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Home My WebLink AboutForm 460 - Police Association PAC (2020-12-31) Amendment Semi-AnnualRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-64216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2020 through 12/31/2020 1. Type of Recipient Committee: All committees —Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) 0 Sponsored ❑X General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 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 Date of election if applicabIqU j JAN (Month, Day, Year) 11 -- CITY CLERK'S CRICE 2. Type of Statement: ❑ Preelection Statement Q Semi-annual Statement ❑ Termination Statement Date (Also file a Form 410 Termination) Amendment (Explain below) Schedule A updates. _ COVER PAGE t of 200 Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER Cynthia Morgan MAILING ADDRESS CITY STATE ZIP CODE. AREA CODE/PHONE San Rafael CA 94901 ( NAME OF ASSISTANT TREASURER, IF ANY Stacy E. Owens MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE San Rafael CA 94915-1557 Oakland CA 94607 ( OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best Executed on 01/23/2022 Date Executed on 01/23/2022 Date Executed on Date Executed on Date www.netfile.com By By By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent By 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 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER I JURISDICTION RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COVER PAGE - PART 2 Page 2 of 200 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee 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 BOX) L_I OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT STATE ZIP ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD LII SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CODE AREA CODE/PHONE Attach continuation sheets if necessary CITY STATE ZIP FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov www.netfile.com Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from . 07/01/2020 through 12/31/2020 Column A Column B Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 15, 979.58 $ 30, 524.48 19 805.42 2. Loans Received...................................................... Schedule e, Line 3 Schedule H, Line 3 0.00 0.00 0.00 0.00 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 15,979.58 $ 30,524.48 14, 805.42 4. Nonmonetary Contributions .................................... Schedule C, Line 3 Accrued Expenses (Unpaid Bills) ............................... 0.00 0.00 1, 378.50 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 15,979.58 $ 30,524.48 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 11, 333.34_ $ 19 805.42 7. Loans Made............................................................. Schedule H, Line 3 0.00 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 11, 333.34 $ 14, 805.42 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 1,378.50 1, 378.50 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 12,711.84 $ 16,183.92 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 140, 322.13 13. Cash Receipts ................................................... Column A, Line 3above 15, 979.58 14. Miscellaneous Increases to Cash ........................... Schedule t, Line 4 6.74 15. Cash Payments .................................................. Column A, Line 8 above 11, 333.34 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 144,975.11 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..........:............................. See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above www.neffile.com 0.00 $ 1,378.50 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Page 3 of 200 I.D. NUMBER 831553 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ _ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election 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 — - - Amounts may be rounded Statement covers period Monetary Contributions Received to Whole dollars. • - 460 from 07/01/2020 FORM through 12./31/2020 Page 4 of 200 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 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) 07/15/2020 Elisha Adams MIND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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 07/31/2020 Elisha Adams MIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth I] COM City of San Rafael Avenue] OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC t 08/15/2020 Elisha Adams MIND `ficer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Lty of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 08/31/2020 Elisha Adams MIND Officer 17.80 418.10 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 San Rafael CA 94901 09/15/2020 Elisha Adams MIND Officer 17.8u C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through []PTY intermediary: San Rafael Police Association, 11,20 fr ❑ SCC SUBTOTAL$ 88.30 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)............................................................................................. $ 15.951.80 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. ......... TOTAL $ 15, 979.58 www.ne(file.com 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 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 Amounts may be rounded to whole dollars. NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE (IF COMMITEE,ALSO ENTER ID.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 04/3.0/2020 Elisha Adams MIND Officer 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 10/15/2020 Elisha Adams MIND Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. Sau Raf-1- CA 94qnl 10/31/2020 Elisha Adams MIND Officer C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC :11/15/2,020 Elisha Adams x❑IND Officer C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY []SCC Elisha Adams MIND Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 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 www.netfile.com SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 page 5 of 200 I.D. NUMBER 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.80 418-1:1 17.80 41.8.10 17.80 418.10 17.80 418.10 1/.80 418.10 Lj 89.00 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 07/01/2020 FORM through 12/31/2020 Page 6 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Elisha Adams x❑IND Officer 17.80 118.1U C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ❑ PTY ❑ SCC 12/31/2020 Elisha Adams x❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 ❑ PTY []SCC 07/15/2020 Alison Ager x❑IND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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. 07/31/2020 Alison Ager RIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/15/2020 Alison '"0., x❑IND Fo ace icer 17.80 416.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth V SUBTOTAL$ 88.30 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com 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. 1 � from 07/01/2020 FORM through 12/31/2020 Page 7 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSOENTERID.NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2020 Alison Ager [IIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/15/2020 Alison AgerX❑IND Police Officer 17.80 718.10 C/o: San Rafael Police Association 1520 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. CA 94qQ1 [:]SCC 09130/2020 Alison Ager ©IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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�0 F�fth Avanue. San Rafael, CA 94901 ❑ SCC 10/15/2020 Alison Ager E] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 70/31/ZC20 Alison Ager 91 IND Police Officer ii.:s0 4i8.10 C/o: San Rafael Police Association 1520 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. ElSCC SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 through 12/31/2020 Page 8 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE DE O STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL NAME, STR ND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/1572D20 Alison AgerX❑IND Police Officer 17.801 418.10 C/o: San Rafael Police Association 1520 Fifth❑ 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 Rafael CA 94901 11/3()/2020 Alison Ager x❑IND Police Officer 17.80 818.10 C/o: San Rafael Police Association 1520 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 &y,nu, San Raf-1- CA ❑ SCC 12/15/2020 .94.Q01 Alison Ager xIND Police Officer 17.80 418.10 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 ;520 Fifth Avenue. aan Rafael, 94901 12/31/2U20 Alison Ager El IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Raul Aguilar E] IND Sergeant 7,_08 . C/o: San Rafael Police Association 1520 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 Rafae . CA 91901 ❑ SCC *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC–Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period • . , to whole dollars. F0_0 from 07/01/2020•through 12/31/2020 page 9 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPO 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 DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2420 Raul AguilarX❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 08/15/2020 Raul Aguilar El IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 AyQnjag, _q�n R,f-1- QA 94901 ❑ SCC 08/31/2020 Raul Aguilar QIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 1'90 Fifth Avgnijp,901 - 09/15/2020 Raul Aguilar X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael, CA 94901 20 Raul Agux ar)IND Sergeant 1/.8U 41b.1U C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Ave ue. San ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com FPPC Form 460 (Jan/2076) 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 07/01/2020 • ' through 12/31/2020 page 10 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 17.80 _ 14/15/2024 Raul Aguilar X❑IND Sergeant 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 FifthAvenue San Rafael CA 94901 14/31/2020 Raul Aguilar X❑IND Sergeant 11.80 418.10 C/o: San Rafael Police Association 1520 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 Ay,njp, San P,�fael_ CA 94901 ❑ SCC 11/15/2020 Raul Aguilar ©IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 1'20 Fifth Avenue. Sari 11/30/2020 Raul Aguilar E] IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 12/15/2020 Raul Aguilar RIND Sergeant 17.80 418.1U C/o: San Rafael Police Association 1520 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 94QOI-- [:]SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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. 1 60 from 07/01/2020 O page 11 of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDE O 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 DATE RECEIVED (E COMMITTEE, ALSO I D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1.2/31 202 Raul Aguilar X❑IND Sergeant 17.80 418.10 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 94201 67/15/2024 James Bellamy 91 IND Corporal 17.10 418.10 C/o: San Rafael Police Association 1520 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 07/31/2020 James Bellamy El IND Corporal 7_Rn 418.10 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 FifLh Avenue. ❑ SCC 08/15/2020 James Bellamy RIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 James Bellamy 91 IND Corporal 4i8.10 C/o: San Rafael Police Association 1520 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. 5a Raf-ael. CA 942QI ❑ SCC -n SUBTOTAL$ 88.30 "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com 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 07/01/2020 through 12/31/2020 Page 12 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO 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 (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/1512026 James Bellamy X❑IND Corporal i%.$0 418.10 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2020 James Bellamy QIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1120 Fifth Au,n,e, San Raf—I CA �jqnj ❑ SCC 10/15/2020 James Bellamy X❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, 1520 Fifth A San Rafael. CA 9490--L- ❑ SCC 10/31/2020 -venue. James Bellamy X❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 James Bellamy 91 IND Corporal ii.su 4 .1 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aygnup- San Rafael. CA 949QL_ ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 through 12/31/2020 Page 13of 200 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 RECEIVED CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D NUMBER) CODE * O (IFSEPFEMP SELF-EMPLOYED. ENTER NAME IODDTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2020 James BellamyX❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2020 James Bellamy El IND Corporal 17.80 418..10 C/o: San Rafael Police Association 1520 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 12/31/2020 James Bellamy X❑IND Corporal 17.80 418.10 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, 1520 Fifth Avenue. ❑ SCC F1 IND 07/15/2020 Todd Berringer Sergeant 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 77131/2020 Todd Berringer X❑IND Sergeant 17.80 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 SUBTOTAL$ 88.30 *Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 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 07/01/2020 • through 12/31/2020 Page 14 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committ 831553 DATE 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/15/2020 Todd Berringer X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2020 Todd Berringer X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, RafaPj CA 94901 ❑ SCC 09/15/2020 Todd Berringer X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through El PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth AvenUC San Rafael. CA 94901 09/30/2020 Todd BerringerX❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1011512020 -Todd Berringer X❑IND Sergeant 1/.80 1B.10 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 A=IJP. San Rafael. CA 94901 1 ❑ SCC SUBTOTAL$ 89.00 "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 www.nel!file.com 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. 1 � from 07/01/2020 • " through 12/31/2020 page 15 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 18131/21)20 Todd Berringer x❑IND Sergeant 17.60 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 Todd Berringer El IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 AVenup- S,n Rafael, CA 94901 ❑ SCC 11/30/2020 Todd Berringer RIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 Avpnjap. San Rafael. CA 949Q1 12/15/2020 Todd Berringer RIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 -72/31/2020 Todd Berringer RIND Sergeant 17.80 1 C/o: San Rafael Police Association 1520 Fifth [-] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Fifth AvpU�jp. San Rafael. C& 9 ❑ SCC ,1520 SUBTOTAL$ 89.00 l 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com 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 07/01/2020 • through 12/31/2020 page 16 of 200 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 RECEIVED THIS CALENDAR YEAR PER ELECTION DATEQUIRED) RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF EQUI ED RE) OF BUSINESS) 13.40 229.80 07/15/2020. Lynne Bracken X❑IND Call Taker & Records 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 07/31/2020 Lynne BrackenX❑IND Call Taker & Records 13.90 C/o: San Rafael Police Association 1520 FifthEl COM Specialist Avenue City of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11,20 Fifth AvpLjuP_ S,n Rafael- CA 949nl ❑ SCC 08/15/•2020 Lynne Bracken RIND Call Taker & Records 13.90 229.80 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 20 Fifth &Ypnue, San Rafael, CA 9 08/31/2020 Lynne Bracken ❑ X IND Call Taker & Records 13.90 229.80 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 1 Lynne Brac en 91 IND Call Taker & Records 13.90 229.80 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 RgLdal- CA S4901 ❑ SCC 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 69.001 1 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 07/01/2020 • through 12/31/2020 page 17 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 77115 20 ❑ Zachary Brickell x❑IND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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 61/3112020 Zachary Brickellx❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 ❑ SCC - 08/15/2020 Zachary Brickell RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 AvenLie. San Rafael. CA 24201 98/31/2020 Zachary Brickell MIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 79/15/2020 Zachary Bricks KIND Officer 1/.du 418.10 C/o: San Rafael Police Association 1520 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 L] SCC SUBTOTAL$ 88.30 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2076) 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. / 0 from 07/01/2020 • through 12/31/2020 Page 18 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DE O NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZI CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE 7DATEFULL RE (E COMMITTEE, ALSOND D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 09/Zachary Brickell RIND Officer 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2420 Zachary Brickell BIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 10/31/2020 Zachary Brickell xIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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. 4901 11/15/2020 Zachary Brickell X❑IND Officer 17.80 418.10 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 020 Zachary BrieXiM RIND Officer li.uu 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152Q Fifth Avenue. San R ❑ SCC "Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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 i from 07/01/2020 page 19 of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND 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 (E COMMITTEE, ALSO D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 8.1"• 12/1572020 Zachary Brickell QIND Officer 17.80 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 Aven e San Rafael CA 94901 13/31/2020 Zachary Brickell El IND Officer 17.80 418.70 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 Rafnpl - CA C)4901 ❑ SCC 07/15/2020 Scott Brooks x❑IND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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 94901 07/31/2020 Scott Brooks El IND Police Officer 17.80 418.10 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 ElPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 Z Scott Brooks QIND Police Officer 1/.80 8.10 C/o: San Rafael Police Association 1520 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 949QI— ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com 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 07/01/2020 FORM Page 20 of 200 through 12/31/2020 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31 2020 Scott Brooks X❑IND Police Officer .7.80 41$.i0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/15/7020 Scott Brooks El IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 09/30/2020 Scott Brooks X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 94901 ❑ SCC 10/15/2020 Scott Brooks X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 Scott Brooksx❑IND Police Otticer 17.80 41 .lU C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue. San R;;fipl , CA ()42a— ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 through 12 /31 /2020 page 21 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 1111517.020 Scott Brooks X❑IND Police Officer 17.80 418.10 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 11130/2020 Scott Brooks E] IND Police Officer 17.80 416.10 C/o: San Rafael Police Association 1520 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 Ay,nlip.. qan Rafael- CA 949QI ❑ SCC 12/15/2020 Scott Brooks x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 949Ql []SCC — 12/31/2020 Scott Brooks X❑IND Police Officer 17.80 418.10 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 ❑ Antonette au ozi X❑IND Community service Officer li.4u �.i0 C/o: San Rafael Police Association 1520 Fifth City of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Ay-enim. San Rafael- CA ❑ SCC '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 www.netfile.com SUBTOTAL$ 84.60 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. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) F/31/2424 Antonette Bullock RIND Community Service Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael *Contributor Codes 1 IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com mmunity Service Officer ty of San Rafael mmunity Service Officer ty of San Rafael mmunity Service Officer ty of San Rafael SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 22 of 200 I.D. NUMBER AMOUNT RECEIVED THIS PERIOD 3. 90 13.90 13.90 13.90 ommunity Service urricer ity of San Rafael SUBTOTAL$ 69.50 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 327.10 327.10 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael 94901 OBj1512020 Antonette Bullock X❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/31/2020 Antonette Bullock EIIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 0 _ 09/15/2020 Antonette Bullock E] IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 2 U kU Antonette Bullock FIND C/o: San Rafael Police Association 1520 Fifth El COM Avenue San Rafael, CA 94901 []OTH Union member's dues received through IJ PTY intermediary: San Rafael Police Association, u SCC 1520 Fifth Avenue. San RafApl. A 94901 *Contributor Codes 1 IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com mmunity Service Officer ty of San Rafael mmunity Service Officer ty of San Rafael mmunity Service Officer ty of San Rafael SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 22 of 200 I.D. NUMBER AMOUNT RECEIVED THIS PERIOD 3. 90 13.90 13.90 13.90 ommunity Service urricer ity of San Rafael SUBTOTAL$ 69.50 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 327.10 327.10 PER ELECTION TO DATE (IF REQUIRED) 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 07/01/2020 through 12/31/2020 Page 23 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2020 Antonette Bullock X❑IND Community Service Officer 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 - 10/31/2020 Antonette Bullock El IND Community Service Officerl 13.90 37.7.1.0 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 152D FifLL kvpaup San RafAP1_ CA 94901 ❑ SCC 11/15/2020 Antonette Bullock QIND Community Service Officer 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [-]Com City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through ElPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Figth Avenue. A 94901 11/30/2020 Antonette Bullock N] IND Community Service Officer 13.90 327.10 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 12115/2020 Antonette Ru oc 21 IND Community Service Officer 13.90 1 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1520 Fjf�,b ❑ SCC "Contributor Codes IND -individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small ContributorCommittee www.netfile.com SUBTOTAL$ 69.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) 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. SCHEDULE A (CONT.) Statement covers period from 07/01/2020' through 12 /31 /2020 Page 24 of 200 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR ❑ COM IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO 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) intermediary: San Rafael Police Association, OF BUSINESS) !131./2020 Antonette Bullock x❑IND Community Service Officer 13.90 327,10 X❑IND Officer C/o: San Rafael Police Association 1520 Fifth City of San Rafael [:]COM City of San Rafael *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 418.10 418.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth venue San Rafael CA 94901 0.7/15/2020 Joseph Camins X❑IND Officer 17.10 C/o: San Rafael Police Association 1520 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 07/31/2020 Joseph CaminsX❑IND Officer 17.80 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 08/15/2020 Joseph Camins E] IND Officer 17.80 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 13 114 UZU Joseph Camins X❑IND Otticer 1/.8U 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 1120 Fifthv CA 9j2Lj SUBTOTAL$ 84.40 *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 www.netfile.com 418.10 418.10 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 07/01/2020 FORM through 12/31/2020 Page 25 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Joseph Camins X IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 - Officer 1-1.80 418.1 09/30/2020 Joseph Camins X❑IND C/o: San Rafael Police Association 1520 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 10/15/2020 Joseph Camins IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Fiftb byej3ue. San Rafael. Q ❑ SCC 10/31/2020 -949-0-L— Joseph Camins X❑IND Officer 17.80 918.