The URL can be used to link to this page

Home My WebLink About2018-06-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE Date Stamp CALIFORNIA 4 RECEIVED 1 FORM CITY CLERKS 0FI-I Statement covers period Date of election if applicable: Page 1 of 4 from 01/01/2018 (Month, Day, Year) 2018 JUL 26 AM 10. 5 For Offictal Use Only through 06/30/2018 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (abaCimpptePM5) 0 Sponsored (Also Ca npWe Pad 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (ftaC-WWPan 7) 3. Committee Information NAME IF NO COMMITTEE) I.D. NUMBER 1322067 RE-ELECT JAN HARNIK PALM DESERT CITY COUNCIL 2014 STREET ADDRESS (NO P.D. BOX) 73-901 SHADOW LAKE DRIVE CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92260 (760) ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL. FAX I E-MAILADDRESS 4. Verification November 4, 2014 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ® Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER DR. WILLIAM KROONEN MAILING ADDRESS 73575 STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92260 (760) OF ASSISTANT TREASURER, IF ANY ELIZABETH LOPEZ MAILING ADDRESS 41621 MICHELLE PLACE CITY STATE ZIP CODE AREACODEIPHONE INDIO CA 92203 (760) FAXIE-MAILADDRESS mrsliziopez@gmaii. #laws 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. certify under penalty of pequry under the laws of the State of California that the foregoin ' true and correct. Executed on -7 ),90 1. a6l By Date of Sponsor Executed on Date Executed on Date or Signature of Controlling Officeholder. Candidate State 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) COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JAN HARNIK OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IFAPPLICABLE) CITY COUNCIUCITY OF PALM DESERT RESIDENTIALIBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP PALM DESERT, CA 92260 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 ofyour candidacy. COMMITTEE NAME I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF TREASURER CONTROLLED COMMITTEE? DAVID BAUER V1 YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT, CA 92260 (760) 895-2690 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 Lisrnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT JAN HARNIK, CITY COUNCIL HELD ❑ 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 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. from Statement covers period 01 /01 /2018 SUMMARY PAGE through 06/30/2018 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2014 1322067 Contributions Received Column A TOTALTHISPERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A. Lrne 3 $ 00.00 $ 00.00 00.00 00.00 1!1 through fi130 7!1 to Date 2. Loans Received..-, ......................................._.................... schedule B, Line 3 00.00 00.a0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 S S Received S $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 00.00 00.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................. .....Add Lines 3+ 4 $ 00.00 S 00.00 Made S $ Expenditures Made 6. Payments Made ................. ........ Schedule E, Line 4 S 00.00 7. Loans Made ...................... ........ Schedule H, Line 3 00.00 B. SUBTOTAL CASH PAYMENTS .......................................... Add Lines s + 7 $ 00.00 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 00.00 10. Nonmonetary Adjustment... ...................................................... Schedule C, Line 3 00.00 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8+ g+ 10 $ 00.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule t. Line 4 15. Cash Payments......................................................... Column A. Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ !f this is a termination statement, Line 16 must be zero. 3490.40 00.00 00.00 00.00 3490.40 17, LOAN GUARANTEES RECEIVED ................................ Schedule B, Pail $ 00.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 00.00 19. Outstanding Debts .............................. Add Line 2 + Line gin Column B above $ 00.00 $ 00.00 00.00 s 00.00 00.00 s 00.00 00.00 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' tit subject to Votuntary Expenditure Limit) Date of Election Total to Date (mmfddl yy) 11 $ 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 8 - PART 1 Schedule — Part 1 to whole dollars. Statement covers period Loans Received 01/01/2018 from SEE INSTRUCTIONS ON REVERSE through 06/30/2018 Page 4 of 4 NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2014 1322067 FULL NAME, STREETADDRESS AND 21P CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT (�) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) p, (IF SFAM EOF BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCE THIS CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE BUST NAME OF BUSINESS) S PERIOD THIS PERIOD PERIOD BRIAN S. HARNIK SELF ❑ PAID CALENDAR YEAR LLP ❑ FORGIVEN RATE PER ELECnON" 2798.08 00.00 10/01/10 t la IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s s DATE INCURRED s DATE DUE ❑ PAID CALENDAR YEAR s s % $ s ❑ FORGIVEN EEN PER ELECTION~ S S S S S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ ❑ FORGIVEN RATE PER ELECTION" S S S S S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 00.00 $ $ 2798.08 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ nn nn (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ nn nn (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.).............................................................. NET $ nn nn Enter the net here and on the Summary Page, Column A, Line 2. (May be anega&enumber) "Amounts forgiven or paid by another party also must be reported on Schedule A. "' If required. (tnter (e) on Schedule E. Line 3) 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 (866/275-3772) www.fppr.ca.gov