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Home My WebLink AboutForm 460 - Police Association PAC (2018-12-31) Semi-AnnualRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from ___ 0_9~/ 2_3~/~2_0_1_8 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 ___ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. □ Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Part 5) [ID General Purpose Committee ® Sponsored O Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information D Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) □ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 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) 1520 Fifth Avenue CITY STATE ZIP CODE San Rafael CA 94901 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 151557 CITY San Rafael OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification STATE CA ZIP CODE 94915-1557 AREA CODE/ PHONE (415) 485-3000 AREA CODE/PHONE Date of election if applic (Month, Day, Year) JAN 2 9 2019 of 99 2. Type of Statement: D Preelection Statement [Rl Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Ms. Beth Minka MAILING ADDRESS 1520 Fifth Avenue CITY San Rafael NAME OF ASSISTANT TREASURER, IF ANY Ms. Stacy E. Owens MAILING ADDRESS 5940 College Avenue CITY Oakland OPTIONAL: FAX / E-MAIL ADDRESS STATE CA STATE CA or Official Use Only D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection 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 knowledge I ed herein and in the attached schedules is true and complete . I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 01/21/2019 By Dale Executed on 01/21/2019 By Dale Signa Executed on Dale By Executed on Date By www.netfile.com reasurer Signature or Controlling Officeholder, Candidate, State Measure Proponent Signature or Controlling 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 STREEn CITY STATE ZIP Related Committees Not Included in this Statement: Ustanycommittees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O . BOX) CITY STATE Z IP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YE S 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O . BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netfile.com CALIFORNIA FORM Page __ 2_ of _9_9_ 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 Ustnames 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 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Janl2016) 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 Pol i ce Association Political Action Committee Contributions Received 1. Monetary Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A, Une 3 $ 2. Loans Received ........................... .......... ................. Schedule a. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4 . Non monetary Contributions.................................... Schedule c. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Unes 3 + 4 $ Expenditures Made 6 . Payments Made .. .. .. .. .. .. .. .. ... . .. .. .......... ...... .......... ... .. Schedule E. Une 4 $ 7. Loans Made ............................................................. Schedule H, Lme 3 8. SUBTOTAL CASH PAYMENTS ...................... ......... ..... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3 10. Nonmonetary Adjustment .......................................... Schedule c, Une 3 11 . TOTAL EXPENDITURES MADE ................................ Add Unes B + 9 + 10 $ Current Cash Statement 12 . Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13 . Cash Receipts ................................................... Column A, Une 3 above 14 . Miscellaneous Increases to Cash ........................... Schedule I, Une 4 15 . Cash Payments .................................................. Column A, Une B above 16 . ENDING CASH BALANCE .......... Add Unes 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17 . LOAN GUARANTEES RECEIVED ................... ........ Schedule a, Part 2 $ Cash Equivalents and Outstanding Debts 18 . Cash Equivalents........................................ See instructions on reverse $ 19 . Outstanding Debts ......................... Add U ne 2 + Line 9 in Column B above $ www.netfite.com Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 7,284.90 0 .00 7,284.90 50.00 7,334.90 1,085 .91 0.00 1,085.91 297.50 50 .00 1,433.41 99,673.39 7,284.90 3.37 1,085.91 105,875.75 0.00 0.00 297.50 from ___ 0_9~/_2_3~/_2_0_1_8 __ _ through _ ____cl..;:2.,_/.c..3.c..1 ,_/ 2;.;..0:...cl:;.c8;__ __ Page 3 of 99 $ $ $ $ $ $ ColumnB CALENDAR YEAR TOTAL TO DATE 28,022 .0 0 0 .0 0 28,022.0 0 50.0 0 28,072.0 0 4,912.34 0.0 0 4,912.34 297 .5 0 50 .0 0 5,259.84 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. NUMBER 8 31553 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1 /1 through 6130 711 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-E MPLOYED. ENTER NAME OF BUSINESS) (I F COMMITTEE , ALSO ENTER 1.0. NUMBER) 09/30/2018 Elisha Adams C/o: San Rafael Police Assoc iation 1520 Fifth Avenue San Rafae l , CA 94901 Union member's dues received through i ntermediary: San Rafael Po lice Assoc iation , 10/15/2018 Elisha Adams C/o : San Rafael Police Association 1520 Fif t h Avenue San Rafael, CA 94901 Union member's dues received through i nterm7diary: San Rafael Po lice Association, 10/31/2018 Elisha Adams C/o: San Rafael Po lice Assoc iation 1520 Fif t h Avenue San Rafael, CA 94901 Union member's dues rece i ved through i nterm7diary: San Rafael Po lice Assoc iation, 11/15/2018 Elisha Adams C/o: San Rafae l Police Assoc iation 1520 Fifth Avenue San Rafael, CA 94901 Union member's due s received through i ntermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael, CA 94901 11 30 2018 Elisha Adams C/o: San Rafael Police Assoc iation 1520 Fifth Avenue San Rafael, CA 94901 Union member 's dues recei ved through i ntermedi ary : San Rafae l Pol ice Assoc iation, Schedule A Summary 1. Amount received this period -itemized monetary contributions . CODE* ~IND □COM 0 0TH O PTY □sec OOIND □COM 00TH OPTY □sec ~IND □COM 0 0TH □PTY □sec OOIND □COM 0 0TH O PTY □sec ~IND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Off i cer City of San Rafael Officer City of San Rafael SUBTOTAL$ SCHEDULE A Statement covers period CALIFORNIA 460 FORM from __ 0_9~/_2_3~/_2_0_1_0 ___ _ through 12/31/2010 Page ---'4,__ of _..::9.::.9 _ AMOUNT RECEIVED THIS PERIOD 16.30 16 .30 16.30 17 .10 17 .10 I.D . NUMBER 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) 377.30 377.30 377.30 377.30 377.30 *Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQU IRED) (Include all Schedule A subtotals .) ........................................................................................................ $ ____ 7~,_1_25_._0_0 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 ............................. $ ______ 1_5_9_._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 $ _____ 7_,_2_8_4_-_9_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) (IFCDMMITTEE,AlSDENTER 1.0. NUMBER) CODE * 12 15/2018 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 09/30/2018 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, 10/15/2018 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, 2 Fif h A n R fa 1 A 4 l 10/31/2018 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 11 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 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 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_9~/_2_3~/_2_0_1_8 __ _ through __ 1_2~/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page_---=.5_ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377 .30 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafae l Po lice 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) (IFCOMMI TT EE ,ALSOENTER I.D NUMBER) CODE* 11/30 201B 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 12/15/201B Raul Aguilar 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, 09/30/201B 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, 1 2 F . Av n e S f 1 A 10/15/201B 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 10 31 201B 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 OPTY □sec i!]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Officer City of San Rafael Officer City of San Rafael 0 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9.,_/_2_3-'-/_2_0_1_0 __ _ through __ l_2~/_3_1~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page_~6_ of 99 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 16.30 377.30 16.30 377 .30 16.30 377.30 B3. 10 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 * 11/15/2018 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 11/30/2018 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, 12/15/2018 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, 1 2 Fif h A n Rf 1 CA 1 09/30/2018 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 10 15 2018 James Be amy 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 (olher 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 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafael Officer City of San Rafael Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2_/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ ?_ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 17.10 377 .30 17 .10 377.30 16.30 377.30 16.30 377.30 83.901 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.D NUMBER) 10/31/201B 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 11/15/201B James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 11/30/201B 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, 1 2 Fif h Ave e n Rf A 4 01 12/15/201B James Bellamy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 09 30 201B To Berringer C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, *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* [Rl IND □COM DOTH OPTY □sec [!]IND □COM 00TH OPTY □sec IR]IND □COM D OTH OPTY □sec IR]IND □COM DOTH OPTY □sec IR]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 Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_01_0 ___ _ through __ 1_2~/_3_1~/_2_0_1 B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~B_ of 99 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 16.30 377 .30 B3.901 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) 10/15/2018 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 10/31/2018 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, 11/15/2018 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, 1 20 Fif v 1 A 4 11/30/2018 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 12 15 2018 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 CODE* IR]IND □COM DOTH OPTY □sec IR)IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □sec IR)IND □COM 00TH OPTY □sec IR)IND □COM 00TH OPTY □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 ___ o_9~/_2_3 ~/ 2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 9 __ of 9 9 1.0 . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377 .30 17.10 377 .30 17.10 377.30 17.10 377.30 83 .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 Po l ice 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 * 09/30/201B Lynne Bracken C/o: San Rafael Police Assoc i ation 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Pol i ce Assoc i ation, 1520 Fifth Avenue San Rafael CA 94901 10/15/201B 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 Associat i on, 10/31/201B Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Un i on member 's dues received through intermediary: San Rafael Police Associat i on , l 2 F ' h Av n Rf 1 A l 11/15/20 1 B Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue , San Rafael , CA 94901 11 30 201B Lynne Brae en C/o: San Rafael Police Association 1 520 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 (R]IND □COM 00TH OPTY □sec !!]IND □COM 00TH OPTY □sec OOIND □COM 0 0TH O PTY □sec [R]IND □COM 00TH OPTY □sec !!]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_9~/_2_3~/_2_0_1 B ___ _ through __ 1_2~/_3_1~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 1 o_ of 9 9 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 "294 .20 12.70 294 .20 12.70 294 .20 13 .40 294 .20 13 .40 294 .20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER 1.0. NUMBER) CODE * 12/15/201B Lynne Bracken C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 09/30/201B 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, 10/15/201B 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, l 2 F ' Av n e a 1 CA l 10/31/201B 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 11 15 201B Zac ary Bric 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 00TH OPTY □sec OOIND □COM 00TH OPTY □sec OOIND □COM 00TH OPTY □sec OOIND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec Call Taker & Records Specialist City of San Rafael Officer City Of San Rafael Officer City Of San Rafael Officer City Of San Rafael 0 1cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 11_ of 9 9 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 294.20 16.30 377 .30 16.30 377.30 16.30 377 .30 17.10 377 .30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Associat i on 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 BUSIN ESS) (IFCOMMITTEE ,ALSOENTER I D. NUMBER) CODE * 11/30/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fi fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Assoc i at i on, 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 Zachary Brickell C/o: San Rafael Police Association 1520 Fi fth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Assoc i at i on, 09/30/2018 Rudolf Buhlman C/o : San Rafael Police Association 1520 Fi fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Assoc i at i on, 1 20 Fifth v n Rf l A 4 1 10/15/2018 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 Fifth Avenue, San Rafael, CA 94901 10 31 2018 Ru o Bu man C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member 's dues received through intermedi ary : San Rafael Pol i ce Associat i on, *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 D OTH □PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec Off i cer Ci ty Of San Rafael Officer City Of San Rafael Police Officer City Of San Rafael Police Off i cer City Of San Rafael Po ice O icer Ci ty Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9_/_2_3~/_2_0_10 ___ _ through __ 1_2...,/_3_1...;./_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---=12=---of 9 9 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17 .10 377.30 16.30 325 .00 16.30 325.00 16 .30 325 .00 83_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 I □. NUMBER) 11/15/2018 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 Fifth Avenue San Rafael CA 94901 11/30/2018 Rudolf Buhlman C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 12/15/2018 Rudolf Buhlman 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 2 F 'f h Aven e f 1 A l 09/30/2018 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 10 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 CODE* IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH OPTY □sec IK]IND QCOM 00TH OPTY □sec IK]IND □COM 00TH OPTY □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 Community Service Officer City of San Rafael Community Service o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_01_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 13 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 325.00 17.10 325.00 17.10 325.00 12.70 294.20 12.70 294.20 76.701 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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) (IFCOMMI TT EE ,ALSO ENTER I D. NUMBER) CODE * 10/31 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 11/15/2018 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, 11/30/2018 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, 1 20 Fi h Av ue Rf A 4 0 12/15/2018 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 09 30 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 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 00TH OPTY □sec [fil IND □COM 00TH OPTY □sec ~IND □COM DOTH O PTY □sec IR]IND □COM DOTH OPTY □sec IR]IND □COM DOTH OPTY □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 D1.spatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9.,_/_2_3 ,_/ 2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 14 of 99 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 13 .40 294.20 13 .40 294.20 13 .40 294 .20 12.70 254 .00 65.601 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 (IF COMMITTEE , ALSO ENTER 1.0 NUMBER) CODE * 10 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 10/31/2018 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, 09/30/2018 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, 1 20 Fif h Av Rf el A 1 10/15/2018 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 10 31 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 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 00TH □PTY □sec ' OF BUSINESS) Dispatcher City of San Rafael Dispatcher 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_9-'-/_2_3'-/_2_01_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 1s~ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 254.00 12.70 254.00 16.30 377.30 16 .30 377.30 16.30 377.30 74.301 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Polit i cal 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 * 11/15/201B Joseph Camins C/o: San Rafael Pol i ce Associat i on 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 11/30/201B Joseph Camins C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through i nterm7d i ary: San Rafael Police Assoc i ation, 12/15/201B Joseph Cam i ns C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through i ntermediary : San Rafael Police Associat i on, 2 F i f v n e S 1 A 4 1 09/30/201B 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 Associat i on, 1520 Fifth Avenue , San Rafael , CA 94901 10 15 201B 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 [KJIND □COM DOTH OPTY □sec OOIND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec [KJIND □COM 00TH OPTY □sec [KJIND □COM DOTH □PTY □sec Officer City of San Rafael Officer City of San Rafael Off i cer City of San Rafael Police Officer City Of San Rafael Po ice o 1cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_1 B ___ _ through __ 1_2~/_3_1~/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 16_ of 99 I.D . NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377 .30 17.10 377.30 17-10 377 .30 16.30 377 .30 16 .30 377 .30 B3_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 * 10/31/201B 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 11/15/201B 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, 11/30/2018 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, 2 Fift v San 1 CA 12/15/201B 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 30 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 IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND OCOM DOTH OPTY □sec IK]IND □COM 00TH OPTY □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 O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9.,_/_2_3.,_/_2_0 l_B ___ _ through __ l_2-'-/_3_1/'-2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 11 of 99 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 17.10 377 .30 17.10 377.30 17.10 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * 10 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 10/31/2018 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, 11/15/2018 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, 1 2 Fif h Aven e 1 A 4 11/30/2018 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 12 15 2018 Jae Carpenter C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e .g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfile.com IRJIND □COM DOTH □PTY □sec IRJIND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □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_9~/_2_3~/_2_0_1_8 __ _ through __ 1_2_/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 18 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 377.30 16.30 377.30 17 .10 377.30 17.10 377.30 17 .10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.D . NUMBER) 09/30/2018 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 10/15/2018 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, 10/31/2018 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 F ' f 1 CA 11/15/2018 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 11 30 2018 E war C 1.u 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* OOIND □COM 00TH OPTY □sec OOIND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □sec Officer City of San Rafae l 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_9~/_2_3~/_2_0_1_0 __ _ through __ l_2~/_3_1~/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page __ 1~9-of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 17.10 377.30 83.101 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 I □. NUMBER) CODE * 12/15/2018 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 09/30/2018 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 Association, 10/15/2018 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, l 20 F . Av nue S f 1 A l 10/31/2018 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 11 15 2018 Ro ert C e an 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 [KJIND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec IR]IND □COM DOTH □PTY □sec [KJIND □COM DOTH □PTY □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_9_/_2_3_/_2_0_18 ___ _ through __ 1_2--'-/_3_1--'-/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 20 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 83.101 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 Pol i ce 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) 11/30/2018 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 12/15/2018 Robert Cleland C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary : San Rafael Police Association, 09/30/2018 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 Fif v n 1 A 4 10/15/2018 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 10 31 2018 C ristop er Coa e 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 CODE* IK]IND □COM DOTH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec IK]IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □sec Police Corporal City of San Rafael Police Corporal City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ o_9_/_2_3 _/ 2_0_1_s ___ _ through __ 1_2__,_/_3_1.,_/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 21 of 99 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377 .30 17 .10 377.30 16.30 377.30 16.30 377 .30 16.30 377.30 83.101 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 I.D. NUMBER) CODE * 11/15/2018 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 11/30/2018 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, 12/15/2018 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 F ' h Av n Raf A 4 09/30/2018 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 10 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 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 OPTY □sec IR]IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH OPTY □sec Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_01_8 ___ _ through __ 1_2__,/_3_1_,/_2_0_1--'8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 22 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377 .30 17.10 377.30 17.10 377 .30 16.30 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I O NUMBER) 10 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 11/15/2018 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, 11/30/2018 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, 2 Fif h Av Rf 1 CA 4 01 12/15/2018 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 09 30 201B Jenna Cotta c/o San Rafael Police Association 1520 Fift·h 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 Commillee www.netfile.com CODE* IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH □PTY □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 Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0..;_9.,_/_2..;_3.:..../_2_01_8'----- through __ 1_2...:../_3_1.:..../_2 0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 23 of 99 I.D .NUMBER 831 5 5 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 377.30 17.10 377.30 17.10 377.30 17 .10 377.30 12 .70 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER ID. NUMBER) CODE * 10 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 10/31/2018 Jenna Cotta 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, 11/15/2018 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, l 2 Fi Av n Sn Ra el A 4 01 11/30/2018 Jenna Cotta 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 12 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, *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.netfi/e.com IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH O 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_9-'-/_2_3-'-/_2_01_8 ___ _ through __ l_2~/_3_1~/_20_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 24 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 12.70 294.20 13.40 294.20 13.40 294.20 13 .40 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED , ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 09 30/2018 Heinrich Cuddy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 10/15/2018 Heinrich Cuddy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 10/31/2018 Heinrich Cuddy 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 1 CA 4 1 11/15/2018 Heinrich Cuddy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 11 30 2018 Heinric Cu 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 DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Police Recruit City Of San Rafael Po ice Recruit City Of San Rafael SUBTOTAL$ Statement covers period from ___ o..;._9.,_/_2..;.3.c../_2-'--0_18'----- through __ 1_2_,_/_3_1.c../_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 25 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 103.70 12 .70 103.70 12.70 103.70 13 .40 103.70 13 .40 103.70 64.901 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 DF BUSINESS) (If COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 12/15/2018 Heinrich Cuddy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 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, 10/15/2018 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, 152 Fi v n e n A 49 09/30/2018 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 10 15 2018 E isa De atorre . C/o: San Rafael Pol i ce Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual i 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 QPTY □sec OOIND □COM 00TH OPTY □sec OOIND QCOM 00TH OPTY □sec OOIND □COM 00TH OPTY □sec OOIND □COM 00TH OPTY □sec Police Recruit City Of San Rafael Officer City of San Rafael Officer 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_9.c../_2_3'-/_2 0_1_B ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 26 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 103 .70 16.30 309.70 16.30 309.70 12.70 268 .80 12.70 268.80 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * 10 31/2018 11/15/2018 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 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, 11/30/2018 Elisa Delatorre C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafae l Police Association, 1 2 Fif h Av Rf 1 A 4 1 12/15/2018 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 09 30 2018 Re ecca DeLaTorre 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 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 Call Taker And Records Specialist City Of San Rafael Call Taker And Records Specialist City Of San Rafael Call Taker And Records Specialist City Of San Rafael Call Taker And Records Specialist City Of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9-'-/_2_3-'-/_2_01_8 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 27 of 99 1.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 268.80 13.40 268.80 13.40 268.80 13.40 268.80 12.70 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I D. NUMBER) CODE * 10 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 Associat i on, 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 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, 11/15/2018 Rebecca DeLaTorre c/o San Rafael Police Association 1520 F ifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 20 Fif h Av n f 1 A 4 0 11/30/2018 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 12 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 IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM D OTH □PTY □sec IR]IND □COM 00TH OPTY □sec IK]IND □COM DOTH 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 Specialis t City of San Rafael Ca Ta er & Recor s Specialist City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2 _0 _1 _0 __ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 28 of 99 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12 .70 294.20 12.70 294.20 13 .40 294.20 13.40 294.20 13 .40 294 .20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * 09/30/2018 10/15/2018 Blake Delzell C/o: San Rafae l Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 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, 10/31/2018 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, 152 F. h Av n e f 1 A 4 0 11/15/2018 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, 1520 Fifth Avenue , San Rafael, CA 94901 11 30 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 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 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □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 Po ice O icer Ci ty Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 29 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16 .30 377.30 16 .30 377 .30 17.10 377.30 17.10 377 .30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMM ITTEE ALSO ENTER I 0 . NUMBER) 12/15 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, 1520 Fifth Avenue San Rafael CA 94901 09/30/2018 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, 10/15/2018 Danielle Dennis 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 F'f v n f 1 CA 1 10/31/2018 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 11 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 CODE* IK]IND □COM DOTH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH O PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH QPTY □sec Police Officer 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 ___ o_9~/_2_3 ~/2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 30 of 99 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 12.70 243.40 12.70 243.40 12.70 243.40 13.40 243.40 68.601 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * ll 30/2018 12/15/2018 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, 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, 09/30/2018 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, 1 2 F ' h Av n e f 1 A l 10/15/2018 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 10 31 2018 Cristian 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, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Commiltee www.netfile.com IR]IND □COM 00TH OPTY □sec OOIND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec Call Taker/Records Specialist City Of San Rafael Call Taker/Records Specialist City Of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ o_9~/_2_3 ~/ 2_0_1_B ___ _ through __ l_2~/_3_l~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 31 of 99 1.0. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13.40 243.40 13 .40 243 .40 16.30 377.30 16.30 377.30 16.30 377 .30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I D . NUMBER) CODE * 11 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 11/30/2018 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, 12/15/201B 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, 2 Fifth Av n Rf 1 A 4 1 09/30/2018 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 10 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 IR]IND □COM DOTH OPTY □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 Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_1_8 __ _ through __ 1_2_/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _ __:.;3 2=---of 9 9 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 17.10 377.30 17 .10 377.30 16.30 377 .30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO EN TER I D. NUMBER) 10/31/201B 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 11/15/201B Justin Dodson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 11/30/201B Justin Dodson C/o: San Rafael Pol i ce Associ ation 1520 Fi fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary : San Rafael Police Association , 1 20 Fif h Av nue n Rf 1 A 1 12/15/201B 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 30 2018 James Doo 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 -Smail Contributor Committee www.netfile.com CODE* IR]IND □COM 00TH OPTY □sec IKJIND □COM 00TH O PTY □sec lx]IND □COM 00TH OPTY □sec lx]IND □COM 00TH OPTY □sec IKJIND □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 icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9-'-/_2_3'-/_2_01_0 ___ _ through __ l_2~/_3_1~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 33 of 99 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I D NUMBER) CODE* 10/15/2018 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 10/31/2018 James Dooley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 11/15/2018 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, 2 Fif h Av Rf el A 11/30/2018 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 12 15 2018 James Doc 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 IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]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 1.ce O 1.cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ o_9-'-/_2_3,_/ 2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 34 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 17 .10 377 .30 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERI □.NUMBER) CODE* 09 30/2018 Christopher Duncan 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 10/15/2018 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 Assoc i ation, 10/31/2018 Christopher Duncan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafae l Police Association, 1520 Fif v n n Rf A 4 1 11/15/2018 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 11 30 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 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM 0 0TH O PTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH 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 ice Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9.,_/_2_3'-/_2_01_8 ___ _ through __ 1_2~/_3_1'-/_2 0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 35 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16 .30 377 .30 17.10 377.30 17 .10 377 .30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE0 AlSOENTERI.O NUMBER) CODE * 12/15/2018 09/30/2018 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 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, 10/15/2018 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, 1 2 Fif h A f 1 A 4 10/31/2018 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 Avenue, San Rafael, CA 94901 11 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, *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 O PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec Police Corporal 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_9~/_2_3~/_2_0_10 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 3 6_ of 9 9 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D NUMBER) CODE * 11/30/201B 12/15/201B 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 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, 09/30/201B 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, 2 Fifth Av n e n Rf e A 4 01 10/15/2018 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 10 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 00TH OPTY □sec [!)IND □COM 00TH OPTY □sec [R]IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □sec OOIND □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 icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_1_0 __ _ through __ 1_2~/_3_1_/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 3 7_ of 9 9 I.D. NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 16.30 377.30 16.30 377.30 16.30 377 .30 83.101 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 I D. NUMBER) CODE * 11 15/2018 11/30/2018 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 Scott Fisher C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 12/15/2018 Scott Fisher C/o: San Rafael Police Assoc i ation 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1 20 Fifth n R CA 4 01 09/30/2018 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 10 15 2018 Anna Fu ga o 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 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 0 0TH □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 Dispatcher City Of San Rafael D1.spatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_18 ___ _ through __ 1_2....:/c...3_1....:/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 38 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377 .30 17.10 377.30 17 .10 377.30 12 .70 294.20 12 .70 294.20 76 .701 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 EN TER I.D NUMBER) CODE * 10/31/2018 11/15/2018 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 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, 11/30/2018 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, 2 Fifth n Rf el CA 1 12/15/2018 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 09 30 2018 C ristop 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 IK]IND □COM 00TH OPTY □sec [!)IND □COM DOTH OPTY □sec [!)IND □COM 00TH OPTY □sec IRJ IND □COM 00TH OPTY □sec Dispatcher City Of San Rafael Dispatcher City Of San Rafael Dispatcher City Of San Rafael Dispatcher City Of San Rafael Corpora Ci ty of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9_/_2_3_/_2_0_1 s ___ _ through __ 1_2--'-/_3_1..c./_2_0_1_s __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 39 of 99 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 13 .40 294.20 13.40 294.20 13 .40 294.20 16.30 377 .30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I 0 . NUMBER) CODE * 10/15/2018 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 10/31/2018 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, 11/15/2018 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, 2 Fif h Av n Rf 1 A 4 1 11/30/2018 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 12 15 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 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 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]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_9~/_2_3~/_2_0_10 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 40 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377 .30 17.10 377.30 17.10 377.30 17.10 377.30 83.901 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 O NUMBER) 09/30/2018 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 10/15/2018 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, 10/31/2018 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, 1 20 Fi v n n 1 CA 4 11/15/2018 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 11 30 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 CODE* IR]IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □sec ix]IND □COM 00TH OPTY □sec lx]IND □COM 00TH OPTY □sec ix]IND □COM D OTH OPTY □sec Officer Ci ty 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_9~/_2_3~/_2_0_1 B ___ _ through __ 1_2_/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 41 of 99 1.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 17.10 377 .30 83 .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 * 12/15/2018 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 09/30/2018 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, 10/15/2018 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 Associat i on, 1 2 Fif h Aven e R 1 A 4901 10/31/2018 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 Fifth Avenue, San Rafael, CA 94901 11 15 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 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □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_9~/_2_3~/_2_0_18 ___ _ through __ 1_2_/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 42 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 16.30 377.30 16.30 377.30 16.30 377.30 17 .10 377.30 83.101 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 ID NUMBER) CODE * 11/30/2018 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 12/15/2018 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, 09/30/2018 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, 20 Fifth Av Rf 1 A 10/15/2018 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 10 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 . 1 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 QCOM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH QPTY □sec Officer City of San Rafael Officer 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_9~/_2_3~/_2_0_10 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 43 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 17.10 377.30 16.30 377.30 16.30 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * 11 15/2018 11/30/2018 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 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, 12/15/201B 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 2 Fifth A Rf 1 A 4 09/30/2018 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 10 15 201B 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 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 Police Corporal City of San Rafael Police Corporal City of San Rafael Police Corporal City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9-'-/_2_3-'-/_2_0_18 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 44 of 99 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 17.10 377.30 17 .10 377.30 16.30 377.30 16 .30 377.30 83 .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) (IFCDMMITTEE.ALSOENTER I O NUMBER) CODE* 10 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 Avenue San Rafael CA 94901 11/15/2018 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, 11/30/2018 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, 1 2 Fif h A f 1 CA 4 01 12/15/2018 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 09 30 2018 Lori Hen ric s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94935 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 ~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 Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ o_9~/_2_3~/ 2_0_1_0 ___ _ through __ l_2~/_3_1~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 45 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 12.70 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I D NUMBER) 10 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 10/31/2018 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, 11/15/2018 Lori Hendricks C/o: San Rafael Police Association 1520 F i fth Avenue San Rafael, CA 94935 Union member's dues received through intermediary: San Rafael Police Association, 1 2 Fif h Av n n Rf el CA 11/30/2018 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 12 15 2018 Lori Hen ric s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94935 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* OO IND □COM DOTH □PTY □sec OOIND □COM 00TH □PTY □sec OOIND □COM 0 0TH □PTY □sec OOIND □COM DOTH □PTY □sec IK]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 City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2....,/_3_1...:./_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 46 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294 .20 12.70 294.20 13.40 294.20 13 .40 294.20 13 .40 294.20 65.601 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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) (IFCOMM ITTEE .ALSOENTERI □.NUMBER) CODE* 09 30 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 10/15/2018 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, 10/31/2018 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, 2 Fifth Av n R fael CA l 11/15/2018 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 11 30 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 IR]IND □COM 00TH □PTY □sec IR]IND □COM D OTH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec Officer City of San Rafael Officer City of San Rafae l Officer City of San Rafael Officer City of San Rafael o icer City of San Rafael SUBTOTAL$ Statement covers period from ___ o_9"'""/_2_3-'-/_2_0_18 ___ _ through __ l_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 4 7 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE ()F REQUIRED) 16.30 377.30 16.30 377.30 16.30 377 .3 0 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL , ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI D.NUMBER) CODE* 12/15/2018 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 09/30/2018 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, 10/15/2018 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, 1 20 Fif h Av n n Rf 1 A 4 1 10/31/2018 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, 1520 Fifth Avenue, San Rafael, CA 94901 11 15 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 IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM 00TH □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_9~/_2_3~/_2_01_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 48 of 99 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377 .30 83.101 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 I 0 . NUMBER) CODE * 11 30/2018 J. Alexander Holm C/o: San Rafael Pol i ce Association 1520 F i fth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Assoc i at i on, 1520 Fifth Avenue San Rafael CA 94901 12/15/2018 J. Alexander Holm 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 Associat i on, 09/30/2018 L i sa Holton C/o : San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues rece i ved through intermedi ary : San Rafael Police Associat i on , 1 20 Fif A 4 1 10/15/2018 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 10 31 2018 Lisa Ho ton C/o: San Rafae l Police Association 1520 F ifth Avenue San Rafael, CA 94901 Union member's dues received through i nterm~diary: San Rafael Pol i ce Association, *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g ., bus iness 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 DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec Corporal Ci ty of San Rafael Corporal 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_9~/_2_3~/_2_0_1_0 __ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ----=-4 =-9 _ of 9 9 1.D . NUMBER 8 3 1 55 3 AMOUN T RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17 .10 377.30 16 .30 377 .30 16 .30 377.30 16 .30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I 0 . NUMBER) 11/15/2018 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 11/30/2018 Lisa Holton C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Po l ice Association, 12/15/2018 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, 20 Fif h Aven 1 A 4 1 09/30/2018 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 10 15 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 CODE* IKJIND □COM 00TH OPTY □sec IKJIND □COM DOTH O PTY □sec IRIIND □COM DOTH OPTY □sec IKJIND □COM 00TH OPTY □sec IKJIND □COM 00TH OPTY □sec Sergeant City of San Rafael Sergeant City of San Rafae l Sergeant City of San Rafael Sergeant City of San Rafael Sergeant City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9.,_/_2_3.,___/_2 _0 _18 ___ _ through __ l_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_--e..5.c..o_ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377 .30 17.10 377.30 17 .10 377.30 16.30 377.30 16 .30 377.30 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 COMM ITTEE , ALSO ENTER 1.0 NUMBER) 10/31/2018 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. 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 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, 11/30/2018 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 20 Fifth Av Rf 1 A 4 12/15/2018 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 09 30 2018 Scott Inge s C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael , CA 94901 Union member's dues received through intermediary: 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 sec -Small Contributor Committee www.netfile.com CODE* [K]IND □COM 00TH OPTY □sec [K]IND □COM 00TH OPTY □sec [K]IND □COM 00TH OPTY □sec [K]IND □COM 00TH □PTY □sec IK]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_9-'-/_2_3'-/_2_01_0 ___ _ through __ 1_2~/_3_1 '-/_2 0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 51 of 99 1.D .NUMBER 831 5 53 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 377.30 17.10 377.30 17.10 377 .30 17.10 377.30 16.30 377. 30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE ALSO ENTER I.D NUMBER) 10/15/2018 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 10/31/2018 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, 11/15/2018 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, 1 20 Fif h Av n e n Rf 1 CA 4 1 11/30/2018 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 12 15 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* IK]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □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_9~/_2_3~/_2_0_10 ___ _ through __ 1_2_/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 52_ of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 09/30/2018 10/15/2018 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 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, 10/31/2018 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 Fif h Av n n Rf 1 A 4 1 11/15/2018 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 11 30 2018 Re ecca Kuga 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 OOIND □COM DOTH □PTY □sec OOIND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec OOIND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec YSB Supervisor 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 ___ 0_9~/_2_3~/_2_0_1_0 __ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---=-5 3=--of 9 9 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 12.70 294.20 12.70 294.20 13 .40 294.20 13 .40 294.20 64.901 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) (IFCOMMITTEE,ALSOENTERI.O NUMBER) CODE * 12/15/2018 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 09/30/2018 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, 10/15/2018 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, 1 2 Fifth Aven n Rf el A 4 10/31/2018 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, 1520 Fifth Avenue, San Rafael, CA 94901 11 15 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 IR]IND □COM DOTH □PTY □sec IR]IND □COM DOTH OPTY □sec lx]IND □COM 00TH □PTY □sec lx]IND □COM DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec YSB Supervisor 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_9.,_/_2_3.,_/_2_0_1_0 __ _ i through __ 1_2-'-/_3_1.,_/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _--=c.54-=--of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13.40 294.20 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 79.401 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * 11/30/2018 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 12/15/2018 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, 09/30/2018 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, 152 Fif h Aven Rf 1 CA 4 01 10/15/2018 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 10 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 DOTH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec Officer City of San Rafael Officer 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 ___ o_9~/_2_3 ~/2_0_1_0 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 55 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377 .30 12.70 294.20 12.70 294.20 12.70 294.20 72.301 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * 11/15/2018 11/30/2018 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 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, 12/15/2018 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, 1 20 Fif h Av n n Rf 1 A 4 1 09/30/2018 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 10 15 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 IR]IND □COM DOTH □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 Dispatcher City of San Rafael Dispatcher City of San Rafael Dispatcher City of San Rafael Police Officer City Of San Rafael Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page __ 56_ of 99 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 294.20 13 .40 294.20 13.40 294.20 16.30 325.00 16.30 325.00 72.801 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * 10/31/2018 11/15/2018 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 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, 11/30/2018 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 2 Fif h Av n n Rf el A 4 01 12/15/2018 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 09 30 2018 Kevin Mac ouga 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 OPTY □sec IK]IND □COM 00TH □PTY □sec IR]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 o 1cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/ 2_0_1_0 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 57 of 99 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 325.00 17.10 325.00 17.10 325.00 17.10 325.00 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D NUMBER} CODE * 10/15/2018 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 10/31/2018 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, 11/15/2018 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, 1 2 Fif h Av n n Rf el A 4 1 11/30/2018 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 12 15 2018 Kevin Mac ouga 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 QPTY □sec IR]IND □COM 00TH QPTY □sec IK]IND □COM 00TH QPTY □sec IR]IND □COM 00TH OPTY □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_9~/_2_3~/_2_0_10 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 5 8_ of 9 9 LO .NUMBER 831553 AMOUNT RECEIVED TH IS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I D. NUMBER) CODE * 09/30/2018 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 10/15/2018 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, 10/31/2018 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, 1 2 Fif h Av n n R 1 A 4 01 11/15/2018 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 11 30 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 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 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 ___ □_9~/_2_3 ~/ 2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 59 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16.30 377 .30 17.10 377.30 17 .10 377.30 83.101 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 Pol i tical 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 COMM ITTEE , ALSO ENTER I D. NUMBERI CODE * 12/15/2018 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 09/30/2018 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 10/15/2018 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, 1 2 Fif h Aven e n R fael A 4 01 10/31/2018 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, 1520 Fifth Avenue, San Rafael, CA 94901 11 15 2018 Ka1.t 1.n 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 [K]IND □COM DOTH □PTY □sec [K]IND □COM 00TH OPTY □sec [K]IND □COM 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec [K]IND □COM DOTH □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 1.ce O 1.cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ o_9~/_2_3 ~/2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_18 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 60 of 99 1.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 16.30 337.70 16.30 337.70 16.30 337.70 17.10 337.70 83.101 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 I D. NUMBER) CODE * 11/30/2018 12/15/2018 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 Kaitlin Maley C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 09/30/2018 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 2 Fif h Av n n Rf 1 A 4 1 10/15/2018 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 10 31 2018 Mic ae Mat is 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 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec IK)IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec Police Officer City Of San Rafael Police Officer 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_9.,_/_2_3.,_/_2_0_1_0 __ _ through __ l_2-'--/_3_1.,_/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~6~1_ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 337.70 17.10 337.70 16.30 377.30 16.30 377.30 16.30 377.30 83.101 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 I D. NUMBER) CODE * 11/15/2018 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 11/30/2018 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, 12/15/2018 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, 1 20 Fifth Avenue San Rafa 1 A 4 1 09/30/2018 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 10 15 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 . 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 IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH OPTY □sec IK]IND □COM 00TH □PTY □sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Communications Dispatcher City of San Rafael Communications Dispatc er City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9-'-/_2_3 ,_I 2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 62 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 17.10 377.30 12.70 294.20 12.70 294.20 76.701 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * 10 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, 1520 Fifth Avenue San Rafael CA 94901 11 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, 11/30/2018 Kelly Mauel C/o: San Rafael Police Association 1520 Fifth 12/15/2018 09 30 2018 *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 OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec [Kl IND □COM 00TH □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 ___ 0_9~/_2_3 ~/2_0_1_8 ___ _ through __ 1_2....:/_3_1....:./_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 63 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 13 .40 294.20 13 .40 294.20 13 .40 294.20 16 .30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) (IFCOMMITTEE .ALSOENTER I O NUMBER) CODE * 10/15/2018 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 Associat i on, 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 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, 11/15/2018 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 Associat i on, 1 Fi h Av n e f l A 4 1 11/30/2018 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 12 15 2018 P i ip Me o ia 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 00TH O PTY □sec IR]IND □COM 0 0TH □PTY □sec IR]IND □COM 00TH □PTY □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..:.9.,_/_2..:.3-'-/-'-2..:.0_1.:...8 __ _ through __ 1_2_/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page 64 of 99 LO .NUMBER 83 1 5 5 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 377 . 30 16.30 377.30 17 .10 377. 30 17.10 377. 30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTERID NUMBER) CODE* 09 30 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 10/15/2018 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, 10/31/2018 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, 1 2 Fi Rf el A 1 11/15/2018 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 11 30 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 sec -Small Contributor Committee www.netfile.com IR]IND QCOM 00TH QPTY □sec i!]IND □COM 00TH QPTY □sec [x)IND QCOM 00TH OPTY □sec IR]IND QCOM 00TH QPTY □sec IR]IND □COM 00TH OPTY □sec Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael Administrative Technician City of San Rafael A m1n1strat1ve Tee nician City of San Rafael SUBTOTAL$ Statement covers period from ___ o_9~/_2_3~/ 2_0_1_s ___ _ through __ 1_2....c/_3_1--'/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 65 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 12.70 294.20 12.70 294.20 13 .40 294.20 13.40 294.20 64.901 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) 12/15/2018 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 09/30/2018 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, 10/15/2018 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 F'f v n Rf 1 A 10/31/2018 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 Avenue, San Rafael, CA 94901 11 15 2018 Cynt ia Morgan 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 CODE* IR]IND □COM 00TH □PTY □sec [fillND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec [fillND □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 SUBTOTAL$ Statement covers period from ___ o_9-'-/_2_3 ,_/ 2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 66 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 294.20 12.70 294.20 12.70 294.20 12.70 294.20 13 .40 294.20 64.901 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) (IFCOMMITTEE,ALSOENTER I 0. NUMBER) CODE * 11/30/2018 12/15/2018 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 Cynthia Morgan C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 09/30/2018 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, 1 2 if h Av n e A 4 01 10/15/2018 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 10 31 2018 Lynn Murp y 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 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 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 Menta Heat Outreac Provider City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9-'-/_2.c.3,__/ 2_0_1_0 ___ _ through __ 1_2_,/_3_l__c/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 67 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13.40 294.20 13.40 294.20 12.70 294.20 12.70 294.20 12.70 294.20 64.901 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) 11/15/2018 11/30/2018 (IF COMMI TT EE. ALSO ENTER I D. NUMBER) Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 Lynn Murphy C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 12/15/2018 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, 2 Fif h Av n n Rf 1 A 4 01 09/30/2018 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 10 15 2018 Jorge Navarro 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 00TH OPTY □sec Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Mental Health Outreach Provider City of San Rafael Evidence Technician City of San Rafael Evi ence Tee n1c1an City of San Rafae l SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2 _o 1_0 ___ _ through __ l_2_/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 68 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 294.20 13 .40 294.20 13 .40 294.20 12.70 294.20 12.70 294.20 65.601 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 COMM ITTEE , ALSO ENTER LD . NUMBER) CODE * 10/31/201B 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, 1520 Fifth Avenue San Rafael CA 94901 11/15/201B Jorge Navarro C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 11/30/201B 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, 1 2 Fif h Av n n Rf 1 CA 4 01 12/15/201B 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 09 30 201B A exis Nie sen 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 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec Evidence Technician City of San Rafael Evidence Technician City of San Rafael Evidence Technician City of San Rafae l Evidence Technician City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0 l_B ___ _ through __ 1_2_/_3_1_/_2_0_1_a __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 69 of 99 I.D . NUMBER B31553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 13 .40 294.20 13.40 294.20 13 .40 294.20 12.70 294.20 65.601 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San 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 * 10/15 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 10/31/2018 Alexis Nielsen C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm~diary: San Rafael Police Association, 11/15/2018 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 v f l A 4 0 11/30/2018 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 12 15 2018 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 sec -Small Contributor Committee www.netfile.com IR]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_;_9.,_/_2-'-3-'-/_2_;_0_18.:..._ __ _ through __ 1_2--'/_3_1--'-/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page -----'-7 o.c...._ of 9 9 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 12.70 294.20 13.40 294.20 13.40 294.20 13.40 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE ,ALSOENTERI D NUMBER) CODE* 09/30/2018 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 10/15/2018 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, 10/31/2018 Oscar O'con C/o: San Rafael Police Association 1520 Fifth 94901 11/15/2018 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 11 30 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 sec -Small Contributor Committee www.netfile.com !!)IND □COM 00TH □PTY □sec !!]IND □COM 00TH □PTY □sec !!)IND □COM 00TH OPTY □sec !!]IND □COM DOTH OPTY □sec !!]IND □COM 00TH □PTY □sec Police Officer City Of San Rafael Po l ice Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafae l Po ice O icer City Of San Rafae l SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ l_2~/_3_1_/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 71_ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 17 .10 377.30 83.101 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 INDlVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER 1.0. NUMBER) CODE * 12/15/2018 09/30/2018 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, 10/15/2018 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, 1 2 Fif h Av n Rf 1 A 4 1 10/31/2018 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 Fifth Avenue, San Rafael, CA 94901 11 15 2018 Les 1.e 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 IK]IND □COM 00TH □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 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_9~/_2_3~/_2_0_1_0 __ _ through __ 1_2_c/_3_1-'-/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ---'-72"--of 9 9 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 83.101 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 I D NUMBER) CODE * 11/30/2018 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 12 15/2018 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, 09/30/2018 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, 2 F'f v n 1 A 4 0 10/15/2018 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 10 31 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, *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 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_9-'-/_2_3.,_/_2_0_10 ___ _ through __ 1_2--'/_3_1--'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 73 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377.30 17.10 377.30 16 .30 377.30 16.30 377. 30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Polit i cal 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) 11 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 11/30/2018 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, 12/15/2018 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, 2 Fif h Av f 1 A 4 01 09/30/2018 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 10 15 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 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 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 Off icer City of San Ra f ae l Officer City of San Rafael Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_01_8 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 74 of 99 1.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17.1 0 377 .30 17 .1 0 377.30 17.10 3 7 7.30 16.30 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I 0. NUMBER) CODE * 10 31/2018 Buffy Paxson C/o: San Rafael Po l ice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafae l Police Association, 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 Buffy Paxson C/o: San Rafael Po l ice Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 11/30/2018 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 Fif v n 1 A 4 0 12/15/2018 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 09 30 2018 Jessica Perry C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through i nterm7diary: 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 00TH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH □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 Rafae l SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2_/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 75 of 99 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16 .30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 16 .30 377.30 83.90 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 EN TER I.D NUMBER) CODE * 10/15/2018 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 10/31/2018 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, 11/15/2018 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, 2 Fif h Av n 1 A 4 11/30/2018 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 12 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, *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 [KIIND □COM DOTH □PTY □sec [KIIND □COM DOTH OPTY □sec IR]IND □COM DOTH OPTY □sec IR]IND □COM 00TH OPTY □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_9-'-/_2_3 '-I 2_0_1_8 ___ _ through __ 1_2--'-/_3_1-'-/_2 _0 _18 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 76 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I O NUMBER) CODE * 09/30/2018 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 10/15/2018 Aaron Piombo C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 10/31/2018 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, 20 Fifth Av Rf el CA 4 11/15/2018 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 11 30 2018 Aaron Pio 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 IR]IND □COM DOTH OPTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IK]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_9~/_2_3~/_2_0_10 ___ _ through __ 1_2-'/_3_1-'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 46 0 FORM Page -----'-77-'--of 9 9 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16.30 377 .30 17 .10 377.30 17 .10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I.O NUMBER) CODE* 12 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 09/30/2018 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, 10/15/2018 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, 1 2 Fi v n Sn R fael A 4 1 10/31/2018 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 11 15 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 IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □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-'-9.,_/_2"-3 ,_I 2_0_1_0 ___ _ through __ 1_2__,/_3_1--'/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 78 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17 .10 377 .30 16.3 0 377.30 16 .30 377.30 16 .30 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * 11 30 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 12/15/2018 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, 09/30/2018 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, 1 2 Fifth Avenue San Raf 1 A 4 1 10 /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 10 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 IK]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □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_9~/_2_3~/_2_01_0 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 79 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 16.30 377.30 16.30 377 .30 16.30 377.30 83.101 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 I D. NUMBER) CODE * 11/15/2018 Gina Rantissi c/a San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 11/30/2018 Gina Rantissi c/a San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 12/15/2018 Gina Rantissi c/a 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 1 A 4 01 09/30/2018 Randa Reese C/a: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10 15 2018 Ran a Reese C/a: 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 00TH □PTY □sec IR]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □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 Corporal City of San Rafael Corpora City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9-'-/_2_3'-/ 2_0_1_8 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 80 of 99 I.D . NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 17.10 377.30 16.30 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER ID NUMBER) CODE * 10/31/2018 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, 1520 Fifth Avenue San Rafael CA 94901 11/15/2018 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, 11/30/2018 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, 152 Fif h A 1 A 4 01 12/15/2018 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 09 30 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, *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 00TH □PTY □sec IR)IND □COM DOTH □PTY □sec IR)IND □COM 00TH □PTY □sec IK]IND □COM 00TH □PTY □sec Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Corporal City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2 _3 ~/2_0_1_0 ___ _ through __ 1_2~/_3_1~/_2 _0 _1 B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page Bl of 99 I.D.NUMBER 831 553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CAL ENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 17 .10 377.30 17.10 377.30 17 .10 377.30 12 .7D 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMM ITTEE ,ALSOENTER I □.NUMBER) CODE * 10/15/2018 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 10/31/2018 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, 11/15/2018 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, 1 2 Fif h Av n n Rf 1 A 4 1 11/30/2018 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 12 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, *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 Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lead Communications Dispatcher City of San Rafael Lea Communications Dispatcher City of San Rafael SUBTOTAL$ Statement covers period I from ___ 0_9~/_2_3~/_2_0_1_0 __ _ through __ 1_2-'/_3_1-'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _ ___.cc.02"'-of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 12.70 294.20 13 .40 294.20 13 .40 294.20 13 .40 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D NUMBER) CODE * 09/30/2018 10/15/2018 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 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, 10/31/2018 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, 152 Fif h Av n n Rf 1 A 4 1 11/15/2018 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 11 30 2018 Travis Rugg es C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94974 Union member's dues received through intermediary: San Rafael Police Association, *Contributor Codes IND-Individual . V COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee www.netfite.com IK]IND □COM DOTH □PTY □sec IK]IND □COM 00TH □PTY □sec IK]IND □COM DOTH □PTY □sec IK]IND □COM DOTH □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 icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_01_0 ___ _ through __ 1_2_/_3_1_/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 83 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 17 .10 377.30 83.101 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 I D NUMBER) CODE * 12/15/2018 09/30/2018 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 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, 10/15/2018 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, 152 Fif h Av nu n Rf el CA 94 01 10/31/2018 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 11 15 2018 Se ast1an Sane ez 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 IK]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □PTY □sec OOIND □COM DOTH □PTY □sec IK]IND □COM DOTH OPTY □sec Police Officer City of San Rafael Police Officer City Of San Rafae l Poli ce Officer City Of San Rafael Police Officer City Of San Rafael Po ice O 1cer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9.;./_2_3.a../_2 _0 _1 _0 __ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page_~84~ of 99 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 17 .1 0 377.30 16 .30 325.00 16.30 325.00 16.30 325.00 17.10 325.00 83.101 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 * 11/30 2018 12/15/2018 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, 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, 09/30/2018 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, l 20 Fif h Av n e A 4 01 10/15/2018 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 10 31 2018 Ant any Sea ercio 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 OPTY □sec IR]IND □COM 00TH OPTY □sec Police Officer City Of San Rafael Police Officer City Of San Rafae l Officer City of San Rafae l Officer City of San Rafael O icer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9c.../_2_3c.../_2_0_10 ___ _ through __ 1_2~/_3_1~/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 85 of 99 I.D.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 325.00 17.10 325.00 16.30 377. 30 16 .30 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMM ITTEE . ALSO ENTER I.D NUMBER) CODE * 11/15 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 11/30/2018 Anthony Scalercio C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 12/15/2018 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 Fif h Av n n Rf el A 4 1 09/30/2018 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 10 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 . 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 DOTH □PTY □sec IK]IND □COM 00TH □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 1.cer City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2~/_3_1~/_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 8 6_ of 9 9 LO.NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 17.10 377.30 16.30 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER LO . NUMBER) 10/31/2018 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 11/15/2018 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, 11/30/2018 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, 2 F ' h Av n n R 1 A 4 1 12/15/2018 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 09 30 2018 wan a Spa etta 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 CODE* IR]IND □COM 00TH OPTY □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 sergeant City of San Rafael SUBTOTAL$ Statement covers period from -----'-0-'-9.,_/_2..c..3.:.../_2_0_1_;._8 __ _ through __ l_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _---"-87-'---of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377 .30 17 .10 377.30 17.10 377.30 17.10 377.30 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I.D NUMBER) 10/15/2018 Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 11/15/2018 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 Fif h Av n n Raf 1 A 4 1 11/30/2018 Wanda Spaletta C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 12 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 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 DOTH □PTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM 00TH OPTY □sec IK]IND □COM DOTH OPTY □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_9.,_/_2_3,..../ 2_0_1_s ___ _ through __ 1_2~/_3_1~/_2_0_l_B __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page BB of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377.30 17.10 377.30 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D. NUMBER) CODE * 09 30/2018 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 10/15/2018 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, 10/31/2018 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, 1 F .f h Av n n Rf 1 A 11/15/2018 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 11 30 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, *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 OPTY □sec IKJIND □COM DOTH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM 00TH □PTY □sec IR]IND □COM DOTH □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_9-'-/_2_3 ,_/ 2_0_1_0 ___ _ through __ l_2-'-/_3_1..c./_2_01_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page --"'8 9'--of 9 9 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 12.70 294.20 12 .70 294.20 13 .40 294.20 13 .40 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IFCOMMITTEE,ALSOENTER I.D NUMBER) CODE * 12/15/2018 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 09/30/2018 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, 10/15/2018 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, 152 Fif h Av nu San Rafa 1 A 4 01 10/31/2018 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 ll 15 2018 Remington Sta 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 IR]IND □COM 00TH OPTY □sec !!]IND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec IR]IND □COM 00TH OPTY □sec !!]IND □COM 00TH OPTY □sec Community Service Officer City of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafael Police Officer City Of San Rafae l Po ice O icer City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 9o_ of 99 LO .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 294.20 16.30 377.30 16.30 377.30 16.30 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER I 0. NUMBER) CODE * 11/30/2018 12/15/2018 09/30/2018 10/15/2018 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 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, Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 10 31 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 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 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM 00TH □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 Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civi ian Supervisor City of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/ 2_0_1_0 ___ _ through __ l_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 91 of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 377.30 17.10 377.30 12.70 294.20 12.70 294.20 12.70 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE . ALSO ENTER I D NUMBER) CODE * 11/15/2018 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 11/30/2018 Charly Taylor C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through interm7diary: San Rafael Police Association, 12/15/2018 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 20 Fif h Av n n R 1 A 4 01 09/30/2018 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 10 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 sec -Small Contributor Committee www.netfile.com IR]IND □COM 00TH OPTY □sec l!]IND □COM 00TH OPTY □sec IR]IND □COM 00TH OPTY □sec IR]IND □COM DOTH OPTY □sec l!]IND □COM 00TH OPTY □sec Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Civilian Supervisor City of San Rafael Communications Dispatcher City Of San Rafael Communications Dispatc er City Of San Rafael SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_1_0 __ _ through __ 1_2~/_3_1~/_2_0_1_8 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page __ 92_ of 99 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC . 31) PER ELECTION TO DATE (IF REQUIRED) 13 .40 294.20 13 .40 294.20 13 .40 294.20 12.70 294.20 12.70 294.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE , ALSO ENTER I D, NUMBER) CODE * 10/31/2018 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 11/15/2018 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, 11/30/2018 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, 1 2 Fif h Av n n Rf 1 A 4 1 12/15/2018 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 09 30 2018 Mar W1. 1.nson 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 OPTY □sec IK]IND □COM DOTH □PTY □sec OOIND □COM 00TH OPTY □sec IR]IND □COM DOTH □PTY □sec 001ND □COM 00TH OPTY □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 1.cer City of San Rafae l SUBTOTAL$ Statement covers period from ___ 0_9~/_2_3~/_2_0_10 ___ _ through __ 1_2--'/_3_1--'-/_2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page _~93"---of 99 I.D .NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 12.70 294.20 13. 40 294.20 13 .40 294.20 13 .40 294.20 16.30 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE. ALSO ENTER I D NUMBER) 10/15/2018 Mark Wilkinson C/o: San Rafael Police Association 1520 Fifth Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue San Rafael CA 94901 10/31/2018 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, 11/15/2018 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, 2 Fif h Av n f l A 4 01 11/30/2018 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 12 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 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 [R]IND □COM 00TH OPTY □sec [R]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 Rafae l SUBTOTAL$ Statement covers period from ___ 0_9"'"/_2 _3,_/_2 _o 1_0 ___ _ through __ 1_2~/_3_1 /~2_0_1_0 __ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page 94 of 99 I.D . NUMBER 8315 5 3 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 16.30 377.30 16.30 377. 30 17.10 377.30 17.10 377.30 17.10 377.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ScheduleC Nonmonetary Contributions Received 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 ___ o_9_/ 2_3_/_2_0_18 __ _ through 12/31/2010 SCHEDULEC CALIFORNIA 460 FORM Page __ 95_ of_9_9_ I.D. NUMBER 831553 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF COMMITTEE, ALSO ENTER I.D NUMBER) □IND □COM DOTH □PTY □sec □IND □COM 00TH □PTY □sec □IND □COM DOTH □PTY □sec □IND □COM D OTH □PTY □sec NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. SUBTOTAL$ *Contributor Codes IND-Individual (IF REQUIRED) - (Include all Schedule C subtotals.) ..................................................................................................................... $ ______ o_._o_o COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party 2. Amount received this period -unitemized non monetary contributions of less than $100 .................................... $ _____ 5_0_._o_o 3. Total nonmonetary contributions received this period. sec -Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ -----~5~0 ~. o~o www.netfile.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 ___ o 9~/~2_3~/_2_0_1_0 __ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ 1_2~/_3_1~/_20_1_0 __ _ Page _9_6 _ of _9_9_ 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 CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TE.. t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals INJ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense ~ professional services (legal, accounting) VDT voter registration LIT campaign literature and mailings ffiT print ads VI.EB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE .ALSO ENTER 1.0 . NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Donor Stack, LLC WEB 86.98 5940 College Avenue, Suite F Oakland, CA 94618 Donor Stack, LLC WEB 56.43 5940 College Avenue, Suite F Oakland, CA 94618 S.E. Owens & Company PRO 323.00 5940 College Avenue Suite F Oakland, CA 94618 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 466.41 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ____ 1_._o_9_5 _._9 _1 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 _, _08_5_·_9_1 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov SCHEDULE E (CONT.) Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from ___ 0_9~/_2_3~/_2 _o 1_8 __ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2010 Page __ 97_ of _9_9_ 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 OvP 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 PEf petition circulating TB.. t.v. or cable airtime and production costs FIL candidate filing/ballot fees Pl-0 phone banks lRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals INJ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense ~ professional services (legal, accounting) VDT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE. ALSO ENTER I D NUMBER) 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 504.50 ll5.00 SUBTOTAL$ 619.50 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_9 /~2_3~/_2_0_1_8 __ _ through 12/31/2018 SCHEDULEF CALIFORNIA 460 FORM Page _9_8_ of _9_9_ I □.NUMBER 83 155 3 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM> campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions ClB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries eve civic donations PET" petition circulating TE.. t.v. or cable airtime and production costs FIL candidate filing/ballot fees FttJ phone banks TRC candidate travel , lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals 11\0 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 1/1,£B information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) S .E. Owens & Company 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 PRO 0.00 SUBTOTALS$ 0.00$ 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 297.50 0.00 297.50 297. so$ a. 00$ 2 97 .5 0 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100 .) ............................................ INCURRED TOTALS $ _____ 2_9_7 _• _s _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 $100.) ................................. PAID TOTALS$ ______ o_.~o _o 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$ -=~,...,,..,,==2-c,c9,,,7 "".""s _o May be a negative number www.netfile.com FPPC Fonn 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 Pol i t i cal Action Comm i ttee DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMM ITTEE . ALSO ENTER I.□. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Amounts may be rounded to whole dollars. Statement covers period from ---"-0""'9 /'--'2C..C3"-/""2-"-'o 1=0'-------- through 12/31/2010 DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Itemized increases to cash this period .................................................................................... : ................................... $ _____ o_._o_o 2. Unitemized increases to cash of under $100 this period ............................................................................................. $ _____ 3_._3_7 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 $ ______ 3 _.3_7 SCHEDULE I CALIFORNIA 46 0 FORM Page __ 99_ of __ 99_ LO .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