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Home My WebLink AboutForm 460 - Police Association PAC (2019-12-31) Semi-AnnualRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2019 through 12/31/2019 1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑x General Purpose Committee tD Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee InformationI I.D. NUMBER 831553 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) San Rafael Police Association Political Action Committee STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94901 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94915-1557 OPTIONAL: FAX / E-MAIL ADDRESS Date of election if appy (Month, Day, Year) [E0�d�� JAN 3 c,2t COVER PAGE 1 of 184 Official Use Only �Mf CLERK'S OFFI E 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑x Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 01/28/2020 By Date Executed on 01/28/2020 By ined herein and in the attached schedules is true and complete. I certify Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Treasurer(s) NAME OF TREASURER Beth Minka MAILING ADDRESS CITY San Rafael STATE CA ZIP CODE 94901 AREA CODE/PHONE ( NAME OF ASSISTANT TREASURER, IF ANY Stacy E. Owens MAILING ADDRESS CITY Oakland STATE CA ZIP CODE 94607 AREA CODE/PHONE ( OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 01/28/2020 By Date Executed on 01/28/2020 By ined herein and in the attached schedules is true and complete. I certify Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS 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 fonned to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1. D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 184 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTERI JURISDICTION I F-1SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE %,i i i airiirz cir �Ivvr- rvccm L,Uvcirnvrvr- Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/2019 SUMMARYPAGE through 12/31/2019 Page 3 of 184 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 Contributions Received Column TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line $ 14,386.90 Schedule E, Line 4 $ 2. Loans Received...................................................... Schedule e, Line 3 Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 14,386.90 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 4. Nonmonetary Contributions .................................... Schedule C, Line 3 Add Lines 8 + 9 + 10 $ 50.00 figures that should be 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 14,436.90 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 2,964.97 7. Loans Made............................................................. Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 2,964.97 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F,, Linea 0.00 10. Nonmonetary Adjustment .......................................... Schedule C, Linea 50.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 3,014.97 Column B Calendar Year Summary for Candidates CTOTALTO TE Running in Both the State Primary and General Elections 29,377.30 0.00 1/1 through 6/30 7/1 to Date $ 29,377.30 50.00 $ 29,427.30 $ 7,274.16 0.00 $ 7,274.16 0.00 50.00 $ 7,324.16 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 117, 814.75 To calculate Column B, add 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /, line 4 14, 386.90 6.16 amounts in Column A to the corresponding amounts from Column B of your last 15. Cash Payments .................................................. Column A, Line 8 above 2,964.97 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 129,242.84 figures that should be subtracted from previous if this is a termination statement Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule A Part 2 $ 0.00 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Cash E uivalents and Outstandin Debts q 9 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line s in Column a above $ 0.0 0 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 Total to Date (mm/dd/yy) "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 SCHEDULE A Moneta Contributions Received Amounts may be rounaea Monetary to dollars. Statement covers period • 'I whole a ' from 07/01/2019 • Page 4 of 184 through 12/31/2019 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EETAIF COMMITTEE, ALSANNTERI.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Elisha AdamsX❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ir9n Fifth Avenue. Ran Rafapl_ CA 94901 ❑ SCC 07/31/2019 Elisha Adams MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 08/15/2019 Elisha Adams MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/30/2019 Elisha Adams ❑%IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Elisha Adams MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue, San Rafael. CA 94901 ❑ SCC SUBTOTAL$ as.so Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 14,152.60 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 234.30 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A Line 1.) TOTAL $ 14, 386.90 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from o7/o1/zo19 ' through 12/31/2019 page 5 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EET IT ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Elisha Adams ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Elisha Adams x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael, CA 94901 [:]SCC 10/31/2019 Elisha Adams RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Av n an Rafael CA 94901 11/15/2019 Elisha Adams RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P'T'Y intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 E is a Adams RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 85.so *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 07/01/2019 • " through 12/31/2019 Page 6 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EET IT ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Elisha Adams x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Elisha Adams 91 IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ir9n Fifth Avenue, San Rafael. CA 94901 ❑ SCC Oa/30/2019 Alison Ager x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, n Rafael, CA 94901 09/13/2019 Alison Ager x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Alison Ager X❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__9_�. ❑ SCC SUBTOTAL$ 74.40 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 7 of leo NAME OF FILER I. D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (EET IT ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Alison Ager RIND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Alison Ager BIND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2019 Alison Ager RIND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC I20IS20 Fifth Avenue, an Rafael. CA 94901 11/27/2019 Alison Ager x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Alison Ager x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1-;qn intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period •. to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 8 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Alison Ager X❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Raul Aguilar X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/31/2019 Raul Aguilar RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. A 94901 08/15/2019 Raul Aguilar RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Raul Aguilar x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC .1520 Fifth Avenue. SUBTOTAL$ 81.80 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. 'from 07/01/2019through FPage 12/31/2019 9 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPCODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER I * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Raul Aguilar RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Raul Aguilar x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2019 Raul Aguilar x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 10/31/2019 Raul Aguilar RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Raul Aguilar x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA__9_�. ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA 460' from 07/01/2019 FORM through 12/31/2019 page 10 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IFCOMMITTEE, ALSO ENTER I. D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Raul Aguilar RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Raul Aguilar x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/31/2019 Raul Aguilar RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 07/15/2019 Anthony Augustyn X❑IND Officer 17.10 239.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Anthony Augustyn x❑IND Officer 17.10 239.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__3_43_Qj_ ❑ SCC SUBTOTAL $ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I , � 11MG from 07/01/2019 through 12/31/2019 Page 11 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 James Bellamy x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 James Bellamyx❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2019 James Bellamy x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 08/30/2019 James Bellamy x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 James Bellamy X❑IND Corpora 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 12 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSENTERI D NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 James Bellamy x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 James Bellamy RIND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q9n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/31/2019 James Bellamy RIIND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael CA 94901 11/15/2019 James Bellamy X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 James Bellamy X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC ,1520 Fifth Avenue. SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF1 to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 13 of 164 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 James Bellamy x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 James Bellamy x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152 0 Fifth A -venue, San Rafael. CA 94901 ❑ SCC 07/15/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue, San Rafael CA 94901 07/31/2019 Todd Berringer NI IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL $ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod to whole dollars. 'from 07/01/2019through FPage 12/31/2019 14 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, is2o Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue. an Rafael. CA 94901 10/15/2019 Todd Berringer KIIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CL__2A3L_1_ ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers period , to whole dollars. IM from 07/01/2019 0 through 12/31/2019 page 15 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EET ITfEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Todd Berringer RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth A San Rafael. CA 94901 ❑ SCC 12/13/2019 -venue, Todd Berringer x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Todd Berringer X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Lynne Bracken x❑IND Ca Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, I'S20 Fifth Avenue. San Rafael, CA__3_43Qj__ ❑ SCC SUBTOTAL$ 81.80 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period , to whole dollars. I ' from 07/01/2019 through 12/31/2019 Page 16 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE ALSO ENTER 1.0. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 07/31/2019 Lynne Bracken x❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Lynne Brackenx❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/30/2019 Lynne Bracken x❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC I 20 Fifth Avenue.an Rafael CA 94901 09/13/2019 Lynne Bracken FK] IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Lynne Brac en X❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM Specialist Avenue ❑ City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA__143_Ql_ . ❑ SCC SUBTOTAL$ 67.00 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF' to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 17 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Lynne Bracken x❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Lynne Bracken x❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152 0 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 11/15/2019 Lynne Bracken x❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue,an Rafael.A 94901 11/27/2019 Lynne Bracken ]IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTr intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Lynne Bracken x❑IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 FifthSpecialist [-]COM Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 ❑SCC SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � 1 from 07/01/2019 • ' through 12/31/2019 page 18 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 S FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (ET COMMITTEE, ENTERI.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Lynne Bracken ]IND Call Taker & Records 13.40 321.60 C/o: San Rafael Police Association 1520 FifthSpecialist ❑COM Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Zachary Brickell X❑IND Officer 17.10 410-40 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 07/31/2019 Zachary Brickell RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 152 0Fifth Avenue. San Rafael, CA 94901 08/15/2019 Zachary Brickell X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Zachary Brickell x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL $ 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. I i from 07/01/2019 • ' through 12/31/2019 Page 19 of 184 NAME OF FILER I. D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ET ITiEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC- 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Zachary Brickell KIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth[:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Zachary Brickell X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2019 Zachary Brickell X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Zachary Brickell ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Zachary Brickell X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael, CA--24311- ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . CALIF/ NIA to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 Page 20 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Ii CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Zachary Brickell FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Zachary Brickell X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, i,;qn Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2019 Zachary Brickell x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael,A 94901 07/15/2019 Scott Brooks BIND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Scott Brooks x❑IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY 11520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA__aA3Qj_ ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period A • A to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 21 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE IT I.D. NUMBER) (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Scott Brooksx❑IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Scott Brooks 91IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/13/2019 Scott Brooks RIND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael CA 94901 09/30/2019 Scott Brooks QIND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Scott Brooks x❑IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael, CA__9_�._ [-]SCC SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 Page 22 of 164 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOMMITfEE ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Scott Brooks RIND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Scott Brooks 91 IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iq?n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/27/2019 Scott Brooks x❑IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Scott Brooks ]IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Scott Brooks x❑IND Police Officer 17.10 222.30 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Fifth Avenue. San Rafael, CA__9_43_Qj_ ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. A ' IMP.,;; from 07/01/2019 . through 12/31/2019 Page 23 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Rudolf Buhlman x❑IND Police Officer 17.10 256.50 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Rudolf Buhlman RIND Police Officer 17.10 256.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/15/2019 Rudolf Buhlman x❑IND Police Officer 17.10 256.50 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 152 0 20 Fif h Avenue, an Rafael.A 94901 07/15/2019 Antonette Bullock X❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Antonette Bullock x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 78.10 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • _ to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 24 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ET IT ALSO ENTER 1. D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Antonette Bullock x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Antonette Bullock BIND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1r90 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/13/2019 Antonette Bullock x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through FIFTY intermediary: San Rafael Police Association, ❑ SCC 152 0Fifth Avenue, an Rafael CA 94901 09/30/2019 Antonette Bullock x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Antonette Bullock x❑IND Community Service Of icer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. CA__543Q.I_ ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period �. to whole dollars. I t from 07/01/2019 • ' through 12/31/2019 page 25 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION pFCOMMITTEE,ALSENTERI.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Antonette Bullock x01ND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY' intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Antonette Bullock X❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1qqn Fifth Avenue. San Rafael, CA 94901 SCC 11/27/2019 Antonette Bullock QIND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, M SCC 20 Fifth Avenue. n Rafael. CA 94901 12/13/2019 Antonette Bullock x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through F]PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Antonette Bullock X❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC .1520 Fifth Avenue, SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. 1 from 07/01/2019 • ' through 12/31/2019 page 26 of_ 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ALSAND (IF COMMITTEE, .D- NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Joseph Camins ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Joseph Camins %❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 08/15/2019 Joseph Camins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael CA 94901 08/30/2019 Joseph Camins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Joseph Camins X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 65.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. t from 07/01/2019 • ' through 12/31/2019 Page 27 of 164 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE S AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION IT .D. NUMBER) (IF COMMITTEE. * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Joseph Camins ®IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Joseph Camins MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1,;7n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2019 Joseph Camins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1 20Fifth Avenue. San Rafael. CA 94901 11/15/2019 Joseph Camins MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTI' intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11 27 2019 Josep h Camins MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA 94901 [-]SCC SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod CALIF• . NIA to whole dollars. / t from o7/ol/zol9 • ' through 12/31/2019 Page 28 of leo NAME OF FILER I. D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ETITE ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Joseph Camins X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Joseph Camins RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1qqn rifth Avenue, San Rafael. CA 949ol ❑ SCC 07/15/2019 Trevor Carney KIIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1S20 Fifth Avenue. San Rafael. A 94901 07/31/2019 Trevor Carney [IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Trevor Carney x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. , from 07/01/2019 through 12/31/2019 page 29 of 194 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITfEE.ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Trevor Carney x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [j COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Trevor Carney RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1 520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/30/2019 Trevor Carney FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue. an Rafael, A 94901 10/15/2019 Trevor Carney x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Trevor Carney KIIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, .1-;q() Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. / ' from 07/01/2019 • ' through 12/31/2019 page 30 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I,D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Trevor Carney X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Trevor Carney RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS2n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/13/2019 Trevor Carney FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [—]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, A 94901 12/31/2019 Trevor Carney x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Jack Carpenter x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__942Dj_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • . to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 page 31 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOVED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Jack Carpenter X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Jack Carpenter X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, i,qn Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/30/2019 Jack Carpenter x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael, CA 94901 09/13/2019 Jack Carpenter X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Jack Carpenter X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF/ to whole dollars. ' from 07/01/2019 • " through 12/31/2019 Page 32 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, I.D. NUMBER) IT * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Jack Carpenter X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Jack Carpenter x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 11/15/2019 Jack Carpenter x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 [IOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael CA 94901 11/27/2019 Jack Carpenter ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Jack Carpenter x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. CA__2A3_Q_I_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod •. , to whole dollars. I ' from 07/01/2019 FPage through 12/31/2019 33 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC- 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Jack Carpenter X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Edward Chiu 91IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/31/2019 Edward Chiu x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, Rafael. CA 94901 08/15/2019 Edward Chiu X❑IND Officer 17-10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Edward Chiu X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA__3A3_Ql_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. from 07/01/2019 ' through 12/31/2019 page 34 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, I.D. NUMBER) IT * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Edward Chiu X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Edward Chiu RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1120 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2019 Edward Chiu x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 10/31/2019 Edward Chiu FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Edward C iu X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__243_QL_— ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—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) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIF• . NIA to whole dollars. I ' from o7/o1/z019 • ' through 12/31/2019 Page 35 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Edward Chiu x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Edward Chiu x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iqqn Rifth Avenue, San Rafael, CA 94901 ❑ SCC 12/31/2019 Edward Chiu x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. A 94901 07/15/2019 Robert Cleland ]IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Robert Cleland X❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. C&__2A3Q2__— ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC –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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. I , from 07/01/2019 • ' � through 12/31/2019 page 36 of_ 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Robert Cleland ]IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Robert Cleland x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, i,qn Fifth Avenue. San Rafael, CA 94901 ❑ SCC 09/13/2019 Robert Cleland x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, CA 94901 09/30/2019 Robert Cleland FK] IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Robert Cleland RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__qA3_Q)- ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod I CALIF• . NIA to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 Page 37 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 10/31/2019 Robert Cleland FK] IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Robert Cleland 91IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/27/2019 Robert Cleland FK] IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue. an Rafael, CA 94901 12/13/2019 Robert Cleland RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Robert C e an RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P-ry intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period •. to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 38 of_ 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION I.DNUMBER) (E COMMITTEE ALSO ENTER D. CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 07/15/2019 Christopher Coale X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Christopher Coale X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/15/2019 Christopher Coale RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 08/30/2019 Christopher Coale X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Christopher Coa a X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , to whole dollars. •. 1401 ' from 07/01/2019 • -Tj of through 12/31/2019 page 39 of 184 NAME OF FILER I.D_ NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (EET IT ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Christopher Coale x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Christopher Coale X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1qqn Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/31/2019 Christopher Coale BIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. A 94901 11/15/2019 Christopher Coale X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Christopher Coa a X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. ❑ SCC SUBTOTAL$ B5.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. •ji I ' from 07/01/2019 • 'IT through 12/31/2019 page 40 of 164 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Christopher Coale X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Christopher Coale RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q9n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/15/2019 Thomas Collins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Av nu San Rafael, CA 94901 07/31/2019 Thomas Collins ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Thomas Co ins X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period . to whole dollars. ' from 07/01/2019 �through FPge 12/31/2019 41 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC- 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Thomas Collins FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Thomas Collins X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/30/2019 Thomas Collins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue, an Rafael CA 94901 10/15/2019 Thomas Collins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Thomas Co ins x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, th Avenue. ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded statement covers period IA to whole dollars. from 07/01/2019 • through 12/31/2019 Page 42 of 184 NAME OF FILER I. D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Thomas Collins FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Thomas Collins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iqqn Fifth Avenue, San Rafael, CA 94901 ❑ SCC 12/13/2019 Thomas Collins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 12/31/2019 Thomas Collins x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Ronda Cor ero X❑IND Corpora 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 [_10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 9A3-Q.1— ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • I ' from 07/01/2019 • ' through 12/31/2019 page 43 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Ronda Cordero RIND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/30/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael, CA 94901 09/13/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA I ' from 07/01/2019 • ' through 12/31/2019 page 44 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF•EMFIAYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iq2n Fifth Avenue, San Rafael, CA 94901 ❑SCC 11/15/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 F f h Avenue. San Rafael. CA 94901 152 0 11/27/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Ronda Cordero x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. 1 from 07/01/2019 • ' through 12/31/2019 page 45 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Ronda Cordero X❑IND Corporal 17.10 410.40 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Heinrich Cuddy X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 [:]SCC 07/31/2019 Heinrich Cuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1S20 Fifth Avenue, San Rafael. CA 94901 08/15/2019 Heinrich Cuddy RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 HeinrichCu y RIND Police officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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. Statementcovers period from 07/01/2019 through 12/31/2019 SCHEDULEA (CONT.) Page 46 Of 184__ 831553 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EET IT D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Heinrich Cuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Heinrich Cuddy RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2019 Heinrich Cuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1S20 Fifth Avenue. an Rafael, A 94901 10/31/2019 Heinrich Cuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 HeinrichCuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. CA__912Q.L__ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period I CALIFORNIA to whole dollars. I , from 07/01/2019 • through 12/31/2019 Page 47 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER .D. NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 11/27/2019 Heinrich Cuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Heinrich Cuddy x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 12/31/2019 Heinrich Cuddy RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 FifthEl COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael CA 94901 07/15/2019 Elisa Delatorre x❑IND Call Taker And Records 13.40 187.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Elisa De atorre X❑IND Ca Taker An Records 13.40 187.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. C&__943Dj__ ❑ SCC SUBTOTAL$ 78.10 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 " through 12/31/2019 Page 48 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Rebecca DeLaTorre RIND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iqn Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2019 Rebecca DeLaTorre RIND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael. CA 94901 08/30/2019 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, San Rafael. CA__9_�._ ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 49 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER .D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Rebecca DeLaTorre ®IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Rebecca DeLaTorre RIND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/31/2019 Rebecca DeLaTorre RIND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Av n an Rafael. CA 94901 11/15/2019 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Rebecca DeLaTorre X❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth [:]COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, C&__�_� ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity`, PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. 460 ' from 07/01/2019 FORM through 12/31/2019 page 50 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE DATE RECEIVED IT ALSO ENTER I.D. NUMBER) (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth [:]COM Specialist Specialist Avenue of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Rebecca DeLaTorre x❑IND Call Taker & Records 13.40 321.60 c/o San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q20 Fifth A San Rafael. CA 94901 ❑ SCC 07/15/2019 -venue, Blake Delzell x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, A 94901 07/31/2019 Blake Delzell x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Blake De zell ®IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. ❑ SCC SUBTOTAL$ 78.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers periodCALIFORNIA whole dollars. 'to from 07/01/2019 FORM through 12/31/2019 Page 51 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITrEE,ALSO ENTER ID.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Blake DelzellX❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Blake Delzell 91IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael. CA 94901 [:]SCC 09/30/2019 Blake Delzell x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue, San Rafael. CA 94901 10/15/2019 Blake Delzell %❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Blake De ze KIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA 9_43Q.L_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 Page 52 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ( COMMITTEE ALSO ENTER .D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Blake Delzell RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Blake Delzell 911ND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/13/2019 Blake Delzell x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael. CA 94901 12/31/2019 Blake Delzell x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Danie a Dennis x❑IND Ca Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. C&__2A2jj__ ❑ SCC SUBTOTAL$ 81.80 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 53 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSOI.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Danielle Dennis %❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Danielle Dennis x❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/30/2019 Danielle Dennis x❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael A 94901 09/13/2019 Danielle Dennis FK] IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Danie a Dennis x❑IND Ca Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth Specialist Avenue ❑ COM City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 67.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA / ' from 07/01/2019 • ' through 12/31/2019 page 54 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (ETITE,ALSENTERI.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBLISINESS) 10/15/2019 Danielle Dennis x❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Danielle Dennis RIND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 [-]SCC 11/15/2019 Danielle Dennis x❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 [10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1S20 Fifth Avenue, an Rafael. CA 94901 11/27/2019 Danielle Dennis X❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Danielle Dennis 91 IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC IIS20 Fifth Avenue, SUBTOTAL$ 67.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity; PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 55 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT ALSO ENTER I.D. NUMBER) (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Danielle Dennis x❑IND Call Taker/Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Christian Diaz RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 07/31/2019 Christian Diaz RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, A 94901 08/15/2019 Christian Diaz 91 IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Christian Diaz KIIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, ❑ SCC SUBTOTAL$ 81.80 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. • I ' from 07/01/2019 • ' through 12/31/2019 page 56 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (EET IT ALSO ENTER D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Christian Diaz FK] IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Christian Diaz X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 []SCC 10/15/2019 Christian Diaz RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 10/31/2019 Christian Diaz FK] IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 C ristian Diaz x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, CA___9_43_QL__ ❑ SCC SUBTOTAL $ 85.50 `Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . CALIFI NIA to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 Page 57 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITfEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Christian Diaz RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Christian Diaz x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;7n Fifth Avenue, San Rafael, CA 94901 [:]SCC 12/31/2019 Christian Diaz RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 07/15/2019 Justin Dodson x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Justin Dodson x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__3_43_Q_L_— ❑ SCC SUBTOTAL $ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers periodFPage to whole dollars. 'from 07/01/2019through 12/31/2019 58 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * O(IFCSELFF-EMOPLLO ED ENTER NAME IODTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Justin Dodson X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Justin Dodson X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;9n Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/13/2019 Justin Dodson RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael. A 94901 09/30/2019 Justin Dodson X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Justin Dodson X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • . NIA CALIF, to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 59 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITfEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Justin Dodson X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Justin Dodson x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152 0 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/27/2019 Justin Dodson x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, CA 94901 12/13/2019 Justin Dodson x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Justin Dodson X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • . 14, to whole dollars. from 07/01/2019 • ' through 12/31/2019page 60 of leo NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ITTEE ALSO ENTER I.D. NUMBER) (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 James Dooley x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 James Dooley FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;7n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2019 James Dooley x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 20 Fifth Avenue.an Rafael. A 94901 08/30/2019 James Dooley X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 James Dooley [g] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, CA__2A3Q.L_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF' to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 61 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION . (E COMMITTEE ALSO ENTER I.DNUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 James Dooley ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 James Dooley x❑IND Police Officer 17-10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS2 0 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2019 James Dooley RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, A 94901 11/15/2019 James Dooley ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P'T'Y intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 James Dooley x❑IND Po ice Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. C&__2A2_Q.L_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period A • to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 Page 62 of leo NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 A S AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (EET ITfEE I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 James Dooley x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 James Dooley x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 07/15/2019 Christopher Duncan x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 [:I Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1S20 Fifth Avenue San Rafael, A 94901 07/31/2019 Christopher Duncan ]IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 C ristop er Duncan RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. C&__2A3_Q.L_ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.nov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period �. to whole dollars. I 1 from 07/01/2019 through 12/31/2019 page 63 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION IT ALSO ENTER I.D. NUMBER) (IF COMMITTEE, * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Christopher Duncan FK] IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Christopher Duncan RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iq2n Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/30/2019 Christopher Duncan x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 10/15/2019 Christopher Duncan x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Christopher Duncan FK] IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [j COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA__9A3_Qj_ ❑ SCC SUBTOTAL$ es.so 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. , from 07/01/2019 • ' through 12/31/2019 page 64 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 11/15/2019 Christopher Duncan ®IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Christopher Duncan EKIIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152 0 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 12/13/2019 Christopher Duncan x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. a Rafael, CA 94901 12/31/2019 Christopher Duncan X❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Kevin Finerty x❑IND Police Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 page 65 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ET COMMITTEE, ALSNTERI.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Kevin Finerty RIND Police Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Kevin Finerty 91 IND Police Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/30/2019 Kevin Finerty RIND Police Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 09/13/2019 Kevin Finerty 91 IND Police Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Kevin Finerty FK] IND Police officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue El COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, .1520 Fifth A -venue. San Rafael, C&__aA3QI_ [-]SCC SUBTOTAL$ 115.50 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA I � t from 07/01/2019 • ' through 12/31/2019 page 66 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITfEE,ALSO ENTER W.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Jenna Fisher Z]IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Jenna Fisher 91IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 [-]SCC 08/15/2019 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 08/30/2019 Jenna Fisher FK] IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 67.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod • � to whole dollars. I ' from 07/01/2019 • " through 12/31/2019 Page 67 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER LD, NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 94901 [-]SCC 10/31/2019 Jenna Fisher RIND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 11/15/2019 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/201.9 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__2A3Qj._ ❑ SCC SUBTOTAL$ 67.00 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. I 1 from 07/01/2019 • through 12/31/2019 Page 68 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IFCOMMITfEE,ALSOENTERI.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Jenna Fisher RIND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Jenna Fisher x❑IND Communications Dispatcher 13.40 321.60 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n Pifth Avenue, San Rafael. CA 94901 ❑ SCC 07/15/2019 Scott Fisher BIND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 07/31/2019 Scott Fisher x❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Scott Fisher X❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CL-143-03— ❑ SCC SUBTOTAL $ 78.10 *Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC –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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period . CALIF• to whole dollars. • ' from 07/01/2019 ' through 12/31/2019 Page 69 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I. D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Scott Fisher ]IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Scott Fisher x❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n9-Fth Avenue, San Rafael, CA 94901 ❑ SCC 09/30/2019 Scott Fisher X❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152 Fifth Avenue, an Rafael,A 94901 10/15/2019 Scott Fisher X❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Scott Fis er X❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY ,1590 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.nov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. �. ' from 07/01/2019 ' through 12/31/2019 page 70 of leo NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Scott Fisher FK] IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Scott Fisher x❑IND Police Officer 17.10 376.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/15/2019 Anna Fulgado BIND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael, CA 94901 07/31/2019 Anna Fulgado x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Anna Fu ga o x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. ❑ SCC SUBTOTAL$ 74.40 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers periodFPage— • . to whole dollars. ' from 07/01/2019 through 12/31/2019 71 of 164 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Anna Fulgado x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Anna Fulgado X❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1 520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/30/2019 Anna Fulgado %❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Av n a Rafael.A 94901 10/15/2019 Anna Fulgado x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Anna Fu ga o X❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC Avenue, SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / ' from 07/01/2019 • " through 12/31/2019 Page 72 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ETCOMMITTEE,ALSENTERI.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Anna Fulgado X❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Anna Fulgado x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iqqn Fifth Avenue. San Rafael, CA 94901 [-]SCC 12/13/2019 Anna Fulgado x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1S20 Fifth Avenue. San Rafael, A 94901 12/31/2019 Anna Fulgado %❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Christopher Fu er x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1r9n Fifth Avenue. San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 70.70 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF' to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 73 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE S CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (ET IT NTERI.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Christopher Fuller x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Christopher Fuller 91IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 DOTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, i,;2n Fifth Avenue. San Rafael. CA 94901 ❑SCC 08/30/2019 Christopher Fuller RIND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 09/13/2019 Christopher Fuller FK] IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Christopher Fu er X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [j Com San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. • . ' from 07/01/2019 • ' through 12/31/2019 page 74 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Christopher Fuller FK] IND Corporal 17.10 410.40 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Christopher Fuller x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;9n Fifth Avenue, San Rafael, CA 94901 [:]SCC 11/15/2019 Christopher Fuller x❑IND Corporal 17.10 410.40 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. San Rafael. CA 94901 11/27/2019 Christopher Fuller x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Christopher Fu er [K]IND Corporal 17.10 410.40 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1S20 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity; PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. R.. tfrom o7/0l/2019 through 12/31/2019 Page 75 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE. ALSENTERI.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Christopher Fuller X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Salvatore Garanzini x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 [:]SCC 07/31/2019 Salvatore Garanzini x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael A 94901 08/15/2019 Salvatore Garanzini KIIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/30/2019 Salvatore Garanzini x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .i-;�)n Fifth Avenue. San Rafael. CA 94901 ❑SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded - -- Statementcovers period to whole dollars.' CALIFORNIA from 07/01/2019 • ' through 12/31/2019 Page 76 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOMMrrTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 09/13/2019 Salvatore Garanzini ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Salvatore Garanzini X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iqqn Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2019 Salvatore Garanzini x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1 20 Fifth Avenue. an Rafael. CA 94901 10/31/2019 Salvatore Garanzini x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Salvatore Garanzini [g]IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy .1520 intermediary: San Rafael Police Association, Fifth Avenue, San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statementcoversperiod I CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 Page 77 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER .D. NUMBER) Ii * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Salvatore Garanzini X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Salvatore Garanzini X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1" 0 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/31/2019 Salvatore Garanzini x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael, A 94901 07/15/2019 Michael Garrison x❑IND Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Michael Garrison x❑IND officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA__2A211__ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period -ISM to whole dollars. from 07/01/2019 through 12/31/2019 page 78 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Michael Garrison X❑IND Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Michael Garrison x❑IND Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 119n Fifth Avenue, San Rafael. CA 94901 ❑SCC 09/13/2019 Michael Garrison RIND Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, n Rafael, CA 94901 09/30/2019 Michael Garrison X❑IND Officer 17.10 307.80 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue _]COM San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Justin Gra am x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .11;9n Fifth Avenue, SUBTOTAL$ 135.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period •. to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 79 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (E COMMITTEE ALSO ENTER I. D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Justin Graham ]IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through E]PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:] PTY intermediary: San Rafael Police Association, lq2n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/30/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-] PTY intermediary: San Rafael Police Association, F -I SCC 1520 Fifth Avenue, a Rafael. CA 94901 09/13/2019 Justin Graham x�IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through n PTY intermediary: San Rafael Police Association, SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Justin Graham 1IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through EIPTY intermediary: San Rafael Police Association, .i-;qn Fifth Avenue, SCC SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. OEM from 07/01/2019 through 12/31/2019 page 80 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;2n Pifth Avenue, San Rafael. CA 94901 ❑ SCC 11/15/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. San Rafael, CA 94901 11/27/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Justin Gra am X❑IND Sergeant 17.10 410.40 C/O: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA__3-43QI- ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period . to whole dollars. ' from 07/01/2019 through 12/31/2019 Page 81 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, RE AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EET IT ALSANNTERI.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Justin Graham x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Jaime Guzman x❑IND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q9n Fifth Avenue, San Rafael, CA 94901 ❑ SCC 07/31/2019 Jaime Guzman RIND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue. an Rafael. CA 94901 08/15/2019 Jaime Guzman x❑IND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Jaime Guzman X❑IND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . Kof-11 11 to whole dollars. I t from 07/01/2019 • " through 12/31/2019 Page 82 of 164 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (EET ITfEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Jaime Guzman X❑IND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Jaime Guzman X❑IND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q9n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2019 Jaime Guzman x❑IND Police Officer 17.10 270.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Teresa Hatcher X❑IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Teresa Hatcher X❑IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 78.10 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period 1 • _ to whole dollars. ' from 07/01/2019 • ' 0 through 12/31/2019 Page 83 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOMMITfEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Teresa Hatcher FK] IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Teresa Hatcher X❑IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1190 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 09/13/2019 Teresa Hatcher RIND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 20 Fifth Avenue. an Rafael. CA 94901 09/30/2019 Teresa Hatcher x❑IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Teresa Hatcher x❑IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period _ to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 7Pae 84 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Teresa Hatcher ]IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Teresa Hatcher X❑IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q2nFif th Avenue, San Rafael, CA 94901 [:]SCC 11/27/2019 Teresa Hatcher FK] IND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue an Rafael, CA 94901 12/13/2019 Teresa Hatcher RIND Dispatcher 13.40 160.80 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Lori Hen ric _sF x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from o7/01/2019 • ' through 12/31/2019 Page 85 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (E COMMITTEE ALSO ENTER .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Lori Hendricks x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Lori Hendricks X❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94935 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Pifth Avenue, San Rafael. CA 94901 ❑ SCC 08/30/2019 Lori Hendricks ]IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael,A 94901 09/13/2019 Lori Hendricks x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Lori Hen is s X❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael, CA__9A3_Q1_ ❑ SCC SUBTOTAL $ 67.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodFPage . to whole dollars. I ' from 07/01/2019 through 12/31/2019 86 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (EET ITTEE ALSO ENTER .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Lori Hendricks x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Lori Hendricks 91IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94935 [J Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1Rqn Fifth Avenue. San gafael. CA 94goi ❑SCC 11/15/2019 Lori Hendricks x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, an Rafael. CA 94901 11/27/2019 Lori Hendricks ]IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Lori Hen is s x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94935 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, [-]SCC .1520 Fifth Avenue. SUBTOTAL$ 67.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parry SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIF• . NIA to whole dollars. 1 from o7/ol/zo19 • " through 12/31/2019 Page 87 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Lori Hendricks x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94935 [:10TH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Robert Henklex❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1 S20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/31/2019 Robert Henkle x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue.San Rafael. CA 94901 08/15/2019 Robert Henkle x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Robert He a X❑IND O icer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael, CA__j43_Qj__ ❑SCC SUBTOTAL$ 81.80 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. ' ii from 07/01/2019 • ' through 12/31/2019 page 88 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Robert Henkle RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [3Com of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Robert Henkle RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 10/15/2019 Robert Henkle RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. n Rafael, A 94901 10/31/2019 Robert Henkle RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Robert Hen a RIND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 11520 Fifth Avenue. SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . NIA CALIF' to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 89 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I. D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Robert Henkle x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Robert Henkle x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Ir9n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2019 Robert Henkle x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, anRafael.A 94901 07/15/2019 Ryan Hirschnitz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Ryan Hirsc itz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1-9n intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 ❑ $CC SUBTOTAL$ 85.SOT *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers period �from07/01/2019 to whole dollars. ' F through 12/31/2019 90 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ITfEE ALSO ENTER I.D. NUMBER) (IF COMMITTEE. CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Ryan Hirschnitz FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Ryan Hirschnitz BIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 09/13/2019 Ryan Hirschnitz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, CA 94901 09/30/2019 Ryan Hirschnitz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through ❑ P7Y intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Ryan Hirsc itz X❑IND Police Officer 17-10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael, CA__aj3_Q.L_ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 91 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER LD, NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Ryan Hirschnitz X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Ryan Hirschnitz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 119n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/27/2019 Ryan Hirschnitz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, A 94901 12/13/2019 Ryan Hirschnitz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Ryan Hirsc itz x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 07/01/2019 � through 12/31/2019 page 92 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EETIF IT ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 J. Alexander Holm x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 J. Alexander Holm RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2019 J. Alexander Holm x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fif h Avenue an Rafael A 94901 08/30/2019 J. Alexander Holm x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue _San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 J. Alexander Ho m X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 ' through 12/31/2019 Page 93 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 J. Alexander Holm %❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 J. Alexander Holm RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2019 J. Alexander Holm x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1S20 Fifth Avenue. San Rafael, A 94901 11/15/2019 J. Alexander Holm x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/201.9 J. A exan er Holm X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • _ to whole dollars. ' from 07/01/2019 • ' through 12/31/2019 page 94 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 J. Alexander Holm x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 J. Alexander Holm RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 122 0 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 07/15/2019 Carl Huber RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue.n Rafael. C 94901 07/31/2019 Carl Huber ]IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Cari Huber x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. CA__943_Q),_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period I CALIFORNIA to whole dollars. I ' from 07/01/2019 O through 12/31/2019 Page 95 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Carl Huber ]IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Carl Huber x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/30/2019 Carl Huber x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 10/15/2019 Carl Huber FK] IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/201-9 Car H er X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, San Rafael, CA 2A2_Qj__ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodKof • . to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 96 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EET IT ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Carl Huber RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Carl Huber KIIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/13/2019 Carl Huber x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, CA 94901 12/31/2019 Carl Huber x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Scott Inge s X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 8s.so *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2019through FPage 12/31/2019 97 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (tF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/30/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue. an Rafael. CA 94901 09/13/2019 Scott Ingels X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Scott Ingels 91 IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA 241DJ__ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2019 FORM through 12/31/2019 Page 98 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Scott Ingelsx❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq7n Fifth Avenue. San Rafael, CA 94901 [:]SCC 11/15/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue. San Rafael. A 94901 11/27/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P'i'Y intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL $ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity`, PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA I , from 07/01/2019 • ' through 12/31/2019 Page 99 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Scott Ingels x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Cheryl Kondratieff X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/31/2019 Cheryl Kondratieff x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth h Av n n Rafael. CA 94901 08/15/2019 Cheryl Kondratieff RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Cheryl Konctratiett x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [—]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, ❑ SCC SUBTOTAL$ 85.50 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA I � ' from 07/01/2019 • through 12/31/2019 page 100 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EET IT ALSO ENTER .D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Cheryl Kondratieff ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Cheryl Kondratieff RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ir9n Fifth Avenue, San Rafael, CA 94901 [-]SCC 10/15/2019 Cheryl Kondratieff X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 10/31/2019 Cheryl Kondratieff X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Cneryl Kondratieff X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA__343Q2_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 101 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ITfEE ALSO ENTER I.D. NUMBER) (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Cheryl Kondratieff X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Cheryl Kondratieff 91IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS2 0 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2019 Cheryl Kondratieff x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 07/15/2019 Anndora Lee RIND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Ann ora Lee RIND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__2A311_ [-]SCC SUBTOTAL$ 78.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity; PTY - Political Party SCC - 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • � to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 102 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO NTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Anndora Lee FK] IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA ❑ SCC 09/13/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 09/30/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ 0TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ElSCC .11?n Fifth Avenue. SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 Page 103 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pFCOADDRE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/27/2019 Anndora Lee FK] IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth h Av n an Rafael. A 94901 12/13/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Anndora Lee x❑IND Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P'T'Y intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. ❑ SCC SUBTOTAL$ 67.00 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. I , from 07/01/2019 • ' through 12/31/2019 page 104 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (ET COMMITTEE, ALSNTERI.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Karl Luhmann FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Karl Luhmann X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth A San Rafael. CA 94901 ❑ SCC 08/15/2019 -venue, Karl Luhmann x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 20 Fifth Avenue, n Rafael, A 94901 08/30/2019 Karl Luhmann X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Karl Luhmann x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC IIS20 Fifth Avenue, SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. ' � from 07/01/2019 • ' through 12/31/2019 Page 105 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, -ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ETCOMMITTEE, ALSENTERI.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Karl Luhmann RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Karl Luhmann x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/31/2019 Karl Luhmann x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, A 94901 11/15/2019 Karl Luhmann ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Karl Luhmann x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. CA 243-Q.L— ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 106 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER 1. D, NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Karl Luhmann KIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Karl Luhmann KIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/15/2019 Kevin Macdougald RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael. CA 94901 07/31/2019 Kevin Macdougald x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Kevin Macdougaid x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__143Q_L_ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period � to whole dollars. • from 07/01/2019 • ' through 12/31/2019 71a.e__='01 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 S AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (EET ITfEE, I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Kevin Macdougald X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Kevin Macdougald X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;90 Rift -h Avenue. San Rafael, CA 94901 ❑ SCC 09/30/2019 Kevin Macdougald x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue an Rafael. CA 94901 10/15/2019 Kevin Macdougald x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Kevin Macclougaid X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__1A3_Q1_ [-]SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 108 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONEMPLOYER AMOUNT RECEIVEDTHISCALENDAR CUMULATIVE TO DATE YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSO ENTER I.D.NUMBER) CODE * SELF-EMPLOYED, E (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Kevin Macdougald FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Kevin Macdougald RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S2n Fifth Avenue, San Rafael. CA 94901 [:]SCC 12/13/2019 Kevin Macdougald %❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. n Rafael A 94901 12/31/2019 Kevin Macdougald X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Kait in Maley DIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. []SCC SUBTOTAL$ 85.50 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 109 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ADDRESSZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE ITTEE D. NUMBER) (IF COMMITTEE. * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC- 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Kaitlin Maley FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Kaitlin Maley EKIIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/30/2019 Kaitlin Maley RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 09/13/2019 Kaitlin Maley x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Kaitlin Raley K❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodFPage___1!l0 to whole dollars. tfrom07/01/2019 through 12/31/2019 Of 184 NAME OF FILER I -D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ET ADDRESSZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION p ALSO ENTER I,D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Kaitlin Maley FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Kaitlin Maley x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq7n rifth Avenue. San Rafael, CA 949ol []SCC 11/15/2019 Kaitlin Maley BIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael, CA 94901 11/27/2019 Kaitlin Maley X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Kaitlin Ma ey x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P -Ty intermediary: San Rafael Police Association, ❑ SCC .1-;qn Fifth Avenue. SUBTOTAL$ e5.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 111 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION pFCOMMITTEE ALSO ENTER .D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Kaitlin Maleyx❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Michael Mathis RIND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, '-;9n Fifth Avenue. San Rafael. CA 94901 ❑ SCC 07/31/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael, CA 94901 08/15/2019 Michael Mathis X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • I ' from 07/01/2019 • " through 12/31/2019 page 112 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER LD, NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Michael Mathis X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/15/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, CA 94901 10/31/2019 Michael Mathis X❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL $ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 113 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DATE (E COMMITTEE ALSO ENTER I D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Michael Mathis FK] IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 12/31/2019 Michael Mathis x❑IND Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 07/15/2019 Kelly Mauel BIND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Kelly Mauel x❑IND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 78.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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. Statement covers period from 07/01/2019 through 12/31/2019 SCHEDULE A (CONT.) Page 114 of 184 831553 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.ID, NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMFIAYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Kelly Mauel X❑IND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Kelly Mauel x❑IND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 09/13/2019 Kelly Mauel x❑IND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 09/30/2019 Kelly Mauel ]IND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Kelly Mauel X❑IND Communications Dispatcher 13.40 254.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. t from 07/01/2019 • ' through 12/31/2019 page 115 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A ZIP ADDRESSO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (EET SAND IT I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Phillip Melodia x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Phillip Melodia x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, i,;qn rifth Avenue. San Rafael, CA 949ol ❑ SCC 08/15/2019 Phillip Melodia x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue, Rafael,A 01 08/30/2019 Phillip Melodia X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Phillip Me o is x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue [:] COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY .1520 intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded StatementcoversperiodFPage_ , to whole dollars. •. I ' from 07/01/2019 through 12/31/2019 116 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 1 831553 ZIPCODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE IT ALSO ENTER I (IF COMMITTEE, CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (FF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Phillip Melodia X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Phillip Melodia X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;7n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/31/2019 Phillip Melodia x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. A 94901 11/15/2019 Phillip Melodia x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Phillip Me o is x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, Fifth Avenue. San Rafael. CA 94901 [:]SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 FORM through 12/31/2019 Page 117 of leo NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE QFCOMMITfEE ALSO I.D. NUMBER * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Phillip Melodia x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Phillip Melodiax❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 07/15/2019 Lilah MG Barnes BIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Lilah MG Barnes ]IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth[:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Lilah MG Barnes x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL $ e5.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. / ' from 07/01/2019 • through 12/31/2019 page 118 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 031553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT ALSO ENTER .D. NUMBER) (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Lilah MG Barnesx❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Lilah MG Barnes EKIIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/30/2019 Lilah MG Barnes BIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue. an Rafael. A 94901 10/15/2019 Lilah MG Barnes FK] IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 L11ah MG Barnes KIIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1590 Fifth Avenue, [-]SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. A O R A I � ' from 07/01/2019 ' through 12/31/2019 Page 119 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (EET IT ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Lilah MG Barnes %❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Lilah MG Barnes x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/13/2019 Lilah MG Barnes x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael, A 94901 12/31/2019 Lilah MG Barnes 91 IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Beth Minka X❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__243_Ql__ ❑ SCC SUBTOTAL$ 81.130 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 120 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE RFCOMMITfEE ALSO I.D. NUMBER CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Beth Minka X❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 06/15/2019 Beth Minka x❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/30/2019 Beth Minka x❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, CA 94901 09/13/2019 Beth Minka x❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Beth Minka x❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. SUBTOTAL$ 67.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from o7/o1/zo19 • ' through 12/31/2019 Page 121 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OFCOMMITfEE ALSO .D.N CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 10/15/2019 Beth Minka X❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Beth Minka 91IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11,20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/15/2019 Beth Minka %❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, A 94901 11/27/2019 Beth Minka ]IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth F-1 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Betn Minka X❑IND A ministrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. C&__2A3Q2__ ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period AI • to whole dollars. I ' � from 07/01/2019 • ' through 12/31/2019 page 122 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Beth Minka %❑IND Administrative Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Cynthia Morgan x❑IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, lq9n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/31/2019 Cynthia Morgan RIND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, A 94901 08/15/2019 Cynthia Morgan x❑IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Cynthia Morgan x❑IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period A • A to whole dollars. I � t from 07/01/2019 • ' through 12/31/2019 page 123 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVEDP CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATIOPLNA D EMP ER DTHIS (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Cynthia Morgan RIND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Cynthia Morgan X❑IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 10/15/2019 Cynthia Morgan x❑IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue an Rafael. CA 94901 10/31/2019 Cynthia Morgan 91 IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Cynthia Morgan FK] IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 124 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, STR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EETAIF ITE,ALSANNTERI.D.NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 11/27/2019 Cynthia Morganx❑IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Cynthia Morgan KIIND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue ❑ OTH City Of San Rafael San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth A San Rafael. CA 94901 ❑ SCC 12/31/2019 -venue. Cynthia Morgan El IND Call Taker and Records 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael CA 94901 07/15/2019 Lynn Murphy x❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Lynn Murphy X❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, .1520 Fifth kyenue. San Rafael. CA__2A3Q.L_ ❑ SCC SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 125 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DEO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EETAIF ITREASANDLSO ERI.D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Lynn Murphy X❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Lynn Murphy x❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/13/2019 Lynn Murphy BIND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, n Rafael. CA 94901 09/30/2019 Lynn Murphy x❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Lynn Murphy KIIND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA__9A3_Q_L_ ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA to whole dollars. I t from 07/01/2019 FORM through 12/31/2019 page 126 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EET ITfEE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 10/31/2019 Lynn Murphy RIND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Lynn Murphy X❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq2n Pifth Avenue, San Rafael, CA 94901 ❑ SCC 11/27/2019 Lynn Murphy x❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 12/13/2019 Lynn Murphy X❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Lynn Murphy X❑IND Mental Health Outreach 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Provider Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC SUBTOTAL $ 67.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • . , to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 127 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER 1. D. NUMBER) CODE * (IF SELFEMPLOYED.ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 James Nash x❑IND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 James Nash QIND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/15/2019 James Nash RIND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC I 20 Fifth Avenue, San Rafael, CA 94901 08/30/2019 James Nash x❑IND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 James Nash X❑IND Po ice officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. C&__j4jDj_ [:]SCC SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 Page 128 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITfEE,ALSO ENTER[.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 James Nash RIND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 James Nash x❑IND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 119n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/31/2019 James Nash %❑IND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC I20IS20 Fifth Avenue. San Rafael. CA 94901 11/15/2019 James Nash RIND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 James Nash X❑IND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, C&__2A2Q,L__ ❑ SCC SUBTOTAL$ B5.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 129 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET IT ALSO ENTER I. D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 James Nash FK] IND Police Officer 17.10 339.20 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Jorge Navarro x❑IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 [:]SCC 07/31/2019 Jorge Navarro N❑IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [:1OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, CA 94901 08/15/2019 Jorge Navarro ]IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Jorge Navarro x❑IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 70.70 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I , from 07/01/2019 • ' through 12/31/2019 page 130 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I. D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Jorge Navarro x❑IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Jorge Navarro RIND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;90 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/15/2019 Jorge Navarro RIND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 10/31/2019 Jorge Navarro x❑IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Jorge Navarro x❑IND Evidence Tec ician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, CA__9A3-Q3_ ❑ SCC SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod CALIFORNIA to whole dollars. 460 from 07/01/2019 FORM through 12/31/2019 Page 131 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831.553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (EET ITfEE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Jorge Navarro ]IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Jorge Navarro RIND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue OTH San Rafael, CA 94901 [:j Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iqqn Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/31/2019 Jorge Navarro x❑IND Evidence Technician 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 07/15/2019 Alexis Nielsen ]IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth []COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Alexis Nie sen x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P7Y intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA__1A2Q,'L__ ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Parry SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2019 RM0 through 12/31/2019 page 132 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 833.553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Alexis Nielsen X❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Alexis Nielsen x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;9() Vifth Avenue, San Rafael, CA 94901 ❑ SCC 09/13/2019 Alexis Nielsen RIND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael CA 94901 09/30/2019 Alexis Nielsen RIND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Alexis Nielsen [K] IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__24_9Q.L_ [-]SCC SUBTOTAL$ 67.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period � • � to whole dollars. I � ' from 07/01/2019 • through 12/31/2019 page 133 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED,ENTERNAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Alexis Nielsen RIND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 FifthDispatcher ❑ COM Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Alexis Nielsen x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q2n Fifth Avenue, San Rafael. CA 94901 [:]SCC 11/27/2019 Alexis Nielsen RIND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, n Rafael. CA 94901 12/13/2019 Alexis Nielsen x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Alexis Nielsen x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 67.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA towholedollars. 460 from 07/01/2019 FORM through 12/31/2019 page 134 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Oscar O'con 91 IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Oscar O'con x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 08/15/2019 Oscar O'con RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael A 94901 08/30/2019 Oscar O'con FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Oscar O'con x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period . 1 R to whole dollars. ' from 07/01/2019 • ' through 12/31/2019page 135 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITfEE,ALSO ENTER[,D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Oscar O'con ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Oscar O'con x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, '2nFifth Avenue, San Rafael. CA 94901 [-]SCC 10/31/2019 Oscar O'con %❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. an Rafael, CA 94901 11/15/2019 Oscar O'con X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Oscar O'con x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ ss -5T *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 _105M ' through 12/31/2019 page 136 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (EET IT I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Oscar O'con RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Oscar O'con RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/15/2019 Leslie O'Toole x❑IND Officer 17.10 290.70 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 07/31/2019 Leslie O'Toole x❑IND Officer 17.10 290.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Leslie O'Too e RIND officer 17.10 290.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__j43a2__ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. A • A I � ' from o7/ol/zo19 • ' through 12/31/2019 Page 137 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ALSAND IT I.D. NUMBER) (IF COMMITTEE, * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Leslie O'Toole x❑IND Officer 17.10 290.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Leslie O'Toole x❑IND Officer 17.10 290.70 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 07/15/2019 Brian Patterson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 07/31/2019 Brian Patterson KIIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Brian Patterson x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • _ CALIF1 to whole dollars. from 07/01/2019 FORM through 12/31/2019 Page 138 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (EET IT ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Brian Patterson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Brian Patterson X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, I S20 Fifth Avenue. San Rafael. CA 94901 [-]SCC 09/30/2019 Brian Patterson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 10/15/2019 Brian Patterson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Brian Patterson X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue, ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers periodFPage___1139 . to whole dollars. / 1 from 07/01/2019 through 12/31/2019 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (E COMMITTEE, ALSO .D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Brian Patterson ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Brian Patterson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/13/2019 Brian Patterson RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, A 94901 12/31/2019 Brian Patterson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Buffy Paxson X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, h Avenue, San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period 0 to whole dollars. CALIFORNIA I ' from 07/01/2019 • ' through 12/31/2019 Page 140 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (E COMMITTEE ALSENTERI D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Buffy Paxson FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Buffy Paxson RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1,;qn Fifth Avenue, San Rafael. CA 94901 ❑ SCC 08/30/2019 Buffy Paxson RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 20 Fifth Avenue, San Rafael. A 94901 09/13/2019 Buffy Paxson ]IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 BUtty Paxson RIND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__2A3Q_L_ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 141 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EETA ITREALSANDZI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Buffy Paxson RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Buffy Paxson X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;20 Pifth Avenue, San Rafael. CA 94901 ❑ SCC 11/15/2019 Buffy Paxson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. a Rafael. CA 94901 11/27/2019 Buffy Paxson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Buffy Paxson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__9_� ❑ SCC SUBTOTAL$ 85.50 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 0 ' M from o7/0l/2019 • through 12/31/2019 page 142 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ( IT ALSOENTER 1. D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Buffy Paxsonx❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Aaron Piombo x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1S2n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 07/31/2019 Aaron Piombo x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, CA 94901 08/15/2019 Aaron Piombo x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Aaron FiomBo x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, San Rafael. CA__1A3_Q.L_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I 1 from 07/01/2019 • ' through 12/31/2019 Page 143 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER L D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Aaron Piombo RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Aaron Piombo RIND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 10/15/2019 Aaron Piomho x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 10/31/2019 Aaron Piombo 91 IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Aaron Piombo X❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, San Rafael. CA 243Q.L_ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / � ' from 07/01/2019 • ' through 12/31/2019 Page 144 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (ET IT ALSNTERI.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 11/27/2019 Aaron Piombo X❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Aaron Piombo X❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q2n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/31/2019 Aaron Piombo x❑IND Police Corporal 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael, CA 94901 07/15/2019 Dennis Prince X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Dennis Prince X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__9_�. ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIF• I ' from 07/01/2019 FORM through 12/31/2019 page 145 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Dennis Prince RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Dennis Prince x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 09/13/2019 Dennis Prince x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, n Rafael. A 94901 09/30/2019 Dennis Prince ®IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Dennis Prince RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael, CA 94901 ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 4601, from 07/01/2019 FORM through 12/31/2019 page 146 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Dennis Prince X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Dennis Prince x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 11/27/2019 Dennis Prince x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, n Rafael. CA 94901 12/13/2019 Dennis Prince X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Dennis Prince ]IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA__2A2D_L__ ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 147 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER 1.D.NUMBER) * O (I HIS RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE SELFF-EMPLOYED,ENTRLNAMER (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Edgar Rodriguez KIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Edgar Rodriguez 91IND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q20 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/15/2019 Edgar Rodriguez RIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 08/30/2019 Edgar Rodriguez QIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Edgar Rodriguez RIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PN intermediary: San Rafael Police Association, 11520 Fifth Avenue. ❑ SCC SUBTOTAL$ 85.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA I ' from 07/01/2019 • ' through 12/31/2019 page 148 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Edgar Rodriguez RIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Edgar Rodriguez RIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [:]PTY intermediary: San Rafael Police Association, iq2n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/31/2019 Edgar Rodriguez BIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, A 94901 11/15/2019 Edgar Rodriguez RIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Edgar Rodriguez x❑IND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue. SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 149 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF RE S AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT .D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Edgar Rodriguez RIND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Edgar Rodriguez x❑IND Police Officer 17.10 356.30 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 08/30/2019 Noemi Rossotti Gallo RIND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael CA 94901 09/13/2019 Noemi Rossotti Gallo x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Noemi Rossotti Gallo x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 74.40 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • I t from 07/01/2019 • ' through 12/31/2019 Page 150 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUM ULATIVETO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Noemi Rossotti Gallo ]IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Noemi Rossotti Gallo X❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 11/15/2019 Noemi Rossotti Gallo RIND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael. CA 94901 11/27/2019 Noemi Rossotti Gallo x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Noemi Rossotti Gallo x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .ir?n Fifth Avenue, San Rafael, CA 94901 ❑SCC SUBTOTAL$ 67.o0 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period . to whole dollars. 1 from 07/01/2019 a through 12/31/2019 Page 151 Of 184 NAME OF FILER I -D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (ET COMMITTEE, ALSO ENTER I.D. NUMBER] * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 12/31/2019 Noemi Rossotti Gallo x❑IND Police Recruit 13.40 120.60 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Peggy Ruge x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 07/31/2019 Peggy Ruge x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, an Rafael. CA 94901 08/15/2019 Peggy Ruge ]IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Peggy Ruge X❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, vifth Avenue, San Rafael, CA 94901 [:]SCC SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 152 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND IP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (EET ITfEE AS E NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Peggy Ruge ]IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Peggy Ruge x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q7n Fifth Avenue, San Rafael- CA 94901 ❑ SCC 10/15/2019 Peggy Ruge x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael CA 94901 10/31/2019 Peggy Ruge x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 [_10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Peggy Ruge x❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth COM Dispatcher Avenue ❑ City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1-;qn Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. ' from 07/01/2019 FORM through 12/31/2019 Page 153 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE IT I.D. NUMBER) (IF COMMITTEE, * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC- 31) (IF REQUIRED) OFBUSINESS) 11/27/2019 Peggy Ruge X❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Peggy Ruge X❑IND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Ir9n Fifth Avenue, San Rafael, CA 94901 ❑ SCC 12/31/2019 Peggy Ruge RIND Lead Communications 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth v n e n Rafael. CA 94901 07/15/2019 Travis Ruggles X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Travis Rugg es x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 [10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA__1430j_ ❑ SCC SUBTOTAL$ 74.40 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 154 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Travis Ruggles x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Travis Ruggles x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94974 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/13/2019 Travis Ruggles x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94974 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth h Av n e an Rafael. CA 94901 09/30/2019 Travis Ruggles FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Travis Ruggles x❑IND Police officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period , to whole dollars. •. I ' from 07/01/2019 • ' through 12/31/2019 Page 155 of 184 NAME OF FILERI.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT ALSO ENTER I.D. NUMBER) (IF COMMITTEE, CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Travis Ruggles ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Travis Ruggles RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94974 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/27/2019 Travis Ruggles x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94974 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael. CA 94901 12/13/2019 Travis Ruggles x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Travis Ruggles x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94974 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue, San Rafael, CA__2A2_Ql_ ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period . , to whole dollars. • I' from 07/01/2019 • ' through 12/31/2019 Page 156 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITI`EE,ALSO ENTER I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Sebastian Sanchez FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Sebastian Sanchez x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/15/2019 Sebastian Sanchez BIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. CA 94901 08/30/2019 Sebastian Sanchez X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Sebastian Sanc ez x❑IND Po ice Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/276-3772) www.fppc.ca.aov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. IM from 07/01/2019 through 12/31/2019 "la.e_ 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE, ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Sebastian Sanchez x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Sebastian Sanchez 91 IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11,9n Rifth Avenue, San Rafael, CA 94901 ❑ SCC 10/31/2019 Sebastian Sanchez x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue. San Rafael, A 94901 11/15/2019 Sebastian Sanchez RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Sebastian Sanchez x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 11520 Fifth Avenue, SUBTOTAL$ 8-5.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. I ' from 07/01/2019 FORM through 12/31/2019 Page 158 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) IT * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Sebastian Sanchez ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Sebastian Sanchez RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/15/2019 Anthony Scalercio x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue, San Rafael. CA 94901 07/31/2019 Anthony Scalercio KI IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTl intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Anthony Scalercio x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTf intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__qA3_Qj_ ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. A • A I � , from 07/01/2019 • ' through 12/31/2019 page 159 Of 184 NAME OF FILER I.D- NUMBER San Rafael Police Association Political Action Committee I 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION (E COMMITTEE ALSO ENTER I D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Anthony Scalercio RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Anthony Scalercio RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, q2n Fifth Avenue. San Rafael, CA 94901 ❑ SCC 09/30/2019 Anthony Scalercio BIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael. A 94901 10/15/2019 Anthony Scalercio X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Anthony Scalercio RIND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__qAjD_j_ ❑ SCC SUBTOTAL$ 85.50 `Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from o7/0l/2019 ORM through 12/31/2019 page 160 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET COMMITTEE, ALSOI.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2019 Anthony Scalercio x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Anthony Scalercio x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;90 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 12/13/2019 Anthony Scalercio x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 12/31/2019 Anthony Scalercio QIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Justin Sc rae er x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. ❑ SCC SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. from 07/01/2019 • ' through 12/31/2019 Page 161 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION pFCOADDRE,ALSAND I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} 07/31/2019 Justin Schraeder X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Justin Schraeder MIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 08/30/2019 Justin Schraeder x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Av n an Rafael. CA 94901 09/13/2019 Justin Schraeder x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Justin Schraeder X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. I ' from 07/01/2019 through 12/31/2019 page 162 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (ETITEALSNTERI.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Justin Schraeder FK] IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Justin Schraeder 91IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/15/2019 Justin Schraeder x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. Rafael. CA 94901 11/27/2019 Justin Schraeder 91IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Justin Schraeder X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 85.50 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 163 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (ET COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Justin Schraeder X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Wanda Spaletta x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 07/31/2019 Wanda Spaletta BIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/15/2019 Wanda Spaletta X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Wanda Spaletta X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTy intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 85.50 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , . , to whole dollars. I 0 , from 07/01/2019 •'Ij through 12/31/2019 [Page 164 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Wanda Spaletta RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Wanda Spaletta RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through [-]PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2019 Wanda Spaletta QIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael, A 94901 10/31/2019 Wanda Spaletta x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 [_10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Wanda Spaletta x❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IIS20 Fifth Avenue. San Rafael. CA 2A3_Q_j_ ❑ SCC SUBTOTAL$ 85.50 `Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 165 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED COMMITTEE, ALSNTERI.D.NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Wanda Spaletta X❑IND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Wanda Spaletta RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 12/31/2019 Wanda Spaletta RIND Sergeant 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue. San Rafael, CA 94901 07/15/2019 Lynette Starnes FK] IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Lynette Starnes x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fifth Avenue. San Rafael. Ca__9_� ❑ SCC SUBTOTAL$ 78.10 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. '40 ' from 07/01/2019 • ' through 12/31/2019 page 166 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Lynette Starnes X❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Lynette Starnes X❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 15�),O Fifth Avenue, San Rafael, CA 94901 ❑ SCC 09/13/2019 Lynette Starnes RIND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael, CA 94901 09/30/2019 Lynette Starnes x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Lynette Starnes x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PN intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael, CA-142-11— [-]SCC SUBTOTAL$ 67.00 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • . , to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 167 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE ALSO ENTER .D. NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Lynette Starnes x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Lynette Starnes RIND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 11/27/2019 Lynette Starnes x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. an Rafael. CA 94901 12/13/2019 Lynette Starnes x❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Lynette Starnes X❑IND Community Service Officer 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 67.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • " through 12/31/2019 page 168 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE (IF COMMITfEE,ALSO ENTER I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2019 Remington Stobo FK] IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2019 Remington Stobo x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Pifth Avenue, San Rafael. CA 94901 ❑ SCC 08/15/2019 Remington Stobo RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC IS20 Fifth Avenue, an Rafael. CA 94901 08/30/2019 Remington Stobo 91 IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/13/2019 Remington Stobo X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__aA3_Q2__ [:]SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I � t from 07/01/2019 • ' through 12/31/2019 page 169 of 184 NAME OF FILER I. D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF RE, CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2019 Remington Stobo x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2019 Remington Stobo 91IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;9.0 Fifth Avenue. San Rafael. CA 94901 ❑ SCC 10/31/2019 Remington Stobo x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Remington Stobo x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/27/2019 Remington Stobo x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. C&__2A3_Q,'L- ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. from 07/01/2019 through 12/31/2019 page 170 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECP CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * O C SELFF-EMP OYED,ENTMERLNAMER RIODDTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/13/2019 Remington Stobo ]IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2019 Remington Stobo x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;70 Fifth Avenue, San Rafael, CA 94901 [-]SCC 07/15/2019 Charly Taylor EIIND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenu San Rafael. CA 94901 07/31/2019 Charly Taylor x❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2019 Charly Tay or x❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 74.40 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcoversperiod CALIFORNIA to whole dollars. 460 ' from 07/01/2019 FORM through 12/31/2019 page 171 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER ,D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/30/2019 Charly Taylor x❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/13/2019 Charly Taylor 91IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 09/30/2019 Charly Taylor RIND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. an Rafael, CA 94901 10/15/2019 Charly Taylor X❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2019 Charly Tay or x❑IND Civi ian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ pTY intermediary: San Rafael Police Association, h Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 page 172 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE QFCOADDRE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 11/15/2019 Charly TaylorX❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/27/2019 Charly Taylor x❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11;20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/13/2019 Charly Taylor BIND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [:10TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue San Rafael. CA 94901 12/31/2019 Charly Taylor x❑IND Civilian Supervisor 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2019 Sas is Van Buuren KIND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue, San Rafael. CA__3A3L.L_ [-]SCC SUBTOTAL $ 67.00 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.qov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 173 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE pFCOMMITfEE ALSND I.O. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2019 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2019 Saskia Van Buuren %❑IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael, CA 94901 ❑ SCC 08/30/2019 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, A 94901 09/13/2019 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2019 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PT( intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue. SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. I t from 07/01/2019 FORM through 12/31/2019 Page 174 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E COMMITTEE ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2019 Saskia Van Buuren MIND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue San Rafael CA 94901 10/31/2019 Saskia Van Buuren MIND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 94901 [:]SCC 11/15/2019 Saskia Van Buuren x❑IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94 0 11/27/2019 Saskia Van Buuren FK] IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/13/2019 Saskia Van Buuren MIND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael Avenue ❑COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ?n Fifth Avenue. San Rafael. CA 94901 ❑ SCC SUBTOTAL$ 67.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY — Political Party SCC—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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period e to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 175 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (ET COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2019 Saskia Van Buuren ]IND Communications Dispatcher 13.40 321.60 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lq9n Fifth Avenue, San Rafael. CA 94901 ❑ SCC 07/31/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue. n Rafael. A 94901 08/15/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/30/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA__2_43Q3_ ❑ SCC SUBTOTAL$ 81.130 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period A • to whole dollars. I � ' from 07/01/2019 • ' through 12/31/2019 page 176 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE pFCOMMITTEE, ALSO .0.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/13/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1q20 Fifth Avenue. San Rafael. CA 94901 [:]SCC 10/15/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue. San Rafael, CA 94901 10/31/2019 Lorena Vega RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/15/2019 Lorena Vega RIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 9A3_Q2_ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • I ' from 07/01/2019 • ' through 12/31/2019 page 177 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 A ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE IT ALSO ENTER .D. NUMBER) (IF COMMITTEE, * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/27/2019 Lorena Vega x❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/13/2019 Lorena Vega X❑IND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 12/31/2019 Lorena Vega BIND Police Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 20 Fifth Avenue, n Rafael. CA 94901 07/15/2019 Mark Wilkinson X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2019 Mark Wilkinson x❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .1520 Fifth Avenue. San Rafael. CA 2A2DL_ ❑ SCC SUBTOTAL$ 85.50 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —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) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period • _ to whole dollars. I ' from 07/01/2019 • ' through 12/31/2019 Page 178 Of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2019 Mark Wilkinson X❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/30/2019 Mark Wilkinson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 09/13/2019 Mark Wilkinson RIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. an Rafael. CA 94901 09/30/2019 Mark Wilkinson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ $CC 1520 Fifth Avenue, San Rafael, CA 94901 10/15/2019 Mark Wilkinson X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth Avenue, SUBTOTAL$ 85.50 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — 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) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statementcovers period to whole dollars. CALIFORNIA I ' from 07/01/2019 • ' through 12/31/2019 Page 179 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE , (IF COMMITTEE, ALSO ENTER 10 NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2019 Mark Wilkinson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2019 Mark Wilkinson EKIIND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, iq2n Fifth Avenue. San Rafael, CA 94901 ❑SCC 11/27/2019 Mark Wilkinson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n Rafael. CA 94901 12/13/2019 Mark Wilkinson x❑IND Officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth ❑COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/31/2019 Mark Wilkinson X❑IND officer 17.10 410.40 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, .1q20 Fifth Avenue. San Rafael. CA 949Q.L_ ❑ SCC SUBTOTAL$ 135.50 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C SCHFDIJLF C Amounts may oe rounueo Nonmonetary Contributions Received to whole dollars. Statement covers period . - , • ' from 07/01/2019 • - through 12/31/2019 page 180 of 184 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SEM ENTER EMPLOYED. GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I. D. NUMBER) NAME OF BUSINESS] (JAN 1 -DEC 31) (IF REQUIRED) ❑IND ❑COM [10TH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY []SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..................................................................................................................... $ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................................... $ 0.00 50.00 3. Total nonmonetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. TOTAL $ 50.00 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca :qov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from 07/01/2019 through 12/31/2019 I page 181 of 184 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 831553 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 PET 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 WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Donor Stack, LLC WEB 174.79 312 Clay Street, Suite 300 Oakland, CA 94607 Donor Stack, LLC WEB 117.29 312 Clay Street, Suite 300 Oakland, CA 94607 Donor Stack, LLC WEB 86.64 312 Clay Street, Suite 300 Oakland, CA 94607 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 378.72 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 2,964.97 2. Unitemized payments made this period of under $100..................................................................•....................................................................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00 4. Total payments made this period. Add Lines 1 2 and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 2,964.97 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA Payments Made to whole dollars. from 07/01/2019 FORM 61 SEE INSTRUCTIONS ON REVERSE through 12/31/2019 Page 182 of 184 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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 PET 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 ND 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Donor Stack, LLC WEB 86.48 312 Clay Street, Suite 300 Oakland, CA 94607 Donor Stack, LLC WEB 85.25 312 Clay Street, Suite 300 Oakland, CA 94607 Donor Stack, LLC WEB 84.52 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 272.50 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 674.50 312 Clay Street, Suite 300 Oakland, CA 94607 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,203.25 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTII NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2019 through 12/31/2019 SCHEDULE E (CONT.) Page 183 of 184 I.D. NUMBER 831553 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 CVC civic donations PET 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 ND 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 WEB 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 S.E. Owens & Company PRO 354.50 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 374.00 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 348.00 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company PRO 306.50 312 Clay Street, Suite 300 Oakland, CA 94607 * Payments that are contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL $ 1,383.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Srrhnrllrrin SCHFrrill F I Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2019 through 12/31/2019 page 184 of 184 NAME OF FILER San Rafael Police Association Political Action Committee I.D. NUMBER 831553 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. Schedule I Summary 1. Itemized increases to cash this period........................................................................................................................ $ 2. Unitemized increases to cash of under $100 this period............................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................................................................... TOTAL $ SUBTOTAL$ 0.00 6.16 0.00 6.16 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov