The URL can be used to link to this page

Home My WebLink AboutForm 460 - Police Association PAC (2018-09-22)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216 .5) SEE INSTRUCTIONS ON REVERSE Statement covers period from ___ 0_1~/_0_1~/2_0_1_0 ___ _ through __ 0_9~/_2_2~/_2_0_1_0 ___ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, J, and 4. D Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) [xl General Purpose Committee ® Sponsored 0 Small Contributor Committee □ Primarily Formed Candidate/ Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 831553 COMMITTEE NAME (OR CANDIDATE "S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O . BOX) CITY STATE ZIP CODE San Rafael CA 94901 MAILING ADDRESS {IF DIFFERENT) NO. AND STREET OR P.O. BOX P .O. Box 151557 CITY San Rafael OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification STATE CA ZIP CODE 94915-1557 AREA CODE/PHONE ( AREA CODE/PHONE Date of election if applica (Month, Day, Year) JAN 2 9 2019 of 86 11/06/2018 JI TY CLERK'S OFF CE 2. Type of Statement: [xl Preelection Statement D Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Minka MAILING ADDRESS CITY San Rafael NAME OF ASSISTANT TREASURER , IF ANY Ms. Stacy E. Owens MAILING ADDRESS CITY Oakland OPTIONAL: FAX / E-MAIL ADDRESS STATE CA STATE CA D Quarterly Statement D Special Odd-Year Report D Supplemental Preeleclion Statement -Attach Form 495 ZIP CODE 94901 ZIP CODE 94618 AREA CODE/PHONE (415)485-3000 AREA CODE/PHONE (510)423 -4300 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowl under penalty of perjury under the laws of the State of California that the foregoing is true and correct. herein and in the attached schedules is true and complete . I certify Executed on 01/21/2019 Date Execuled on 01/21/2019 Date Executed on Date Executed on Date www.netfile.com BY--------------------------------------Signature or Conlmlling Officeholder, Cand idate, State Measure Proponent BY-------=-----,,-----------------=----------Signaturaor ControUing Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D . NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O . BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com COVER PAGE -PART 2 CALIFORNIA FORM Page __ 2_ of _8_6_ 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO . IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD □ SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Contributions Received 1. Monetary Contributions .. .. . . . . .. .. .. . . . . .. .. . . . . . .. .. . . . . . . .. . . . . Schedule A, Line 3 $ 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions.................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made .. . .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .... .. .. Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 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 a 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 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 6,000.80 0.00 6,000.80 0.00 6,000.80 1,595.86 0.00 1,595.86 -146.35 0.00 1,449.51 95,266.82 6,000.80 1. 6 3 1,5 9 5 .8 6 99 ,6 7 3 .39 0 .00 0.00 0.00 from ____ 07_/_0_1_/_2_0_1_0 __ _ through __ 0_9 _/2_2_/_2_0_1_0 __ _ Page 3 of 86 $ $ $ $ $ $ ColumnB CALENDAR YEAR TOTAL TD DATE 20,73 7.10 0.00 20,73 7.10 0.00 20,73 7.10 3,826 .43 0 .00 3,826 .43 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). I.D. NUMBE R 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 (mm/dd/yy) ___j___j __ ___J___J __ Total to Date $ _____ _ $ _____ _ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D. NUMBER) CODE * 07/15/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Elisha Adams 08/15/2018 C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, Fifth 08/31/2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 09 15 2018 Elisha Adams C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, Schedule A Summary 1. Amount received this period -itemized monetary contributions. IB]IND □COM DOTH □PTY □sec IB]IND □COM DOTH □PTY □sec ~IND □COM DOTH □PTY □sec IB]IND □COM DOTH □PTY □sec IB]IND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 4 6 0 FORM from __ 0_1~/_0_1~/_2_0_1_0 ___ _ through 09/22/2010 Page_~4'--_of _~B~6- AMOUNT RECEIVED THIS PERIOD 16.30 16.30 16.30 16.30 16.30 01.sol I.D. NUMBER 831553 PER ELECTION TO DATE CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) (IF REQUIRED) 277.10 277.10 277.10 277.10 277 .10 *Contributor Codes IND-Individual (Include all Schedule A subtotals.) ........................................................................................................ $ ____ s~,_9_62_._1_O COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ ______ 3 _s _. 1_0_ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ____ 6 ,'---o_o_o _. s_o www.netfile.com sec -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE .ALSOENTERI .D NUMBER) CODE * 07 15/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, OB/15/2018 Raul Aguilar C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av nue Sn Rafael CA 4 01 08/31/2018 Raul Aguilar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Rau Agu1 ar C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7-'-/_0_1-'-/_2_0_1 s ___ _ through __ 0_9....c/_2_2--'-/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~5_ of B6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277 .10 16.30 277.10 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I.D . NUMBER) CODE * 07/15/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, OB/15/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Aven e San Rafa 1 A 4 01 08/31/2018 Anthony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Ant ony Augustyn C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_0 ___ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~G_ of BG I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277 .10 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0 . NUMBER) CODE * 07 15/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Aven e n R fa 1 A 4 1 08/31/2018 James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 James Be amy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . R 4 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_10 ___ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 7'---of 8 6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I.D. NUMBER) CODE * 07 15/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Av n e n Rf 1 A 4 01 08/31/2018 Todd Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2010 To Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/2_0_1_0 ___ _ through __ 0_9~/_2_2 /_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_--=..8_ of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277.10 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 07/15/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Avenue Sn Rafael CA 94 01 08/31/2018 Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Lynne Brae en C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual • V COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_10 ___ _ through __ 0_9_/_2_2_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_--=..9_ of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D . NUMBER) CODE * 07/15/2018 Zachary Brickell c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fi h Av n n Rf 1 4 01 0B/31/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Zac ary Bric e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual F. COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec-Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael O 1.cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/2_0_1_0 ___ _ through __ 0_9~/_2_2 /~2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 10 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277 .10 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07/15/2018 07/31/2018 (IF COMMITTEE , ALSO ENTER 1.D . NUMBER) Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/15/2018 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Av n n R fa A 4 1 08/31/2018 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Ru o Bu man C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_18 ___ _ through __ 0_9~/_2_2~/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 1_1_ of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 224.80 16.30 224.80 16.30 224.80 16.30 224.80 16.30 224.80 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 07/15/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Aven e Sn R fael CA 4 01 08/31/2018 Antonette Bullock C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Antonette Bu cc C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'-/_0_1.,_/_2_01_0 ___ _ through __ 0_9-'-/_2_2.,_/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _~12~ of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 53_501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I.D. NUMBER) CODE * 07/15/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Aven San Ra a A 4 01 08/31/2018 Shelly Cade C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 S e y Ca e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatc er Ci ty of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1_0 __ _ through __ 0_9~/_2_2~/_2_0_10 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 13 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLDYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D. NUMBER) 07/15/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av nue Sn Rf 1 A 4 01 08/31/2018 Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Josep Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 __ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 14 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277 .10 16.30 277.10 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D . NUMBER) CODE * 07/15/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth 94901 08/31/2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Trevor Carney C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7-'-/_0_l'-/_2_01_8 ___ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 15~ of 8 6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277 .10 16.30 277 .10 16.30 277.10 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I.D NUMBER) CODE * 07/15/2018 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, OB/15/2O18 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av n n Rf 1 4 01 OB/31/2O18 Jack Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Jae Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_0 ___ _ through __ O_9~/_2_2~/_2_O_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page __ 16_ of B 6 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277 .10 16.30 277 .10 16.30 277 .10 16.30 277 .10 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTER I .D. NUMBER) CODE * 07/15/2018 Edward Chiu c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 15 O Fifth Av n n Rf 1 A 4 1 08/31/2018 Edward Chiu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 E war C iu C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1_s __ _ through __ D_9~/_2_2~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page -----=-1 7'--of a 6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277.10 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D. NUMBER) CODE * 07/15/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/201B Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Associat i on, 08/15/2018 Robert Cleland C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif v n Rf 1 A 4 1 0B/31/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Ro ert Ce an C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Assoc i ation, *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 www.netfile.com IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po 1.ce Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_10 ___ _ through __ 0_9_/_2_2~/_2_0l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 1B of B6 1.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16 .30 277 .10 16 .30 277 .10 16 .30 277 .10 16 .30 277 .10 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I D NUMBER) CODE * 07/15/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Avenu Ra el A 4 01 08/31/2018 Christopher Coale C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 C n.stop er Coa e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK)IND □COM DOTH □PTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/ 2_0_1_0 ___ _ through __ 0_9~/_2_2 /_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 19 of 86 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277.10 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 07/15/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 0B/15/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av nu San R fael CA 94 01 0B/31/2018 Thomas Collins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 T omas Co ins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7_/_0_1_/2_0_1_0 ___ _ through __ 0_9~/_2_2~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 20 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277.10 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTER I D. NUMBER ) CODE * 07/15/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Jenna Cotta 08/15/2018 c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's· dues received through interm7diary: San Rafael Police Association, Police Association 1520 Fifth 94901 08/31/2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Jenna Cotta c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM -□OTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1_0 __ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 21 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D NUMBER) CODE * 07/15/2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Av n Rf 1 4 1 08/31/2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Ryan De Marta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_s __ _ through __ o_9_/_2_2_/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 22 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277 .10 16.30 277 .10 16.30 277 .10 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER ID. NUMBER) CODE * 07/15/2018 Elisa Delatorre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Elisa Delatorre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Elisa Delatorre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av n n R fael CA 4 1 08/31/2018 Elisa Delatorre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 E isa De atorre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH OPTY □sec Call Taker And Records Specialist City Of San Rafael Call Taker And Records Specialist City Of San Rafael Ca ll Taker And Records Specialist City Of San Raf ael Ca ll Taker And Records Specialist City Of San Rafae l SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1_0 __ _ through __ 0_9....,/_2_2-'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 23 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 190.50 12.70 190.50 12.70 190.50 12.70 190.50 12.70 190.50 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTER I D. NUMBER) CODE * 07/15/2018 07/31/2018 Rebecca DeLaTorre c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Rebecca DeLaTorre c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Rebecca DeLaTorre c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fif h Aven n Rf 1 A 4 01 08/31/2018 Rebecca DeLaTorre c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Re ecca DeLaTorre c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK)IND □COM DOTH □PTY □sec ix]IND □COM DOTH □PTY □sec lx]IND □COM DOTH □PTY □sec IK)IND □COM 00TH □PTY □sec Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Call Taker & Records Specialist City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1...:./_0_1...:./_2_0_1_0 ___ _ through __ 0_9...:./_2_2-'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 24 of __ 8~6~- I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER 1.0. NUMBER) CODE * 07/15/2018 07/31/2018 Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av n an Rafa 1 A 4 1 08/31/2018 Blake Delzell C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 B a e De ze C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7_/_0_1~/_2_0_1_0 __ _ through __ 0_9__,/_2_2--'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 2s of 86 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277.10 81. so 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 07/15/2018 07/31/2018 Danielle Dennis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Danielle Dennis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Danielle Dennis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 520 Fif h Av n n Rf 1 A 4 1 08/31/2018 Danielle Dennis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Danie e Dennis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec Call Taker/Records Specialist City Of San Rafael Call Taker/Records Specialist City Of San Rafael Call Taker/Records Specialist City Of San Rafael Call Taker/Records Specialist City Of San Rafael Ca Ta er Recor s Specialist City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_l~/_2_01_8 ___ _ through __ 0_9_/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 26 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 165.10 12.70 165.10 12.70 165.10 12.70 165.10 12.70 165.10 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI.D NUMBER) CODE * 07/15/2018 Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av nue San Rafael 4 0 08/31/2018 Christian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Cristian Diaz C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec IR]IND □COM 00TH □PTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'-/_0_1-'-/_2_0_1_0 __ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 21 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277.10 01.501 FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D . NUMBER) CODE * 07/15/2018 07/31/2018 Justin Dodson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Justin Dodson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, OB/15/2O18 Justin Dodson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Raf el A 4 1 OB/31/2O18 Justin Dodson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Justin Do son C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH QPTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po 1.ce O 1.cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/ 2_0_1_0 ___ _ through __ O_9_/_2_2_/_2_O_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 20 of B6 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277.10 Bl. so I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 07/15/2018 James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/15/2018 James Dooley C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 20 Fif v n f 1 CA 4 01 08/31/2018 James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 James Dao ey C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual . 4 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Commillee www.netfile.com IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O 1.cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_s ___ _ through __ o_9-'/_2_2...,_/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page --=-2 "-9 _ of B 6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277 .10 16.30 277 .10 16.30 277. 10 16.30 277 .10 16.30 277 .10 Bl.SDI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 07/15/2018 Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Aven e San Rafael CA 4 01 08/31/2018 Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 C ristop er Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_18 ___ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 30 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .1 0 16.30 277 .10 16.30 277 .10 16 .30 277 .10 16.30 277.10 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER 1.0. NUMBER) CODE * 07/15/2018 Scott Eberle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av n n Rf l A 4 1 08/15/2018 Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Kevin Finerty , C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 . *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec OOIND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Lieutenant City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ □_7~/_0_1~/_2_0_1_0 __ _ through __ 0_9~/_2_2~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 31 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 211. 90 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 09/15/2018 Kevin Finerty C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 Fi h Avenu Ra A 4 01 08/15/2018 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Scott Fis er C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/ 2_0_1_s ___ _ through __ 0_9~/_2_2~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 32 of BG I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277 .10 16.30 277.10 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 09/15 2018 07/15/2018 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av nu San Rafael CA 4 01 08/15/2018 Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Anna Fu ga o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Police Officer City Of San Rafael Dispatcher City Of San Rafael Dispatch er City Of San Rafael Dispatcher City Of San Rafael Dispatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'-/_0_1.,_/_2_0_10 ___ _ through __ 0_9..,_/_2_2.,_/_2_01_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~3~3_ of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 67.101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER 1.0. NUMBER) CODE * 09 15/2018 07/15/2018 Anna Fulgado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fif h Av n n R fa 1 A 4 1 08/15/2018 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 C n.stop er Fu er C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH OPTY □sec IK]IND □COM 00TH □PTY □sec Dispatcher City Of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ o_1~/_0_1~/_2_01_0 ___ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 34 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277 .10 77 .901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0 . NUMBER) CODE * 09/15 2018 Christopher Fuller C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Aven e Sn Rf el 4 01 08/15/2018 Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Sa vatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH QPTY □sec Corporal City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1.,_/_0_1,..../ 2_0_1_0 ___ _ through __ 0_9..c../_2_2 /'-2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 35 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277 .10 Bl. so I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I .□. NUMBER) CODE * 09/15/2018 Salvatore Garanzini C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Av n n Rf el 4 1 OB/15/2018 Michael Garrison C/o: San Rafael Po l ice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Mic ae Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec Officer City of San Rafael Officer City of San Rafae l Officer City of San Rafael Officer Ci t y of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ o_1~/_0_1~/_2 _0 _1 _a __ _ through __ o_9__,/_2_2--"/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 36 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277.10 1 6 .30 277.10 16.30 277 .10 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D NUMBER) 09/15/2018 Michael Garrison C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, ~A 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Avenue San R fa 1 A 4 01 08/15/2018 Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Li a Gav ic C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual 'f COM -Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IK]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec Officer City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/ 2_0_1_s ___ _ through __ o_9~/_2_2~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 37 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277.10 s1.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D. NUMBER) CODE * 09/15/2018 Lilah Gavlick C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Av n e San R fael CA 4 01 OB/15/2018 Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Justin Gra am C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec lx]IND □COM DOTH □PTY □sec lx]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Police Corporal City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/2_0_1_0 ___ _ through __ o_9_/_2_2_/_2_0_1_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 38 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277 .10 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * 09/15/2018 Justin Graham C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through interm~diary: San Rafael Police Association, 07/31/2018 Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 152 Fifth Avenue San Raf 1 A 4 1 08/15/2018 Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Lon. Hen r1.c s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec ix]IND □COM 00TH OPTY □sec lx]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec Sergeant City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael D1.spatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_0 ___ _ through __ 0_9~/_2_2~/_2 O_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 39 of B6 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 67.101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSDENTERI D NUMBER) CODE * 09/15/2018 07/15/2018 Lori Hendricks C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2018 Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif v n Rf l A 1 08/15/2018 Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Ro ert Hen e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec OOIND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec Dispatcher City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 __ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 40 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I D. NUMBER) CODE * 09 15/2018 Robert Henkle C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fifth Av Rf 1 CA 1 08/15/2018 J. Alexander Holm C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 J. A exan er Ho m C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com [K]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec [K]IND □COM DOTH □PTY □sec Officer City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7-'-/_0_1:..../_2 _o 1_0 ___ _ through __ 0_9--'/_2_2-'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 41 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277.10 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277 .10 01.501 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 09/15/2018 J . Alexander Holm C/o : San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association , 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, 07/31/2018 Lisa Holton C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Assoc i ation, 1 20 Fit n Raf el CA 4 01 08/15/2018 Lisa Holton C/o: San Rafael Po l ice Associa t ion 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Lisa Ho ton C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7d i ary : San Rafael Police Associat i on , *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 www.netfile.com IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Corpor a l City of San Rafae l Sergeant City of San Rafael Sergeant City of San Rafael S ergeant City of San Rafael Sergeant City of San Rafae l SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 __ _ through __ o_9_/_2_2_/_2_0_1_e __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 42 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 1 6 .30 277 .1 0 16.30 277.10 16.30 277 .10 16.3 0 277 .10 16 .30 277 .10 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 09/15 2018 Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fif h Av n n Raf 1 A 4 1 08/15/2018 Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Car Hu er C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 __ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ----=-4 =-3 _ of s 6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZI P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0 . NUMBER) 09/15/2018 Carl Huber C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fi v n Rf l CA 4 08/15/2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Scott Inge s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafae l Sergeant City of San Rafael Sergeant City of San Rafae l SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_01_0 ___ _ through __ 0_9~/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 44 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277.10 01 .501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE .ALSOENTERI.D NUMBER) CODE * 09/15 2018 Scott Ingels C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fift V Rf 1 4 08/15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Re ecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . V n COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com [RJIND □COM DOTH □PTY □sec [RJIND □COM DOTH □PTY □sec [RJIND □COM DOTH □PTY □sec [RJIND □COM DOTH □PTY □sec [RJIND □COM 00TH □PTY □sec Sergeant City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael YSB Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ o_1_,_/_0_1'-/_20_1_8 ___ _ through __ 0_9~/_2_2~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 45 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277 .10 12.70 215.90 12 .70 215 .90 12.70 215.90 12 .70 215.90 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCDMMITTEE ,ALSOENTER I D. NUMBER) CODE * 09/15/2018 07 15/2018 Rebecca Kuga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Marc Laplante C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 F"ft v n n Rf el A 4 1 08/15/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Marc Lap ante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec YSB Supervisor City of San Rafael Officer City of San Rafael Officer City of San Rafae l Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ □_7~/_0_1~/2_0_1_0 ___ _ through __ 0_9~/_2_2_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 46 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 16.30 277 .10 1 6 .3 0 277 .10 16 .30 277.10 16 .30 277 .10 77.9 □1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D NUMBER) CODE * 09/15/2018 Marc Laplante C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Anndora Lee C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif e 4 1 08/15/2018 Anndora Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Ann era Lee C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Officer City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1_0 __ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 47 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .3 0 277.10 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 67_101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/15/2018 07/15/2018 (IF COMMITTEE, ALSO ENTER I D . NUMBER) Anndora Lee C/o: San Rafael Po l ice Associa t ion 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif v nue n R a 1 4 01 OB/15/2018 Karl Luhmann C/o: San Rafael Po l ice Association 1520 Fi fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Po lice Associa tion, 1520 Fifth Avenue , San Rafael, CA 94901 OB 31 2018 Kar Lu mann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IRJIND □COM 00TH OPTY □sec [!]IND □COM DOTH OPTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec [!]IND □COM 00TH OPTY □sec Dispatcher City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'--/_0_1.,_/_2.:..oc:..1 B"---- through __ 0_9"""'/_2_2-'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 48 of BG 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215 .90 16.30 224 .80 1 6.3 0 224.80 16.30 224 .80 16.30 224 .80 77.901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 09/15/2018 Karl Luhmann C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fi v n Rf 1 CA 4 0 OB/15/2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Kevin Mac ouga C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual 2 F' COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec Police Officer City Of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_s __ _ through __ 0_9~/_2_2~/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 49 of BG I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 224.80 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277 .10 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER I.D. NUMBER) CODE * 09 15 2018 Kevin Macdougald C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fif h Av n n Rf el CA 08/15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Car os Ma ona o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e .g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND □COM DOTH □PTY □sec OOIND □COM DOTH □PTY □sec OOIND □COM 00TH □PTY □sec OOIND □COM 00TH □PTY □sec OOIND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_l~/_2 O_l_B ___ _ through __ 0_9--'/_2_2_,/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page so of BG I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277 .10 16 .30 277 .10 16.30 277 .10 16.30 277.10 16 .30 277 .10 s1.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER 1.0 NUMBER) CODE * 09 15/2018 Carlos Maldonado C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fi v n Rf l CA 4 01 08/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Kait in Ma ey C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND □COM 00TH □PTY □sec OOIND □COM DOTH □PTY □sec OOIND □COM DOTH □PTY □sec OOIND □COM 00TH □PTY □sec OOIND □COM 00TH □PTY □sec Officer City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_s __ _ through __ 0_9_/_2_2_/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page s1 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277.10 16 .30 237.50 16 .30 237.50 16.30 237.50 16 .30 237.50 s1.soj FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D NUMBER) CODE * 09 15/2018 07/15/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Av Rf 1 4 08/15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2D18 Mic ae Mat 1.s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 949D1 Union member's dues received through interm~diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND □COM DOTH □PTY □sec OOIND □COM DOTH □PTY □sec OOIND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec IK]IND □COM 00TH □PTY □sec Police Officer City Of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_l~/_2 0_1_8 ___ _ through __ 0_9_/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 52 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 237.50 16.30 277 .10 16.30 277 .10 16.30 277.10 16.30 277.1D 81. SD I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER 1.0 . NUMBER) CODE * 09 15/2018 Michael Mathis C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07 15/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 F'f h Av n Sn 4 01 08/15/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Ke y Maue C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, •contributor Codes IND-Individual 2 . COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Corporal City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/ 2_0_1_8 ___ _ through __ 0_9~/_2_2~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 53 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277.10 12 .70 215.90 12 .70 215.90 12.70 215.90 12.70 215.90 67.101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 09/15/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fif v n e San R A 4 01 08/15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 P 1 1p Me o 1a C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IK]IND □COM DOTH OPTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec Communications Dispatcher City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7.:..../..c.0_l.,_/_2.;._01_8 ___ _ through __ 0_9..:./_2_2..:./_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 54~ of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 1 6 .30 277.10 16 .30 277.1 0 1 6.3 0 277 .10 16.3 0 277.10 77 .901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I 0 . NUMBER) 09 15/2018 Phillip Melodia C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Beth Minka C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l 20 F 0 n Rf 1 CA 4 08/15/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Bet Min a C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec Officer City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael A m1.n1.strat1.ve Tee 1.c1.an City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/2_0_1_0 ___ _ through __ 0_9_/_2_2~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 55 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 12.70 215.90 12.70 215 .90 12.70 215.90 12.70 215.90 67.101 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE .ALSOENTERI D NUMBER) CODE * 09/15/2018 Beth Minka C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Ave 4 l 08/15/2018 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Cynt 1a Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Administrative Technician City of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Call Taker and Records Specialist City Of San Rafael Ca Ta er an Recor s Specialist City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_0 ___ _ through __ 0_9_/_2_2~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 56 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 215.90 12 .70 215.90 12 .70 215.90 12 .70 215.90 12.70 215 .90 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI.O NUMBER) CODE * 09 15/201B 07/15/201B Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07 /31/201B Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fifth Av n S 1 4 1 OB/15/201B Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 201B Lynn Murp y C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Call Taker and Records Specialist City Of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Menta Heat Outreac Provider City of San Rafael SUBTOTAL$ Statement covers period from ___ □_7-'-/-'-0_1:..../_2.c.o l_B-'----- through __ □_9..:../_2_2 ,__/2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 57 of B6 I.D.NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.5 □1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 09/15/2018 07/15/2018 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/201B Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fif h Av n f 1 CA 4 1 08/15/201B Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 201B Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec Mental Health Outreach Provider City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafael Ev1 ence Tee n1c1an City of San Rafael SUBTOTAL$ Statement covers period from ___ □_7~/_0_1~/_2_01_0 ___ _ through __ □_9..:../_2_2 =---/2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 58 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.s □I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0 NUMBER) CODE * 09 15/2018 Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 F " h v n e s n 4 0 08/15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 201B A ex1.s Nie sen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Evidence Technician City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_0 ___ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_--=59::...._ of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 63.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3n2) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1,0 . NUMBER) 09 15/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Av Rf 1 4 08/15/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Lead Communications Dispatcher City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1~/_2_0_1_0 __ _ through __ 0_9_:/_2_2...:_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 60 of 86 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 16.30 277 .10 16.30 277 .10 16.30 277 .10 16.30 277.10 77.901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I 0 , NUMBER) CODE * 09/15/2018 07/15/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fif h Av n n Rf 4 1 08/15/2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Les ie O'Too e C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec Police Officer City Of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7.,_/_0_1.,_/_2_0_1_0 __ _ through __ 0_9-'-/_2_2.,_/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 61 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277 .10 1 6.30 277 .10 16.30 277 .10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE·OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D. NUMBER) CODE * 09/15 2018 Leslie O'Toole C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/201B Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F" h Av n A 4 01 08/15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Officer City of San Rafael Officer City o f San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_18 ___ _ through __ □_9_/_2_2~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 62 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16.30 277.10 16.30 277.10 16.30 277.10 16.30 277.10 81.5 □1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D NUMBER) CODE -,, 09 15/2018 Brian Patterson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 07/31/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 2 Fif h Av n A 4 1 08/15/2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Bu y Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR)IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR)IND □COM DOTH □PTY □sec IRJIND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1-'--/_0_1-'-/_2_0_1_s __ _ through __ 0_9~/_2_2-'-/_2_01_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 63 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 -DEC. 31) PER ELECTION TO DATE {IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277 .10 16.30 277 .10 81.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1,0 . NUMBER) 09/15 2018 Buffy Paxson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fift v n R l A 4 1 08/15/2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_0 __ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 64 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16 .30 277.10 1 6 .30 277.10 16 .30 277.10 16.30 277.10 01.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE * 09/15/2018 Jessica Perry C/o : San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Aaron Piombo C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Aaron Piombo C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Assoc i ation, 1 2 Fift V n R 1 4 01 08/15/2018 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 08 31 2018 Aaron Pio a C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues rece i ved through intermediary : San Rafael Police Associat i on, *Contributor Codes IND-Individual 2 . COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR)IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec IR)IND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec Officer City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Po 1.ce Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1_/_0_1~/_2_0_1_s __ _ through __ 0_9_/_2_2_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 65 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16 .30 277 .10 16 .30 277 .10 16 .30 277 .10 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0 . NUMBER) CODE * 09/15/201B Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/201B Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/201B Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F 'f h Av n n R fael 4 1 OB/15/201B Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND □COM DOTH OPTY □sec OOIND □COM 00TH □PTY □sec IK]IND □COM DOTH OPTY □sec IK]IND □COM 00TH □PTY □sec OOIND □COM 00TH OPTY □sec Police Corporal City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1..:../_0_1.,_/_2_0.::.1.:..0 __ _ through __ 0_9__,_/_2_2_,_/_2_01_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 66 of B6 I.D.NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16 .30 277.10 16.30 277 .10 16.30 277 .10 Bl.SOI FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D NUMBER) 09/15/2018 Dennis Prince C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 0 Fif h Av nu S 1 A 08/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH □PTY □sec OOIND □COM DOTH □PTY □sec IR]IND □COM DOTH OPTY □sec IR]IND □COM 00TH □PTY □sec OOIND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael 0 icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_l~/_2_0 l_B ___ _ through __ 0_9_/_2_2_/_2_0_1_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 67 of B6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277 .10 16 .30 277.10 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 09/15/2018 Gino Rantissi c/o San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, l O Fif h Av n f 1 CA 4 l 08/15/2018 Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Ron a Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH OPTY □sec Officer City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_01_0 ___ _ through __ o_9_/_2_2~/_2_0_1_e __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ----"-6 =-B _ of a 6 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277.10 16.30 277 .10 16.30 277 .10 16.30 277.10 01.sol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.0 . NUMBER) CODE * 09/15/201B Ronda Reese C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/201B Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/201B Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Pol i ce Association, 1 20 Fifth Av R fa 1 A 1 OB/15/201B Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 201B Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues recei ved through interm7diary: San Rafael Police Association, *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 www.netfile.com [K]IND □COM DOTH □PTY □sec l!]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec [K]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Corporal City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communicat i ons Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1 B ___ _ through __ 0_9_/_2_2_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_---"-6~9-of B6 I.D.NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277 .10 12 .70 215.90 12 .70 215.90 12.70 215.90 12 .70 215.90 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I 0 . NUMBER) 09/15/2018 Peggy Ruge C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 2 Fifth A e n R 4 01 08/15/2018 Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 2018 Travis Rugg es C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com CODE* IR)IND □COM 00TH OPTY □sec OOIND □COM 00TH □PTY □sec IR]IND □COM DOTH OPTY □sec lx]IND □COM 00TH □PTY □sec IR)IND □COM DOTH OPTY □sec Lead Communications Dispatcher City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Po ice O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_l~/_2_0 l_B ___ _ through __ 0_9~/_2_2 /~2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 70 of BG I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 16.30 277 .10 16.30 277 .10 16.30 277.10 16. 30 277.10 77.901 FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 09 1 5/201B Travis Ruggles C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94974 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/15/201B Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 07/31/201B Thomas Sabido C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association , 1520 Fi v n S Rf l CA 1 OB/15/201B Thomas Sabido C/o: San Rafael Police Assoc i ation 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 OB 31 201B T omas Sa i o C/o: San Rafael Police Assoc i ation 1520 Fi fth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (otherthan PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com lx]IND □COM 00TH □PTY □sec OOIND □COM DOTH □PTY □sec lx]IND □COM DOTH □PTY □sec lx]IND □COM 00TH OPTY □sec lx]IND □COM DOTH OPTY □sec Police Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off i cer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ □_7~/_0_1~/_2_01_0 ___ _ through __ □_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 71 of B6 1.0 . NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 • DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 260.B0 16.30 26 0.B0 16.30 26 0 .B0 16.30 260 .B0 Bl. 50 I FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca .gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE .ALSO ENTER I D. NUMBER) CODE * 07/15/201B 07/31/2018 Sebastian Sanchez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Sebastian Sanchez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 0B/15/2018 Sebastian Sanchez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fif h Av n R fael A 4 01 08/31/2018 Sebastian Sanchez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Se astian Sane ez C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, *Contributor Codes IND-Individual 2 . COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com OOIND □COM 00TH OPTY □sec [fil IND □COM 00TH OPTY □sec [K]IND □COM DOTH OPTY □sec [K)IND □COM 00TH □PTY □sec [fillND □COM DOTH OPTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Po ice O icer Ci ty Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_s __ _ through __ 0_9~/_2_2~/_2_0 l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 12_ of B6 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 224.B0 16.30 224 .80 16.30 224 .80 16.30 224 .80 16.30 224.80 81.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 07/15/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 Anthony Scalercio c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/15/2018 Anthony Scalercio C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth Av n Rf el A 4 01 08/31/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 15 2018 Ant any Sea ercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfite.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ o_7~/_O_1~/_2_O_1_a __ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 73 of 86 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 277 .10 16 .30 277.10 16.30 277 .10 16.30 277.10 16 .30 277.10 01.sol FPPC Fonn 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE.ALSOENTERI.D NUMBER) CODE * 07/15/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 07/31/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/15/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h v n Rf el CA 4 08/31/2018 George Schikore C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 Justin Sc rae er C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □sec IKJIND □COM DOTH □PTY □sec IKJIND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael O 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_0_1_8 __ _ through __ 0_9~/_2_2_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 74 of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 260.80 16.30 260.80 16.30 260.80 16.30 260.80 16.30 277.10 81.5ol FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE * 07/31/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/31/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F' v n e S f 1 1 09/15/2018 Justin Schraeder C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 Wan a Spa etta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0_1_8 __ _ through __ 0_9~/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 75 of 86 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277 .10 16_30 277.10 16.30 277.10 16.30 277 .10 16 .30 277.10 81. so 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I.D NUMBER) CODE * 07/31/201B Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 OB/15/201B Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, OB/31/201B Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 F" Av nue Sa 1 CA 1 09/15/201B Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 201B Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH QPTY □sec IR]IND □COM 00TH QPTY □sec IR]IND QCOM 00TH QPTY □sec IR]IND □COM 00TH QPTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Community Service O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0 l_B ___ _ through __ 0_9~/_2_2 /~2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 76 of B6 1.0. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 12.70 215.90 77.901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I.D NUMBER) CODE * 07/31 201B Lynette Starnes c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 0B/15/2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/31/201B Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152 F ' h Av n Rf el 4 09/15/2018 Lynette Starnes C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 Remington Sto o C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual ' 2 COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Community Service Officer City of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7-'-/_0_1'-/_2_01_0 ___ _ through __ 0_9__,/_2_2....c/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 77 of B6 1.0. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12.70 215.90 16.30 277.10 67 .10, FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 07/31/2018 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/31/2018 Remington Stobo c/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif h Av n Rf el CA 1 09/15/2018 Remington Stobo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 C ar y Tay or C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes I ND -Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Civi ian Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ o_7~/_0_1~/_2_0_1_s __ _ through __ o_9_/_2_2_/_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ----'--7 Be.._. of B 6 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PER I OD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 1 6 .3 0 277.10 16.30 277 .10 16.30 277 .10 16.30 277 .10 12.70 215.90 77.901 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1,0 . NUMBER) 07/31/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 08/31/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fifth Ave 1 4 09/15/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 Sas ia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary : San Rafael Police Association, *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com CODE* IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR)IND □COM DOTH □PTY □sec IR)IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Communications Dispatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_7~/_0_1~/_2_01_0 ___ _ through __ 0_9_/_2_2_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 79 of 86 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12 .70 215.90 12 ,70 215.90 12.70 215.90 12.70 215.90 63.501 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER 1.0. NUMBER) CODE * 07/31/2018 Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 08/15/2018 Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 08/31/2018 Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, o Fif h Av n 1 4 o 09/15/2018 Saskia Van Buuren C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 07 15 2018 Mar Wi inson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IKJIND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatcher City Of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ o_7_/_0_1~/_2_0_10 ___ _ through __ 0_9_/_2_2~/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_-"-8"-0-of 86 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 215.90 12.70 215.90 12.70 215.90 12 .70 215.90 16 .30 277.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I 0 . NUMBER) CODE * 07/31/201B Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 0B/15/201B Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 0B/31/201B Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fif v n A 4 0 09/15/201B Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH QPTY □sec [fil IND QCOM 00TH OPTY □sec IR]IND □COM 00TH QPTY □sec [fillND □COM 00TH QPTY □sec □IND □COM DOTH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_1~/_0_1~/_2_0 l_B ___ _ through __ 0_9~/_2_2 /~2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page Bl of B6 I.D.NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 277.10 16.30 277 .10 16.30 277.10 16.30 277.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Comm i ttee DATE NAME OF CANDIDATE, OFFICE , AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION , OR COMMITTEE 08/2 8/2 018 Lori Frugoli Di strict Attorney Marin County, CA IB] Support D Support D Support Schedule D Summary D Oppose D Oppose D Oppose Amounts may be rounded to whole dollars. TYPE OF PAYMENT [!] Monetary Contribution □ Nonmonetary Contribution □ Independent Expenditure □ Monetary Contribution □ Nonmonetary Contribution □ Independent Expenditure □ Monetary Contribution □ Nonmonetary Contribution □ Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL$ SCHEDULED Statement covers period from ___ 01~/_0_1_/_2_0_18 __ _ I CA~~~:NIA ~4-60- 1 through 09/22/2018 Page __ 82_ of_8_6_ AMOUNT THIS PERIOD 500.00 500 .oo/ I.D.NUMBER 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) 500 .00 PER ELECTION TO DATE (IF REQUIRED} 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................... $ -----=5-=-o=--o ·=--=o=o 2. Unitemized contributions and independent expenditures made this period of under $100 ................................................................................. $ ______ o_._o_o 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2 . Do not enter on the Summary Page .) ............. TOTAL $ _____ 5_0_0 ._o_o www.netfite.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E ScheduleE Payments Made Amounts may be rounded to whole dollars. Statement covers period from ------'-01---'/'-0_1...:/_2_0_1_s __ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ 0_9~/_2_2~/_2 0_l_B __ _ Page _8_3 _ of _8_6_ 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. OvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CIB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TB... t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks lRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LJT campaign literature and mailings PRT print ads 1/1,£B information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Donor Stack, LLC WEB 146.35 594D College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 117. 60 594D College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 88 .11 594D College Avenue, Suite F Oakland, CA 94618 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 352.D6 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ____ 1...:,_5_9_5_._0_6 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ ___;;;o..:.·..::.o..::.o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ______ o_._o_o 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_, _59_5_._8_6 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period from ___ 0_1~/_0_1~/_2_0_1_8 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 09/22/2018 Page __ 8_4_ of __ 8_6_ NAME OF FILER San Rafael Police Association Political Action Committee CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. I.D .NUMBER 831553 CM' 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 TB... I. v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks lRC candidate travel , lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel , lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal , accounting) VOT voter registration LIT campaign literature and mailings PRT print ads 11\£8 information technology costs (internet , e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Donor Stack, LLC WEB 5940 College Avenue, Suite F Oakland, CA 94618 Lori Frugoli for Marin County District Attorney 2018 (ID# 1393994) CTB 34 Taft Court Novato, CA 94947 S.E . Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 S.E . Owens & Company PRO 5940 College Avenue Suite F Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com OR DESCRIPTION OF PAYMENT AMOUNT PAID 86.30 500 .00 216.50 441.00 SUBTOTAL$ 1,243 .80 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 __ 0_1~/_0~1 /'-2_0_1_0 __ _ through 09/22/2010 SCHEDULEF CALIFORNIA 460 FORM Page _8_5_ of _8_6_ I.D . NUMBER 83 1 553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a.,p campaign paraphernalia/misc. MBR member communications RAD rad io airtime and production costs CNS campa ign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TB.. t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel , lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals 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 ffiT print ads VI.EB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE , ALSO ENTER 1.0 NUMBER) Donor Stack, LLC 5940 College Avenue, Suite F Oakland , CA 94618 • Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary CODE OR (a) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD WEB 146 .3 5 SUBTOTALS$ 146 .35$ 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for (bl (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 0 .00 146.35 0.00 o. 00$ 146 .35$ 0 .00 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ ______ o;,_._o_o 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.) ................................. PAID TOTALS $ _____ 1::..4:....:6:....:·..::3..::.5 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ -=c-=-=-=c==-1,..,,4=6=·=3,,_s May be a negative number www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE , ALSO ENTER 1.0 . NUMBER) Amounts may be rounded to whole dollars. Statement covers period from --~0_7~/ 0~1~/_2~0_10~-- through os/22/2010 DESCRIPTION OF RECEIPT I Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period ........................................................................................................................ $ _____ o_._o_o 2. Unitemized increases to cash of under $100 this period ............................................................................................. $ _____ 1_._6_3 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ o_._o_o 4. Total miscellaneous increases to cash this period . (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14 .) ........................................................................................................................... TOTAL $ ______ 1_.6_3 SCHEDULE I CALIFORNIA 460 FORM Page __ 86_ of __ 86_ 1.D. NUMBER 831553 AMOUNT OF INCREASE TO CASH www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov