HomeMy WebLinkAboutForm 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