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HomeMy WebLinkAbout2017-06-30 Form 460 - HarnikRecipient Committee COVER PAGE 7 Y CLERK'S Campaign Statement ' OFF' . - � Cover Page C15 O• - � � (Government Code Sections 84200-84216.5) PALM DESERT, C Statement covers period from 01/01/2017 SEE INSTRUCTIONS ON REVERSE (through 06/30/2017 1. Type of Recipient Committee; All Committees — Complete Parts 1, 2.3. and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Afaocw#w@Part5) 0 Sponsored ❑ General Purpose Committee (ARsoca roamPena) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Ajsa CarrpWePmr -- 3. Committee Information 1.0 NUMBER 1395155 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEEI JAN HARNIK FOR SUPERVISOR 2U18 STREET ADDRESS (NO PO BOX) "3- STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92260 (760) ADDRESS pF DIFFERENT) NO. AND STREET OR RO BOX P.O. BOX 1233 CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92261 OPTIONAL: FAX I E-MAIL ADDRESS Date of election if applicable: e y� p (Month, Day. Year) L017 ! JLJI. 20 rM P • &9e 1 of 51 For Official Use Only 06/05/2018 2. Type of Statement: ❑ Preelection Statement Quarterly Statement ❑x Semi-annual Statement ❑ Special Odd -Year Report ❑ Terminalon Statement ❑ Supplemental Preelection (Also file a Farm 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF 1REASURER DAVID BAUER MAILING ADDRESS 2150 STATE ZIP CODE AREA CODEIPHONE SACRAMENTO CA 95833 (916)473-4298 NAME OF ASSISTANT TREASURER IF ANY MAILING ADDRE6: ; OPTIONAL. FAX , E-MAIL ADDRESS STATE ZIP CODE AREA CODEIPHONE (916)473-4299 / DAVID3THEAGENCY.U9 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 State of California that the foregoing is true and correct. Executed on 07/19/2017 Date Executed on 07/19/2017 Date Executed on Date Executed on Daze www.notrile.com By By By BY S W&*Ye of Centmilm DtficsixMm, Ca xhMle. Slate Measm Promimq FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (0661275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JAN HARNIK OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) County Supervisar: RIVERSIDE COUNTY District 4 RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP PALM DESERT CA 9226" 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 contribudons or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER RE-ELECT JAN HARNIK PALM DESERT CITY COUNCIL 1322067 2'114 NAME OF TREASURER CONTROLLED COMMITTEE? ® YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOPO BOX) 73-9..1 SHADOW LAKE DR. CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92260 ( COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE7 ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOPO BOX) CITY STATE ZIP CODE AREA CODE/PHONE www.netrile.com COVER PAGE - PART 2 Page 2 of 51 S. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER I JURISDICTION I ❑ 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 List names or officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE Attach continuation sheets If necessary FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8681275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARYPAGE Summary Page to whole dollars. Statement covers period , • - from 01/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page i of NAME OF FILER LD NUMBER .TAN HARNIK FOR SUPERVISOR 2018 1395155 Contributions Received 1. Monetary Contributions ......................................... schedule A, Une 3 2. Loans Received.................... . schedule B. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 4. Nonmonetary Contributions .:................................ schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Expenditures Made 6. Payments Made .................. .................................... Schedule E. Line 4 7. Loans Made............................................................ schedule H, LMe 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+? 9, Accrued Expenses (Unpaid Bills)...............................scheduleF. Linea 10. Nonmonetary Adjustment ............ ........................... schedule Linea 11 TOTAL EXPENDITURES MADE.._...._.......................AddLines0+9+10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 13. Cash Receipts ................................................... Column A. Line 3above 14. Miscellaneous Increases to Cash sc heduie 1, Line 4 15.Cash Payments .................................................. Column A. Line 8above 16. ENDING CASH BALANCE ... , _„ _, . Add Lines 12 + 13 + 14, then subtract Line 15 N this is a termination statement, Line 16 must be zero. Column A TOTALTHISPERIOD (FROM ATTACHM SCHEMLIM) Column B Calendar Year Summary for Candidates o ALTO E Running in Both the State Primary and General Elections $ 237,408.18 $ 237,408.18 0.00 0.00 $ 237,408.18 0.00 $ 237,408.18 $ _ 12,045.49 0.00 $ 12,045.49 4,214.49 0.00 $ 237.408.18 0.00 $ 237.408.18 $ 12,045.49 0.00 $ 12,045.49 4,274.49 0.00 $ 16,319.98 5 16,319.98 $ 0.00 237,408.18 0.00 12,045.49 $ 225,362.69 17. LOAN GUARANTEES RECEIVED ........................... Schedule A Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents .... see instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ _ 4,274.49 www.netffie.com 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). 111 through Brio 711 to Date 20. Contribuihons Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" ilf Subject to vwumary Expenditure UmR) Dale of Election Total to Date (mmtddtyy) � I $ "Amounts In this section may be different from amounts reported in Column B. FPPC Form 460 (Jant2016) FPPC Advice: advice@fppc.ca.gov (8661275-37721 www.fppc.ca.gov Schedule A SCHEDULE A Monetary Contributions Received Amounts may be rounaea ry Statement covers period CALIFORNIA to whole dollars. from 01/01/2017 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2017 page 4 of — NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND YIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OFCOMM{TTEE,ALSO ENMI.D NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYEO,ENTERNAME PERIOD (JAN.1- DEC. 91) (IF REQUIRED) OF BUSINESS) 03/1312017 Dana Reed (MIND Attorney 1,D00.OD 1.D00.00 P2018 $1,000.00 ❑OTH ❑ PTY ❑ SCC 03/13/2017 BARBARA SPENCER BIND NOT EMPLOYED 2,000.00 4,000.00 P2018 $4,000.06 ❑CO OTH © PTY []SCC 03/14/2027 Benoit for Supervisor 2018 (ID# 13209DII ❑IND 20,000.00 20,000.00 P2018 $20,000.00 2150 River Plaza Dr., #150 ❑X COM SACRAMENTO, CA 95833 ❑OTH ❑ PTY ❑ SCC 03/20/2017 Susan Burger ❑RIND Officer 5,000.00 5,000.00 P2018 $5,000.00 ❑ OTH ❑ PTY []SCC 03 0 2017 Tamara Groat (MIND Executive assistant 5,000.00 5,000.00 P2018 5,000.00 ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 33, 000.00 Schedule A Summary 1. Amount received this period —itemized monetary contributions. (Include all Schedule subtotals.)........................................................................................................ $ 236, 180.18 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 1,228.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. ..... TOTAL $ 237, 408.18 www.netrile.com 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan12016) FPPC Advice: adviceQfppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers part to whole dollars. �. from 01/01/2017 • ` through 06/30/2017 Page 5 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 03 720 2017 Joan Hubbard x❑IND Not employed 5.000.00 5,00D.00 P2018 $5,000.00 ❑ OTH ❑ PTY ❑SCC 03 23 2017 Chad Mayes for Assembly 2016 (ID# 1374095) ❑IND 2,500.00 2,500.00 P2018 $2,500.00 1022 O St., #B x❑COM SACRAMENTO, CA 95814 ❑OTH ❑ PTY ❑ SCC 03/27/2017 Donald Rowan ®IND Not employed ij000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 03/30/2017 Michael Marix x❑IND Not employed 5,000.00 5,000.00 P2018 $5,000.00 ❑OTH ❑ PTY -b-573112017 [:]SCC Neon Development Group, Inc. ❑IND 10,000.00 10, P 099 Island Dr. #401 ❑COM RANCHO CUCAMONGA, CA 92270 ®OTH ❑ PTY ❑ SCC SUBTOTALS 23,500.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.nettFile.com FPPC Form 460 (JarL120161 FPPC Advice: adviceftpc.ca.gov (866I275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to Whole dollars. e RNIA from D1/D1/2Dv • ' g through 06/30/2017 Page 6 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 139SISS DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED PFCOMMITTEE.ALSO ENTEAI-D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 03 31 2017 Re-elect Jan Harnik Palm Desert (ID# 1322067) ❑IND 5,000.00 5,000.00 P2018 5,000.00 ❑ OTH ❑ PTY ❑SCC 04/03/2017 Richard Selberg BIND Not employed 100.00 100.00 P2010 $100.00 ❑ OTH []PTY ❑ SCC D4/03/2017 Roger Snoble ®IND Not employed 500.00 500.00 P2018 $500.00 ❑ OTH ❑ PTY ❑ SCC 04/04/2017 Nancy Deluna x❑IND Government relations 250.00 250.00 P201B $250.00 [_]OTH ❑ PTY ❑ SCC 4Lynn Gelman ]IND Not employed , ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 6,850.00 '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 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.neEfile. com www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT:) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. e from 01/01/2017 • ' Page 7 Of 51 through 06/30/2017 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ('FCOMMITTEE,ALSO ENTER I,D.NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYED.ENTER NAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OFBUSINESS) 04 18 2017 Ralph Miller X❑1ND Not employed 5,000.00 5,000.00 P2018 $5,000.00 5720- ❑ PTY ❑SCC 04/20 2017 Loni Argovitz QIND Partner 1,000.00 1,000.00 P2018 $1,000.00 730 ❑ PTY ❑ SCC 04/26/2017 Harold Bernthal ®IND Not employed 2,000.00 2,000.00 P2018 $2,000.00 333 ❑ PTY ❑ SCC 04/28/2017 Patrick Guthrie RIND Partner 5,000.00 5,000.00 P2016 $5,000.00 12 p OTH ❑ PTY []SCC5 era oge son X❑IND Rea estate eve oper . 1550 ❑ PTY ❑ SCC SUBTOTAL$ 14,000.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC —Small Contributor Committee www.netrile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661276-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary GontributionS Received Amounts may be rounded Statement covers period - to whole dollars. CALIF• from 01/o1/z017 • - • through 06/30/2017 Page a of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCONNrtTEE /1NDEfilD.NllA4BER) CODE � OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED,ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 05 01 2017 Kevin Jeffries for Supervisor (ID# 1334977) ❑IND 500.00 500.00 P2018 $500.06 4201 Brockton Ave. #100 ❑ COM RIVERSIDE, CA 92501 ❑ OTH ❑ PTY ❑SCC 05 01/2017 Guido Portante MIND retired 250.D0 500.00 P2018 $500.00 104 ❑ PTY []SCC 05/01/2017 Robertson's ❑IND 1,000.0D 1,000.00 P2D18 $1,000.00 200 OTH ❑ PTY ❑ SCC 05/02/2017 Peter Scheer MIND Manager 2,500.00 2,500.00 P2018 $2,500.00 39- []PTY ❑SCC ar N c erson ❑IND ER 1, o 86705 MOTH ❑ PTY ❑ SCC SUBTOTALS 5,250.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC —Small Contributor Committee www.nettlle.com FPPC Form 460 (Jon12016) FPPC Advice: advice@Wppc.ca.gov (866I275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers partod _ to whole dollars. from 01/01/2027 through 06/30/2017 Page 9 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMIiTEE,ALSOENMRI.U,NUMBER) CODE f OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 7 - DEC. at) (IF REQUIRED) OF BUSINESS) 05/05/2017 BURKE RIX COMMUNICATIONS, LLC ❑IND 500,00 500.00 P2018 $500.06 431 S. PALM CANYON DR., STE. 206 ❑COM Palm Springs, CA 92262 X❑ OTH ❑ PTY ❑SCC 05/05/2017 Buzz Factory ❑IND 250.00 250.00 P2018 $250.00 1801 E. Tahquitz Canyon way #101 ❑COM PALM SPRINGS, CA 92262 ®OTH ❑ PTY ❑ SCC 05/05/2017 Darlene Casella ®IND None 100.00 200.00 P2018 $200.00 ❑ OTH ❑ PTY ❑ SCC 05/05/2017 Comm. to Re-elect Bob Spiegel (ID# 1311070) ❑IND 500.00 500.00 P2018 $500.00 ❑ OTH ❑ PTY ❑ SCC David Compton X❑IND -rector 1,000.00 1,017= P20181,0 0.0o ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL; 2,350.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Farm 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661276-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. 4601 from 01/01/2017 FORM through 06/30/2017 page 10 of 51 NAME OF FILER I D NUMBER .TAN HARNIK FOR SUPERVISOR 2018 1395155 DATE ADD AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED {iFCT EE �S ER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF•EMPLOYED,ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OFOUSINESS) 05/05/2017 Federico Cartes x❑IND Not employed 100.00 250.00 P2018 $250.00 (:)OTH []PTY ❑ SCC 05/05/2017 Delrod LLC ❑IND 1,000.00 2,000.00 P2018 $2,000.00 ®OTH ❑ PTY ❑SCC 05/05/2017 Desert Valley Date ❑IND 5,OOD.00 5,000,00 P2018 $5,000.00 86-740 Industrial Way ❑CQM COACHELLA, CA 92236 x❑ OTH ❑ PTY []SCC 05/05/2017 Farley Paving Stone Co. Inc. ❑IND 500.00 500.DO P2018 $500.05 75-135 Sheryl Ave. #A ❑COM PALM DESERT, CA 92211 x❑ OTH ❑ PTY ❑SCC 5 1 X❑IND Not employed 1, , ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 7, 600. Do 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.neh?le.com FPPC Form 460 (Jan12016) FPPC Advice: adviceftpc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA towholedollars. I 60 from 01/01/2017 • ' through 06/30/2017 page 11 of 51 NAME OF FILER I.O. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATERECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION {IFCOMMfTSEEAL50BKrERI_D.NUMBEAj CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (iFSELF•EMPLOYED,EMRNAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OF BUSINESS) 05 05 2017 Joseph Gibbs E]IND Lawyer 1,000.00 1,D00.00 P2010 $1.000.00 ❑ OTH ❑ PTY ❑SCC 05/05/2017 William Hampton IV RIND Realtor 100.Da 100.00 P2018 $100.00 ❑ OTH ❑ PTY []SCC 05/05/2617 Sabby Jonathan ®IND Accounting 1,a0Lu.0U 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 05/05/2017 Joy Miedecke RIND Not employed 100.00 100.00 P2018 $100.00 []OTH ❑ PTY ❑ SCC Karen Miles x❑IND of employed , ❑ OTH ❑ PTY ❑ SCC 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com SUBTOTALS 3,200.DDI FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . towholedollars. from 01/01/2017 Fpagg through 06/30/2017 12 of_ sl NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/05/2017 Thomas Noble x❑IND CEO 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 05/05/2017 Richard Oliphant x❑IND Owner 1,000.00 1,000.00 P2018 $1,000.00 ❑oTH ❑ PTY []SCC 05/05/2017 michael peroni ®IND manager 1,000.00 1,250.00 P2018 $1,250.00 ❑ OTH ❑ PTY [:]SCC 05/05/2017 Rose Swearingen X❑IND Physician 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑ SCC 5 Wilson Johnson Commercial Real Estate, nc ❑IND 500.00 750.00 P Ol 7 45445 Portola Avenue #3 ❑COM Palm Desert, CA 92260 MOTH ❑ PTY ❑ SCc SUBTOTALS 3.600.00 'Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.#7etflle.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary contrihutions Received Amounts may be rounded Statement covers period towholedollars. • from 01/01/2017 • - , through 06/30/2017 page 13 of S1 NAME OF FILER I D NUMBER JAN HARNIK FOR SUPERVISOR 201$ 1 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED {IFCTArArn CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYEO,ENTER NAME PERIOD (JAN. 1 - DEC- 31) (IF REQUIRED) OF BUSINESS} 05 07 2017 Christy Harper X❑IND Controller 2.500.00 2,SD0.00 P2018 $2,500.00 ❑ OTH C]OTH ❑ PTY ❑ SCC 05 08 2017 RENOVA ENERGY ❑IND 1,000.00 1,000.00 P2018 $1,000.00 75181 MEDITERRANFAN AVE. ❑COM Palm Desert, CA 92211 ®OTH ❑ PTY ❑ SCC 05/10/2017 BURRTEC WASTE AND RECYCLING SERVICES, LLC ❑IND 1,000.00 1,000.00 P2018 $1,000.00 224 S. LAS POSAS RD, ❑COM San Marcos, CA 92078 0 OTH ❑ PTY ❑ SCC 05/13/2017 Patrick Foley E]IND Not employed 1,000.00 1,000.00 P2018 $1,000.00 ❑OTH [3 PTY ❑ scc 5 5 Palm Ventures PA-1 LLC ❑IND 1, 1,000.00 , MUM 30875 Date Palm Dr., #C CATHEDRAL CITY, CA 92234 ❑COM ] OTH ❑ PTY []SCC SUBTOTALS 6, 500. DOT *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (0661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary ContributionS KecelVea Amounts may be rounded Statement covers period towholedollars. e , ' from 01/01/2017 • through 06/30/2017 Page 14 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMUtATIVETO DATE PER ELECTION RECEIVED pFcoMMrrrEE atsofNrEA1.p.NuuBER� CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {lFSELF-EMPLOYED.ENTERNAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 05 16 2017 Sheri P eratton X❑IND Restaurateur 5,000.00 5,000.00 P2018 $5,000.06 ❑ OTH ❑ PTY ❑SCC 05 18/2017 Southwest Regional Council of Carpenters (ID# ❑IND 1,000.00 1.000.00 P2018 $1,000.00 870169) [3Com S. Fremont Avenue #501 Las Angeles, CA 90071 []OTH ❑ PTY ®SCC 05/19/2017 Steven Fuchs ®IND Professor 100.00 100.00 P2018 $100-00 44489 ❑ PTY []SCC 05/19/2017 Patricia Hawkins ]IND Not employed 200.00 200,00 P2018 $200.00 5332 []OTH ❑ PTY ❑SCC 17 Kenneth Xhachigian MIND Attorney 5 1 5 501 ❑ 0TH ❑ PTY ❑ SCC SUBTOTALS 6,650.00 'Contributor Codes IND—Individual COM —Recipient Committee (other than PTY 0r SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.neffile.com FPPC Form 460 (Jan12016) FPPC Advice: adv(ce@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 through 06/30/2017 SCHEDULE A (CONT.) Page 15 of 51 1395155 GATE ET AD FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND ZIP CONTRIBUTOR IF AN INDIVIDUAL_ ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVEDCOOS (IF TRESS I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-ErAPLOYEp,EHTEfiNAME PERIOD (JAN. 1- DEC. 31) OF REQUIRED) OF BUSINESS) 05 19 2017 Robert White ]IND Consultant 100.00 100.00 P2018 $100.OD ❑ OTH ❑ PTY []SCC 05/20/2017 Darlene Casella X❑IND None 10D.00 200.00 P2018 $200.Oo []OTH ❑ PTY ❑SCC 05/22/2017 JACQUELINE AUTRY MIND NOT EMPLOYED 1D,000.001 10,000.DO P2018 $10,000.00 ❑ OTH ❑ PTY ❑ SCC 05/23/2017 Lewis Investment Co., LLC ❑IND 1,000.00 2,000.00 P2018 $2,000.00 1156 N. Mountain Ave. Upland, CA 91786 ❑COM ❑x OTH ❑ PTY -M72❑SCC SC 4 EIIND Contractor 1, , ❑COM ❑ 0TH ❑ PTY ❑ SCC SUBTOTALS 12,200,00 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY-Political Party SCC-Small Contributor Committee www.nettile.001f1 FPPC Form 460 (Jan(2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) monetary VontrioutionS Keceivea Amounts may be rounded statement covers period to whole dollars. from 01/01/2017through FP,g,--. 06/30/2017 16 pf 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (EET ALSO ENTER NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) 05 30 7 2017 Thomas Mortensen ❑ RIND Not employed 250.00 400.00 P2018 $400.00 ❑OTH ❑ PTY []SCC 05/30/2017 Eileen Padberg MIND Consultant 100.00 100.00 P2018 $100.00 ❑OTH ❑ PTY ❑ SCC 05/30/2017 RICHARD UMBENHAUER ®IND ATTORNEY 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 05/31/2017 Karl Baker x❑IND none 100.00 100.00 P2018 $100.00 ❑OTH ❑ PTY ❑ Scc Stuart Rosenthal x❑SC IND Lawyer 1 150.00 15 . ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 850. 00 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.neirtle.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. � iron 01/01/2017 • ' g through 06/30/2017 Page 17 of 51 NAME OF FILER I D NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATERECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION gFODMMRTEE,ALSO ENTER I.DNUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) OFBUSINESSJ 06 02 2U17 Jon Dishell MIND lAmerican Real Estate execut ve 180.18 180.18 P2028 $180.18 Partners ❑OTH ❑ PTY []SCC 06/02/2017 Jeffrey Goldstein MIND Retired 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 06/02/2D17 William and Paula Kroonen ®IND retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC 06/02/2017 Jerry Newman MIND Retired 1,000.00 1,000,00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 0 17 Stephen Payne MIND 5 P2018 5 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL S 2,930.10 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.nedlie.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.co.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 Amounts may be rounded to whole dollars. Statement covers from 01/01/2017 through 06/30/2017 SCHEDULE A (CONT.) Page 18 of 51 I.D. NUMBER 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED [IFCOYYlTTEE,ALSOENrERrp.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYEO,ENTERNAAAE PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 06 02 2017 Barbara Platt x❑IND Homemaker 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 06/02/2017 Rick Stein ❑xIND investment advisor 500.00 500.00 P2016 $500.00 ❑ OTH ❑ PTY ❑ SCC 06/02/2017 Stephen Jones Design & Constru ❑IND 150.00 150.00 P2018 $150.00 91 OTH ❑ PTY ❑ SCC 06/05/2017 Susie Harvey &]IND None 500.00 500.00 P2018 $500.00 ❑COM OOTH ❑ PTY ❑ SCC 5Wayne Harvey ]IND None 500. 0 ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 1.800.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netrile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) moneicirj Contr ibubonS Keceivea Amounts may be rounded Statement covers period _ to whole dollars. e r from 01/01/2017 ' ! through 06/30/2017 page 19 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND 21P CORE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMfiTEE.A.SOENMRI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06 05 2017 INLAND EMPIRE DISPOSAL ASSOCIATION PAC (IDti BIND 2,500.00 2,500.00 P2018 $2,500,00 761452 ) 1851 East First St., #1220 ®COM Santa Ana, CA 92705 ❑OTH ❑ PTY []SCC 06/06/2017 Doug and Donna Martin KIND Office Administrator 250.00 250.00 P2018 $250.00 Corporation ❑OTH ❑ PTY ❑SCC 06/06/2017 Gayle Moore ®IND Self 150.00 150.00 P2018 $150.00 Services ❑ OTH ❑ PTY ❑ SCC 06/06/2017 PRIME TIME ❑1ND 2,500.00 2,500.00 P2018 $2,500.00 86-705 AVENUE 54, STE A Coachella, CA 92236 [3COM ] OTH ❑ PTY ❑SCC 17 oast Ter ❑IND 10,000.00 10, P2018 , - 524 95240 Melanie P1. Palm Desert, CA 92261 ❑COM KI OTH ❑ PTY []SCC SUBTOTAL$ 15,400.00 'Contributor Codes IND-Individual COM -- Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (Janl2416) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary Conimutiom Keceivea Amounts may be rounded Statement covers period towholedollars. from 01/01/2017 • , through 06/30/2017 Page 20 Of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED pFCOMMITTEES�SAND .D.N CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSEif•E1WPLOYEO.ENTER NAME PERIOD (JAM. 7 -DEC. 31) (IF REQUIRED) OFBIIStNESS) 06/07/2017 Virginia Criste ❑RIND attorney 250.00 250.00 P2018 $250.00 ❑COM ❑ OTH ❑ PTY []SCC 06/07/2017 John Gamlin x❑IND developer 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC 06/07/2017 Frank Harrison ®IND Contractor 250.00 250.00 P2018 $250.00 []OTH ❑ PTY ❑ SCC 06/08/2017 Janine Durst x❑IND Not employed 500.00 500.00 P2018 $500.00 ❑COM ❑ OTH ❑ PTY ❑SCC tan Durst ❑XIND electrician p 5 0. Design []OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,750.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ra.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) monetary L;ontrioutionS Keceivea Amounts may be rounded Statement covers period to whole dollars. • aI jr- from 01/01/2017 0 through 06/30/2017 Page 21 pf 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� ADDRESSZIPO FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED SAND ) FCDIYl LO. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QFSELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06 08 2017 Family Development Group ❑IND 150.00 150.00 P2018 $150,06 73081 Fred Waring Drive ❑COM Palm Desert, CA 92260 ] OTH ❑ PTY [-]SCC D6/10 2D17 Kathy Block )IND retired 150.00 150.00 P2018 $150.00 38635 ❑ PTY []SCC 06/11/2017 Scott Kincaid ®IND contractor 1,000.00 1,000.00 P2018 $1,000.00 31065 ❑ PTY ❑ SCC 06/12/2017 GARY CARDIFF x❑IND TRANSPORTATION 250.00 250.00 P2018 $250.05 48- ❑ OTH ❑ PTY ❑SCC 17 Virginia Folkers ®IND Not employed 5 5 5 . 0 73- ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 1, 800. o0 'Contributor Codes IND - individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee www.netfile.com FPPC Farm 460 IJan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded statement covers period _ to whole dollars. J from 01/01/2017 FPage 22 pf 51 through 06/30/2017 NAME OF FILER LD NUMBER UAN HARNIK FOR SUPERVISOR 2018 1 1395155 DATERECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION QFCOMMlTTEE PLSOENTERLD.NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OFBUSINESS) 06 12 20 77 Diane Gershowitz ❑xIND Not employed 5,000,00 5,000,00 P2018 $5,000.00 ❑ OTH ❑ PTY ❑SCC 06/12/2017 Harold Gershowitz KIIND Not employed 5,000.00 5.000.00 P2018 $5,000.00 ❑ OTH ❑ PTY []SCC 06/12/2017 Paul Golden ®IND Contractor 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY [:]SCC 06/12/2017 Elaine Henderson x❑IND CFO 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑ SCC —6Z712/2017 Maurice Horner KIND No—F`e—mplo-y-ed 100.00 100.00 P 1 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 10, 500.00 `Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parry SCC -Small Contributor Committee www.neffile.com FPPC Form 460 (Jan12016) FPPC Advice: advicaLfppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary contributions Received Amounts may be rounded statement coversperlod to whole dollars. e 4 from 01/01/2017 through 06/30/2017 PageM 23 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE A ADDRESSZIP CODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED IEET SAND R CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06 12 2017 Alan Pace X❑IND Geologst 250.00 250.00 P2010 $250.00 ❑ OTH ❑ PTY ❑SCC 06/12/2017 Guido Portante BIND retired 250.00 500.00 P2028 $500.00 ❑OTH ❑ PTY ❑SCC 06/13/2017 Penny Boehm ®IND Not employed 250.00 250.00 P2018 $250.00 []OTH p PTY ❑ SCC 06/13/2017 Mary Kelly ]IND Not employed 250.00 25D.00 P2018 $250.00 []OTH ❑ PTY ISC ❑ 5CC D 1 17 Julie esc gno (BINDDesert Adjunct Facu ty 5 . ❑ OTH District ❑ PTY ❑ SCC SUBTOTALS 1,250.00 'Contributor Codes IND — Individual COM— Recipient Committee (other than PTY Or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee www.nefflie.com FPPC Farm 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers part . towhciedollars. r from 01/01/2017 • - through 06/30/2017 page 24 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED PFLOAAAAIE ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYED,ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) DFBUSINESS) 06 13 T20 77 Phillip Smith X❑IND Manager 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC 06/13 2017 James Weeks BIND Farmer 100.00 1D0,00 P2018 $100.00 ❑ OTH ❑ PTY ❑ SCC 06/14/2017 Michael Andelson ®IND Attorney 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑ SCC 06/14/2017 William Appel BIND Not employed 250.00 25D.00 P2016 $250.00 ❑ OTH ❑ PTY ❑ SCC —M1412017 ARL Consulting ❑IND 250.00 250.00 P2018 $. 44-150 Camino Azul ❑COM LA OUINTA, CA 92253 x❑ OTH ❑ PTY ❑ SCC SUBTOTALS 950.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY— Political Party SCC — Small Contributor Committee www.netflie.corn FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661276-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period - to whole dollars. e J 3 from 01/01/2017 f - • through 06/30/2017 page 25 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCOMMfDRES SAND I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED,ENMRNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUMNESSI 06 19 T2017 Kenneth Belville X❑IND Not employed 150.00 150.00 P2018 $150.00 [:1 OTH ❑ PTY ❑ SCC 06/14/2017 Marianne Burton ]IND Sales 1 1D0.on P2018 $100.0o ❑ OTH ❑ PTY [-]SCC 06/14/2017 Mark Carnevale ®IND Councilman 250.00 250.0 P2018 $250.04) ❑ OTH ❑ PTY []SCC 06/14/2017 Federico Cortex ❑xIND Not employed 15 .00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC -T6714 Tom Cullinan RIND Real Estate 250.00 250.00P2018 5 7.10 []OTH ❑ PTY ❑ SCC SUBTOTAL$ 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 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covem period to whole dollars. , from 01/01/2017 through 06/3o/2017 Page 26 Of 51 NAME OF FILER I D NUMBER .TAN HARNIK FOR SUPERVISOR 2018 1395155 DATE DATEI FULL NAME, STREET ADDRESS AND ZIP CODE pF CONTRIBUTOR RE CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOAAAAn ALSO ENTER .0.Nl1L CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF•EMPLOYED ENTER NAME PERIOD (BAN. 1 - DEC 31) (IF REQUIRED) OFBUSINESS} 06 14 2017 Douglass Davert KIND Attorney 250.00 250.00 P2018 $250.D0 ❑OTH ❑ PTY []SCC 06 19 2017 Delrod LLC ❑IND 1,000.00 2,000.00 P2010 $2,D00.00 73-703 Hwy III ❑COM PALM DESERT, CA 92260 ®OTH ❑ PTY ❑ SCC 06/14/2017 DESERT PACIFIC PROPERTIES, INC. ❑IND 250.00 250.00 P2018 $250.OD 77-933 LAS MONTANA RD. , STE 101 ❑CDM Palm Desert, CA 92211 K] OTH ❑ PTY []SCC 06/14/2017 El Paseo Jewelers ❑IND 1,000,00 1,000.00 P2018 $1,000.00 73-250 E1 Paseo, #E ❑COM Palm Desert, CA 92260 ®OTH ❑ PTY ❑ SCC 0611412017 ron gregory %❑IND Tanciscape arc itect 1 1 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL.$ 2,600.00 'Contributor Codes IND—Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Parry SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT:) monetary t;ontrimaonS Keceiveci Amounts may be rounded Statement covers period _ to whote dollars. a from 01/01/2017 • Page 27 of 51 through 06/30/2017 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIPDE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED PFC6MIDDRE ALSAND ID.N CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. t - DEC, 31) pF REOUIRED) OF BUSINESS) 06/14/2017 Jan hawkins x❑IND fundraiser 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑SCC 06/14/2017 Health Insurance Network ❑IND 250.00 250.00 P2018 $250.00 77-734 Country Club Dr. NE ❑COM Palm Desert, CA 92211 ®OTH ❑ PTY ❑ SCC 06/14/2017 HOLT ARCHITECTS, INC ❑IND 450.00 450.00 P2010 $450.00 70-225 HWY. 111, STE D ❑COM Rancho Mirage, CA 92270 0 OTH ❑ PTY ❑SCC EISC)IND 06/14/2017 Bryan Jensen Not employed 1,000.00 1,000.00 P2018 $1,000.00 ❑OTH ❑ PTY ❑ SCC son Jones x❑SC IND of employed 5 o P2018 0 ❑COM ❑OTT ❑ IRTY ❑ SCC SUBTOTAL$ 2,200.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.netflle.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. • from 01/01/2D17 +' through 06/30/2017 Page 28 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395i55 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMM17EE.ALSO ENTER I.D.NUMBER) CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE ;IFSELF-EMPLOYED ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESSI 06 14 2D17 Dan Kirby QIND Not employed 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 06/14/2017 Mary Kurtz )IND Contractor 150.00 15o.D0 P2018 $15D.00 ❑OTH ❑ PTY ❑ Scc 06/14/2017 Stephanie Landes ®IND Not employed 150.00 150.00 P201B $150.00 ❑OTH ❑ PTY ❑ SCC 06/14/2017 bruce legawiec DIND manager 15D.00 150.00 P2018 $150.00 ❑ PTY []SCC14 17 norman lewis QIND retired 1 1 10. 36101 ❑ PTY [:]SCC SUBTOTALS 700.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee www.netrile.com FPPC Form 460 (Jan12016) FPPC Advice: advice ftpc.ca.gov (8661275-3772) www.fppc.r-a.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA from 01/01/2017 FORM through o6/3o/2017 page 29 of 51 NAME OF FILER 10 NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S AND ZIP ADDRESS DE O CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION {SETA .n. N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECDATE EIVED pFSELF•EMPLOYED.ENURNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF RUMNESS) 06/14/2017 r cardo Loretta KIND retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 06/14/2017 Marie Lyons RIND Not employed 200.00 200.00 P2018 $200.00 ❑ OTH ❑ PTY []SCC 06/14/2017 tim mathei ®IND retired 300.00 300.00 P2018 $300.00 []OTH ❑ PTY ❑ SCC 06/14/2017 Scott Miller x❑IND Councilman 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC 4Thomas Mortensen 1IND Not employed 400.00 P2018 $40 ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,250.00 'Contributor Codes IND—Individual COM -Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (6661275-3772) www.fppc.r-a.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. CALIFORNIA ' from 01/01/2017 FORM through 06/30/2017 page 30 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATERECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION pFCOMM rIEE.ALSOENTERI-D.NUMBER► CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 06/14/2017 Michael Myers KIND Hypnotist 150.00 150.00 P2018 $150-00 ❑ OTH ❑ PTY ❑ SCC 06/14/2017 Roberta Hyman KIND Not employed 250.00 250.00 P2018 $250.00 ❑Co OTH ❑ PTY ❑ SCC 06/14/2017 James Palmer ®IND Not employed 200.00 200.00 P2018 $200.00 []OTH ❑ PTY ❑ SCC 06/14/2017 michael peroni KIND manager 250.00 1,250.00 P2018 $1,250.00 []OTH ❑ PTY ❑ SCC 4Plaza Dental Group ❑IND 15 . 78-461 Hwy 111 ❑COM LA QUINTA, CA 92253 p OTH ❑ PTY []SCC SUBTOTAL$ 1,000,00 *Contributor Codes IND — individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.#7etfile.com FPPC Form 460 (Janl2016) FPPC Advice: advice@fppc.ca.gov (866I275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. I ' from 01/01/2017 FORM through 06/30/2017 page 31 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMM TEE. ALSO ENTER CD NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED [.FSELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06 14 2017 William Powers KIND Not employed 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 06/14/2017 richard price WIND retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 06/14/2017 Robert Radi WIND Councilman 150.00 150.00 P2018 $150.00 ❑OTH ❑ PTY ❑ SCC 06/14/2017 Rodney Lee Soda, A professional Law Corp. ❑IND 750.00 750.00 P2018 $750.00 74-361 Hwy III ate 10 ❑COM Palm Desert, CA 92260 x❑ OTH ❑ PTY ❑ SCC 4Garrett Rutherford WIND Not employed . ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 11550,00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small ConidbutorCommittee www.netriile.com FPPC Form 460 (Jan/2016) FPPC Advice: advicetbfppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period _ towholedotlars. J from 01/01/2017 • through 06/30/2017 Page 32 of 51 NAME OF FILER I D NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIPO CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED ;iFCOMMIDRE I.D. NUMBER) CODE • OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF•EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFSUSINESSj 06/14/2017 bob sanders x❑IND retired 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY []SCC 06/14/2017 SCHLECHT, SHEVLIN & SHOENHERGER, ALC ❑IND 450.00 450.00 P2018 $450.00 B01 E TAHQUITZ CANYON WAY #100 ❑COM Palm Springs, CA 92262 ®OTH ❑ PTY ❑ SCC 06/14/2017 Buddy Sklar ®IND retired 100.00 100.00 P2018 $100.00 ❑OTH ❑ PTY ❑ SCC 06/14/2017 richard Spicer RIND Retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 4 7 Kate Sween RIND of employed 1 0. ❑COM []OTH ❑ PTY []SCC SUBTOTAL$ 1.000.00 "Contributor Codes IND—Individual COM — Recipient Committee (other Ihan PTY or SCC) OTH — Other (e.g., business entity) PTY — Paltlical Party SCC —Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. , from 01/01/2017 • through 06/30/2017 Page 33 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATERECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCOMMrTECALSOENTERID.NUMBER) CODE ► OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELFEMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESSI 06/14/2017 T & 8 PLANNING, INC. ❑IND 100.00 100.00 P2018 $100.00 17542 E. 17TH ST. SUITE #100 ❑COM Tustin, CA 92780 ❑X OTH ❑ PTY []SCC 06/14/2017 Andy Vossler X❑IND Real Estate Development 150.00 150.00 P2018 $150.00 ❑OTH ❑ PTY []SCC 06/14/2017 Wilson Johnson Commercial Real Estate,Inc ❑IND 250.00 750.00 P2018 $750.00 45445 Portola Avenue #3 ❑COM Palm Desert, CA 92260 E]OTH ❑ PTY ❑ SCC 06/15/2017 Gary Galton ❑IND Attorney/Mediator 500.00 500.00 P2018 $500.00 [J OTH ❑ PTY ❑ SCC e Lincoln Club of the Coachella Valley ID ❑IND 941930) 30151 Tomas St. ❑COM Rancho Santa Margarita, CA 92688 ❑OTH ❑ PTY ❑ SCC SUBTOTALS 1,250,00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity} PTY — Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661216-3712) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period towholedollars. , from 01/01/2017 • ' through 06/30/2017 Page 34 Of 51 NAME OF FILER I.D, NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COIAM TEE, ALSO ENTER 10.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSEIF-E►IPLOYEb,fHTERNAME PERIOD (JAN- 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 06 1B 2017 Jerry Harnik )IND Financial services 1,000.00 1,000.DO P2018 $1,000,00 ❑ OTH ❑ PTY ❑ SCC 06/19/2017 DREW BELK RIND Farmer 250.00 250.00 P2010 $250.00 ❑OTH ❑ PTY []SCC 06/19/2017 Cahuilla Pool Construction Inc ❑IND 750.00 750.00 P2018 $750.00 81770 Trader Place ❑COM Indio, CA 92201 ❑x OTH ❑ PTY ❑ SCC 06/19/2017 Timothy Lynch x❑IND Vice Pres 250.00 250.00 P2018 $250.00 Advertising ❑ OTH ❑ PTY ❑SCC )SC CarlKarcher Executive 2,500.00 2,500.00 P2018 . ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 4,750.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee www.nettile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period a . to whole dollars. from 01/01/2017 • ' through 06/30/2017 Page 35 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O S ANDERI.D. CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFC4111DDRE NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF•EMPLOYED,ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 06/22/2017 Robert Archer x❑IND Not employed 1,000.00 1,000.00 P2018 $1,000,00 ❑ OTH ❑ PTY []SCC 06/22/2017 B G C Land -Boulder Springs LLC ❑IND 1,000.00 1,000.00 P2018 $1,000.00 341 W. 2nd St. ill ❑COM SAN BERNARDINO, CA 92401 ®OTH ❑ PTY ❑ SCC 06/22/2017 Balog Real Estate Services ®IND 150,00 150.00 P2018 $150.00 73700 El Paseo Ste 1 ❑COM PALM DESERT, CA 92260 ❑ OTH ❑ PTY ❑ SCC 06/22/2017 Sandra Davis X❑IND Not employed 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC -b-9722/2017 Irene Dolan x❑IND Not employed 5 . ❑ OTH ❑ PTY ©SCC SUBTOTAL$ 2,650.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jon12016) FPPC Advice: adviceftpc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . towhoiedollars. / r from 01/01/2017 • ' through 06/30/2017 Page 36 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATEI FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ( COMMITTEE ALSO ENTER LD.NUMBERJ CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESSI 06/22/2017 Sharon Gray RIND Not employed 150,00 150,00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 06/22/2017 Terry Henderson-Jandt BIND Not employed 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑ SCC 06/22/2017 Joann McGrath ®IND Manager 150.00 150.00 P2018 $150.00 ❑OTH ❑ PTY ❑ SCC 06/22/2017 Birgit Moller x❑IND Not employed 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑ SCC 4 17 James Cox DIND Judge ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 600.00 'Contributor Codes END —Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.nefflle.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661278-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA towholedollars. / 8 from 01/01/2017 • through 06/30/2017 page 37 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 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 COMMI TEE, ALSO ENTER1.0 NUMBER) CODE * pFSELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFRUSINESS) 06 24 2017 Joseph Manhart ❑xIND Not employed 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑SCC 06/26/2017 Thomas Douglass Jr. ❑RIND Not employed 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC O6/26/2017 Lewis Investment Co., LLC ❑IND 1,000.00 2,000.00 P2018 $2,000.00 1156 N. Mountain Ave. ❑COM Upland, CA 91786 ] OTH ❑ PTY ❑ SCC 06/26/2017 Nova Oculus Partners, LLC ❑IND 2,000.00 2,000.00 P2018 $2,000.00 41865 Boardwalk #204 ❑COM PALM DESERT, CA 92211 K] OTH ❑ PTY ❑ SCC Tower Energy Group ❑IND 1,500.00, ' 1983 W. 190th St. ❑COM TORRANCE, CA 90504 x❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 4,850.00 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: adviceffppc.ca.gov (8661275-3772) vwvw.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period �. to whole dollars. / from 01/01/2017 • ' through 06/30/2017 Page 38 of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION {EET ALSO ENTER I.D. NUMBER) CODE t OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED QFSELF•EMPLOYEO,ENTER NAME PERIOD (JAN. 1 - DEC.31) (IF REQUIRED) OF BUSINESS) 06 27 2017 Joey Deconinck ]IND Farmer 1,000.00 1,000.00 P2018 $1.000.00 ❑ OTH ❑ PTY ❑SCC 06/27/2017 Sean Dougherty Sr. ]IND Vice Pres. 250.00 250.00 P2018 $250,00 ❑ OTH ❑ PTY ❑ SCC 06/28/2017 Bighorn Properties, Inc. ❑IND 5,000.00 5,000.00 P2018 $5,000.00 255 Palowet Dr. ❑GOM PALM DESERT, CA 92260 p OTH ❑ PTY ❑ SCC 06/28/2017 Carl Cardinalli RIND Real estate management 1,000.00 1,000.00 P2018 $1,0DO.00 ❑ OTH ❑ PTY ❑ SCC 06/2812017 Cope Properties LLC ❑IND10,000.00 ' 814 Hest Marland ❑COM HOBBS, NM 88240 ] OTH ❑ PTY ❑ SCC SUBTOTALS 17,250.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee www.netflie.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers parted to whote dollars. , ' from 01/01/2017 f ' through 06/30/2017 Page 39 Of 51 NAME OF FILER I D NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 Qy� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A RE ND ZIPO CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED iEET IT ALSOI.�. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED,EWMRNAME PERIOD (JAN. 1 - DEC. 31) (1F REQUIRED) OF BUSINESS► 06 28 2017 Russell Davis x❑IND Attorney 300.00 300.00 P2018 $300.00 45- ❑ PTY ❑ SCC 06 2B 2017 Mario Hernandez BIND Contractor 2,500.00 2,500.001 P2018 $2,500.00 73- ❑ PTY ❑ SCC 06/28/2017 Viper Ventures, Inc. ❑IND 10,000.00 20,000,00 132018 $20.000.00 7710 W. Hwy 80 ❑COM MIDLAND, TX 79706 K] OTH ❑ PTY ❑ SCC 06/29/2017 Ronald Fragen x❑IND and 1,000.00 1,000.00 P2018 $1,000.00 64893 ❑ PTY []SCC 17 HK LANE RM ESTATE ❑IND 500.00 500.00 P2018 72895 FRED WARING DRIVE ❑COM PALM DESERT, CA 92260 x❑ OTH ❑ PTY [:]SCC SUBTOTAL$ 14,3DO. 00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.netflie.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. e / from 01/01/2017 • through 06/30/2017 Page 40 of 51 NAME OF FILER I.O. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITEE,ALSOENTERI.D.NUMBER] CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYED,ENTERNAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 06 29 2017 BARBARA SPENCER X❑IND NOT EMPLOYED 2,000.00 4,000.00 P2018 $4,000.00 ❑ OTH ❑ PTY ❑SCC 06/30/2017 Lorna Ball @IND Real estate broker 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 06/30/2017 mark benedetti ®IND contractor 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 06/30/2017 Michael Bozick x❑IND Farmer 10,000.00 10,000.00 P2018 $10,000.00 ❑ OTH ❑ PTY ❑ SCC 17 Builifing Industry Assoc. -of out ern Calif. ❑IND 1,000.00 1,000.OD P2018 1, PAC (ID# 741733) ]COM 515 South Figueroa St., #1110 LOS ANGELES, CA 90071 ❑OTH ❑ PTY []SCC SUBTOTALS 3.4,250.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY Or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee www.nettlie.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fopc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , to whole dollars. from 01/01/2017 through 06/30/2017 page 41 of 51 NAME OF FILER I.D NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED IIFOOMMITTEE.ALSOENTERI.D.NUMBERi CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IFSELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF6USINESSI 06 30 2017 Katharyn Cook ❑RIND Not employed 1,OOD.00 1,000.00 P2D18 2,000.00 74615 ❑ PTY []SCC 06/30/2017 Leo Cook RIND Not employed 1,D00.00 1,000.00 P2018 $1,000.00 74615 M ❑ PTY ❑ Scc 06/30/2017 Eureka PAC ❑IND Federal PAC 1,ODO.00 1,000.00 P2018 $1,000,00 63 W. Grand ❑COM Corona, CA 92882 R❑ OTH ❑ PTY ❑ SCC o6/3o/2017 Karen Spencer KIND Not employed 250.00 250.00 P2018 $250.00 33304 ❑ PTY ❑ SCC ❑ IND ❑ COM []OTH ❑ PTY ❑ SCC SUBTOTALS 3,250.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g.. business entity) PTY — Polilical Party SCC — Small Contributor Committee www.netfile.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-37721 www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period SCHEDULED e . I Payments Made to whole dollars. 01/01/2017 • from SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 through 06/30/2017 I Page of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1395155 CNP campaign paraphemalialmise. NIBR member communications RAID radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TB- t.v. or cable airtime and production costs FL candidate filinglballot fees RHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staflspouse travel, lodging, and meals M 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 UT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF caMMITTMALSO ENTER 1.o.NUMeER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Deluxe Check Printing OFC 227.98 P.O. Box 1186 Lancaster, CA 93534 Nygren & Co. TRS 501.06 3470 Park Dr. E1 Dorado Hills, CA 95762 David Bauer PRO 350.00 2150 that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 1,079.04 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. ............................ $ xi_, 9-10 • ss� 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 74.50 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)....... ................... ........... ..... ....... .............................. $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .................. ...... TOTAL $ i2.045 •49 FPPC Form 460 (Janl2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) www.netflle.com www.fppr-ca.gov Schedule E SCHEDULE E (CONT. (Continuation Sheet) Amounts may be rounded Statement covers per] �. to whole dollars. from o1/o1/zo17 • Payments Made SEE INSTRUCTIONS ON REVERSE through 06/30/2017 I Page 43 of 51 NAME OF FILER _ I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalialmisc. NM member communications RAD radio airtime and production costs CNIS campaign consultants MfG 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 casts FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staf ispouse travel, lodging, and meals ADD 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, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMTTTEE. AL50 ENTER 1.0. NUMBER) Lani Garfield LIT 200.00 835 & Co. CNS 1,000.00 3470 Park Dr. E1 Dorado Hills, CA 95762 Integrated Solutions Political OFC 49.30 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 Citi Cards OFC 184.23 P.O. Box 78045 Phoenix, AZ 85062 Integrated Solutions Political OFC 122.80 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1 556. FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: BBWASK-FPPC (BOW275-3772) www.natlie.com www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period Payments Made towholedollars. from 01/01/2017 019.0m SEE INSTRUCTIONS ON REVERSE through 06/30/2017 Page 44 of 51 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW 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 PEr petition circulating TEL t.v_ or cable airtime and production costs FIL candidate filinglballol fees PHO phone banks TRC candidate travel, lodging, and meals FAD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND Independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, At$O ENTER t.D. NUMBER) Buzz Factory LIT 504.60 1801 E. Tahquitz Canyon Way #101 PALM SPRINGS, CA 92262 Integrated Solutions Political OFC 49.30 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 Michael Williams FND 1,955.02 Integrated Solutions Political OFC 98.60 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 Integrated Solutions Political OFC 172.10 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,779.62 www.nettile.com FPPC Form 460 (Jan12016) FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule E SCHEDULEE(CON7) period (Continuation Sheet) Amounts may be rounded statement covers pFFF Payments Made to whole dollars. from 01/01/2017SEE INSTRUCTIONS ON REVERSE through 06/30/2017 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHIP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v or cable airtime and production costs FtL candidate riling/ballot fees Ph10 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 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 UT campaign literature and mailings PRT print ads VVM information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I D. NUMBER) Integrated Solutions Political OFC 2.75 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 Nygren & Co. CNS 1,000.00 3470 Park Dr. El Dorado Hills, CA 95762 Desert Willow Golf Resort FUD 800.00 38-995 Desert Willow Drive Palm Desert, CA 92260 Postmaster LIT 1,560.00 4150 Chicago Ave. Riverside, CA 92507 Integrated Solutions Political OFC 496.40 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,867.15 www.netrile.com FPPC Form 460 (Jan12016) FPPC Toll -Free Helptine: 8661ASK-FPPC (3661275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded Statement covers period e. I to whole dollars. t Payments Made from o1/o1/zo17 e - SEE INSTRUCTIONS ON REVERSE through 06/30/2017 page 46 Of 51 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtuP campaign paraphemalla/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG meellngs and appearances RFD returned contributions CTI3 contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production casts FIL candidate filingiballot fees PHD phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staf ispouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the some 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 PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMnTEE. ALSO ENTER I D. NUMBER) Printing Connection, Inc. LIT 448.92 11800 Steriing Ave., #E RIVERSIDE, CA 92503 Integrated Solutions Political OFC 49.30 4142 Adams Avenue #103-550 SAN DIEGO, CA 92116 Printing Connection, Inc. LIT 1,006.42 11800 Steriing Ave., #E RIVERSIDE, CA 92503 eFundraising Connections OFC 119.21 2831 G St., 0120 SACRAMENTO, CA 95816 eFundraising Connections OFC 207.25 2031 G St., 9120 SACRAMENTO, CA 95816 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL. $ 1,831.10 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 86rdASK-FPPC (8661275-2772) www.netfile.com www.fppc.ca.gov Schedule E SCHEDULE. ON (Continuation Sheet) Amounts may be rounded Statement covers period , Payments Made towholedollars. from D1/01/2017 • SEE INSTRUCTIONS ON REVERSE through D6/30/2017 Page 47 of NAME OF FILER I.O. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CN5 campaign consuhanls hM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC g ng, and meals candidate travel, lodging. FND fundraising events POI. polling and survey research TRS stafflspouse travel, lodging, and meals IND Independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) eFundraising Connections OFC 33.50 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 109.25 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 75.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 67.00 2831 G St., 4120 SACRAMENTO, CA 95816 eFundraising Connections OFC 142,00 2831 G St., #120 SACRAMENTO, CA 95816 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 427.50 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpllne: 866IASK-FPPC (8661275-3772) www.neirtle.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 06/30/2017 page 48 of 51 NAME OF FILER I.D. NUMBER JAH HARNIK FOR SUPERVISOR 2018 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. IVBR member communicalions RAID radio airtime and production costs CNIS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TE_ t.v. or cable airtime and production casts FIL candidate filing/ballot tees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IHD 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 VVEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER .O NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections OFC 34.00 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 277.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 118.50 2831 G St., #120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTALS 430.25 www.netfile.com FPPC Form 460 (Jan/2016) FPPC Tall -Free Helpline: 866fASK-FPPC (8661276-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER JAN HARNIK FOR SUPERVISOR 201E Amounts may be rounded to whote dollars. Statement covers period ft)Om 01/01/2017 through 06/30/2017 SCHEDULE F Page 49 of — D NUMBER 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphemalla/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WIG 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 RL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FTD fundraising events POL polling and survey research TRS staflspouse travel, lodging, and meats 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 UT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER O NUMBER) CODE OR DESCRIPTION OF PAYMENT OUTS[a) BALANCE BEGINNING { AMOUNTIN INCURRED THIS PERIOD {el AMOUNT PAID THIS PERIOD OUTSTANDING [TANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Citi Cards FND 0.00 4,241.86 0.00 4,241.86 P.O. Box 78045 Phoenix, AZ 85062 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS o .cos 4 , 241. e6 S o . oo s 4,241.136 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 $ 4,274.49 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 $ 0.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)-•---•---•...............................•...........................................--- .... NET $ 4,274,49 May be a � r FPPC Form 460 (Jon12016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) WWW.netflle.com www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) towholedollars. covers from 01/01/2017 through 06/30/2017 Page-0 of SEE INSTRUCTIONS ON REVERSE NAMEOFFILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR Citi Cards CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. NM member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CT13 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 F1L candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS sta(fispouse travel, lodging, and meals W 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 (Internet, e-mail) ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAMEAND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.O. NUMBER) Desert Willow Golf Resort FND 3,655.01 38-995 Desert Willow Drive Palm Desert, CA 92260 Greater Coachella Valley Chamber of Commerce OFC 345.00 12650 6th St. COACHELLA, CA 92266 Verizon OFC 241.85 P.O. Box 920041 DALLAS, TX 75392 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 4,241.86 ' Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or Independent contractor as reported on Schedule E. www.nettlie.com FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) 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) towholedoltars. from 01/01/2017 tr SEE INSTRUCTIONS ON REVERSE through 06/30/2017 page 51 of 51NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR Michael Williams CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIMP campaign paraphamalialmisc. NM member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)• OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling/ballot fees PHD phone banks TRC candidate travel, lodging, and meals F1+D fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 UT 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 PAYEE OR CREDITOR (OF COMMITTEE, ALSO ENTER :.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Classic Club 75-200 Classic Club Blvd PALM DESERT, CA 92211 Attended by 55 FND 1,955.02 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1,955.02 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. www.netflie.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov