HomeMy WebLinkAboutForm 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
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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
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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
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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.
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OR DESCRIPTION OF PAYMENT AMOUNT PAID
504.50
ll5.00
SUBTOTAL$ 619.50
FPPC Form 460 (Jan/2016)
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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
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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
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