae1
Police Association 15201
L
Fifth Avenue, SAn
Rafael, CA 9490L
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
�� I
..........
SUBTOTAL$
53.42
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
&TIT—M 11
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12231/2013
Page 49 _ of 85 -
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)
11/15/2013
Anndora Lee
IND
Dispatcher
8.70
274.03
COM
C/o: San Rafael Police Association
[-1 OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901C
Union member's dues received through intermedia-rv:qaSnC
Rafael
Police Association, 1520.
Fifth Avenue San
Rafael, CA 94901_
11/30/2013
Anndora Lee
Rx IND
Dispatcher
8.70
274.03
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermedia rv:an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94943
12/15/2013
Anndora Lee
Rx IND
Dispatcher
8.70
274.03
FICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:
qsaRafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 95025
12/31/2013
Anndora Lee
FX -1 IND
Dispatcher
8.70
274.03
FlCOM
C/o: San Rafael Police Association
E]OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediazy:qaP�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94893
10/31/2013
Rogelio Leon
IND
Sergeant
11.18
352.53
E]COM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
[:] PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
mbdv
: afae�
Q§�CP
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490L
IND—individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
45.98
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
5 mwj4, SCHEDULE A (CONT)
Tvpe or print in ink.
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460'
from 10/20/2013
FORM
through 12/31/2013
Page 50 Of 85
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)
11/15/2013
Rogelio Leon
Fx] IND
Sergeant
11.18
352.53
F] COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901C
Union member's dues received throe intermediayy:F---5aSnC
Rafael
Police Association, 1520
Fifth Lvenue, San
Rafael, CA 94901
11/30/2013
Rogelio Leon
Fx IND
Sergeant
11.18
352.53
F1 COM
C/o: San Rafael Police Association
� OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
-"CCRafael
Union member's dues received through intermediaiv
J—an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94944
12/15/2013
Rogelio Leon
BIND
Sergeant
11.18
352.53
EICOM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
D PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediaxy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, _CA 95026
12/31/2013
Rogelio Leon
®IND
Sergeant
11.18
352.53
F-1 COM
C/o: San Rafael Police Association
FQOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia xy:E;aSnCCkafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94939
10/31/2013
Kevin Macdougald
FX -1 IND
Officer
11.18
3S2.54
QCOM
C/o: San Rafael Police Association
FIOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
nion member's dues received through intermedia
'U&
Q§PC
: !Zafaelll
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
IND — Individual
COM — Reent Citt-
,o
(ther than PTY or SCC)
Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
0 It
. . . ........ . . ..
SUBTOTAL$
55 .90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
111 1111 qqi&
1
'111111 �•� SEEMS
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
,
460
from 10/20/2013
FORM
through 12/31/2013
Page 51 Of 85
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)
11/15/2013
Kevin Macdougald
Rx IND
Officer
11.18
352.54
ROOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Kevin Macdougald
Rx IND
Officer
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
--
member's dues received through intermediaxv:l
q
anRafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94945
12/15/2013
Kevin Macdougald
[ZIND
Officer
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
RPTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediayv:qanSC
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95027
12/31/2013
Kevin Macdougald
FX -1 IND
Officer
11.18
3S2.54
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediaiy:�aECCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94940
10/31/2013
Michael Mathis
RIND
Corporal
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
'mbdy
Q§�C
: �afael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.90
FPPC Form 460 (Januaty/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10Z20/2013
FORM
through 12/31/2013
Page 52 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
r, C� "�
8311-11
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)
11/15/2013
Michael Mathis
MIND
Corporal
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermedia yv:
an Rafael
Police Association, 1520
Fifth Lvenue, San
Rafael, CA 94901
11/30/2013
Michael Mathis
MIND
Corporal
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
F-1
Union member's dues received through intermedia ry:
an R.afae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94946
12/15/2013
Michael Mathis
Rx IND
Corporal
11.18
352.54
F-1 COM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCCR
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9502B
12/31/2013
Michael Mathis
RX IND
Corporal
11.18
352.54
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia ry:E;a'P�afael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94942
10/31/2013
Kelly Mauel
RX IND
Records Clerk
8.70
274.05
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
[Union member's dues received through intermedia dy-_:LA�CPafaell
Police Association, 152'0
Fifth Avenue, Sdn
Rafael, CA 949011.
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
53.42
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
M onetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10Z20/2013
FORM
through 12/31/2013
Page 53 . of 85 -
NAME OFFILER
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)
11/15/2013
Kelly Mauel
F_x] IND
Records Clerk
8.70
274.05
F-1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qanSC
Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Kelly Mauel
[Z IND
Records Clerk
8.70
274.05
EICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
F-1
Union member's dues received through intermedia iy:—'5aS:CCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94947
12/15/2013
Kelly Mauel
BIND
Records Clerk
8.70
274.05
ROOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
sa�
Union member's dues received through intermedial'V:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95029
12/31/2013
Kelly Mauel
RIND
Records Clerk
8.70
274.05
RCOM
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received through intermediary:
�anUnion afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94891
10/31/2013
Abigail Mcelderry
FX-1 IND
Dispatcher
8.70
274.05
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediaxv:Q�PCPafael
Police Association, 1520
Fifth Avenue, Sin
Rafael, CA 9490L
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
43.50
FPPC Form 460 (January/05)
F
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
t© whole dollars.
4 0
from 10Z20/2013
FORM
through 12/31/2013
Page 54 _ of 85 -
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)
11/15/2013
Abigail Mcelderry
nx IND
Dispatcher
8.70
274.05
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;anC
Union member's dues received through intermedia"rv:
Rafae
l Police Association, 1520
Fifth Avenue. San
Rafael CA 94901
11/30/2013
Abigail Mcelderry
Fx_j IND
Dispatcher
8.70
274.05
COM
C/o: San Rafael Police Association
FJOTH
1.520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yv:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94979
12/15/2013
Abigail Mcelderry
nx IND
Dispatcher
8.70
274.05
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaSHCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95061
12/31/2013
Abigail Mcelderry
nx IND
Dispatcher
8.70
274.05
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received throe intermedia iy:
qsna�
aafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94892
10/31/2013
Phillip Melodia
®IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia d-v:MCRafael
r
EA
Police Association, 1520
Fifth Avenue,, S
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
45.98
FPPC Form 460 (January/05)
5Z.7.9
Type or print in ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460';
from 10/2022013
FORM
through 12Z31/2013
Page 55 - Of 85
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)
11/15/2013
Phillip Melodia
Rx IND
Cuff icer
11.18
352.56
F-1 COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received throu_gh interm, dia-rv:
qSCC
an Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Phillip Melodia[ZIND
Of f icer
11.18
352.56
RCOM
C/o: San Rafael Police Association
Fj OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901SCC
Union member's dues received through intermediary-Fan
:-SRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94949
12/15/2013
Phillip Melodia
®IND
Of f icer
11.18
352.56
RCOM
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iv:E;anSC
�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95031
12/31/2013
Phillip Melodia
FX -1 IND
officer
11.18
352.56
❑ COM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received through intermediaiv:
an`FafaeUnion
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94941
10/31/2013
Beth Minka
RIND
Administrative Technician
8.70
274.05
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
,mb&:
L-A ' �� CVafae�
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL
53.42
FPPC Form 460 (January/0'
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
�Ij SRI iii �J] II� I III
11111 II� I III A.&
Statement covers period
from 10/20/2013
through 12/31/2013 1 Page 56 _ of 85 _
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)
ll/lS/2013
'Beth Minka
IND
Administrative Technician
8.70
274.05
FICOM
C/o: San Rafael Police Association
[:1 OTH
1.520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:E;aS:CCRafael
Po ice Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Beth Minka
FRI IND
Administrative Technician
8.70
274.05
❑COM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
F-1
Union member's dues received through intermediaxv:---5a'nCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94950
12/15/2013
Beth Minka
F_x] IND
Administrative Technician
8.70
274.05
COM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
0 PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermedia rv:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95032
12/31/2013
Beth Minka
[K IND
Administrative Technician
8.70
274.05
RCOM
Clo: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
(�afael
Union member's dues received through intermedia xy:LganSC
Police Association, 151220
Fifth Avenue, San
Rafael, CA 94893
10/31/2013
Jorge Navarro
RIND
Evidence Technician
8.70
274.051
RCOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediadv:[AP�Zafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
SUBTOTAL $
43.50
*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
#
Statement covers period CALIFORNIA
FORM 460
from 10/20Z2013
through 12Z31/2013 Page 57 of 85
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)
1l/15/2013
Jorge Navarro
IND
Evidence Technician
8.70
274.05
COM
C/o: C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's dues received through intermedia2:v:E;aSnCl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Jorge Navarro
Fxj IND
Evidence Technician
8.70
274.05
F� COM
C/o: San Rafael Police Association
MOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:Ft3anSC
Rafae
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 94951
12/15/2013
Jorge Navarro
[_B IND
Evidence Technician
8.70
274.05
D COM
C/o: San Rafael Police Association
[_1 OTH
1.520 Fifth Avenue
F_� PTY
City' of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:qaSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95033
12/31/2013
Jorge Navarro
FX] IND
Evidence Technician
8.70
274.05
❑ COM
C/o: San Rafael Police Association
Q OTH
City of San Rafael
1520 Fifth Avenue
Fj PTY
San Rafael, CA 94901
Union member's dues received throw intermediary:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94891
10/31/2013
Alexis Nielsen
FX -1 IND
Dispatcher
8.70
274.05
F�Com
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
.Union member's dues received through intermediady:Q§�CRafaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
-------------------------
�P
SUBTOTAL$
4 3.50
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20Z2013
FORM
through 12/31Z2013
Page 58 Of 85
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)
11/15/2013
Alexis Nielsen
IND
Dispatcher
8.70
274.05
RCOM
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
d
Union member's dues receivethrough intermedia
qSCC
an Rafael
Police Association, 1520
Fifth Avenue. San
LZafael, CA 94901
11/30/2013
Alexis Nielsen
[Z INDDispatcher
8.70
274.05
F-1 COM
C/o: San Rafael Police Association
Ej OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:aSnCCRafae1
q
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94952
12/15/2013
Alexis Nielsen
Rx IND
Dispatcher
8.70
274.05
FICOM
C/o: San Rafael Police Association
F -I OTH
❑PTY
1520 Fifth Avenue
city of San Rafael
San Rafael, CA 94901
union member's dues received through intermediazv:[;dSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95034
12/31/2013
lexis Nielsen
RX IND
Dispatcher
8.70
274.05
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
E;JSPRafael
Union member's dues received through intermediaxy:
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94895
10/31/2013
Leslie O'Toole
FX -1 IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dy:Q§PCPafae
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Sittall Cnkcilkutor Goiniciffee
SUBTOTAL $ 45.98 ------ -------- ----- -------
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
10%
Monetary Amounts may be rounded
t;ontributions Received
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10Z20`Z2013
FORM
through 12/31Z2013
Page 59 Of 85
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
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Leslie O'Toole
nx IND
Officer
11.18
352.56
EICONI
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;aSnC C
Union member I s dues received through intermedia lv:
Raf ael
Police Association, 1520
Fif th Avenue, San
Rafael CA 94901
11/30/2013
Leslie O'Toole
[Z IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermediary:anafael
�SCCRUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94953
12/15/2013
Leslie O'Toole
M IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
]OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:E4PRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9503-D
12/31/2013
Leslie O'Toole
nx IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throu2h intermedia xv:EA:C�Zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94945
10/31/2013
Meaghan Pang
nx IND
Dispatcher
8.70
274.05
ncom
C/o: San Rafael Police Association
F] OTH
City of San Raphael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediadV:E__AMCPafae1
r
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
IND—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOW-W
53.42
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFRNIA
O4601
to whole dollars.
from 10/20/2013
FORM
through 12131./2013
Page 60 of 85
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 THS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
{IF COMMITTEE, ALSO ENTER I.Q. NUMBER}
CODE
{IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS}
ll/15/2013
Meaghan Pang
x IND
❑
Dispatcher
8.70
274.05
F� COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
Q PTY
City of San Raphael
San Rafael, CA 94902
m
Union member's dues received through interedia
qscc
RafaelPolice
Association 520
Fifth Acre ue
n Rafael CA 94901
11/30/2013
Meaghan Pang
x INDp
Dis atcher
8.70
274.05
M COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F] PTY
City of San Raphael
San Rafael, CA 94901
((��
Union member's dues received. through intermedia
:`man Rafae
Police Association 1520
Fifth Avenue San
Rafael CA 9497
12/15/2013
Meaghan Pang
nx IND
Dispatcher
8.70
274.05
EICOM
C/o: San Rafael Police Association
❑OTH
1520 Fifth Avenue
PTY.
City of San Raphael
San Rafael, CA 94902
Union member's dues received through intermedia
anRafae
Police Association 1520
Fifth Avenue San
Rafael CA 9505
12/31/2013
Meaghan Pang
X IND
Dispatcher
p
8.70
274.05
0 COM
C/o: San Rafael Police Association
BOTH
City of San Raphael
1520 Fifth Avenue
PTY
San Rafael, CA 94901.
Union member's dues received throe h intermediayy::;aSnCRafael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 9489
10/31/2013
Nicola Pata
FRI IND
Dispatcher
8.70
274.05
0 COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
..anion member's dues received through intermedia&:Q§�CVafael
Police Association 1.520
Fifth Avenue S
n Rafael CA 94.90
Individual
Recipient Committee
Political(other than PTY or SCC)
OTH — Other (e.g., business entity)
SUBTOTAL $
43.50
FPPC Form • II
P • Toll -Free Helpline: • • air (866/275-3772)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10/20/2013
99WEERINKMEW
through 12/31/2013
Page 61 _ of 85
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
C U M U LATIVE 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)
11/15/2013
Nicola Pata
rx-1 IND
Dispatcher
8.70
274.05
ncom
C/o: San Rafael Police Association
[]OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
_1SCl
member's dues received through intermediaxy:F-5anSan
Rafae
Police Association, 1520
Fifth AyUnion
Rafael, CA 9420L
11/30/2013
Nicola Pata
[E IND
Dispatcher
8.70
274.05
EICOM
C/o: San Rafael Police Association
[DOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94951
12/15/2013
Nicola Pata
nx IND
Dispatcher
8.70
274.05
EICOM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95036
12/31/2013
Nicola Pata
nx IND
Dispatcher
8.70
274.05
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermedia zy:
q ansaR afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94897
10/31/2013
Brian Patterson
FIND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901§PC
'mbd-VL-A
Union meer's dues received through intermedia
:Zafael
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490L
SUBTOTAL$
45.98
*Contributor Codes
IND -individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
♦ Type or print in ink. SCHEDULE A (CONT)
M C} '1E' Contributions Keceived Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31Z2013
Page 62 _ of 85
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)
11/15/2013
Brian Patterson
X IND
Officer
11.18
352.56
ICOM
C/o: San Rafael Police Association
Q OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:qaK
Raf ael
Police Association, 1520
Fifth Aven1je, San
Rafael, CA 24901
11/30/2013
Brian PattersonFx_j
IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
CRafael
Union member's dues received through intermedia xv:Tan
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94956
12/15/2013
Brian Patterson
Rx IND
Officer
11.18
352.56
ICOM
C/o: San Rafael Police Association
[:] OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
E;SC(�
Union member's dues received through intermediary:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95038
12/31/2013
Brian Patterson
FX -1 IND
Of fiver
11.18
352.56
[-] Com
C/o: San Rafael Police Association
F-1 OTH
City of San Rafael
1520 Fifth Avenue
El PTY
San Rafael, CA 94901
r__1 SC 1�af
Union member's dues received through intermediary:
L-4an ael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94947
10/31/2013
Buffy Paxson
FX -1 IND
Officer
11.18
352.56
COM
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throw intermedia&:Q§�CPafael
Police Association, 1520
Fifth Avenue, Sdn
Rafael, CA 9490L
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SUBTOTAL$ -55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20Z2013
FORM
through 12Z31Z2013
Page 63 _ of 85 -
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)
11/15/2013
Duffy Paxson❑IND
Officer
11.18
352.56
FICOM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Fj SCRafae
Union member's dues received through intermedia xy:--sl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Duffy Paxson
[Z IND
.Officer
11.18
352.56
❑COIVI
C/o: San Rafael Police Association
OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:
anqsaRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94957
12/15/2013
Duffy Paxson
nx IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
qanafae�z
l Police Association, 1520
Fifth Avenue, San
Rafael, CA 95039
12/31/2013
Duffy Paxson
FX -1 IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermediazy:qaSnC�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94948
10/31/2013
Aaron Piombo
nX IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
FJOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
,mbdv
: Q§��ZafaeL
Police Association, 1520
Fifth Avenue, Sdn
Rafael, CA 9490L
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Ell
Monetary Contributions Received Amounts may be rounded
Statement covers period
CARA
LIFONI
to whole dollars.
460'
from 10Z20/2013
FORM
through 12Z31Z2013
Page 64 _ of 85
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)
11/15/2013
Aaron Piombo
Rx IND
Officer
11.18
352.56
D COM
C/o: San Rafael Police Association
[__j OTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
Union member' r2 dues received through intermediazy:
qSCC
an Rafael
Police Association, 1520
Fifth AveLiue. San
Rafael, CA 94901
11/30/2013
Aaron Piombor-xl
IND
Officer
11.18
352.56
F] COM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through intermedia iv:
aSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9495B
12/15/2013
Aaron Piombo
FRI IND
Officer
11.18
352.56
F-1 COM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiy:qdS:CRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95040
12/31/2013
Aaron Piombo
r_xj IND
Off icer
11.18
352.56
FICOM
C/o: San Rafael Police Association
F� OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
��jj
Union member's dues received through intermedia xy:qJSP�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94951
10/31/2013
Dennis Prince
BIND
Officer
11.18
352.56
COM
C/o: C/o: San Rafael Police Association
n OTH
City of San Rafael
15220 Fifth Avenue
F� PTY
San Rafael, CA 94901
Union member's dues received through intermediajy:QCfZafael
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
IND—Inddual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
Political Party
SCC — Small Contributor Committee
SUBTOTAL $
SS."
_"o
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4'oftu
10
from 10/20/2013
FORM
through 12/31/2013
Page 65 _ of 85
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 M U LATIVE 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)
11/15/2013
Dennis Prince
nx IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
member's dues received through intermedia-rv-SCanl
RafaeUnion
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94201
11/30/2013
Dennis Prince
[Z IND
Officer
11.18
352.56
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:E;SCCR.afael
an
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94963
12/15/2013
Dennis Prince
nx IND
Officer
11.18
352.56
F-1COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediax-v:E;'C
an Rafa.el
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95042
12/31/2013
Dennis Prince
[S] IND
Officer
11.18
352.56
E]COM
C/o: San Rafael Police Association
❑nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received throe intermediaxy:E;a'nKafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94952
10/31/2013
Ronda Reese
[ZIND
Corporal
11.18
352.56
EICOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901LAR�f
C",CV
Union member's dues received through intermedia
afael
Police Association, 1520
Fifth Avenue Sdn
L
Rafael CA 9490L
I
*Contributor C•s-
• •
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$
55.90
q
TVpe or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
41Ajft 0
from 10/20/2013
FORM
through 12/31/2013
Page 66 . of 85 -
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)
11/15/2013
Ronda Reese
Fxj IND
Corporal
11.18
352.56
F-1 COM
C/o: San Rafael Police Association
F1 OTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
E;SCC
Union member's dues received through intermedia -rv:
an Rafael
Police Asgiociation, 1520
Fifth Avenue, San
Rafael, CA 24901
11/30/2013
Ronda Reese
®IND
Corporal
11.18
352.56
FICOM
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
F-5an _1
Union member's dues received through intermedia
:SCRafae
l Police Association, 1520
Fifth Avenue. San
Rafael, CA 9496zy
12/15/2013
Ronda Reese
[j] IND
Corporal
11.18
352.56
RCOM
C/o: San Rafael Police Association
F] OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
SC
Union member's dues received through intermediaxy:L-4anl�afael
Police Association, 1520
Fifth AvenueS
,
n RafaelCA 9504
,
3
12/31/2013
Ronda Reese
RIND
Corporal
11.18
352.56
OCOM
C/o: San Rafael Police Association
❑ OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
nion member's dues received through intermediary
-l
�an�afae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94953
10/31/2013
Margo Rohrbacher
RX IND
Civilian Supervisor
8.70
274.05
EICOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
R PTY
San Rafael, CA 94901__1§PC
Union meer's dues received through intermedia
,mbdv
r
Vafae1l
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contributor Committee
. . .....
SUBTOTAL $
.
53.42
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
lip 111Ipj! y
Monetary Contributions Received Amounts may be rounded
Statement coversperiodCALIFORNIA
to whole dollars.
4 6 U4%
from 10/20/2013
FORM
through 12Z31/2013
Page 67 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Margo Rohrbacher
nx IND
Civilian Supervisor
8.70
274.05
ncom
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia zy:
qSCC
an RafaelPolice
Association, 1520
Fifth Avenue. San
Rafael, CA 94901
11/30/2013
Margo Rohrbacher
Fxj IND
Civilian Supervisor
8.70
274.05
ncom
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's dues received through intermediarv:E;anl
Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94962
12/15/2013
Margo Rohrbacher
IND
Civilian Supervisor
8.70
274.05
com
C/o: San Rafael Police Association
BOTH
1520 Fifth Avenue
Q PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediazy:
qsc�z
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95044
12/31/2013
Margo RohrbacherxIND
Civilian Supervisor
8.70
274.05
ncom
C/o: San Rafael Police Association
FJOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received through intermedia zy:
q an`Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94898
10/31/2013
Peggy Ruge
BIND
Community Service Officer
8.70
274.12
EICOM
C/o: San Rafael Police Association
Fj OTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
nion meer's dues received through intermedia
,Umbdy
r __'M�Z afaell
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
1 IND—Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
Small Contributor Committee
41H
SUBTOTAL$
43.50
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12Z31Z2013
Page 68 - Of 85 -
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831551
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)
11/15/2013
Peggy Ruge
IND
Community Service Officer
8.70
274.12
000M
C/o: San Rafael Police Association
[RUTH
1520 Fifth Avenue
� PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:[;aSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Peggy Ruge
Fx IND
Community Service Officer
8.70
274.12
❑COM
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
❑ PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia -rv:q7aSnCCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94963
12/15/2013
Peggy Ruge
nx IND
Community Service Officer
8.70
274.12
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
71 SCCI_
Union member's dues received through intermedia rv:qan
Rafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95045
12/31/2013
Peggy Ruge
Fx� IND
Community Service Officer
8.70
274.12
F-1 COM
C/o: San Rafael Police Association
F_� OTH
City of San Rafael
1520 Fifth Avenue
F_� PTY
San Rafael, CA 94901
1
Union member's dues received through intermedialy:L-4:C
Zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94899
10/31/2013
Thomas Sabido
Fx� IND
Officer
11.18
352.56
EDCUM
C/o: San Rafael Police Association
RUTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
neon meer's dues received throe intermedia
Umbdy
__7�Pq ZafaeIll
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490L
*Contributor Codes
IND — Individual
Recipient Committee
(other than PTY or SCC)
Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL$45.98
FPPC Form 460 (January/01
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31/2013
Page 69 _ of 85 -
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Thomas Sabido
x IND
-ICOM
Officer
11.18
352.56
F
C/o: San Rafael Police Association
F ] OTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Unionmember's dues received through intermediayy:ianCl--Police
Rafae
Association, 1520
Fifth Avenue. San
Rafael. CA 94901
11/30/2013
Thomas Sabido
FZ IND
Officer
11.18
352-56
QCOIVI
C/o: San Rafael Police Association
F-1 OTH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901Rafae
[;aSnCl
Union member' s dues received through intermedialv:
Police Association, 1520
Fifth Avenue, San
Rafael CA 9496
4
12/l5/2013
Thomas Sabido
®IND
Officer
11.18
352.56
FICOM
C/o: San Rafael Police Association
OATH
1520 Fifth Avenue
F] PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxy:qaSCniilafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9504.
12/31/2013
Thomas Sabido
RX IND
Officer
11.18
352.56
RCOM
C/o: San Rafael Police Association
ROTH
City of San Rafael
1520 Fifth Avenue
F-1 PTY
San Rafael, CA 94901
Union member's dues received throuilh intermedia iy.-qaS:CRafael
Police Association, 1.520
Fifth Avenue, San
Rafael, CA 94951
10/31/2013
George Schikore
FX -1 IND
Of fiver
11.18
352.56
�COIVI
C/o: San Rafael Police Association
Fj OTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union meer's dues received through intermedia
,mbdy
_-MC'
Zaf aell
Police Association 1520
Fifth Avenue, SAn
Rafael, CA 949011
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Coalr4utor Committee
SUBTOTAL$
:Z1
55.90
112L: I
FPPC Form 460 (January/Oil"
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
bo
from 10Z20Z2013
FORM
through 12/31/2013
Page 70 of 85
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)
11/15/2013
George Schikore❑IND
Officer
11.18
352.56
RCOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xv:qaS;CiCRafae1
Police Association, -1520
Fifth AvenLie. San
Rafael, CA 94901
11/30/2013
George Schikore[j]
IND
Officer
11.18
352.56
Q COM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia Yy—_'5aSnCCRafael
:Can
Police Association , 1520
Fifth Avenue, San
Rafael, CA 94965
12/15/2013
George Schikore
Fxj IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
ROTH
1520 Fifth Avenue
R PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia Tv:
q anafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95047
12/31/2013
George Schikore
RIND
Off icer
11.18
352.56
RCOM
C/o: San Rafael Police Association
❑OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
member's dues received through intermediaiy:
�an�Union afael
Police Association, 1520
Fifth Avenue, -San
Rafael, CA 94955
10/31/2013
Justin Schraeder
RIND
Off icer
11.18
352.56
RCOM
C/o: San Rafael Police Association
[:] OTH
City of San Rafael
1520 Fifth Avenue
F] PTY
San Rafael, CA 94901
,Union member's dues received through intermedia ny
Q§�C�zafael
Police Association, 1520
Fifth Avenue, Sin
Rafael , , CA 9490�
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
,Sf,_C,—�zL2JLC_a1,ttriWutor Committee
SUBTOTAL$
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Monetary Contributions Receiv d Amounts may be rounded
Statement covers period
CALIFORNIA A$
to whole dollars.
tft 0
4
from 10Z20/2013
FORM
through 12/31/2013
Page 71 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831r,.5C� _�
53
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Justin Schraeder
rx] IND
officer
11.18
352.56
ncom
C/o: San Rafael Police Association
n OTH
1520 Fifth Avenue
F1 PTY
City of San Rafael
San Rafael, CA 94901
E;SCRa
Union memo is dues received through intermedia Ty:
anfael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Justin Schraeder
®IND
Officer
11.18
352.56
nCOM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia ]rV:E;aSnCRafae1
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94966
12/15/2013
Justin Schraeder
[j] IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia xy:qaSnCCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95046
12/31/2013
Justin Schraeder
nx IND
Officer
11.18
352.56
FICOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
E;SC(�
Union member's dues received throe intermediaxy:
an afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94956
10/31/2013
Wanda Spaletta
[KIND
Sergeant
11.18
352.56
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia dv:LA�CRafaeL
Police Association, 1520
Fifth Avenue, S
Rafael, CA 94901l
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCIC — Small Contributor Committee
SUBTOTAL $
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
♦Twe or print in ink. SCHEDULE A (CONT.)
''MoTtWheex
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 14Z20/2013
FORM
through 12/3lZ2013
Page 72 of 85
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)
11/15/2013
Wanda Spaletta
nx IND
Sergeant
11.18
352.56
FICOM
C/o: San Rafael Police Association
QOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;SCRafael
Union member's s dues received through intermediayv:
an
Police Association, 1520
Fifth Avenue. San
Rafael CA 94901
11/30/2013
Wanda Spaletta
[j] IND
Sergeant
11.18
352.S6
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaxv:
qaS:CCR.afael
Police Association, 1520
Fifth Avenue, S
n Rafael, CA 94967
12/15/2013
Wanda Spaletta
nx IND
Sergeant
11.18
352.56
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia iy:E;dSnCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95049
12/31/2013
Wanda Spaletta
nx IND
Sergeant
11.18
352.56
ncom
C/o: San Rafael Police Association
[BOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
Union member's dues received throe intermedia
qSC
an(afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94957
10/31/2013
Christopher Sweeney
nx IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
F1 OTH
City of San Rafael
1520 Fifth Avenue
[:]PTY
San Rafael, CA 94901MCP
,mbd,:L-A
Union meer's dues received through intermedia
afae�
Police Association, 1520
Fifth Avenue, S
Rafael, CA 9490�
*Contributor Codes
Individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Go#tri*,tjtor Committee
SUBTOTAL $
55.90 .. . .. ... .
FPPC Form 460 (Januaty/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
A
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
4bu
from 10/20/2013
FORM
through 12/31/2013
Page 73 . of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
ll/lS/2013
Christopher Sweeney
Fxj IND
Officer
11.18
352.56
F�COM
C/o: San Rafael Police Association
DOTH
1520 Fifth Avenue
F-1 PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia-rv:qanl
:qan
Police Association, 1520
Fifth .Avenue
n Rafael, CA 24901
11/30/2013
Christopher Sweeney
FRI IND
Officer
11.18
352.56
QCOM
C/o: San Rafael Police Association
❑ OTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901Rafae
Union member's dues received through intermedia*rv:qaSnCl
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94969
12/15/2013
Christopher Sweeney
Fxj IND
Officer
11.18
352.56
000M
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
E;
Union member's dues received through intermedia iv:
anRafael
Police Association, 1520
Fifth Avenue, S
n Rafael, C.A. 9505L
12/31/2013
Christopher Sweeney
nx IND
Officer
11.18
352.56
EICOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
❑ PTY
San Rafael, CA 94901
Union member's dues received throe intermedia xy:
anRafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94959
10/31/2013
Charly Taylor
nx IND
Civilian Supervisor
8.70
274.12
ncom
C/o: San Rafael Police Association
DOTH
City of San Rafael
1520 Fifth Avenue
[:]PTY
San Rafael, CA 94901
,Union member's dues received through intermediad,:
L-A r__'§9C �afqe1l
Police Association, 1520
Fifth Avenue, SAn
Rafael, CA 9490�
. ......
*Contributor Codes
Individual
Recipient Committee
(other than PTY or S
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
L. .....
SUBTOTAL $
53.42
FPPC Form 460 (January/01*1
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3771
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10Z20/2013
FORM
through 12/31/2013
Page 74 . of 85 -
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
C U M U LATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. I - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Charly Taylor
rx] IND
Civilian Supervisor
8.70
274.12
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermediaiv:qaSnCCRafael
Police Association, 1520
Fifth AvenLie, San
Rafael, CA 24901
11/30/2013
Charly Taylor
nx IND
Civilian Supervisor
8.70
274.12
EICOM
C/o: San Rafael Police Association
FJOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia r_v:q7a'nCCRafael
Police Association,, 1520
Fifth Avenue, San
Rafael, CA 94973
12/15/2013
Charly Taylornx
IND
Civilian Supervisor
8.70
274.12
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
__1
SCC_
Union member's dues received throe ghintermedia xy:qan
I-Zafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95052
12/31/2013
Charly Taylor
Fxj IND
Civilian Supervisor
8.70
274.12
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
F1 PTY
San Rafael, CA 94901
1
Union member's dues received through intermediaxy:�Joa':C(�afael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94900
10/31/2013
Henry Tirre
nx IND
Officer
11.18
352.56
F-1 COM
C/o: San Rafael Police Association
F] OTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901y:
,Union member's dues received through intermedia
1§C
�Pafael
Police Association, 15201
Fifth Avenue S
i
Rafael, CA 9490L
*Contributor Codes
Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
Small Contributor Committee
SCIC
a
SUBTOTAL$
45.98
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772)
♦ SCHEDULE A
Tvve or print in ink.
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
460
from 10/20/2013
FORM
through 12/31Z2013
Page 75 _ of 85 -
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553 I
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEEALSO ENTER I.D. NUMBER)
,
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
11/15/2013
Henry Tirre
nx IND
Of fiver
11.18
352.56
ncom
C/o: San Rafael Police Association
[BOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
FPolice
member's dues received throu!gh intermedia xy5anCRafae
:-
lnion Association, 1520
Fifth Avenue, San
Rafael, CA 94901
11/30/2013
Henry Tirre
nx IND
Officer
11.18
352.56
COM
C/o: C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia yy:-�a':CCRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94971
12/15/2013
Henry Tirre
RIND
Officer
11.18
352.56
COM
C/o: C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia i'v:
q anRafael
Police Association, 1520
Fifth Avenue, San
Rafael, CA 95053
12/31/2013
Henry Tirre
FX -1 IND
Officer
11.18
352.56
ncom
C/o: San Rafael Police Association
OTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedlay-y.-
Eon Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9496)
10/31/2013
Michael Vergara
FX -1 IND
Sergeant
11.18
352.56
ncom
C/o: San Rafael Police Association
BOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
Union member's dues received through intermedia �y
Q§��Zafaej
Police Association, _1520,
Fifth Avenue, S
Rafael, CA 9490L
. . .....
*Contributor Codes
IND—individual
Recipient Committee
(other than PTY or SCC)
OTH — Other (eg., business entity)
PTY — Political Party
SCC — Small Contributor Committee
SUBTOTAL $
55.90
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
11 MINI 111 11111
I q�
'jg
%}}1'1fc' trrit�cnS Received may be rounded
Statement overs period
CALIFORNIA
to whole dollars.
� t'i
from �-020/2013
*'
through 12/31/2013
Page 76 of 85
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME, STREET ADDRESS AND ZIP CGDE 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 �.Q.UtsER}
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
JAN. 1 -DEC. 31 }
(IF REQUIRED)
OF BUSINESS}
11/15/2013
Michael Vergara
INDg
Ser sant
11.18
352.56
0 COM
C/o: San Rafael Police Association
F iOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia
:pan Rafae
Police Association 1520
Fifth Avenue San
Rafael A 0
11/30/2013
Michael Vergarax
IND
Sergeant sant
11.18
352.56
❑COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
[[�
Union member's dues received through intermedia
:`man Rafae
Police Association 1520
Fifth Avenue San
Rafael CA 9497
12/15/2013
Michael Vergarag
XIND
Sergeant
11.18
352.5
❑COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTS,
City of San Rafael
San Rafael, CA 94901
[�
Union member's dues received through intermedia
: �an Rafae
Police Association 1520
Fifth Avenue San
Rafael CA 9505
12/31/2013
Michael Vergara
nIND
Sergeant
11.18
352.56
FICOM
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
PTY
San Rafael, CA 94901
{{�;
Union member's dues received throe h intermedia
:gan`Rafae
Police Association, 1520
Fifth Avenue, San
Rafael, CA 9496
10/31%201.3
ark Wilkinson
BIND
Officer
11.18
251.76
COM
C/o: San Rafael Police Association
FJOTN
City of San Rafael
1520 Fifth Avenue
0 PTY
San Rafael, CA 94901-�M`R
Union me er's dues received through intermedia
afae
Police Association 1520
Fifth Avenue S
n Rafael CA 9490
*Contributor Codes
Individual
Recipient Committee
(otherPTY or
Other
Political rr
arty
..
Si BTOTAL $
55.90
FPPC Form • .
s s .e s s s r s (866/275-3772)
Monetary Contributions Received Amounts may be rounded
Statement covers period i
CALIFORNIA
to whole dollars.
46 0
from 10/20Z2013
FORM
through 12Z31/2013
Page 77 _ of 85
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)
11/15/2013
Mark WilkinsonFx-j
IND
Of f icer
11.18
251.76
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
-�SCl
F'San_police
meMber's dues rec ived through il2term edia-ry:.
Rafae
Association, 1520
Fifth Avenue. San
Rafael,
CA 9490Union
11/30/2013
Mark Wilkinson
nx IND
Off icer
11.18
251.76
ncom
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
n PTY
City of San Rafael
San Rafael, CA 94901
Union member's dues received through intermedia rv:
anqscRafae
Police Association, 1520
Fifth Avenue. San
Rafael, CA 9497B
12/15/2013
Mark Wilkinson
nx IND
Of f icer
11.18
251.76
F-1 COM
C/o: San Rafael Police Association
nOTH
1520 Fifth Avenue
PTY
City of San Rafael
San Rafael, CA 94901
E;dSnCCZaf
Union member I s dues received through intermedia *rv:
ael
Police Association,1520
Fifth Avenue, S
n Rafael CA - 9506
0
12/31/2013
Mark Wilkinson
nx IND
Officer
11.18
251.76
ncom
C/o: San Rafael Police Association
nOTH
City of San Rafael
1520 Fifth Avenue
n PTY
San Rafael, CA 94901
(�afael
Union member's dues received through intermediary:
q anSC
Police Association, 1520
Fifth Avenue, San
Rafael, CA 94962
nIND
[:] COM
nOTH
E]PTY
EISCC
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
C,C, — Sfy2ll GnAtAoutor Committee
SUBTOTAL $
44.72
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
!gr_htm_dtjIP_ Type car print in ink. SCHEDULE C
Amounts may be rouncea
Nonmonetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA460
from 10/20/2013
FORM
through 12/31/2013
Page 78 0# 85
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
DATE
FULL NAME STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
FAIR MARKET
CUMULATIVE TO
DATE
PER ELECTION
TO DATE
RECEIVED
ZIP CODE OF CONTRIBUTOR
CODE *
{IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
VALUE
CALENDAR YEAR
{IF REQUIRED}
(!F COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME of BUSINESS)
(JAN 1 - DEC 31)
o IND
❑ COIV1
F-1 0TH
❑ PTY
❑ SCC
D IND
Q COM
F� 0TH
Q PTY
❑ SCC
F_� IND
❑ CCDM
Fi 0TH
❑ PTY
7 SCC
E]IND
COM
Q OTH
PTY
[:] SGC
0.00i
Attach additional informationappropriately rt." continuation • a :TOTAL $
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 .) ...................... TOTAL.
*Contributor Cedes
IND — Individual
0.00 COM — Recipient Committee
other than PTY or SCC)
50.00 OTH -- Other e.g., business entity)
P — Political Party
SCC — Small Contributor Committee
50.00
FPPC Form 460 January/fly)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
D
SCHEDULED
Summary of ExpendituresSchedule
Type �
statement covers period
_
,
ot�let`
Supporting/Opposingto
Amounts may be round ed
dollars.
�
! R
414j"
whole
r°m 10/20/2013
Candidates, Measuresand Committees
through l2 /31/2013
Page 79
of 85
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
San Rafael Police Association Political Action Committee
831553
CUMULATIVE TO DATE
PER ELECTION
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CALENDAR YEAR
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
JAN. 1 -DEC. 31)
{IF REQUIRED}
OR COMMITTEE
10/30/2013
Transactions and Use Tax E
5,000.00
15, 000.00
G13
15, 000.00
Q Monetary
Contribution
City of San Rafael, CA
Nonmonetary
Contribution
Independent
Q Support ❑ Oppose
Expenditure
11/066/2013
Transactions and Use Tax E
® Monetary
5,000.00
15, 000. 00
G 13
25, 000.00
Contribution
City of San Rafael, CA
❑ Nonmonetary
Contribution
Independent
® Support ❑ Oppose
Expenditure
10/25/2013
Rate Colin
Mailer including
5, 870.50
13, 759. 50
G 13
13, 759.50
❑ Monetary
production and postage in
Contribution
su part of Kate Colin f or
City' Council.
City Cit Council Member
City of San Rafael, CA
❑ Nonmonetary
Contribution
® Independent
Q Support ❑ Oppose
Expenditure
SUBTOTAL 15,070.50
Schedule D Summary
1. Itemized contributions and Independent expenditures made this period. (Include all Schedule D subtotals.) ............. ................. ...................
21,741-00
. Unitemized contributions and Independent expenditures made this period of under 1......................................................................................
0.00
. Total contributions and independent expenditures made this
period. Add Lines 1 and 2. Do not eater on the Summary Page.) TOTAL $
21,741.00
FPPC Form
480 January/05
FPPC Toll -Free Helpline. 888iASK-FPPC (8681275-3772)
Schedule D
tr-_mini iatinn Shp -P-0 Tape or print in ink. SCHEDULE D (CONT)
Amounts may be rounded
Summary of Expenditures to whole dollars.
Statement covers period CALIFORNIA Aeft
4bo
Supporting/Opposing Other
from 10/20/2013 FORM
Candidates, Measures and Committees
through 12/31/2013 Page 80 of 85
NAME OF FILER I.D. NUMBER
San Rafael Police Association Political Action Committee 831553
CUMULATIVE TO DATE
PER ELECTION
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CALENDAR YEAR
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN. I -DEC. 31)
(IF REQUIRED)
OR COMMITTEE
10/25/2013
Maribeth Bushey -Lang
Mailer including
S,870.50
13, 759. 50
G 13 13,759.
E] Monetary
production and postage
City Council Member
Contribution
in support of Maribeth
Bushey -Lang for City
City of San Rafael, CACounci
Nonmonetary
Contribution
Independent
FRI Support ❑ Oppose
Expenditure
Monetary
Contribution
F1 Nonmonetary
Contribution
Independent
❑ Support ❑ oppose
Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Independent
Support Q Oppose
Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Independent
Support Oppose
Expenditure
SUBTOTAL
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from — 10/20/2013
through 12/31/2013
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Page 81 of 85
I.D.NUMBER
831553
CfVP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candid ate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
UT
campaign literature and mailings
PRT
print ads
VVEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Committee for a Safer San Rafael (#1359556)
CTB
5,000.00
1000 4th Street, Suite 600
San Rafael, CA 94901
Committee for a Safer San Rafael (#1359556)
CTE
5,000.00
1000 4th Street, Suite 600
San Rafael, CA 94901
Freeman Public Affairs, Inc.
IND
Mailer including production and postage in support of
2,900.00
Maribeth Bushey -Lang for San Rafael city Council 2013.
1405 Marcelina Avenue, Suite 111
Torrance, CA 90501
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
&T-ralka-a"61
SUBTOTAL$ 12,900-01
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 19,159.55
2. Unite nixed payments made this period of under $100 .......................................................................................................................................... $ 0.00
3. Total interest paid this period on loans. (Enter amount from Schedule 13, 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 $ 19,159.55
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
";F=P INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Statement covers period
from 10/20/2013
through 12/31/2013
MNXMEK��W
Page 82 of 85
I.D. Ni i UMBER
831553
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CfVP
campaign paraphernalia/misc.
MBR
member communications
RAID
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
FNID
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
\/\ EB
information technology costs (internet, e-mail)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
Schedule F Type or print in ink.
Amounts may be rounded
Accrued Expenses (Unpaid Bills) to whole dollars.
C+r-r- IKICI-rMl nK1 DMIC04ZI=
HIM=
San Rafael Police Association Political Action Committee
•
Statement covers period
10/20/2013
through 12/31/2013_ I Page 83 of 85
•
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CUP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
I IT
t-nmnninn lifinrnfi irp anti mnilinmc;
PRT
print ads
V\EB
information technology costs (internet, e-mail)
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1,624.85 $ 5,941.00$ 1,624.85$ 5,941-00
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 5,941-00
2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total uniternized payments on accrued expenses under $100.) ................................. PAID TOTALS $
1,624.85
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 431615
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ ,.
May be a negative number
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
� It
(a)
(b )
(c )
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
The Henry Levy Group
PRO
1,624.85
0.00
1,624.85
0.00
5940 College Avenue
Oakland, CA 94618
Freeman Public Affairs, Inc.
IND Mailer including
0.00
2, 970.50
0.00
2, 970.50
production and postage
in support of Maribeth
1405 Marcelina Avenue, Suite 111
Bushey -Lang for San
Rafael Council 2013.
City
Torrance, CA 90501
Freeman Public Affairs, Inc.
IND Mailer including
0.00
2,970.50
0.00
2,970.50
production and postage
in support of Kate Colin
1405 Marcelina Avenue, Suite 111
for San Rafael City
Torrance, CA 90501
Council 2013.
Payments that are contributions or independent expenditures must also be SUBTOTALS $ 1,624.85 $ 5,941.00$ 1,624.85$ 5,941-00
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 5,941-00
2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total uniternized payments on accrued expenses under $100.) ................................. PAID TOTALS $
1,624.85
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 431615
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ ,.
May be a negative number
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
� It
tatement covers period
0 0 #mom 010 CALIFORNIA
db from 10/20/2013 F
through 12/31/2013 P 84 85
ac le OT
R I.D. NUMBER
NAME OF FILE
8315C�l
51:�A* Rafael Police Association Political Action Committee
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Freeman Public Affairs, Inc.
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CIVP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
V\ EB
information technology costs (internet, e-mail)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IND Postage for mailer in support of 2,900-00
U.S. Postmaster
Kate Colin for San Rafael City
1433 Marcelina Avenue
Council
Torrance CA 90501
IND Postage for mailer in support of 2,900.00
U.S. Postmaster
Maribeth Bushey -Lang for San
1433 Marcelina Avenue
Rafael City Council
Torrance CA 90501
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 5,800.00
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Rrhatifilla I Tuno nr nrint in ink- - ----- SCHEDULE
%W 1%W a n 1%ff %ON mom W -%W a
llaneoueto ah Amounts may be rounded
Misces Increass Cs to whole dollars.!
SEE INSTRUCTIONS ON REVERSE
Statement covers period,
from 10/20/2013
from
through 12/31/2013
C
FORM
Page 85 Of 85
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 I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
1111111 1111 111 qi IIIIII
0=0 1111111i I I II filill Elm=
1. Itemized increases to cash this period . ....................................................................................................................... $
2. Unitemized increases to cash of under $100 this period . ............................................................................................ $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.) ........................................................................................................................... TOTAL $
FPPC Form 460 (January/ 5)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
0.00
0.25
0.00
0.25