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Home My WebLink About2018-10-20 Form 460 - Harnik - AmendmentRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE t\ &_ u[ . rar CALIFORNIA C'r Y CLERK' OE t Q ALH DESERT. C n FORM Statement covers period Date of election if applicable: D 19 g N 29 P f 12' 013 Page 1 of from 09/23/2018 (Month. Day, Year) For Offictal Use Only through 10/20/2018 1. Type of Recipient Committee: All Committees — Complete Parts t, 2, 3, and 4. 91 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (A&aC-Nrr'R'r51 0 Sponsored (Alm Carqlere Part 61 ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee IN - Cc rwefttr) 3. Committee Information I.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 CITY STATE ZIP CODE AREACODEMHONE Indian Wells CA 92210 (760) 285-7531 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACUGEII'HONE Palm Desert CA 92262 OPTIONAL. FAX I E-MAILADDRESS 4. Verification 11 /06/2018 2. Type of Statement: m Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) m Amendment (Explain below) Calculation errors. Treasurer(s) NAME OF TREASURER Dr. William Kroonen MAILING ADDRESS CITY STATE ZJP CODE AREACODEJPHONE Palm Desert CA 92260 (760) 568-3039 NAME OF ASSISTANT TREASURER IF ANY Elizabeth Lopez MAILING ADDRESS 41-621 Michelle Place CITY STATE ZIP CODE AAEACODEIPHONE Indio OPTIONAL. FAXlE-MAILADDRESS CA 92203 ( 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. certify under penalty of periury under the laws of the State of California that the wWo 5mr of Sponsor Executed on Date Executed on Date By By signature of Carnrdlmg Olrtcehober. Candiaala, stela MeeSure PrOpOnanl FPPC Form 460 (Jan/2016) FPPC Advice: advice&ppc ca.gov (866/275-37721 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 IF APPLICABLE) City Council - City of Palm Desert RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) 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. COMMITTEE NAME I I D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE7 ❑ 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 COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE of 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 Farmed Candidate/Officeholder Committee ustnames of officeholders) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT Jan Harnik 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 CITY STATE ZIP CODE AREA CODElPHONE 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 to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re -Elect Jan Harnik for Palm Desert City Council 2018 Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 S 2. Loans Received................................................................ schedule B. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines t +2 S 4_ Nonmonetary Contributions ............ ... . ....................... Schedule 11. Une3 5. TOTAL CONTRIBUTIONS Add Lines a +4 S Statement covers period from 09/23/2018 through 10/20/2018 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 27499.03 43249.03 S 00.00 00.00 27499.03 43249.03 S 00.00 00.00 27499.03 $ 43249.03 Expenditures Made 6. Payments Made................................................................ schedule E. Line 4 S 19305.00 7. Loans Made ............... ....... ....................... _.................. .,. schedule H, Line 3 00.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add lines 6 + 7 S 19305.00 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 a + 9 + 10 S 19305.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 S 17440.40 13. Cash Receipts ... Column A. Line 3 above 27499.03 ........................................................ 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 00.00 15. Cash Payments ......................................................... Column A, Line a above 19305.00 16. ENDING CASs{ BALANCE Add Lines 12 + 13 + 14, then subtract Lime 15 S 25634.43 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 5 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instruc6ons on reverse S 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above S 00.00 00.00 00.00 $ 21105.00 00.00 S 21105.00 00.00 00.00 s 21105.00 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). SUMMARY PAGE Page 3 of 1322067 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Gate 20. Contributions Received $ $ 21. Expenditures Made S $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (K Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mrntddtyy) 1. 1. $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/20161 FPPC Advice: advice@fppc ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be raunded SCHEDULE A Monetary Contributions Received to wnoie aoiiars. Statement covers period 09/23/2018 from - through 1012012018 Page � of 30 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 OF COMEAITTEE. ALSO ENTER I.D. NUMBER)OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE ■ (EF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REOUIRED) OF BUSINESS) ❑IND 10/01/2018 PAUL MURPHY El COM RETIRED 100.00 100.00 73064 SKYWARD WAY ❑ OTH PALM ❑ PTY ❑ SCC ❑ IND 10/01/2018 RITA J. STEC ❑ COM PHYSICIAN 100.00 100.00 74-900 HIGHWAY 111, SUITE CA 92210 ❑ PTY ❑ SCC IND 10/01/2018 DAVID W. HYLLENGREN ❑COM RETIRED 100.00 100.00 761 MONTANA VISTA DR. ❑ OTH ❑ PTY ❑ SCC D IND 10101/2018 PETER CAPPARELLI ❑ RETIRED 100.00 100.00 P.O.BOX 3599 TH ❑ OTH IDYLLWILD, CA NEON DEVELOPMENT ❑IND ❑ COM 10/01/2018 899 ISLAND DRIVE, # 401 IO OTH 150.00 CA 92270 ❑PTY ❑ SCC SUBTOTALS 550.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule 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 $ 25900.00 1599.03 27499.03 'Contributor 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) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period � • 1 from 09/23/2018 • " Page through 10/20/2018 of NAME OF FILER I D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 11322067 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 1.0. NUMBER) CODE * (IF SELF-EMPLOYEO, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND SANDRA M. DAVIS ❑ COM RETIRED 10101 /2018 78990 DEL MONTE CT. ❑ 00 LA QUINTA, CA 92253 ❑ PTY ❑ SCC DONALD G. ROWAN ® IND ❑COM RETIRED 10/01/2018 76-090 VIA MARIPOSA ❑ 00 INDIAN WELLS, CA 92210 ❑ PTY ❑ SCC WAYNE L. HARVEY m IND ❑COM RETIRED 10/01/2018 9 SILVER CIRCLE ❑ OTH 00 RANCHO MIRAGE, CA 92270 ❑ PTY ❑ SCC 0IND JOHN LEWIS MARMAN ❑COM RETIRED 10/01/2018 72750 SOMERA RD. ❑ OTH 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC JOAN BUSICK 0IND ❑COM SELF EMPLOYED 10/01/2018 77-734 COUNTRY CLUB 00 150.00 PALM DESERT, CA 92211 ❑PTY ACCOUNTANT ❑ SCC SUBTOTAL $ 600.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 09123/2018 • ` ' through 10/20/2018 Page of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 11322067 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE.AL5O CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {IF ENTER I.O. NUMBER) CODE CIF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND KRISTIN MOORE HERMANN ❑COM BUSINESS OWNER 10/01/2018 78365 HIGHWAY 111 ❑ OTH HERMANN 15D.00 LA QUINTA, CA 92253 ❑ PTY GROUP ❑ SCC SANDRA R. YOUNG ® IND ❑COM RETIRED 10/01/2018 78815 VIA CARMEL ❑ OTH 250. LA QUINTA, CA 92253 ❑ PTY ❑ SCC JANN BULLER JZIND ❑COM RETIRED 10/01/2018 73110 SOMERA ROAD ❑ OTH 300. PALM DESERT, CA 92260 ❑ PTY ❑ SCC ❑IND GARY GALTON ❑CoM MEDIATOR/ATTORNEY 10/03/2018 16 COLLEGIATE CIR El OTH 00 250.00 RANCHO MIRAGE, CA 92270 ❑PTY ❑ SCC FRANK GAETA 0 IND ❑COM RETIRED 10/03/2018 44-821 GUADALUPE DR. ❑ OTH INDIAN WELLS, CA 92210 El PTY ❑ SCC SUBTOTALS 1050.00 '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@fppcca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period _ from 09/23/2018 • ' through 10/20/2018 Page V of NAME OF FILER I.O. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR SS A CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE ENTER I.D. NUMBER} COOS * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND CATHY M. SMITH Com El❑orH RETIRED 10/03/2018 OTH 100.00 100.00 INDIAN WELLS, CA 92210 ❑ PTY ❑ SCC MARY HELEN KELLY m IND ❑COM RETIRED 10/03/2018 ❑ OTH 100.00 100.00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC JOHN P. GAMLIN 0IND ❑COM DEVELOPMENT 10/03/2018 ❑OTH MANAGER 150.00 150.00 LA QUINTA, CA 92253 ❑ PTY SOFIA INVESTMENTS ❑ SCC 11IND TRACY A. BURR ❑COM VICE PRESIDENT 10/0912018 El OTH BURRTEC 1000.00 1000.00 TEMECULA, CA 92592 ❑ PTY ❑ SCC MIND E. COLE BURR ❑COM PRESIDENT 10/09/2018 ❑ OTH BURRTEC 1000.00 1000.00 TEMECULA, CA 92592 ❑ PTY ❑ SCC SUBTOTAL $ 2350.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc-ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONE) Monetary Contributions Received to whole dollars. Statement covers period . from 09/23/2018 - through 10/201201$ Page of 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 pFCOAt3t17TEEAL50ENTERLO.NUINBER} CODE (IF SELF.EMPLOYED.ENiERNAME PERIOD (JAN. 1 - DEC.31) (IF REQUIRED) OF BUSINESS) ® IND B. PAUL JACOBS ❑ COM RETIRED 10/09/2018 ❑oTH 100.00 100.00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC PREMIER CAREGIVER SERVICE, INC. ❑ IND ❑COM 10/09/2018 ® OTH 150.00 150.00 PALM DESERT, CA 92211 ❑ PTY ❑ SCC GUIDO J. PORTANTE, JR. ®IND ❑COM RETIRED 10/09/2018 ❑ OTH 100.00 100.00 RANCHO MIRAGE, CA 92270 ❑PTY ❑ SCC IND MARY E. GILSTRAP ❑COM ATTORNEY 10/09/2018 ❑ OTH ROEMER & HARNIK LLP 100.00 100.00 MORONGO VALLEY, CA 92256 ❑ PTY ❑ SCC FREDERICK W. NOBLE m IND ❑COM PRESIDENT 10/09/2018 ❑ OTH WINTEC ENERGY 2500.00 2500.00 LOS ANGELES, CA 90025 ❑ PTY ❑ SCC SUBTOTAL $ 2950.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc-ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . from 09/23/2018 • " through 10/20/2018 Page of30 NAME OF FILER ID NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 11322067 DATE FULL NAME, STREETADDRESS 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 IIF GO6IMITTEE,ALSO ENTER I.D. NUMBER] CODE {IF SELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND D & E LAND CO, LLC ❑COM 10/09/2018 ®oTH 2500.00 2500.00 PALM SPRINGS, CA 92262 ❑ PTY ❑SCC THOMAS S. NOBLE ® IND ❑COM DEVELOPER 10/09/2018 ❑ OTH NOBLE & CO. 250.00 250.00 PALM DESERT, CA 92255-2950 ❑ PTY ❑ SCC SALTARELLI LAW CORPORATION ❑ IND ❑ COM 09/29/2018 ®OTH 250.00 250.00 NEWPORT BEACH, CA 92658-0367 ❑PTY ❑ SCC ❑ IND COMMITTEE TO RE-ELECT BOB SPIEGEL Ca COM 09/29/2018 I.D.# 1311070 ❑ OTH 500.00 500.00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC VERN KOZLEN FIND ❑ COM RETIRED 09/26/2018 ❑ OTH 500.00 500.00 RANCHO MIRAGE, CA 92270 ❑ PTY ❑ SCC SUBTOTALS 4000.00 "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 (866/27S-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 09/23/2018 •f ` through 10/20/201$ Page ✓" of 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 CODE • IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER NUMBER) OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF HMNESS) IaIND BRUCE POYNTER ❑ CON! RETIRED 10103/2018 73390 CALLIANDRA STREET ❑ OTH 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC CATHY FORRISTER ®IND El COM RETIRED 10/05/2018 73390 CALLIANDRA STREET ❑ OTH 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC MATHIAS KARLEN ® IND El COM RETIRED 10/08/2018 72902 JOSH UA TREE 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC 10 IND LYNN GELMAN El ComRETIRED 10/08/2018 10480 SW 123 STREET ❑ ❑ PTY ❑ SCC PEGGY CRAVENS LZ IND El COM RETIRED 10109/2018 $gg ISLAND DRIVE, # 213 ❑ OTH 500.00 CA 92270 ❑ PTY ❑ SCC SUBTOTAL_ $ 1900.00 "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period e . , from 09/23/2018 A � ' e ' through 10/20/2018 page �L' of NAME OF FILER I.O. 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 (OF SELF-EMPLOYED. ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND CHRISTEL PROKAY ❑ COM RETIRED 1011212018 73-505 SIESTA TR. ❑ 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC SANDRA L. HARDIN ®IND ❑ COM BUSINESS OWNER 10/12/2018 73335 GOLDFLOWER ST. ❑ OTH INC. 150.00 150.00 PALM DESERT, CA 92260 ❑ PTY ❑ ScC GID CAMPANILE LLC ❑IND ❑COM 10/12/2018 3470 WILSHIRE BLVD., SUITE 0 LOS ANGELES, CA 90010 ❑ PTY ❑ SCC ❑IND GID MENIFEE LLC ❑ COM 10112/2018 3470 WILSHIRE BLVD., SUITE 1020 0OTH 400.00 400. ❑PTY ❑ SCC GID MORENO VALLEY LLC ❑IND El COM 10/12I2018 3470 WILSHIRE BLVD., SUITE 1020 IZ OTH 200.00 90010 ❑ PTY ❑ SCC SUBTOTAL $ 1100.00 '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 (866/27S-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . 1 lof from 09/23/2018 • ' through 10/20/2018 Page j-9-- 33-0 NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik for Palm Desert City Council 2018 1322067 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. SO ENTER I.D. NUMBER) (IF SELF-EMPLOY£O, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND GID PALM DESERT LLC ❑ COM 10/12/2018 ®orw 200.00 200.00 LOS ANGELES, CA 90010 ❑ PTY ❑ SCC RUSS MARTIN ®IND ❑ COM RETIRED 10/12/2018 ❑ OTH 150.00 150.00 DESERT HOT SPRINGS, CA 92240 ❑ PTY ❑ SCC CART_ RALPH WITT, JR. 0 IND ❑COM PASTOR 10/12/2018 ❑ OTH HOPE LUTHERAN 150.00 150.00 PALM DESERT, CA 92260 El PTY CHURCH ❑ SCC 0IND CREEKMORE WILLIAMS ❑COM RETIRED 10/12/2018 ❑ OTH 150.00 150.00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC MIND DAVID COMPTON ❑ COM OWNER 10/12/2018 ❑ OTH AGRIYEDA, INC. 250.00 250,00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC SUBTOTALS 900.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDl1LEA (CON7) Monetary Contributions Received to whole dollars. Statement covers period ,09/23/2018through from Fq 1012012018 of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE RECEIVED 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 IIF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND ROBERT A. 13ERNHEIMER ❑CQM ATTORNEY 10/12/2018 ❑ OTH LAW OFFICE OF 250.00 250.00 INDIAN WELLS, CA 92210 ❑ PTY ROBERT A. BERNHEIM ❑ SCC ROBERT J. GLAST O IND ❑CQM RETIRED 10/12/2018 ❑ OTH 1000.00 1000.00 PALM DESERT, CA 92211 p Fry ❑ SCC WALTER T. CLARK 0IND ❑CQM ATTORNEY 10/12/2018 []OTH LAW OFFICE OF 150.00 150.00 INDIAN WELLS, CA 92210 ❑ PTY WALTER CLARK ❑ SCC QIND BARBARA RESMO ❑CQM RETIRED 10/12/2018 ❑ OTH 500.00 500.00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC 0IND C.L. PERONI ❑CQM RETIRED 10/12/2018 ❑ OTH 150.00 150.00 RANCHO MIRAGE, CA 92270 ❑PTY ❑ SCC SUBTOTALS 2050.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) monetary Contributions Received to whole dollars. Statement covers period 0 CALIFO_ from 09/23/2018FORM � � through 10/20/2018 Paged of NAME OF FILER 1_0. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (EF COMMITrEE,A= ENTER I.O. NUMBER) CONTRIBUTOR CODE ' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSENESS) PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) ® IND DOUGLASS S. DAVENPORT 0 CoM RETIRED 10/12/2018 ❑ OTH 100.00 100,00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC LEWIS INVESMTENT COMPANY LLC ❑ IND ❑coM 10/12/2018 ® OTH 250.00 250.00 UPLAND, CA 91786 p PTY ❑ SCC RODNEY LEE SODA, a Prof. Law Corp. ❑IND ❑COM ATTORNEY 10/12/2018 ® OTH OTH SELF EMPLOYED 500.00 500.00 PALM DESERT, CA 92260 ❑ p-Iy ❑ SCC ❑IND ADKAN ENGINEERS ❑coM 10/12/2018 MOTH 500.0 500.00 RIVERSIDE, CA 92504 ❑ PTY ❑ SCC RICHARD L. SPICER ialND ❑coM RETIRED 101191201$ ❑ OTH 150.00 150,00 INDIAN WELLS, CA 92210 ❑ PTY CIS C SUBTOTALS 1500.00 'Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enlity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppQca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary contributions Received to whole dollars. Statement Covers period from 09/23/2018 • ' through 10/20/2018 Page of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE RECEIVED FULL NAME ,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR R COM4DD E SS AND ZI I.D. NUMBER)EOF CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE CORE [IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. t - DEC. 31) (IF REQUIRED) OF BUSINESS[ ®IUD MARIE LYONS ❑ COM RETIRED 10/19/2018 ❑ OTH 200.00 200.00 PALM SPRINGS, CA 92264 ❑ PTY ❑ SCC DONNA J. MACMILLAN is IND OCOM RETIRED 10/19/2018 ❑ OTH 100.00 100.00 INDIAN WELLS, CA9210 ❑PTY ❑ SCC COACH E LLA-IM PERIAL VALLEYS ❑ IND P000MOLITICAL ACTION 10l1912018 STRATEGIES, FPPC ID #: 1351123 ❑ OTH F]OTH COMMITTEE 500.00 500.00 PALM DESERT, CA ❑pTy ❑ SCC Cd IND TIMOTHY SULLIVAN Cl COM RETIRED 1011912018 73-150 DEERGRASS RD. ❑ 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC RUTH ANN MOORE m IND ❑COM CONSULTANT 10/1912018 72830 DEER GRASS El 250.00 250.00 PALM DESERT, CA 92211 ❑ PTY ❑ SCC SUBTOTAL $ 1550.00 "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 (]an/20261 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 09/23/2018 • " A • through 1012012018 j n 32 page �� of 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 COMMIT E E.ALSO ENTER I.D. NUMBER) CODE {iF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND PALM VENTURES PA-1 LLC ❑COM 10118/2018 30875 DATE PALM DRIVE, SUITE C2 ®OTH 2500. 92234 ❑ PTY ❑ SCC VIRGINIA S. CRISTE, a Prof. Law Corp ® IND ❑Cam ATTORNEY 10/19/2018 44650 VILLAGE COURT, SUITE 200 ❑ OTH SELF EMPLOYED DESERT, CA 92211 ❑ PTY ❑ SCC THE GLORIOUS LAND COMPANY LLC ❑IND ❑COM 10/19/2018 556 N. DIAMOND BAR BLVD., SUITE 212 ® OTH 91765 ❑ PTY ❑ SCC IND ROBERT BALLEW ❑Cam CEO 10/18/2018 43930 SAN PABLO ❑ OTH YMCA OF THE DESERT 00 PALM DESERT, CA 92260 ❑ PTY ❑ SCC WESLEY AHLGREN m IND ❑Cam CONSULTANT 10/18/2018 49500 LOREN COURT ❑ OTH THE HEMMINGWAY 250.00 QUINTA, CA 92253 ❑ PTY GROUP ❑ SCC SUBTOTALS 3250.00 '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/2026) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppr—ca.gov Schedule (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period a. I from 09/23/2018 • " through 1012012018 Page 17 or NAME OF FILER LD NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 11322067 DATE FULL NAME, STREETADDRESS 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 OF SELF-EMPLOYED. ENTER NAVE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Nachhaltar Chandi ® IND ❑ President & CEO 09/24/2018 42270 Spectrum St. ❑ OTH TH P 1000.00 1000.00 Indio, CA 92203 ❑ PTY ❑ SCC Susana Chandi ® IND CO Chief Operations Officer 1000.00 1000.00 09/24/2018 42270 Spectrum St. � and Senior CA 92203 ❑ PTY Chandi Group USA ❑ SCC Tena Jones 0 IND ❑ COM Escrow Administrator 150.00 150.00 10/09/2018 73477 Silver Moon Trail ❑ OTH Desert, CA 92260 ❑ PTY Corporation ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 2150.00 '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/2026) FPPC Advice: advice@fppc ca.gov (966/275-3772) Amounts may be rounded SCHEDULE B - PART 1 Schedule B — Part 7 to whole dollars. Statement covers period Loans Received 09/23/2018 from FPage 1012012018 AL INSTRUCTIONS ON REVERSE through 9 of3LSEE NAME OF FILER I.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 Ib AMOUNT (�) AMOUNT PAID OUTSTANDING INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE -ALSO ENTER I.O. NUMBER) (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD' BALANCE AT CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE PERIOD PERIOD Brian S. Harnik ,Self ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" 2798.08 s 00.00 10/01/10 S TEA IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S s S DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR s s x s S ❑ FORGIVEN RATE PER ELECTION" S S S S f DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" t ❑ IND [I COM ❑ OTH [I PTY ❑ SCC S SDATE S_ S DATE INCURRED S DUE SUBTOTALS $ 00.00 $ $ 2798.08 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ nn on (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ no 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 tine 1.).............................................................. NET $ nn nn Enter the net here and on the Summary Page, Column A, Line 2. IM&Y be a "PUft nwr"Q 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (EMer (e) on SchedWe E, Una 3) tConlributor 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 450 (Jan/Z016) FPPC Advice: advice@fppc.ca.gov 1865/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 bcneauie b — Part z Amounts may oe rounoeo Statement covers period to whole dollars. Loan Guarantors ' from 09/23/2018 � through 10/20/2018 Page SEE INSTRUCTIONS ON REVERSE of30 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE Z)P CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING IF COMMITTEE, ALSO ENTER LD. NUMBER ( ) CODE (IF SELF-EMPLOYED, ENTER NAME Of BUSINESS) THIS PERIOD TO DATE TO HATE LENDER CALENDAR YEAR ❑ IND ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM s ❑ OTH PER ELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC : LENDER CALENDAR YEAR [I IND ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PW ❑ SCC s Enler on SUBTOTAL $ S—MWy Page, Una 17 cnly. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C to whole dollars. Statement covers period Nonmonetary Contributions Received P F�_ from 09/23/2018 SEE INSTRUCTIONS ON REVERSE 9 through 10/20/2018 Pa e of E3 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 IF AN INDIVIDUAL, ENTER AMOUNTI CUMULATIVE TO PER ELECTION DATE FULL NAME, STREETApQRESSANQ CONTRIBUTOR DESCRIPTION OF RECEIVED ZIP CODE OF CONTRIBUTOR CODE • OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET PATE TO DATE IIF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER VALUE CALENDAR YEAR (IF REQUIRED) NAME OF BUSINESS) (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 $ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.).............................................................................................. .......--$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 'Contributor 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/20161 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppr-ca.gov Schedule SCHEDULE D Summaryof Expenditures Amounts may be rounded p Statement covers period to whole dollars. Supporting/Opposing Other CALIFORNIA - ` a Candidates, Measures and Committees from 09/23/2018 • 10/20/2018 30 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 GATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ independent ❑ Support ❑ Oppose Expenditure j] Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 2. Unitemized contributions and independent expenditures made this period of under$100.................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.).......... TOTAL.. $ FPPC Form 460 (Jan/20115) FPPC Advice: advice@fppc.ca.gov (B66/275-3772) www.fppc.ca.gov Schedule D %%0 161 IA"tow" v99c1Uaj ►+invums may ua rUmtiUUU SCHEDULE D (CONT.) to whole dollars. Statement covers period • - , Summary of Expenditures P � r Supporting/Opposing Other from 09/23/2018 • - Candidates, Measures and Committees through 1012012018 Page _?_';� of NAME OF FILER I,D, NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAM I - DEC. 311 PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (1366/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period SCHEDULE E Payments Made to whole dollars. ` from 09/23/2018 9 through 10/20/2018 Pagea3 SEE INSTRUCTIONS ON REVERSE of� 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 paraphemalialmisc. 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 l.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 IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidale/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information lechnology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE. ALSO ENTER I.0,NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID BuzzFactory 1801 #101 LIT 7046.00 Palm Springs, CA 92262 Citi Cards Lamar Media Corp P. 3350.00 Phoenix, AZ 85062-8045 Palm Desert, CA 92211 Citi Cards Desert Willow Golf Resort P, 300,00 Phoenix, AZ 85062-8045 Palm Desert, CA 92260 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTALS 10696.00 Itemized payments made this period. Include all Schedule E subtotals. .... $ 18939.32 2. Unitemized payments made this period of under$100................................ 365.68 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)........................................................... ............ $ 00.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 19305.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period Payments Made from 09/23/2018 • - through 10/20/2018 SEE INSTRUCTIONS ON REVERSE Page of 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 paraphemalialmisc. 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 Glinglballot 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 candidatetsponsor 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 COMMMEf.A= ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citi Cards COGS South Signs CMP 1322.64 Phoenix, AZ 85062-8045 Santa Ana, CA 92707 Citi Cards Desert Sun CMP 1677.72 Phoenix, AZ 85062-8045 Palm Springs, CA 92262 Printing Connection Inc. LIT 1212.31 Riverside, CA 92503 BuzzFactory PRT 1500.00 Palm Springs, CA 92262 BuzzFactory CMP 246.90 Palm Springs, CA 92262 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL. $ 5959.57 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppr-ca.gov Schedule E SCHEDULE E (CONY)Statement (Continuation Sheet) Amounts may be rounded to whole dollars. covers period • . ' Payments Made from 09/23/2018 FPage 10120/2018F,�_SEE INSTRUCTIONS ON REVERSE through of 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 paraphematialmisc. 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 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 supporlinglopposing 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 campaign literature and mailings PRT print ads WEB information technology costs (inlemet, e-mail) NAME AND ADDRESS OF PAYEE ¢F COMMITTEE, ALSO ENTER 4.0 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID BuzzFaclory Palm Springs, CA 92262 CNS 2283.75 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2283.75 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppc-ca.gov SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re -Elect Jan Harnik for Palm Desert City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 09/23/2018 through 10/20/2018 Page �� of I 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 paraphemalialmisc. 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.rc 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 sta(flspouse 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 pant ads WEB Information technology costs (Internet. e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTERI.D NUMBER) CODE OR DESCRIPTION OF PAYMENT j OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT INNCURRED THIS PERIOD (c} AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) ( OUTSTANDING BALANC£ATCLOSE OF THIS PERIOD ' Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ summarized an 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May 6e a negaLue number FPPC Form 460 (Jan/20I6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SChedUle F (Continuation Sheet) Accrued Expenses (Unpaid Bills) amounts may be rounded to whole dollars. SCHEDULE F (CONT) Statement covers period CALIFORNIA 0912312018 FORM , • from through 10/20/2018 Page 0 of 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 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 filingiballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse 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 (intemel, e-mail) " Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, AM ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD { AMOUNT INNCURRED THIS PERIOD (e} AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ $ $ $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppQca.gov (866/275-3772) www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA Contractor (on Behalf of This Committee) to whole dollars. from 09/23/2018 FORM through 10/2012018 �n,1�1 SEE INSTRUCTIONS ON REVERSE Page of _3-0 NAME OF FILER 1.13. NUMBER 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 paraphemalia/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 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 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 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" $ ' 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 (866/Z75-3M) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period Loans Made to Others* to whole dollars. 09/23/2018 i . • from 1012012018 n SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.Q. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING lb) AMOUNT lcl REPAYMENT OR (tl) OUTSTANDING let INTEREST to ORIGINAL (g) CUMULATIVE OF RECIPIENT (IFCDMMITTEE,ALSOENTERl.D. NUMBER) (IF SELF-EMPLOYED. ENTER ggLgNCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS( PERIOD THIS PERIOD' PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR S s x s s ❑ FORGIVEN RATE PER ELECTION" s s s s DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR s s x s s ❑ FORGIVEN RATE PER ELECTION" 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 reported on Schedule E. SUBTOTALS $ $ $ $ (Enter te) on Schedule (.tine 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) "If Required 2. Payments received on loans............................................................................................................................................$ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................ NET $ (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 (866/275-3772) www.fppc-ca.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous increases to Cash to whole dollars. Statement covers period , _ A 09/23/2018 • ' from through 10/20/2018 page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE OF COMMITTEE,AL50 ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropnately labeled continuation sheets. Schedule I Summary 1. Itemized increases to cash this period . ........................................................................................................................... $ 2. Unitemized increases to cash of under $100 this period................................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).......................................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.)-•-•-.-- -------------------I..... .... I... TOTAL $ SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov