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Home My WebLink AboutForm 460 - Police Association PAC (2018-09-22) 1st Preelection StatementRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2018 through 09/22/2018 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) Fx-] General Purpose Committee tx) Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE CA 94901 ( CITY STATE ZIP CODE AREA CODE/PHONE Oakland CA 94618 ( OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the in4rmation contain d 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. r Executed on 09/24/2018 By 1 Date i n o sur ITreasurer Executed on 09/24/2018 By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible ORcerof Sponsor Executed on 8y Data Signature of Controlling Officeholder. Candidate. Stale Measure Proponent Executed on www.netfile.com By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA FORM ' 60 Page 2 of 71 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ SUPPORT ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE Identify the controlling officeholder, candidate, or state measure proponent, if any. ❑ SUPPORT NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees ❑ OPPOSE not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER ❑ OPPOSE 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) [:] SUPPORT CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I ❑ F-1CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREETADDRESS (NO P.O- BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD F-1 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Expenditures Made 6. Payments Made ....................................................... Column A Contributions Received Schedule H. Line 3 8. SUBTOTALCASH PAYMENTS .................................... TOTALTHISPERIOD 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 4,824.90 2. Loans Received...................................................... Schedule e, Line 3 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 4,824.90 4. Nonmonetary Contributions .................................... Schedule c, Line 3 0.00 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 4,824.90 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H. Line 3 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE...... ............. -- ........ 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 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ www.netfile.com 1,595.86 0.00 1,595.86 -146.35 Statement covers period from 07/01/2018 through Column B CALENDAR YEAR TOTALTODATE $ 19,561.20 0.00 $ 19,561.20 0.00 $ 19,561.20 $ 3,826.43 0.00 $ 3,826.43 0.00 0.00 0.00 1,449.51 $ 95,266.82 4,824.90 1.63 1,595.86 98,497.49 0.00 0.00 0.00 3,826.43 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). SUMMARYPAGE 09/22/2018 Page 3 of 71 I.D. 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 Expenditure Limit) Date of Election Total to Date (mm/dd/yy) Q IF I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Srhprli ilp A SCHEDULE A Amounts may be rounded Monetary Contributions Received Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2018 FORM through 09/22/2018 Page 4 of 71 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE, ALSO I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Elisha Adams MIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 07/31/2018 Elisha Adams ❑x IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/15/2018 Elisha Adams MIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1-;')n Fifth Avpnlip Ran RafaP1 CA 94901 ❑ SCC 08/31/2018 Elisha Adams MIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 Raul Aguilar MIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aypnijp. San Rafael. C&_343_Gl__ ❑ SCC SUBTOTAL$ 81.50 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ........................................ $ 4,799.50 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ www.netfile.com 25.40 4,824.90 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. I' from 07/01/2018 through 09/22/2018 page 5 of 71NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN- 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Raul Aguilar X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Raul Aguilar[X]IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 08/31/2018 Raul Aguilar X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Anthony Augustyn X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07 31 2018 Anthony Augustyn [K]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PN intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC-- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period a to whole dollars. I' from 07/01/2018 ' IPge through 09/22/2018 6 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE ADDRESSZIPO AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Anthony Augustyn X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Anthony AugustynX❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/15/2018 James Bellamy X❑IND Corporal 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94 901 07/31/2016 James Bellamy X❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 James Bellamy X❑IND Corpora 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue,n Rafael. CA 94901 SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018 Page 7 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A S FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 James Bellamy X❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Todd Berringer KIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, Rafael.1 520 Fifth Avenue, San ❑ SCC 07/31/2018 Todd Berringer RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue an Rafael CA 94901 08/15/2018 Todd Berringer MIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08731/2018 To Berringer MINDSergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / � ' from 07/01/2019 • " through 09/22/2018 Page 8 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Lynne Bracken X❑IND Call Taker & Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Lynne Bracken MIND Call Taker & Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue ❑ OTH City of San Rafael San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/15/2018 Lynne Bracken x❑IND Call Taker & Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Lynne Bracken MIND Call Taker & Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07715/2018 Zachary Bric a MIND icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PN intermediary: San Rafael Police Association, 1520 Fifth Avenue. ElSCC SUBTOTAL$ 67.10 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. / 1 from 07/01/2018 F through 09/22/2018 9 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE, ALSENTERI.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Zachary Brickell ]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Zachary Brickell X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San [:]SCC 08/31/2018 Zachary Brickell x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Rudolf Buhlman x❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Rudolf Bu man X❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 FifthAvenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2018 • ' through 09/22/2018 page 10 Of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Rudolf Buhlman FK] IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Rudolf Buhlman RIND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/15/2018 Antonette Bullock x❑IND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 07/31/2018 Antonette Bullock X❑IND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH .Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 Antonette Bu oc [K]IND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 70.70 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA li to whole dollars. I ' from 07/01/2018 ' through 09/22/2018 Page 11 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CU MULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Antonette Bullock ]IND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Shelly Cade X❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael,1520 Fifth Avenue. San ❑ SCC 07/31/2018 Shelly Cade x❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 4901 08/15/2018 Shelly Cade X❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Shelly Ca a X❑IND Dispatc er 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 63.50 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period • to whole dollars. I ' from 07/01/2018 • through 09/22/2018 Page 12 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ETITEALSNTERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN- 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Joseph CaminsX❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Joseph Caminsx❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth AvRnue. San ❑ SCC 08/15/2018 Joseph Camins x❑IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue n Rafael CA 94901 08/31/2018 Joseph Camins E] IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07715/2018 Trevor Carney ]IND Police Off -icer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, ❑ SCC SUBTOTAL $ 81.50 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period _ to whole dollars. 'AM ' from 07/01/201e � " through 09/22/2018 page 13 of_ 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Trevor Carney x❑IND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Trevor Carney x❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.Ir9.0 Fifth Avenue. San ❑ SCC 08/31/2018 Trevor Carney x❑IND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Jack Carpenter x❑IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07731/2018 Jac Carpenter [K]IND 0 icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM -- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • _ to whole dollars. I ' from 07/01/2018 • " through 09/22/2018 page 14 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Jack Carpenter ]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Jack Carpenter[K]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 07/15/2018 Edward Chiu x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Edward Chiu X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 Edward Chiu X❑IND 0 icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 2Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 07/01/2018 ' through 09/22/2018 page 15 of ?' NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Edward Chiu X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Robert Cleland[X]IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1920 Fifth Rafael. ❑ SCC 07/31/2018 Robert Cleland x❑IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 08/15/2018 Robert Cleland RIND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08731/2018 Robert Cleland X❑IND Police Co rporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL $ 81.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. I 1 from 07/01/2018 • " through 09/22/2018 Page 16 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Christopher Coale x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Christopher Coale X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1S20 Fifth Avenue. San [:JSCC 08/15/2018 Christopher Coale x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Christopher Coale ]IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 07715/2018 Thomas Collins RIND O icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • _ NIA to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018 Page 17 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I D, NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Thomas Collins X❑IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Thomas CollinsX❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/31/2018 Thomas Collins X❑IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through (-]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Jenna Cotta X❑IND Communications Dispatcher 'San 12.70 203.20 c/o San Rafael Police Association 1520 Fifth❑ COM City of Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 07731/201B Jenna Cotta X❑IND Communications Dispatcher 12.70 203.20 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue. SUBTOTAL$ 74.30 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period7NU _towholedollars.from 07/01/2018through 09/22/2018 18 ofNAME OF FILER RSan Rafael Police Association Political Action Committee AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE. ALSO LD NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Jenna Cotta FK] IND Communications Dispatcher 12.70 203.20 c/o San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Jenna Cotta %❑IND Communications Dispatcher 12.70 203.20 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 07/15/2018 Ryan De Marta x❑IND Officer 16.30 260.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 07/31/2018 Ryan De Marta X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth F] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 Ryan De Marta x❑IND 0 icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ElSCC SUBTOTAL$ 74.30 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period a _ to whole dollars. I ' from 07/01/2016 through 09/22/2018 page 19 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERIDNUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Ryan De Marta MIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Elisa Delatorre MIND Call Taker And Records 12.70 177.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ic;?n Pift-h Avenue. San Ra4apl, CA 94901 ❑ SCC 07/31/2018 Elisa Delatorre x❑IND Call Taker And Records 12.70 177.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist AvenueCity Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Elisa Delatorre MIND Call Taker And Records 12.70 177.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 08731/2018 Elisa Delatorre MIND CaTaker An Records 12.70 177.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ElSCC SUBTOTAL$ 67.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • _ to whole dollars. I � , from 07/01/2018 • through 09/22/2018 page 20 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Blake Delzell MIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Blake Delzell MIND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, Avenue.1520 Fifth Rafael. ❑ SCC 08/15/2018 Blake Delzell [k]IND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 08/31/2018 Blake Delzell MIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Danielle Dennis MIND Call Taker/Records 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 77.90 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2018 FORM through 09/22/2018 Page 21 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESSZIP A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ITTEE D NUMBER) (IF COMMITTEE. CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Danielle Dennis ]IND Call Taker/Records 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Danielle Dennisx❑IND Call Taker/Records 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/31/2018 Danielle Dennis RIND Call Taker/Records 12.70 152.40 C/o: San Rafael Police Association 1520 Fifth [-]COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Christian Diaz X❑IND Sergeant 16.30 260.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 07731/2018 Christian Diaz RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, 4 SUBTOTAL$ 70.70 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2016 • ' through 09/22/2018 Page 22 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT I.D. NUMBER) (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Christian Diaz RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Christian Diaz[X]IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael. CA 94901 []SCC 07/15/2018 Justin Dodson RIND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Justin Dodson RIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 Justin Dodson X❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 F'Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • _ NIA to whole dollars. I , from 07/01/2018 • " through 09/22/201e Page 23 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Justin Dodson x❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth[-] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 James Dooley MIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael,1520 Fifth Avenue. San [-]SCC 07/31/2018 James Dooley %❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ CO M City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 08/15/2018 James Dooley ®IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 James Dooley [K] IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ City Of San Rafael Avenue COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. 4 SUBTOTAL$ 81.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • _ towholedollars. I , from 07/01/2018 • through 09/22/2018 page 24 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A SS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET COMMITTEE, ANTERt.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Christopher Duncan X❑IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Christopher Duncan RIND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/15/2018 Christopher Duncan X❑IND Police Corporal 16-30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Christopher Duncan FK] IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07 15/2018 Scott Eberle X❑IND Lieutenant 16.30 211.90 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. []SCC SUBTOTAL$ 81.50 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period e to whole dollars. I 0 ' from 07/01/2018 • ' through 09/22/2018 page 25 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER LID NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Kevin Finerty MIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Kevin Finerty MIND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1920 Fifth Avenue. San ❑ SCC 08/15/2018 Kevin Finerty x❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Kevin Finerty MIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Scott Fis erMINDPo ice Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue,n Rafael, SUBTOTAL $ 81.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018 Page 26 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER ,D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Scott Fisher MIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Scott Fisher MIND Police Officer 16-30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael. ❑ SCC 08/31/2018 Scott Fisher g❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Anna Fulgado MIND Dispatcher 12.70 203.20 C/O: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Anna Fu ga o MIND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. 4 SUBTOTAL$ 74.30 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period e to whole dollars. from 07/01/2018 • ' through 09/22/2018 page 27 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A S FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Anna Fulgado MIND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Anna Fulgado MIND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafapl- CA 94901 ❑ SCC 07/15/2018 Christopher Fuller MIND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Christopher Fuller MIND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Christopher Fu er MIND 16.30 260.80 Clo: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael City Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 74.30 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA towholedollars. I ' from 07/01/2018 • ' through 09/22/2018 Page 2B of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Christopher Fuller X❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Salvatore Garanzini X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/31/2018 Salvatore Garanzini x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Salvatore Garanzini X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08731/2018 Salvatore Garanzini X❑IND officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue. SUBTOTAL $ 81.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodCAL FORNIA to whole dollars. I ' from 07/01/2018 ORM through 09/22/2018 Page 29 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Michael Garrison X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Michael Garrisonx❑IND Officer 16.30 260.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.IS20 Fifth ❑ SCC 08/15/2018 Michael Garrison x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Michael Garrison ®IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Lilah Gav is X❑IND Police Corpora 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • _ towholedollars. I , from 07/01/2018 • ' through 09/22/2018 Page 30 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTERS D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Lilah Gavlick X❑IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Lilah Gavlick X❑IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94q01 ❑ SCC 08/31/2018 Lilah Gavlick %❑IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94 901 07/15/2018 Justin Graham RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07731/2018 Justin Graham RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA 460 � ' from 07/01/2018 " through 09/22/2018 Page 31 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Justin Graham RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Justin GrahamX❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 07/15/2018 Lori Hendricks RIND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94935 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 07/31/2018 Lori Hendricks X❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 Lori Hendricks X❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ElSCC SUBTOTAL$ 70.70 'Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period a to whole dollars. I ' from 07/01/2018 through 09/22/2018 Page 32 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Lori Hendricks X❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Robert HenkleX❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San RafaF-1. CA 94901 ❑ SCC 07/31/2018 Robert Henkle X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Robert Henkle X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08731/2018 Robert Henkle g] IND O icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ElSCC SUBTOTAL$ 77.90 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / , from 07/01/2018 • " through 09/22/2018 Page 33 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC, 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 J. Alexander Holm X❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through []PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 J. Alexander Holm %❑IND Corporal 16-30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 08/15/2018 J. Alexander Holm X❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 4 01 08/31/2018 J. Alexander Holm %❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Lisa Holton x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 81.50 'Contributor Codes IND— Individual COM -- Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 � ' from 07/01/201B • ' through 09/22/2018 Page 34 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Lisa Holton x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Lisa Holton X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1520 Fifth Rafael. ❑ SCC 08/31/2018 Lisa Holton x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 07/15/2018 Carl Huber X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Carl Huber X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ❑ SCC SUBTOTAL$ 81.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. CALIF• 460 from 07/01/2018 FORM through 09/22/2018 Page 35 Of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EETAIF COMMITTEE, SAND .D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF REQUIRED) OF BUSINESS) 08/15/2018 Carl Huber x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Carl HuberX❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.1520 Fifth Rafael. ❑ SCC 07/15/2018 Scott Ingels RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Scott Ingels X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Scott Ingels x❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth v f 4 SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I � ' " from 07/01/2018 • through 09/22/2018 Page 36 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE (E COMMITTEE, ALSO ENTER 1. D. NUMBER) * OCCUPATION AND EMPLOYER CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Scott Ingels MIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Rebecca Jensen MIND Call Taker & Records 12.70 203.20 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue, San Rafael. CA 94901 [-]SCC 07/31/2018 Rebecca Jensen x❑IND Call Taker & Records 12.70 203.20 c/o San Rafael Police Association 1520 Fifth [:]COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Rebecca Jensen MIND Call Taker & Records 12.70 203.20 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Rebecca Jensen MIND Call Taker & Records 12.70 203.20 c/o San Rafael Police Association 1520 Fifth COM Specialist Avenue ❑ City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 F'Avenue, SUBTOTAL$ 67.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. • I ' from 07/01/2018 • " through 09/22/2018 page 37 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSAND .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Rebecca Kuga MIND YSB Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Rebecca Kuga MIND YSB Supervisor 12-70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue, San ❑ SCC 08/15/2018 Rebecca Kuga x❑IND YSB Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Rebecca Kuga MIND YSB Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Marc Lap ante 91 IND Ufficer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ElSCC SUBTOTAL$ 67.10 'Contributor Codes IND— Individual COM -- Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA ii to whole dollars.I , from 07/01/2018 ' through 09/22/2018 page 38 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A ZIP RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, LD NUMBER) IT CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Marc Laplante X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Marc Laplante[K]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.1520 Fifth ❑ SCC 08/31/2018 Marc Laplante %❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Anndora Lee x❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Ann ora LeeX❑IND Dispatc e 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth❑ COM City of Sran Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949QJ— ❑ SCC SUBTOTAL$ 74.30 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. from 07/01/2018 FZ-1— through 09/22/2018 page 39 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, I.D. NUMBER) IT CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Anndora Lee x❑IND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Anndora Lee MIND Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 07/15/2018 Karl Luhmann x❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael CA 94901 07/31/2018 Karl Luhmann MIND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Kar Lu mann MIND Police officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 74.30 `Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodCALIFORNIA to whole dollars. I ' from 07/01/2016 • " through 09/22/2018 Page 40 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Karl Luhmann x❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Kevin Macdougald[K]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1S20 Fifth Avenue. San ❑ SCC 07/31/2018 Kevin Macdougald KIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Kevin Macdougald X❑IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Kevin Mac ouga [g]IND officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ElSCC SUBTOTAL$ 81.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2018 FORM through 09/22/2016 Page 41 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Carlos Maldonado RIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Carlos Maldonado X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2018 Carlos Maldonado ]IND Officer 16.30 260.60 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 08/31/2018 Carlos Maldonado [g] IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 07 15/2018 Kait in Maley [K]IND Police Officer 16.30 221.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ❑ SCC SUBTOTAL $ 81.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodFPage _ to whole dollars. / , from 07/01/2018 through 09/22/2018 42 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESSZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED SAND (IF COMMITTEE, D NUMBER) IT CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Kaitlin Maley x❑IND Police Officer 16.30 221.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Kaitlin Maley%❑IND Police Officer 16.30 221.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1q20 Fifth ❑ SCC 08/31/2016 Kaitlin Maley ]IND Police Officer 16.30 221.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 07/15/2018 Michael Mathis X❑IND Corporal 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07 31/2018 Michael Mathis x❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Fifth Avenue. [:]SCC SUBTOTAL $ 81.50 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2018 • " through 09/22/2018 Page 43 of_ 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF REQUIRED) OF BUSINESS) 08/15/2018 Michael Mathis MIND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Michael Mathis MIND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, P P ❑ SCC 07/15/2018 Kelly Mauel x❑IND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Kelly Mauel MIND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08715/2018 Ke y Maue MINDCommunications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ElSCC 1520 FifthAvenue. SUBTOTAL$ 70.70 `Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018 page 44 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECDREODDTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER I,D,NUMBER) CODE * O(I SELLF-EMPPLOYED, ECUPATION AND NTER NAME (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Kelly Mauel x❑IND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth 0 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Phillip Melodia x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1920 Fifth Avenue. San ❑ SCC 07/31/2018 Phillip Melodia RIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Phillip Melodia El IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08731/2018 Phillip Me o is X❑IND officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. []SCC SUBTOTAL$ 77.90 `Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars.from OEM 07/01/2018 through 09/22/2018 Page 45 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Beth Minka x❑IND Administrative Technician 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Beth Minka X❑IND Administrative Technician 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.1920 Fifth ❑ SCC 08/15/2018 Beth Minka x❑IND Administrative Technician 12.70 203.20 C/O: San Rafael Police Association 1520 FifthEJ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 08/31/2018 Beth Minka X❑IND Administrative Technician 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07715/2018 Cynthia Morgan X❑IND Call Taker and Records 12.70 203.20 C/o: San Rafael Police Association 1520 FifthSpecialist [-]COM Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through [:]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, 4 SUBTOTAL$ 63.50 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 4601: � ' from 07/01/2018 • ' through 09/22/2018 page 46 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TO RECEIVED (IF COMMITrEE,ALSO ENTER I.D.NUMBER) CODE * O(I FSELLFEMP OENTER RNOAMER IOD (JAN. 1 -OEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Cynthia Morgan X❑IND Call Taker and Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Cynthia Morgan X❑IND Call Taker and Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 08/31/2018 Cynthia Morgan x❑IND Call Taker and Records 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Lynn Murphy ❑IND Mental Health Outreach 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07731/2018 Lynn Murphy X❑IND Menta Hea t Outreach 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. 4 SUBTOTAL$ 63.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2016 • ' through 09/22/2018 Page 47 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT O ENTER I.D. NUMBER) (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) OF REQUIRED) OF BUSINESS) 08/15/2018 Lynn Murphy X❑IND Mental Health Outreach 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Lynn Murphy X❑IND Mental Health Outreach 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth [-]COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.1q90 Fifth Rafael. ❑ SCC 07/15/2018 Jorge Navarro x❑IND Evidence Technician 12.70 203.20 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael CA 94901 07/31/2018 Jorge Navarro x❑IND Evidence Technician 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Jorge Navarro %❑IND Evidence Technician 12.70 203.20 C/O: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ElSCC SUBTOTAL$ 63.50 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I t from 07/01/2018 through 09/22/2018 Page 48 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE. ALSENTERI.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Jorge Navarro x❑IND Evidence Technician 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Alexis Nielsen RIND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, Rafael1q90 Fifth Avenue. San ❑ SCC 07/31/2018 Alexis Nielsen BIND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Alexis Nielsen ]IND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Alexis Nielsen MIND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth Dispatcher Avenue ❑ COM City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, [:]SCC SUBTOTAL$ 63.50 "Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2018 WON= through 09/22/2018 Page 49 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZII.D.N DE -O FULL NAME, STREET ADDRESS AND ZIP CODE- OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE. ALSO ENTER OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Oscar O'con X❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Oscar O'conx❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2018 Oscar O'con FT IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 06/31/2018 Oscar O'con ]IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07715/2018 Leslie O'Too e X❑IND 0 icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018 Page 50 Of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE. ALSENTERI.DNUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Leslie O'Toole X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Leslie O'Toole KIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, Rafael.1S20 Fifth Avenue. San ❑ SCC 08/31/2018 Leslie O'Toole [k]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [—]SCC 1520 Fifth Avenue an Rafael CA 94901 07/15/2018 Brian Patterson RIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Brian Patterson x❑IND 0 icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 2Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA towholedollars. I ' ' from 07/01/2018 • through 09/22/2016 Page 51 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Brian Patterson X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Brian Patterson X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 07/15/2018 Buffy Paxson x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael CA 94901 07/31/2018 Buffy Paxson %❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Buffy Paxson X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, El SCC 1520 F'Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity; PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 07/01/2018 through 09/22/2018 page 52 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Buffy Paxson MIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Jessica Perry MIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, i�;qn T7ift-h Avenue. San Rafael. CA 94901 ❑ SCC 07/31/2018 Jessica Perry [91 IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Jessica Perry MIND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTI' intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Jessica Perry MIND0 icer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pT( intermediary: San Rafael Police Association, 1520 Fifth Avenue. [-]SCC SUBTOTAL$ 81-50 *Contributor Codes IND- Individual COM-- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.neffile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. I ' from 07/01/201e • " through 09/22/2018 Page 53 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Aaron Piombo x❑IND Police Corporal 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Aaron Piombo X❑IND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San P ❑ SCC 08/15/2018 Aaron Piombo RIND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Aaron Piombo RIND Police Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Dennis Prince [K]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue,Rafael, SUBTOTAL$ 131.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. I ' from 07/01/2018 • " through 09/22/2018 page 54 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE IT 10- N (IF COMMITTEE, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Dennis Prince %❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Dennis Prince x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1190 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/31/2018 Dennis Prince x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Gino Rantissi x❑IND Officer 16.30 260.80 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 07731/2018 Gino Rantissi x❑IND O icer 16.30 260.80 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC Avenue.1520 Fifth A 4 SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • _ towholedollars. I ' from 07/01/2018 • through 09/22/2018 Page 55 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Gino Rantissi x❑IND Officer 16.30 260.80 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Gino RantissiX❑IND Officer 16.30 260.80 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.1520 Fifth ❑ SCC 07/15/2018 Ronda Reese BIND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Ronda Reese E] IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Ronda Reese X❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, [:]SCC SUBTOTAL$ 81.50 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018 Page 56 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI.D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Ronda Reese x❑IND Corporal 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Peggy RugeX❑IND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/31/2018 Peggy Ruge QIND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Peggy Ruge x❑IND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Peggy Ruge X❑IND Lead Communications 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ElSCC Fifth Avenue. SUBTOTAL$ 67.10 "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I � 1 from 07/01/2018 • ' through 09/22/2018 Page 57 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A ZIP RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION IT I.D. NUMBER) (IF COMMITTEE, * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Travis Ruggles X❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Travis Ruggles X❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94974 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael. ❑ SCC 08/15/2018 Travis Ruggles x❑IND Police Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 08/31/2018 Travis Ruggles RIND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Thomas Sa i o RIND officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael,'CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, Rafael SUBTOTAL$ 81.50 'Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . towholedollars. I' from 07/01/2018 � through 09/22/2018 Page 58 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Thomas Sabido RIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Thomas Sabido X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue, San ❑ SCC 08/31/2018 Thomas Sabido X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael CA 94901 07/15/2018 Sebastian Sanchez X❑IND Police Officer 16.30 206.50 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Sebastian Sanchez X❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 F'Avenue. SUBTOTAL$ 81.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. I ' from 07/01/2018 � through 09/22/2016 page 59 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Sebastian Sanchez X❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Sebastian Sanchez X❑IND Police Officer 16.30 208.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.11;20 Pift-), Avenue. San ❑ SCC 07/15/2018 Anthony Scalercio x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Anthony Scalercio QIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Anthony Scalercio QIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received thrqugh ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 61.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. Il ' from 07/01/2018 • ' through 09/22/2018 Page 60 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Anthony Scalercio x❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 George Schikore X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 07/31/2018 George Schikore RIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, E01 SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 George Schikore X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 George Schikore [X]IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, 4 SUBTOTAL$ 81.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 07!01/2018 through 09/22/2018 Page 61 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE, ALSOAENTERND I.D.N * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Justin Schraeder X❑IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Justin Schraeder ]IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue, San Rafael. CA 94901 [-]SCC 08/15/2018 Justin Schraeder x❑IND Officer 16.30 260.80 C/O: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Justin Schraeder RIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07 /15/2018 Wanda Spa etta RIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 81.50 'Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. ' ME from 07/01/2018 through 09/22/2018 Page 62 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. I D. NUMBER) IT * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2016 Wanda Spaletta X❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Wanda Spalettax❑IND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1520 Fifth Avenue. San ❑ SCC 08/31/2018 Wanda Spaletta BIND Sergeant 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Lynette Starnes x❑IND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2018 Lynette Starnes RIND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 949QI-- ❑ SCC SUBTOTAL$ 74.30 'Contributor Codes IND -Individual COM-- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity; PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I t from 07/01/2018 • ' through 09/22/2018 Page 63 of71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSENTERI.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2018 Lynette Starnes X❑IND Community Service Officer 12.70 203.20 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Lynette Starnes [K]IND Community Service Officer 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,-ir9n Fifti, Avenue. San Rafael. CA 94goi ❑ SCC 07/15/2018 Remington Stobo X❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94902 07/31/2018 Remington Stobo X❑IND Police Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2018 Remington Stobo X❑IND Police officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC Avenue,1520 Fifth 4 SUBTOTAL$ 74.30 `Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY --Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2016 - FORM through 09/22/2018 Page 64 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSAND I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2018 Remington Stobo MIND Police Officer 16-30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Charly Taylor MIND Civilian Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael.1920 Fifth Avenue. San [-]SCC 07/31/2018 Charly Taylor x❑IND Civilian Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 08/15/2018 Charly Taylor MIND Civilian Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/31/2018 Charly Tay or MINDCavi ian Supervisor 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [-]COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. A SUBTOTAL$ 67-10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • _ to whole dollars. I ' from 07/01/2018 • ' through 09/22/2018page 65 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2018 Saskia Van Buuren X❑IND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Saskia Van Buuren x❑IND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1-;9n Piftb Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2018 Saskia Van Buuren RIND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2018 Saskia Van Buuren RIND Communications Dispatcher 12.70 203.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2018 Mark Wi inson ]IND officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 67.10 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC --Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.netfiie.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIF• to whole dollars. I ' from 07/01/2018 • � through 09/22/2018 Page 66 of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE RES ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN iNDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION SAND IT I, D, NUMBER) (IF COMMITTEE. * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2018 Mark Wilkinson )IND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Mark Wilkinson X❑IND Officer 16.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael,1520 Fifth Avenue. San ❑ SCC 08/31/2018 Mark Wilkinson BIND Officer 16.30 260.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 48.90 'Contributor Codes IND— Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov www.neffile.com Schedule D SCHEDULE D Summary of Expenditures Statement covers period Supporting/OpposingOther Amounts may be rounded dollars. � . , " to whole from 07/01/2018 • Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 67 Of 71 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE 08/28/2018 Lori Frugoli Monetary 500.00 500.00 District Attorney Marin County, CA Contribution ❑ Nonmonetary Contribution ❑ Independent ❑x Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 500.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ......... 2. Unitemized contributions and independent expenditures made this period of under $100 $ 500.00 $ 0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ 500.00 WWW.neff/l@.Com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 07/01/2018 [-0].1091911Ml SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page 68 of 71 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. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Donor Stack, LLC WEB 146.35 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 117.60 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 88.11 5940 College Avenue, Suite F Oakland, CA 94618 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 352.06 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 1,595.86 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 1,595.86 FPPC Form 460 (Jan/2016) FPPCToll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov www.netfile.com Schedule E (Continuation Sheet) Payments Made NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2018 through 09/22/2018 SCHEDULE E Page 69 of 71 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, 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 86.30 5940 College Avenue, Suite F Oakland, CA 94618 Lori Frugoli for Marin County District Attorney 2018 (ID# 1393994) CTB 500.00 34 Taft Court Novato, CA 94947 S.E. Owens & Company PRO 216.50 5940 College Avenue Suite F Oakland, CA 94618 S.E. Owens & Company PRO 441.00 5940 College Avenue Suite F Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,243.80 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) 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 07/01/2018 through 09/22/2018 SCHEDULEF Page 70 of 71 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR ( OUTSTAA NDING ( AMOUNTIN CURRED (c) AMOUNT PAID ( OUTSTANDING (IF COMMITTEE, ALSO ENTER LD NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Donor Stack, LLC WEB 146.35 0.00 146.35 0.00 5940 College Avenue, Suite F Oakland, CA 94618 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 146.35$ 0.00$ 146.35$ 0.00 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................................................. www.netfile.com .............................PAID TOTALS $ U.11O 146.35 ............................................. NET $ -146.35 May be a negative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Crhnrir rin I SCHEDULE[ Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers periodCALIFORNIA from 07/01/201.8 through 09/22/2018 , � • FORM Page 71 of 71 NAME OF FILER San Rafael Police Association Political Action Committee I.D. NUMBER 831553 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period........................................................................................................................$ 2. Unitemized increases to cash of under $100 this period............................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL $ www.netfile.com 0_00 1.63 0_00 1.63 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov