HomeMy WebLinkAboutForm 460 - Police Association PAC (2018-09-22) AmendmentRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ___ 0_7~/_0_l/~2_0_1_8 ___ _
through __ 0_9~/_2_2~/_2_0_1 _0 ___ _
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
□ Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
~ General Purpose Committee
® Sponsored
0 Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
D Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Part 5)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complele Part 7)
1.0. NUMBER
831553
COMM ITTEE NAM E (OR CAN DIDATE 'S NAME IF NO COMMITTEE)
San Rafael Police Associa tion Political Action Committee
STREET ADDR ESS (NO P O BOX)
CITY STATE ZIP CODE
San Rafael CA 94901
MAILIN G ADDR ESS (IF DIFFERE NT) NO . ANO STREET OR PO . BOX
CITY
San Rafael
OPTIONAL: FAX / E-M AI L ADDR ES S
4. Verification
STATE
CA
ZIP CODE
94 9 15 -1557
AREA CO DE/PH O NE
(
AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 0 1 /2 2 /201 9 By
Dal e
Executed on 01/22 /2019
Date
By
Executed on By
Date
Executed on By
Da'.e
www.netfile.com
Date of election if applic
(Month, Day, Year)
11/06/2018
2. Type of Statement:
00 Preelection Statement
D Semi-annual Statement
D Termination Statement
FEB
(Also file a Form 410 Termination)
00 Amendment (Explain below)
Chang es t o Schedu le A.
Treasurer(s)
NAM E OF T REA SU RER
Ms. Beth Mi nka
MAILI NG ADDRE SS
C ITY
San Rafael
NAM E OF ASSISTAN T TREASURER. IF ANY
Ms. Stacy E. Owens
MAILING ADDRESS
CITY
Oakland
OPTIONAL: FAX / E-MAIL ADDRESS
8 2019
STATE
CA
STATE
CA
of 86
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
(
AREA CODE/PHONE
(
ation contained herein and in the attached schedules is true and complete. I ce rti fy
s1stanl Treasurer
Signature of Controlling Officeholder, Candidate, State Measure Proponent
S1gna1ure of Contro!l1ng 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 (INCLU DE LOCATION AND DI STRICT NUMBER IF APPLICABLE )
RESIDENTIAUBUSINESS ADDRESS (NO . AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER CONTR OLL ED COMMITTEE?
0 YES 0 NO
COMM ITTEE ADDRESS STREET ADDRESS (NO P.O BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.0 . NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
0 YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O . BOX)
CITY STATE ZIP CODE AREA COD E/PHONE
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COVER PAGE-PART 2
CALIFORNIA
FORM
Page __ 2_ of _8_6_
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTIO N 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 DI STRI CT NO. IF AN Y
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME O F O FFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEH O LD ER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR C ANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEH O LD ER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc .ca.gov (866/275-3772)
www.fppc.ca.gov
SUMMARY PAGE Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Pol i t ical Action Committee
Contributions Received
1. Monetary Contributions .. .. .. .. .. .. .. .. ... . .. . . . . . . . . . . .. .. .. .. .. . Schedule A, Line 3 $
2. Loans Received ................................................... ... Schedule B, Line 3
3 . SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4. Non monetary Contributions .................................... Schedule c. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 + 4 $
Expenditures Made
6 . Payments Made ..................................................... . Schedule E , Line 4 $
7. Loans Made............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ................. ..... .............. Add Lines 6 + 7 $
9 . Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary Adjustment .......................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
Current Cash Statement
12 . Beginning Cash Balance ...... ................ Prewous Summary Page, Line 16 $
13. Cash Receipts . .. .. . . .. .. . .. . .. .. .. .. .. .. .. ... .. .. ... .. .. .. ... . Column A. Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments.................................................. Column A , Line a above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 , then subtract Line 15 $
If this is a termination statement. Line 16 must be zero .
17 . LOAN GUARANTEES RECEIVED .. ......................... Schedul e B, Part 2 $
Cash Equivalents and Outstanding Debts
18 . Cash Equivalents ................... .............. ..... See instructio ns on reverse $
19. Outstanding Debts ........... ....... ...... Add Line 2 + Line 9 in Column B above $
www.netfile .com
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
6 ,000 .80
0 .00
6,000.80
0.00
6,000.80
1,595.86
0.00
1,595.86
-146.35
0 .00
1,449.51
95,266.82
6,000.80
1. 63
1,595.86
99,673.39
0 .00
0.0 0
0.00
from ___ 0_1~/_0_1~/_2_0_1_0 __ _
th rough __ 0_9_,_/_2_2 '-/ 2_0_1_0 __ _ Page __ 3 __ of 8 6
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
20,737 .10
0 .00
20,737.10
0.00
20,737.10
3,826.43
0.00
3,826.43
0.00
0 .00
3,826.43
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year. only
carry over the amounts
from Lines 2, 7. and 9 (if
any).
I.D . NUMBER
83 1553
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ _____ _ $ _____ _
21 . Expenditures
Made $ _____ _ $ _____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
__}__} __
__}__} __
Total to Date
$ _____ _
$ _____ _
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca .gov
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I O NUMBER)
07/15/2018 Elisha Adams
07/31/2018
08/15/2018
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
Fifth
Fifth
OB/31/2O18 Elisha Adams
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Elisha Adams
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
CODE*
IB]IND
□COM
DOTH
OPTY
□sec
IB]IND
□COM
00TH
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
Officer
City of San Rafael
Officer
City o f San Rafael
Offi c er
City o f San Rafael
Offi c er
C ity o f San Raf ael
Officer
City of San Rafael
SUBTOTAL$
SCHEDULE A
Statement covers period
CALIFORNIA 460
from __ 0~7~/_0_1~/_2_0_1...,0 ___ _ , FORM
through 09 /22/2010 Page __ 4~_ of _ _,B"-'6'---
AMOUNT
RECEIVED THIS
PERIOD
16.30
16.30
16 .30
16.30
16. 30
Bl.SOI
I.D. NUMBER
831553
PER ELECTION
TO DATE
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31) (IF REQUIRED)
277 .10
277 .10
277 .10
277 .10
277 .10
*Contributor Codes
IND-Individual
(Include all Schedule A subtotals.) ........................................................................................................ $ ___ _.c:..,5 •c..c9-=-6 =-2 .'-'7-=-o COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ _____ ___:3'-'s--'_-'-1--'--o
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ 6_, o_o_o_._s_o
www.netfile.com
sec -Small Contributor Committee
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL . ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE.ALSO ENT ER ID NUMBER) CODE *
07/15/2018 Raul Aguilar
C/o: San Rafael Police As sociation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary : San Rafa e l Police Association,
1520 Fifth Avenue San Rafael CA 9 4 901
07/31/2018 Raul Agu i lar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union me mber's dues received through
interm7diary : San Rafae l Police Association,
08/15/2018 Raul Aguilar
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Av enue an R fael CA 4 Dl
08/31 /2 018 Raul Agu i lar
C/o: San Rafae l Police Association 1520 Fi fth
Avenue
San Rafael, CA 94901
Union member's dues rece i v ed through
intermediary: San Rafa e l Pol i ce Asso c iation,
1520 Fifth Avenue, San Ra f ael, CA 94901
09 15 2018 Raul Agui ar
C/o: San Rafae l Po lice Asso c iation 152 0 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 · h Av n f 1 4 1
*Contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e .g ., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
[RIIND
□COM
00TH
QPTY
□sec
IR]IND
□COM
00TH
QPTY
□sec
IR]IND
□COM
00TH
QPTY
□sec
Sergeant
City of San Rafael
Sergeant
City of San Rafael
S erg eant
City of San Rafael
Sergeant
Ci t y of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1_/_0_1_/_2_0_1_8 ___ _
through __ 0_9-'/_2_2.c./_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_~s_ of __ 8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16. 30 277. 10
16 .30 277.10
16.3 0 277.1 0
16 .30 277.10
16.30 277.10
Bl.SDI
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca .gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER)
07/15/2018 Anthony Augustyn
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Anthony Augustyn
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
08/15/2018 Anthony Augustyn
C/o: San Rafael Police Asso ciat i on 1520 F i fth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Aven San Raf 1 CA 4 01
08/31/2018 Anthony Augustyn
C/o: San Rafael Po lice Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues rece i ved through
intermediary: San Rafael Police Association,
1520 Fifth Ave nue, San Rafael, CA 94901
09 15 2018 Antony Augustyn
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,
*Contributor Codes
IND -Individual
Fi f 1 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
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
Officer
City o f San Ra fael
Officer
City of S an Ra fa el
Officer
City of San Rafael
Off icer
City o f San Ra f ae l
Officer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'-/_0_1-'-/_2_0_1_0 ___ _
through __ 0_9..c./_2_2..c./_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_~G~_of _~8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1 6 .30 277. 10
16.30 277.10
16.30 277 .10
16.30 277. 10
16.30 277.10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A {Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER)
07/15/2018 James Bellamy
C/o: San Rafael Police Association 1520 Fi fth
Avenue
San Rafae l, CA 9490 1
Union member's dues receiv ed through
i ntermediary : San Raf a el Po l ice Associat i on,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 James Bellamy
C/o: San Rafael Pol i c e As s o ciation 15 2 0 Fifth
Avenue
San Rafael, CA 94901
Union member's dues rece ived through
i nterm~diary : San Raf ael Police As s ociation,
08/15/2 018 James Bel l amy
C/o: San Rafael Police As s ociation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Ra f ael Police Ass o ciation,
1520 Fifth Av nue Sn Rafael CA 4 01
08/31/201 8 James Bellamy
C/o: San Rafael Pol ice As s ociation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues rece ived through
intermediary: San Rafa e l Po lice Associ at ion,
1520 Fifth Avenue , San Rafael, CA 94901
09 15 2018 James Be amy
C/o: San Rafae l Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues rece ived through
intermediary: San Rafae l Police Association,
1 . A
•contributor Codes
IND -Individual
COM -Recip ient 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
IB] IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
Corporal
City o f San Ra f ae l
Corporal
City o f San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafae l
Corpora
City o f S an Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1_/_2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page __ ?_ of __ 8~6~_
I .D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.3 0 277 .10
1 6. 30 27 7.10
1 6 .30 2 77 .10
16.30 27 7 .10
16 .30 277 .10
a1.5oj
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca .gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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,ALSO ENTER I D NUMBER ) CODE *
07/15/2018 Todd Berringer
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Todd Berringer
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
08/15/2018 Todd Berringer
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Ra 1 CA 4 01
08/31/2018 Todd Berringer
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Tod Berringer
C/o: San Rafael Po lice Association 152 0 Fifth
Avenue
San Rafael, CA 949 0 1
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 . h Av f 1 4
*Contributor Codes
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
OPTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City o f San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/ 2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-----'s'-----_ of_~8~6'------
ID NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277. 10
16.30 277-10
16-30 277 . 10
16.30 277 .10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IFCOMMITTEE ,ALSOENTERID NUMBER) CODE*
07/15/2018
07/31/2018
08/15/2018
08/31/2018
09 15 2018
Lynne Bracken
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
Lynne Bracken
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,
V
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,
1 20 Fifth Avenu an Rafael CA 4901
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
Lynne Brae en
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
l 2 . h Av A
*Contributor Codes
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
IRJIND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]JND
□COM
DOTH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
Call Taker & Records
Specialist
City of San Rafael
Call Taker & Records
Specialist
City of San Rafael
Call Taker & Records
Specialist
City of San Rafael
Call Taker & Records
Specialist
City of San Rafael
Ca Taker & Records
Specialist
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 __ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page_-=c...9_ ot _~8~6'---
I.D NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215 .90
12.70 215.90
12.70 215.90
12 .70 215.90
12 .70 215 .90
63 .50\
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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)
07/15/2018 Zachary Brickell
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07 /31 /2018 Zachary Brickell
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
interm~diary: San Rafael Police Association,
0 8 /1 5/2 0 18 Zachary Brickell
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
152 0 Fif h Avenue San Rafael A 949 1
0 8 /31 /20 18 Za c hary Brickell
C/o: San Rafael Pol 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
09 15 2018 Zachary Bn.cke
C/o: San Rafael Police Association 1520 Fifth
Avenue
San· Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·contributor Codes
IND-Individual
2 Fif A
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
[R]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
Officer
City Of San Rafael
Officer
City Of San Rafael
Officer
City Of San Rafael
Officer
City Of San Rafael
Officer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7_/_0_1_/_2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_l_B __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 1 o of __ B~6~_
LO .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .1 0
16.30 277 .10
16.30 277.10
16. 0 277 .10
16.30 277 .10
Bl. 50 I
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER)
07/15/2018 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
07/31/2018 Rudolf Buhlman
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,
08/15/2018 Rudolf Buhlman
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Aven San Rf 1 A 4 01
08/31/2018 Rudolf Buhlman
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Ru o Bu man
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
*Contributor Codes
IND-Individual
2 F " h Av A 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
CODE*
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Po li c e O icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7_/_0_1_/_2_0_1_0 ___ _
through __ 0_9--'/_2_2-'-/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 11 of _~8~6~_
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 .30 224 .80
16.30 224.80
16.30 224.80
16.30 2 2 4 .80
16.30 224.80
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I O NUMBER) CODE *
07/15/2018 Antonette Bullock
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Antonette Bullock
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
08/15/2018 Antonette Bullock
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Av nu San Rafael CA 94901
08/31/2018 Antonette Bullock
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Antonette Bu lock
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND-Individual
2 F. Av l 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
IR]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IR)IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
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
Community Service Officer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ o_7~/_0_1_/_2_0_1_s ___ _
through __ 0_9_;_/_2_2__c_/_2_0_l_B __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 12 of __ B~G~_
1.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215 .90
12.70 215.90
12.70 215.90
12 .70 215.90
12.70 215. 90
63.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
07/15/2018
07/31/2018
(IF COMMITTEE. ALSO ENTER I O NUMBER)
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
Shelly Cade
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,
08/15/2018 Shelly Cade
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Av n San Rf 1 4 01
08/31/2018 Shelly Cade
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Shel y 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,
1 2 if Av n 1
·contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
CODE*
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
Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
D1.spatc er
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7....:/_0_1....:/_2_0_1_0 ___ _
through __ o_9 /~2_2~/ 2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 13 of __ 8_6 __
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN _ 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12 .70 215 .90
12. 70 215.90
12.70 215.90
12 .70 215.90
12.7 0 215.90
63 .so l
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTER I D NUMBER) CODE *
07/15/2018 Joseph Camins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Joseph Camins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association ,
V
08/15/2018 Joseph Camins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue Rf 1 CA 4 01
08/31/2018 Joseph Camins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Josep Camins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 F'f A 1
·contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
[R]IND
□COM
00TH
OPTY
□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 1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1..,_/_0_1..,_/_2_0_1_0 ___ _
through __ □_9-'-/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 14 of __ 8=-6=----
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
16 .30 277 .10
16.30 277.10
16.30 277 .10
16 .30 277 .10
81.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sh ee t)
Monetary Contribution s Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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)
07/15/2018 Trevor Carney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Trevor Carney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~~iary: San Rafael Police Association,
08/15/2018 Trevor Carney
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fift Avenue an Rafa 1 CA 4901
08/31/2018 Trevor Carney
C/o: San Rafael Pol 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
09 15 2018 Trevor Carney
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,
•contributor Codes
IND-Individual
2 Fif h Av n Rf 1 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
CODE*
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Po l ice Officer
City Of San Rafael
Po li c e Officer
City Of San Rafael
Po ice O icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1--'-/_0_1--'-/_2_0_1_0 ___ _
through __ 0_9..c/_2_2..c/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 15 of __ 8~6~_
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16. 30 277.10
16.30 277.10
16.30 277 .10
16.30 277 .10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER I D NUMBER) CODE *
07 /15 /2018 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
0 7 /31 /2 0 18 Jack Carpenter
C/o : San Rafael Police Association 1520 Fifth
Avenue
S an Rafael, CA 94901
Un ion member's dues rece i ved through
interm~diary: San Rafael Police Association,
0 8 /1 5/20 18 Jac k Carpenter
C/o : San Rafael Police Association 1520 Fifth
Ave nue
S an Rafael, CA 94901
Un ion member's dues received through
intermediary: San Rafael Police Association,
1 5 2 0 F i fth Av nu San Rafael A 4 01
0 8 /3 1 /20 18 Jac k Carpenter
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Jae Carpenter
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·contributor Codes
IND-Individual
2 F. Av n A
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
IB]IND
□COM
DOTH
□PTY
□sec
Ix] IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IB]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 1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1_/_0_1_/_2_0_1_s ___ _
through __ 0_9-'/_2_2-'/_2_0_1_s __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 16 of __ 8~6~-
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277. 10
16.30 277. 10
16.30 277 .10
16.30 277.10
16.30 277.10
Bl.SOI
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D . NUMBER) CODE *
07/15/2018 Edward Chiu
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Edward Chiu
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
08/15/2018 Edward Chiu
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Avenu R 1 A 4 01
08/31/2018 Edward Chiu
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 E war C 1u
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
Fi 4 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
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
DOTH
□PTY
□sec
IR]IND
□COM
DOTH
□PTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
0 f1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'-/_0_1'-/ 2_0_1_0 ___ _
through __ □_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 1 7 of __ 8_6 __
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED}
16.30 277 .10
16. 30 277.10
16.30 277.10
16.30 277 .10
16.30 277.10
01.soj
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER IO NUMBER) CODE *
07/15/2018 Robert Cleland
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 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,
08/15/2018 Robert Cleland
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Av nue San Raf el A 4 01
08/31/2018 Robert Cleland
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Robert C elan
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 . h Av A 1
•contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
□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
Police Corpora
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ o_7~/_0_1~/_2_0_1_s ___ _
through __ □_9_/_2_2_/_2_0_1_8 __ _
SCHED ULE A (CONT.)
CALIFORNIA 460
FORM
Page 18 of --'8'""'6'--_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277. 10
16.30 277.10
16.30 277.10
16.30 277. 10
16.30 277 .10
81.5 □1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER)
07/15/2018 Christopher Coale
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Christopher Coale
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
08/15/2018 Christopher Coale
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Av nue an Rafa 1 A 4 01
08/31/2018 Christopher Coale
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
152 0 Fifth Avenue, San Rafael, CA 94901
09 15 2018 C ristop er Cea e
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND -Individual
F" Av n R A 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
CODE*
IK)IND
□COM
00TH
□PTY
□sec
IK)IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK)IND
□COM
DOTH
□PTY
□sec
IK)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 ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 19 of _--'8"-'6=---
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
{JAN . 1 • DEC . 31)
PER ELECTION
TO DATE
((F REQUIRED)
16.30 277.10
16.30 277. 10
16.30 277.10
16.30 277. 10
16.30 277.1 0
81.50 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE*
07/15/2018 Thomas Collins
C/o: San Rafael Police Assoc i ation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 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,
08/15/2018 Thomas Collins
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Av nue an Rf 1 A 949 1
0 8 /31 /2018 Thomas Co llins
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 T omas Co ins
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1 2 Fif h Av n f 4
*Contributor Codes
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
OPTY
□sec
1K] IND
□COM
DOTH
□PTY
□sec
[KJIND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O ficer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 0 of _~Bc...c6c..-_
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16 .30 277.10
16.30 277 . 10
16.30 277.10
16. 30 277.10
01.sol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(l F SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,A LSOENTERI.D NUMBER) CODE *
07/15/2018 Jenna Cotta
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Jenna Cotta
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
08/15/2018 Jenna Cotta
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues receive d through
intermediary : San Rafael Police Association,
1 20 Fifth Av nue an Rf 1 CA 4 01
08/31/2 018 Jenna Cotta
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
09 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
2 F 0 f h 4 1
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e .g .. business entity)
PTY -Political Party
SCC-Small Contributor Committee
www.netfile.com
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
DOTH
□PTY
□sec
[KJIND
□COM
0 0TH
□PTY
□sec
IK]IND
□COM
0 0TH
□PTY
□sec
IK]IND
□COM
0 0TH
□PTY
□sec
Communications Dispatcher
City of San Rafael
Comm u n icatio ns Dispatcher
City of San Ra f a el
Communications Di spatcher
Ci t y o f S a n Rafael
Communicat i ons Dispatcher
City of San Rafael
Communica t ions Dispatcher
City of San Rafae l
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_a ___ _
through __ 0_9_/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 21 of _--'8"'6c.__
I.D . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12 .70 215 .90
12.70 215.90
12.70 215.90
12 .70 215.90
12.70 215.90
63.5ol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SE L F-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I 0. NUMBER) CODE *
07/15/2018 Ryan De Marta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Ryan De Marta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
V
08/15/2018 Ryan De Marta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenu n Ra 1 CA 4 01
08/31/2018 Ryan De Marta
C/o: San Rafael Police Assoc iation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Ryan De Marta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
l 2 Fi 1 4 1
·contributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IK)IND
□COM
DOTH
□PTY
□sec
IK)IND
□COM
00TH
OPTY
□sec
[K]IND
□COM
00TH
□PTY
□sec
IK)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
Of icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7...:./_0_1...:./_2_0_1_8 ___ _
through __ 0_9...:./_2_2...:./_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 2 of __ 8_6 __
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1 6.30 277 .10
16 . 30 277.1 0
16.30 277.1 0
1 6 .30 277.1 0
16.30 277.1 0
8 1.50 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
07/15/2018
07 /31 /2018
(IF COMMITTEE, ALSO ENTER I D NUMBER)
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
Uni o n member's dues received through
intermediary: San Rafael Police Association,
0 8 /15 /2018 Elisa Delat o rre
C/o : San Raf ael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue n Rf 1 CA 4 01
0 8 /31 /2018 Elisa Delato rre
C/o: San Rafae l Pol 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
09 15 2018 E 1sa De atorre
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,
*Contributor Codes
IND-Individual
F' h Av n R 4
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e .g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
CODE*
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□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
Special i st
City Of San Rafael
Ca l l Ta er An Recor s
Speciali s t
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'-/_0_1-'-/_2_0_1_0 ___ _
through __ o_9-'-/_2_2-'-/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 23 of __ 8~6~_
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 190.50
12 .70 190.50
12.70 190.50
12.70 190.50
12 .70 190 .50
63.5ol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE*
07/15/2018
07/31/2018
Rebecca DeLaTorre
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
Rebecca DeLaTorre
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
08/15/2018 Rebecca DeLaTorre
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94 01
08/31/2018 Rebecca DeLaTorre
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Re ecca DeLaTorre
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police
*Contributor Codes
IND -Individual
2 Fi
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
lx]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
D OTH
□PTY
□sec
IK]JND
□COM
00TH
□PTY
□sec
Call Taker & Records
Special is t
City of San Rafael
Call Taker & Records
Specialis t
City of San Rafael
Call Taker & Records
Specialist
City of San Rafael
Call Taker & Record s
Specialist
City of San Rafael
Cal Ta er & Records
Specialist
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1_/_2_0_1_0 ___ _
through __ 0_9_;_/_2_2--'-/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 24 of __ 8~6~_
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
12.70 2 1 5.90
12.70 215.90
12 .70 2 1 5.90
12.70 215.90
63.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMM ITTEE.ALSOENTERI.D NUMBER) CODE *
07 15/2018
07/31/2018
Blake Delzell
C/o : San Rafael Po lice Association 1520 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 Ass oc iation 152 0 Fifth
Avenue
San Rafael, CA 9 4 90 1
Union member's dues received through
interm~diary: San Rafael Police Association ,
V
08/15/2018 Blake Delzell
C/o : San Rafael Police Association 152 0 Fifth
Avenue
San Rafael, CA 9 4 901
Union member's dues received through
i ntermediary: San Rafael Police Associatio n,
1 20 Fifth Avenu San Rafael CA 4 01
08/31/2018 Blake Delzell
C/o : San Ra fael Police Association 1 520 Fifth
Avenue
San Rafael , CA 94901
Un ion member's dues received through
i ntermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael , CA 94901
09 15 2018 Bake 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
F. Av
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]I ND
□COM
0 0TH
□PTY
□sec
[K]IND
□COM
0 0TH
□PTY
□sec
IK]IND
□COM
D OTH
□PTY
□se c
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
Police Officer
City Of San Rafael
Police Offi c er
City Of San Rafael
Po lice Offi cer
City Of San Ra fael
Po li ce Offi cer
City Of San Ra fael
Po ice O ri cer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
t hrough __ 0_9 /_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 5 o f _..c8cc6,.___
I □.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 .30 277 .10
16.30 277 .10
16 . 30 277.10
16.30 277.10
16.30 277 .10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IFCOMM ITTEE,ALS O ENTERID NUMBER! CODE*
07/15/2018
0 7 /31 /2 0 18
Danielle Dennis
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
Danielle Dennis
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
08 /1 5/2 0 18 Danielle Dennis
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
1 2 0 F 'f h Aven San Rf 1 A 4 01
0 8 /31 /2 0 18 Danielle Denn i s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2 0 18 Dam.el e 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,
·contributor Codes
IND -Individual
2 F' h Av f 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
IR]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR}IND
□COM
00TH
OPTY
□sec
IR}IND
□COM
DOTH
OPTY
□sec
IR]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 Taker Recor s
Specialist
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7...c/_0_1...c/_2_0_1_s ___ _
through __ 0_9~/_2_2~/_2_0_1_s __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 6 of __ 8_6 __
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12 .70 165.10
12.70 165.10
12.70 165.10
12.70 165.10
12 .70 165.10
63.sol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER! CODE *
07/15/2018 Christian Diaz
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Christian Diaz
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
08/15 /2018 Christian Diaz
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 0 Fif h Aven n R fael CA 4901
08 /31 /2 0 18 Christian Diaz
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 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,
·contributor Codes
IND-Individual
2 if A
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□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_7_/_0_1_/_2_0_1_0 ___ _
through __ 0_9....0/_2_2-'/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 7 of __ 8~6~_
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277. 10
16.30 277.10
16 .30 277.10
16.30 277. 10
81.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FI LER
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 BUSINESS)
07/15 /2018
07/31 /2 0 18
0 8 /1 5/2 0 18
08/31 /2018
09 15 2018
(IF COMMITTEE. ALSO ENTER I 0 . NUMBER)
Justin Dodson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
1520 Fifth Avenue San Rafael CA 94901
Justin Dodson
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
V
Justin Dodson
C/o : San Rafael Police Association 1520 Fifth
Avenue
S an Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
1 20 Fif h Avenu San R fael CA 4901
Justin Dodson
C/o: San Rafael Pol ice Association 1520 Fi fth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
Justin Do son
C/o: San Rafae l Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Po lice Association,
F" Av 1 A 4 1
*Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
CODE*
IR)IND
□COM
DOTH
OPTY
□sec
IR)IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
Police Officer
City Of San Rafael
Police Officer
City Of San Ra f ae l
Police Officer
City Of San Ra fa e l
Police Officer
Ci ty Of San Rafae l
Po ice Of icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9~/_2_2_/_2_0_1_e __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 8 of _--'8=-6=---
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277.1 0
16 . 30 277.10
16.30 277 .10
16.30 277.10
e1.5ol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER)
07/15/2018 James Dooley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 James Dooley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
08/15/2018 James Dooley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael A 4 1
08/31/2018 James Dooley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 James 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,
1 2 'f h 4
•contributor Codes
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]INO
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]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
Police Officer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'-/_0_1-'-/_2_0_1_0 ___ _
through __ o_9-'-/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 2 9 of __ 8_6 __
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 .30 277.10
16 .30 277 .10
16 .30 277 .10
16 .30 277.10
16.30 277.10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca .gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER) CODE *
07/15/2018
07/31/2018
08/15/2018
08/31/2018
09 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
Christopher Duncan
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,
V
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 Fif h Aven San af 1 CA 4 01
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
Cristopher 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,
2 F " Av A
*Contributor Codes
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
[R)IND
□COM
00TH
□PTY
□sec
[R)IND
□COM
00TH
OPTY
□sec
[R)IND
□COM
00TH
OPTY
□sec
[R)IND
□COM
00TH
OPTY
□sec
Police Corporal
City of San Rafael
Police Corporal
City of San Rafael
Police Corporal
City of San Rafael
Police Corporal
City of San Rafael
Po ice Corpora
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7_/_0_1_/_2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 o of __ 8~6 __
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
{IF REQUIRED)
16 .30 277.10
16 .30 277.10
16.30 277.10
16.30 277 .10
16.30 277.10
81.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER)
07/15/2018 Scott Eberle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Kevin Finerty
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Kevin Finerty
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Aven e n Raf 1 A 49 1
08/15/2018 Kevin Finerty
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
OB 31 2018 Kevin Finerty
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·contributor Codes
IND-Individual
Fi Av 1 A 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
CODE*
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
Lieutenant
City of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Po ice Of icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7_/_0_1_/_2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 31 of __ 8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 211. 90
16.30 277.10
16. 30 277. 10
16.30 277.10
16.30 277.10
01.sol
FPPC Form 460 {Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERID NUMBER) CODE*
09/15/2018 Kevin Finerty
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Scott Fisher
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Scott Fisher
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 F. h Aven San Rafael A 49 1
08/15/2018 Scott Fisher
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Scott Fis 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
F . h R f A
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
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
lz]IND
□COM
00TH
OPTY
□sec
lz]IND
□COM
DOTH
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
Police Officer
City Of San Rafael
Po ice O icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1_/_0_1_/_2_0_1_0 ___ _
through __ o_9~/_2_2~/_2_0_1_s __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 2 of __ 8~6~_
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 . 30 277.10
16.30 277.10
16 .30 277 .10
16.30 277.10
16.30 277.10
01.sol
FPPC Form 460 {Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE.ALSO ENTER ID NUMBER) CODE *
09/15/2018
07/15/2018
Scott Fisher
C/o: San Rafael Po l ice Association 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
Anna Fulgado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's due s received through
interm7diary: San Rafael Police Association,
07/31/2018 Anna Fulgado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Avenu Rf 1 CA 4 01
08/15/2018 Anna Fu l g ado
C/o: San Rafael Pol ice Assoc i ation 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Pol i ce Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Anna Fu ga o
C/o: San Rafae l Pol i ce Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 if h Rf 4 0
·contributor Codes
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
[x]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
Poli ce Officer
City Of San Rafael
Dispatcher
City Of San Rafael
Dispatcher
City Of S a n Rafael
Di s patcher
City Of San Rafael
Dispatc er
City Of San Ra f ae l
SUBTOTAL$
Statement covers period
from ___ 0_7-'-/_0_1.c../_2_0_10 ___ _
through __ 0_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 33 of __ 8_6 __
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277. 10
12 .70 215.90
12.70 215.90
12 .70 215.90
12.70 215.90
6 7 .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 *
09/15/2018 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
07/15/2018 Christopher Fuller
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Christopher Fuller
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Av n San Rafael CA 4 01
08/15/2018 Christopher Fuller
C/o: San Rafael Police Association 152 0 Fi fth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Christoper Fu er
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues receiv ed through
intermediary: San Rafael Police Association,
1 2 F"f Av n A
•contributor Codes
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
1K] IND
□COM
00TH
□PTY
□sec
Dispatcher
City Of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corpora
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_10 ___ _
through __ D_9_/_2_2_/_2_D_l_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 4 of _~8'--'6'---
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215 .90
16.30 277.10
16.30 277.1 0
16 .JO 277.1 0
16.30 277.10
77 .901
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE.ALSO ENTER ID NUMBER) CODE *
09/15/2018 Christopher Fuller
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Salvatore Garanzini
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 Salvatore Garanzini
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Av n San Raf 1 CA 4 01
08/15/2018 Salvatore Garanzini
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Sa vatore 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,
·contributor Codes
IND-Individual
20 F' Av n 1 A 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
[R]IND
□COM
00TH
□PTY
□sec
[R]IND
□COM
00TH
□PTY
□sec
[R]IND
□COM
DOTH
□PTY
□sec
(R]IND
□COM
00TH
□PTY
□sec
[R]IND
□COM
00TH
OPTY
□sec
Corporal
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
0 icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 5 of __ 8=-6"--
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277 .10
16.30 277. 10
16.30 277.10
16.30 277 .10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D . NUMBER)
09/15/2018 Salvatore Garanz ini
C/o: San Rafael Police As sociation 1520 Fi f th
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police As sociation ,
1 520 F i fth Avenue San Rafael CA 94901
07/15/2018 Michael Garrison
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union me mber's d u es rece i ved thr ough
intermediary: San Rafae l Police Association,
07/31/2018 Michael Garrison
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 F i fth Avenu San Ra fael CA 4 01
08/15/2018 Mich a el Garrison
C/o: San Rafae l Police Association 1520 Fif t h
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Ass o ciation ,
1520 Fifth Avenue, San Rafa el, CA 9 4 901
08 31 2018 Michae Garrison
C/o: San Rafae l Police Association 1520 Fi f th
Avenue
San Rafael, CA 94901
Union member 's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND -Individual
2 F' Av A 1
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e .g., business entity)
PTY -Political Party
sec -Small Contribulor Committee
www.netfile.com
CODE*
IB]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IB]IND
□COM
0 0TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
Officer
City of San Rafael
Off i cer
City of San Rafael
Officer
City o f S an Rafael
Officer
City of S a n Rafael
O icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 6 of _-'8cc6=---
ID.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 .30 277 .10
16.30 2 77.10
1 6 .30 277.10
16 .30 277 .10
16. 30 277 .10
01 .50 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I.D NUMBER) CODE *
09/15/2018 Michael Garrison
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Lilah Gavlick
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 Lilah Gavlick
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fif h Avenu Raf 1 CA 4 01
08/15/2018 Lilah Gavlick
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2 0 18 Li a Gav ic
C/o : San Rafael Police Association 1520 Fifth
Avenue
S an Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 . h Av A
·contributor Codes
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
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
Officer
City of San Rafael
Police Corpora
City o f S an Rafael
Po l i ce Corporal
City of San Rafael
Police Corpora l
City of San Rafael
Po ice Corpora
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_10 ___ _
through __ O_9.c./_2_2-'-/_2_O_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 7 of _~8~6~_
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277. 10
16.30 277 .10
16.30 277. 10
16.30 277. 1 0
16.30 277.10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER ID NUMBER) CODE *
09/15/2018 Lilah Gavlick
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Justin Graham
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Justin Graham
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenu an R 1 A 4 01
08/15/2018 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
08 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,
*Contributor Codes
IND-Individual
F' Av 1 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
IR]IND
□COM
00TH
OPTY
□sec
[R]IND
□COM
00TH
OPTY
□sec
[R] IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
Police Corporal
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_a ___ _
through __ 0_9,.._/_2_2,.._/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 8 of _~8'--6~_
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277. 10
16.30 277.10
16.30 277.10
16.30 277.10
16.30 277.10
81. so 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSO ENTER ID NUMBER ) CODE *
09/15/2018 Justin Graham
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Lori Hendricks
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94935
Union member's dues received through
interm~diary: San Rafael Police Association,
V
07/31/2018 Lori Hendricks
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94935
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue an R fael CA 4901
08/15/2018 Lori Hendricks
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94935
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Lori Hen ricks
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94935
Union member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND-Individual
Fi Av n A 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
00TH
□PTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK)IN0
□COM
DOTH
□PTY
□sec
IB]IN0
□COM
00TH
□PTY
□sec
Sergeant
City of San Rafael
Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
Dispatc er
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'-/_0_1-'-/_2_0_1_0 ___ _
through __ 0_9-'-/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 3 9 of __ 8_6 __
1.0.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC , 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 .30 277 .10
12 .70 215.90
12.70 215.90
12.70 215.90
12 .70 215 .90
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER I D NUMBER) CODE *
09/15 /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
07 /1 5/2 0 18 Robert Henkle
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member 's dues received through
interm~diary : San Rafael Police Association,
0 7 /31 /2018 Robert Henkle
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Unio n member's dues received through
intermediary : San Rafael Police Association,
1 20 Fif h Avenue Sn Rafa 1 A 94 1
0B/15 /2018 Robert Henkle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Ro ert Hen e
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1 2 if h 4 1
*Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
1K] IND
OCOM
00TH
QPTY
□sec
IK]IND
QCOM
00TH
OPTY
□sec
lx]IND
□COM
00TH
OPTY
□sec
IK]IND
QCOM
00TH
OPTY
□sec
IR)IND
QCOM
00TH
OPTY
□sec
Dispatcher
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'/_0_l-'/_2_0_1_8 ___ _
through __ 0_9-'/_2_2-'/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 0 of __ 8_6 __
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215 .90
16.30 277.10
16.30 277 .10
16 .30 277. 10
16. 30 277 .10
77.901
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc .ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL , ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER) CODE *
09/15/2018 Robert Henkle
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 J. Alexander Holm
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary : San Rafael Police Association,
07/31/2018 J. Alexander Holm
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Av nu San Rafael CA 4 01
08/15/2018 J. Alexander Holm
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 J. Alexander Ho m
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 · Av n f 1 A
*Contributor Codes
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
QPTY
□sec
IR]IND
□COM
00TH
QPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR)IND
□COM
DOTH
OPTY
□sec
Officer
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_8 ___ _
through __ 0_9_/_2_2_/_2_0_1_8 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 41 of __ 8_6 __
LO .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277 .10
16.30 277 .10
16.30 2 77 .10
16 .30 277 .10
81.soJ
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc .ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBERI
09/15/2018 J. Alexander Holm
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Lisa Holton
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Lisa Holton
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif Av nue San Rf el A 4 01
08/15/2018 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
08 31 2018 Lisa Holton
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
•contributor Codes
IND-Individual
2 F' 1 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
CODE*
IR]IND
□COM
00TH
OPTY
□sec
[fillND
□COM
00TH
QPTY
□sec
!R]IND
□COM
DOTH
QPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
QCOM
00TH
QPTY
□sec
Corporal
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ o_7~/_0_1~/_2_0_1_e ___ _
through __ 0_9~/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 2 of __ 8_6 __
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
{IF REQUIRED)
16.30 277.10
16.30 277.10
16. 30 277.10
16 . 30 277.10
16 .30 277 .10
e1 .5oJ
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER)
09 /15 /2018 Lisa Holton
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07 /15 /2018 Carl Huber
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 949D1
Uni o n member's dues received through
interm7diary: San Rafael Police Association,
0 7 /31 /2 D18 Carl Huber
C/o : San Rafael Police Association 152D Fifth
Avenue
San Rafael, CA 94901
Unio n member's dues received through
intermediary: San Rafael Police Association,
1 2D Fi th Av nu an Rafael A 94 D1
0 8 /15/2 0 18 Carl Huber
C/o: San Rafael Police Association 152D Fifth
Avenue
San Rafael, CA 949D1
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 949D1
08 31 2D18 Car Hu er
C/o: San Rafael Police Association 152D Fifth
Avenue
San Rafael, CA 949D1
Union member's dues received through
intermedi ary: San Rafael Police Association,
1 2 . Av A 1
·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*
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
DOTH
□PTY
□sec
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'----/_0_1'-/2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 3 of __ 8~6 __
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277. 1D
16.30 277.1D
16 .30 277 . 10
16.30 277. 10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE*
09/15 /2018 Carl Huber
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07 /15 /2 0 18 Scott Ingels
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member 's dues received through
intermediary: San Rafael Police Association,
V
07/31 /2 0 18 S c o tt Ingels
C/o : San Rafael Police Association 1520 Fifth
Avenue
S an Rafael, CA 94901
Un ion member's dues received through
intermediary: San Rafael Police Association,
1 5 2 0 Fif h Avenu an Rafa 1 A 94901
08 /15 /2 0 18 Sco tt 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,
15 2 0 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Scott Inge s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 . h Av 1 A 1
•contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
1K] IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
lx]IND
□COM
00TH
□PTY
□sec
IR}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 o f San Rafael
SUBTOTAL$
Statement covers period I
from ___ 0_1_/_0_1_/_2_0_1_0 ___ _
through __ 0_9-'/_2_2-'/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 4 of __ 8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
{JAN . 1 -DEC , 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 . 30 277. 10
16.30 277. 10
16.30 277.10
16 .30 277 . 10
16.30 277.10
s1.5ol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER 1.D NUMBER)
09 /15 /2018 Scott Ingel s
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermedi ary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07 /15 /2 0 18 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,
07 /3 1 /2 0 18 Rebe cca Kuga
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermedi ary: San Rafael Police Association,
1 20 Fif h Avenue an Rafael CA 94901
0 8 /1 5/20 18 Rebecca Kuga
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Rebecca Kuga
C/o: San Rafael Po lice Ass o ciation 1520 Fifth
Avenue
San Rafael, CA 949 0 1
Union member's dues received through
intermediary: San Rafael Police Association,
•contributor Codes
IND-Individual
2 F' n Rf 1 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
CODE*
IR]IND
QCOM
00TH
OPTY
□sec
IK]IND
QCOM
00TH
QPTY
□sec
[R)IND
QCOM
00TH
QPTY
□sec
[R)IND
□COM
00TH
QPTY
□sec
IK]IND
QCOM
00TH
OPTY
□sec
Sergeant
City of San Rafael
YSB Supervisor
City of San Rafael
YSB Supervisor
City of San Rafael
YSB Supervisor
City of San Rafael
YSB Supervisor
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_l~/_2_0_l_B ___ _
through __ 0_9_/_2_2_/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 5 of __ 8~6~_
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
12.70 215 .90
12.70 215 .90
12. 70 215 .90
12 .70 215.90
67 .101
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER) CODE *
09/15/2018 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
07/15/2018 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,
07/31/2018 Marc Laplante
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 Fifth Av nue San Rf l A 4 01
08/15/2018 Marc Laplante
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
DB 31 2 018 Marc Lap ante
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 · Av n A
*Contributor Codes
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
DOTH
□PTY
□sec
IR)IND
□COM
DOTH
□PTY
□sec
IR)IND
□COM
DOTH
0PTY
□sec
IR)IND
□COM
00TH
OPTY
□sec
YSB Supervisor
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ D_7~/_0_l_/_2_D_l_B ___ _
through __ D_9~/_2_2~/_2_D_l_B __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 6 of __ 8~6~_
I.D . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
16.30 277 .10
16.30 277 .10
16.30 277 .10
16 .30 277. 10
77 .901
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IF COMMITTEE.ALSO ENTER I D. NUMBER) CODE *
09/15/2018 Marc Laplante
C/o: San Rafael Police Associatio n 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Anndora Lee
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary : San Rafael Police Association,
07/31/2018 Anndora Lee
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Av nue an Rafael CA 4 01
OB/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
OB 31 2018 Anndora Lee
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND -Individual
2 F' Rf A 4 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
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
Officer
City of San Rafael
Dispatcher
City of San Rafael
.Dispatcher
City of San Rafael
Dispatcher
City of San Rafael
Dispatc er
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1_/_0_1_/_2_0_1_0 ___ _
through __ 0_9-'/_2_2-'-/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 7 of __ 8~6 __
1.0 . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
12.70 2 15 .90
12.70 215 .90
12 .70 215 .90
12.70 215.90
67 .101
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED , ENTER NAME
OF BUSINESS)
(IFCOMMITTEE.ALSOENTER I.D NUMBER) CODE*
09 /15 /2018
0 7 /15 /2 0 18
Anndora Lee
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermedi ary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
Karl Luhmann
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary : San Rafael Police Association,
0 7 /31 /2 0 18 Karl Luhmann
C/o : San Raf a el Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary : San Rafael Police Association,
1 2 0 Fifth Av n San R 1 CA 94 01
0 8 /1 5/20 18 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
0 8 31 2 0 18 Kar L mann
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' 1 A
*Contributor Codes
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
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
[R]IND
□COM
00TH
OPTY
□sec
[R]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
Dispatcher
City of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Po ice Officer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7_c/_O_l_c/_2_0_1_B ___ _
through __ 0_9_/~2_2_/~2_0_10 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 8 of __ 8_6 __
LO .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
16.30 224 .80
16.30 224 .80
16 .30 224 .80
16.30 224.80
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)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE *
09/15 /2018 Karl Luhmann
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15 /2 0 18 Kevin Macdougald
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
interm~diary: San Rafael Police Association,
V
0 7 /31 /2 0 18 Kevin Macdougald
C/o : S an Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Uni o n member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Aven Rf 1 CA 4 01
08/15/2018 Kevin Macdougald
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
OB 31 2018 Kevin Mac ougald
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 ' 1 1
·contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IR]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
Police Officer
City Of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O icer
City of San Rafael
SUBTOTAL$
Statement covers period I
from ___ o_7-'-/_0_1-'-/_2_0_1_a ___ _
through __ 0_9_/_2_2_/_2_0_1_a ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 4 9 of __ 8~6 __
1.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 224.80
16.30 277. 10
16.30 277. 10
16 .30 277. 10
16.30 277.10
81.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER)
09/15/2018 Kevin Macdougald
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Carlos Maldonado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 Carlos Maldonado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fif h Avenue San R fa 1 CA 4 1
08/15/2018 Carlos Maldonado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
OB 31 2018 Car os Mal ona o
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
*Contributor Codes
IND -Individual
2 F' A 4
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfife.com
CODE*
IRl IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
DOTH
□PTY
□sec
IR] IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
[KJIND
□COM
00TH
□PTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Of icer
City o f San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'-/_0_1-'-/_2_0_1_s ___ _
through __ o_9~/ 2_2~/ 2_0_1_B __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 5 0 of __ 8_6 __
ID.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .1 0
16.30 277.10
16.30 277 .10
16 .30 277 .1 0
16.30 277.10
Bl .SOI
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I O NUMBER)
09/15/2018 Carlos Maldonado
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Kaitlin Maley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary : San Rafael Police Association,
07/31/2018 Kaitlin Maley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1 20 Fif Av nue San Rf 1 CA 4 01
08/15/2018 Kaitlin Maley
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
OB 31 2018 Ka1t 1n 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,
·contributor Codes
IND-Individual
2 F" 1 A 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
CODE*
IRJIND
□COM
DOTH
QPTY
□sec
IK]IND
□COM
QOTH
QPTY
□sec
ix]IND
□COM
DOTH
OPTY
□sec
IB] IND
QCOM
QOTH
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
Officer
City of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Police Officer
City Of San Rafael
Police Officer
Ci ty Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 51 of ---'8~6~_
I.D . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 237.50
16.30 237 .50
16.30 237 .50
16. 30 237.50
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER)
09/15/2018 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
07/15/2018 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,
07/31/2018 Michael Mathis
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenu n R fael CA 4 01
08/15/2018 Michael Mathis
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Michael Mat 1S
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 · Av n 1 A
·contributor Codes
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
IK]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
QPTY
□sec
lx]IND
□COM
00TH
QPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
Police Officer
City Of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
Corporal
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1 /~2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 5 2 of ----'8""'6'---
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 237 .50
16.30 277.10
16.30 277 .10
16.30 277 .10
16 . 30 277.10
01.50J
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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 *
09/15/2018 Michael Mathis
C/o: San Rafael Police Assoc i a t ion 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues rece i ved through
intermediary: San Rafael Po l ice Associa t ion ,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Kelly Mauel
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary : San Rafael Police Association,
07/31/2018 Kelly Mauel
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1 20 Fifth Avenu San Rafael CA 4 01
08/15/2018 Kelly Mauel
C/o: San Rafael Po l ice Associa t ion 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Ke y Maue
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,
l 2 . h Av n f
•contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IR]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IZ)IND
□COM
DOTH
OPTY
□sec
Corporal
City o f San Rafael
Communications Dispatch er
City o f San Rafael
Communications Dispatcher
City of San Rafael
Commun i cations Dispatcher
City of San Rafael
Communications Dispatc er
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1_/_0_1_/_2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 53 of _~8~6~_
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 . 30 277.10
12 .7 0 215.90
12 .70 215.90
12 .70 215.90
12. 70 215.90
67_101
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(I F SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER l,D NUMBER)
09/15/2018 Kelly Mauel
C/o: San Rafael Pol i c e As sociation 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermedi ary: San Rafael Pol i ce Associat i on,
1520 Fi f th Ave nue San Rafael CA 94901
07/15/2018 Phillip Melodia
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union me mber's dues r eceived through
interm~diary: San Rafael Police Ass o ciation,
07/31/2018 Phillip Melodi a
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Av enue Sa n R fael CA 4 01
0B/15 /2018 Ph i ll ip Me l o d i a
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
OB 31 2018 P 1 1p Me o 1 a
C/o: San Rafae l Pol i c e Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafae l Police Association,
1 2 i A
*Contributor Codes
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*
{ZJ IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
D OTH
O PTY
□sec
[KjlND
□COM
00TH
OPTY
□sec
Communications Dispatcher
City of San Raf ae l
Officer
City o f San Rafael
Offi c er
Ci ty o f San Ra f a el
Off icer
City of San Rafael
0 icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_B ___ _
through __ o_9_/_2_2_/_2_0_1_s __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 5 4 of ---'B'-'6'--_
I.D NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
16.30 277 .10
16 .30 277,1 0
16.30 277 . 10
16.30 277 .10
77 .901
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca .gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTER I.D. NUMBER) CODE *
09/15/2018 Phillip Melodia
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Beth Minka
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
07/31/2018 Beth Minka
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafae l Police Association,
1 20 Fif h Avenue Sn Rafael CA 4 01
08/15/2018 Beth Minka
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Beth Min a
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND-Individual
2 Fi A 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
[&]IND
□COM
DOTH
OPTY
□sec
[&]IND
□COM
DOTH
□PTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
[&]IND
□COM
DOTH
OPTY
□sec
IB]IND
□COM
DOTH
OPTY
□sec
Officer
City of San Rafael
Administrative Technician
City of San Rafael
Administrative Technician
City of San Rafael
Admin i strative Technician
City of San Rafael
Administrative Technician
Ci ty of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7_/_0_1_/_2_0_1_0 ___ _
through __ 0_9~/_2_2~/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 55 of __ 8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
12.70 215 .90
12.70 215.90
12.70 215 .90
12 .70 215.90
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D . NUMBER) CODE *
09/15/2018 Beth Minka
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Cynthia Morgan
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Cynthia Margan
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 Av nu San Rf el CA 4 1
08/15/2018 Cynthia Morgan
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
0 8 31 2 0 18 Cynthia Morgan
C/o: San Rafael Police Ass oc iation 152 0 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Po lic e Association,
*Contributor Codes
IND -Individual
2 F' Av n Rf 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
IR]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
QPTY
□sec
IR]IND
QCOM
00TH
OPTY
□sec
IR]IND
□COM
00TH
QPTY
□sec
IB]IND
□COM
00TH
OPTY
□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 Record s
Specialist
City Of San Rafael
Ca 1 Ta er an Re c or s
Specialist
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 5 6 of ---'8'--'6'----
I.D . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
12.7 0 215.90
12.70 215 .90
1 2 .70 215.90
12.70 215.90
6 3.5o J
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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) CODE *
09/15/2018 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
07/15/2018 Lynn Murphy
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,
07/31/2018 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 F i fth Avenue an Raf 1 CA 4 01
08/15/2018 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
08 31 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,
*Contributor Codes
IND-Individual
2 "f h Av n f 1 A
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
[R]IND
□COM
00TH
□PTY
□sec
[R]IND
□COM
00TH
OPTY
□sec
(R]IND
□COM
00TH
OPTY
□sec
[K]IND
□COM
DOTH
OPTY
□sec
Call Taker and Records
Specialist
City Of San Rafael
Mental Health Outreach
Provider
City of San Rafael
Mental Health Outreac h
Provider
City of San Rafael
Mental Health Outreach
Provider
City of San Rafael
Menta Healt Outreac
Provider
City o f S a n Raf a el
SUBTOTAL$
Statement covers period
from ___ 0_7-'-/_0_1-'-/_2_0_1_0 ___ _
through __ 0_9 /_2_2_/~2_0_10 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page s 7 of __ 8_6 __
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
12 .70 215 .90
1 2.70 215.90
12 .70 215 .90
12 .7 0 215.90
63.so l
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED , ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE*
09/15/2018 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
07/15/2018 Jorge Navarro
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 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,
20 Fi h Aven Ra 1 CA 4 01
08/15/2018 Jorge Navarro
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Jorge Navarro
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's due s received through
intermediary: San Rafael Police Association,
·contributor Codes
IND-Individual
Fi Av n 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
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
Mental Health Outreach
Provider
City of San Rafael
Evidence Technician
City of San Rafael
Evidence Technician
City of San Rafael
Evidence Technician
City of San Rafael
Ev1 ence Tee n1c1an
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1--'-/_0_1--'-/_2_0_1_0 ___ _
through __ 0_9--'-/_2_2-'-/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 58 of __ 8~6~_
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
{JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
{IF REQUIRED)
12.70 215.90
12.70 215.90
12.70 215.90
12.70 215.90
12 .70 215. 90
63.50\
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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,ALSOENTERI D NUMBER) CODE*
09/15/2018 Jorge Navarro
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Alexis Nielsen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 Alexis Nielsen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Avenu n R fael CA 94901
08/15/2018 Alexis Nielsen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 A exis Nielsen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1 2 "f h f 1 A 4
·contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfife.com
IR]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
0 0TH
O PTY
□sec
IK]IND
□COM
0 0TH
OPTY
□sec
Evidence Techni cian
City of San Rafael
Lead Communicat ions
Dispatcher
City of San Ra f ael
Lead Communi cations
Dispatcher
City of San Rafael
Lead Communications
Dispatcher
City of San Rafael
Lea Communications
Dispatcher
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'/_0_1-'/_2_0_1_8 ___ _
through __ 0_9-'/_2_2..:./_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 5 9 of _~8~6~_
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
1 2.70 215.90
12.70 215.90
12.70 215 .90
12.70 215.90
63.50\
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER) CODE *
09/15/2018 Alexis Nielsen
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Oscar O'con
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
07/31/2018 Oscar O'con
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
08/15/2018 Oscar O'con
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Oscar O'con
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
•contributor Codes
IND -Ind ividual
2 F" h v A 4 1
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
SCC-Small Contributor Committee
www.netfile.com
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IKI IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
Lead Communications
Dispatcher
City of San Rafael
Po lice Officer
City Of San Rafael
Police Off i c er
City Of San Ra f ael
Police Offi c er
City Of San Rafael
Po ice O icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7..,_/_0_1..,_/_2_0_1_8 ___ _
through __ 0_9~/_2_2_/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 0 of _...:8::.c6=----
1.D .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215 .90
16.30 277.10
16.30 277.10
16.30 277.10
16.30 277.10
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca .gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER)
09/1 5/20 18 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 F i fth Avenue San Rafael CA 94901
07/15 /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,
07/31/2018 Leslie O'Toole
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Unio n member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Av nue San R 1 CA 949 1
0 8 /15 /2018 Leslie O 'Toole
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Les ie O'Too e
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 . R f 1 A
*Contributor Codes
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
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
QCOM
DOTH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
Police Officer
City Of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
Ci ty of San Rafael
Officer
Ci ty o f San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_8 ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 61 of _...c8=-6=---
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277.10
16.30 277 .10
16.30 277 .10
16.30 277 .10
81.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc .ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER)
09/15/2018 Leslie O'Toole
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Brian Patterson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 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,
1520 Fifth Av nu San Rafa 1 CA 4 01
DB/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
DB 31 2 0 18 Brian Patterson
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 Fif h v A
·contributor Codes
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
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
1K] IND
□COM
0 0TH
□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 Rafae l
O icer
City o f San Rafael
SUBTOTAL$
Statement covers period
from ___ D_7-'/_D_l-'/_2_D_l_B ___ _
through __ D_9_c/_2_2-'-/_2_D_l_B __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 2 of __ 8~6~_
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 • DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
16.30 277.10
16 .30 277.10
16 .30 277.10
16.30 277.10
Bl.SDI
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary C o ntributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
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 *
09/15/2018 Brian Patterson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Buffy Paxson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
07/31/2018 Buffy Paxson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Avenu n Rafa 1 CA 94901
08/15/2018 Buffy Paxson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
OB 31 2018 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,
l 2 F'f h v n Rf A 1
*Contributor Codes
IND -Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
www.netfile.com
IK]IND
□COM
00TH
OPTY
□sec
1K] IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O 1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 ___ _
through __ O_9_/_2_2_/_2_O_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 3 of _~8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
16.30 277. 10
16 .30 277.10
1 6 .30 2 77.10
16.30 277.10
Bl.SOI
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D.NUMBER) CODE*
09 /15 /2018 Buffy Paxson
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07 /15 /2018 Jessica Perry
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Unio n member's dues received through
interm~diary: S an Rafael Police Association,
0 7 /31 /20 18 Jessica Perry
C/o : San Rafa el Police Association 1520 Fifth
Avenue
S an Rafael, CA 94901
Uni o n member's dues received through
intermediary : San Rafael Police Association ,
152 0 Fifth Avenue San Raf el A 4 01
0 8 /1 5/2 0 18 Jessica Perry
C/o: San Rafae l Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Associa t ion,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Jessica Perry
C/o: San Rafae l Po lice Association 1520 F i fth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1 F" n Rf A 4
*Contributor Codes
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
IB]IND
□COM
DOTH
□PTY
□sec
IB]IND
□COM
DOTH
□PTY
□sec
1K] IND
□COM
00TH
□PTY
□sec
IB]IND
□COM
DOTH
□PTY
□sec
IB]IND
□COM
DOTH
□PTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City o f S an Rafael
Of icer
City of San Rafael
SUBTOTAL$
Statement covers period I
from ___ 0_7-'/_0_1-'/_2_0_1_8 ___ _
through __ 0_9-'/_2_2_/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 64 of __ 8_6 __
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
1 6.30 277.10
16 . 30 277 .10
16.30 277.10
16.30 277 .10
Bl.SOI
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER)
09/15/2018 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
07/15/2018 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,
07/31/2018 Aaron Piombo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Av nue an Rafael CA 94 01
08/15/2018 Aaron Piombo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Aaron Pio o
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
*Contributor Codes
IND-Individual
2 Fif Av n A 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
CODE*
[fillND
□COM
00TH
OPTY
□sec
[fillND
□COM
00TH
OPTY
□sec
IB]IND
□COM
00TH
OPTY
□sec
IR)IND
□COM
00TH
OPTY
□sec
[Kl IND
□COM
00TH
□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 Corporal
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ o_7~/_0_1_/_2_0_1_s ___ _
through __ 0_9-'/_2_2-'-/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 65 of _-'8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED}
16.30 277 . 10
16.30 277.10
16.30 277. 10
16 .30 277. 10
16.30 277 . 10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER I.D NUMBER)
09/15/2018 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
07/15/2018 Dennis Prince
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,
07/31/2018 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,
1 20 Fif h Aven San Rafael A 94 01
08/15/2018 Dennis Prince
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 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,
•contributor Codes
IND-Individual
2 . h Av 1 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
CODE*
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
[R]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
DOTH
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_7~/_0_1~/_2_0_1_0 ___ _
through __ o 9_,/c...2_2_,/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 6 of __ 8=-6=---
I.D NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16 . 30 277. 10
1 6.30 277 .10
16.30 277 . 10
16.30 277 .10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER) CODE *
09/15/2018 Dennis Prince
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Gino Rantissi
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 Gino Rantissi
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fif h Av nue San Rafael CA 4 01
08/15/2018 Gino Rantissi
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association ,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Gino Rant1ss1
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Police Association,
1 2 . Av 1 4 1
·contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IR]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IR]IND
□COM
DOTH
□PTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O 1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'/_0_1-'/_2_0_1_8 ___ _
through __ 0_9~/_2_2_/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 7 of _..c8cc6c.__
1.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 . 10
16.30 277. 10
16.30 277 .10
16 .30 277.10
16 . 30 277 .10
81. so 1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I D NUMBER) CODE *
09/15/2018 Gino Rantissi
c/o San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Ronda Reese
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
07/31/2018 Ronda Reese
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
l 20 Fif h Av n San Rf el CA 94901
08/15/2018 Ronda Reese
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 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,
*Contributor Codes
IND-Individual
2 ' h Av 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
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
lx]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
ix]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 ___ o_7~/_0_1~/_2_0_1_a ___ _
through __ 0_9_/_2_2_/_2_0_1_a __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 8 of _...c8::.;6=---
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16 .30 277 .10
16.30 277 .10
16.30 277. 10
16 .30 277 .10
16 .30 277 .10
01.sol
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER I D NUMBER)
09/15/2018 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
07/15/2018 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,
07/31/2018 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,
1520 Fifth Av nue n Raf 1 CA 4 01
OB/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
DB 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,
·contributor Codes
IND-Individual
F"f Av 1 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
CODE*
IR]IND
QCOM
DOTH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IRJIND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
Corporal
City of San Rafael
Lead Communications
Dispatcher
City of San Rafael
Lead Communications
Dispatcher
City of San Rafael
Lead Communications
Dispatcher
City of San Rafael
Lea Communications
Dispatcher
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ o_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 6 9 of _....cBc.:6:..__
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
12 .70 215.90
12 . 70 215.90
12 .70 215.90
12.70 215.90
67 .101
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE.ALSOENTERI D NUMBER) CODE *
09/15/2018 Peggy Ruge
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/15/2018 Travis Ruggles
C/o: San Rafael Police Association 152D Fifth
Avenue
San Rafael, CA 94974
Union member's dues received through
interm7diary: San Rafael Police Association,
07/31/2018 Travis Ruggles
C/o: San Rafael Police Association 152D Fifth
Avenue
San Rafael, CA 94974
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fifth Avenu an Raf 1 CA 4 01
08/15/2018 Travis Ruggles
C/o: San Rafael Po l ice Association 1520 Fifth
Avenue
San Rafael, CA 94974
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
OB 31 2018 Travis Rugg es
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94974
Union member's dues received through
intermediary: San Rafael Police Association,
1 2 . f h Av f 1
*Contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Conlributor Committee
www.netfile.com
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
Lead Communications
Dispatcher
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Rafael
Police Officer
City of San Ra f ae l
Police O icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'/_0_1-'/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 o of _-'8'-'6'---
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
16.30 277.10
16.30 277 .10
1 6. 30 277 .1 0
16. a 277.10
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE.ALSOENTERI O.NUMBER) CODE *
09/15/2018
07/15/2018
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
Thomas Sabido
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
V
07/31/2018 Thomas Sabido
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
l 20 Fi h Avenu San Rf el CA 4 01
08/15/2018 Thomas Sabido
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
08 31 2018 Thomas Sa ido
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
·contributor Codes
IND-Individual
2 Fi 1 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
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
Police Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9~/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
1
CALIFORNIA 460
FORM
Page 71 of __ 8~6~_
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 260.80
16 .30 260.80
16 .30 260.80
16 .30 260.80
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE*
07/15/2018 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
07/31/2018 Sebastian Sanchez
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,
08/15/2018 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,
1 20 Fifth Av n an Rafael A 94 01
08/31/2018 Sebastian Sanchez
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 Se astian 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,
l 2 . V A l
*Contributor Codes
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
1K] IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□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 ice Of icer
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 72 of __ 8~6~_
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 224.80
16.30 224.80
16.30 224.80
16.30 224 .80
16.30 224.80
81.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTER ID NUMBER) CODE *
07/15/2018 Anthony Scalercio
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 Anthony Scalercio
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm7diary: San Rafael Police Association,
08/15/2018 Anthony Scalercio
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fi h Avenu an Rf 1 CA 4901
08/31/2018 Anthony Scalercio
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
09 15 2018 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,
*Contributor Codes
IND-Individual
2 F. Av 1 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
00TH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□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
Officer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_1-'-/_0_1-'-/_2_0_1_8 ___ _
through __ 0_9--'/_2_2..c/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 3 of __ 8~6~_
1.0. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277. 10
16.30 277.10
16.30 277 . 10
16.30 277. 10
81.5 □!
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTERI D NUMBER) CODE *
07/15/2018 George Schikore
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
07/31/2018 George Schikore
c/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
V
08/15/2018 George Schikore
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Av nue an Rafa 1 CA 94 01
08/31/2018 George Schikore
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2018 Justin Sc raeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND-Individual
2 F ' h Av A 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
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
O 1cer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ o_7~/_0_1~/_2_0_1_a ___ _
through __ o_9~/_2_2_/_2_0_1_a __ _
SCHEDULE A (CONT.)
1
CALIFORNIA 460
FORM
Page 7 4 of _...c8::.;6=---
I.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 260 .80
16.30 260.80
16.30 260.80
16.30 260.80
16.30 277.10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,ALSOENTER IO NUMBER) CODE*
07/31/2018 Justin Schraeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
08/15 /2018 Justin Schraeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
interm~diary: San Rafael Police Association,
V
08/31 /2018 Justin Schraeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Aven San R fael CA 4901
09/15/2018 Justin Schraeder
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2018 Wan a Spa etta
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
*Contributor Codes
IND-Individual
2 F. Av 1 4 l
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e .g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IKJIND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
OPTY
□sec
lx]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
ix]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_1~/_0_1~/_2_0_1_0 ___ _
through __ 0_9_:/_2_2....c/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 5 of __ 8~6~_
1.D. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
16.30 277.10
16.30 277.10
16.30 277 .10
16.30 277 .10
01.501
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE. ALSO ENTER I D NUMBER!
07/31/2018 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,
1520 Fifth Avenue San Rafael CA 94901
08/15/2018 Wanda Spaletta
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,
08/31/2018 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,
1520 Fi h Aven Raf 1 CA 4 01
09/15/2018 Wanda Spaletta
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
07 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,
·contributor Codes
IND-Individual
2 F " h Av n 1 4 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
CODE*
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IR]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
IK]IND
□COM
00TH
□PTY
□sec
Sergeant
City of San Rafael
Sergeant
City of San Rafael
Sergeant
City o f San Rafael
Sergeant
City of San Rafael
Community Service O icer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'-/_0_1-'-/_2_0_1_0 ___ _
through __ 0_9....c/_2_2-'-/_2_0_1_8 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 76 of _~8~6~_
I.D.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277 .10
16.30 277.10
16. 0 277 . 10
12 .70 215.90
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE ALSO ENTER I D NUMBER)
07/31/2018 Lynette Starnes
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues received throu gh
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 9 4 901
08/15/2018 Lynette Starnes
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues receiv ed through
i nterm~diary : San Rafael Police As s ociation,
08/31/2018 Lynette Starnes
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues receiv ed through
intermedi ary : San Rafael Police Association,
1520 Fif h Avenue San Rafael CA 949 1
09/15 /2 018 Lynette Starnes
C/o: San Rafael Po l ice Associat i on 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues r eceived through
intermediary: San Rafael Police Associa t ion,
1520 Fifth Avenue, San Ra f ael, CA 94901
07 15 2018 Remington Stobo
C/o: San Rafae l Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: S an Rafael Police Association,
·contributor Codes
IND -Individual
2 Fi n Rf 4
COM -Rec ipient 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
QPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
IK]IND
QCOM
DOTH
OPTY
□sec
IK]IND
QCOM
00TH
OPTY
□sec
IK]IND
□COM
00TH
QPTY
□sec
Community Service Officer
City of San Rafael
Community Service Officer
City of San Rafae l
Commun i ty Service Officer
City of San Rafael
Commun i ty Service Officer
Ci t y of San Rafael
Po i ce O icer
City Of San Ra f ae l
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_s ___ _
through __ 0_9~/_2 _2 ~/_2_0_l _B __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 7 of __ 8"-'6'---
I.D . NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 215.90
12.70 215 .90
12.70 215.90
1 2 .70 215 .90
16 .30 277.10
67.101
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE *
07/31/2018
08/15/2018
Remington Stobo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
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,
08/31/2018 Remington Stobo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fif h Avenue n Rf 1 A 4 1
09/15/2018 Remington Stobo
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2018 C arly 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,
1 2 F"f h Av n Rf A 1
*Contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
IR]IND
□COM
DOTH
OPTY
□sec
IR]IND
□COM
00TH
OPTY
□sec
IK]IND
□COM
DOTH
□PTY
□sec
IR]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
Civi ian Supervisor
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ o_7~/_0_1~/_2_0_1_s ___ _
through __ 0_9_/_2_2_/_2_0_l_B ___ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 B of __ 8_6 __
LO .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277 .10
16.30 277 .10
16 .30 277 .10
16 .30 277.10
12.70 215 .90
77 .901
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association 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 NUMBER)
07/31/2018 Charly Taylor
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue San Rafael CA 94901
0B/15/2018 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,
0B/31/2018 Charly Taylor
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Rafael Police Association,
1 20 Fi h Avenue San Raf 1 A 4 01
09/15/2018 Charly Taylor
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary : San Rafael Police Association,
1520 Fifth Avenue, San Rafael, CA 94901
07 15 2018 Sas 1a 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 Associa ion,
1 2 · Av n f 1
•contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
CODE*
IK]IND
□COM
DOTH
QPTY
□sec
[KJIND
□COM
00TH
QPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
IK]IND
□COM
DOTH
OPTY
□sec
[KJIND
□COM
DOTH
OPTY
□sec
Civilian Supervisor
City of San Rafael
Civilian Supervisor
City of San Rafael
Civilian Supervisor
City of San Rafael
Civilian Supervi sor
City of San Rafael
Communications Dispatc er
City Of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7-'-/_0_1-'-/_2_0_1_0 ___ _
through __ 0_9-'-/_2_2_,_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 7 9 of _~8~6~_
LO .NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
12.70 2 1 5.9 0
12.70 215.90
12.70 215.90
12 .70 2 1 5 .90
12.70 21 5 .90
63.5o J
FPPC Form 460 (Jan/2016)
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 Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINES S)
(IF COMMITTEE, ALSO ENTER I 0 . NUMBER)
07 /31 /2018 Saskia Van Buuren
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Union member's dues receiv ed through
i ntermediary: San Rafael Police Association,
1520 Fifth Avenue San Ra fael CA 9 4 901
0 8 /15 /2018 Saskia Van Buuren
C/o: San Rafael Police Association 1520 Fifth
Avenue
San Rafael , CA 94901
Unio n member's dues received through
interm7d i ary : San Rafael Police As s ociation,
0 8 /31 /20 18 Saskia Van Buuren
C/o : San Rafael Police As s ociation 1520 Fifth
Av e nue
S an Rafael, CA 94901
Un ion member's dues rece ive d through
intermediary : San Rafael Police Association,
1 5 2 0 Fifth Av nue San Raf 1 CA 4 1
09 /1 5/2 018 Saskia Van Buuren
C/o: San Rafael Pol ice Associat i on 1520 Fi f t h
Avenue
San Rafael, CA 94901
Union member's dues r e c e ived through
intermediary: San Rafa el Po l ice As s oci a tion,
1520 Fifth Avenue, San Rafael , CA 94 901
07 15 2018 Mar Wilkinson
C/o: San Rafael Po l ice Association 1520 Fifth
Avenue
San Rafael, CA 94901
Union member's dues received through
intermediary: San Ra f ae l Police Association,
*Contributor Codes
IND-Individual
2 Fi 1
COM -Rec ipient 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
QPTY
□sec
IR]IND
□COM
DOTH
OPTY
□sec
lx]IND
□COM
DOTH
OPTY
□sec
IKl IND
□COM
D OTH
Q PTY
□sec
IK]IND
□COM
0 0TH
O PTY
□sec
Communica t ions Dispatcher
City Of San Rafael
Communications Dispatcher
City Of San Rafael
Communications Dispatcher
City Of San Rafael
Commun ications Dispatch er
City Of San Rafael
Office r
City o f San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_1~/_2_0_1_0 ___ _
through __ 0_9~/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 8 0 of ----'8"-'6"--
ID. NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1 2.70 215.90
12.70 215.90
12.70 215.90
12 .70 215.90
16.30 2 77 .10
67.101
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE.ALSO ENTER ID NUMBER)
07/31/2018 Mark Wilkinson
C/o: San Rafael Police Association 152 0 Fifth
Avenue
San Rafael, CA 94901
Union member 's dues received thro ugh
intermediary: San Rafael Police Association,
1 520 Fifth Avenue San Rafael CA 94901
0B/15/2018 Mark Wilkinson
C/o : San Rafael Police Associa tion 1520 Fifth
Avenue
San Rafael, CA 94901
Un ion member's d ues received through
inte rm~diary: San Rafael Police Association,
0B/31/2018 Mark Wilkinso n
C/o : San Rafael Police As sociation 1 520 Fifth
Avenue
San Rafael, CA 9 4 901
Union member's dues received through
intermediary: San Rafael Police As socia tio n,
1520 Fift Av nue San R fael CA 94 1
09/15/2018 Mark Wilkinso n
C/o : San Rafael Police Association 1520 Fifth
Avenue
San Rafael, CA 9 49 0 1
Union member's dues received thro ugh
intermediary: San Rafael Police As sociation,
1520 Fifth Avenue, San Rafael, CA 9 49 0 1
*Contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
www.netfile.com
CODE*
IRJ IND
□C OM
00TH
O PTY
□sec
[K]I ND
□CO M
00TH
O PTY
□sec
[RJ IND
□CO M
00TH
OPTY
□sec
[K]I ND
□CO M
D OTH
OPTY
□sec
OIND
□COM
0 0TH
OPTY
□sec
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
Officer
City of San Rafael
SUBTOTAL$
Statement covers period
from ___ 0_7~/_0_l~/_2_01_8 ___ _
through __ 0_9_/_2_2_/_2_0_1_0 __ _
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page 81 of B6
LO.NUMBER
831553
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
16.30 277.10
16.30 277 .10
16.3 0 277.10
16.30 277 .10
65 .201
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
08/28/2018 Lori Frugoli
District Attorney
Marin County, CA
IB] Support
D Support
D Support
Schedule D Summary
D Oppose
D Oppose
D Oppose
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
~ Monetary
Contribution
□ Nonmonetary
Contribution
□ Independent
Expenditure
□ Monetary
Contribution
□ Nonmonetary
Contribution
□ Independent
Expenditure
□ Monetary
Contribution
□ Nonmonetary
Contribution
□ Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SUBTOTAL$
SCHEDULED
Statement covers period
from ___ o 7~/_0_1~/_2_01_0 __ _
through 09/22/2010 Page __ 02_ of_8_6 _
AMOUNT THIS
PERIOD
500.00
500. oo l
LO.NUMBER
831553
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 -DEC 31)
500.00
PER ELECTION
TO DATE
(IF REQUIRED)
1. Contributions and independent expenditures made this period of $100 or more . (Include all Schedule D subtotals .) ........................................... $ -----=-5-=-oo::...:·c..::o=o
2 . Unitemized contributions and independent expenditures made this period of under $100 ................................................................................. $ ______ o_._o_o
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ _____ 5_00_._o_o
www.netfi/e.com FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Payments Made Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 0_1_/_0_1_/_2_0_1_0 __
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through __ 0_9_/_2_2 _/ 2_0_1_0 __ _ Page _8_3_ of _8_6_
NAME OF FILER 1.0 . 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.
Oll1P 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 F£T petition circulating Ta t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks lRC candidate travel. lodging, and meals
FND fundraising events POL polling and survey research lRS staff/spouse travel, lodging, and meals
lr-D 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/\,£8 information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Donor Stack, LLC WEB 146.35
5940 College Avenue, Suite F
Oakland, CA 94618
Donor Stack, LLC WEB 117. 60
5940 College Avenue, Suite F
Oakland , CA 94 618
Donor Stack, LLC WEB 88.11
5940 College Avenue, Suite F
Oakland, CA 94618
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 352.06
Schedule E Summary
1. Itemized payments made this period . (Include all Schedule E subtotals .) .............................................................................................................. $ ____ 1 _, 5_9_5_._8_6
2 . Unitemized payments made this period of under $100 .......................................................................................................................................... $ -------'o'-'.-"o-'-o
3. Total interest pa id 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 ~· 5_9_5_._8_6
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
SCHEDULE E (CONT.)
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 0_1~/~0_1~/_2_0_1_0 __ _
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through 09/22 /2018 Page __ 8_4_ of __ 8_6_
NAME OF FILER
San Rafael Police Association Political Action Committee
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
I 0 . NUMBER
8 3 1 55 3
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations F£T petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging. and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging. and meals
IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal. accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads \t\£8 information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
Donor Stack, LLC WEB
5940 College Avenue, Suite F
Oakland, CA 94618
Lori Frugoli for Marin County District Attorney 2018 (ID# 1393994 ) CTB
34 Taft Court
Novato, CA 94947
S.E. Owens & Company PRO
5940 College Avenue Suite F
Oakland, CA 94618
S.E. Owens & Company PR O
5940 College Avenue Suite F
Oakland, CA 94618
* Payments that are contributions or independent expenditures must also be summarized on Schedule 0.
www.netfile.com
OR DESCRIPTION OF PAYMENT AMOUNT PAID
8 6 .30
500 .00
216.50
441.00
SUBTOTAL$ 1,243.80
FPPC Form 460 (Jan/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 0 _1 ~/ 0_1~/_2_0_1_0 __ _
through 09/22/2010
SCHEDULEF
CALIFORNIA 460
FORM
Page _8_5_ of _8_6_
1.0 . NUMBER
83 1 553
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
eve civic donations F£r petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees A-iO phone banks 1RC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research 1RS staff/spouse travel, lodging. and meals
lf\lJ 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/\,£8 information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I D NUMBER)
Donor Stack, LLC
5940 College Avenue, Suite F
Oakland, CA 94618
• Payments that are contributions or independent expenditures must also be
summarized on Schedule D.
Schedule F Summary
(a)
CODE OR OUTSTANDING
DESCRIPTION OF PAYMENT BALANCE BEGINNING
OF THIS PERIOD
WEB 146 .35
SUBTOTALS$ 146.35$
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
(b) (c) (d)
AMOUNT INCURRED AMOUNT PAID OUTSTANDING
THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ON E) OF THIS PERIOD
0.00 146 .3 5 0 .00
0. 00 $ 146 . 35 $ 0.00
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100 .) ............................................ INCURRED TOTALS $ ______ o_._o_o
2 . Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100 .) ................................. PAID TOTALS $ _____ 1_4__c6_.-'-3-'-5
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ -=c-=-=--=-=c-::-1,...,4=6=·=3c-5
May be a negative number
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FPPC Form 460 (Jan/2016)
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Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
San Rafael Police Association Political Action Committee
DATE
RECEIVED
FU LL NAME A ND A DD RE SS OF SOURCE
(IF COMMITTEE, ALSO ENTER I D. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Amounts may be rounded
to whole dollars.
Statement covers period
from ---=-0-'---7 '--'I 0'""1'-'-/-=-2.:;...o l::.;8=----
through 09/22/2010
DESC RIPTIO N OF RE CE IPT
SUBTOTAL$
1. Itemized increases to cash this period ........................................................................................................................ $ ______ o_._o_o
2. Unitem ized increases to cash of under $100 this period ............................................................................................. $ ______ 1_._6_3
3. Total of all interest received this period on loans made to others . (Schedule H, Column (e).) ................................. $ ______ o_._o_o
4. Total miscellaneous increases to cash this period . (Add Lines 1, 2 , and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ ______ 1_·_6_3
SCHEDULE I
CALIFORNIA 460
FORM
Page __ 86_ of __ 86_
1.0 . NUMBER
8 3 1 553
AMOU NT OF
INCREASE TO CASH
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FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc .ca .gov