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Home My WebLink About2019-06-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01101 /2019 through 06/30/2019 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (A" 0 Sponsored (Also Canphh Pert 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate! 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (AW ate Part 7) 3. Committee Information 1.D.NUMBER 1322067 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 STREET ADDRESS (NO P.O. BOX) 45-025 MANITOU DRIVE s CITY STATE ZIP CODE AREACODElPHONE INDIAN WELLS, CA 92210 (760) 285-7531 DIFFERENT) NO. AND STREET OR P.O. BOX P.O. BOX CODE AREA CODE/PHONE PALM DESERT, CA 92262 OPTIONAL- FAX ! E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 11 /06/2018 2. Type of Statement: R EtEMOE ET Y CLERK'S OFF1 PALM DESERT Ci 019 JUL 24 PM 3: ❑ Preelection Statement 2 Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page I— of I, For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER DR. WILLIAM KROONEN MAILING ADDRESS 73575 JUNIPER STREET CODE AREACODEIPHONE PALM DESERT, CA 92260 (760) 578-3039 NAME OF ASSISTANT TREASURER, IF ANY ELIZABETH LOPEZ MAI L NG ADDRESS 41621 MICHELLE PLACE CODE AREA CODE/PHONE INDIO, CA 92203 (760) 578-3878 :]PT ONAL FAX r E-MAILADDR=SS 4. Verification 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 perjury under the laws of the State of California that the foregoin i Executed on � a Date �' BY ,7 fre, rer Sponsor Executed on (fate Executed on Date oy 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) www.fppc.ca.gov 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 IFAPPLICABLE) CITY COUNCIL - CITY OF PALM DESERT RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP INDIAN WELLS, CA 92210 Related Committees Not Included in this Statement: ListanycommiHees 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. NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO E ADDRESS STREET CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME NAME OF TREASURER RESS STREETADD I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2 of15� 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 ustnamesof 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 460 (Jan/2016) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period ME= Summa Paga from 01/01/2019 CFF INSTRIif^TIONS C)N REVERSE NAME OF FILER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 Contributions Received 1. Monetary Contributions................................................... Schedule A, tine 3 $ 2. Loans Received................................................................ schedule B, line 3 3, SUBTOTAL CASH CONTRIBUTIONS ........................ .... Add lines t +2 $ 4. Nonmonetary Contributions ...................... __.................. schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED.___... Lines 3+4 $ through Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 50.00 50.00 $ 00.00 00.00 50.00 50.00 $ 00.00 00.00 50.00 $ 50.00 Expenditures Made 6. Payments Made ...................... ............. schedule E. Line 4 $ 90.49 7, Loans Made ............................... ...._.... schedule r� Une 3 00.00 ............................... 8. SUBTOTAL CASH PAYMENTS .................. __................... Add Lines 6 + 7 $ 90.49 9. Accrued Expenses (Unpaid Bills) .................................. schedule F. tine 3 00.00 10. Nonmonetary Adjustment........................................................ Schedule C Line 3 00.00 11. TOTAL EXPENDITURES MADE .......... ...._....... .,.,_.,_.,,,, Add Lines 8+9+10 $ 90.49 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 8681.89 50.00 13. Cash Receipts ........................................................... Column A, line 3 above 395.89 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 -90.49 ................................. 15, Cash Payments ...................... .. Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, men subtract Line 15 $ 9037.29 If this is a termination statement, Line 16 must be zero. 00.00 17. LOAN GUARANTEES RECEIVED ................................ Schedule B. Part 2 $ Casts Equivalents and Outstanding Debts 18. Cash Equivalents .................................... . ....... see instructions on reverse $ 00.00 19. Outstanding Debts ............... .. Add Line 2 + Line 9 on Column B above $ 00.00 $ 90.49 00.00 $ 90.49 00.00 00.00 $ 90.49 To calculate Column S. 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). 06/30/2019 page 3 of IS I.D. NUMBER 1322067 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 711 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 (mmiddiyy) 1 1 $ 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 Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA I . 01/01/2019 - from 06/30/2019 4 1-9 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 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) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary f'Contributor Codes Amount received this period -- itemized monetary contributions. (Include all Schedule A subtotals.) .........................................................................................................$ 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 $ 00.00 50.00 50.00 IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) 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 B - PART 1 Amounts may be rounded Schedule B — Part 1 to whole dollars. Statement covers period e _ Loans Received from 01/01/2019 • " through 06/30/2019 Page 5 of� SEE INSTRUCTIONS ON REVERSE NAME OF FILER D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT RECEIVED THIS (N AMOUNT PAID OUTSTANDING BALANCE AT e INTEREST PAID THIS ORIGINAL AMOUNT OF g CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD OR FORGIVEN THIS PERIOD CLOSE OF THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR BRIAN S. HARNIK SELF 2798.08 18,000 LLP ❑ FORGIVEN nF PER ELECTION- S 2798.08 00.00 s 10/01/10 s to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S $ DATE INCURRED DATE G. E ❑ PAID CALENDAR YEAR S S Y S $ [IRATE FORGIVEN PERELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S $ DATE INCURRED S DATE DUE ❑ PAID CALENDAR YEAR $ S S S ❑ FORGIVEN RATE PER ELECTiDN" S S t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S $ DATE DUE S DATE INCURRED SUBTOTALS $ $ $ $ 2798.08 (Erder (e) on Schedule B Summary ScheduleE,Llne3) 1. Loans received this period....................................................................................................................$ -0000 (Total Column (b) plus unitemized loans of less than $100.) tcontributor Codes 2. Loans paid or forgiven this period ............... ...$ 0000 IND— Individual COM — Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY — Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) .............................................................. NET $ nr) On SCC — Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May b0 a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) " If required. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C to whole dollars. Statement covers period Nonmonetary Contributions Received from 01 /01 /2019 • through 06/30/2019 Page _ of -�— SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 CUMULATIVE TO IF AN INDIVIDUAL, ENTER AMOUNT! PER ELECTION DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE TO DATE * OCCUPATIONAND EMPLOYER RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE. ALSO ENTER I.O. NUMBER) NAME OF BUSINESS) I (JAN 1 - DEC 31) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 00.00 Schedule C Summary 1, Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ....................... 00.00 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ................ 00.00 3. Total nonmonetary contributions received this period. {Add 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 00.00 d L FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.co.gov (866/275-3772) www.fppc.ca.gov 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Schedule D Summary of Expenditures Amounts may be rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees SFF INSTWICTIONS ON REVERSE NAME OF FILER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT MEASURE NUMBER OR LETTERAND 3URiSDICTION, OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contnbutlon ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Statement covers period from 01/01/2019 through 06/30/2019 SCHEDULED Page -I_. of 15 I.O. NUMBER 1322067 CUMULATIVE DATE PER DESCRIPTION UIRED) I AMOUNTTHIS PERIOD I CALENDAR YEARI TODATE SUBTOTAL $ 00.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule Dsubtotals.)....................................................... $ 00.00 2. Unitemized contributions and independent expenditures made this period of under$100.................................................................................... $ 00.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 00.00 FPPC Form 460 (Jan/2016) FPPC Advice. advice&ppc.mgov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Amounts may be rounded to whole dollars. SCHEDULE D Statement covers period from 01/01/2019 through 06/30/2019 Page 8 of is NAME OF FILER LD, NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED} CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ independent Expenditure ❑ Support ❑ Oppose SUBTOTAL $ 00.00 FPPC Form 460 (Jan/2016) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE TIONS ON REVERSE Amounts may be rounded to whole dollars. RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 Statement covers period from 01/01/2019 through 06130/2019 SCHEDULE Page -.5- of ` ID. NUMBER 1322067 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 RAO radio airtime and product on 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 petit'on circulat ng TEL t.v. or cable airtime and product on 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 supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatetsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL $ 00.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 00.00 2. Unitemized payments made this period of under $100.............. ........................................................................................................................... ....... $ 00.0.00 00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)................................................................... ...... $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 90.49 FPPC Form 460 (Jan/2016) FPPC Advice, advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E (CONT.) Schedule E Amounts may be rounded to dollars. Statement covers period CALIFORNIA I (Continuation Sheet) whole • • ' 01/01/2019 Payments Made from through 06/30/2019 Fplge-LL:,-- of [S SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.Q. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (expla n nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition arculating 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 stafflspouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT camoaian literature and mailings PRT print ads WEB information technology costs (internet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. Quo 1 v IMF P UU.UU FPPC Form 460 ()an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIi NAME OF FILER nu orwrocF Amounts may be rounded to whole dollars. RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 Statement covers period from 01/01/2019 through 06/30/2019 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise CMP campaign paraphernalialmisc. MBR member communications RAID CNS campaign consultants MTG meetings and appearances RFD CTB contribution (explain nonmonelary)' OFC office expenses SAL CVC civic donations PET petition circulating TEL FIL candidate filing/ballot fees PHO phone banks TRC FND fundraising events POL polling and survey research TRS IND independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF LEG legal defense PRO professional services (legal accounting) VOT LIT campaign literature and mailings PRT print ads WEB SCHEDULE F Page E It of _11.5 LD NUMBER 1322067 describe the payment. radio airtime and production costs returned contributions campa gn workers' salanes t.v, or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel. lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR (a} [IN tN (d} OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER LO,NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ 00.00 summarized on Schedule D. 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.) ..............................................INCURRED TOTALS $ 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.)................................... PAID TOTALS $ 00.00 M 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 00.00 onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NETS May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice. advice@fppc.ca.gov (966/275-3772) www.fppc-ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 01/01/2019 through 06/30/2019 SCHEDULE F (CONT,) Page to,- of -is NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mist. MBR member communications RAI) 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 supportinglopposing 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 (inlemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $ $ $ $ 00.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc-ca.gov (866/275-3772) www.fppc.ca.gov Schedule G SCHEDULE G Statement covers period _ Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. from 01/01/2019 _ III through 06/30/2019 e Z of (-S SEE INSTRUCTIONS ON REVERSE ..NUMBER NAME OF FILER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 NAME OF AGENT OR INDEPENDENT CONTRACTOR 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 RAID 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 Lv. 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D Attach additional information on appropriately labeled continuation Sheets. TOTAL* $ 00.00 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule H Loans Made to Others* Amounts may be rounded to whole dollars. Statement covers period from 01101 /2019 through 06/30/2019 SEE INSTRUCTIONS ON REVERSE NAME OF FILER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 a (b) (e) I (d) (e) SCHEDULE H Page �ILf of- tS I.D. NUMBER 1322067 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF RECIPIENT OCCUPATIONAND EMPLOYER BALANCE LOANED THIS FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR S S x s s ❑ FORGIVEN RATE PER ELECTION' S S $ S i DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR s s x s s ❑ FORGIVEN RATE PER ELECTION" S S S S S DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be SUBTOTALS $ $ $ $ reported on Schedule E. (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ 00-00 (Total Column (b) plus unitemized loans of less than $100.) *"lf Required 2. Payments received on loans............................................................................................................................................$ 00_nn (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................ NET $ no nn (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice_ advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE I Statement covers period e _ � Miscellaneous Increases to Cash to whole dollars. 01/01/2019 from a • " through 06/30/2019 Page of is SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.O. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED OF COMMITTEE -ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH RIVERSIDE COUNTY TREASURER REFUND OF UNUSED CAMPAIGN FEES 04/16/2019 P.O. BOX 12005 168.31 RIVERSIDE, CA 92502-2205 THE TREASURER OF THE CITY OF PALM DESERT REFUND OF UNUSED CAMPAIGN FEES 05131/2019 73-510 FRED WARING DRIVE CANDIDATE'S STATEMENT 215.32 PALM DESERT, CA 92260 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 383.63 Schedule I Summary 1. Itemized increases to cash this period. ............................................................................................................ _......$ 383.63 2. Unitemized increases to cash of under $100 this period. ...................................... ...$ 12.26 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...$ 00.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) . TOTAL $ 395.89 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppr—ca.gov