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HomeMy WebLinkAbout2021-12-31 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period from 07/01/2021 SEE INSTRUCTIONS ON REVERSE (through 12/31/2021 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑X Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure p State Candidate Election Committee Committee p Recall O Controlled (Abo Camplote Pert 5) 0 Sponsored ❑ General Purpose Committee (wso CampblePedB) Q Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (AlaocompletePad7) 3. Committee Information I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Indian Wells CA 92210 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE West Sacramento CA 95799 OPTIONAL: FAX / E-MAIL ADDRESS COVERPAGE D teS`�CALIFORNIA CI1ALIVIDESEIT.CAYCEERK FfICE •R 460 Date of election if applicable: (Month, Day, Year) 29 2 JAW 28 PM 9' 18 Page 1 of 9 For Official Use Only 11/08/2022 2. Type of Statement: ❑ Preelection Statement ❑x Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Jan Harnik ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Indian Wells CA 92210 ( NAME OF ASSISTANT TREASURER, IF ANY Bryan Burch MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE West Sacramento CA 95799 ( OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I Certify under penalty of periury under the laws of the State of California that the foregoing Is true and co Oaarof Sponsor Executed on By Date 91prvrtweo(Conhdling OlRcehdtler, Canrktlate, state Measure Proporgnt Executed on oBy we signatueorconwiM1rgomceinaer,Ceneiaab,simeMaeauraProporbnt FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) wvrw.tppc.ca.gov www. netfil e. corn Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jan Harnik OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member City of Palm Desert RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Indian Wells CA 92210 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. CITY STATE ZIP CODE AREACODE/PHONE COMMITTEENAME NAME OF TREASURER ADDRESS I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE www.netfile.com COVER PAGE -PART2— Page 2 of 9 S. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER (JURISDICTION I ElSUPPORT ❑ 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 ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 46.0. (Jan/2016) FPPC Advice: advice@fppc.ca.gov.(866/275-3772) vriv_w.fppc.ea.gov ' Campaign Disclosure SUMMARYPAGE � - Statement Amounts may be rounded Statement covers period Summary Page to whole dollars. I . from 07/01/2021 SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 3 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 Contributions Received Column Column B Calendar Year Summary for Candidates TOTALTHIBPERIDD CTOTALT DATE Running In Both the State Prima and (FROMOTT THFDSCHEDUlES) lU_END RYEA 9 Primary General Elections 1. Monetary Contribution ........................................... schedule A, Linea 2. Loans Received...................................................... schedule e, Line 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 4. Nonmonetary Contributions .................................... Schedule C, Line 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 13,950.00 $ 13,950.00 0.00 2,798.08 $ 13,950.00 $ 16,748.08 $ 13,950.00 $ 16,748.08 Expenditures Made 6. Payments Made ....................................................... schedule E, Line 4 $ 1,734.48 7. Loans Made............................................................. schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 $ 1,734.48 9. Accrued Expenses (Unpaid Bills) ............................... schedule F, Line 3 0.00. 10. Nonmonetary Adjustment .......................................... schedule C, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 1,734.48 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line to $ 7,068.17 13. Cash Receipts ................................................... Column A, Line 3 above 13,950.00 14. Miscellaneous Increases to Cash ........................... schedule 1. Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8 above 1,734.48 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 19, 283.69 If this Is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... schedule e, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ Sao instructions on reverse $ o.00 19. Outstanding Debts ......................... Addune2+Line gin Column a above $ 2,798.08 www.nefFile.com Ill through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ $ 2,379.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• (naublectto Voluntary Eapenelture Limit) Date of Election Total to Dale (mm/dd/yy) _1_ 1 $ 0.00 $ 2,379.00 0.00 0.00 $ 2,379.00 -J $ To calculate Column B, add amounts In Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported In Column B. 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). FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppe.ca.gov (8661275-3772) www,fppc.ca.gov ScheduleA SCHEDULE A Amounts may ee rounded Monetary Contributions Received to Statement covers period •' Whole dollars. . 1 from 07/01/2021 • - SEE INSTRUCTIONS ON REVERSE through 12/31/2021 page 4 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QFWMMnTEE,AL60 EWER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QFSBYF EMPLOYED,ENTERNPME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 11/09/2021 E. Cole Burr ❑@IND Owner 1,500.00 1, 500. 00 P2022 $1,500.00 ❑ OTH ❑ PTY ❑SCC 11/09/2021 Tracy Burr ❑RIND Vice President 1,500.00 1, 500. 00 P2022 $1, 500.00 ❑O,M ❑ PTY ❑ SCC 11/09/2021 Martin Meehan ©IND Retired 100.00 100.00 P2022 $1 0.00 ❑ oTH []PTY ❑ SCc 11/09/2021 Barbara. Spencer ❑RIND Retired 500.00 500.00 P2022 $500.00 ❑ OTH ❑ PTY ❑Scc 11 15 2021 BurRe A x —Communications, LLC Brian Rix ❑IND 500.00 500.00 P2022 $500.06 431 ❑ PTY ❑SCC SUBTOTAL$ 4,100.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ............................................... $ 13, 900.00 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 50.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ 13, 950.00 www.netfile.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 464,(4an12k1S) FPPC Advice: advice@fppc.ea.gov (86612753772) www.fpp6 ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period7NU towholedollars. 4 ,from 07/Ol/2021 through 12/31/2021 of 9NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2022 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OF COMMITTEE, SAND I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFSELF{MPLOYED,ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 11/15/2021 Chad Mayes for Assembly 2022 (ID# 1435434) ❑IND 1,000.00 1,000.00 P2022 $1,000.00 ❑OTH ❑ PTY []SCC 11/15/2021 Tom Cullinan KIND Managing Broker 200.00 200.00 P2022 $200.00 ❑ OTH ❑ PTY ❑SCC 11/15/2021 Mary Kelly RIND Retired 100.00 100.00 P2022 $100.00 ❑ OTH ❑ PTY []SCC 11/15/2021 Lewis Investment Company, LLC(Richard Lewis) ❑IND 1,000.00 1,000.00 P2022 $10000.00 ®0TH ❑ PTY ❑ SCC 11/15/2021 Gaye Moore KIND Retired 1,000.00 1,000.00 P2022 $1,000.00 ❑ OTH []PTY ❑ SCC SUBTOTAL$ 3,300.00 *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 (866/2754-772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. �. 4 ' from 07/01/2021 • through 12/31/2021 Page 6 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFOOMMITEE,ALSOENTERLD. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFSUSINESS) 11 15/2021 Renova Energy Corp. IDEA Renova Solar ❑IND 500.00 500.00 P2022 $500.00 x❑ OTH ❑ PTY ❑SCC 11/21/2021 Frederick Noble a❑IND President/CEO 100.00 5,000.00 P2022 $4,900.00 ❑OTH ❑ PTY ❑SCC 11/21/2021 Frederick Noble X❑IND President/CEO 4,900.00 5,000.00 P2022 $4,900.00 ❑OTH ❑ PTY ❑SCC 12/07/2021 Jan Hawkins x❑IND Director of Development 1,000.00 1,000.00 P2022 $1,000.00 ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC SUBTOTAL$ 6,500.00 *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 (8661275-3772) www.fppc;ca.gov SCHFDLII PR- PART 1 Schedule B — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. 9. I • 1 from 07/01/2021 . - SEE INSTRUCTIONS ON REVERSE through 12/31/2021 Page 7 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (a) AMOUNTPAID OUTS TA DING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IFSELFFEMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN ggLgNCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS QFCOMMITTEE, A150ENTER I.D.NUMSE0.)O NAMEOFBUSINESS) ERIOD PERIOD THIS PERIOD PERIO PERIOD LOAN TO DATE Brian S. Harnik Attorney ❑PAID CALENDARYEAR § n nn § v, 79ana $ n.nD IID.% § ia. nnn_nn ❑ FORGIVEN PER ELECTION' RATE S 2,798.08 S 0.00 § n_nn § n nn 10/01/2010 S DATEDUE t x] IND [I COM ❑ OTH ❑ PTY El SCCDATE ❑ PAID CALENDARYEAR S § _% 8 $ ❑ FORGIVEN PERELECTION- RATE S S $ S S DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑ PAID CALENDARYEAR § $ _% S $ ❑ FORGIVEN PER ELECTION RATE § § S S § DATEDUE DATEINCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0.00$ 0.00$ 2,796.08$ 0.00 Schedule B Summary 1. Loans received this period.......................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period............................................................... (Total Column (c) plus loans under$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)..................................... Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another parry also must be reported on Schedule A. If required. www.netfile.com ......................... $ ... $ 0.00 ...... NET $ 0.00 (Mey be a negative number) (Lmer(a)w Sd%dUe E, Um3) tContributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) 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.fppo.ca.gow Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 07/01/2021 through 12/31/2021 I page a of 9 Re -Elect Jan Harnik Palm Desert City Council 2022 I 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WG 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 M 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 PRr print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE QFMMMmEE.&WENTERI.D. NUMBED CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Printing Connection, Inc. CMP 310.00 9671 Magnolia Ave. Riverside, CA 92503 Printing Connection, Inc. CMP 200.00 9671 Magnolia Ave. Riverside, CA 92503 Buzz Factory WEE 439.75 1801 E. Tahquitz Canyon Way, Ste. 100 Palm Springs, CA 92262 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 948.75 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................................................................................. $ 1,526.25 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 20E.23 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................... $ 0.00 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 1,734.48 www.neffile.com FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpilne: 866/ASK.FPPC (8661275.3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts maybe rounded to whole dollars. from 07/01/2021 through 12/31/2021 SCHEDULE E Page 9 of 9 Re -Elect Jan Harnik Palm Desert City Council 2022 I 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 filinglballot 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 I D Independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME ANDADDRESS OF PAYEE OF 00MMITrEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Buzz Factory 1801 E. Tahquitz Canyon Way, Ste. 100 Palm Springs, CA 92262 WEB 577.50 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 577.50 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfi'le.com www.fppc.ca.gov