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HomeMy WebLinkAbout2018-10-20 Form 460 - HarnikRecipient Committee COVER PAGE Campaign Statement CITY CLERK'S OFF o Z ' • Cover Page PALM DESERT C _ SEE INSTRUCTIONS ON REVERSE Statement covers period from 0912312018 through 10/20/2018 Date of election if applicable: (Month, Day, Year) 11/06/2018 2018 OCT 24 PM 3: For of Use 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, a, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report O Recall O Controlled ❑ Termination Statement (Ativ C-f&*Pert5) O Sponsored (Also file a Form 410 Termination) INNPa76) ❑ General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidatel O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Al- C-vAekParr� 3. Committee Information I.D. NUMBER 1322067 GOMMI I TEE NAME (OR CANDIDATF'S NAME IF NO Re -Elect Jan Hamik for Palm Desert City Council 2018 STRE€TADDRESS (NO P.O. BOXI CITY STATE ZIP CODE AREACODEIPHONE Indian Wells CA 92210 (760) 285-7531 MAILING ADDRESS 0(- DIFFERENT) NO -AND STREET OR P.O. BOX C ITY STATE ZIP CODE AREA CODEIPHONE Palm Desert CA 92262 OPTIONAL FAX? E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Dr. William Kroonen MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE Palm Desert CA 92260 ( NAME OF ASSISTANT TREASURER, IF ANY Elizabeth Lopez MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE Indio CA 92203 ( 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 perjury under the laws of` the Slate of California that the for Executed on E Responsible Officer of Sponsor Executed on Date Executed on Date By Signature of Controlling Ofteholder. Candidate, State Memuie Proponent By Signature o1 COMrdtmg Otfceholiier. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.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 IFAPPLICABLE) City Council - City of Palm Desert RESIDENTIALIBUSINESS AODRESS (NO. AND STREET) CITY STATE ZIP Indian Wells, CA 92210 Related Committees Not Included in this Statement: iistany 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.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME RER ADDRESS STREET ADDRESS (NOP I.D. NUMBER I ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2 — of 29 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 Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppera.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 from Statement covers period 09/23/2018 SUMMARY PAGE through 10/20/2018 page 3 of Column Column B Contributions Received IU IALTHtM PERIOD CALENDAR YFJiR (FRoM ATTACHED SCHEDULES) TOTAL TO DATE 27649.00 43399.00 1. Monetary Contributions... ................... ..... Schedule A. tine 3 S S 00.00 00.00 2. Loans Received ........................ schedule S. Lire 3 27649.00 43399.00 3. SUBTOTAL CASH CONTRIBUTIONS ..................... . Add tines 1 +2 S $ 00.00 00.00 4. Nonmonetary Contributions... ......................................... Schedule C. Line 3 27649.00 43399.00 5. TOTAL CONTRIBUTIONS RECEIVED ......................... ....Add Lines 3+4 S s Expenditures Made 6. Payments Made................................................................ Schedule t_, tine 4 $ 19212.65 7. Loans Made....................................................................... Schedule H. tine 3 00.00 8. SUBTOTAL CASH PAYMENTS ..................... Add Lines 6+7 s 19212.65 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 tines 8 + 9 + to S 19212.65 Current Cash Statement 12. Beginning Cash Balance ........................ Previous summary Page, tine 16 5 3490.40 13. Cash Receipts ............. Column A, tine 3 above 27649.00 .............................................. 14. Miscellaneous Increases to Cash ................................. Schedule 1, tine 4 00.00 15. Cash Payments .............................................. ........... Column A. Line 8 above 19212.65 16, ENDING CASH BALANCE Add tines 12 + 13 + 14, then subbact tine 15 s 11926.75 Ifthis is a termination statement. Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 S 00.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See insbuchons on reverse 5 00.00 19. Outstanding Debts .......................... Add Line 2 + Line B in Column B above S 00.00 $ 21012.65 00.00 S 21012.65 00.00 00.00 $ 21012.65 To calculate Column B, add amounts in Column Ato 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). I.D. NUMBER 1322067 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1I1 through 6130 711 to Date 20. Contributions Received s $ 21. Expenditures Made $ S Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (n Subled to voluntary Expenditure Umltl Date of Election Total to Date (mmlddtyy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/20I6) 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 , 01 . from 09/23/2018 - 10/20/2018 4 50 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER ID 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) EI IND 10101/2018 PAUL MURPHY EICOM RETIRED 10D.D0 100.00 73064 ❑ SCC m IND 10/0112018 RITA J. STEC ❑ COM PHYSICIAN 100.00 100.OD 74- ❑ SCc m IND DAVID W. HYLLENGREN ❑COM RETIRED 100.00 100.00 10/01/2018 761 ❑ SCC 0IND PETER CAPPARELLI ❑ RETIRED 100.00 100.00 10/01/2018 P. ❑ SCC ❑ INo NEON DEVELOPMENT ❑ COM 150.00 150.00 10/01/2018 899 ISLAND DRIVE, # 401 JZ] OTH RANCHO MIRAGE, CA92270 ❑PTY ❑ SCC SUBTOTAL $ 550.00 Schedule A Summary 1. 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 $ 26100.00 1549.00 27649.00 '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 Afrom09/23/2018through F 10/20/2018 of NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik 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 fIFCOMMITTEE.ALSOENTERLD.Nl1MBER) CODE * OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OF BUSINESS) ® INDCOM SANDRA M. DAVIS RETIRED 10Q.DQ 100A0 10/01/2018 ❑ PTY ❑ SCC DONALD G. ROWAN ® IND ❑COM RETIRED 100.OD 100.00 10/01/2018 ❑ PTY ❑ Scc WAYNE L. HARVEY IND ❑COM RETIRED 150.00 150.00 10/01/2018 ❑PTY ❑SCC Q INDCOM JOHN LEWIS MARMAN RETIRED 100.OD 100.00 10/01/2018 ❑ PTY ❑ SCC JOAN BUSICK IND ❑COM SELF EMPLOYED 150.00 150.00 10/01/2018 ❑ PTY ACCOUNTANT ❑ scc SUBTOTALS 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 (666/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT) Monetary Contributions Received to whole dollars. Statement covers period A from 09/23/2018 • " ' through 10/20/2018 Page of 30 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 CONTRIBUTOR CODE 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) OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, T - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND KRISTIN MOORE HERMANN El COM BUSINESS OWNER 10/01 /2018 ❑ PTY GROUP ❑ SCC SANDRA R. YOUNG ® IND ❑COM RETIRED 250.00 250.00 10/01/2018 ❑ PTY ❑ SCC JANN BULLER MIND ❑ Com RETIRED 300.00 300.00 10/01/2018 ❑PTY ❑ SCC GARY GALTON IND ❑COM MEDIATOR/ATTORNEY 250.00 250.00 10/0312018 ❑ PTY ❑ SCC FRANK GAETA BIND ❑OOM RETIRED 100.00 100.00 10/03/2018 , ❑ 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@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 I 1 from 09/23/2018 . - • through 10l2012018 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 CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {IF COMMITTEE,ALSO ENTER LO. NUMBER) OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND 10/03/2018 CATHY M. SMITH COM ❑ CO RETIRED 100.00 1 D0.00 ❑ PTY ❑ SCC MARY HELEN KELLY ® IND ❑COM RETIRED 10/03/2018 ❑ PTY ❑ SCC JOHN P. GAMLIN 0IND ❑ COM DEVELOPMENT 150.00 150.00 10/0312018 ❑ PTY SOFIA INVESTMENTS ❑ SCC 10 IND 10/09/2018 TRACY A. BURR ❑ PTY ❑ SCC 10/09/2018 E. COLE BURR MIND ❑ CoM PRESIDENT BURRTEC 1000.00 1000.00 ❑ 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 0an/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 • _ I from 09/2312018 • _ through 10120/2018 Page of 210 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 fIF COMMITTEE, ALSO ENTER LP. NUMBER] CODE * QF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 10/09/2018 B. PAUL JACOBS ❑ CCM RETIRED 100.00 100.00 175 WINTERHAVEN CIR. ❑ OTH PALM INC. ❑wo ❑ COM 10/09/2018 75101 SEGO LANE, SUITE J 3 ®aTH 150.00 150.aa PALM DESERT, CA 92211 ❑ PTY ❑ SCC GUIDO J. PORTANTE, JR. m IND ❑CCM RETIRED 100.00 100.00 10109/2018 104 VIA BELLA ❑ OTH RANCHO BIND ❑ COM ATTORNEY 100.00 100.00 10/09/2018 49932 MACCELE RD. ❑ OTH ROEMER & 0IND ❑COM PRESIDENT 2500.00 2500.00 10/09/2018 12100 WILSHIRE BLVD., #200 ❑ OTH 'Contributor Codes IND- Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (!an/2026) 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 • - • through 10/20/2018 [Pageof 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 I.Q. NUMBER) CODE • OF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRED) OF BUSINESS) ❑IND 10/09/2018 D & E LAND CO, LLC 2045 E. TAHQUITZ CANYON WAY ❑COM ® OTH 2500.00 2500.00 PALM SPRINGS, CA 92262 ❑ PTY ❑ SCC THOMAS S. NOBLE ®IND ❑COM DEVELOPER 250.00 250.00 10/09/2018 ❑ PTY ❑ SCC ❑ IND SALTARELLI LAW CORPORATION ❑ 250.00 250.00 09/29/2018 P.O. BOX 10367 ®OOTH TH NEWPORT BEACH, CA 92658-0367 ❑ PTY ❑ SCC ❑IND COMMITTEE TO RE-ELECT BOB SPIEGEL WOM09/29/2018 500.00 500.00 72922 BEL AIR RD. I.D.# 1311070 OTH 0OTH PALM DESERT, CA 92260 ❑ PTY ❑ SCC VERN KOZLEN m IND ❑COM RETIRED 500.00 500.00 09/26/2018 60 ❑ 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 0 . , from 09/23/2018 • " through 10/20/2018 page �_ 36 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 OF COMMnTEE ALSO ENTER I.D. NUMBER) CODE * [IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS] ® IND BRUCE POYNTER El COM RETIRED 10/03/2018 ❑ PTY ❑ SCC 10/0512018 CATHY FORRISTER 0IND El COM RETIRED 100.00 100.00 ❑ PTY ❑ SCC MATHIAS KARLEN ®IND ❑ COM❑ RETIRED 10/08/2018 ❑ PTY ❑ SCC Ca IND 10/08/2018 LYNN GELMAN ❑ RETIRED 1000.00 1000.00 ❑ PTY ❑ SCC 10/09/2018 PEGGY CRAVENS m IND ❑ COM RETIRED 500.00 500.00 ❑ PTY ❑ SCC SUBTOTALS 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.gav 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 I' Page ` of NAME 01 i>tR 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. H11419i1i} COp E (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND CHRISTEL PROKAY El COM RETIRED 10/12/2018 73-505 SIESTA TR. ❑ OTH 0IND ❑COM BUSINESS OWNER 10/12/2018 73335 GOLDFLOWER ST. ❑ OTH THE 2018 GID CAMPANILE LLC ❑COM 200.00 200.0 3470 WILSHIRE BLVD., SUITE 1020 ®OTH LOS ANGELES, CA 90010 ❑ PTY ❑ SCC ❑IND 10/12/2018 GID MENIFEE LLC 3470 WILSHIRE BLVD., SUITE 1020 ❑ COM Q OTH 400.00 400.00 LOS ANGELES, CA 90010 ❑ PTY ❑ SCC ❑IND 10/12/2018 GID MORENO VALLEY LLC ❑COM 200.00 200.00 3470 WILSHIRE BLVD., SUITE 1020 LZ OTH LOS ANGELES, CA 90010 ❑ PTY p SCC SUBTOTALS 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 (666/275-3772I Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . 1 from 09/23/2018 . • ' through 10/20/2018 Page �_ of NAME OF MER 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 CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IiF GOMMITTEC.ALSD ENTER I.D. NUMBER) OF SELF-EMPLGYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑wD 10/12/2018 GID PALM DESERT LLC ❑COM 200.00 200.00 3470 WILSHIRE BLVD., SUITE 1020 ®OTH LOS ANGELES, CA 90010 ❑ PTY ❑ SCC 10/12/2018 RUSS MARTIN ®IND ❑OOM RETIRED 150.00 150.00 ❑ PTY ❑ SCC CARL RALPH WITT, JR. 0 IND ❑COM PASTOR 150.00 150.00 10/12/2018 ❑ PTY CHURCH ❑ SCC 10 IND CREEKMORE WLLIAMS ❑COM RETIRED 150.00 150.00 10/12/2018 ❑ PTY ❑ SCC 10/12/2018 DAVID COMPTON ❑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 SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 09/23/2018 • ` 10/20/2018 22 77�� `J 3 V through page of NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik 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 (OF COMM[TfEE, ALSO ENTER I.D. NUMBER) CODE * pF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND ROBERT A. BERNHEIMER ❑TH ATTORNEY 250.00 250.00 10/12/2018 ❑ PTY ROBERT A. BERNHEIM ❑ SCC ROBERT J. GLAST 0 IND ❑ COM RETIRED 1000.00 1000.00 10/12/2018 ❑ SCC WALTER T. CLARK m IND ❑COM ATTORNEY 150.00 150.00 10/12/2018 77427 WALTER CLARK ❑ SCC 0 IND BARBARA RESMO ❑COM RETIRED 500.00 500.00 10/12/2018 912 ❑ SCC C.L. PERONI �QIND ❑ COM RETIRED 50a.aa 5oa.aa 10/12/2018 185 ❑ SCC SUBTOTAL $ 2400.00 '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 e . from 09/23/2018 ' 10/20/2018 through 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 COf tuITTEE,ALSO ENTER I.O. NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND DOUGLASS S. DAVENPORT ❑ COM RETIRED 100.00 100.00 10/1212018 72731 CAROB COURT pores COMPANY LLC ❑ IND ❑ COM 250.00 250.00 10/12/2018 1156 N. MOUNTAIN AVE ® OTH UPLAND, CA 91786 ❑ PTY ❑ SCC RODNEY LEE SODA, a Prof. Law Corp. IND ❑COM ATTORNEY 500.00 500.00 10/12/2018 74-361 HIGHWAY 111, SUITE 10 ❑ OTH SELF EMPLOYED PALM DESERT, CA 92260 ❑ PTY ❑ SCC ❑IND 10/12/2018 ADKAN ENGINEERS ❑ COM 500.D0 500.00 6879 AIRPORT DRIVE ❑ OTH RIVERSIDE, CA 92504 ❑ PTY ❑ SCC RICHARD L. SPICER m IND ❑Conn RETIRED 15D.OD 150.00 10/19/2018 75855 ALTAMIRA DR. ❑ OTH 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 'I from 09/23/2018 0, i++' 10/20/2018 l through 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 COiA E SENTER I.D. NUMBER)OF CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND MARIE LYONS ❑ COM RETIRED 10/19/2018 ❑ PTY ❑ SCC DONNA J. MACMILLAN IND ❑COM RETIRED 10/19/2018 ❑ PTY ❑ SCC COACHELLA-IMPERIAL VALLEYS ❑ IND 000M POLITICAL ACTION 10/19/2018 STRATEGIES, FPPC ID #: 1351123 ❑ OTH COMMITTEE 500.00 500.00 75100 MEDITERRANEAN, PALM DESERT, CA ❑ pTY ❑ SCC R IND TIMOTHY SULLIVAN ❑ COM RETIRED 10/19/2018 ❑ PTY ❑ SCC RUTH ANN MOORE 0IND ❑COM CONSULTANT 10/19/2018 ❑ PTY ❑ SCC SUBTOTALS 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 (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 • s through 10/20/2018 ``' �,(� Page J�� of ✓� NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik 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 (IF COMMITTEE,ALSO ENTER I.D. NUMBER) OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND PALM VENTURES PA-1 LLC ❑ COM 10/18/2018 30875 DATE PALM DRIVE, SUITE C2 ®OTH 2500.00 2500.00 CATHEDRAL CITY, CA 92234 ❑ PTY ❑ SCC VIRGINIA S. CRISTE, a Prof. Law Corp ® IND ❑coM ATTORNEY 10/19/2018 44650 VILLAGE COURT, SUITE 200 []OTH SELF EMPLOYED 200.00 200.00 PALM DESERT, CA 92211 ❑ PTY ❑ SCC THE GLORIOUS LAND COMPANY LLC ❑IND ❑COM 10/19/2018 556 N. DIAMOND BAR BLVD., SUITE 212 ®OTH 200.00 200.00 DIAMOND BAR, CA 91765 ❑ PTY ❑ SCC 10 IND 10/18/2018 ROBERT BALLEW ❑ PTY ❑ SCC WESLEY AHLGREN 0IND ❑CoM CONSULTANT 10/18/2018 ❑ 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 (1an/2026) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE FULL NAME, STREET ADDRESS AND TIP 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 * Of SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFDUSINESSj ® IND Nachhattar Chandi ❑ COM President & CEO 09/24/2018 ❑ PTY ❑ SCC Susana Chandi ❑ IND CO Chief Operations Officer 09124/2018 ❑ PTY Chandi Group USA ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 2000.00 '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 B - PART 1 Schedule B -- Part I""'�"""" ""'' to whole dollars. Statement covers period _ � Ill Loans Received 09/23/2018 from through 10/20/2018 Page of 3C_ SEE INSTRUCTIONS ON REVERSE —rid NAME OF FILER I D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 FULL NAME, STREETADQRESSAND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT t AMOUNN T PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER PF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (If C.OIJMMRTEE.ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAM TO DATE ❑ PAID CALENDAR YEAR Brian S. Harnik Self 45- RATE PER ELECTION- 2798.08 00.00 10/01/10 S $ f s DATE DUE 1 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR S f % S S El FORGIVEN RATE PER ELECTION" S f S S S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR f S % S $ ❑ FORGIVEN RATE PER ELECTION" S S S S S DATE DUE 1 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 00.00 $ $ 2798.08 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ nn no (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 no Enter the net here and on the Summary Page, Column A, Line 2. (May be a mptire nurr"O 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. (Enter to) on Schediie E, Line 3) tContribulor 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 Ilan/2016) FPPC Advice: advice@fppc.ca.gov (865/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 Schedule B — Part 2 Amounts may be rounded to whole dollars. Statement covers period • I ` Loan Guarantors 09/23/2018 • from 10/20/2018 through Page_ of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 FULL NAME, STREETAppRESSAND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING ZIP CODE OF GUARANTOR (IF COMMITTEE.ALSO ENTER I.D. NUMBER) CODE {IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑ IND ❑ COM : DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM s ❑ OTH PER ELECTION (IF REQUIRED) DATE ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s LENDER CALENDAR YEAR ❑ IND ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s Enter on SUBTOTAL $ Surrlmary Page, Line 17 only. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received iownoleaouars. Statement covers period e - ' , from 09/23/2018 + - through 1012012D18 page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE FULL NAME. STREETADORESSAND CONTRIBUTOR IF AN INDIVIDUAL. ENTER DESCRIPTION OF AMOUNT! CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER ENTER (IF SELF-EMPLOYED.MEOFBUSINESS) GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF COMMITTEE.ALSO ENTER I.P. NUMBER) NAME OF BUSINESS) (JAN 1 -DEC 3 1 ) ❑ 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/2016) FPPC Advice: advice@fppc.ca.gov (866/Z75-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers periI!F9 Supporting/OpposingOther to whole dollars. from t79123l20i8 Candidates, Measures and Committees 10l20�201NAME through SEE INSTRUCTIONS ON REVERSE OF FILER I.O. NUMBER Re -Elect Jan Hamik for Palm Desert City Council 2018 1322067 DATE 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 REWIRED) OR COMMITTEE ❑ 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 $ 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/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D t4,E)nuF1uciuon .meet) Rmounrs may oe rounaea SCHEDULE D (CONT.) Summary of Expenditures to whole dollars. Statement covers period Supporting/Opposing Other 09/23/2018 FORM From Candidates, Measures and Committees through 10120/2018 page � of NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik 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} PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN. 1-DEC.31) (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/2016j FPPC Advice: advice@fppc,ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON Re -Elect Jan Harnik for Palm Desert City Council 2018 Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphemalialmisc_ MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate filinglballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Statement covers period from 09/23/2018 through 10/20/2018 Otherwise, describe the payment. Page.7 of 50 1322067 RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL Lv. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staflspouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE {IF COMMITTEE, ALSO ENTER I.O.NUMSfRJ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID BuzzFactory 1801 E. Tahquitz Canyon Way, Suite #101 LIT 7046.00 Palm Springs, CA 92262 Citi Cards Lamar Media Corp P.O. Box 78045 77-583 El Duna Court PRT 3350.00 Phoenix, AZ 85062-8045 Palm Desert, CA 92211 Citi Cards Desert Willow Golf Resort P. O. Box 78045 38-995 Desert Willow Dr. FND 3Q0.00 Phoenix, AZ 85062-8045 Palm Desert, CA 92260 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 10696.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ..................... $ 18939.32 2. Uniternized payments made this period of under $100........................ $ 273.33 3. Total interest paid this period on loans. (Enter amount from Schedule B Part 1, Column a 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 $ 19212.65 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc-ca.gov Schedule E SCHEDULE E (CONY) Sheet) Amounts may be rounded to whole dollars. Statement covers period 1Payments (Continuation • Made fromo9/z3/2018 !e2—± 10/20/2018 SEE INSTRUCTIONS ON REVERSE Pagthrough of NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik 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 filingfballot 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 candidatelsponsor 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. AL50 ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citi Cards COGS South Signs P.O. Box 78045 3309 S. Main St. CMP 1322.64 Phoenix, AZ 85062-8045 Santa Ana, CA 92707 Citi Cards Desert Sun P.O. Box 78045 750 N. Gene Autry Trail CMP 1677.72 Phoenix, AZ 85062-8045 Palm Springs, CA 92262 Printing Connection Inc. 9671 Magnolia Ave. LIT 1212.31 Riverside, CA 92503 BuzzFectory 1801 E. Tahquitz Canyon Way, Suite #101 PRT 1500.00 Palm Springs, CA 92262 BuzzFactory 1801 E. Tahquitz Canyon Way, Suite #101 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 (866/275-3772) www.fppcca.gov Schedule E SCHEDULE E (CONT.) Sheet) Amounts may be rounded to whole dollars. Statement covers period (Continuation Payments Made from 09/23/2018 FPage through 1012012018 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 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 stafflspouse travel, lodging, and meals IND independent expenditure supportingiopposing 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER r.P. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID BuzzFactory 1801 E. Tahquitz Canyon Way, Suite #101 Palm Springs, CA 92262 CNS 2283.75 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 2283.75 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded Statement covers period • to whole dollars. Accrued Expenses (Unpaid Bills) _ 09/23/2018 ' from through 10/20/2018 Paga of SEE INSTRUCTIONS ON REVERSE 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 nonmonelary)` 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 staflspouse 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 (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD W AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Saedute 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 P, 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 ae a neganve number FPPC Form 460 Ilan/2016) 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 , • ' , ' a9/23/2018 from through 1012012018 Page -9-11 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 nonmonelary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.►+ or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meats FND fundraising events POL polling and survey research TRS stafWspouse 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. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT t OUTSTAo NDING BALANCE BEGINNING OF THIS PERIOD { AMOUNTINCURRED THIS PERIOD IQ AMOUNT PAID THIS PERIOD {ALSO REPORT ON E) { OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS$ $ $ $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. from ntcovers per 09/23/2018 SCHEDULE G through 0120120 i $ I Page a of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik for Palm Desert City Council 2018 11322067 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 paraphemalialmise. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Im. 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 staflspouse travel, lodging, and meals IND independent expenditure supportinglopposing 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, a -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 onto 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@fppcca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period �Fq * to whole dollars. Loans Made to Others 0912312D18 • from 10/20/2018 Page � SEE INSTRUCTIONS ON REVERSEthrough 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 a OUTSTANDING lb) AMOUNT (c) REPAYMENT OR (d) OUTSTANDING le) INTEREST If)19) ORIGINAL CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCEAT CL05E OF THIS RECEIVED AMOUNT OF LOANS OF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD' PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR q $ % S s ❑ FORGIVEN RATE PER ELECTION" s S f r DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S S X S S ❑ FORGIVEN RATE PER ELECTION" S r 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 reported on Schedule E. SUBTOTALS $ $ $ $ Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans............................................................................................................................................$ (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.) tEnter top an Sdvdule 1, Line 3) '-If Required (May be a negative mn6er) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc ca.gov (866/275-3772) www.fppc.ca.gov gr_harh III* Am ­fc .. ha mainrfarf SCHIEdULEI Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 09/23/2018 through 10/20/2018 , .FAIR • ' Page of NAME OF FILER Re -Elect Jan Harnik for Palm Desert City Council 2018 I.D. NUMBER 1322067 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMrrTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 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 SummaryPage, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppc.ca.gov