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 -11/15/2020 Camins JosephX❑ IND Otticer 1i.tsu 41 .1 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, Fifth Avenue. San Rafael. CA 94 9,0_1 ❑ SCC _1520 SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 through 12/31/2020 Page 26 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO LD NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2420 Joseph Camins X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 12/15/2020 Joseph CaminsX❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael,1S20 Fifth ZyQoup, San ❑ SCC 12/31/2020 Joseph Camins E] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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. ❑ SCC 07/15/2020 Marissa Carney X❑IND Call Taker & Records 13.40 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2020 Marissa Carney X❑IND Call Taker & Records C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 15;Q Fifth Avenue- San Ra�ael_ CA A 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 80.70 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 07/01/2020 � through 12 /31 /202 0 page 27 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Marissa Carney x❑IND Call Taker & Records 13.90 327,10 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 ElPTY intermediary: San Rafael Police Association, ❑ SCC 520 Fifth Avenue San Rafael CA 94901 08/31/2020 Marissa Carney MIND Call Taker & Records 13.90 327.I0 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 Avenu— Ran Raf-1. CA 94901 ❑ SCC 09/15/2020 Marissa Carney BIND Call Taker & Records 13.90 327.10 C/o: San Rafael Police Association 1520 FifthEl 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, 09/30/2020 Marissa Carney X❑IND Call Taker & Records 13.901 327.10 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 10J15/2020Marissa Carney MIND Call Taker & Records 13.7U 1.1 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Ufth Avenug. San RAJACI, CA 9_4R01 ❑ SCC "Contributor Codes IND–individual COM– Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC–Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 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 07/01/2020 � Page 28 of 200 through 12/31/2020 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2020 Marissa Carney MIND Call Taker & Records 13.90 =''.1] 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 11/15/2020 Marissa CarneyX❑IND Call Taker & Records 327.10 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 11/30/2020 Marissa Carney x IND Call Taker & Records 13.90 327.10 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 Baf-1. (.A 94901- 12/15/2020 Marissa Carney x❑IND Call Taker & Records 13.90 327.10 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 Iz/31/yezu Marissa Carneyx[JIND Call Taker & Records 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 C]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) 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. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTERI D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 07/15/2020 Trevor Carney MIND Corporal C/o: San Rafael Police Association 1520 Fifth City of San Rafael *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com ity of San Rafael orporal ity of San Rafael Corporal City of San Rafael corporal City of San Rafael SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 29 of 200 I.D. NUMBER Avenue ❑ COM CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) San Rafael, CA 94901 ❑ OTH 418.1.0 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 418.10 07/31/2020 Trevor Carney MIND C/o: San Rafael Police Association 1520 Fifth J COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aypnup. $an Pafa�l. CA 94901 J SCC 08/15/2020 Trevor Carney QIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael.Police Association, ❑ SCC 1520 Fifth Avenue. San RA�ael. CA 94901 08131/2020 Trevor Carney MIND C/o: San Rafael Police Association 1520 Fifth r] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, J SCC 1520 Fifth Avenue, San Rafael CA 94901 V'$/1!2/2U2U Trevor Carney [R] IND C/o: San Rafael Police Association 1520 Fifth F-1COMAvenue San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police ^Association, ❑ SCC *Contributor Codes IND—individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com ity of San Rafael orporal ity of San Rafael Corporal City of San Rafael corporal City of San Rafael SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 29 of 200 I.D. NUMBER FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 831553 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 17.10 418.1.0 17.80 418-10 17.80 418.10 17.80 418.10 17.80 418.10 88.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 30 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2020 Trevor Carney X❑IND Corporal 7.80 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Ragael. CA 94901 _ 14/15/2024 Trevor Carney x❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 10/31/2020 Trevor Carney x❑IND Corporal 17.80 418.10 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 1520 Fitth v 0 11/15/2020 Trevor Carney E] IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 1 Trevor Carney RIND Corporal 1/.uu 418.10 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 ❑ P7Y intermediary: San Rafael Police Association, Fifth1520 v n ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) •NWA I •- • Page 31 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/3.5/2020 Trevor Carney X❑IND Corporal i-/.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/31/2020 Trevor Carney Z1 IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS,2n Fifth Avenue San Rafael- CA 94901 ❑ SCC 07/15/2020 Jack Carpenter [}JIND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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 07/31/2020 Jack Carpenter RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 jack Carpe=nter QIND Officer li.uu 418.10 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 9499J__ ❑ SCC SUBTOTAL$ 88.30 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 32 of 200 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 www.netfile.com SUBTOTAL$ 89.00 J FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER i AMOUNT CUMULATIVE TO DATE THIS PER ELECTION TO DATE DATE (IF COMMITTEE, ALSO ENTER LD NUMBER) * OCCUPATION AND EMPLOYER RECEIVED CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/317202D Jack Carpenter X❑IND Officer 17.80 418.10 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 152Q Fifth Avenue San Rafael. CA 94901 09/15/.2020 Jack CarpenterX❑IND Officer 17.801 418.10 C/o: San Rafael Police Association 1520 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 Fiftb Aypni—. Ran Rafael. CA 94901 ❑ SCC 09/30/2020 Jack Carpenter x❑IND Officer 17.80 418.10 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 1520 Eifth Avenue.n Rafael, 10/15/2020 Jack Carpenter R] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Jack Carpenter X❑IND Officer li•s418.10 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 J 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. 460 � , from 07/01/2020 • ' through 12/31/2020 page 33 of 200 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 EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 1111512.020 Jack CarpenterX❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-] COM City 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 ue San Rafael CA 99901 _ 11/30/2020 dac Carpenter X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 12/15/2020 Jack Carpenter RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 FifLb Averiue, San Rafael, 12/31/2020 Jack Carpenter El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 07/1 Edward u []IND Officer 1/.1 418.10 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, EISCC -1520 Fifth *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 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. 1 ; ` from 07/01/2020 FORM through 12/31/2020 page 34 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) X❑IND OF BUSINESS) 07/3172020 Edward Chiu Officer 7.80 418.10 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 [IPTY intermediary: San Rafael Police Association, El SCC 1520 Fifth v nue San Rafael CA 94901 17.80 08/15/20201 Edward Chiu RIND Officer 418.10 C/o: San Rafael Police Association 1520 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 Av�.njje, San R�fapl- CA 949.01 ❑ SCC 08/31/2020 Edward Chiu RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 1 20 Fifth Avenjag. San Rafael. CA 94901 09/15/2020 Edward Chiu X❑IND Officer 17.80 418.10 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, El SCC 1520 Fifth Avenue San Rafael, CA 94901 I Edward Chiu x❑IND Officer 17.80 9 19.10 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 Eifth Avenue. 9 SUBTOTAL$ 89.00 "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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period I CALIFORNIA to whole dollars. A � from 07/01/2020 ' page 35 of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO 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 (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2020 Edward Chiu X❑IND Officer 17.80 418.10 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 10/31/2020 Edward Chiu [91 IND Officer 17.80 418.1.0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, I�Zn Fifth Avgn�p_ San Rggagl CA 94901 ❑ SCC 11/15/2020 Edward Chiu x❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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, $!jn Rafael, CA 144901 11/30/2020 Edward Chiu QIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 [j]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael, CA 94901 _-72/15/2020 Edward ChiuOtticer 1i.eu C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael. CA 942D ❑ SCC -L - SUBTOTAL$ 89.00 '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 www.neffile.com 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. from 07/01/2020 FORM through 12/31/2020 Page 36 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE (E COMMITTEE, ALSO .D NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2020 Edward Chiu X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 FifthF-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 Avefuge. San Rafael, CA 94901 09/3.5/2020 Richard F. Clary x❑IND Police Officer 13.90 111.20 C/o: San Rafael Police Association 1520 Fifth ❑ COM ity Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 Fifth Av.enu Rafapl- CA 94901 ❑ SCC 09/30/2020 .5�n Richard F. Clary x❑IND Police Officer 13.90 111.20 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 Avenug. San Rafael, CA 90 10/15/2020 Richard F. Clary RIND Police Officer 13.90 111.20 C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avontie, San Rafael CA 94901 -10/31/2020 _ Richard F. Clary x❑IND Police Officer iJ.`JU C/o: San Rafael Police Association 1520 Fifth ❑ 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. San Rafael, CA 4 SUBTOTAL$ 73.40 *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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. I , from 07/01/2020 • ' through 12/31/2020 Page 37 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEARTO DATE RECEIVED R (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/15/2020 Richard F. ClaryX❑IND Police Officer 13.90 111.20 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 Rafael CA 94901 - 11/30/2020 Richard F. Clary X❑IND Police Officer 13.90 111.10 C/o: San Rafael Police Association 1520 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 12/15/2020 Richard F. Clary El IND Police Officer 13.90 111.20 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 Z6vemje, San Rafael. CA a 12/31/2020 Richard F. Clary El IND Police Officer 13.90 111.20 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 071 Robert Cleland RIND Sergeant 1/.lU 41t5.1U C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D Fifth A ❑ SCC SUBTOTAL$ 72.70 *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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppe.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. ■ ■ NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2020 through 12/31/2020 I Page 38 of 200 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSOD. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2.020 Robert Cleland El IND Sergeant 17.ts 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenu . San Rafael CA 94901 08/15/2020 Robert Cleland X❑IND Sergeant 17.80 41.8.10 C/o: San Rafael Police Association 1520 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 08/31/2020 Robert Cleland RIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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.94901 09/15/2020 Robert Cleland QIND Sergeant 17.80 415.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 _791 020 Robert Cleland BIND Sergeant 1 i. tsu 4 18.10 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, Fifth ElSCC SUBTOTAL$ 89.00 *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 www.netfile.com 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. / 601 from 07/01/2020 • through 12/31/2020 page 39 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831.553 DATE ZIPO 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 (E COMMITTEE, ALSO ENTER D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2020 Robert ClelandX❑IND Sergeant 17.80 4iB.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San 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./3112020 Robert Cleland X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 11/15/2020 Robert Cleland ElIND Sergeant 17.80 418.10 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 11/30/2020 Robert ClelandRIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 _12/1x/2020 Robert Cleland E] IND Sergeant 17.804 C/o: San Rafael Police Association 1520 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 pifth Avenue. San Rafael, CA q4q01 ❑ SCC *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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. 1 60 from 07/01/2020 ■ ' through 12/31/2020 page 40 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O 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 (E COMMITTEE, ALSO D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 17.131 17.020 Robert Cleland MIND Sergeant 418.30 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152D Fifth Avenue San R CA 94901 17.10 222.30 07/15/2024 Christopher Coale El Sergeant C/o: San Rafael Police Association 1520 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 07/15/2020 Thomas Collins FIND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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 Aven1je. S94201- 07/31/2020 Thomas Collins MIND Officer 17.80 416.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union -member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 78/15/2020 T omas Collins F] IND Officer 17.8 0 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTS( intermediary: San Rafael Police Association, ❑ SCC SUBTOTAL$ 87.60 *Contributor Codes IND -individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 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 07/01/2020 • " through 12/31/2020 Page 41 of 200 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 CUMULATIVE TO DATE YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/31/2020 Thomas CollinsX❑IND Officer 17.80 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 1520 Fifth Avenue San Rafael CA 94901 09115/2020 Thomas Collins RIND Officer 17.80 418.10 C/O: San Rafael Police Association 1520 FifthEl COM ity of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 09/30/2020 Thomas Collins x❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Aven—, P.flCA 94901 10/15/2020 Thomas Collins X❑IND Officer 17.80 418.10 C/O: San Rafael Police Association 1520 Fifth City of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 1Thomas Collins LIND v ricer i7.a0 4125.10 C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Avenue, San Rafael- CA 94901 ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , to whole dollars. ` from 07/01/2020 � through 12 /31/2 020 Page 42 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1.1/17/2020 Thomas Collins X❑IND Officer 1.80 418.10 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 Av nue San Rafael CA 94901 11/30/2020 Thomas Collins RIND Officer 17.80 418.14 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11,2a Fifth bypnj,�_ SAn R,fael_ CA 94901 ❑ SCC 12/15/2020 Thomas Collins El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 0 Fifth Avenue.9gq0l 12/31/2020 Thomas Collins RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 --67/1512020 Ronda CoraeroMINDSergeant 1/.lu 418. 10 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. San RafaRl. CA 9 SUBTOTAL$ 88.30 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice&ppc.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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 43 of 200 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2020 Ronda CorderoX❑IND Sergeant 4.1.6. to C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael 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 - 08/15/2020 Ronda Cordero X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM lity of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Ay—j— R�tapl, CA 94901 ❑ SCC 08/3112020 Ronda Cordero x❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 0 Fifth a f94901 09/1512020 Ronda Cordero X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 09/30/2020 Ron a or ero [g] IND Sergeant 11 b 4 19.10 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 Ayenua. San Rafaul. CA 94991 ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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. ` from 07/01/2020 through 12/31/2020 Page 44 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10 151242t) Ronda Cordero MIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue, San Rafael CA 94901 10/31/2020 Ronda Cordero MIND Sergeant 17.80 418.10 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, 1520 Fifth Avpnlie. San Rafagl_ CA 94901 ❑ SCC 11/15/2020 Ronda Cordero MIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of 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 94901 11/30/2020 Ronda Cordero E] IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 _ —12115/2020 Tien a Cordero MIND Sergeant 17.80 418.10 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 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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. 1 60 from 07/01/2020 • through 12/31/2020 page 45 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITEE,ALSO ENTER LD NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2020 Ronda Cordero X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 FifthE] 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 — 41d. I," 07/15/2020 Heinrich Cuddy 91 IND Police Officer C/o: San Rafael Police Association 1520 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 07/31/2020 Heinrich Cuddy QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 aafael, 08/15/2020 Heinrich Cuddy RIND ❑❑ Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth COM ^ity Of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael CA 94901 06/31/2a20 Heinrich Cuddy E] IND Police OTticer �- 0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Fifth Avenue, San []SCC _IL20 SUBTOTAL$ 88.30 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com 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 07/01/2020 " through 12/31/2020 Page 46 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Heinrich CuddyX❑IND Police Officer 7.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael 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 09/30/2020 Heinrich Cuddy 91 IND Police Officer 17.80 418.10 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 10/15/2020 Heinrich Cuddy E] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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, QA 94901 10/31/2020 Heinrich Cuddy El IND Police Officer 17.80 418.10 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 Heinrich Cuddy E] IND Police Officer 17.8 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 Fj f V ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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. from 07/01/2020 FORM through 12/31/2020 _ Page 47 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ATE 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 7RECEIVED (E COMMITTEE,DDRALSAENTER/ D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 17.80 /2020 Heinrich Cuddy RIND Police Officer 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [_]SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2020 Heinrich Cuddy El IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [IPTY intermediary: San Rafael Police Association, ❑ SCC 12/31/2020 Heinrich Cuddy X] IND Police Officer 17.80 418.10 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 Ave Ue. San Rafael, CA 0 07/15/2020 Casey DeBolt(IND Police Officer 17.10 332.60 C/o: San Rafael Police Association 1520 Fifth L] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael, CA 94901 Casey DeBo S X❑IND Police Officer 17.80 332.60 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, 1520 Fifth Avenue, San RdL&Ll, CA 94901 ❑ SCC 1 SUBTOTAL$ 88.30 'Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 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 07/01/2020through 90-0 12/31/2020 page 48 o NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT THIS CUMULATIVE TO DATE PER ELECTION TO DATE DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Casey DeBoltX❑IND Police Officer 17.80 332.6_) C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/31/2020 Casey DeBolt x❑IND Police Officer 17.80 332.60 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 09/15/2020 Casey DeBolt RIND Police Officer 17.80 332.60 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 09/30/2020 Casey DeBolt RIND Police Officer 17.80 332.60 C/o: San Rafael Police Association 1520 FifthE] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 asey Dellart—IND Police Officer 332.60 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 Ayerjue, San Rafael- rA 24901 ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppe.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee SCHEDULE A (CONT.) Amounts may be rounded Statement covers period , CALIFRNI to whole dollars. � I , from 07/01/2020 • through 12/31/2020 page 49 of 200 I IF AN INDIVIDUAL, ENTER AMOUNT DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) 10/31/7.020 Casey ❑CSOlt ❑ MIND Police Officer 17.8 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com olice Officer ity Of San Rafael Police Officer City Of San Rafael lice Officer ty Of San Rafael lice urricer ty Of San Rafael 17.80 17.80 1 SUBTOTAL$ 89.00 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 332.60 332.60 332.60 332.60 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 152Q Fifth Avenue San Rafael CA 94901 ❑ COM ❑ OTH ❑ PTY ❑ SCC 11/15/2020 Casey DeBolt MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 11/30/2020 Casey DeBolt FIND C/o: San Rafael Police Association 1520 Fifth ❑ICOM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, San Rafael, CA q4q01 []SCC 12/15/2020 1520 Fifth Avenue. Casey DeBolt BIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 12131/2020 Casey DeBolt MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, .____.__ �__ ,._e__i ,mow neem ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com olice Officer ity Of San Rafael Police Officer City Of San Rafael lice Officer ty Of San Rafael lice urricer ty Of San Rafael 17.80 17.80 1 SUBTOTAL$ 89.00 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 332.60 332.60 332.60 332.60 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 07/01/2020 • through 12/31/2020 page 50 of 200 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 ND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D. NUMBER CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2020 Rebecca DeLaTorreDINp Call Taker & Records 327.10 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 07/31/2020 Rebecca DeLaTorre H1 IND Call Taker & Records 13.90 327.10 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 08/15/2020 Rebecca DeLaTorre El IND Call Taker & Records 13.90 327.10 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, 0 08/31/2D20 Rebecca DeLaTorre RIND Call Taker & Records 13.90 327.10 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 9/15/2020 RE ecca DeLaTorre ElIND Call Taker & Records 13.90 3 27.10 c/o San Rafael Police Association 1520 Fifth []COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, CA 949DI ❑ SCC SUBTOTAL$ 69.00 *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 www.netfile.com 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 Q- P,fI T)nli— Ace iatinn Pnlitira1 Artinn C'nmmittee Amounts may be rounded to whole dollars. SCHEDULE A (CONT) Statement covers period from 07/01/2020 through 12/31/2020 I Page 51 of 200 I.D. NUMBER 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 www.netfile.com SUBTOTAL$ 69.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO LD NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 09/34/2020 Rebecca DeLaTorre El IND Call Taker & Records 13.90 327.10 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 152D Fifth Avenue San Rafael CA 94901 10/15/2020 Rebecca DeLaTorre 91 IND Call Taker & Records 13.90 327.10 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 10/31/2020 Rebecca DeLaTorre x❑IND Call Taker & Records 13.90 327.10 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. 11/15/2020 Rebecca DeLaTorre ❑IND Call Taker & Records 13.90 327,10 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 1113012020 Rebecca DeLaTorre RIND Call Taker & Records 1.3.y 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, ElSCC Fifth1520 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 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 from 07/01/2020 through 12/31/2020 Page 52 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15./2020 Rebecca DeLaTorrex❑IND Call Taker & Records 13.90 327.10 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 12/31/2020 Rebecca DeLaTorre x❑IND Call Taker & Records 13.90 327,10 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 07/15/2020 Blake Delzell El IND Police Corporal 17.10 418.10 C/o: San Rafael Police Association 1520 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 FifLh Avenue. San Rafae CA. g4901 ❑ SCC 07/31/2020 I Blake Delzell E] IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 0 Blake De ze x❑IND Police Corporal li.su 41 C/o: San Rafael Police Association 1520 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 Aven San Rafael. rA 94901 ❑ SCC 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 80.50 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. from 07/01/2020 FORM through 12/31/2020 page 53 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08131/2020 Blake Delzell X❑IND Police Corporal .7.80 418.10 C/o: San Rafael Police Association 1520 Fifth [3Com 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 09/15/2020 Blake Delzell x❑IND Police Corporal 17.80 4.18.1.0 C/o: San Rafael Police Association 1520 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 09/30/2020 Blake Delzell ❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 10/15/2020 Blake Delzell RIND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/31/2020 Blake De xe ❑IND Police Corporal li.uu 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC .1520 Fifth AvenUe. San Rafael. CA 94901 SUBTOTAL$ 89.00 "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 www.netfile.com 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 07/01/2020 through 12/31/2020 SCHEDULE A Page 54 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR O RECEIVED CALENDAR YEAR DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELPFEMP STION ELF -EMPLOYED, END NTER NAME IODTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2020 Blake DelzellX❑IND Police Corporal 17.80 419.10 C/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, 1520 Fifth Avenue. San Rafael CA 94901 ❑ SCC 11/30/2020 Blake Delzell E] IND Police Corporal 17.80 418.1.0 C/o: San Rafael Police Association 1520 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 12/15/2020 Blake Delzell x❑IND Police Corporal 17.80 418.10 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, IS20 Fifth Aygnue. San Rafael. CA 94901 [—]SCC 12/31/2020 Blake Delzell X❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth El COM ^.ity Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael -Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 97/15/2020 C rlstlan Diaz RIND Sergeant 1/.lU 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, Avenue.1520 Fifth ❑ SCC SUBTOTAL$ 88.301 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com 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 07/01/2020 ' through 12/31/202C Page 55 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 07115/2.020 Justin Dodson X❑IND Police Corporal .7.10 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue Rafael CA 94901 07/31/2020 Justin Dodson E] IND Police Corporal 17.80 i18.1Q C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue OTH 71 San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 08/15/2020 Justin Dodson ©IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 1523 Fifth Aygkilie. San CA 94901 08/31/2020 -Rafael. Justin Dodson E] IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael, CA 94901 Tustin Dodson X❑IND Police Corporal li,su 418.!U C/o: San Rafael Police Association 1520 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 Rafaej. ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 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. 07/01/2020 • ' page 56 of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO 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 QF COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/3012020 Justin DodsonX❑IND Police Corporal 17.80 X18.10 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2420 Justin Dodson 91IND Police Corporal 17.80 418.1.0 C/o: San Rafael Police Association 1520 Fifth EICOM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC 10/31/2020 Justin Dodson RIND Police Corporal 17.80 418.10 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 1 20 Fif&b Avenue, San Rafael- CA 0 11/15/2020 Justin Dodson QIND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 IIJ3072020 ,Tustin Do son E] IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael El COM Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n Fifth Aveniie. San Ra- CA 9429-1— ❑ SCC ` SUBTOTAL$ 89.00 "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 www.netfile.com 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. ■ 60 from 07/01/2020 • through 12/31/2020 Page 57 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO D NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) i2 151207.0 Justin DodsonX❑IND Police Corporal 17.80 418.3;: C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 9490'1 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 1520 Fifth venue San Rafael CA 94901 12/31/2020 Justin Dodson 2]IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 Z6VPnu�, San Rafael- CA ()49QI ❑ SCC 07/15/2020 James Dooley RIND Police Corporal 17.10 418.10 C/o: San Rafael Police Association 1520 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 990 67/31/2020 James Dooley EIIND Police Corporal 17.80 918.1[) C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue,_San Rafael CA 94901 —08/15/2020 James Dooley [g] IND Police Corporal 17 •80 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 152P Fifth Avenue, San Ra�ael, CA 949Q.1— SUBTOTAL$ 88.30 "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com 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 07/01/2020 • ' through 12/31/2020 Page 58 of 200 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, ALSOENTERID.NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) oa/31/2020 James DooleyX❑IND Police Corporal 17.80 41P C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 09/15/2020 James Dooley EIIND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM -ity Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D FifLh Avenup San g2f2ej- CA C1419111 ❑ SCC 09/30/2020 James Dooley x❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 1 20 Fiftb Averlue. San Rafael, CA a 10/15/2020 James Dooley E] IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 - James Dooley x❑IND Police Corporal li.uu 418.1U 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 Fifth1520 va *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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 07/01/2020 � through 12/31/2020 Page 59 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2420 James Dooley X❑IND Police Corporal 17.80 418.10 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 11/30/2020 James DooleyX❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 12/15/2020 James Dooley x❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 99901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1590 Fitth Avenue. San Rafapl. CA 94901. 12/31/2020 James Dooley El IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 07/1 Christopher Duncan IND Yo ice sergeant 1/.iu 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [IPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael. CA MM_ . []SCC I I. I I SUBTOTAL$ 88.30 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com 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. IA 60 from 07/01/2020 FORM through 12/31/2020 page 60 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMIT TEE, ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/31/2020 Christopher DuncanX❑IND Police Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 0.8115/2020 Christopher Duncan X❑IND Police Sergeant 17.80 118.10 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 08/31/2020 Christopher Duncan x❑IND Police Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 152Q Fifth v f 9490 _ 99/15/2020 Christopher Duncan x❑IND Police Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael., CA 94901 Christopher Duncan E] IND Police Sergeant 17.1809 18.10 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Avenue,1529 Fifth C 9 SUBTOTAL$ 89.00 "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 www.netfile.com 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 61 of 200 I.D. NUMBER 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE CONTRIBUTOR IF AN INDIVIDUAL, ENTER CONTRIBUTOR AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER 1.D. CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2020 Christopher Duncan X❑IND Police Sergeant 17.90 41$.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue n Rafael CA 94901 10/31/2020 1 Christopher Duncan ❑IND Police Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 FifthEl COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ElPTY intermediary: San Rafael Police Association, 1370 Fifth Aygnuo. SAII gafapl- CA 941401 ❑ SCC 11/15/2020 Christopher Duncan RIND Police Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aye San Rafael. QA 9�901 ❑ SCC 11/34/2020 -nue. Christopher Duncan E] IND Police Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [IPTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 12/151/2Q20 C X stop er Duncan RIND Police Sergeant II.uu 0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Ly-enue, San ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 • " through 12/31/2020page 62 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 12/31/2020 Christopher DuncanX❑IND Police Sergeant 17.801 416.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 09/15/2020 Kevin Finerty x❑IND Police Officer 17.80 142.40 C/o: San Rafael Police Association 1520 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 09/30/2020 Kevin Finerty x❑IND Police Officer 17.80 142.40 C/o: San Rafael Police Association 1520 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 Eifth Avenue, ❑ SCC 10/15/2020 Kevin Finerty x❑IND Police Officer 17.80 142.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10131/20 Kevin Fifierty x❑IND Police Ofticer 17.80 i 2.40 C/o: San Rafael Police Association 1520 FifthE] 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 942D ❑ SCC I -L- SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 FPage63 through 12/31/2020 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2020 Kevin FinertyIND x Police Officer 1/.8U 142.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael 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 11/30/2420. Kevin Finerty x❑IND Police Officer 17.80 142.40 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 122Q Fifth Aygn,p_ q- P, AP.1 QA 94901 []SCC 12/15/2020 Kevin Finerty BIND Police Officer 17.80 142.40 C/o: San Rafael Police Association 1520 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 12/31/2020 Kevin Finerty X❑IND Police Officer 17.80 142.40 C/o: San Rafael Police Association 1520 Fifth E] COM city Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 07/1-512020 Jenna Fisher X❑IND Communications Dispatcner 13.40 327.10 c/o San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D rifth Avenue, San Rafael, CA 54901 ❑ SCC SUBTOTAL$ 84.60 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity; PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) 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. A from 07/01/2020 • through 12/31/2020 page 69 of 200 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 TO DATE DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) i 07/31/2020 Jenna Fisher X❑IND Communications Dispatcher 13.90 327.10 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 99901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 99901 08/15/2020 Jenna Fisher E] IND Communications Dispatcher 13.90 327.10 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 99901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/31/2020 Jenna Fisher ©IND Communications Dispatcher 13.90 327.10 ,c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 99901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC Fifth1520 v O 09/15/2020 Jenna Fisher E] IND Communications Dispatcher 13.90 327.10 c/o San Rafael Police Association 1520 Fifth City of San Rafael [-] COM Avenue San Rafael, CA 99901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 99901 09130/2020 Jenna Fisher RIND Communications Dispatcher 13.90 327.0 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 99901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 11520 Fiftb Avenue. San RdL&ej. CA 94901 ❑ SCC *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 www.netfile.com SUBTOTAL$ 69.50 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 ` from 07/01/2020 ■ through 12/31/2020 page 65 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT THIS CUMULATIVE TO DATE PER ELECTION TO DATE DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/2026 Jenna Fisher X❑IND Communications Dispatcher 13.90 327,101 c/o San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 16/31/2420 Jenna Fisher 91 IND Communications Dispatcher 13.90 327.10 c/o San Rafael Police Association 1520 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 11/15/2020 Jenna Fisher F1 IND Communications Dispatcher 13.90 327.10 C/O San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC 1520 Fifth v 1 9 11/30/2020 Jenna Fisher E] IND Communications Dispatcher 13.90 327.10 c/o San Rafael Police Association 1520 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 1 1 Jenna Fisher x❑IND Communications Dispatcher i3.90 c/o San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC S 9 SUBTOTAL$ 69.50 '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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. + 460 I from 07/01/2020 FORM NAME OF FILER San Rafael Police Association Political Action Committee through 12/31/2020 page 66 of 200 I.D. N 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 www.netfile.com 327.10 327.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue ❑ COM IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) Danielle Fry 91 IND Call Taker/Records OF BUSINESS) C/o: San Rafael Police Association 1520 Fifth [-]COM :131 29 20 Jenna Fisher RIND Communications Dispatcher 13.90 327.10 c/o San Rafael Police Association 1520 Fifth ❑ OTH City of San Rafael Union member's dues received through 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com 327.10 327.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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 21 _ 071151202.0 Danielle Fry 91 IND Call Taker/Records 13.40 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 07/31/2020 Danielle Fry El IND Call Taker/Records 13.90 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, 152Q Fifth Avenue, n RafAP.] . CA 94901 ❑ SCC 08/15/2020 Danielle Fry E] IND Call Taker/Records 13.90 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 7/31/2020 Davie Me Pry x❑IND Caii 'faker/Records i3.yu C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenug, San -Rafael. CA 949DI-- ❑ SCC SUBTOTAL$ 69.00 '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 www.netfile.com 327.10 327.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 I Page 67 of 200 I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT DATE OCCUPATION AND EMPLOYER RECEIVED THIS RECEIVED (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) 09/15/2420 Danielle Fry' RIND Call Taker/Records 13. C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 327 In 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth A2venue San Rafael CA 99901 09/30/2020 Danielle Fry X❑IND Call Taker/Records 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist AvenueCity Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafa,l. CA g4901 11 2Q Fifth Avenlj,. ❑ SCC 10/15/2020 _c�nn Danielle Fry RIND Call Taker/Records 13.90 327.10 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. 94901 10/31/2020 Danielle Fry El IND Call Taker/Records 13.90 327.10 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 _ 11/25/2020 Danielle Fry R IND Caii faker/Records 13.90 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 ❑ P7Y intermediary: San Rafael Police Association, ,ern o -epi ,.--_�--_ — o.. C_..1 _ a O(f7 El SCC — — 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 PER ELECTION TO DATE (IF REQUIRED) 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. J from 07/01/2020 through 12/31/2020 Page 68 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2020 Danielle FryX❑IND Call Taker/Records 13.90 327.10 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 152 Fifth Avenue San Rafael, CA 94901 12/1517_[#.0 Danielle Fry x❑IND Call Taker/Records 13.90 327.10 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 12/31/2020 Danielle Fry QIND Call Taker/Records 13.90 327.10 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, ❑ SCC 1520 Fifth Avenue. San Rafael,94901 07/15/2020 Anna Fulgado El IND Dispatcher 13.40 327.10 C/o: San Rafael Police Association 1520 FifthE] COM City Of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 0-1/3112020 Anna Fu ga o RIND Dispatcher 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 69.00 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 07/01/2020 through 12/31/2020 page 69 of 200 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 ND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/15/2020 Anna FulgadoX❑IND Dispatcher 13.90 327.10 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 R CA 94901 08/31/2020 Anna Fulgado El IND Dispatcher 13.90 327 1.0 C/o: San Rafael Police Association 1520 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 l 09/15/2020 Anna Fulgado x❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 aafael, CA 94901 — 09/30/2020 Anna Fulgado X❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 —10/15/2020 Anna Fulgado X❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC SUBTOTAL$ 69.50 *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 www.netfile.com 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 07/01/2020 through 12/31/2020 Page 70 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1 31/2020 Anna Fulgado ]IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1524 Fifth Avenue San Rafael CA 94901 11/15/2020 Anna Fulgado El IND Dispatcher 13.90 37.7,10 C/o: San Rafael Police Association 1520 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 11/30/2020 Anna Fulgado x❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 ;ifth Avenue. ❑ SCC 12/15/2020 Anna Fulgado El IND Dispatcher 13.90 327.10 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 —12/3112020 Anna Fulgado QIND Dispatcher 13.90 321.171 C/o: San Rafael Police Association 1520 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 kyenug. San 94901 ❑ SCC SUBTOTAL$ 69.50 '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 www.netfile.com 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. SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 page 71 of 200 I.D. NUMBER 831553 DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2020 Christopher Fullerx❑IND Corporal 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth❑ 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 San Rafael CA 94901 07131/2020 Christopher Fuller ❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth El COM ^ity of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/15/2020 Christopher Fuller QIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth EICOM 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 Rafagj, CA 94qQ1 ❑ SCC 08/31/2020 Christopher FullerBIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue San 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 Christopher Fuller RIND Corporal 11.80 4 18. ir C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth v SUBTOTAL$ '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 www.netfile.com 88.30 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 07/01/2020 FORM through 12/31/2020 Page 72 of 200 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 HIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION SELF-EMPLOYED, NAAMER (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) t}9130/20 0 Christopher Fuller MIND Corporal 17.80 4.18.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael CA 99 O1 10/15/2020 Christopher Fuller MIND Corporal 17.8() 418.10 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 10/31/2020 Christopher Fuller ®IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through EIPTY intermediary: San Rafael Police Association, ❑ SCC 152Q Fifth Avenue. San RafaejCA 0 11/15/2024 Christopher Fuller MIND Corporal 17.80 418.10 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 [_1PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael, CA 99901 11 Christopher Fu er MIND Corporal 1/•uu - C/o: San Rafael Police Association 1520 Fifth E] 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 Aven3je. San_R&;L=1. CA 9490L ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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 07/01/2020 • through 12/31/2020 Page 73 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO LID NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 1.211512020 Christopher Fuller X❑IND Corporal 17.80 418.!0 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 Fifthvenue San Rafael 94901 12/31/2020 Christopher Fuller E}IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM lity of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1S20 TPiftb Ayenu San Rafael. CA 94901 []SCC 07/15/2020 Salvatore Garanzini EIIND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 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. [:]SCC 07/31/2020 Salvatore Garanzini E] IND officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael CA 94901 78/15/2020 Salvatore Garanzini RIND officer 17.80 418.io C/o: San Rafael Police Association 1520 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 v ❑ SCC 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 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 07/01/2020 O through 12/31/2020 Page 74 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2020 Salvatore Garanzini X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Ra 1 CA 94901 09/15/2020 Salvatore Garanzini E] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ElPTY intermediary: San Rafael Police Association, 11,20 Fifth Ay�nu San Rafael- CA q4Q01 ❑ SCC 09/30/2020 Salvatore Garanzini RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 AvenuQ. San Rafael. CA 94901_ - 10/15/2020 Salvatore Garanzini X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM city of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 -10/3112020 Salvatore Garanzini E] IND Otticer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael E] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, Fifthr ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 • through 12/31/2020 page 75 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) REQUIRED) (IF EQUIRED ) OF BUSINESS) 11/15/2020 Salvatore Garanzini X❑IND Officer 918.10 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, El SCC 1520 Fift Avenue San Rafael CA 94901 --- 11/30/2020 Salvatore Garanzini X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 12/15/2020 Salvatore Garanzini El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Fifth AvCnue. San Rafael, CA a 12/31/'2020 .1-520 Salvatore Garanzini X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2020 Jessica av is Z] IND Dispatcher 13.40 20650 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1526 Fifth Avenue, San &Lfael. CA 94901— ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 84.601 1 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. from 07/01/2020 FORM through 12 /31/2 020 Page 76 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 13.90 07/31/2020 Jessica GavlickX❑IND Dispatcher 206.50 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 20fi.50 08/15/2020 Jessica Gavlick RIND Dispatcher 13.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through []PTY intermediary: San Rafael Police Association, 1.12Q Fifth Av2njip, San Rafael. r.A 2�901. ❑ SCC 08/31/2020 Jessica Gavlick EJIND Dispatcher 13.90 206.50 C/o: San Rafael Police Association 1520 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. Sgn Rafael. 0 09/15/2020 Jessica Gavlick RIND Dispatcher 13.90 206.50 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 09/30/2020 Iessica Gav isX❑IND Dispatcher 13.90 206,50 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 ❑ Ply intermediary: San Rafael Police Association, 1520 rifth Ay-enUe. San Rafae CA 94901 ❑ SCC "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity; PTY- Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 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 A to whole dollars. # 01 from 07/01/2020 • ' through 12/31/2020 Page 77 of 200 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 REC HIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITfEE,ALSO ENTER LD NUMBER) CODE * OCCUPATION p UPFA-TIO SEND LF -EMPLOYED, ENTER LOVER PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) loll 512020 Jessica GavlickX❑IND Dispatcher 13.90 206.50 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 v n,,- San. Rafael CA 99901 10/31/202,0 Jessica Gavlick 91 IND Dispatcher 13.90 206.50 C/o: San Rafael Police Association 1520 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 Aygnup, 5aa R-fagl- CA 94901 ❑ SCC 11/15/2020 Jessica Gavlick x❑IND Dispatcher 13.90 206.50 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, 1520 Fifth Avenue.Rafael. [-]SCC 11/30/2020 Jessica Gavlick X❑IND Dispatcher 13.90 206.50 C/o: San Rafael Police Association 1520 Fifth ❑ COM `'ity Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 1 Jessica:Gavlick x❑IND Dispatcher 13.90 206.50 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, 11520 Fifth Avenue. ❑ SCC SUBTOTAL$ 69.50 "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 www.netfile.com 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 07/01/2020 F—Z-- through 12/31/2020 page 78 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.NUMBER) O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) -2/31/2:720 Jessica GavlickX❑IND Dispatcher 13.90 206.50 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 152Q Fifth Avenue San Rafael. CA 94901 07/15/2020 Justin Graham El IND Sergeant 17.10 418.0 C/o: San Rafael Police Association 1520 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 07/31/2020 Justin Graham X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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�20 Fifth Avenup. San Ratgpj. CA 94901 [:]SCC 08/15/2020 Justin Graham X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 08f3112020 Justin Graham 91 IND Sergeant i,;. 80 4 18.10 C/o: San Rafael Police Association 1520 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 Fiftb v ❑ SCC - 'Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity; PTY – Political Party SCC–Small Contributor Committee www.netfile.com SUBTOTAL$ 84.40 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. J from 07/01/2020 • " through 12/31/2020 page 79 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND 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 (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 09/15/2020 Justin Gra am x❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1524 Fifth Avenue San Rafael CA 94901 09/30/2020 Justin Graham MIND Sergeant 17.80 418_10 C/o: San Rafael Police Association 1520 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. qArj RAf�pl- CA 94901 ❑ SCC 10/15/2020 Justin Graham ElIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 5 ❑ SCC 10/31/2029 Justin Graham x❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 5' Justin rrariam MIND Sergeant 17.80 18.1[1 C/o: San Rafael Police Association 1520 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$ 89.00 *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 www.neifile.com 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. SCHEDULE A (CONT Statement covers period from 07/01/2020 through 12/31/2020 page 80 of 200 I.D. NUMBER 831553 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 www.netfile.com 81.20 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30 2317.0 Justin Graham X❑IND Sergeant 17.80 97.8.14 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 1520 Fifth Avenue San Rafael CA 94901 12/15/2020 Justin Graham xIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 12/31/2020 Justin Graham X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth AvQnue.94901 09/15/2020 Christopher R Heinlein F) IND Police Officer 13.90 111.20 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 [J -PTY intermediary: San Rafael Police Association, [3SCC 1520 Fifth Avenue, San Rafael CA 99901 Z ristop er R i3sxn can X❑IND Police Officer 13.90 111.20 C/o: San Rafael Police Association 1520 Fifth E] 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 i Gln ci FPh JI -o i q—Rafw01 . ('A 444nl - _- -_ - - 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 www.netfile.com 81.20 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. .1 from 07/01/2020 ` through 12/31/2020 page 81 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER -D -NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) X❑IND OF BUSINESS) ].011512020 Christopher R Heinlein Police Officer 13.90 111.20 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, ❑ SCC 1520 Fifth Avenue San Rafaelc CA 94901 _ 10/31/2420 Christopher R Heinlein x❑IND Police Officer 13.90 111.20 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 11/15/2020 Christopher R Heinlein x❑IND Police Officer 13.90 111.20 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 ElPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. 11/30/2020 Christopher R Heinlein El IND Police Officer 13.90 111.20 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 -- 1 Christopher R ein e n x❑IND Police Officer 15.70 1. 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, 1920 Fifth Avenue. San R CA 94901 []SCC SUBTOTAL$ 69.50 *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 www.netfile.com 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. A ' from 07/01/2020 through 12/31/2020 Page 82 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE DATE RECEIVED (IF COMMITTEE, .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 12/31 2D20 Christopher R Heinlein X❑IND Police Officer 13.90 111.20 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 20 Fifth Avenue SgLn Rafael CA 94901 07/15/2020 Lori Hendricks El IND Dispatcher 13.40 327.10 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 07/31/2020 Lori Hendricks X❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 Figth Avenue. SAU Rafael, CA 94901 [:]SCC 08/15/2020 Lori Hendricks 91 IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 0 Lori Hendricks %❑IND Dispatcher 13.90 327,L0 C/o: San Rafael Police Association 1520 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 ❑ SCC SUBTOTAL$ 69.00 *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 www.netfile.com 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. 460 � ' from 07/01/2020 • ' through 12/31/2020 Page 83 of 200 NAME OF FILER LD. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Lori HendricksX❑IND Dispatcher 13.90 327.!0 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 15 0 Fifth Avenue San Rafael CA 94901 09/30/2020 Lori Hendricks ❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 10/15/2020 Lori Hendricks E] IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Aveglue. San Rafapl. CA 94901 10/31/2020 Lori Hendricks X❑IND Dispatcher 13.90 327.10 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 —11/1512020 Lora Hendricks- [KIND Dispatcher 1.3.`1U C/o: San Rafael Police Association 1520 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 942DI ❑ SCC SUBTOTAL$ 69.50 '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 www.netfile.com 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 07/01/2020 • through 12/31/2020 page 84 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDE O 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_N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2.020 Lori Hendricks RIND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San 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./15/2020 Lori Hendricksx❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 12/31/2020 Lori Hendricks QIND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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. Saa Rafael, 94901 07/15/2020 Robert Henkle X❑IND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 Q7131/2020 Robert Henkie RIND Otticer 1/.8U 8.1 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ P7Y intermediary: San Rafael Police Association, El SCC Fifth v 94901 -1.520 SUBTOTAL$ 76.60 'Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com 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. from 07/01/2020 through 12/31/2020 page 85 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Robert Henkle X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City of 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 08/31/2020 Robert Henkle El IND Officer 17.80 418.10 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 09/15/2020 Robert Henkle El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 &ygnue, San P 01 X❑IND 09/30/2020 Robert Henkle Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue, San Rafael CA 94901 1 o 1 Robert Hen a X❑IND Officer 1/•8 3.i0 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 94921 -- ❑ SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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. J ` from 07/01/2020 O through 12/31/2020 page 86 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2420 Robert Henklex❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael CA 94901 17.80 11/15/2020 Robert Henkle EIIND Officer 418.10 C/o: San Rafael Police Association 1520 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- Rafael C.A 94901 [-]SCC 11/30/2020 -qaD Robert Henkle El IND Officer 17.80i 418.10 C/o: San Rafael Police Association 1520 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 v 90 12/15/2020 Robert Henkle X❑IND Officer 17.80 918.10 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 Robert Henicie RIND V ricer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth E] 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. $all Rafael.- CA__3j3_QL_ ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) RAnr%n+-2r%e One+ni rnri SCHEDULE A (CONT.) Amounts may be rounded Statement covers period .V..ViM.' -� to whole dollars. - 1 from 07/01/2020 ; through 12/31/2020 page 87 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO .D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15 2020 Ryan Hirschnitz ❑IND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth[:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152Q Fifth Avenue San g4fael, CA 94901 07/31/2020 Ryan Hirschnitz x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 08/15/2020 Ryan Hirschnitz RIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 152D Fifth e A 9490 08/31/2020 Ryan Hirschnitz QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 091151ZD20 Ryan H rsc ni:tz X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. Sac ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com 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 9. , to whole dollars. ■ 0 from 07/01/2020 0 through 12/31/2020 Page 88 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) SF9l30 2.0 0 Ryan HirschnitzX❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 FifthEl 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 San Rafael CA 94901 10!15/2020 Ryan Hirschnitz 21IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through E]PTY intermediary: San Rafael Police Association, ❑ SCC 10/31/2020 Ryan Hirschnitz RIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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, ❑ SCC 11/15/2020 Ryan Hirschnitz X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 FifthE] 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, San Rafael, CA 94901 11 Ryan H1rsc nitz ]IND Police Otticer 1i.aU 4 19.10 C/o: San Rafael Police Association 1520 Fifth [71 COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through L]PTY intermediary: San Rafael Police Association, 1520 Fifth ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 F through 12/31/2020 89 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Ryan Hirschnitz E] IND Police Officer 17.80 718.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San fael A 99 Ol 12/31/2020 Ryan Hirschnitz F] IND Police Officer 17.80 718.10 C/o: San Rafael Police Association 1520 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 07/15%2020 J. Alexander Holm RIND Sergeant 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D Fifth Avenue. SQp Rafael, CA 94901 ❑ SCC 07/31/2020 J. Alexander Holm El IND Sergeant 17.80 418.10 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 ElPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 202 J. Alexander Hq m RIND Sergeant 17.8u 418.10 C/o: San Rafael Police Association 1520 Fifth [71 COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through LIPTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San Rafael, CA 949QI ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) 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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. A ! from 07/01/2020 � page 90 of 200 through 12/31/2020 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 COMMITTEE, ALSO ENTER LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2020 J. Alexander HolmX❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/15/2020 J. Alexander Holm RIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 09/30/2020 J. Alexander Holm El IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 20 Fifth AvQQ3e, San Rafael. CA 94901_ ❑ SCC 10/15/2020 J. Alexander Holm X❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 10131/2020 J. Alexander Ho m X❑IND Sergeant 1/.8U 418. t.'' 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, 1520 Fifth Avenue, San RafA22. CA 94901 [:]SCC _ SUBTOTAL$ 89.00 _J 'Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com 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 07/01/2020 • ' through 12/31/2020 page 91 of zoo NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O 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 .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/1572 02-0 J. Alexander Holm x❑IND Sergeant 17.80 418.10 C/O: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth venue San Rafael CA 94901 11/30/2024 J. Alexander Holm El IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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;20 Fifth AyPni—. San RA�Apl- CA 949ni ❑ SCC 12/15/2020 J. Alexander Holm F] IND Sergeant 17.80 418.10 C/O: San Rafael Police Association 1520 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 0 Fitth 6,v 94901 12/31/2020 J. Alexander Holm E] IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 [:]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [—]SCC 1520 Fifth Avenue San Rafael CA 94901 1 Car Hu er X❑IND Sergeant li.1u 77 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com 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 0 ' from 07/01/2020 •ky� through 12/31/2020 Page 92 of 200 NAME OF FILER E.D. NUMBER San Rafael Police Association Political Action Committ 831553 DATE O 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 (E COMMITTEE, ALSOD. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 17.80 _ 07/3172020 Carl Huber MIND Sergeant 418.10 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 ElPTY intermediary: San Rafael Police Association, ❑ SCC 1,520 Fifth venue San Rafael CA 94901 0.8/1512024 Carl Huber M IND Sergeant 17.80 418.10 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 08/31/2020 Carl Huber ©IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 &venue. Sari Rafael. CA 94901 ❑ SCC 09/15/2020 Carl Huber x❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM city of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 1520 Fifth Avenue San Rafael, CA 94901 Carl Huber MIND Sergeant 17.80 18,lU C/o: San Rafael Police Association 1520 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. Sln Rafael. CA 942QI— ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com FPPC Form 460 (Jan/2076) 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: / 60 from 07/01/2020 O Page 93 of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND DE O 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 (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 10/15/2020 Carl HuberX❑IND Sergeant 17.rsU 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of 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 0/31/2020 Carl Huber RIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 Ay�ni, San Rafagl- CA 94901 ❑ SCC 11/15/2020 Carl Huber RIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 San Rafael. CA 94201 11/30/2020 Carl Huber E] IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue,.San Rafael, CA 94901 12115/2029 Car Huber X❑IND Sergeant '• • = ' 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 Ay_U�e. San Rafael, CA 94901 ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com SUBTOTAL$ 89.001 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (COP Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 1 from 07/01/2020 " through 12/31/2020page 94 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O 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 (E COMMITTEE, ALSO D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 17.80 1.2 3112020 Carl Huber QIND Sergeant 418.19 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC IS20 Fifth Aven e San Rafael CA 94901 07/15/2020 Scott Ingels RIND Sergeant 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1-1,23 Fitt -b Aypnup- San Rafa�l. QA 94901 ❑ SCC 07/31/2020 Scott Ingels ©IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 Auenue. 5an Rafael, CA 94901 08/15/2020 Scott Ingels WIND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 78/31/2020 Scott Ingels 91 IND Sergeant ii.su 1 ._ C/o: San Rafael Police Association 1520 Fifth City of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ElPTY intermediary: San Rafael Police Association, 1520 Fifth ❑ SCC SUBTOTAL$ se.3o 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com 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. 460 � ' from 07/01/2020 FORM through 12/31/2020 Page 95 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09115 2020 Scott IngelsX❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 09/30/2020 Scott Ingels El IND Sergeant 17.80 4118.1,0 C/o: San Rafael Police Association 1520 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 10/15/2020 Scott Ingels Cl IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 Avenjig. San Rafael. CA Ol 10/31/2020 Scott Ingels E] IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1Scott Ingels ]IND Sergeant i/.du 410.10 C/o: San Rafael Police Association 1520 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__QA__iA2D.L_ []SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 • through 12/31/2020 page 96 of 200 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 ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME I PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11 39 2.21) Scott Ingels X❑IND Sergeant i7.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC IS20 Fifth Avenue, San Rafa 1 CA 94901 Sergeant 17.80 - 1-2/15/2020 Scott Ingels x❑IND 418.10 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Av�ni qan RafARl- CA 94901 ❑ SCC 12/31/2020 Scott Ingels E] IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 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 07/15/2020 Joseph Jordan X❑IND Police Officer 17.10 298.40 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 7-7/31 /2020 d 0 s e PT Jor an QIND Police Officer ii.uu tyt:.vu C/o: San Rafael Police Association 1520 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. ran Rafael. CA 94901 ❑ SCC SUBTOTAL$ 88.30 "Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee www.netfile.com 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 3, to whole dollars. from 07/01/2020 FPage through. 12/31/2020 97 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECPERIOD EIVED HIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR(JAN. 7DATEFULL RE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * D((IIFSELLF--EMPOYYED, NCUPATION AND TERNAAMER 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 08/1Joseph JordanX❑IND Police Officer 17.80 298.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union membe'r's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 OB/31/2020 Joseph Jordan x❑IND Police Officer 1%.ki(i 298.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through El PTY intermediary: San Rafael Police Association, 152n Fifth Ay—j— q— RAf�pl_ CA 94901 []SCC 09/15/2020 Joseph Jordan BIND Police Officer 17.80 298.40 C/o: San Rafael Police Association 1520 Fifth ❑ 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 f CA 94901 09/30/2020 Joseph Jordan E] IND Police Officer 17.80 298.40 C/o: San Rafael Police Association 1520 Fifth❑ COM pity of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1011512020 Joseph JordanX❑IND police Officer 17:80; 298.40 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 [:]SCC SUBTOTAL$ 89.00 *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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) 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. 460 � ' from 07/01/2020 " through 12/31/2020 Page 98 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10131 ?.020 Joseph Jordan X IND Police Officer 1i.8uj 298.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 Joseph Jordan X❑IND Police Officer 17.80 298.40 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, 1520 Fifth P [-]SCC - 11/30/2020 Joseph Jordan ®IND Police Officer 17.80 298.40 C/o: San Rafael Police Association 1520 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 Rafael,1520 Fifth Ay2nue. San 94901_ 12/15/2020 Joseph Jordan El IND Police Officer 17.80 298.40 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Josep Jor an X❑IND Police Officer li.au 298.41) 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 Aygnue. San RaLagj, CA 94901 ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 F through 12/31/2020 99 of 200 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 NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUM ULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15 2020 Cheryl Kondratieff X❑IND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/31/2020 Cheryl Kondratieff X❑IND Police Officer _ 17.80 418.10 C/o: San Rafael Police Association 1520 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 08/15/2020 Cheryl Kondratieff ©IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 ; "0 Fifth Avenue. Sari Rgfael, CA 94901 08/31/2020 Cheryl Kondratieff EIIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through D PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 5 Cheryl on rade RIND Police Officer C/o: San Rafael Police Association 1520 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 Fiftb Avenue. San Rafael, CA 94JU ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com 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 07/01/2020 • ' through 12/31/2020 page 100 of 200 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 COMMITEE,ALSO ENTER LD,NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2020 Cheryl KondratieffX❑IND Police Officer 17.80 118. C/o: San Rafael Police Association 1520 Fifl [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/1020 Cheryl Kondratieff El IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 10/31/2020 Cheryl Kondratieff QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ElSCC 152n Fifth Uenue, Sari Rafael. CA 9�201 11/15/2020 Cheryl Kondratieff E] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/30/2020 Cheryl Korn ratre X❑IND Police Otricer 17.uu 4i . C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1320 Fifth Avenue, San R&faall CA -9-42U [:]SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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. � � ` from 07/01/2020 • through 12/31/2020 Page 101 Of 200 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 DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * O(IF SELPFEMP SELF-EMPLOYED, ETION AND NTER NAME IODTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12./15/7.020 Cheryl KondratieffX❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 — 12/31/2020 Cheryl Kondratieff X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 07/15/2020 Anndora Lee El IND Dispatcher 13.40 327.10 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, j5W,Q Fifth Avenug, San Rafael, CA 94901 ❑ SCC 07/31/2020 Anndora Lee 2] IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 15 Anndora Les '-'IND Dispatcher 13.70 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 Rafagl, CA ❑ SCC `Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 76.80 1 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 07/01/2020 • through 12/31/2020 Page 102 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/31/2010 Anndora Lee QIND Dispatcher 3.90 32-7.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/15/2020 Anndora Lee RIND Dispatcher 13.90 37.7.14 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 09/30/2020 Anndora Lee El IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 Avenup, San Raf�pj. CA 94901 ❑ SCC 10/15/2020 Anndora Lee X❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 IIJ/3112IJ2IJ Anndora Lee E] IND Dispatc er 32).10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC n Fifth SUBTOTAL$ 69.50 *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 www.netfile.com 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 07/01/2020 FORM through 12/31/2020 page 103 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO 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 (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11115/2020 Anndora Lee x❑IND Dispatcher 1.3.90 327,30 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 11/30/2020 Anndora Lee RIND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 12/15/2020 Anndora Lee X❑IND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 12/31/2020 1520 Fifth Av n R-fag,.J, CA 94901 Anndora Lee QIND Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 07/15/2020 Kar Luhmann Police Officer 17.10 8.10 C/o: San Rafael Police Association 1520 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 CA 94901 ❑ SCC —RaLall. SUBTOTAL$ 72.70 *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 www.netfile.com 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. SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 104 of 200 I.D. NUMBER 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 www.netfile.com lice Officer ty Of San Rafael lice Officer ty Of San Rafael Police Officer City Of San Rafael olice Otticer ity Of San Rafael 418.10 17.801 418.10 SUBTOTAL$ 89.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue ❑ COM IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE ❑ OTH PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) C/o: San Rafael Police Association 1520 Fifth (IF REQUIRED) Avenue ❑ OTH OF BUSINESS) San Rafael, CA 94901 1./3112020 Karl Luhmann X❑IND Police Officer 418.10 08/31/2020 Karl Luhmann RIND C/o: San Rafael Police Association 1520 Fifth C/o: San Rafael Police Association 1520 Fifth City Of San Rafael I i Avenue OTH *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com lice Officer ty Of San Rafael lice Officer ty Of San Rafael Police Officer City Of San Rafael olice Otticer ity Of San Rafael 418.10 17.801 418.10 SUBTOTAL$ 89.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue ❑ COM San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafagl. CA 94901 08/15/2020 Karl Luhmannx❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/31/2020 Karl Luhmann RIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. A 94901 09/15/2020 Karl Luhmann RIND C/o: San Rafael Police Association 1520 Fifth F-1COMAvenue San 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/ZUZU Karl Lu mann E] IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, I e -.n r.- — w.-��.. �. — --_1 — 6AOn4 ❑ SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com lice Officer ty Of San Rafael lice Officer ty Of San Rafael Police Officer City Of San Rafael olice Otticer ity Of San Rafael 418.10 17.801 418.10 SUBTOTAL$ 89.00 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 07/01/2020 • through 12/31/2020 page 105 of 200 NAME OF FILER 1.0, 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 TO DATE 7RECEIVED (IF COMMITTEE, ALSO ENTERI-D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 024 Karl Luhmann QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth El COM City Of San Rafael Avenue San Rafael, CA 94901 [710TH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/31/2020 Karl Luhmann 91 IND Police Officer 17.80 418.10 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 11/15/2020 Karl Luhmann QINDPolice Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 v 0 11/30/2020 Karl Luhmann X❑IND Police Officer 17.80 418.10 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 12/lb/zUzu Karl Luhmann RIND Police Officer 11.80 418.io C/o: San Rafael Police Association 1520 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. Sari Zafaej, CA 949Q.L- ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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 • . CALIFNIA to whole dollars. 460 from 07/01/2020 FORM through 12/31/2020 page 106 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD IF REQUIRED (JAN. 31) ( ) OF BUSINESS) 12/31/2026 Karl Luhmann QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 15 0 fifth Avenue n Rafael CA 94901 07/15/2020 Kevin Macdougald QIND Officer 17.10 418.10 C/o: San Rafael -Police Association 1520 Fifth [3Com City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 07/31/2020 Kevin Macdougald X IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Fiftla Avenue. San f 1. CA 94901 08/15/2020 Kevin Macdougald E] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 99901 1 Kevin Mac ouga X❑IND Officer 1-1.60 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Aael, CA 9490L_ *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 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 07/01/2020 f through 12/31/2020 page 107 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/7.02.0 Kevin Macdougald X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/30/2020 Kevin MacdougaldX❑IND Officer 17.80 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, ❑ SCC RIND 10/15/2020 Kevin Macdougald Officer 17.80 418.10 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 10/31/2020 Kevin Macdougald E] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San 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 Kevin Macdougald 91 IND OYYicer 17.80 4 T77T C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 152D Fifth Avenue. San Rafael- CA 9 SUBTOTAL$ 89.00 '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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / r from 07/01/2020 O through 12/31/2020 Page 108 of 200 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 ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2026 Kevin Macdougald X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael.. CA 94901 12/15/2020 Kevin Macdougald E] IND Officer 17.80 418.1.0 C/o: San Rafael Police Association 1520 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 Ayari__ "a CA q4qni E] SCC 12/31/2020 Kevin Macdougald RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 11,20 Fifth Avenue, San Rafael. CA 94901 07/15/2020 Kaitlin Maley QIND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth [3Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 Kaitlin Maley QIND Police UYiicer 17.80 1 . C/o: San Rafael Police Association 1520 Fifth E] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY ociation, intermediary: San Rafael Police Ass94901 ❑ SCC "Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 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. E � from 07/01/2020 FORM page 109 of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O 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 (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Kaitlin Maley X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafa 1 CA 94901 08/31/2020 Kaitlin Maleyx❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 09/15/2020 Kaitlin Maley xIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 RafApj, A 94901 09/30/2020 Kaitlin Maley X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM `,ity Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1011 Tait in Maley F] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 949U [7]SCC _ SUBTOTAL$ 89.00 *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 www.netfile.com FPPC Form 460 (Jan/2076) 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. J from 07/01/2020 ' through 12/31/2020 page 110 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID.NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2020 Kaitlin Maley KIND Police Officer 17.80 118.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 Kaitlin Maley KIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 11/30/2020 Kaitlin Maley FXJ IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth CICOM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC IS20 7ifth Avenue,an Rafael, 12/15/2020 Kaitlin Maley KIND Police Officer 17.80 418.10 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 1 1 Kaitiin Ma eyIND x Police Officer ii.bu 418.10 C/o: San Rafael Police Association 1520 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 &venue._5&a_EafAe1. 9490 [—]SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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. ■ from 07/01/2020 through 12/31/2020 7Page11 of 200 NAME OF FILER R San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 07115 2020 Lee MastenX❑IND Police Officer 13.40 344.90 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 1520 Fifth Avenue Saa Rafael CA 94901 07/31/2020 Lee:INBSten RIND Police Officer 13.90 344.30 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, San Rilfael, EA 94901 []SCC 08/15/2020 Lee Masten X❑IND Police Officer 13.90 344.90 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, El SCC 1520 Fifth Aygn Sjj� Rafael. CA 94901 08/31/2020 Lee Masten E] IND Police Officer 13.90 344.90 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 $4901 1 Lee Masten 71 IND Police Officer 11.80 4 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth v n 7, CA 94901 ❑ SCC SUBTOTAL$ 72.90 '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 www.netfile.com 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 07/01/2020 • through 12/31/2020 page 112 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2020 Lee Masten MIND Police Officer 17.80 344,90 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. CA 94901 10/15/2020 Lee Masten MIND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 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 10/31/2020 Lee Masten QIND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 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 Aypnue. San Rafael. CA 94901 11/15/2020 Lee Masten X❑IND Police Officer 17.80 344.90 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 Lee Masten MIND Police Officer 17.80 344. 90 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 11520 Fifth SUBTOTAL$ 89.00 "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 www.netfile.com 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 period7NNUMBEFR to whole dollars.from 07/01/2020 through 12/31/2020 200 NAMEOFFILER San Rafael Police Association Political Action Committee DATE AND ZIP 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 LD NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/24 4 Lee Masten QIND Police Officer 17.80 3+14.90 C/o: San Rafael Police Association 1520 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 12.131/2020 Lee Masten x❑IND Police Officer 17.80 344.90 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 [IPTY intermediary: San Rafael Police Association, ❑ SCC 07115/2020 Michael Mathis RIND Corporal 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth [:]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.n Rafael. 07/31/2020 Michael Mathis RIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael, CA 94901 1 Michael at is QIND Corporal 1i•au C/o: San Rafael Police Association 1520 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 R&Lagj,, CA ❑ SCC SUBTOTAL$ 88.30 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com 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 periodCALIFORNIA to whole dollars. I ' from 07/01/2020 " through 12/31/2020 Page 114 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIPDE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION TO DATE (E COMMITTEE, ALSO I.D.N * OCCUPATION AND EMPLOYER CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2020 Michael Mathis QIND Corporal 17.80 418.1U C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 09/15/2020 Michael Mathis 91 IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 FifthF-1 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 4,yenup. San R,f,pl- CA 94901 ❑ SCC 09/30/2020 Michael Mathis x❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 949nj - ❑ SCC 10/15/2020 Michael Mathis El IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 —10/31/2G20 Michael MathisMINDCorpora 17.80 4J_8.10 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 11520 Fifth v94C,101 SUBTOTAL$ 89.00 J "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2020 through 12/31/2020 page 115 of 200 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 RECPEIREODDTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID.NUMBER) CODE * OCCUPATIONA AND SELF-EMPLOYED, EMPLOYER (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2117.0 Michael Mathis X❑IND Corporal 17.80 418.10 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 11/30/2Q20 Michael Mathis El IND Corporal 17.80 418.10 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, 2n Fifth Avenup. qan RaFapl- CA 949]01 ❑ SCC 12/15/2020 Michael Mathis x❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenuen R 12/31/2020 Michael Mathis EIIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/31/2 Daisy B Mazarregos 91 IND Police Urrlcer 195.30 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, 1520 Fifth Avenue, San Rafael. CA 0 ❑ SCC SUBTOTAL$ 98.50 '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 www.netfile.com 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 i Statement covers period to whole dollars. i from 07/01/2020 L through 12/31/2020 page 116 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Daisy B MazariegosX❑IND Police Officer 27.30 195.30 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 1524 Fifth Aver a San Rafael CA 94901 08/31/2020 Daisy B Mazariegos QIND Police Officer 13.90 195.30 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, IS2Q Fifth Augnua, San RatAP-1, CA 94901 ❑ SCC 09/15/2020 Daisy B Mazariegos xIND Police Officer 13.90 195.30 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. San Rafael. CA 94901 09/30/2026 Daisy B Mazariegos HIND Police Officer 13.90 195.30 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 10/15/2020 Daisy B Mazariegos [91 IND Police 0111cer 13.90 1 9. C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Ir20 Fifth Avenue, ❑ SCC SUBTOTAL$ 82.90 '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 www.netfile.com 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. .1 60 from 07/01/2020 • through 12/31/2020 page 117 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2.20 Daisy B MazariegosX❑IND Police Otticer 13.90 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 11/15/2024 Daisy B Mazariegos X❑IND Police Officer 17.80 195.;•'.] C/o: San Rafael Police Association 1520 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 11/30/2020 Daisy B Mazariegos RIND Police Officer 17.80 195.30 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, 152P Fifth Avenjae. San Rafagj- CA 94901 [:]SCC 12/15/2020 Daisy B Mazariegos X❑IND Police Officer 17.80 195.30 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 12131/2020 Daisy B Mazariegos 2]IND Police Officer 17.du 195.30 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, ❑ SCC SUBTOTAL$ 85.10 *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 www.netfile.com FPPC Form 460 (Jan/2076) 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 07/01/2020 ' through 12/31/2020 page 118 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Gerard F McCarthy E] IND Police Officer 13.90 t13..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 1524 Fifth venue San Rafael CA 94901 — 09/30/2020 Gerard F McCarthy x❑IND Police Officer 13.90 111.20 C/o: San Rafael Police Association 1520 Fifth El COM ^ity Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, I-S2CI Fifth Avenue- San Rafaal. CA 94901 ❑ SCC 10/15/2020 Gerard F McCarthy ®IND Police Officer 13.90 111.20 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 Avpnu�, San Rafael. CA 94 0 10/31/2020 Gerard F McCarthy R1 IND Police Officer 13.90 111.20 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 11/15/2020 Gerard RIND Police Officer l .yu 111.20 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 L"ifth Avenue- San Raf&gl. CA 94 201 ❑ SCC SUBTOTAL$ 69.50 '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 www.netfile.com 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 1 from 07/01/2020 • ' through 12/31/2020 page 119 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) X❑IND OF BUSINESS) 11130/2020 Gerard F McCarthy Police Officer 13.90 111.20 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 Rafa 1 A 94901 - 17./15/2.420 Gerard F McCarthy X❑IND Police Officer 13.90 111.20 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 12/31/2020 Gerard F McCarthy EIIND Police Officer 13.90 111.20 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 0 07/15/2020 Phillip Melodia RIND Officer 17.10 418.10 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 San Rafael, CA 94901 1 _Avenue P 1 n Me o a El IND Otticer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue. Lian Rafael - CA 91M ❑ SCC _1_52-0 -Fifth SUBTOTAL$ 76.60 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com 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 07/01/2020 " through 12/31/2020 Page 120 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 i ND DE O 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 DATE RECEIVED (IF COMMITTEE, ALSO D.N * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/15/20N Phillip Melodia 7CIND Officer 17.80 4118.1.0 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El 520 FifthAvenue San Rafael, CA 9490I 48./31/2020 Phillip Melodia MIND Officer 17.80 418,10 C/o: San Rafael Police Association 1520 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 09/15/2020 Phillip Melodia NJ IND Officer 17.80 418.10 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 Avenug, Sari RaEael, CA 9490 09/30/2020 Phillip Melodia El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 _ Phillip Melodia MIND Orricer 17.80 C/o: San Rafael Police Association 1520 Fifth E] 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 gafaal. CA 94901 [7]SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 through 12/31/2020 page 121 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER i AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 17.80 iT 10/31/2020 Phillip Melodia MIND Officer C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 - 11/15/2020 Phillip Melodia MIND Officer 17.80 418. Io C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY I San Rafael Police Association, 1,520 Fifth &Lenjp San R�fagl- CA 94901 ❑ SCC 11/30/2020 Phillip Melodia MIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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, 12/15/2020 Phillip Melodia MIND Officer 17.80 418.10 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)31/2020 Phil -lip Me o is MIND Officer 17.80 418,10 C/o: San Rafael Police Association 1520 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 -i .1hAq ❑ SCC 'Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period _ to whole dollars. 'cl 1 from - 07/01/2020 � � through 12/31/2020 page. 122 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committ 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR AND O(IFSELFEMP HIS RECEIVED THIS CALENDAR YEAR DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * SELF-EMPLOYED, EATION NTER (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 7/31/2620 Daniel Mendoza Ochoa x❑IND Police Officer 27.30 181.90 C/o: San Rafael Police Association 1520 Fifth []COM City Of 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- 08/15/2020 Daniel Mendoza Ochoa RIND Police Officer 13.90 1S1.90 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 08/31/2020 Daniel Mendoza Ochoa RIND Police Officer 13.90 181.90 C/o: San Rafael Police Association 1520 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 Fifth1520 v 90 09/15/2020 Daniel Mendoza Ochoa E] IND Police Officer 13.90 181.90 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 Daniel Mendoza c oa X❑IND Police Uiilcer 13.90 1 1. C/o: San Rafael Police Association 1520 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 Rafar-1. CA ❑ SCC SUBTOTAL$ 82.90 *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 www.netfile.com 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. 1 ` from. 07/01/2020 FORM through 12/31/2020 Page 123 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action CommittPF- 831553 DATE ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/1512.020 Daniel Mendoza Ochoax❑IND Police Officer 13.90 181..90 C/o: San Rafael Police Association 1520 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 Ra a 1 CA 94901 - 14/31/2020 Daniel Mendoza Ochoa x❑IND Police Officer 13.90 1$1.90 C/o: San Rafael Police Association 1520 FifthEl COM ^ity Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through [-]PTY intermediary: San Rafael Police Association, [] SCC 11/15/2020 Daniel Mendoza Ochoa QIND Police Officer 17.80 181.90 C/o: San Rafael Police Association 1520 Fifth [3Com City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 0 1 CA 94901 11/30/2020 Daniel Mendoza Ochoa E] IND Police Officer 17.80 181.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 0 anis Men oaa a va E] IND Police Otticer 17.80 181.90 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Aygnup. San Rafael, C& 94501 ❑ SCC "Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 81.20 J 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. 1 60 from 07/01/2020 O through 12/31/2020 Page 124 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 12/31/2020 Daniel Mendoza Ochoa 91 IND Police Officer 17.80 181.90 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2020 Lilah MG Barnes X❑IND Police Corporal 17.10 418.10 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 07/31/2020 Lilah MG Barnes 2] IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 Ratap.]. QA 94901 08/15/2020 I:ilah MG Barnes El IND Police Corporal 1'7.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, © SCC 1520 Fifth Avenue, San Rafael, CA 94901 06/311Z020 Lilah MG BarnesX❑IND Police Corporal 47 =.C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH ' Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 F�fth Avenue, San Rafael. QA 949Q.I_ ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT) Page 125 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE YEAR PER ELECTION TO DATE DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD CALENDAR (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Lilah MG Barnes x❑IND Police Corporal 17.80 418,10 C/o: San Rafael Police Association 1520 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 09/3[i 2020 Lilah MG Barnes El IND Police Corporal 17.80 R18.1U C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ElPTY intermediary: San Rafael Police Association, ❑ SCC 10/15/2020 Lilah MG Barnes X❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 Avenug. San Rafael, CA 94901 ❑ SCC 10/31/2020 Lilah MG Barnes X❑IND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 11/1512020 Lilah MG Barnes 91 IND Police Corporal li.bu 418.10 C/o: San Rafael Police Association 1520 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 Pifth Avenue, San Ra - ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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 07/01/2020 • " through 12/31/2020 Page 126 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O 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 (E COMMITTEE, ALSO I.D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/39/2020 Lilah MG BarnesX❑IND Police Corporal 17.80 418.10 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 17.80 12/15/2020 Lilah MG Barnes El IND Police Corporal 418.10 C/o: San Rafael Police Association 1520 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 12/31/2020 Lilah MG Barnes BIND Police Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 Rafae , CA 94901 ❑ SCC 07/15/2029 Beth Minka RIND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael. CA 94901 _ —()7/31/2020 Beth Min a x❑IND Administrative Technician i3.90 321.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D Fifth Avenue. San R&La-el, CA 949.01 ❑ SCC SUBTOTAL$ 80.70 *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 www.netfile.com 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 07/01/2020 • ' through 12 /31/202 0 Page 127 of 200 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 TO DATE DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Beth Minka]IND Administrative Technician 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 08/31/2020 Beth Minka RIND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 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 09/15/2020 Beth Minka QIND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SCC 5 v n — 09/30/2020 Beth Minka X❑IND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 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 _ 10/15/2020 Beth Minka RIND Administrative Technician 13.qu, 327.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafa�l_ CA 949Q.L ❑ SCC SUBTOTAL$ 69.50 *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 www.netfile.com 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 07/01/2020 through 12/31/2020 page 128 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 10/31/2020 Beth Minka X❑IND Administrative Technician 13.'JU 327.10 C/o: San Rafael Police Association 1520 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 11/15/2020 Beth Minks EIIND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 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 AyjB"up San Rafael. CA 94901 ❑ SCC 11/30/2020 Beth Minks Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ElPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. Sari Raf,Ipj, CA 94901 12/15/2020 Beth Minka RIND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 —12/31/2020 Beth Minka El IND Administrative Technician 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Rafael. CA 94901 I - SUBTOTAL$ 69.50 *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 www.netfile.com 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 07/01/2020 • through 12/31/2020 page 129 of 200 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 TOE DATE (IF COMMITTEE, ALSO ENTER D NUMBER) O(I RECEIVED CALENDAR YEAR RECEIVED CODE * FSEPAEMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (JAN. (IF REQUIRED) ) OF BUSINESS) 07/15/2020 Jessica Mitz ❑x IND Police Officer 13.40 344.90 C/o: San Rafael Police Association 1520 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 07/31/2020 Jessica Mitz R] IND Police Officer 1:3.90 344.90 C/o: San Rafael Police Association 1520 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 08/15/2020 Jessica Mitz x❑IND Police Officer 13.90 344.90 C/o: San Rafael Police Association 1520 Fifth [3Com City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 FjfL]j Aven1je. San Rafael. CA 94901 ❑ SCC 08/31/2020 Jessica Mitz E] IND Police Officer 13.90 344.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue Sari Rafael CA 94901 09115/2020 Jessica Mitz X❑IND Police Otticer 1/.80 3,14.90 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 RafLej, CA ❑ SCC SUBTOTAL$ 72.90 "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 www.netfile.com 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. 460 from 07/01/2020 FORM Page 130 of 200 through 12/31/2020 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 7.80 09/3072020 Jessica Mitz x❑IND Police Officer 344.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑,SCC 1520 Fifth Avenue San Rafael CA 9444.1 10/15/2020 Jessica Mitz X❑IND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 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 Pifth AypInup- Iqari Rafael- CA 94901 ❑ SCC 10/31/2020 Jessica Mitz X❑IND Police Officer 17.80 344.90 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 Fifth San Rafael. 11/15/2020 -Avenue. Jessica Mitz Ex Police Officer 17.80 344.90 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 —1113012020 Jessica Mitz 21 IND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 Fifth [3 COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 F' ❑ SCC — SUBTOTAL$ 89.00 ''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 www.netfile.com FPPC Form 460 (Jan/2076) 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 07/01/2020 • " through 12/31/2020 page 131 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Jessica Mitz- X❑IND Police Officer 17.60 344.90 C/o: San Rafael Police Association 1520 Fifth [:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 12/31/2.020 Jessica Mitz OIND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152a Fifth Ay�nu�. Ragjal. CA 94901 ❑ SCC 07/15/2020 ,�an Cynthia Morgan RIND Call Taker and Records 13.40 327.10 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 PAfge - CA 94901 07/31/2020 Cynthia Morgan RIND Call Taker and Records 13.90 327.10 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 Cynt as Morgan E) IND Call 'laxer ana Recoras 13.90 32/.10 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, 1520 Fifth Avenue. F an Rafael, CA 942DL_ ❑ SCC I SUBTOTAL$ 76.80 '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 www.netfile.com 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. 1 , from 07/01/2020 O through 12/31/2020 page 132 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2020 Cynthia Morgan X❑IND Call Taker and Records 13.90 327.10. 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 0$115/2020 Cynthia Morgan x❑IND Call Taker and Records 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue ❑ OTH City Of San Rafael San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 09/30/2020 Cynthia Morgan RIND Call Taker and Records 13.90 327.10 C/o: San Rafael Police Association 1520 FifthEl COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association,. ❑ SCC 10/15/2020 Cynthia Morgan QIND Call Taker and Records 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 —10/31/2020 Cynthia Morgan ]IND Call 'laxer and Recoras 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [3Com Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Fifth v ❑ SCC _IL20 SUBTOTAL$ 69.50 '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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 SCHEDULE A (CONT.) 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov through 12/31/2020 page 133 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO ENTER I.D.N OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/292Q Cynthia Morgan x[]IND Call Taker and Records 13.90 32%.10 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 SSjn Rafael. CA 94901 11/30/2020 Cynthia Morgan El IND Call Taker and Records 13.901 327.10 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 Ayp.0ilp San Rafa�l- CA 94aQ1 ❑ SCC 12/15/2020 Cynthia Morgan QIND Call Taker and Records 13.90 327.10 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 12/31/2020 Cynthia Morgan X❑IND Call Taker and Records 13.90 327.10 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 Lynn MurphyIND Mental Health Outreach 13.40 327.1u C/o: San Rafael Police Association 1520 Fifth ❑ COM Provider Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue,1520 Fifth ❑ SCC SUBTOTAL$ 69.00 '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 www.netfile.com 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 ems.. —F-1 P.,1 i. -o a—.,, -i Minn Pn1iti-1 Arti nn ("nmmittPP• Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 134 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (6661275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * RECEIVED (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/33/2020 Lynn Murphy X❑IND Mental Health Outreach 13.90 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 94201 08/15/2020 Lynn Murphy RIND Mental Health Outreach 13.90 327.1.0 C/o: San Rafael Police Association 1520 Fifth [-]COM Provider AvenueCity of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 08/31/2020 Lynn Murphy E] IND Mental Health Outreach 13.90 327.10 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 Aveaue. San Rajapl- A 94901 09/15/2020 Lynn Murphy ElIND Mental Health Outreach 13.90 327.10 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 09/3072020 Ynn M-rP y X❑IND Mental Flea tri Outreach li.y 0 327.10 C/o: San Rafael Poliee 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 Elfth Avenue. San Rafael, CA 949 ❑ SCC 69.50 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (6661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA A to whole dollars. ` from 07/01/2020 O through 12/31/2020 page 135 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE NDI.D.N DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15.1202 Lynn Murphy RIND Mental Health Outreach 13.90 32'1.10 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, L SCC 1520 Fifth Aveflue, San Ra€a i CA 94901 10/31/2020 Lynn Murphy 91 IND Mental Health Outreach 13.901 327.10 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 11/15/2020 Lynn Murphy RIND Mental Health Outreach 13.90 327.10 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, Rafael. ❑ SCC 11/34/2020 Lynn Murphy X❑IND Mental Health Outreach 13.90 327.10 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 1711512920 Lynn Murprky X❑IND Mental Health Outreach 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 Fjfth Avenue, San ❑ SCC SUBTOTAL$ 69.50 "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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) to whole dolllars.lars. Monetary Contributions Received Amountsmaybed statement covers period CALIFORNIA 460 from 07/01/2020 FORM through 12 /31 /2020 page 136 of 200 NAME OF FILER San Rafael Police Association Political Action Committee FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT DATE OCCUPATION AND EMPLOYER RECEIVED THIS RECEIVED (IF COMMITTEE, ALSO ENTER I -D -NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) t/31/2020 Lynn Murphy x❑IND Mental Health Outreach 13. C/o: San Rafael Police Association 1520 Fifth Provider Avenue ❑ COM City of San Rafael 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee I www.netfile.com Police 011icer City Of San Rafael Police Officer City Of San Rafael lice Officer ty Of San Rafael 17.80 17.80 lice urricer li.ov ty Of San Rafael SUBTOTAL$ 84.40 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 327.10 418.10 418.10 418,, 1.0 FPPC Form 460 (Jan/2076) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San TRAfAel, CA 94901 07/15/2020 Brandon Nail fl IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue [IOTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, IS20 Fifth Avenue, San BALaQ1, CA 94901 ❑ SCC 07./31/2020 Brandon Nail QIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC U el. CA 94901 08/15/2420 Brandon Nail El IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 Brandon Nail R]IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary_ San Rafael PoliceAssociation, ^ ❑ SCC 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee I www.netfile.com Police 011icer City Of San Rafael Police Officer City Of San Rafael lice Officer ty Of San Rafael 17.80 17.80 lice urricer li.ov ty Of San Rafael SUBTOTAL$ 84.40 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 327.10 418.10 418.10 418,, 1.0 FPPC Form 460 (Jan/2076) 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 137 of 200 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 ND .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) V1512020 Brandon Nail;X❑IND Police Officer 17.80 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com olice Otticer ity Of San Rafael lice Officer ty Of San Rafael lice Officer ty Of San Rafael olice Uiricer ity Of San Rafael 80 17.80 17.80 SUBTOTAL$ 89.00 418.10 418.10 Tre7n FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue San Rafael, CA 94901 Union member's dues received through intermediary: San Rafael Police Association, 1520 Fifth Avenue Sarl Rafael, CA 949_01 ❑ COM ❑ OTH ❑ PTY ❑ SCC x9/3012420 Brandon Nail MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 10/15/2020 Brandon Nail RIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC Avenue,1520 Fifth 10/31/2020 Brandon Nail MIND C/o: San Rafael Police Association 1520 Fifth F1 COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 11/1512020 Brandon Nail MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, — --1 — o 11 F1 SCC "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com olice Otticer ity Of San Rafael lice Officer ty Of San Rafael lice Officer ty Of San Rafael olice Uiricer ity Of San Rafael 80 17.80 17.80 SUBTOTAL$ 89.00 418.10 418.10 Tre7n FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded statement covers period _ ' to whole dollars. 1 r NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2020 through 12/31/2020 I Page 138 of 200 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSOENTER NUMBER) I.D.. OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/34/2020. Brandon NailX❑IND Police Officer ).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 1-520 Fifth Avenues San Rafael CA 94901 12/15/2020 Brandon Nail x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1,9n Vift-h Av,ZjuP_ San R,fael, CA 94901 ❑ SCC 12/31/2020 Brandon Nail RIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Rafael,1520 Fifth Avenue. San [-]SC 07/15/2020 Jorge Navarro E] IND Evidence Technician 13.40 327.10 C/o: San Rafael Police Association 1520 Fifth [ICOM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 Jgr9e Navarra x IND Evidence Technician 1.3.90 327 10 - 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 SUBTOTAL$ 80.70 "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 www.netfile.com 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 07/01/2020 FORM through 12/31/2020 page 139 of 200 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 NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEEALSO NUMBER) , CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 08/15/2020 Jorge Navarro x❑IND Evidence Technician 13.90 327.1; C/o: San Rafael Police Association 1520 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 11520 Fifth Avenue San Rafael CA 94901 08/3.1/2!D20 Jorge Navarro x❑IND Evidence Technician 13.90 327,3,0 C/o: San Rafael Police Association 1520 Fifth [3Com City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, []SCC 09/15/2020 Jorge Navarro F] IND Evidence Technician 13.90 327.10 C/o: San Rafael Police Association 1520 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 v ue. San Rafael -CA q4q01 09/30/2020 Jorge Navarro RIND Evidence Technician 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 115/15/2020 Jorge Navarro E]IND Evidence Technician ls.yu 327.10 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC "Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. DATE ❑ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IFCOMMITEE,ALSO ENTER LD NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME FIFTY intermediary: San Rafael Police Association, OF BUSINESS) )131/2020 Jorge Navarro xIND Evidence Technician Jorge Navarro C/o: San Rafael Police Association 1520 Fifth COM City of San Rafael *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com Evidence Technicia City of San Rafael idence Technician ty of San Rafael idence Technicia ty of San Rafael ity of San Rafael SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 page 140 of 200 I.D. NUMBER AMOUNT RECEIVED THIS PERIOD 13.90 13. 13.90 13.90 69.50 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 3z7.10 327.10 327.10 32') , 10 S2 1.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through FIFTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 Jorge Navarro x❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY I intermediary: San Rafael Police Association, 1 Vifth Avenue San Rafael- Ca 94901 ❑ SCC 11/30/2020 -S -9n Jorge Navarro ©IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 5 Rafael, 12/15/2020 Jorge Navarro RIND C/o: San Rafael Police Association 1520 Fifth F] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Jarge Navarro X❑IND C/o: San Rafael Police Association 1520 Fifth F] COM Avenue San Rafael, CA 94901 j ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, I ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com Evidence Technicia City of San Rafael idence Technician ty of San Rafael idence Technicia ty of San Rafael ity of San Rafael SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 page 140 of 200 I.D. NUMBER AMOUNT RECEIVED THIS PERIOD 13.90 13. 13.90 13.90 69.50 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) 3z7.10 327.10 327.10 32') , 10 S2 1.10 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 07/01/2020 O through 12/31/2020 page 141 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ADDRESSZIP 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 (IF COMMITTEE, D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 7/15/2020 Alexis NielsenX❑IND Lead Communications 13.40 327.10 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 07/31/2020 Alexis Nielsenx❑IND Lead Communications 13.90 327.10 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 08/15/2020 Alexis NielsenBIND Lead Communications 13.90 327.10 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 FifLh Ay�.njae. San Rafael. CA. 24QQI ❑ SCC 08/3112020 Alexis Nielsen N] IND Lead Communications 13.90 327.10 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 --09/15/2020 Alexis Nielsen X❑IND Lea Communications 13.90 327.10 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 ElPTY intermediary: San Rafael Police Association, 1520 Fifth Ayenue. San RaL=1. CA 94901— ❑ SCC SUBTOTAL$ 69.00 '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 www.netfile.com 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. 1 � from 07/01/2020 FORM page 142 of 200 through 12/31/2020 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) 13.90 09/30/2020 Alexis NielsenX❑IND Lead Communications 327.10 C/o: San Rafael Police Association 1520 Fifth E] 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 Fift Avenue San Rafael CA 94901 10/15/2:02.0. Alexi s. Nielsen x❑IND Lead Communications 13.90 327.10 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, 152n Fifth AypnuP, San Rafael- CA 94901 ❑ SCC 10/31/2020 Alexis Nielsen x❑IND Lead Communications 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth El 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 520 Fi-fth Avenup,, San Rafael, CA 94901 11/15/2020 Alexis Nielsen El IND Lead Communications 13.90 327.10 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 11/30/2 020 Alexis Nielsen X❑ IND Lead Communications i3.90 3127,10 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 Ay=ug. San Eafaal. CA 94901 [:]SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice&ppc.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 07/01/2020 • through 12/31/2020 page 143 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Alexis Nielsen X❑IND Lead Communications 13.90 327.10 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 Avenu- San Rafael CA 94901 12/31/2420 Alexis Nielsen RIND Lead Communications 13.90 327.10 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 Ayga��, san Rafael- CA 94901 ❑ SCC 07/15/2020 Oscar O'con R1 IND Corporal 17.10 418.10 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 Lvenue. Sazj RaLt2el. CA 94901 07/31/2020 Oscar O'con X❑IND Corporal 17.80 418.10 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 San Rafael, CA 94901 1171 scar O con 2) IND Corporal 418.10 C/o: San Rafael Police Association 1520 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. Avenun. San Rafael. -CA 9490 ❑ SCC "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 80.501 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. / 60 from 07/01/2020 • ' through 12/31/2020 page 144 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ND 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 D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/31/2020 Oscar O'con X❑IND Corporal 416.I.s' 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, [-]SCC 1520 Fifth Avenue, San Rafael.CA 94501 09/15/2020 Oscar O'con RIND Corporal 17.80 418.10 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, 1190 Pifth Anj4p. San Rnfa�l. CA 94901 ❑ SCC 09/30/2020 Oscar O'con X❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 Avenun Rafael. []SCC 10/15/2020 Oscar O'con RIND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 Scar con X❑IND Corporal 1/.80 418.10 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, n ❑ SCC - SUBTOTAL$ 89.00 "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 www.netfile.com 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 60 from 07/01/2020 O' through 12/31/2020 page 145 of 200 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 NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2020 Oscar O'con RIND Corporal 17.80 418.10 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 11/34/2020 Oscar O'con X❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, S20 Fifth Aven— 5a" Raf,el CA 949Q1 ❑ SCC 12/15/2020 Oscar O'con x❑IND Corporal 17.80 418.10 C/o: San Rafael Police Association 1520 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 AvQDlje. Sari Rafael. CA 949DI ❑ SCC 12/31/2020 Oscar O'con E] IND Corporal 17.80 418.10 C/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 --61/15/2020 Elizabeth Paez RIND IDispatcrier 1i.4U 260.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, CA 94901 ❑ SCC SUBTOTAL$ 84.60 'Contributor Codes IND–Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC–Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period W,,,d to whole dollars. M Ffr,m._07/01/2020 NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE 07/31/2024 Elizabeth PaezX❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2020 Elizabeth Paez MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through FIFTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth A—nu— Ran RafaRl. CA 08,131/2020 Elizabeth Paez El IND C/o: San Rafael Police Association 1520 Fifth F] COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. n R 09/15/2020 Elizabeth Paez MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 9 Elizabeth Paez MIND C/o: San Rafael Police Association 1520 Fifth F-1COMAvenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police^ Association,nAnni ❑ SCC *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Dispatcher City Of San Rafael ispatcher ity Of San Rafael Dispatcher City Of San Rafael spatcher ty Of San Rafael spatcner ty Of San Rafael through 12/31/2020 page 146 of 200 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) - 6C',10 3.901 r60. 13.901 260.10 .sVI cvv. SUBTOTAL$ 69.50 FPPC Form 460 (Jan12016) 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 1 from 07/01/2020 • through 12 /31 /2020 page 147 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/15/7020 Elizabeth Paez RIND Dispatcher 13.90 260.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 - — 10/31/2020 Elizabeth Paez 7C IND Dispatcher 13.90 260.10 C/o: San Rafael Police Association 1520 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 11/15/2020 Elizabeth Paez ®IND Dispatcher 13.90 260.10 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 Rafapj, QA 0 11/30/2020 Elizabeth Paez QIND Dispatcher 13.90 260.10 C/o: San Rafael Police Association 1520 Fifth [3Com 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 1 Elizabeth Paez E] IND Dispatcher 3.9 u•1 C/o: San Rafael Police Association 1520 Fifth EJ 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 Rafas2j ❑ SCC , SUBTOTAL$ 69.50 '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 www.netfile.com 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 07/01/2020 FORM page 148 of 200 through 12/31/2020 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 RECDREODDTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * O(IFSELPFEMP SELF-EMPLOYED, ETION AND NTERNAME (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31 7.020 Elizabeth Paez X❑IND Dispatcher 13.50 250.10 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 — 07/15/2020 Brian PattersonX❑IND Officer 17.10 418.10 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 ElPTY intermediary: San Rafael Police Association, 1520 Fifth Avenup- �@D R��apl_ CA 94901 ❑ SCC 07/31/2020 Brian Patterson RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 v San 4 08/15/2020 Brian Patterson X❑IND Officer 17.801 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael CA 94901 0 Brian Patterson El IND Officer li. 418.10 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 Rafagj._fA__,qAU1 [:]SCC SUBTOTAL$ 84.40 *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 www.netfile.com 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 coversperiod CALIFORNIA to whole dollars. ■ � 01 from 07/01/2020 • ' through 12/31/2020 Page 149 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Brian PattersonX❑IND Officer 11.80 418.10 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 Ufael, CA 949.01 09/30/2020 Brian Patterson X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 10/15/2020 Brian Patterson ©IND Officer 17.80 418.10 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 is2n Fifth Avenue. San Rafael. CA 0 10/31/2020 Brian Patterson x❑IND Officer 17.80 41e.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 0 Srian Patterson [91 IND Officer C/o: San Rafael Police Association 1520 Fifth City of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. ran Rafael, CA 949U [:]SCC SUBTOTAL$ 89.00 *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 www.neffile.com 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 e . to whole dollars. from 07/01/2020 " through 12/31/2020 page 150 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) _ 11/30/2020 Brian PattersonX❑IND Officer 17.80 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 - - 12T512020 Brian Patterson X❑IND Officer 17.80 418.10 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 12/31/2020 Brian Patterson ®IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 07/15/2020 Buffy Paxson - - E] IND Officer 17.10 257,90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, Salt Rafael CA 94901 -07131/2020 Buffy Paxson E] IND Officer li•bU C/o: San Rafael Police Association 1520 Fifth EJ 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 Rafaal. CA _9ASA1__ ❑ SCC "Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.ne[file.com SUBTOTAL$ 88.38 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. AGITI NAME OF FILER c,n R,fa 1 Pnli— As nriat-inn Pnliti rAl Art inn Cnmmittee from 07/01/2020 through 12/31/2020 I Page 151 of 200 I.D. NUMBER 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 www.netfile.com SUBTOTAL$ 88.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR 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) 08/15/2020 Buffy Paxson X❑IND Officer 257,90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2920 Dennis, Prince X❑IND Officer 17.10 418.1.0 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 7520 Fifth Avertug- San 84faal. nA 44901 ❑ SCC — 07/31/2020 Dennis Prince X❑IND Officer 17.80 418.1 C/o: San Rafael Police Association 1520 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. Sari Rafael. CA 94901 08/15/2020 Dennis Prince E] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/3112020 Dennis Prince X❑IND Otticer 17.80 418.101 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, 1S20 Fifth Ayenue. San Rafael, CA 94901 [:]SCC *Contributor Codes IND–individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC –Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 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 07/01/2020 FORM through 12/31/2020 page 152 of 200 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 RECEIVED THIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD IF REQUIRED (JAN. 1 -DEC. 31) ( ) OF BUSINESS) 09/15/2020 Dennis PrinceX❑IND Officer 17.80 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 Ra A 94901 — 09/30/2020 Dennis Prince E] IND Officer 17.80 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, IS211 Fifth Avenue San Rafael- QA 94901 ❑ SCC 10/15/2020 , Dennis Prince ®IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 1 CA 10/31/2020 Dennis Prince X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [_]PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue, San Rafael, CA 94901 —11/15/2020 Dennis Prince x❑IND Officer 17.80i418.1 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 Ayanj;p. San Aafael. CA 949C -L- ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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 07/01/2020 • " through 12/31/2020 Page 153 of 200 NAME OF FILER I.t7. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT THIS CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED CALENDAR YEAR RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11150/2020 Dennis Prince X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2020 Dennis Prince El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 12/31/2020 Dennis Prince x❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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, 07/15/2020 Edgar Rodriguez El IND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 1 Edgar Rodriguez E] IND Police Officer 1/.80 416.1U 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 Fiftli Avenue. San Rafael, _CL_3A2D_L_ [:]SCC I SUBTOTAL$ 88.30 *Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT.) Page 154 of 200 I.D. NUMBER 831553 DATE AND ZIPDE O 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 .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) OS/1512020 Edgar Rodriguez X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 — 08/31/2020 Edgar Rodriguezx❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 09/15/2020 Edgar Rodriguez MIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through []PTY intermediary: San Rafael Police Association, 152Q Fifth Avenue. San Rajael. CA---949nl ❑ SCC 09/30/2020 Edgar Rodriguez OIND Police Officer 17.80 418.16 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 — 1 1 Edgar Rodriguez ❑IND Police UT icer S 4 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 Ra-fapl. CA 941901 ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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 coversperiod CALIFORNIA to whole dollars. / , from 07/01/2020 O through 12/31/2020 page 155 of 200 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 TO DATE DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 10/31/2026 Edgar Rodriguez x❑IND Police Officer 17.80 416.10 C/O: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Ay nue San Rafael CA 94901 11/15/2020 Edgar Rodriguez RIND Police Officer 17.80 419.10 C/o: San Rafael Police Association 1520 Fifth []COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, El SC 11/30/2020 Edgar Rodriguez x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 1S�O Fifth Avenue. San Rafael. CA 94901 - 12/15/2020 Edgar Rodriguez RIND Police -Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 121-311WU20 Edgar Rodriguez X❑IND Police Otticer 1i. 8u 418.10 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 v nRafael. SUBTOTAL$ 89.00 "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 www.netfile.com 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 07/01/2020 FPage__156 through 12/31/2020 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR 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) 07115/207.0 Noemi Rossotti Gallo X❑IND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 FifthE] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 X❑IND 07/31/2020 Noemi Rossotti Gallo Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Avon3ja,- Rafael- CA �49nj ❑ SCC 08/15/2020 -qan Noemi Rossotti Gallo x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 15�0 Fifth Avenue., San Rafael. 94901 08/31/2020 Noemi Rossotti Gallo X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 /15 ZU 20 Noemi Rossotti Gallo x❑IND Police Officer 17.80 1' C/o: San Rafael Police Association 1520 Fifth [:] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [:]PTY intermediary: San Rafael Police Association, ❑ SCC i n ;f vo S 9 *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded statement covers period , to whole dollars. 1 � from 07/01/2020 NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * OC SELF -EON AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 09/30/2020 Noemi Rossotti GalloX❑IND Police Officer C/o: San Rafael Police Association 1520 Fifth City of San Rafael "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com lice Officer ty of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Otticer City of San Rafael through 12/31/2020 Page 157 of 200 AMOUNT RECEIVED THIS PERIOD 17. 1 17.80 17.80 SUBTOTAL$ 89.00 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) IB.] 418.10 418.1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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 10/15/2020 Noemi Rossotti Gallo 91 IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 10/31/2020 Noemi Rossotti Gallo MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth AvQnup. San Rafapl. CA 24901 11/15/2020 Noemi Rossotti Gallo MIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 1 Noemi rRossott a ❑ X❑IND C/o: San Rafael Police Association 1520 Fifth F] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC "Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.netfile.com lice Officer ty of San Rafael Police Officer City of San Rafael Police Officer City of San Rafael Police Otticer City of San Rafael through 12/31/2020 Page 157 of 200 AMOUNT RECEIVED THIS PERIOD 17. 1 17.80 17.80 SUBTOTAL$ 89.00 I.D. NUMBER 831553 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) IB.] 418.10 418.1 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. 460 from 07/01/2020 FORM through 12/31/2020 page 158 of 200 NAME OF FILER LD. NUMBER San Rafael Police Association Political Action Committee 831553 DA72Noemi FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECE (IFCOMMITfEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) IF REQUIRED ( ) OF BUSINESS) 12/15 Rossotti Gallo x❑IND Police officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenu San Rafael, CA 94901 - 12/31/2020 11 Noemi Rossotti Gallo 91 IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 07/15/2020 Peggy Rugex❑IND Lead Communications 13.40 327.10 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, n RAf,�Pl. CA 94901 ❑ SCC 07/31/2020 Peggy Ruge ❑ RIND Lead Communications 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth []COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 7�8115/2020 Peggy Ruge X❑IND Lead Communications 13.j 327.10 C/o: San Rafael Police Association 1520 FifthDispatcher [-]COM Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, San RafL&j. CA ❑ SCC *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 76.80 J 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 07/01/2020through !FF 12/31/2020 page 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE,ALSOENTERID NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08/31/2020 Peggy Ruge X❑IND Lead Communications 13.90 327,10 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 S n Rafapl. CA 94901 09/15/2020 Peggy Ruge MIND Lead Communications 13.90 327.10 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 09/30/•2020 Peggy Ruge QIND Lead Communications 13.90 327.10 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, 10/15/2020 Peggy Ruge ❑ X IND Lead Communications 13.90 327.10 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 2 Peggy Ruge MIND Lead Communications 13.90 321.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth -Avenue. San Eafa_ej. C?i 94901 ❑ SCC SUBTOTAL$ 69.50 "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 www.netfile.com 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 07/01/2020 through 12/31/2020 SCHEDULE A (CONT) Page 160 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (IF COMMITTEE, LD NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2020 Peggy Ruge xIND Lead Communications 13.90 327.10 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 11./30.20217 Peggy Ruge x❑IND Lead Communications 13.90 327.10 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 12/15/2020 Peggy Ruge 21IND Lead Communications 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue City of San Rafael San Rafael, CA 94901 [30TH Union member's dues received through F]PTY intermediary: San Rafael Police Association, IS2Q Fifth Avenue, San Rafael. Qa 94901 � SCC 12/31/2020 Peggy Ruge RIND Lead Communications 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM Dispatcher Avenue San Rafael, CA 94901 ❑ OTH City of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue, San Rafael CA 94901 Travis Ruggles E]IND Police 0111cer 17.10 4113.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 v CA 94901 SUBTOTAL$ 72.70 *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 www.netfile.com FPPC Form 460 (Jan12016) 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 a to whole dollars. ` from 07/01/2020 through 12/31/2020 page 161 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE D7 DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07131 Travis Ruggles MIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑SCC 1520 Fifth Avenue San Rafael CA 94901 08/15/2020 Travis Ruggles BIND Police Officer 1%.80 418.10 C/o: San Rafael Police Association 1520 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 08/31/2020 Travis Ruggles MIND Police Officer 17.80 418.10 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 [IPTY intermediary: San Rafael Police Association, ❑ SCC 152Q Fifth AvenuQ. 5an Raf 94901 49/15/2020 Travis Ruggles !(IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 n 767M F_ Travis Ruggles MIND Police Officer -L/.du 418.10 C/o: San Rafael Police Association 1520 Fifth City of San Rafael El 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 ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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. 460 � , from 07/01/2020 • through 12/31/2020 page 162 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ATE 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 7RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 10/15/2020 Travis Ruggles X❑IND Police Officer 17.80 - 4i8.i0 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael. CA 94901 10/31/2620 Travis Ruggles x❑IND Police Officer 17.80 418.10 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 11/15/2020 Travis Ruggles El IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Avenug, aan Rafael. CA 94901 11/30/2020 Travis Ruggles QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth []COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael, CA 94901 12/15/202D Trav S Rugg ea X❑IND Police Officer 1i.uu 418.iU 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 94 M [:]SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC- Small Contributor Committee www.ne[file.com SUBTOTAL$ 89.00 , 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. 460 from 07/01/2020 ' through 12/31/2020 page 163 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/31/2420 Travis Ruggles MIND Police Otticer 17.80 : C/o: San Rafael Police Association 1520 Fifth F1 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 94 O1 — 07/15/2420 Jessica Sanchezx❑IND Call Taker/Records 13.40 313.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist AvenueCity ❑ OTH Of San Rafael San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D Fiftb &Ven— San Rafael- r.& c)4201 ❑ SCC 07/31/2020 Jessica Sanchez MIND Call Taker/Records 13.90 313.70 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, [:]SCC 1520 Fifth Avenue- 08/15/2020 Jessica Sanchez MIND Call Taker/Records 13.90 313.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 0$ 1 lass ca anc ez MIND Call Taxer/Recoras 13.90 313.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM Specialist Avenue San Rafael, CA 94901 ❑ OTH City Of San Rafael Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 rifth Avenue, San Rafael, CA 94221— ❑ SCC SUBTOTAL$ 72.90 *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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amotowhol ybllars. ed Statement covers period CALIFORNIA to whole dollars. 460 6, from 07/01/2020 FORM through 12/31/2020 page 164 of 200 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 RECEIVED THIS CALENDAR YEAR 7 PER ELECTION TO DATE 7RRECE71VED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) IF REQUIRED ( ) OF BUSINESS) 49/15Jessica Sanchez ❑IND Call Taker/Records 13.90 313.70 C/o: San Rafael Police Association 1520 Fifth [3Com 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 09/30/2020 Jessica Sanchez RIND Call Taker/Records 13.90 313.70 C/o: San Rafael Police Association 1520 Fifth ❑ COM ^pecialis�t Avenue City Of San Rafael San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 10/15/2020 Jessica Sanchez x❑IND Call Taker/Records 13.90 313.70 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 r 1 520 Fiftb Avenug, San l. CA 94901 10/31/2020 Jessica Sanchez ❑IND Call Taker/Records 13.90 313.70 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, Rafael CA 94901 11/15/2020 _San iessica SanC e ❑IND Call Taker/Records 13.yu 313./0 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 _1521) rifth Avg SUBTOTAL$ 69.50 *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 www.netfile.com 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 � i from 07/01/2020 ki through 12/31/2020 page 165 of 200 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 ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/30/2020 Jessica Sanchez x❑IND Call Taker/Records 13.90 313.70 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, [ISCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2020 Jessica Sanchez RIND Call Taker/Records 13.90 313.70 C/o: San Rafael Police Association 1520 FifthEl 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 12/31/2020 Jessica Sanchez ®IND Call Taker/Records 13.90 313.70 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. n Rafael, CA 94901 ❑ SCC 07/15/2020 Sebastian Sanchez RIND Police Officer 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 31 Sebastian anc ez CIND Police Officer li.8u 4'8• i C/o: San Rafael Police Association 1520 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$ 76.60 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netfile.com 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 07/01/2020 " through 12/31/2020 page 166 of 200 NAME OF FILER I,D, NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND ZIP CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) D811518D7.0 Sebastian SanchezX❑IND Police Officer 1%.80 418.10 C/o: San Rafael Police Association 1520 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 S Rafael CA 94201 08.131/2020 Sebastian Sanchez 91 IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 09/15/2020 Sebastian Sanchez x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 £ venue. 09/30/2020 Sebastian Sanchez RIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM city Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 Sebastian Saez ne X❑IND Police Officer 17.8D 918.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 949_01 ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020through F 12/31/2020 167 of 200 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 TO DATE DATE (IF COMMITfEE,ALSO ENTER ID NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2020 Sebastian SanchezX❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 17.80 11/15/2020. Sebastian Sanchez BIND Police Officer 418.10 C/o: San Rafael Police Association 1520 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 11/30/2020 Sebastian Sanchez H] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, !��Q Fifth Ay-enue. San Rafael, CA 94901 ❑ SCC 12/15/2020 Sebastian Sanchez X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael E] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/91/2020 Sebastian 3anC ez OIND Police OYticer li.uu 418.10 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 Rala-e-1. CA 94901 ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 1 � from 07/01/2020 FORM through 12/31/2020 page 168 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 ZIPDE O 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 DATE RECEIVED (E COMMITTEE, ALSOAND I.D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2020 Anthony Scalercio ExiIND Officer 17.iu 418..10 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 07/31/2020 Anthony Scalercio X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Fift7b A�4,nup_ San Raf-1- CA 1;4901 [:]SCC 08/15/2020 Anthony Scalercio X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Fifth 90 08/31/2020 Anthony Scalercio RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 Anthony Scalercio x❑IND Officer 17.uu 10 41 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, E] SCC 1520 Fifth Awue, .VSan Rafael__rA__2A10_ SUBTOTAL$ 88.30 "Contributor Codes IND–Individual COM– Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY–Political Party SCC–Small Contributor Committee www.netfile.com 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 07/01/2020 •' through 12/31/2020 page 169 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE ZIPDE O 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.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2020 Anthony Scalercio X❑IND Officer 418.1.0 C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 418.10 10/15/2020 Anthony Scalercio El IND Officer 17.80 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, ❑ SCC 10/31/2020 Anthony Scalercio x❑IND Officer 17.80 418.10 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. Rafael. 11/15/2020 Anthony Scalercio El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 —11/30/2020 Anthony Scalercio x❑IND Officer ii.bu 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, San Rafael. CA 9490L ❑ SCC _jaZQ_LjLtjh_Ayenue, SUBTOTAL$ 89.00 "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 www.neifile.com 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 07/01/2020 • through 12/31/2020 page 170 of 200 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 RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE DATE RECEIVED (IF COMMITTEE, ALSO ENTER ID.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Anthony Scalercio RIND Officer 17.80 418.1 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue Son Rafael CA 949DI — 12/31/2020 Anthony Scalercio X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 Fiftb Ayenlip- San Rafael. fA C14401 ❑ SCC 07/15/2020 Justin Schraeder El IND Officer 17.10 418.1 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ElPTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue. San Ra-fael. CA 94901 07/31/2020 Justin Schraeder El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC –0571577670 1520 Fifth Avenue, San Rafael, CA 94901 17.80 418.10 just n Sc rae er E] IND Officer C/o: San Rafael Police Association 1520 Fifth E] COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through El PTY intermediary: San Rafael Police Association, 1520 Eifth CA 94901 ❑ SCC SUBTOTAL$ 88.30 *Contributor Codes IND– Individual COM– Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY– Political Party SCC –Small Contributor Committee www.ne[•file.com 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 07/01/2020 FORM through 12/31/2020 Page 171 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSONDI.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) • OF BUSINESS) 08/31/2020 Justin Schraeder RIND Officer 17.80 418.3"v C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 09/15/202.0 Justin Schraeder 91 IND Officer 17.80 418. 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 Q PTY intermediary: San Rafael Police Association, 1S20 Fifth A—riu, -San aaf�pl_ rA 94901 []SCC 09/30/2020 Justin Schraeder BIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 v n 8 10/15/2020 Justin Schraeder RIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 1 111 Justin Schraeder er x❑ IND Officer 418.1 C/o: San Rafael Police Association 1520 Fifth City of San Rafael F] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 520 Fifth Avenue. San Rafs1el. CA 04901 ❑ SCC 'Contributor Codes IND–Individual COM– Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee www.netfile.com SUBTOTAL$ 89.00 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 07/01/2020 " through 12/31/2020 Page 172 of 200 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 CUMULATIVE TO DATE CALENDAR YEAR 7 PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 11.11512024 Justin SchraederX❑IND Officer 17.80 91f+.i" C/o: San Rafael Police Association 1520 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 152Q Fifth Avenue San Rafael CA 94901 11/36/2020 Justin Schraeder R] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152D Fifth Avenue- San RafaglCA 94901 ❑ SCC 12115/2020 Justin Schraeder E] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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. SaU Rafael. CA 0 ❑ SCC 12/31/2020 Justin Schraeder X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 07/15/2020 Wanda Spa etta QIND Sergeant 1/.iU 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1920 Fiftb Avenue, San Rafall. CA 949DI ❑ SCC "Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 07/01/2020 FORM through 12/31/2020 Page 173 of 200 NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS RECEIVED (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) 07/31/2020 Wanda Spaletta X❑IND Sergeant 17.80 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 20 0 Wanda Spaletta RIND Sergeant 17.8u 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, 1-;20 Fifth &-Zgj�u San Raf,pj, QA CIA901 ❑ SCC 08/31/2020 Wanda Spaletta ©IND Sergeant 17.80 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, ❑ SCC 152Q Fifth Avenue. San Rafael, 1 09/15/2020 Wanda Spaletta El IND Sergeant 17.80 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 09/30/2020 wan i fa- Spa etta RIND Sergeant 17.8U C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152a rifth Avenug. San -Rafael. CA 942D]-- ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com I.D. NUMBER 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 418.10 418.10 PER ELECTION TO DATE (IF REQUIRED) 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 07/01/2020 • ' through 12/31/2020 page 174 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) - lo7I5/2020 Wanda SpalettaX❑IND Sergeant 17.80 413.:•7 C/o: San Rafael Police Association 1520 Fifth [:]COM City of 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 10/31/2.020 Wanda Spaletta x❑IND Sergeant 17.80 418.10 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 11/15/2020 Wanda Spaletta FK] IND Sergeant 17.80 418.10 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, 152Q Figth Avenue. San Rafael C ❑ SCC 11/30/2020 Wanda SpalettaX❑IND Sergeant 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael, CA 94901 12/15/2029 Wan a Spa etta X❑ IND Sergeant li.au 4 18.10 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 &Y-enue, San Bafae-, CA 94901 []SCC *Contributor Codes IND -Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.neffile.com SUBTOTAL$ 89.00 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 y . to whole dollars. from 07/01/2020 f through 12/31/2020 page 175 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O 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 (E COMMITTEE, ALSO .D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Sergeant 17.80 1?13112020 Wanda Spaletta X❑IND 418.10 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 07/15/2020 Natassja B. Springer El IND IDispatcher 13.40 166.30 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 Aypn,e San Raf-1- QA 94901 ❑ SCC 07/31/2020 Natassja B. Springer HIIND Dispatcher 13.90 166.30 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. San Rafael. CA 0 08/15/2020 Natassja B. Springer x❑IND Dispatcher 13.90 166.30 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 ❑ 2 Natassja B. pringer Z] IND Dispatcher 1i. HU 1 ❑ C/o: San Rafael Police Association 1520 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 Rafae2, CA ❑ SCC -913al SUBTOTAL$ 72.90 "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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT. Monetary Contributions Received Amounts may be rounded Statement covers period M,to whole dollars. i NAME OF FILER San Rafael Police Association Political Action Committee from 07/01/2020 through 12/31/2020 I Page 176 of 200 831553 DATE DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15,2020 Natassja S. Springer X❑IND Dispatcher 13.90 164.30 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 09/30/2020 Natassja B. Springer x❑IND Dispatcher 13.90 C/o: San Rafael Police Association 1520 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 10/15/2020 Natassja B. Springer El IND Dispatcher 13.90 166.30 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. 10/31/2020 Natassja B. Springer RIND Dispatcher 13.90 166.30 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 1/15/2020 Natassla B. Springer RIND Dispatcher 13.90 i] MM C/o: San Rafael Police Association 1520 Fifth L] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Vifth Avenue, San Rafael, CA 949QL- ❑ SCC SUBTOTAL$ 69.50 "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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA Monetary Contributions Received Amounts may be rounded Statement covers period • . to whole dollars. from 07/01/2020 • through 12/31/2020 I Page 177 of 200 NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED(IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) 11/30/2020 Natassja B. SpringerX❑IND Dispatcher 13. C/o: San Rafael Police Association 1520 Fifth City Of San Rafael *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com spatcher ty Of San Rafael spatcher ty Of San Rafael mmunity Service Officer ty of San Rafael ommunity Service Otticer ity of San Rafael SUBTOTAL$ 13.90 13.90 13.40 13:yU 69.00 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 166.30 6.30 166.30 327.10 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov 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 72/15/2020 Natassja B. Springer X❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 12/31/2020 Natassja B. Springer ®IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue, ❑ SCC 07/15/2020 Lynette Starnes X❑IND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 Lynette Starnes x❑IND C/o: San Rafael Police Association 1520 Fifth r-1COMAvenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com spatcher ty Of San Rafael spatcher ty Of San Rafael mmunity Service Officer ty of San Rafael ommunity Service Otticer ity of San Rafael SUBTOTAL$ 13.90 13.90 13.40 13:yU 69.00 831553 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 166.30 6.30 166.30 327.10 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) 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. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DATE OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 08/1.5/2020 Lynette StarnesX❑IND Community Service Officer C/o: San Rafael Police Association 1520 Fifth City of San Rafael "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com ommunity Service Officer ity of San Rafael ommunity Service Officer ity of San Rafael Community Service Officer City of San Rafael mmunity Service urricer ty of San Rafael SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 178 of 200 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 1 .yU 327.10 13.90 327.10 13.90 327.10 13.90 321.10 SUBTOTAL$ 69.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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 08/31/2020 Lynette Starnes X❑IND C/o: San Rafael Police Association 1520 Fifth []COM Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth "en— c;An Paf�,l CA Q4qQ1 ❑ SCC 09/15/2020 Lynette Starnes [9jIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 15�Q Fifth Avenue. San Rafael, rA 0 09/30/2020 Lynette Starnes RIND C/o: San Rafael Police Association 1520 Fifth ❑ COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 _ Lynette Starnes RIND C/o: San Rafael Police Association 1520 Fifth F] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, SCC 1— r.: aro. n.........-. cam.. —0-1 e -h tlGOft1 ❑ "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com ommunity Service Officer ity of San Rafael ommunity Service Officer ity of San Rafael Community Service Officer City of San Rafael mmunity Service urricer ty of San Rafael SCHEDULE A (CONT.) Statement covers period from 07/01/2020 through 12/31/2020 Page 178 of 200 I.D. NUMBER 831553 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 1 .yU 327.10 13.90 327.10 13.90 327.10 13.90 321.10 SUBTOTAL$ 69.50 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. 460, from 07/01/2020 • through 12/31/2020 page 179 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2020 Lynette Starnes X❑IND Community Service Officer 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 Lynette Starnes x❑IND Community Service Officer 13.90 321.10 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, 1c;90 Fifth Avpnup. San Raf-1 Cil C)49nl ❑ SCC 11/30/2020 Lynette Starnes El IND Community Service Officer 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, CA 94901 [:]SCC 12/1$/2020 Lynette Starnes E] IND Community Service Officer 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 12Y3112020 Lynette Starnes X❑IND Community Service Officer 1-1.NU 32%.10 C/o: San Rafael Police Association 1520 Fifth El COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through [-]PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San Rafael, C&34301 ❑ SCC SUBTOTAL$ 69.50 '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 www.netfile.com 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. * 1 from 07/01/2020 • page 180 Of 200 through 12/31/2020 NAME OF FILER I.D. NUMBER San Rafael Police Association Political- Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO . CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/7.020 Remington Stobo X IND Police Officer 17.10 118.10 C/o: San Rafael Police Association 1520 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 Avenup. San Rafael A 94901 ❑ SCC 07/3.1/2020 Remington Stobo X❑IND Police Officer 17.80 i1.S.;0 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 08/15/2020 Remington Stobo XIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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. SaD Rat -1. CA 94901 08/31/2020 Remington Stobo E] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue San Rafael, CA 94901 [_]OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 _UT1 Remington St0 0 M IND Police Of icer 17.804-J 10 C/o: San Rafael Police Association 1520 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 Pyeue. Sian Rafael, CA 94 5101 ❑ SCC "Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY -Political Party SCC- Small Contributor Committee www.netfile.com SUBTOTAL$ 88.301 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 07/01/2020 FORM through 12/31/2020 Page 181 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO .D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 418.10 09/30/2020 Remington Stobo Ex Police Officer 7.80 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, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2020 Remington Stobo QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through [-]PTY intermediary: San Rafael Police Association, as ❑ SCC 10/31/2020 - Remington Stobo QIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 FifLh Avenue. San Rafael. CA 94 901 ❑ SCC 11/15/2020 Remington Stobo E] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:] SCC 1520 Fifth Avenue San Rafael, CA 94901 Remington Stobo El Police Officer 17.90 4 18.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC SUBTOTAL$ 89.00 "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 www.netfile.com 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 periodF , to whole dollars. A 0, from 07/01/2020 through 12/31/2020 182 of 200 NAME OF FILER t.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIP 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 (E COMMITTEE, ALSO .D NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Remington StoboX❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael 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 12/31/2020 Remington Stobo El IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 07/15/2020 Charly Taylor x❑IND Civilian Supervisor 13.40 327.10 C/o: San Rafael Police Association 1520 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, 01/31/2020 Charly Taylor X❑IND Civilian Supervisor 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 il S 12020 Charly Taylor RIND Civilian Supervisor 13.90 C/o: San Rafael Police Association 1520 Fifth [-]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152n FiFth Avenue. San Rafael, CA 94901 --- []SCC "Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 76.80 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. A 60 from 07/01/2020 FORM through 12/31/2020 page 183 of 200 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) 08/31./2020 Charly Taylor [91 IND Civilian Supervisor 13.90 37.7.10 C/o: San Rafael Police Association 1520 Fifth ❑ 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 Rafael CA 94901 09/15/2020 Charly Taylor x❑IND Civilian Supervisor 1 13.90 32.7.70 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 09/30/2020 Charly Taylor x❑IND Civilian Supervisor 13.90 327.10 C/o: San Rafael Police Association 1520 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 5 A 94901 10/15/2020 Charly TaylorX❑IND Civilian Supervisor 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael, CA 94901 1 1 U' C ar y Taylor X❑IND Civilian Supervisor 13.9 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152P 1-:ifth AyAnug. San Rafael. CA 94JU ❑ SCC *Contributor Codes IND -individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee www.netfile.com SUBTOTAL$ 69.50 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 07/01/2020 • " through 12/31/2020 page 184 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2020 Charly Taylor RIND Civilian Supervisor 13.90 327-10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael 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 11/30/2D20 Charly Taylor 71 IND Civilian Supervisor 13.90 327.1 C/o: San Rafael Police Association 1520 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 AvWnNp. San R�fael_ CA 24qni ❑ SCC 12/15/2020 Charly Taylor RIND Civilian Supervisor 13.90 327.10 C/o: San Rafael Police Association 1520 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 U Fifth Avenue. San Rafae-1. CA 94901 12/31/2020 Charly Taylor E] IND Civilian Supervisor 13.90 327,10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael CA 94901 7essica Trujillo x❑IND Orricer ii.lu 416.10 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. 4 SUBTOTAL$ 72.70 "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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. e ■ • NAME OF FILER cam., P,f1 Dnl;r-A Aec iatinn Pnlitical Artinn Cnmmittee from 07/01/2020 through 12/31/2020 page 185 of 200 I.D. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 67131./2020 Jessica Trujillo X IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 - 08/15/2020 Jessica Trujillo El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 08/31/2020 Jessica Trujillo XIND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [-]Com City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ue. San Rafael. 9490 ❑ SCC 09/15/2020 Jessica Trujillo x❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 Z0 iessica Tru31 To QIND Officer li•uu C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, Avenue.1520 Fifth ❑ SCC SUBTOTAL$ 89.00 '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 www.netfile.com 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 07/01/2020 through 12/31/2020 page 186 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE RECEIVED (E COMMITTEE, ALSO D.N CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 16/15/202.0 Jessica Trujillo X❑IND Officer 11.81)' 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael 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./3112024 Jessica TrujilloX❑IND Officer 17.8U 418.10 C/o: San Rafael Police Association 1520 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 Avxine_ "p Baf,pl CIA 94901 ❑ SCC 11/15/2020 Jessica Trujillo x❑IND Officer 17.80 418.10 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 Fifth 11/30/2020 Jessica Trujillo X IND Officer 17.80 418.10 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, `JISCC 1520 Fifth Avenue, San Rafael CA 94901 - 202 3essica Tru] o E]INDOfficer ii.uu 418.10 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$ 89.00 *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 www.neffile.com 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. / t from 07/01/2020 • ' through 12/31/2020 page 187 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND ZIPO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT I CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12 31/2020 Jessica Trujillo X❑IND Officer 17.80 A18.10 C/o: San Rafael Police Association 1520 Fifth[:] COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [:]SCC 1520 Fifth Avenue San Rafael CA 94901 07/15/2020 Saskia Van Buuren 91 IND Communications Dispatcher 13.40 327.10 C/o: San Rafael Police Association 1520 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 07/31/2020 Saskia Van Buuren x❑IND Communications Dispatcher 1 13.90 327.10 C/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, 1,S2G Fifth AvQnWg. San Rafael, CA 94901 ❑ SCC — — 08/15/2020 Saskia Van Buuren RIND Communications Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 FifthE] COM 'ity Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 08/3112020 Saskia Van Buuren 91 IND Communications Dispatcher 1J.JU 327.10 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 A []SCC SUBTOTAL$ 72.90 '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 www.netfile.com 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 07/01/2020 through 12/31/2020 Page 188 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/15/2020 Saskia Van Buuren x❑IND communications Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, C SCC 1520 Fifth Avenue San Rafael CA 94901 09130/2020 Saskia Van BuurenX❑IND Communications Dispatcher 13.90 327.10 C/o: San Rafael Police Association 1520 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 10715/2020 Saskia Van Buuren xjIND Communications Dispatcher 13.90 327.10 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 "?0 Fifth Avenue, 94901 16/31/2020 Saskia Van Buuren RIND Communications Dispatcher 13.90 327.10 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, San Rafael, CA 94901 Saskia Van Buuren RIND communications Dispatcher 327. C/o: San Rafael Police Association 1520 Fifth City Of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1r20 Fifth A-vianue- San ❑ SCC SUBTOTAL$ 69.50 '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 www.netfile.com 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 • . CALIFI NIA to whole dollars. ; from 07/01/2020 • ' through 12/31/2020 page 189 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR 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 30/2'320 Saskia Van Buuren x❑IND Communications Dispatcher 13.90 327,10 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 12/15/2024 Saskia Van Buuren X❑IND Communications Dispatcher 13.90 327.10 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, 1-52.0 Fjfth Ay�n_ San Rafael- CA 94901 ❑ SCC 12/31/2020 Saskia Van Buuren X❑IND Communications Dispatcher 13.90 327.10 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 0 Fifth Avenije.a 07/15/2020 Lorena Vega X❑IND Police Officer 17.10 418.10 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 I Lorena Vega X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael E] COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth Avenue. San gafAgj. CZ, 9496 1 ❑ SCC SUBTOTAL$ 76.60 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 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 www.netfile.com Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , to whole dollars. 1 ` from 07/01/2020 i through 12/31/2020 page 190 Of 200 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 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 08/15/2020 Lorena Vega MIND Police Officer ")' 418.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fl th Avenue, San Rafael CA 94901 08131 2020 Lorena Vega X❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 &yjan,,P, San CA 9490L ❑ SCC 09/15/2020 Lorena Vega MIND police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [ICOM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, E] SCC 1520 Fiftb� Avenue, San Rafael. CA 0 09/30/2020 Lorena Vega MIND police Officer 17.80 418.10 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 151 Lorena ega X❑IND police Officer ii.eu 418. C/o: San Rafael Police Association 1520 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 Ave CA 949.01 ❑ SCC SUBTOTAL$ 89.00 *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 www.netfile.com 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 07/01/2020 • ' through 12/31/2020 page 191 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NDI.D.N DE O 'CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE DATE (E COMMITTEE, ALSO * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 10/31/2020 Lorena Vega x❑IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/15/2020 Lorena Vega E] IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 11/30/•2020 Lorena Vega ®IND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]Com City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1120 Fifth Avenue, San Rafael. CA 94901 ❑ SCC 12/15/2020 Lorena Vega RIND Police Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 --12/3112020 Lorena Vega RIND Police urticer ii.uu 418.10 C/o: San Rafael Police Association 1520 Fifth City Of San Rafael El COM Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 1520 Fifth ElSCC SUBTOTAL$ 89.00 *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 www.netfile.com 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. 1 ' from 07/01/2020 O through 12/31/2020 Page 192 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE AND 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 I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 07/15/2020 Mark WilkinsonX❑IND Officer 17.10 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael, CA 94901 _ 07/31/2020 Mark Wilkinson 91 IND Officer 11.8U 418.10 C/o: San Rafael Police Association 1520 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 08/15/2020 Mark Wilkinson N] IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth[:] COM City of San Rafael Avenue San Rafael, CA 94901 []OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafa-el. CA 0 08/31/2020 Mark Wilkinson El Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 _79/15/2020 Mark Wilkinson X❑IND Officer 1/.2SU _ 8.10 C/o: San Rafael Police Association 1520 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 Avenpe- San Rafael. CA 94901 ❑ SCC *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com SUBTOTAL$ 88.30 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. � � 01 from 07/01/2020 FORM through 12/31/2020 Page 193 of 200 NAME OF FILER I.D. NUMBER San Rafael Police Association Political Action Committee 831553 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) _ 04/30/202.0 Mark WilkinsonX❑IND Officer 17.80 418.1: C/o: San Rafael Police Association 1520 Fifth ❑ COM City of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, [-]SCC 1520 Fifth Avenue San Rafael CA 94901 10/15/2024 Mark Wilkinson El IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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 10/31/2020 Mark Wilkinson x❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 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. Sari Rafael. CA 94201 11/15/2020 Mark Wilkinson X❑IND Officer 17.80 418.10 C/o: San Rafael Police Association 1520 Fifth [:]COM City of San Rafael Avenue San 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 mark Wilkinson RIND Officer i7.80 418.10 C/o: San Rafael Police Association 1520 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 Aygnue. San RaL&ELJ. CA 9490L--1 []SCC I I _ SUBTOTAL$ 89.00 *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 www.netfile.com 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 from 07/01/2020 • through 12/31/2020 page 194 of 200 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 I.D.N CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 12/15/2020 Mark Wilkinson X❑IND officer 17.80 (118.10 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 11520,Fifth Avenue San Rafael CA 94901 12/31/7.020 Mark Wilkinson El IND Officer 17.80 418.io 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, Rafapl_ CA 94901 ❑ SCC 07/15/2020 Ethan Wolgamott FKI IND Police Officer 13.40 344.90 C/o: San Rafael Police Association 1520 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 Aven . San Rafael. CA 0 07/31/2020 Ethan Wolgamott El IND Police Officer 13.90 344.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 0 Ethan Wolgamott X❑IND Police Officer 13.9T 344. C/o: San Rafael Police Association 1520 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 V ❑ SCC - I *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC— Small Contributor Committee www.netfile.com SUBTOTAL$ 76.801 1 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 through 12/31/2020 SCHEDULE A Page 195 of 200 1,13. NUMBER 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION DATE TOQUIR DATE RECEIVED (IF COMMITEE,ALSO ENTER ID.NUMBER) CODE * O(I SELLF-EMPLOYED,ENERNAME CUPATION AND R IODTHIS (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 08./31/2020 Ethan WolgamottX❑IND Police Officer 13.90 344.90 C/o: San Rafael Police Association 1520 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 15ZQ Fifth Avenue San Rafael CA 94901 17.80 09/15/2.020 Ethan Wolgamott El IND Police Officer 344.90 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 09/30/2020 Ethan Wolgamott 91 IND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, 152Q Fifth Avenug. San Rafael. CA 94_�Qj []SCC 10/15/2420 Ethan Wolgamott E] IND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 Fifth [-]COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue, San Rafael, CA 94901 10/3112020 Ethan Wo gamottX❑IND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 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 Ay.UMM e. Sao Rafael, CA 242QI ❑ SCC SUBTOTAL$ 85.10 *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 www.netfile.com 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 07/01/2020 f through 12/31/2020 Page 196 of 200 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 AND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE, ALSO I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11/15/2020 Ethan,WolgamottX❑IND Police Officer 17.80 344.9.0 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 11/34./2020 Ethan Wolgamott 91 IND Police Officer 17.80 344.9:1 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue ❑ OTH San Rafael, CA 94901 Union member's dues received through [-]PTY intermediary: San Rafael Police Association, rA g490 1 ❑ SCC 12/15/2020 Ethan Wolgamott MIND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 Fifth❑ COM City Of San Rafael Avenue OTH San Rafael, CA 94901 ❑ Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, lclaO Wifth Avenue. San Rafael, (A 9 4901 ❑ SCC 12/31/2020 Ethan Wolgamott MIND Police Officer 17.80 344.90 C/o: San Rafael Police Association 1520 Fifth ❑ COM City Of San Rafael Avenue San Rafael, CA 94901 ❑ OTH Union member's dues received through ❑ PTY intermediary: San Rafael Police Association, ❑ SCC 1520 Fifth Avenue San Rafael CA 94901 ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 71.20 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period Payments Made to Whole dollars. from 07/01/2020 SEE INSTRUCTIONS ON REVERSE through 12/31/2020 Page 197 of 200 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 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 Donor Stack, LLC 312 Clay Street, Suite 300 Oakland, CA 94607 Freeman Public Affairs, Inc. CNS 1405 Marcelina Avenue, Suite 111 Torrance, CA 90501 1 S.E. Owens & Company PRC 312 Clay Street, Suite 300 Oakland, CA 94607 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNT PAID 234.94 9,000.00 184.00 SUBTOTAL $ 9,418.94 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................ 2. Unitemized payments made this period of under $100.....................................................................................................:.................................. 3 Total interest aid thisp eriod on loans (Enter amount from Schedule B Part 1 Column(e).)............................................................................. $ 11,329.44 $ 3.90 E] 0.00 p, 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) _ ........................... TOTAL $ 11, 333.3 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 666/ASK-FPPC (666/275-3772) www.fppc.ca.gov www.netfile.com Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 through 12/31/2020 SCHEDULE E (GOP 'ALIFORNIA FORM 46J Page 198 of 200 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 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) S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 CODE OR DESCRIPTION OF PAYMENT PRC PRC PRC * Payments that are contributions or independent expenditures must also be summarized on Schedule D. www.netfile.com AMOUNT PAID 1,458.50 152.50 299.50 SUBTOTAL $ 1, 910.50 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 through 12/31/2020 SCHEDULEF Page 199 of 200 I.D. NUMBER 831553 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 UT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 S.E. Owens & Company 312 Clay Street, Suite 300 Oakland, CA 94607 CODE OR DESCRIPTION OF PAYMENT PRO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS$ (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD 0.00 (b) (c) (d) AMOUNTINCURRED AMOUNTIPAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 241.50 0.00 241.50 0.00 1,034.50 0.00 102.50 0.00$ 1,378.50$ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ....................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) . 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................................................ www.netfile.com 0.00 1,034.50 0.001 102.50 0.00$ 1,378.50 ..... INCURRED TOTALS $ 1,378.50 ........... PAID TOTALS $ 0.00 NET $ 1,378.50 May M be a negalrvo num r FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER San Rafael Police Association Political Action Committee DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED I (IF COMMITTEE, ALSO ENTER I.D. NUMBER) r Amounts may be rounded to whole dollars. Statement covers period from 07/01/2020 through 12/31/2020 DESCRIPTION OF RECEIPT Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period............................................................................................................. .......... $ 0.00 2. Unitemized increases to cash of under $100 this period............................................................................................. $ 6.74 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................... $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................................................................... TOTAL $ 6.74 www.netfile.com Page 200 of 200 I.D. NUMBER 831553 AMOUNT OF INCREASE TO CASH 0.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov