HomeMy WebLinkAboutForm 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