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Home My WebLink AboutForm 460 - Police Association PAC (2017-12-31)Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/20 17 through 12/31/2017 1. Type of Recipient Committee: All Committees -Complete Parts 1,2,3, and 4. 3. D Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) [XI General Purpose Committee Q\) Sponsored o Small Contributor Committee o Political Party!Central Committee COMMITIEE NAME (OR D Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) D Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) 8 31 5 53 San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) 1 520 Fifth Avenue CITY STATE ZIP CODE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 151557 CITY STATE ZIP CODE San Rafael CA 94915-1557 OPTIONAL: FAX / E-MAIL ADDRESS AREA CODE/PHONE (415) 485-3000 AREA CODE/PHONE 4. Verification JAN 29 2018 of~ Date of election if ap ~licabl tL.:..JIL-____ ~-::-==~ (Month, Day, Ye ct) --__ I """11"'l-........ _________ --j 2. Type of Statement: D Preelection Statement lliJ Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Minka MAILING ADDRESS 1520 Fifth Avenue CITY STATE San Rafael CA NAME OF ASSISTANT TREASURER, IF ANY Ms. Stacy E. Owens MAILING ADDRESS 5940 College Avenue CITY Oakland OPTIONAL: FAX / E-MAIL ADDRESS STATE CA D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 ZIP CODE 94901 ZI P CODE 94618 AREA CODE/PHONE (415) 485-3000 AREA CODE/PHONE (51 0)6 52-100 0 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Info herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 01 /21 /2018 Date Executed on 01/21/2018 Date Executed on Dale Executed on Date www.netfile.com By ~~< ~ ~n1Tre~u(er By =>== ......-;;:. .." <C ~ . ~ . Signature of Contr In9 Officeholder, Candidate, State Measure Proponent ~ . I . Signature of Contro hng Officehe>der, Candidate, State Measure Proponent FPPC Form 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Ustanycommittees 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? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P,O . BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D . NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P,O, BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com COVER PAGE -PART 2 IJJti5. D_C_C 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION o SUPPORT o OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Ustnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action committee Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Rece ived Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPEN DITU RES MADE ................................ Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13 . Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule I, Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then sUbtractLine 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18 . Cash Equivalents See instructions on reverse $ 19 . Outstanding Debts Add Line 2 + Line 9 in Column e above $ www.netfile.com ColumnA TOTAL THIS PER IOD (FROM ATIACHED SCHEDULES) 1 4 ,549.81 0.00 14,549.81 50.00 14,599.81 1 .596.17 0.00 ~,596.17 0.00 50.00 1,646.17 69,800.13 14,549.81 3.02 1,596.17 82,756.79 0.00 0.00 0.00 from 07/01/2017 through 12/31/2017 Page 3 of ~ $ $ $ $ $ $ ColumnB CALENDAR YEAR TOTAL TO DATE 29,277.31 0.00 29,277.31 50.00 29.32 7.31 3,765.21 0.00 3,765.21 0.00 50.00 3,815.21 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 . If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2 , 7 , and 9 (if any). 1.0. NUMBER 831553 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20 . Contributions Received $ _____ _ $---- 21. Expenditures Made $ ____ _ $----- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made· (If Subject to Voluntary Expendllun! Urni!) Date of Election (mm/dd/yy) ---.1---.1 __ ---.1---.1 __ Total to Date $---- $---- 'Amounts in th is section may be different from amounts reported in Column B. FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE N AME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMM ITTEE, ALSO ENTER I 0 NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 07/14/2017 IElisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ... • -f";:ipl 07/31/2017 IElisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • -f;;;1jF'l rn q4q 08/15/2017 IElisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, .-.. -'--1 08/30/2017 IElisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Elisha Adams C/o: San Rafael Police Association 1520 Fifth 94901 Schedule A Summary 1. Amount received this period -itemized monetary contributions . [!l IND O COM D OTH O PTY O SCC OO IND O COM D OTH O PTY O SCC [!l IND O COM D OTH O PTY O SCC [EJ IND O COM D OTH O PTY O SCC [ID IND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A CALIFORNIA 460 FORM Page __ 4 of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 16.30 16.30 16.30 16.30 81.501 391.20 391.20 391.20 391.20 391. 20 'Contributor Codes IND -Individual (Include all Schedule A subtotals.) ...................................................................... .. .... $ 14.532.90 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party 2 . Amount received this period -unitemized monetary contributions of less than $100 $ 16.91 3. Total monetary contributions received this period . (Add Lines 1 and 2 . Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 14.549.81 www.netfile.com SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/307-201~isha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/15f201~sha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association , 10/31/2017 I Elisha Adams C/o: San Rafael Police Association 1520 Fifth 11/15/2017 'Contributor Codes INO -Individual COM -Recipient Committee (other than PlY or SCC) OTH -Other (e .g ., business entity) PlY -Politica l Party SCC -Small Contributor Committee www.netfile.com 94901 Fifth Fifth IK]IND DCOM DOTH o PlY DSCC IK]IND D COM D OTH o PlY O SCC IKlIND DCOM DOTH 'DPIY DSCC IKJIND DCOM DOTH DPIY DSCC IK]IND D COM D OTH D PIY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Oft~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 5 of ~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391 .20 16.30 391 .20 16.30 :f9Y.20 81.50 1 -] FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTER I.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED , ENTER NAME OF BUSINESS) 12/1572017 I Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 12/29/2017 I Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/14/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • .v~nllP ~.:IT"1 R:=.f.::u::.' rn. q4q(l1 07/31/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Raul Agu~lar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKI IND o COM D OTH o PTY O SCC IK]IND DCOM DOTH OPTY DSCC IKI IND o COM D OTH o PTY O SCC IK]IND DCOM DOTH DPTY DSCC [RJ IND o COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 6 of~ I.D.NUMBER 831553 AMOUNT RECEIVED TH IS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.2"0 16.30 391.20 16.30 391.20 16.30 391-:-20 8l. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND Z IP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER 1.0. NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAM E OF BUSINESS) 08730/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09/15/2017--1 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, frh AvpnllP ~;:::an R;:::af:=l pl rn. q.1 09 /30/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 10/15/2017 1 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Raul Agullar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , c;?n F; f 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO INO O COM D OTH O PTY o sce IK]INO O COM D OTH O PTY o sce IXl INO O COM D OTH O PTY O SCC IK]IND OCOM DOTH DPTY osce OO IND O COM D OTH O PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 7 of ~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16 .30 391 .20 16.30 391.20 n-:-30 3n,2 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 11/15/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 9490l 11/30/2017 I Raui Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . :Ft-h :n.:UPl·nlC> ~;:l'n p:::l:F.:::le.l (""~ CU1Cl/11 12/15/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1S?n F_ifth Avenue. San RafaeL CA 94gn1 12/29/2017 I Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 AnLhony AugusLyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC [;i]IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Ott~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 8 of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391 .:20 81. 50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOY ED. ENTER NAME OF BUSINESS) 07/31/2017 I Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 08/15/2017 I Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, e 08/30/2017 I Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. R.::l.f.::l.f='l r:a.. q4qnl 09/15/2017 I Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Aritnony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com OO IND D COM D OTH D PTY D sec OO IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DpTY DSCC IRJIND DCOM DOTH DPTY DSCC [KJ IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 9 of~ 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/15/2017 T Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San RafaeL CA 94.901 10 /31/2017 I Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/15/2017 Fifth 11/30/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IX)IND O COM D OTH O PTY D SCC !Kl IND D COM D OTH O P1Y O SCC IX)INO D COM D OTH O P1Y O SCC IX)INO D COM D OTH o P1Y O SCC !Kl IND D COM D OTH D P1Y O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 10 of ~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLO Y ER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I 0 NUMBER ) 12/29/2017 I Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/14/2017 IJames Bellamy 07/3~/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , _. -1 Fifth 08/15/2017 I James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2017 r James BeLLamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual 'r COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE .. IX]IND D COM D OTH D PTY o sce ~IND D COM D OTH D PTY D SCC !Kl IND D COM D OTH O PTY o sce !RI IND D COM D OTH O PTY O SCC OOIND OCOM DOTH OPTY OSCC Officer City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael SUBTOTAL $ Statement covers period from 07 /01 /2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 11 of~ 1.0 . NUMBER 83 1 553 AMOUNT RECEIVED TH IS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. 50 I FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMlnEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BU SINESS) 09/15/2017 I James-Bellamy c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/30/2017 I James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 10/15/2017 I James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, • ... • nllP .c:..::I'T1 R.::If;::u~l 10/31/2017 I James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 LiT1S!2017 IJames Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . _. -1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [Xl IND D COM D OTH D PTY D SCC [l IND D COM D OTH O PTY D SCC [XlIND DCOM DOTH OPTY OSCC [XlIND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael corporal City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 1.0 . NUMBER 8315 53 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.3-0 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I 0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 11/30/2017 IJames Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael , CA 94901 12/15/2017 I James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, F t-h AvpnllP s'nn R;;)r 12/29/2017 IJames Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'frh ~v 07/14/2017 I Kelly Benitez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Todd Berrlnger C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com IXJ IND D COM D OTH D PTY D SCC [l IND D COM D OTH D PTY D SCC IXl IND D COM D OTH D PTY D SCC [l IND D COM D OTH D PTY D SCC [ID IND O COM D OTH D PTY D SCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Police Officer City Of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01 /2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 211.90 16 .30 391. 2 0 81.50 1 -I FPPC Fonn 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I FCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED , ENTER NAME OF BUSINESS) 07/31/2017 I Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 ITodd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 08/30/2017 i Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'f~h Av~ 09/15(2017 I Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/20rl -rTodd Bernnger C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual i ft-h ltvpnl1P _c::.;::tn 'R~f.-:lj01 rn.. q.1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IRJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IRJ IND D COM D OTH D PTY O SCC IK)IND D COM D OTH D PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 LD.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16 ,30 391.20 81.50 1 ~ FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTR IBUTOR (IFCOMMITTEE,ALSO ENTER I D,NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10/15/201-71 Todd Berringer c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 10/3172017 I Todd Berringer 11/1.5/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'f Fifth 11/30/2017 I Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Todd Berr1nger C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~~i~ry: San Rafael Police Association, 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com !Kl INO D COM D OTH D PTY D SCC !KlIND DCOM DOTH DPTY DSCC !Kl IND D COM D OTH D PTY D SCC !Xl IND D COM D OTH D PTY D SCC !Kl IND D COM D OTH D PTY D SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 1 9 8 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 1.6 .30 39l.20 81 .50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYEO, ENTER NAME OF BUSINESS) 12/29/2017 I Todd Berringer c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/14/2017 I Lynne Bracken 07/31/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth 08/15/2017 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2017 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY Dr SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com iK]IND D COM D OTH D pTY O SCC !K]IND D COM D OTH O PTY O SCC IK]IND DCOM DOTH OPTY OSCC !K]IND D COM D OTH D PTY D SCC !K]IND D COM D OTH D PTY D SCC Sergeant City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael irecords Clerk City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 16 of ~ I.D .NUMBER 83 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 12.70 304 .80 12.70 304.80 12.70 304.80 12.70 304.80 67.10 1 FPPC Form 460 (JanI2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEI V ED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BUSINESS) 09/15/2017 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 /30/2017 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1----' 10/15/2017 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 10/31/2017 I Lynne Bracken c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11.!~S120~ 7 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO -Individual . -. --~ COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com ~IND OCOM DOTH OPTY DSCC IK]IND D COM D OTH D PTY D SCC ~IND D COM D OTH O PTY O SCC OO IND D COM D OTH O PTY O SCC OO IND D COM D OTH D PTY D SCC Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 17 of~ I.D .NUMBER 93 1 5 53 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.90 12.70 304.90 12.70 304-:80 63.50 1 l FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTR IBUTOR (I FCOMMITTEE ,ALSO ENTE R I D.NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER OF SELF· EMPLOYED, ENTER NAM E OF BU SINESS) 11/30/2017 12/1.5 /2017 Lynne Bracken C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/29/2017 I Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, • ~., -,V 07/14/2017 I Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, s---' ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXJ IND D COM D OTH D PTY D SCC [XlIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IXJ IND D COM D OTH D PTY D SCC Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Officer City Of San Rafael Ottlcer City Of San Rafael SUBTOTAL $ Statement covers period from 07 /01 /2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 30-4.80 12.70 304.80 12.70 304.80 16.30 326.00 r6~3-0 326.00 70.70 1 -] FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D .N UMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08/15/2017 I Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/30/2017 I Zachary Brickell 09/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ~i Fifth 09/30/2017 I Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Zachary Brlcke C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND OCOM DOTH OPTY OSCC IKJ IND O COM D OTH O PTY O SCC [iil IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael O!!lcer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~of~ I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 326.00 16.30 326 .00 16.30 326.00 16.30 326.00 16.30 326.00 81.50 1 FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10/31/2017 I Zacbary BricKell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 11/15/2017 I Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 union member's dues received through interme~i~ry: San Rafael Police Association, 11/30/2017 Fifth 12/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJ IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC IK]IND OCOM DOTH OPTY OSCC OO IND O COM D OTH D PTY O SCC IKJIND DCOM DOTH DPTY OSCC Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Ottlcer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D . NUMBER 83 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 326.00 16.30 326.00 16.30 326.00 16.30 326.00 16.TO 326 .00 81.50 1 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI ,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07 714/201 7 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 /31/2017 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, '-Ft-h n."u"",nl1P .Q.:::ln "R:::lT;;u:",l rll QL1Q(l1 08 /15/2017 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 08/30/2017 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15/2017 I Antonette Bulloc C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l~?n Fif 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g" business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXJIND DCOM DOTH DPTY DSCC IKJ IND O COM D OTH O PTY D SCC IXJ IND D COM D OTH D PTY D SCC IXJIND DCOM DOTH DPTY DSCC IK]IND D COM D OTH D PTY D SCC Community Service Officer City of San Rafael community Service officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN _ 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304 .80 12.70 304 .8 0 12.70 304.80 12.70 304.80 12.70 304. 80 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I FCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED. ENTER NAME OF BUSINESS) 09/30/2017 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/~/2017 I Antonette Bullock c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. 1 10/31/2017 I Antonette Bullock c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 11/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com !K]IND OCOM OaTH OPTY OSCC ~IND O COM O aTH O PTY O SCC !R]IND o COM D OTH D PTY O SCC !Kl IND O COM O aTH O PTY O SCC !Rl IND o COM D OTH D PTY O SCC Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Communlt.y Service--Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 1 98 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304 .ao 63.50 1 FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gOY (866/275-3772) www.fppc.ca.goY Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE . ALSO ENTER 1.0 NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 12/15/2017 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 12/29/2017 I Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, .V 07/14/2017 I Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . 1 07/31/2017 I Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Michael Eyers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PlY or SCC) OTH -Other (e ,g., business entity) PlY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH o PlY D SCC IKJ IND D COM D OTH o PlY D SCC ~IND DCOM DOTH o PlY DSCC IKJIND DCOM DOTH o PlY DSCC IKIIND DCOM DOTH o PlY DSCC Community Service Officer City of San Rafael community Service Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 1 98 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 16.30 309.70 16.30 309.70 16.JO 309.70 74.30 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTR IBUTOR (IFCOMMITTEE,ALSO ENTER I D.NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08/30/2017 09 /15/2017 09/30/2017 10/15/2 01 7 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . _., -.V Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth Av Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Michael Byers C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . - . 1 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D pTY D SCC IKJIND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IXJIND DCOM DOTH DPTY OSCC Police Officer City of San Rafael Police officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 309.70 16.30 309.70 16.30 309.70 16.30 309.70 16.30 8l.50 ! FPPC Fonn 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) ll n 5/2017 Michael Byers C/o: San Rafael Police Association 1520 Fifth 11/30/2017 12/15/2017 12/29 /2017 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth Fifth Fifth IK]IND OCOM OaTH OPTY OSCC IK]IND O COM D OTH O PTY O SCC IK]IND OCOM OaTH OPTY OSCC IK]IND OCOM OaTH OPTY OSCC IK]IND OCOM OaTH OPTY OSCC Police Officer City of San Rafael Police officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Dispaccher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 LD .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 309.70 16.30 309.70 16.30 309.70 16.30 309.70 12 .70 304 .80 77.90 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 07/31/201 7 I Shelly CaBe C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Ra fael, CA 94901 08 /15 /2017 I Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 08/30/2017 I Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 09 /15/2017 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth CODE * IKjIND DCOM DOTH DPTY DSCC IKjIND DCOM DOTH DPTY DSCC IKjIND DCOM DOTH DPTY DSCC IKj IND D COM D OTH D PTY D SCC IKjIND DCOM DOTH DPTY DSCC Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~of ~ LD .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12 .70 30<\ .80 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10 /15 /2017 I Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 FiLth Ave n u e. San Rafael. CA 94901 10 /31/2 017 I Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -t.h AVPTIUP_ ~an R;::;!.f:=lpl _ c-a qA. 11/15/2017 I Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11 /30/2017 'Contributor Codes IND -Individual , _.. -9 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth IK]IND DCOM DOTH DPTY DSCC IKI IND O COM D OTH O PTY DSCC IK]IND DCOM DOTH DPTY OSCC IK]IND D COM D OTH D PTY O SCC IK]IND OCOM DOTH DPTY DSCC Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 1.0. NUMB ER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12~ )01.ao 63.50 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE, AlSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/29/2017 I Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/14/2017 I Joseph Camins C/o: San Rafael Police Association 1520 Fifth 94901 07/31/2017 Fifth 08/15/2017 I Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Joseph-camlns C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com IZJ IND D COM D OTH O PTY O SCC IKJ IND D COM D OTH D PTY D SCC IXJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC Dispatcher City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!llcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 77.90 1 -~ FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 0 9 /15/201 7 I Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 F i fth Avenue, San Rafael. CA 94901 09 /3 0 /2017 I Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 t;?n Ri -Frh .n.-VPrll1C> _Q:::ln P 10 /15/2017 I Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -.. v 10 /3 1/2017 I Joseph Carnins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ~-1.7 1-5T,mf7 -1 -;joseph Carnlns C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . rrh AVF>nllP .C:.::In R.::I f COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KJ IND O COM D OTH O PTY O SCC IKJIND OCOM OaTH OPTY OSCC IXl IND O COM O aTH O PTY O SCC IXl IND O COM O aTH O PTY O SCC !&lI ND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!tlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391 .20 16.30 391.20 16.30 391.20 ).6--:-3-0 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COM MITTEE. ALSO ENTER I D.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BUSINESS) 11/30/2017 I Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 12/15/2017 I Joseph Camins 12/29/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -_. ~;::tn R::If~~l C'A Q4g01 Fifth 07/14/2017 I Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0773-1720T7-r Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , I:\?O l<'; of 'Contributor Codes INO-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IK]INO O COM D OTH D PTY O SCC IXI INO D COM D OTH D PTY D SCC !!l INO D COM D OTH O PTY O SCC IZJ INO O COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 1 9 8 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATI VE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391.20 16.30 391. 20 16.30 391.20 16.3 3-91.20 81.50 1 -I FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 081'15/2017 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 08/30/2017 I Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 !:i?1l Pi rrh AVpnl1F> 5=:.:::In R.:=:t f.::::lp 1 r1l q4 09/15/2017 Fifth 09/30 /2017 I Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2017 I Trevor Carney C/O: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l~~n pif 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND OCOM OaTH OPTY OSCC IKJ IND O COM D OTH O PTY O SCC IK]IND OCOM OaTH OPTY OSCC IK]IND OCOM OaTH OPTY OSCC IK]IND OCOM OaTH OPTY OSCC Police officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police O!!lcer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 39LiO 16.30 391.20 16.30 391.20 16.30 391.20 16.'30 391. 20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) 10/3 1/2 01 7 I~revor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 11 /15/2017 I Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,----' 11/30/2017 !Trevor Carney C/O: San Rafael Police Association 1520 Fifth 94901 12/15/2017 I Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12 /2 9 12017 I T revor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual '-t,h Avena",. San Rafa",L CA q COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IID IND D COM D OTH D PTY O SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 391.20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE.ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07 /14 /2017 I JaCK Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07 /31 /2 01 7 I Jack Carpenter 08/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ft-h n.vpnl11'" .~~n R~f;::",:.l r:n.. g4 Fifth 08 /30 /2017 I Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael , CA 94901 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual 1=i'i-f COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXJ IND O COM D OTH O PTY O SCC IXl IND O COM D OTH O PTY O SCC OO IND D COM D OTH D PTY O SCC IXJ IND D COM D OTH O PTY O SCC IXlIND OCOM DOTH OPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!l icer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .2_0 16.30 391.20 16.30 39l.20 16.30 391.20 1 6 .3 0 391. 20 8l.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association pol itical Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 09/3072017 I JacK Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10 /15/2017 I Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received thro ugh intermediary: San Rafael Police Association, . -.. -- f 10/31/2017 I Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received thro ugh intermediary: San Rafael Police Association, 20 F i fth Av 11/15/2017 I Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received thro ugh intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Jack carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH OPTY OSCC OO IND D COM D OTH O PTY O SCC IKJ IND D COM D OTH D PTY O SCC IKJIND DCOM DOTH DPTY DSCC Officer City of San Rafae l Officer City of San Rafael Officer City of San Rafa e l Off i ce r City of San Rafa e l OrEicer City of San Rafael SUBTOTAL $ Statement covers period from 07 /01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 34 of~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 391.20 81.50 1 ----~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI .D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 12/15/201 7 I Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael. CA 9 490 1 12 /29 /2 017 I Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~~i~ry: San Rafael Police Association, 07 /14 /2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 07 /31/2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15 /201'/ I DavTd Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND -Individual 1=<'; i='rh n.'\r~_n"'::> _C::.:::tn R:::lT;:Jl='l COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC [Xl IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC Officer City of San Rafael Of fi cer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391. 20 16.30 391.20 16.30 391.20 l6:3"0 :391. 20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08 /301 2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 9490 1 09 /~5/2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, o Fif~ 09 /30 /2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fi f th AvpnllP ~~n R.::If::lpl l'a Q4Q01 10/15/2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue . San Rafael, CA 94901 10/3 1/2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual 'f COM -ReCipient Committee (other than PTY or SCC) OTH -Other (e,g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IXJ IND D COM D OTH D PTY O SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IXJ IND D COM D OTH O PTY D SCC Off i cer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Offlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 39l.20 16.30 391.20 16.30 39l.20 16 .30 391--:-20 8l. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALS O ENTER 1.0 NUMBER ) CODE .. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUSINESS) 11/1572017 I DavId Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, Sao Rafael. CA 94901 11/30/2017 I David Casalnuovo 12/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, Fifth 12/29 /2017 I David Casalnuovo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/1112017-r Eaward ChlU C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -_. -,V COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DpTY DsCC OO IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC OOIND DCOM DOTH DPTY DSCC !!l IND D COM D OTH D PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ll.-of 1 98 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 3 1) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391. 20 16.30 391.20 16.30 39l.20 16 .30 391. 20 8l.50 1 J FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07 /31 /2017 I Edward chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l520 Fifth Avenue, San Rafael. CA 94901 08/15/2017 I Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, o F;fr 08/30 /2017 I Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 09/15/2017 ·Contributor Codes IND -Individual . ~. • -4 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth OO IND O COM D OTH O PTY O SCC IZJ IND D COM D OTH D PTY D SCC ~IND O COM D OTH O PTY O SCC IRJ IND O COM D OTH O PTY O SCC IX]IND O COM D OTH D PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391 .20 16.30 391.20 16.30 391.20 16.30 391. 20 8l.50 1 __ 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 1 0 /15 /2 0 1 7 I Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10 /31/2017 I Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , --rh Avpnl1P _ ,c;r:in R.::l.fi=3pl 1 1/15 /2 017 I Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/30/2017 'Contributor Codes IND -Individual -. • -f;:::!pl ("h Q4.Q01 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth IK]IND D COM D OTH D PTY D SCC IRJ IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 LD.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16 .3 39L20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/29 /2017 I Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 0771472017 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, I:j?n 1<'; ft"h Avpn11P .~;:ln R~f.::l.pl 07/31/2017 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -. ~ --.4 08/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH OPTY DSCC IX]IND D COM D OTH D PTY O SCC OOIND DCOM DOTH DPTY OSCC OO IND D COM O aTH O PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 40 of~ I.D.NUMBER 831 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 l~:ro 391 . :2 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAM E OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITIEE, ALSO ENTER I D NUMBER) 09/15/20~7 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 09/30/2 017 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -~ 10/15/2017 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 10/31/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recip ient Comm ittee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IK]IND OCOM DOTH OPTY DSCC IK]IND DCOM DOTH OPTY OSCC IK]IND D COM D OTH O PTY O SCC IK]IND D COM D OTH O PTY O SCC IK]IND DCOM DOTH DPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 41 of ~ 1.0. NUMBER 8 3 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 -1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF·EMPLOYED , ENTER NAME OF BUSI NESS) 1l/30/20I7[ROoert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 12/15/2017 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/29/2017 I Robert Cleland C/o: San Rafael Police Association 1520 Fifth 07/14/2017 ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SeC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 94901 Fifth Fifth OO IND D COM D OTH D PTY D sce IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY osce IKJIND DCOM DOTH OPTY Dsce OO IND D COM D OTH D PTY D SCC Officer City of San Rafael officer City of San Rafael Officer City of San Rafael Sergean t City of San Rafael Sergeant. City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 3 1) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391,20 16.30 391 .20 16.30 391.20 16-.30 )91. :20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fpPc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN I NDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLO YED, ENTER NAME OF BUSINESS) 08/15/2017 I Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08 /30/2017 I Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 09/15/2017 09/30/2017 ·Contributor Codes IND -Individual .,. 1 rA Q4QOl COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth Fifth IK]IND O COM D OTH O PTY o scc [KJ IND D COM D OTH O PTY o scc IK]IND D COM D OTH D PTY O SCC fR]IND D COM D OTH D PTY O SCC fR]IND DCOM DOTH DPTY DSCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page !L of 198 I.D. NUMBER 8 3 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 1lJ:30 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE . ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 10/31/2017 I Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/1572017 I Christopher Coale 11/30/2017 12/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafae l Police Association, Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, --.. ----, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH O PTY O SCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY OSCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 44 of ~ I.D .NUMBER 8 3 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16. )0 )91. 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I FCOMMITTEE.AlSOENTER I D NUMBE R) CODE .. IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOY ER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 07/14/2017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/15/2017 08/30/2017 'Contributor Codes IND -Individual , -th AvpnllP. S~n 'Q;;,.f.::l.pl rA q4qnl COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth Fifth IKJIND DCOM DOTH DpTY DSCC [KJ IND D COM D OTH D PTY D SCC ~IND D COM D OTH D PTY O SCC OO IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY osee Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 45 of ~ I.D.N U MBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) 09 /30/2017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San RafaeL CA 94901 10 /15/2017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . - - 1 10 /3 1/2017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. .v 11 /1 5/2 017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael, CA 94901 Thomas Coillns C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual '-F COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * I2£l IND D COM D OTH D PTY D SCC I2£l IND D COM D OTH D PTY D SCC I2£lIND DCOM DOTH DPTY DSCC I2£lIND DCOM DOTH DPTY DSCC I2£l IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~of ~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.3 0 391. 20 81.50 1 _I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12 /15/2017 I Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12 /29/20 i 7-1 Thomas Collins 07/14/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 t;?O Fi ft-h AVpnllF .c:..;::on R.::..f 07 /31/2017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0 8 /1.5 /20-1"}-rJenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKlIND DCOM DOTH DPTY DSCC !!l IND D COM D OTH O PTY O SCC Iil IND O COM D OTH O PTY O SCC IKl IND D COM D OTH O PTY O SCC !!l IND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Communications Dispatcher City of San Rafael communications Dispatcher City of San Rafael Communicat i ons Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 LD .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391-20 16.30 39L20 12.70 304.80 12.70 304.80 12.70 304 .80 70.70 [ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI,D NUMBER) CODE * IF AN IND IV IDUAL , ENTER OCCUPAT ION AND EMPLOYER (IF SELF·EMPLOYEO, ENTER NAME OF BUSINESS) 08/30/2017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael , CA 94901 09/15/2017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ~.. -f;::!.pl ["XI.. g4qn1 09/30/2017 I Jenna Cotta 10/15/2017 c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth Aven Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/31/20~7~Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com f IXlIND DCOM DOTH DPTY DSCC [KJ IND D COM D OTH D PTY D SCC [&l IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY D SCC IXlIND DCOM DOTH DPTY DSCC Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT) CALIFORNIA 460 FORM Page i.L of 198 I.D.NUMBER 83 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www-fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSOENTERI D NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 11/1572017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 11/30/2017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -• Q4QOl 12/15/2017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av 12/29/2017 I Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 077147201'1 I Deny Cruz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual ... --4 COM -Recip ient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [RJ IND D COM D OTH O PTY O SCC fK)IND D COM D OTH D PTY O SCC !XlIND DCOM DOTH OPTY DSCC IR]IND DCOM DOTH DPTY DSCC [KJIND DCOM DOTH DPTY OSCC Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communlcatlons Di'spatcher City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page !L of 198 I.D .NUM BER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12--:1 16'5.10 63.5°1 -] FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Associa~ion Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOY ED , ENTER NAME OF BUSINESS) 07/14/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2017 I Ryan De Marta 08/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,_., --·--1 Fifth 08/30/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09!lS72017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party sce -Small Contributor Committee www.netfile.com IXJIND oeOM DOTH DPTY osee IXJIND DCOM DOTH DPTY osee IXl IND O COM D OTH O PTY o sce lli]IND D eOM D OTH D PTY o see IK)IND D eOM D OTH D PTY o see Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off1cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 50 of ~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 3!.fl~20 81.50 1 -I FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED . ENTER NAME OF BUSINESS) (I F COMM ITIEE. AlSO ENTER I D NUMBER) 09 /30/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San RafaeL CA 94901 10 /15/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 10/31/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , ~.. .v 11/15/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ~lfjor2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'frh Av 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * [KJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH OPTY OSCC [ID INO o COM D OTH D PTY O SCC IRJ INO O COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 39L20 16.30 391.20 1 6 .30 391 .2 0 16.30 391.20 16.30 )91.20 81. 50 I FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/15/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael , CA 94901 12/29/2017 I Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, .~ 07/14/2017 Fifth 07/31/2017 Fifth oa7r572017 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND O COM D OTH O PTY O SCC ~IND D COM D OTH D PTY O SCC IK]IND O COM D OTH O PTY O SCC IK]IND O COM D OTH O PTY O SCC IK]IND D COM DOTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 ']91-:-20 81.50 1 -~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUSINESS) (IF COMMITIEE .ALSO ENTER I D NU MBER) 08/30/2017 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09 /15/2017 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . ft-h ~vpnl1p ,q,;::tn R;:t r;:J;p 1 09/30/2017 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,_., -vp.nllP • .c;t=;In R;;;.fr::lp-l . CA 9 10/15/2017 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth CODE * !&l IND O COM D OTH O PTY O SCC !&l IND O COM D OTH O PTY O SCC IK]IND o COM D OTH O PTY O SCC OO IND O COM D OTH O PTY O SCC OOIND OCOM DOTH OPTY OSCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~of~ I.D .NUMBER 831553 AMOUNT RECE IVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16_30 391.20 16.30 391.20 Y6.-jO 391.20 81. 50 I FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE . ALS O ENT ER I O. NUMBER) CODE .. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NA ME OF BUSINESS) 11115!20~rBlake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/201 7 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Pif 12/15/2017 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. --A 12/29 /2017 I Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Chriscian Dlaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IXJ IND D COM D OTH D PTY D SCC OO IND D COM D OTH o PTY O SCC [!l IND o COM D OTH o PTY O SCC Police Officer City Of San Rafael Police officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 54 of~ I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTR IBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D, NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 07/3f12()17 I christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,-. s 08/30/2017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth Av 09/15/2017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/3072017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com ~IND D COM D OTH O PTY D SCC ~INO D COM D OTH O PTY O SCC [Xl INO D COM D OTH D PTY O SCC !Kl INO D COM D OTH D PTY D SCC (RJ INO D COM D OTH O PTY O SCC Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael SUBTOTAL $ Statemen t covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 1.0. NUMBER 83 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391,20 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 39.1.20 81.50 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D, NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/1572017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10731/2017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 11/15/2017 Fifth 11/30/2017 Fifth Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com -4 IKJ IND D COM D OTH D PTY D SCC IKJ IND o COM D OTH o PTY O SCC IKJIND DCOM DOTH DPTY OSCC IRJ IND D COM D OTH o PTY O SCC IKJ IND D COM D OTH D PTY D SCC Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16 ,30 391-20 16.30 391.20 16.30 391.20 16.30 391. 20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 12/29/2017 I Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2017 IJames Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2017 IJames Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fi£tb~enlle. San R 06/30/2017 IJames Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/15/2017 I James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH DPTY OSCC OO IND O COM D OTH O PTY O SCC !Kl IND O COM D OTH O PTY O SCC OO IND O COM D OTH D PTY O SCC IK]IND O COM D OTH O PTY O SCC Police Corporal City of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .20 12.70 154 .1 0 12.70 154 .1 0 12.70 154.10 12-:-70 154.10 67.10 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc .ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATI: RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 09/30/2017 I James Dooley C/o; San Rafae l Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary; San Rafael Police Association, 1520 Fifth J!l.ven ue. Sa.n Rafael. ell 919 01 10/15/2017 IJames Dooley 10 /31/2017 C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 'f Fifth 11 /15/2017 IJames Dooley C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police AssociatLon, 1520 Fifth Avenue. San Rafael , CA 94901 .11/30/201-" -I James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm:diary: San Rafael Police Association , 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXJIND OCOM DOTH OPTY OSCC ~IND O COM D OTH O PTY O SCC IKI IND O COM D OTH O PTY O SCC IK]IND O COM D OTH O PTY O SCC ~IND OCOM DOTH OPTY OSCC Police Re-cruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael PoTice Recruit City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 1 98 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 154 .10 12.70 154 .10 12.70 154.10 12.70 1 54.10 12.7 0 154.10 63.50 1 J FPPC Form 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Associat ion poli t ical Ac t ion Comm i ttee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/15/201 7 I James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 12/29/2017 I James Dooley 07/14 /2017 07 /31/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenu e, San Rafael, CA 94901 Christopher -nuncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved thro ugh intermediary: San Rafael Po l ice Association, ~en 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC Police-Recruit City Of San Rafael Police Recruit City Of San Rafael Officer City of San Rafael Officer City of San Rafael Ottl.cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT) CALIFORNIA 460 FORM Page ~ of 198 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 23 .50 154 .10 16.30 154.10 16 .30 391.2 0 1 6 .30 391 .20 16.30 39 1 .20 88.70 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSOENTERI D NUMBER) CODE * IF AN IND IV IDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08/30720~7 I Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/15/2017 I Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 09/30/2017 10/15/2017 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth Fifth OO IND O COM D OTH O PTY O SCC ~IND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY O SCC IK)IND D COM D OTH D PTY O SCC ~IND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ott1.cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. SO I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D NUMBER) ~1 /l5/2017 I Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11730/2017 I Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 12 /15 /2017 I Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 12/29/2017 I Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11520 Fifth Avenue, San Rafael, CA 94901 07/14/2017 Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual .~ COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IXlIND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC IXl IND D COM D OTH D PTY D SCC IXl IND D COM D OTH D PTY O SCC IXlIND DCOM DOTH DPTY DSCC Officer City of San Rafael officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 3 91 .20 16.30 391.2 0 16.30 391.20 16.30 391.20 .16.30 Hl.20 81.50 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 07 /3 1/2017 I Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 0 8 /15/2 0 17 I Scott Eberle 08/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • -r.:::ll"'l Fifth 09 /15/2017 I Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/3 0 /201 7 I Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -f"t-h n.1.7J::>,.,""'" Q:::al"'1 P::lr COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKI IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC !&l IND O COM D OTH D PTY O SCC IKJIND DCOM DOTH DPTY DSCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.DNUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16 .3 0 39L:lO 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE ,. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 10/L512017 I Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/31/2017 I Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ~---' 11/15/2017 Fifth 11/30/2017 Fifth 12/15 {2<f17 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual 'f COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH DPTY OSCC IKJ IND O COM D OTH O PTY O SCC IKJ IND D COM D OTH O PTY O SCC OO IND D COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY OSCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 63 of~ LD .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 1 6 .3 0 391.20 16.30 391.20 16.30 391.20 16.30 391.20 H;--:30 391.20 81.5°1_ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ~2/2 9/2 017 I Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 /1 4 /2017 I Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/3 1/2017 Fifth 08/15 /2 017 Fifth 08/30/2017 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC ~IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY O SCC Sergeant City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 LD ,NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 39l.20 16.30 391.20 16.30 39l.20 16 .30 -:f~l . 2 0 8l. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) 09 /1 5/2017 I Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 09/30/2017 I Kevin Finerty 10/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, i ft-h ;aVpnllP .C:.-:::Jn R;:::l.f;:"ll=>l. (""J\ g4qnl Fifth 10/31/2017 I Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Ll/15/2017 I Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l~?n Fif ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IK]IND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391. 20 81.50 1 -J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D. NUMBER) 11 /30 /2017 IlKevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 12 /1 5/":2017 I Kevin Flnerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -t-h AvpnllP" ~ 12 /29/2 017 I Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'ft"h Av 07/14/2017 I Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 0 7 /3 1/2017 I Scott Flsher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND D COM D OTH D PTY DSCC ~IND DCOM DOTH DPTY DSCC IXl IND D COM D OTH D PTY D SCC IXlIND DCOM DOTH DPTY DSCC IK]IND O COM D OTH O PTY O SCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .20 16.30 391.20 16.30 391.20 16.30 39l.20 1 6 .30 391,20 81.50 1 -~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 0 8 /15/2017 08 /30 /2 017 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -. . 1. (' 09 /15 /2 017 I Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , ~. • -T::::Ipl r~ Q4qn1 09/30/2017 I Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10 /15 /2 017 I Scott FiSher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual i ft-h ~Vl=>nllp .c:.;:::tn R.:=t f.::::tp 1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND D COM D OTH D PTY D SCC IX]IND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC IX]IND D COM D OTH O PTY O SCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 3n.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I F COMMITIEE. ALSO ENTER I 0 NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 10/31/2017 I Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/15/2017 I Scott Fisher 11/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. ---, Fifth 12 /15/2017 I Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 1:2729]2017 I Scott Frilner C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -. 1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IXJIND DCOM DOTH DpTY DSCC IKJIND DCOM DOTH DPTY DSCC IXJIND DCOM DOTH DPTY DSCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police O!!lcer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 1 98 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391.20 16.30 391.20 16.30 391.20 1-6~3-0 39) .• 20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Politi cal Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED . ENTER NAME OF BUSINESS) (I F COMM ITTEE. ALS O ENTER I D. NUM BER ) 07/14/2017 I Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2017 I Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'ft-h AVPTlllP Sr.tn R;::!f;':lpl r.n" 08/15/2017 I Anna Fulgado C/o: San Rafael Police Association 1520 F ifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -.. .v 08/30/2017 I Anna Fulgado C/o: San Rafael Police Association 1520 Fift.h Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fift.h Avenue, San Rafael, CA 94901 Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received t.hrough intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC OO IND o COM D OTH D PTY D SCC OO IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY O SCC Dispat.cher City Of San Rafael Dispat.cher City Of San Rafael Dispat.cher City Of San Rafael Dispatcher City Of San Rafael Dispat.cher City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 1 2.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 63.50 1 -1 FPPC Form 460 (Janl2016) FPPC Advice : advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 09/30/2017 10/15/2017 10/31/2017 11/15/2017 ll./3012011 (IF COMMITTEE , ALSO ENTER I,D NUMBER) Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -. , -4 Fifth Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND D COM D OTH D PTY O SCC IKJIND DCOM DOTH OPTY OSCC IR]IND D COM D OTH O PTY O SCC OO IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC Dispatcher City Of San Rafael Dispatcher City Of San Rafael Dispatcher City Of San Rafael Dispatcher City Of San Rafael Dispatcher City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12 .70 304.80 12.70 3 0 4.8 63 .50 1 _I FPPC Form 460 (JanI2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND Z IP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLO Y ER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 12/15/2017 Fulgado San Rafael Police Association 1520 Fifth 12/29/2017 Fifth 07 /14 /2017 Fifth 07/31/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Associati o n , 'Contributor Codes IND -Individual i f t-'h :n'U~,..,,,.::> C!=an O::l.f'::=o.::>1 rn. a COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g .. business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com lRJ lND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC lRJ lND O COM D OTH O PTY O SCC lRJ lND O COM D OTH O PTY O SCC IXJIND OCOM DOTH OPTY OSCC Dispatcher City Of San Rafael Dispatcher City Of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07 /01 /2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 71 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 16.30 391.20 16.30 391.20 16 .30 391.2 74.30 1 FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI D NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08 /30 /2017 09 /15/2017 09/30/2017 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -. -San Rafap1. r Fifth 10 /15/2017 I Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 10 /31/2017 I Christopher l"uller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJ IND O COM D OTH O PTY O SCC IK]IND OCOM DOTH OPTY OSCC I!}IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC IZ]IND O COM D OTH O PTY O SCC Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police OttJ.cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16,-)0 391. 20 81.50 1 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 11/1 5/2017 ICnristopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 1 1/30/2017 1 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -. • pnl1P _ ~;::tn R~f;::!'pl C"A q4 12/15/2017 1 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, F' 12/2 9 /2017 1 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Salvatore Garanzlni C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KJIND DCOM DOTH DPTY DSCC [KJ IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC [KJIND DCOM DOTH DPTY DSCC IK)IND DCOM DOTH DPTY DSCC Polrce Officer City of San Rafael Police officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 73 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 3n.20 16.30 391.20 16.30 391.20 16.30 39l.20 16.30 'H 'l-:-2'0 81. 50 I FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPAT ION AND EMPLOYER (IF SELF-EMPLOY ED, ENTER NAME OF BU SINESS) 07/31/2017 I Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 08/1572017 I Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, .-.. -f;::!pl C'll q4qn1 08/30/2017 I Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, v 09/15/2017 I Salvatore Garanzini c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Salvatore Garanz~n~ c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Rec ipient Comm ittee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com L!j IND O COM D OTH O PTY O SCC IKIIND DCOM DOTH DPTY OSCC IR]IND D COM D OTH O PTY O SCC [!l IND O COM D OTH D PTY O SCC ~IND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ott~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 2L of 198 I.D.NUMBER 831 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 8 1. 5 0 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I,D. NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10715/2017 I Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 1 0 /31/2017 I SalvatoreGara.nzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , -~ 11/15/2017 Fifth 11/30/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KI IND O COM D OTH O PTY O SCC ~IND OCOM DOTH OPTY OSCC [KI IND O COM D OTH O PTY O SCC [KI IND O COM D OTH O PTY O SCC OOIND OCOM DOTH OPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 1 98 I.D. NUMBER 8 31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391. 20 16.30 3Sl.2 81.50 1 FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSOENTERI D.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED , ENTER NAME OF BUSINESS) 12/';[972017 I Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/1472017 I Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 5---' 07/31/2017 I Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 2D Fifth Av 08/15/2017 IMichael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Micnaer-Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 5---' 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY D SCC [KJIND DCOM DOTH DPTY OSCC IRJ IND D COM D OTH D PTY D SCC [KJ IND D COM D OTH D PTY O SCC OO IND O COM D OTH D PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ott~cer City of San Rafael SUBTOTAL $ Statement covers period from 0 7/01 /2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 76 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 1 6 .30 391-:-20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I F COMM ITTEE. ALSO ENTER I O. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLO Y ER (IF SELF·EMPLOYEO , ENTER NAME OF BUSINESS) 09/15/2017 I Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/30 /2017 I Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -th AVPTIllF'_ Srl.n R:=; f";:;p 1 C'A Q4Q01 10/15/2017 Fifth 10/31/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D pTY D SCC IKJIND DCOM DOTH DpTY DSCC OOIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 77 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.3 391. 20 81.50 1 -- FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE, ALSO ENTER 1.0 . NUMBER) CODE " IF AN INDIVIDUAL, ENTER OCCUPAT ION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 11/30/2017 I Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/15/2017 I Michael Garrison 12/29/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ~ Fifth 07/14/2017 I Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual 'f' COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH OPTY OSCC lKJlND OCOM DOTH OPTY OSCC IRJ IND D COM D OTH D PTY O SCC OO IND O COM D OTH O PTY O SCC OOIND OCOM DOTH OPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Police Officer City of San Rafael Police Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. 50 I FPPC Form 460 (Jan/201S) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECE IVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, A LSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 08 /1S/2oT)-I Lil.ah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 oe/jo/2orr-fLiiih Gavllck C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -.. -.v 09 /15/2017 I Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth AVPT111F> .C:;:::).n R:=!f;:II:.l ("2). q.4 09/30/2017 I Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Lilah Gavl~c C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY o see lKJ lND D eOM D OTH D PTY D SCC ~IND D eOM D OTH D PTY o see lKJlND DeOM DOTH OPTY OSCC lKJ lND D eOM D OTH O PTY o see Police Officer City of San Rafael Police Officer City of San Rafael Pol i ce Officer City o f San Raf a el Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~of ~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31 ) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391 .20 16.30 391.20 16 .30 391.2 0 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/3 1/2017-I Lilih Gavlick C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary; San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/15/2017 I Lilah Gavlick c/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary; San Rafael Police Association, ';'" 11/30/2017 I Lilah Gavlick C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary; San Rafael Police Association, , _.. ',venue . San Raf 12/15/2017 I Lilah Gavlick C/o; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary; San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 :LiTa:nGavHc C/o ; San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary; San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IR]IND oCOM DOTH oPTY OSCC IK]IND o COM D OTH O PTY O SCC IXJIND OCOM DOTH OPTY OSCC IKJIND OCOM DOTH oPTY OSCC IK]IND OCOM DOTH oPTY OSCC Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 80 of~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391. 20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME . STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMM ITTEE . AlSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAM E OF BUSINESS) 07/14/2017 I Just1n Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2017 I Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 08/15/2017 I Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, • ~. • -.4 08/30/2017 I Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/15[:2017 I Justih Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or seC) OTH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com f&]IND D COM D OTH D PTY D sec IKJ INO D COM D OTH D PTY D sec IXJIND DeOM DOTH DpTY osee [KJIND DeOM DOTH DPTY Dsec IKJ INO D eOM D OTH D PTY o see Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 1 98 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DAT E (IF REQUIRED) 16.30 391.20 16.30 391. 20 16.30 391.20 16.30 391.20 16.30 391. 20 81.50 1 -I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITIEE. ALSO ENTER I D, NUMBER) 09/30/2017 I Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue . San Rafael . CA 94901 10/15/2017 I Justin Graham 10/31/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,_.. -f Fifth 11/15/2017 I Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/3 0/2017 I justin-Graham C/o: San Rafael Police Associati o n 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g " business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * !K]IND OCOM DOTH OPTY OSCC OO IND O COM D OTH O PTY O SCC IKJ IND D COM D OTH O PTY O SCC !K]IND DCOM DOTH OPTY OSCC ~IND D COM D OTH D PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergean t City of San Rafael Sergeant City of San Rafae l Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 82 of~ I.D, NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 1 6.30 391.20 16.30 391 .20 16 .3 0 391.2 0 16.30 391.20 1 6 _30 )-9 1 .20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI ,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 12 /~5/2017 I Justin Graham C/o: San Rafael Police Association 1520 Fifth 12/29/2017 Fifth 07/14/2017 Fifth 07 /31/2 017 I Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ()8/15[1017 -r L"oi'i-HendrlCkS C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . ft-.h ~vp_nllP ~~~n R:=!fF:lpl COM -ReCipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KJ IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC [KJIND OCOM DOTH OPTY OSCC [KJ IND O COM D OTH O PTY O SCC @ IND O COM D OTH O PTY OSCC Sergeant City of San Rafael Sergeant City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .20 16.30 391.20 12.70 304.80 12.70 304.80 12 .70 30';.8 70. 70 1_ -------------' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08 /30/:2017 09 /15/2017 Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael , CA 94901 Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, . -. • 0 09 /30/2017 I Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 2Q Fifth Avenue, San RafaeL CA . 9.4901 10/15/2017 [Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ~O/]1 !20r7 I Lorl HendrlcKs C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual -. • 9 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e,g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC ~IND DCOM DOTH DPTY DSCC Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispaccher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D, NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12,70 3-04:-BC 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I D. NUMBER) IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 1 1/15/2017 [Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11 /30/2017 I Lori Hendricks 12/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, '-th AvpnllP ~;:::tn R;:;f;::lpl r1l. QAQOl Fifth 12/29/2017 I Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/14/2017 I Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . _. - s COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJIND DeOM DOTH DpTY Dsec IK]IND D eOM D OTH D PTY D sec IRJ IND D eOM D OTH D PTY D sec OO IND D eOM D OTH D PTY D sec IK]IND D eOM D OTH D PTY o see Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael O!!icer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTI O N TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 16.30 J9L20 67.10 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (lFCOMMITIEE,AlSO ENTER I D NUMBER) IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 07/31/2017-IRobert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 I Robert Henkle 08 /30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -.. -9 Fifth 09/1 5/2017 I Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Robert Henkle C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE "' !K]IND D COM D OTH D PTY D SCC ~IND D COM D OTH D PTY D SCC !K]IND DCOM DOTH DpTY DSCC [KJIND DCOM DOTH DPTY DSCC IK]IND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Office r City o f San Rafael Officer City of San Rafael Oftlcer City of San Rafae l SUBTOTAL $ statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 86 of~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 _20 16.30 391.20 16 .30 391 .20 16.30 391.20 16 .30 39 1. 2 0 81.50 1 __ I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/15/2017 I Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 10/31/2017 I Robert Henkle C/O: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 t;?O Fi -Ft-h n.·' . .1.l:::'nll'::> _Q.::l.TI 'Q::lr::l.pl 11 /15/2017 I Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11 /30/2017 I Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 RobertBenkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D PTY O SCC ~IND DCOM DOTH DPTY DSCC IXl IND D COM D OTH D PTY D SCC IXl IND D COM D OTH D PTY D SCC ~IND o COM D OTH o PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!icer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.2 8l.50 1 - I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Comm i ttee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/29/2017 I Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received thro ugh intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07 /14/2017 IJ. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, o pi frh Avpn llP ~Tl 'R:::If~pl rn Q Ll.Q(11 07/31/2017 IJ. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Assoc i atio n, ,~. v 08 /15/2017 IJ. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 949 0 1 J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND O COM D OTH O PTY D SCC IK]IND DCOM DOTH OPTY OSCC Ii]IND D COM D OTH O PTY O SCC OO IND D COM D OTH O PTY O SCC [KJ IND D COM D OTH D PTY D SCC Officer City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01 /20 1 7 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 88 of~ I,D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16 .3 0 391.20 16.30 391.20 l~-O 3 91 .2 0 81. 50 1 _ .. -- FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 09/15 /2017 I J-Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/30 /2017 I J_ Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 10/15/2017 I J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fi~venue. San R 10 /31/2017 I J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 J. Alexander-Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com ~IND D COM D OTH D PTY D SCC ~IND DCOM DOTH OPTY DSCC ~IND D COM D OTH D PTY O SCC ~IND DCOM DOTH DPTY OSCC lID lNO O COM D OTH O PTY D SCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 89 of ~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. SO I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 11/]0/2017 TO'. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/~5/2017 IJ. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/29/2017 I J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . _. -1 07/~4/2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Lisa HolLon C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recip ient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IR]IND O COM D OTH O PTY O SCC IXJIND OCOM DOTH OPTY OSCC IKJ IND OCOM DOTH OPTY OSCC IKJIND OCOM DOTH O PTY OSCC OOIND OCOM DOTH OPTY OSCC corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 2.L of 198 I.D. NUMBER 83 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08 /15 /2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 1 08 /30 /2 017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, R; -Ft-h 'Z'lvo=>nl'''''' .c:.;::ll""l 'Q;:::.-F;:::..:::.1 09/15/2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • -4 09 /3 0/2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 1 0/1 5 /2 (fr1 -rL~sa Hol1:on C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IX]IND O COM D OTH O PTY O SCC [!)IND O COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY DSCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D , NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 16.30 391 .2 0 16.30 391.20 16.30 391.20 16.3 39T.-2-0 8l.50 ! FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10/31/2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Raf.ael. CA 94901 11/15/2017 ILisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/30/2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/15/2017 I Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/29/2017 I L~sa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO -Individual •. • -4 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO INO o COM D OTH o PTY O SCC IID INO o COM D OTH o PTY O SCC IXlINO DCOM DOTH oPTY OSCC IXl INO DCOM DOTH DPTY DSCC OO INO o COM D OTH o PTY O SCC Sergeant city of San Rafael sergeant City of San Rafael Sergeant City of San Rafael sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 I.D .NUMBER 8 31 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16,30 391.20 16.30 391.20 16.30 391.20 16--:-30 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY EO , ENTER NAME OF BUSINESS) (IF COMMITIEE, AlSO ENTER I O. NUMBER) 07/H/2017 I Kyle Hornstein C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 o7/3172orr-n <yle Hornstein C/o: San Rafael Police Association 1520 Fifth 94901 08/15/2017 Fifth 08/30/2017 I Kyle Hornstein C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Kyle Hornstein C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . ft-h AVPTlllP ~;::)'TJ 'R;::lr.:::!~' COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * !&l IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC !K]IND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 LD. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277.10 H.30 2-/7 .10 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMM ITIEE. ALSO ENTER I,D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 07/11/2 017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 91901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 07/31/2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 91901 Union member's dues received through intermediary: San Rafael Police Association, 1. CA QAg01 08 /1S/2017 I Carl Huber C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . ~. , -f',=l!~ 1 08/30/2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 Carl Huber C/O: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e ,g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKIIND OCOM DOTH OPTY OSCC [RJ IND O COM D OTH O PTY O SCC IKIIND OCOM DOTH OPTY OSCC IRJIND OCOM DOTH OPTY OSCC IRJ IND O COM D OTH O PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 t D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 39l.20 16.30 391.20 16.-30 391.20 8l.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/30 /2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10 /1 5/2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 10 /31 /2 017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -. , -A q4QOl 11/15/2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND O COM D OTH O PTY O SCC IK]IND OCOM DOTH OPTY OSCC IK]IND O COM D OTH O PTY O SCC OO IND O COM D OTH O PTY O SCC IID IND O COM D OTH O PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page ~ of 198 !,O .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 r6.3-0 39L2 0 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I ° NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/15/2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 12 /29/2017 I Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/14/2017 07/31/2017 oS-!l572-0 17 ·Contributor Codes INO -Individual COM -Recipient Committee (other than PTY Dr SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Comm ittee www.netfile.com Fifth Fifth Fifth IXl INO O COM D OTH O PTY O SCC OO INO o COM D OTH o PTY O SCC IXl IND o COM D OTH O PTY O SCC IKJ INO O COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY OSCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 1 98 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16_30 )91.20 16_30 391.20 16.30 391.20 16.30 391.20 1.6 .30 391.20 81_50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08 /3 0 /2017 I Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09 /15 /2017 I Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , •. • 1 09 /30/2017 I Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'frh Av 10/15/2017 I Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael , CA 94901 l Cl/31 /2 0l '" I ScotClngels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual • .0 .. ""' COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g" business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page ~ of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 " DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 1 5 .30 39 1--:-20 81.50 [ _________ --' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSOENTERI,O NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 11/1 5/2017 I Scott I n gels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael. CA 94901 11/30/2017 I Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 12 /15/2017 I Scott I n gels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . ~. • ,VF"nllP g.::ln R.::If;:H~l 12/29/2017 I Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Associatio n, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g " business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D PTY D SCC IZJIND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC IZJIND DCOM DOTH OPTY OSCC OO IND D COM D OTH D PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Records Cler Ci ty of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~of~ LD,NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 391.20 16.30 391.20 16.3 0 391.20 16.30 391.20 12.70 304 .80 77.90 1 -~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 07 /3 1 /2017 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 1 OS/15/2 01 7 I Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, i ft-h n.VP.l'"111P .qri.l'"1 R::::If.ri.pl C':A Q4Q01 08/30/2017 Fifth 09 /15/2017 I Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael , CA 94901 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OOIND DCOM DOTH DPTY DSCC OOIND DCOM DOTH DPTY DSCC IID IND D COM D OTH D PTY O SCC OO IND D COM D OTH D PTY D SCC OOIND DCOM DOTH DPTY DSCC Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Record s Cl erk City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.8 0 12.70 304.80 12.70 304.80 1 2.7 0 30'LSO 63.50 1 ---~------' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMmEE. ALSO ENTER I D NUMBER) IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/15/2017 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10 /31/2017 I Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -t-.h AvpnllP_ Roan R;::<f;::J.pl. ('])._ q4qnl 11/15/2017 Police Association 1520 Fifth 11/30/2017 I Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Rebecca Jensen c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC ~IND O COM D OTH O PTY O SCC [RJ IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Records Clerk City of San Rafael Records City of SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 100 of ~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 3 -04 .80 63.501 _~ FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07/31/2017 I Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 08715/2017 iKevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . _., -1 08/30/2017 I Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth Av 09/15/2017 I Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Kevin Macdougal C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXlIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH oPTY OSCC IXl IND D COM D OTH o PTY O SCC OO IND D COM D OTH O PTY O SCC !Kl IND D COM D OTH D PTY O SCC officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Otticer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 111 of 198 I.D, NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 1b:-30 39-1.20 81.50 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTER I.D NUMBER) CODE .. IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED. ENTER NAME OF BUSINESS) 10/15/2017 [Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/31/2017 I Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, '--' -pnnp_ San R:=ifapl. C 11/15/2017 I Kevin Macdougald C/O: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association. • -. • ,VP.T111P_ ~rln R;::tfAP.' 11/30/2017 I Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 1:211572017 I KeVln Macdouga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -. • -r.:::ilp1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC iKJlND DCOM DOTH DPTY DSCC iKJlND DCOM DOTH DPTY DSCC Officer City of San Rafael officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 11 2 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULAT IVE TO DATE CALENDAR Y EAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391. 20 16.30 391.20 16.30 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D NUMBER) 12/29/2017 I Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/14/2017 I Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -. r 07/31/2017 I Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'f 08/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO -Individual -. 1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 11 3 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 \ FPPC Form 460 (JanI2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I D NUMBER) IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 09/157201-'-I Carlos Maldonado c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 0 9730/2017 I Carlos Maldonado 10/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union me mber's dues rece i ved through intermediary: San Rafael Police Association, .... --. --, Fifth 10 /31/2017 I Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee .v (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IRJ IND D COM D OTH D PTY O SCC IK]IND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY OSCC IXl IND DCOM DOTH DPTY OSCC IRJ IND D COM D OTH D PTY O SCC OfIicer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ll4 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 391.20 16 .3 0 ~20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ~1/30/2017 I Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 12/1572017 I Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/29/2017 I Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ... • VPl1l1P .c:.:IT'l R.:If.:lpl rn. q.4Q()1 07/14/2017 I Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 KaitIin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com (gJ IND D COM D OTH D PTY D SCC [!] IND D COM D OTH D PTY D SCC IXlIND DCOM DOTH DPTY DSCC IXl IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Call Taker and Records Specialist City Of San Rafael Records SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 115 of ~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 12.70 304.80 12.70 304.80 74.30 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08/15/2017 I Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 08/30/20I71 Ka:i.tlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 09/15/2017 Fifth 09/30/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -. • 1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PlY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH o PlY O SCC IKJ IND D COM D OTH o PlY D SCC IKJ IND O COM D OTH o PlY D SCC IK]IND DCOM DOTH OPTY OSCC IKJ IND D COM D OTH o PlY O SCC Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specia l ist City Of San Rafael Call Taker and Records Specialist City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 116 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304 .80 12.70 301.80 63.50 1 ~ FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSO ENTERI D.NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10 /31/2017 11/15/2017 Xaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermedi ary: San Rafael Police Association, 1L/30/2017 I Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, v 12 /15/2017 I Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Kait~Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 'Contributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH DPTY OSCC [KJ IND O COM D OTH O PTY O SCC [KJ IND O COM D OTH O PTY O SCC IK]IND OCOM DOTH OPTY DSCC [KJ INO O COM D OTH O PTY O SCC Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Cal l Taker and Records Specialist City Of San Rafael SUBTOTAL $ Statement covers period from 07 /0 1/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 117 of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12 .7 0 304 .B O 63 .50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 071i4/"201.1 I Michae-r Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07/31/2017 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2017 [Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av 08/30/2017 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND O COM D OTH O PTY O SCC ~IND DCOM DOTH DPTY DSCC IK]IND D COM D OTH D PTY O SCC IXl IND D COM D OTH D PTY D SCC IKI IND D COM D OTH D PTY D SCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 118 of 198 LD.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391. 20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI D NUMBER) 09/30/201 7 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/i5j2 017 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , .-.. --. --1 10/31/2017 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary; San Rafael Police Association, '-h Av 11/15/2017 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 M1chaeI Math1s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Comm ittee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND D COM D OTH D PTY D SCC [ID IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC [ID IND O COM D OTH D PTY O SCC [IDIND DCOM DOTH DPTY DSCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 119 of~ I,D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/1.5/2017 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12 /29/20 17 I Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/14/2017 I Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2017 I Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Kelly Maue C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND o COM D OTH o PTY O SCC OOIND DCOM DOTH DPTY OSCC Ii!J IND o COM D OTH o PTY o SCC IK}IND o COM D OTH o PTY O SCC OO IND o COM D OTH o PTY O SCC Corporal City of San Rafael Corporal City of San Rafael Communications Dispatcher City of San Rafael communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 120 of ~ LD.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 12.70 304.80 12.70 304.80 12:"10 304.80 70.70 1 -] FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08 /3 0/2 017 I Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael , CA 94901 09 /1 5l2 0171 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth 94901 09/30/2017 Fifth 10/15/2017 iKelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Kelly Maue C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association. 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXlIND DCOM DOTH DPTY DSCC fK]IND D COM D OTH O PTY O SCC IXlIND DCOM DOTH DPTY OSCC IXlIND DCOM DOTH DPTY DSCC fK]IND DCOM DOTH DPTY DSCC Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 121 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 :H14.S0 63.50 1 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 11115/201 7 I Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 1 1 /30/2017 I Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, ... • -.. pl 12/15/2017 Fifth 12/29/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC [KJ IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH OPTY OSCC [K] IND D COM D OTH O PTY O SCC IK]IND D COM D OTH D PTY D SCC Communications Dispatcher City of San Rafae l Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael btticer City of San Rafae l SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 122 of 1 98 I.D.NUMBER 83 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12 .70 304.80 1 6 .30 )91.20 67.10 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gOY Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07 /31/2017 I Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San RafaeL CA 94901 08/15/2017 I Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. e. S.::3.TI R;=tf<3.p1. C' 08/30/2017 I Phillip Melodia C/o: San Rafael Police Association 1520 Fifth 09/15/2017 ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 94901 Fifth Fifth [KJ IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC [KJIND DCOM DOTH DPTY DSCC IXI IND D COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 123 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 )-91..20 81.50 1 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/lS/201r-,-phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael . CA 94901 10/31/~n>hillip Me10dia C/o: San Rafael Police Association 1520 Fifth 11/15/2017 11/30/2017 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 94901 Fifth Fifth Fifth IXJIND OCOM DOTH OPTY OSCC IKJ IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH D PTY O SCC IXJ IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Offlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 1 24 of~ I.D .NUMBER 83 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16,30 391.20 16.30 391.20 16.30 391 .20 16.30 391.20 lb:3o 391-::10 8l. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-EMPLOYED, ENTER NAME OF BUSINESS) 12/29/2017 I pfifilip Meloclia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152Q Filth Avenue,_San Rafael, CA 94901 07/1472017 I Beth MiMa C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 07/31/2017 Fifth 08/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Con tributor Commi ttee www.netfile.com IKJ IND D COM D OTH D PTY D SCC I!l IND O COM D OTH D PTY O SCC ~IND D COM D OTH D PTY O SCC IKJ IND D COM D OTH D PTY D SCC fKJ lND D COM D OTH O PTY D SCC Officer City of San Rafael Admin i strative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Techn~clan City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 12 5 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 12.70 304.80 12.70 304.80 12.70 304.80 12:-'10 304 .60 67.10 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I 0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/15/2017 I Beth MinKa C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 15 20 Fifth Avenue, San Rafael. CA 94901 09/3C1/2 017 IBeth Mi~a C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece ived through intermediary: San Rafael Police Association , • -• ---.d 10/15/2017 Fifth 10/31/2017 Fifth 1171512017 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND O COM D OTH D PTY O SCC OO IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY O SCC OO IND O COM D OTH O PTY O SCC OO IND D COM D OTH D PTY D SCC Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 1 2/3 1/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 126 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304 .8 0 12.70 304.80 63.50 1 J FPPC Form 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DA1E RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I FCOMMITTEE ,ALSO ENTER I D NUMBER ) CODE 1< IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMP LOYED, ENTER NAME OF BUSINESS) 11/30/2017 I Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 12/15/2017 i Seth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, • & ... "" "' ...... _"._ r!' __ n_~_-.' nt. 12/29/2017 iBeth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fift-h :n.VPT111P ~;::::Jn 'R;::!f;:::H~l c:a qA. 07/14/2017 i Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual , -t COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY D SCC [RJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH O PTY D SCC Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Call Taker and Records Specialist City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 27 of 1 98 I.D. NUMBER 8 31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304 ,80 12.70 304.80 1 2.70 304.80 12.70 304~O 63.50 1 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 08/15/2017 08730/2017 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -. . -. --, 09/15/2017 I Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth Av 09/30/2017 I Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) P1Y -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DP1Y DSCC OO IND D COM D OTH D P1Y D SCC IXI IND D COM D OTH D P1Y D SCC IXIIND DCOM DOTH DP1Y DSCC IKJ IND D COM D OTH O P1Y O SCC Call Taker and Records Specialist City Of San Rafael Call Taker and Records specialist city Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records specialist City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 1 28 of 1 98 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 1.2 .70 30""-80 63 .5 0 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10 /31/2017 11 /15/2017 11 /30/2017 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif t h ~venue. San Rafael. CA 94901 Cynthia Morgan C/O: San Rafael Police Association 1520 Fifth 94901 Fifth 12 /15/2 017 I Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual ·r COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IXJIND OCOM OaTH OPTY OSCC IRJ IND O COM D OTH O PTY O SCC IXJIND OCOM OaTH OPTY OSCC IXJIND OCOM OaTH OPTY OSCC IXJ IND O COM O aTH O PTY O SCC Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 129 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304 .80 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF·EMPLDYED , ENTER NA ME OF BUSINESS) 07/14/2017 I Lynn Mu...-phy C/o: San Rafael Police Association 1520 F ifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fift.h Avenue. San Rafael. CA 94901 07/31/2017 I Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/15/2017 Fifth 08/30/2017 Fifth 09/15/2017 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , ·Contributor Codes IND -Individual 'f' COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH OPTY OSCC ~IND O COM D OTH O PTY O SCC IX]IND O COM D OTH O PTY O SCC IX]IND O COM D OTH D PTY O SCC ~IND OCOM DOTH OPTY OSCC Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider city of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page l30 of 198 I.D. NUMBER 8 31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304 .80 1 2.70 304.80 63.50 1 ~ FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 09730/2017 10/1572017 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 10/31/2017 I Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -. • 1 rn.. q4q()1 11/15/2017 I Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/3072017 I Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g .. business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND O COM D OTH O PTY D SCC IK]IND DCOM DOTH OPTY OSCC IXlIND DCOM DOTH OPTY OSCC IK]IND DCOM DOTH DPTY OSCC lliJ INO O COM D OTH D PTY O SCC Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 131 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304--:-8-0 63.5°1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www-fPPc,ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMP LOY ED , ENTER NAME OF BUSINESS) 1 2 /15/2017 I Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 12/29/2017 I Lynn Murphy 07/14/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,_., --·--1 Fifth 07/31/2017 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 oa715/20 17 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual ::0': ~ COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g .. business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXlIND DCOM DOTH OPTY OSCC IXlIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IXl IND D COM D OTH D PTY D SCC IXl IND D COM D OTH D PTY D SCC Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael Ev~dence Techn~c~an City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 132 of 1 98 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.8 63.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FU LL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I F COMMITTEE. A LSO ENTER I D NUMBER) CODE * IF AN IND IV IDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BU SINESS) 08/30/201 7 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/15/2017 I Jorge Navarro 09/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -. 1 Fifth 10/15/2017 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 lO/31/201 7 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through interm~diary: San Rafae l Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC !R]IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafae l Evidence Technician City of San Rafael EVidence Te c hnl Clan City of San Rafae l SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT) CALIFORNIA 460 FORM Page 13 3 of 1 98 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATI V E TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 1 2 .70 304.80 12.70 304.80 1 2.7 0 30<4.80 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D,NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-EMPLOYED, ENTER NAME OF BUSINESS) 11/15/2017 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2017 I Jorge Navarro 12/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , ~~~ Fifth 12/29/2017 I Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Alexis NJ.elsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , ·Contributor Codes IND -Individual COM -Recipient Committee ,v (other than PlY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com !&l IND D COM D OTH o PlY D SCC IK]IND DCOM DOTH o PlY DSCC !&l IND D COM D OTH o PlY D SCC [KJ IND D COM D OTH o PlY D SCC IK]IND D COM D OTH o PlY D SCC Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael Lead CommunicatJ.ons Dispatcher city of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 4 of 1 98 I.D.NUMBER 8 3 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.90 63.5°1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE, ALSO ENTER I 0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYEo, ENTER NAME OF BUSINESS) 07/31/2017 I Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 I Alexis Nielsen 08/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ~., -frlpl rn. q4qn1 Fifth 09/15/2017 I Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Alexis N~elsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee v (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND O COM D OTH O PTY O SCC ~IND O COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH O PTY OSCC IRJ IND O COM D OTH O PTY O SCC Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communicat10ns Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 13 5 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 JO~.90 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/15/2017 I Alexis Nrdsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafae.l. CA 94901 10/31/2017 I Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/15/2017 I Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/30/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com IK]IND DCOM DOTH OPTY OSCC [Rj IND D COM D OTH D PTY D SCC !X]IND O COM D OTH D PTY D SCC !X]IND D COM D OTH D PTY O SCC [RjIND DCOM DOTH DPTY DSCC Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher city of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead CommunicaClons Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 136 of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 12.70 30LSO 63.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I F COMMITTEE, ALSO ENTER 1.0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BUSINESS) 12T29/2 017 I Alexis NreIsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490l 08715/2017 lascar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 09/lS/2017 lascar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif 09/30/2017 l ascar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10]15/2017 I-Oscar 0' con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com (KJ IND D COM D OTH D PTY O SCC IZJ IND O COM D OTH D PTY D SCC !Rl IND D COM D OTH D PTY o scc IKJ IND D COM D OTH O PTY D SCC IZJ IND D COM D OTH D PTY O SCC Lead Communications Dispatcher City of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recru~it City Of San Rafael SUBTOTAL $ Statement covers period from 0 7 /01 /20 17 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 13 7 of 19 8 I.D.NUMBER 8 3 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 l14.30 12.70 114.30 12.70 114.30 12.70 114.30 63.50 1 FPPC Form 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10731/2017 I Oscar 0' con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 9490~ 11/15/2017 I Oscar O'con c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/30/2017 I Oscar O'con c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • R;::tf~pl rA Q4Q('Jl 12/15/2017 I Oscar O'con c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/29/2017-1 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC !X]IND DCOM DOTH DPTY DSCC Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael POTice Rec'ruit City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 138 of 198 I.D .NUMBER 83 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 114.30 12.70 114.30 12.70 114.30 12.70 114.30 12.70 1.14 .30 63.50 1 _1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D, NUMBER) CODE .. IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 07/~4/2017 I Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07 /31/2017 I Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . --, 08/15/2017 I Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth Av 08/30/2017 I Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 LesIl-e <5' Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PlY or SCC) OTH -Other (e .g ., business entity) PlY -Political Party SCC -Small Contributor Committee www.netfile.com IXJIND DCOM DOTH DPlY DSCC [KI IND D COM D OTH o PlY D SCC IKl IND D COM D OTH D PlY D SCC IXJ IND D COM D OTH D PlY D SCC IXJIND DCOM DOTH DPlY DSCC Offlcer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 139 of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391. 20 81.50 [ FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I D, NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-EMPLOYED , ENTER NAME OF BUSINESS) 09/30/2017 I Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San RafaeL CA 94901 10/15/2017 I Leslie 0 I Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -.. ---@1 10/31/2017 Fifth 11/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PlY or SCC) OTH -Other (e .g., business entity) PlY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH o PlY D SCC IZJIND DCOM DOTH DPTY DSCC [&l IND D COM D OTH o PlY D SCC [&l IND D COM D OTH o PlY O SCC IZJIND DCOM DOTH o PlY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Oft1cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 40 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED ) 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 391.20 16.30 3 91 .20 81.50 1 -----=------' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Associat ion Polit ical Ac t ion Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF·EMPLOYED , ENTER NAME OF BUSINESS) 12/15/2017 I Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12 /29/Z017 . I Leslie 0' Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/14/2017 07/31/2017 08T1--s-n017 ·Contributor Codes IND -Individual -.. -dqnl COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.9 ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth Fifth lK]IND DCOM DOTH o PlY DSCC lK]IND DCOM DOTH DPTY DSCC lXJ lND O COM D OTH O PTY O SCC lK]IND D COM D OTH D PTY O SCC lK]IND DCOM DOTH OPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael l.cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 141 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391. 20 16 .30 391.20 16.30 391.. 2'0 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER I,D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08/3012017 I Brian I?"tterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Pifth Aven\le. San Rafael. CA 94901 09/15/2017 I Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, .~ 09/30/2017 I Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av 10/15/2017 I Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Br~an--Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com IKJIND OCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY O SCC IKJIND DCOM DOTH DPTY DSCC OO IND D COM D OTH D PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 142 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391. 20 IEl.30 391.2-0 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Comm i ttee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND Z IP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,AL SO ENTERI D NUMBER) CODE * IF AN IND IV IDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 11715/2017 I Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafae l Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/30/201~Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Pol ice Association, 12/15/2017 I Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, v 12/29/2017 I Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9 4 901 Buff), Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY Dr SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KJ IND D COM D OTH D PTY D SCC lRJ lND D COM D OTH D PTY O SCC [KJIND DCOM DOTH OPTY o sec [KJIND DCOM DOTH DPTY OSCC IK]IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ott i cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 143 of~ LD .NUMBER 83 155 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR Y EAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16 .3 j9 1.~20 81. 5 0 I FPPC Form 460 (Jan/2016) FPpe Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND Z IP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE , AL SO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLO YED, ENTER NAME OF BUSINE SS) 07/31/2017 I Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 I Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, '-' --'--1 08/30/2017 I Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • ,VpnllP C::::=!n 'R~f;:H~l rn.. q4Qn1 09/15 /2017 I Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual - . 1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e,g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND OCOM OaTH OPTY DSCC IRJ IND O COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY OSCC IKJIND DCOM DOTH DPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ott~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 1 44 of~ I.D.NUMBER 83 155 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16-.3-0 391.20 8l. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTR IBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLO YEO . ENTER NAME OF BUSINESS) (IF COMM ITIEE, ALSO ENTER 1.0 NUMBER ) 10/15/201~I Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/31/2017 I Buffy Paxson 11/15/2017 11/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE * IKJ IND D eOM D OTH D PTY o see OOIND DCOM DOTH OPTY osee IKl IND D eOM D OTH D PTY o see IKJ IND D eOM D OTH D PTY D SCC IKJIND OCOM DOTH OPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!t~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 145 of 1 98 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 l~:fo 391.2 81.50 1 FPPC Form 460 (Janl2016) FPPC Advice: advice@fpPc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF·EMPLOYED . ENTER NAME OF BUSINESS) (IF COMMITIEE , ALSO ENTER I D NUMBER) 12 /29/2017 I Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 07/14/2 0 17 I Jessica Perry 07/31/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . --. -. --, Fifth 08/15/2017 I Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 essica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small CDntributor Committee www.netfile.com CODE * IKJ IND D COM D OTH O PTY O SCC IK]IND DCOM OOTH DPTY DSCC IRI IND D COM D OTH D pTY O SCC IX]IND D COM D OTH D PTY O SCC IK]IND D COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael bff~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT) CALIFORNIA 460 FORM Page 1 46 of---..l:.2.§. I.D.NUMBER 83155 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391~20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D NUMBER) 09/15/2017 I Jessica Perry c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09730(2017 I Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . .-.. --. --, 10/15/2017 I Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth Av---'-~--~_r __ , 10/31/2017 I Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 949 01 IT7I572017 I Jess~ca Perry C/o: San Rafael Police Association 152 0 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 5?n Pi ft-h l'\VPT1 l1 P .qAn 'R;:lf;;:;pl rn. QdQ('l1 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC [RJ IND D COM D OTH D PTY D SCC [RJ IND D COM D OTH D PTY D SCC IZ]IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O !!~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 47 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16_30 391.20 16.30 391.20 16.30 391.20 16 .30 3 !I 1. 20 81.50 1 ---1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER 1.0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF-EMPLOYED, ENTER NAME OF BUSINESS) 11/3012C)l 7 -I Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 9490~ 12/15/2017 I Jessica Perry C/o: San Rafael Police Association 1520 Fifth 94901 12/29/2017 Fifth 07/14/2017 Fifth OrT:n!2017 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IXJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IRJ IND D COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Police Corporal City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 48 of~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTR IBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 08./15/2017 08/30/2017 09/15/2017 09/30/2017 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •. • 1 r:o. q4qnl Fifth Fifth 10/15/2017 I Aaron P~ornbo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual • ~. • -.1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IXJIND DCOM DOTH DPTY OSCC IXJ IND O COM D OTH D PTY O SCC IRJ IND D COM D OTH D PTY D SCC OO IND D COM D OTH O PTY O SCC IXJ IND O COM D OTH O PTY O SCC Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 1 49 of~ I.D .NUMBER 83 1553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 2 0 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391 .20 81.50 1 - -----J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc .ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE,ALSO ENTER I D,NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSI NESS) 10/31/2017 1 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/io17 1 Aaron piombo 11/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'f Fifth 12/15/2017 1 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/29/20J .. ',---I Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC IR]IND D COM D OTH D PTY O SCC [RJ IND D COM D OTH O PTY O SCC IKJ IND D COM D OTH O PTY D SCC Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael SUBTOTAL $ Statement covers pe riod from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page !2Q.. of 198 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 3-91-:2-0 81. 50 I_I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE ,ALSOEN TERI D NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (I F SELF·EMPLOYED , ENTER NA ME OF BUSINESS) 07/14/2017 [Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07]31/2017 I Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/15/2017 Fifth 08/30/2017 Fifth Q9T1'Sn017 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH DPTY DSCC [KJ IND D COM D OTH O PTY O SCC ~IND O COM D OTH D PTY O SCC IK]IND D COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 1 5 1 of ~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 391.20 16.30 391 .20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BUSINESS) e9/3072017 I Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2017 I Denni s Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , .,,-,.,. ~---_'£_-'I 10/31/2017 I Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fifth Avenue . San R 11/15/2017 I Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2017 IDennis~rince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 'Contributor Codes IND -Individual .: COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KJ IND D COM D OTH D PTY D SCC [KJ IND D COM D OTH D PTY D SCC ~IND D COM D OTH O PTY O SCC [KJ IND D COM D OTH D PTY D SCC [KJ IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 15 2 of~ I.D .NUMBER 83 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16-:-30 391 .20 81.50 1 _J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BUSINESS) 12/15/2017 I Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 12/29/2017 IDenniS-Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/14/2017 I Gino Rantissi 07/31/2017 c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . _. . , Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 IG~no RanL~ss~ c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual ...... -----, COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com iK]IND DCOM DOTH DPTY DSCC iK]IND D COM D OTH D PTY D SCC iK]IND D COM D OTH D PTY D SCC iK]IND DCOM DOTH DPTY DSCC iK]IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Otl:~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 153 of 198 I.D. NUMBER 8 31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PE R ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 39l.20 16.30 39l.20 16.30 391.20 16-.30 391. 20 8l.50 1 ----.. ~ FPPC Fo"" 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Act i on Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,A LSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08/J()72017 I Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/15/201 7 I Gino Rantissi 09/30/2017 10/15/2 01 7 c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 5---' Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 9490 1 Gino Rantlssl c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -ReCipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND O COM D OTH D PTY O SCC [lIND OCOM DOTH OPTY OSCC IRJ IND O COM D OTH O PTY O SCC IK]IND D COM D OTH D PTY O SCC !R]IND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off i cer City of San Rafael Ott lce r City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 1 54 of 1 98 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 1 6 .30 391 .2 0 81.50 1 __ J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca .gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D NUMBER) 11/15/2017 I Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11730/2017 I Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -_. -.vpnllP_ RAn Rafa.p1. r 12/15/2017 I Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth Av 12/2 9 /2017 I Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Comm ittee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKlIND DCOM DOTH DPTY DSCC IKl IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC IKl IND D COM D OTH D PTY D SCC IKlIND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT) CALIFORNIA 460 FORM Page 1 55 of 198 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED , ENTER NAME OF BUSINESS) 07/31/2017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 08/15/2017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'F 08/30/2017 Fifth 09/15/201 7 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND DCOM DOTH OPTY OSCC IKJ IND D COM D OTH O PTY O SCC IXJ IND D COM D OTH D PTY D SCC IKJ IND O COM D OTH O PTY O SCC IKJ IND D COM D OTH D PTY D SCC corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael corporal City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT) CALIFORNIA 460 FORM Page 156 of~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 H.30 391~20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMM ITTEE ,ALSOENTER I D NUM BE R) CODE * IF AN IND IVIDUAL , EN T ER OCCUPATI ON A ND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BU SINESS) 10/15/2017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/3112017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, f::l,:.l rl!. Q.dQ 11/15/2017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 11/30/2017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor CDdes IND -Individual _. .v COM -Recipient Committee (other than PTY Dr SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [iil IND o COM D OTH o PTY O SCC IKJ IND o COM D OTH o PTY O SCC IID IND o COM D OTH o PTY O SCC [iil IND o COM D OTH o PTY O SCC IR]IND D COM D OTH D PTY D SCC Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL $ Statement covers period from 0 7/0 1 /20 17 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 1 5 7 of~ I.D .NUMBER 83 1 553 AMOUNT RECEIVED THIS PERIOD CUMULATI V E TO DAT E CALENDAR Y EAR (JAN . 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 39l.20 16.30 391. 2 0 16.30 391.20 16 .30 391. 20 8l. 5 0 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I FCOMMITIEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 12/29/2017 I Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/14/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth 94901 07/31/2017 Fifth 08/15/2 017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08130/20i1iPeggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual ." COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [RJ IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY D SCC OOIND DCOM DOTH DPTY DSCC Corporal City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael LeaCr Communicat~ons Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 58 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CA LENDAR YEAR (JAN . 1 -DEC . 31 ) PER ELECTION TO DATE (IF REQUIRED) 16.30 391. 20 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.I!O 67.10 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE ,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED . ENTER NAME OF BUSINESS) 09/1572017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 10/15/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. --A q.d 10/31/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 IT7l57~f017-IPeggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH OPTY DSCC IKJ IND O COM D OTH O PTY D SCC tKJ lND D COM D OTH D PTY O SCC IX]IND D COM D OTH D PTY O SCC IKJ IND D COM D OTH D PTY D SCC Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communlcatlons Dispatcher City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 15 9 of 1 9 8 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 1:2-,70 304.1>0 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 11/30/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12T15/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/29/2017 I Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, Fifth Av 07/1 4 /2017 I Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07fJ1/20 1 7 ITrav15 Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual .~ COM -Recip ient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND O COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY OSCC OO IND D COM D OTH D PTY O SCC OO IND O COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 60 of 19 8 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 16.30 352.50 16.30 352.50 70.70 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMM llTEE. ALSO ENTER I D,NU MBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLO YED . ENTER NAME OF BUSINESS) 08/1572017 08/30/2017 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 09/15/2017 I Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, '-' Avenue. San RafaelLCA 94 09/30/2017 I Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10715[201"1 I Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e,g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND OCOM DOTH OPTY OSCC ~IND O COM D OTH O PTY O SCC IK]IND OCOM DOTH OPTY OSCC IK]IND O COM D OTH O PTY O SCC OOIND OCOM DOTH OPTY OSCC Ponce Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 16 1 of 1 9 8 I.D, NUMBER 83 155 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 352.50 16.30 352.50 16 .30 352.50 16.30 352.50 n,~3o J52.5 0 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/31/2017 I Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue . San Rafael . CA 94901 11/15/2017 I Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, , ,... --L1 11/30/2017 Fifth 12 /15/2017 Fifth 12/29/2017 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, l~?n ~if 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [Rj IND D COM D OTH D PTY D SCC IX]IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC [RjIND DCOM DOTH DPTY DSCC IX]IND D COM D OTH D PTY D SCC Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 162 of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 352.50 16.30 352.50 16.30 352.50 16.30 352.50 16."3"0 352.SQ 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 01/1 4 /2017 I Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenu e, San Raf ael, CA 94901 07 /31/2017 I Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, e 08 /1 S/2017 I Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08 /30/2017 ·Contributor Codes IND -Individual . -. • -4g01 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth IKJ IND D COM D OTH D PTY O SCC IRJIND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC IXl IND D COM D OTH D PTY D SCC IRJIND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 163 of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .20 16.30 391 .20 16.30 391.20 16.30 391.20 1 6 .30 391..20 81. 50 I -] FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 09 /3072017~Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10715/2017 I Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . _. -1 . ['1\ q4qm 10/31/2017 Fifth 11/15/2017 Fifth Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IRJ IND O COM D OTH D PTY D SCC ~IND D COM D OTH D PTY D SCC IRJ IND D COM D OTH O PTY O SCC OO IND D COM D OTH O PTY O SCC IRlIND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off1cer City of San Rafae l SUBTOTAL $ Statement covers period from 07 /01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 64 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 3 9 1.20 16.30 391. 20 16 .30 391.20 16 .30 391.20 lb.-30 :nI1.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Associat ion Political Action Commi ttee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED , ENTER NAME OF BUSINESS) 12/15/201 7 IThomaiS-Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues recei ved through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 12/29/2017 I Thomas sabido 07 /1 4/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, .~.. ~~" g~f~~' ~~ Q Fifth 07 /31/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenu e, San Rafael, CA 94901 o a/15/2017 IAilthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC IXIIND OCOM DOTH DPTY OSCC IKJIND DCOM DOTH DPTY OSCC IKJIND DCOM DOTH OPTY DSCC off i cer City of San Rafael Officer City of San Rafael Officer City of San Rafael officer city of San Rafael Of f icer city of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 165 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391 .2 0 16.30 39 1 .20 16 .30 391.20 16 .30 391.20 16.30 391.2 0 8 1.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTERI D.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08/30/2017 I Anthony Scalercio c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue . San Rafael . CA 94901 097~/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -th AvpnllP. ~;;!.n R.Hf~t=>l rh qA.q('ll 09/30/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, '-h Av 10/15/2017 IAnthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2017 IAnthony-Scalerclo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual -_. ,v COM -Recipient Comm ittee (other than PTY or SCC) OTH -Other (e.g ., bus iness entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D PTY D SCC OO IND D COM D OTH D PTY D SCC IXl IND D COM D OTH D PTY O SCC IK]IND D COM D OTH D PTY O SCC IKJIND DCOM DOTH DPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07 /01 /2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 66 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 39 1..20 16.30 391.20 16 .30 391.20 16.30 391.20 16 .30 391..20 81. 5 0 I FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. AlSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) 11/15/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,_ .. -,venue . San Rafael. C 12/15/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . -f~~l r:n. q4qn1 12/29/2017 I Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -. • -. - -1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH O PTY O SCC ~IND O COM D OTH O PTY O SCC IKJIND DCOM DOTH DPTY DSCC IKJ IND O COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Offl.cer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 67 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 391 .20 16.30 391.20 16.30 391.20 16.30 391.20 16 .30 374..90 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMM ITTEE . ALSO ENTER I D NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMP LOY ED , ENTER NAME OF BU SINE SS) 07/3 1 /2017 I Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 I Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . _. -q 08/30/2017 I Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . ~. • ,VPnll':::> ~:::.n R.:=IT.:=.pl C"'1l Q4Q01 09/15/2017 I Robert Scalercio c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM D OTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC !RlIND DCOM DOTH DPTY DSCC Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael O!t~cer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 1 68 of~ I.D. NUMBER 83 155 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR Y EAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 1 6.30 374.90 16.30 374.90 16.30 374.90 16.3 0 374.90 16.30 374.. 90 8l. SO I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10 /15 /2017 1 Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2017--1 Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. --" 11/15/2017 I Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, • ~. • ,VPTl l 1P q;::ln J;I;:;f;:;p1 r:n.. Q4.Qn1 11/30/2017 I Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Robert8calercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IRJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKlIND DCOM DOTH DPTY DSCC IKlIND DCOM DOTH OPTY OSCC OO IND D COM D OTH D PTY D SCC Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Ottlcer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 16 9 of--ill 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 374.90 16.30 374.90 16.30 374.90 16.30 374.90 16 .30 37/".90 81. 50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D NUMBER) 1 2/29/2017 I Robert Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ~520 Fiftb Avenue, San Rafael. CA 94901 07/14/2017 I George Schikore 07/31/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, -.. ~ f",.l. [']>. Q4QOl Fifth 08/15/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OaJ30!2Ql"-I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g .• business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJIND DCOM DOTH DpTY DSCC IKJ IND D COM D OTH D PTY D SCC ~IND o COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC Officer City Of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 170 of 1 9 8 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 374.90 16.30 391.20 16.30 39l.20 16.30 391.20 16.30 391--:-20 8l.50 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMM ITTEE , ALSO ENTER I D NUMBER) IF AN IND IV IDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 09/15/20~7 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 10/15/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. -.V 10/31/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2017 I George Sch~K:ore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND O COM D OTH O PTY O SCC IK]IND D COM D OTH O PTY O SCC iX]IND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY OSCC OO IND D COM D OTH O PTY O SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ott~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 71 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR Y EAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 __ n_ ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc .ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBU TOR (IFCOMMITTEE,ALSOENTERI D NUMBE R) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BU SINESS) 11/30/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue, San Rafael. CA 94901 12/15/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, . -th :n.VPTl l lP .r::::::IT1 Rrlf;;::tpl rn. q4qn1 12/29/2017 I George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received thro ugh intermediary: San Rafael Police Associatio n, Fifth Av 07/14/2017 I Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07/317Z017 IJuscln-8chraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IID IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O l:t~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 72 of 198 I.D.NUMBER 8 31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 :J.6":"3 0 3 91.20 81 .50 1 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08/15/2017 I Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 08/30/2 017 I Justin schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 09/15/2017 I Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . ~. • -4qn1 09/30/2017 I Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10115720:[7-1 Jus-Un Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual '-th AVF'nllF'_ ~"n R"f"F'L C COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contri butor Committee www.netfile.com IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IR]IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 17 3 of~ I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED ) 16.30 391 .20 16.30 39~. 2 0 16.30 391.20 16.30 39l.20 15-;30 391.20 81.50 1 _I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUSINESS) 1 0 /31/20 1 7 I Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11 /15/2017 I Justin Schraeder 11 /30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . 1 ("1). q4qn1 Fifth 12/15/2017 I Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12/29/201"' I Justin -Scnraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND-Individual . -.. .v COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IRJ IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC OO IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC IRJIND DCOM DOTH OPTY OSCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 174 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16_30 391.20 16.30 39L20 16.30 391.20 16.30 391.. 20 8L50 1 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSO ENTER I D NUMBER) 07 /1412017 T Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 07 /3 1/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. -(' 08 /15/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , <;?n Fifth Avenue. San Rafael. CA q4qnl 08/30/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael, CA 94901 Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IKJ IND O COM O aTH O PTY O SCC IKJIND OCOM OaTH OPTY OSCC IKJ IND O COM O aTH O PTY O SCC IXJ IND O COM D OTH O PTY O SCC IRJ IND O COM D OTH O PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 175 of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391 .20 16.30 391.20 16.30 391.20 1 6 .30 391.20 81.50 1 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I F COMM ITTEE, ALSO ENTER 1.0 . NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/30/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2 017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,----' 10/31/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/15/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com IKJ IND O COM D OTH O PTY O SCC IKJIND OCOM DOTH OPTY OSCC IKJ IND O COM D OTH O PTY O SCC IKJ IND D COM D OTH O PTY O SCC OO IND O COM D OTH O PTY O SCC Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 176 of~ LD. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULAT IVE TO DATE CALENDAR YEAR (JAN . 1 -DEC , 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE.ALSOENTER I D NUMBER) CODE * IF AN INDIVIDUAL , ENTER OCCUPAT ION AND EMPLOYER (IF SELF·EMPLOY ED, ENTER NAME OF BUSINESS) 12/15/2017 I Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 12/29/2DI7 I Wanda Spaletta 07/14/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -.. -1 Fifth 07/31/2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2017 ILyneCce:5carnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com !R]IND O COM D OTH O PTY O SCC IZ]IND DCOM DOTH DPTY DSCC IK]IND D COM D OTH D PTY D SCC IZ]IND DCOM DOTH DPTY OSCC IZ]IND O COM D OTH O PTY O SCC Sergeam: City of San Rafael Sergeant City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Communlty SerVlce Otticer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 77 of 1 98 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 39l.20 12.70 304.80 12.70 304.80 12.70 301.80 70.70 \ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMmEE. ALSO ENTER I 0 NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPAT ION AND EMPLOYER (IF SELF-EMPLOYED . ENTER NAME OF BUSINESS) 08/301'2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 09/15/2017 I Lynette Starnes 09/30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . 1 Fifth 10/15/2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10/.31/2017 1 LynetTe-Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual ; f~h l\vpnl 1P .c:.:::ln P;:Ir.=!pl COM -Recipient Committee (other than PTY Dr SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH DPTY DSCC !!l IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM DOTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service O!!1cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 178 of 198 I.D. NUMBER 831553 AMOUNT RECE IVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 30~.80 12.70 30Lao 12 .70 304.80 12.70 304.80 12 .7 0 304.80 63.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I FCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 11/~5/2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 12/15/2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . -A 94qnl 12/29/2017 I Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 (f17~472017 I Rem~ngton Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . -t COM -Recip ient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IRJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC [RJ IND D COM D OTH D PTY D SCC Community Service Officer City of San Rafael community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 1 7 9 of 1 98 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.80 12.70 304.80 12.70 304.80 12.70 304.80 16.30 3~1.20 67.10 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DAlE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITIEE. ALSO ENTER 1.0 NUMBER) 07/31/2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/1.5/201.7' I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. 1 08/30/2017 I Remington stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , ~.. .v 09/15/2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 O~ljo7:2017 I Reml.ngton Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual . frh n.vpnl1P .c:.::::In R~fAP' COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * [Xl IND D COM D OTH D PTY O SCC IK]IND O COM D OTH D PTY O SCC IXl IND D COM D OTH O PTY O SCC OO IND D COM D OTH D PTY D SCC OOIND DCOM DOTH OPTY OSCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CON T.) CALIFORNIA 460 FORM Page 1 80 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.. 20 16.30 391.20 16.30 391.20 16.30 391.20 16 :30 391.2() 81.50 1 -~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 10/1512017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 10/31/2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 11/15/2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 Ci?O Fi ft-h Av~nllp .Q~n R=<f~pl ("no QA.Q01 11/30/2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael , CA 94901 12/15/2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * IRIIND DCOM DOTH DPTY DSCC IRIIND DCOM DOTH DPTY DSCC IRIIND DCOM DOTH DPTY DSCC IRIIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH O PTY O SCC Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 181 of 198 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16-.30 391.20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLoYED, ENTER NAME of BUSINESS) (IF COMMITTEE, ALSo ENTER I D NUMBER) 12 /2 9 /2017 I Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael . CA 9490~ 07 /14 /2017 I Christopher Sweeney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2017 08/15/2017 'Contributor Codes IND -Individual 'fth ]\vpnllP . P..1n'R.1f::l.pl C'"-a q4qn1 COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com Fifth Fifth Fifth CODE * IK]IND DCOM DOTH DPTY DSCC IK)IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK]IND D COM D OTH D PTY D SCC IK)IND D COM D OTH D PTY D SCC Police Officer City Of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 182 of 198 t o. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391. 2 0 16.30 391.20 16.3 0 3~:L.20 81.5°1 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITIEE, ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 09/15/2017 I Christopher Sweeney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 09/36/2017 I Christopher Sweeney 10/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , ...... --. --, Fifth 10/31/2017 I Christopher Sweeney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member 's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 I:1.Tl-S7:Z01 ', I Christopher-Sweeney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual -. • -f;::j,pl COM -Recipient Comm ittee (other than PTY or SCC) OTH -Other (e.g ., bus iness entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC IXlIND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY OSCC IKJ IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Oftlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 83 of~ I.D.NUMBER 83155 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391. 2 0 16.30 391.20 16.30 391.20 16.30 391. 20 81.50 1 FPPC Form 460 (JanI2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DAlE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CO NTRIBUTOR (I F COMMITTEE . ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 11/30/2017 I Christopher Sweeney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 FiLth Avenue, San Rafael, CA 9490l 12/15/2017 I ChrIstopher Sweeney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. . e 12 /29/2017 I Christopher Sweeney C/o : San Rafael Police Association 1520 Fifth 07/14/2017 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com Fifth Fifth lRJ lND D COM D OTH O PTY O SCC IKJ IND O COM D OTH O PTY O SCC IK]IND DCOM DOTH DPTY OSCC IKJIND OCOM DOTH OPTY OSCC OOIND DCOM DOTH DPTY DSCC Officer City of San Rafae l officer City of San Rafael Officer City of San Rafae l Civilian Supervisor City of San Rafael Civilian Supervlsor City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 184 of ~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 391.20 16.30 391.20 16 .30 391 .20 12.70 304.80 12 .70 30 ~.ao 74.30 [ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE , ALSO ENTER LD, NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 08/1572017 I Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2 017 I Charly Taylor 09/15/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'f Fifth 09/30/2017 I Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Charly T aylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com ~IND DCOM DOTH DPTY DSCC OO IND D COM D OTH D PTY D SCC IRJ IND D COM D OTH D PTY O SCC OO IND D eOM D OTH D PTY o see OO IND D eOM D OTH O PTY o see Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 18 5 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304.60 12.70 304.80 12.70 304.80 12.70 304.80 12 .70 30<l.eo 63.50 1 --] FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSOENTERI.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) lO/3~/2017 rCharly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 11/15/2017 I Charly Taylor 11 /30/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -.. --A Fifth 12/15/2 0 17 I Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Charly Taylor C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual 'F COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g .• business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO IND D COM D OTH D PTY D SCC [Rj IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH D PTY D SCC lKJ lND D COM D OTH D PTY D SCC [KI IND D COM D OTH D PTY D SCC Civilian supervi sor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervlsor City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1 86 of~ I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 304 .8 0 12.70 304 .80 12.70 30 4 .80 12.70 304.80 12 .7 0 304 .8 0 63.50 [ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D. NUMBER) 07 /1 4 72017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. ~ 94901 07 /3 1/2017 I Henry~rre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ..,--' 08 /15 /2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 C:;?O pi ft-h ~V~nlll=> .C::::ln 'R.:lf;::u::.l ("'~ q4qnl 08 /30 /2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 09 /15 /2 01 7 I Henry 'Tlrre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual . ft-h :n.V.c:>nl1P .C::~n R.::l.f;::::l.p1 ("n. QL1QOl COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com CODE * OO IND D COM D OTH D PTY O SCC IK]IND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY D SCC IKJIND DCOM DOTH DPTY DSCC IKJ IND D COM D OTH D PTY O SCC Officer City of San Rafael Of ficer City of San Rafael Officer City of San Rafael Officer City of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 187 of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 H .30 391 .20 81.50 [ 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 09/30/2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael . CA 94901 10 /15/2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . -. • 1 10 /31 /2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, . ft-_h :n.v~nllP .q::::tn R..::l. f..::l.p 1 11/15/2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11/3 0 /201 7 IHenry T~rre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ·Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com frlpl IKJ IND D COM D OTH D PTY D SCC ~IND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC IXlIND DCOM DOTH DPTY DSCC OO IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off~cer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT.) CALIFORNIA 460 FORM Page 188 of 198 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81. 50 [ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) 12 /15/2017 I Henry Tirre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 12/29/2017 I Henry Tirre 07/14/2017 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, c;?n 'F<'i ft-h nVpnl1P .Q.::al'1 R;:::d=.::apl rD.. qLt Fifth 07 /31/2017 I Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue , San Rafael , CA 94901 Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e,g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC IKl IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC Officer City of San Rafael Officer City of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 189 of 198 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN , 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391. 20 12.70 165.10 12.70 165.10 12 .7 165.~ 70.70 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER I D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 08/30/2017 ISaskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09/.1572017--I Saskia Van Buuren 09/30/2017 c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'f~h nVpnl lP ~~" ~~~~pl rn Q4Qn l Fifth 10 /15/2017 I Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10[31/111.17 --I Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes INO-Individual . -. v COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com OO INO O COM D OTH O PTY O SCC IKJINO OCOM DOTH OPTY OSCC OO INO O COM D OTH O PTY O SCC OO IND O COM D OTH O PTY O SCC !Kl IND D COM D OTH D PTY O SCC Commun i cations Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communlcatlons Dispatcher City Of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CaNT.) CALIFORNIA 460 FORM Page 1 90 of 1 98 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 165.10 12.70 165.10 12.70 165.10 12.70 165.10 12.7 0 165.10 63.50 1 _ J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTR I BUTOR (IFCOMMITTEE.ALSOENTERI D NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) 11/15/2017 I Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San RafaeL CA 94901 11/30/2017 I Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 12 /15/2017 ISaskia Van Buuren C/o : San Rafael Police Associatio n 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, ,~ .• -,VPTI I 1P ~;::an R.='f;::apl rn.. Q,dQ01 12/29/2017 I Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Mark Wi l.klnson C/o: San Rafael Police Assoc i ation 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 'eontributor Codes INO -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www_netfile.com IKJIND DeOM DOTH DPTY osee IKJ IND D eOM D OTH D PTY o see IKJIND o COM DOTH OPTY osee IKJIND DeOM DOTH DPTY osee IRJ INO o eOM D OTH O PTY o see Commun i cation s Dispatcher City Of San Rafael communications Dispatcher City Of San Rafael Commun i cat i ons Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael O!!lcer City of San Rafael SUBTOTAL $ Statement covers period from 07 /01 /2 0 17 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 191 of 198 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 165 .1 0 12.70 165.10 12 .70 165 .1 0 12.70 165.10 16.30 3'9 1.. 20 67.10 1 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED , ENTER NAME OF BUSINESS) 07/31/20171 Mark wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 08/15/2017 1 Mark wirFinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, if 08/30/2017 I Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, , -.. -.v 09/15/2 017 i Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael. CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 Mark -I'lilklnson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, s---' 'Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfi/e.com IKJ IND D COM D OTH D PTY O SCC OOIND OCOM DOTH OPTY OSCC IKJ IND D COM D OTH D PTY D SCC IKJ IND D COM D OTH O PTY O SCC IKJ IND D COM D OTH O PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CO NT} CALIFORNIA 460 FORM Page 19 2 of~ 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 16.30 391.20 81.50 1 ~ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (I F COMMITTEE. AlSO ENTER 1.0 NUMBER) CODE '* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/15/2017 \ Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 10/31/2017 I Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth 94901 11/15/2017 Fifth 11/30/20 17 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 Mark Wi l klnson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com IK]IND D COM D OTH D PTY D SCC IK]IND DCOM DOTH DPTY DSCC ~IND D COM D OTH D PTY D SCC [RJ IND D COM D OTH D PTY O SCC [RJ IND D COM D OTH D PTY D SCC Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Ottlcer City of San Rafael SUBTOTAL $ Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 19 3 of~ I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 391.20 16.30 391.20 1 6.30 391.20 16.30 391.20 16:30 39l,.20 81.50 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMM ITTEE. ALSO ENTER I D NUMBER ) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED . ENTER NAME OF BUSINESS) 12 /29/2017 I Mark Wi l kinson C/o: San Rafae l Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 'Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g ., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com [KJ IND D COM D OTH D PTY D SCC D IND D COM D OTH D PTY D SCC D IND D COM D OTH O PTY O SCC D IND D COM D OTH D PTY D SCC DIND DCOM DOTH DPTY DSCC Officer City of San Rafael SUBTOTAL $ SCHEDULE A (CONT.) Statement covers period CALIFORNIA 460 FORM from 07/01/2017 through 12/31/2017 Page 194 of~ AMOUNT RECEIVED THIS PERIOD I.D . NUMBER 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 391.20 16.30 1 FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ScheduleC Nonmonetary Contributions Received SEE INSTRUCTI ONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. San Rafael Police Association Political Action Committee DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITIEE, ALSO ENTER I,D. NUMBER) CONTRIBUTOR I IF AN INDIVIDUAL, ENTER CODE * OCCUPATION AND EMPLOYER DIND DCOM DOTH OPTY osee OIND DeOM DOTH OPTY osee OIND oeoM DOTH DPTY osee OIND oeOM DOTH DPTY osee (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals .) 2. Amount received this period -unitemized nonmonetary contributions of less than $100 3. Total nonmonetary contributions received this period . (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) www.netfile.com SCHEDULE C Statement covers period CALIFORNIA 460 FORM from 07/01/2017 through 12/3 1/20 17 DESCRIPTION OF GOODS OR SERVICES SUBTOTAL $ AMOUNT! FAIR MARKET VALUE ........... $ 0.00 $ 50.00 TOTAL $ 50 .00 Page~of~ I.D.NUMBER 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) ·Contributor Codes IND -Individual PER ELECTION TO DATE (IF REQUIRED) COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31 /20 17 SC HEDULE E CALIFORNIA 460 FORM Page ~ of 198 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code . Otherwise, describe the payment. 0vP campaign paraphernalia/mise . MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (expla in nonmonetary)" OFC office expenses SAL campaign workers ' salaries CVC civic donations PEr petition circulating m t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel , lodging, and meals NJ 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 serv ices (legal , accounting) VOT voter registration LIT campaign literature and mailings PRT print ads 1I\IE8 information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Donor Stack, LLC WEB 79.73 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 52.18 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 105.03 5940 College Avenue, Suite F Oakland , CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 236.94 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................ $ 1,570.17 2. Unitemized payments made this period of under $1 00 . $ 26.00 3. Total interest paid this period on loans. (Enter amount from Schedule S, Part 1, Column (e).) ........... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......... TOTAL $ 1,596 .17 www.netfile.com FPPC Form 460 (Jan/2016) FPPC TolI·Free Helpline: 866/ASK·FPPC (866/275·3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SCHEDULE E (C ON T.) Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page~ of~ NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OIIP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions C1B contribution (explain nonmonetary» OFC office expenses SAL campaign workers ' salaries CVC civic donations F£T petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees A-O phone banks lRC 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 ~ professional services (legal , accounting) VOT voter registration UT campaign literature and mailings PRr print ads IJI,E8 information technology costs (internet , e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER I D. NUMBER) Donor Stack, LLC WEB 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 5940 College Avenue, Suite F Oakland, CA 94618 The Henry Levy Group PRO 5940 College Avenue Oakland, CA 94618 The Henry Levy Group PRO 5940 College Avenue Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com OR DESCRIPTION OF PAYMENT AMOUNT PAID 104.94 130.64 535.55 562.10 SUBTOTAL $ 1,333.23 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafae l Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE I CALIFORNIA 460 FORM Page~ of~ 1.0. 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 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period ................................................... . ..................................................... $ 0.00 2. Unitemized increases to cash of under $100 this period .......................................................................... . $ 3.02 3 . Total of all interest received this period on loans made to others. (Schedule H , Column (e).) .. .. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 3.02 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov