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2018-06-30 Form 460 - Harnik
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 05/20/2018 through 06/30/2018 1. Type of Recipient Committee: All Committees — Complete Paris 1, Z, 3, and 4. ❑X Officeholder. Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (uoacaeWhftPan5) Q Sponsored (Afto C-V" Pads) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Parry/Central Committee ❑ Primarily FormedCandidatel Officeholder Committee (Alin Caraka A W 7) 3. Committee Information I.D. NUMBER 1395155 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) JAN HARNIK FOR SUPERVISOR 2010 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92260 ( MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92261 OPTIONAL. FAX I E-MAIL ADDRESS ( COVERPAGE 1T Y CEr""S OFFIC PALM DESERT, CA Date of election If applicable: Die JUL 26 Ali 10: Q (Month. Day. Year) Page 1 of 06/05/2018 1 2. Type of Statement: ❑ Preelection Statement ❑x Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER DAVID BAUER For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE SACRAMENTO CA 95833 ( NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I/ Exeadedon 07/19/2018 Dale Executed on 07/19/2018 Dale Executed on Dale Executed on Dole By By By herein and in the attached schedules is true and complete. I certify By sOWK-dCa ft*vOffimhcWw.CwWWaM.SWMMom"Pw,4-- FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) uw.n.. fn. es nnu COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page— Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JAN HARNIK OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) County Supervisor: RIVERSIDE COUNTY District 4 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 73-901 SHADOW LAKE DR. PALM DESERT CA 92260 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D NUMBER RE ELECT JAN HARNIK PALM DESERT CITY COUNCIL 1322067 2014 NAME OF TREASURER CONTROLLED COMMITTEE? © YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX) 73-901 SHADOW LAKE DR. CITY STATE ZIP CODE AREA CODE/PHONE PALM DESERT CA 92260 ( COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page 2 of 36 6. 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 Listnames 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 u1 I T blAlt ur wut AKtA t:Uutjrr1UNt Attach continuation sheets if necessary FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (666127S-3772) www.fppc.ca.aov Campaign Disclosure Statement SUMMARYPAGE Amounts may be rounded Statement covers periodCALIFORNIA Summary Page to whole dollars. from 05/20/2018 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN HARNIK FOR SUPERVISOR 2028 Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received...................................................... schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions .................................... schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 Expenditures Made 6. Payments Made ....................................................... Schedule,=, Line 4 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. through 06/30/2018 I Page 3 of 36 I.D. NUMBER Column A Column B TOTALTHIS PERIOD CALENDAR YEAR (FROMATTACHEDSCHEDULES) TOTALTO DATE $ 40,559.00 $ 228,814.00 0.00 0.00 $ 40,559.00 4,829.25 S 45,388.25 S 228,814.00 15,968.06 $ 244,782.06 $ 130,293.44 S 534,758.67 0.00 0.00 $ 130,293.44 23,969.44 4,829.25 $ 534,758.67 35,895.63 15,968.06 S 159,092.13 $ 586,622.36 $ 95,045.89 40,559.00 31.00 130,293.44 $ 5,342.45 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Pan 2 S 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse S 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 35,895.63 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 maybe 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). 1395155 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received S $ 21. Expenditures Made S S Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Ilf Subimtto voluntary Expenditure Limit) Date of Election (mm/dd/yy) I 1 1 I I $ Total to Date Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.aov Schedule A SCHEDULE A Amounts may ae rounaea Monetary Contributions Received dollars. Statement covers period • - to whole from _ _ 05/20/2018 •- Ll p SEE INSTRUCTIONS ON REVERSEthrough 06/30/2018 Page 4 of NAME OF FILER ID 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 QFCOMMnTEE.ALSDENTERI.D.NUMBER} CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF•EMPLOYED,ENTERt"F; PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS► 05/20/2018 Joseph sanders MIND retured 150.00 150.00 P2018 $150,00 45 Lincoln ❑Scc 05/23/2018 Viola Benson RIND Realtor 150.00 150.00 P2018 $150.00 37621 Emerson ❑SCC 05/21/2018 Shannon Bondehagen MIND Not employed 50.00 125.00 P2018 $150.00 67864 Peggy ❑SCC 05/21/2018 Arthur Buerk Jr. MIND Not employed 250.00 250.00 P2010 $250.00 1620 43rd ❑ SCC 05 r2-17 2018 Virginia Criste MIND attorney 250.00 250.00 P2018 500.00 44047 Erie ❑ ❑ SCC SUBTOTAL$ 850.ao 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.) ...... $ 40,200.00 $ 359.00 .. TOTAL $ 40, 559.00 '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 (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 05/20/2018 through 06/30/2018 Page 5 of 36 NAME OF FILER I.D. NUMBER ,TAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND 21P CODE pF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION PFGOMMnTEE7EH1-D.N CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) 05 21 2018 Gerald Fogelson RIND Not employed 1,000.00 1,000.00 P2018 $3,000.00 1550 ❑ PTY ❑SCC OS/21/2018 Mary Kelly ]IND Not employed 50.00 125.00 P2018 $675.00 46100 ❑ PTY ❑ SCC 05/21/2010 Harold Matzner ®IND BUSINESS OWNER 15,000.00 15,000.00 P2618 $35,000.00 555 ❑ PTY []SCC 05/21/2018 Cecelia Peroni x❑lND retired 2SO.00 500.00 P2018 $1,250-00 185 ❑ PTY ❑SCC 05 21 2018 Richard Spicer x❑IND retired 300.00 300.00 P2018 800.00 75655 ❑ PTY ❑SCC SUBTOTAL$ 16,600.00 `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 (Jan12016) FPPC Advice: advice@fppc.ca.gov (866127S4772) www.fopc.ca.11ov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. i from 05/20/2018 through 06/30/2018 Page 6 of 36 NAME OF FILER I D. NUMBER .TAN HARNIK FOR SUPERVISOR 2018 1395155 DATE e FULL NAME, STREET AOOR£SS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF CO1AArMEALSO EN -MR to -NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (iFSW-EMPLOYED.&& RUWE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05 21 2010 Anne Walker X❑IND Not employed 100.00 100.00 P2018 $100.06 74- ❑ PTY ❑SCC 05/21/2018 Werner Corp. dba Foster Sand & Gravel ❑IND 500.00 2,500.00 P201B $5,500.00 25555 Maitri Rd. [jCOM Corona, CA 92883 © OTH ❑ PTY ❑ SCC 05/21/2010 Whitewater Maintenance Corp. ❑IND 150.00 150.00 P2018 $150.00 17550 Karen Ave. ❑COM NORTH PALM SPRINGS, CA 92258 x❑ 0TH ❑ PTY ❑SCC 05/22/2018 Tim Denman MD QIND retired 100.00 100.00 P2018 $100.00 79231 ❑ PTY ❑ SCC —UM-3 2 0 1 a Lew Blackwell x❑IND Retired 250.00 250-00 P2010 250.00 80415 ❑ PTY ❑ SCC SUBTOTAL$ 1,100.00 `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.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 05/20/2018 • ' through 06/30/2018 Page 7 of 36 NAME OF FILER I.D. NUMBER .TAN HARNiK FOR SUPERVISOR 2010 1395155 �� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED SAND pFCOMAAITfEE, .NUM9ERI CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYED,EMERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05 23 2018 Gayle Moore KIND Retired 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑SCC 05 29 2016 Drew Belk KIND Farmer 200.00 200.00 P2018 $200.00 ❑Co OTH ❑ PTY []SCC 05/24/2018 Rachel Druten KIND Author 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 05/25/2018 Boulders West, LLC ❑IND 1,000.00 1,000.00 P2018 $1,000.00 45-445 Portola Ave. #S ❑COM PALM DESERT, CA 92260 x❑ OTH ❑ PTY ❑ SCC 05 25 2018 Brody Bryant RIND Retired $00,00 50D.00 P2018 $500.00 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,950.00 'Contributor Codes IND — Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enlity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@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 05/20/2018 • ' through 06/30/2018 Page a of 36 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 pFCOMMnIE ALSO ENTER I.O. Nu5A8ERS CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF•EMPLOYM.ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFOU51NES5) 05/25/2018 Ann Cooper KIND Retired 100.00 100.00 P2018 $100.06 ❑ OTH ❑ PTY ❑SCC 05/25/2018 Kent McCarthy BIND Investment Manager 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 05/25/2018 MCI Contractors Inc. ❑IND 2,000.00 4,000.00 P2018 $5,000.06 1983 W. 190th St., #100 ❑COM TORRANCE, CA 90504 ] OTH ❑ PTY ❑ SCC 05/25/2018 Valery Neuman ]IND Real estate 250.00 250-00 P2018 $250.00 ❑ OTH ❑ PTY p SCC 052S 2018 Mark Nickerson ❑IND FARMER 1,000.00 4,000.00 P2018 s r000. 86705 OTH ❑ PTY ❑ SCC SUBTOTAL $ 4,350.00 '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 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.Aov Schedule A (Continuation Sheet) SCHEDULEA (CONT,) Monetary Contributions Received Amounts may be rounded Statement covers period _ , towholedollars. • ' from OS/20/2018 • ' through 06/30/2018 Page 9 of 36 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL ND FULL NAME, STREET ADDR5S AZIP CODE OF CONTRIBUTOR RE SANDERID.NUI�BEAp CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFco CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE pFSELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 05/26/2018 Ancore Associates Intl Inc. ❑IND 150.00 850.00 P2018 $1,000.00 155 Loma St. ❑COM BEAUMONT, CA 92223 K] OTH ❑ PTY ❑ SCC 05/26/2018 Virginia Byrd X❑IND Doctor 250.00 250.00 P2018 $250.00 77310 Coyote ❑SCC 05/26/2018 Pete Capparelli MIND Not employed 250.00 500.00 P2018 $500.00 43468 San ❑ SCC 05/26/2018 Terry Toussaint x❑IND Not employed 150.00 150.00 P2018 $150.00 38647 Misty ❑SCC 05 29 2018 Peggy cravens xf IND retired 1,000.00 1,000.00 P2018 $1,000.00 899 Island ❑ PTY ❑SCC SUBTOTAL$ 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 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 I• . towholedollars. CALIFJ NIA 60 from 05/20/2018 • ' through 06/30/2018 Page 10 of 36 NAME OF FILER 1,0, NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DAB DRD ZFULL NAME, STREET ADDRESS ANZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCO1dDREALSOII.D.NUM CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSElF-EMPLaYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUStNESSI 05 29 2018 Chuck Priscilla Porter MIND Retired 1 500.00 500.00 P2018 $500.00 78440 Sunrise Mountain 05 3D 2018 Dan Neuman MIND Real estate 250.00 250.00 P2018 $250.00 B0663 Via Pessaro ❑ 05/31/2018 Stuart Barton MIND Physcian 100.00 100.00 P2018 $100.00 444 W Chino 05/31/2018 John Gamlin MIND N/A 250.00 250.00 P2018 $250.00 79625 Rancho San ❑ SCC 05 F3711 2018 David Margu eas MIND Agriculture 125.00 125.00 P2018 125.00 76929 Sheffield Ct ❑ SUBTOTAL$ 1,225.00 *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.nov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. Kai-� from 05/20/2018through 9--i— 06/30/2018page 11 NAME OF FILER LQ, 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 (1FCt:%KM1TTEEA LSOENTER P.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OF BUSINESS) 05 31 2018 Douglas Martin x❑IND N/A 250.00 250.00 P2028 $250.06 ❑ OTH ❑ PTY ❑SCC 05/31/2018 Ruth MOORE RIND Consultant 500.00 500.00 P2018 $500-00 ❑ OTH ❑ PTY ❑ SCC 06/01/2018 Indian Wells Restaurant Inc. ❑IND 150.00 150.00 P2018 $150.00 75-180 Hwy Ill ❑COM INDIAN WELLS, CA 92210 x❑ OTH ❑ PTY ❑ SCC 06/01/2018 Marie Staudhammer %❑IND Not employed 150.00 275.00 P2010 $275.00 ❑ OTH ❑ PTY ❑SCC 06 04 2018 Ancore Associates Int'l Inc. ❑IND 250.00 850.00 P2018 $1,000.00 155 Loma St. ❑COM BEAUMONT, CA 92223 x❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,300.00 '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.fppc.ca.aov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period _ Key to whole dollars.011 from 05/20/2018 • ` through 06/30/2018 rPage-12 of 36 NAME OF FILER I.O. 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 COMMTTEE.ALSO ENTER ID.NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) OF BUSINESS) 06 04 2028 Federico Cortes KIND Realtor 150.00 400.00 P2010 $1,359.00 ❑ OTH ❑ PTY ❑SCC 06 09 2010 Eureka PAC ❑IND Federal PAC 1,000.00 1,000.00 P2018 $2,000.00 63 W. Grand ❑COM Corona, CA 92802 x❑ OTH ❑ PTY ❑ SCC 06/04/2018 Don Genhart x❑IND Retired 25.00 125.00 P2018 $225.00 ❑ OTH ❑ PTY ❑ SCC 06/04/2018 Robert Luna x01ND Not employed 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY []SCC O6 04 2018 Stanley Manners x❑IND Nurse 144.04 140.40 P2018 100.00 ❑ OTH ❑ PTY []SCC SUBTOTAL$ 1,375,00 '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 (JarV2016) 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. CALIFORNIA from OS/20/2018 ` • ' through 06/30/2018 page 13 of 36 NAME OF FILER I D, NUMBER .TAN HARNIK FOR SUPERVISOR 2018 139515S DATE A ZI FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (EET IT7EE ALSAND I O.NUMBE32j CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06/04/2018 Randall Morton ]IND Not employed 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑ SCC 06 09 2018 Kimberly Muzik RIND Not employed 250.00 250.00 P2016 $250.00 ❑ OTH ❑ PTY ❑SCC 06/04/2018 Bette Lou Myers ®IND Not employed 250.00 250.00 P2018 $375.00 ❑CO OTH ❑ PTY ❑ SCC 06/04/2018 Alan Pace RIND Engineer 150.00 450.00 P2010 $1,150.05 ❑ OTH ❑ PTY ❑ SCC 06/04/2018 Judy Sanders x❑IND Retired 250.00 400.00 P2028 500.o0 ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 1,OSo.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 (8661275-3772) www.fppo.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. ,( ` from 05/20/2018 " through 06/30/2018 Page 14 0f 36 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CORE OF CONTRIBUTOR S AND ZIPO CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCOtilMfDRE o-NUARE CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF•EMPLOYED,ENTER NAME PERIOD (JAM. 1 -DEC. 30) (IF REQUIRED) OF BUSINESS} 06 04 2018 Judy Sanders MIND Retired 150.00 400.00 P2018 $500.06 ❑ OTH ❑ PTY ❑SCC 06 04 2018 Karen Speros MIND Not employed 50.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑ SCC 06/04/2018 Weiquan Tan ®IND Developer 800.00 1,050.00 P2018 $1,700.00 ❑OTH ❑ PTY ❑SCC 06/06/2018 Lewis investment Co., LLC ❑IND 1,000.00 2,SOO.00 P2018 $5,250.00 1156 N. Mountain Ave. ❑COM Upland, CA 91786 MOTH ❑ PTY ❑ SCC OT/10_9 2 0 3.8 Susan MunnS MIND Office manager 100.00 100.00 P2018 $100.05 []OTH ❑ PTY ❑ SCC SUBTOTAL $ 2,100.00 '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 (8661275-3772) www.fppc.ca.aov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. • from 05/20/2018 • ' through 06/30/2018 page 15 of 36 NAME OF FILER 1,13. NUMBER JAN HARNIK FOR SUUPERVISOR 2018 1395155 DATE DR ET A FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (ET ALSNTERLD-NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (WSELF•EMPtOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 06 06 2018 Duane Roberts X❑IND CEO 3,0D0.00 3,000.00 P2018 $3,000.00 Group ❑ OTH ❑ PTY ❑ SCC 06 06 2018 Southwest Regional Council of Carpenters (ID# ❑IND 750.00 1,750.00 P2018 $3,750.00 870169) ❑COM 533 S. Fremont Avenue #501 Los Angeles, CA 90071 ❑OTH ❑ PTY ® SCC 06/11/2018 FIRST SOLAR DEVELOPMENT, INC. ❑IND 250.00 250.00 P2010 $250.OD 350 WEST WASHINGTON ST., STE. 600 ❑COM Tempe, Az 85281 KI OTH ❑ PTY ❑SCC 06/11/2018 Kai-Cheng Lee ]IND Real estate investor 2,500.00 2,500.00 P2018 $2,500.00 ❑ OTH ❑ PTY ❑ SCC ❑IND [3Com ❑ OTH ❑ PTY ❑SCC SUBTOTALS 6,500.00 '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 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule C Rrl-IFilul F r Nonmoneta Contributions rvmounr_sMay ueruunueu ry to whole dollars. Statement covers period • - . from D5/2D/2018 ' through 06/30/2D18 Page 16 of 36 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I D. NUMBER 47AN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIRMARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (if COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) 5/30/2018 Sheryl Benoit ®IND Not employed Fundraising event 4,829.25 4,979.25 P2018 $4,979.25 78499 []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. SUBTOTALS 4, 829.25 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)............................................................................................. ........... $ 4,829.25 2. Amount received this period — unitem ized nonmonetary contributions of less than $100.................................... $ 0.00 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 $ 4,829.25 *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 (8661275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 through 06/30/2018 Page 17 of 36 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1395155 CNP campaign paraphernalia/misc. NIBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production casts F1L candidate filing/ballot fees PHD phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatefsponsor LEG legal defense PRD professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings FRT print ads WEB Information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections 10.25 2831 G St., #120 SACRAMENTO, CA 95816 Ford Printing and Mailing LIT 12,283.60 1440 Arrow Hwy, Unit F Irwindale, CA 91706 Nygren & Co. LIT 1,104-44 3470 Park Dr. E1 Dorado Hills, CA 95762 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 13,398.29 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ...................... 130, 242.44 2. Unitemized payments made this period of under$100 51.00 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. $ 130, 293.44 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpllne: 8661ASK-FPPC (8661275-3772) www.fppc.ca.pov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 Amounts may be rounded to whole dollars. Statement covers period from 05/20/2010 through 06/30/2018 SCHEDULE E (CONT) Page 18 of 36 1D.NUMBER 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalialmisc. NM member communications RAD radio airtime and production costs CNS campaign consultants MrG meetings and appearances RFD returned contributions CTI3 contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TE1 t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure 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 (inlemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (OF COMMITTEE, ALSO ENTER I.D. NUMBER) The Monaco Group LIT 5,569.41 1011 S. Linwood Ave. Santa Ana, CA 92705 eFundraising Connections OFC 10.25 2831 G St., #120 SACRAMENTO, CA 95816 The Monaco Group LIT 4,834.00 1011 S. Linwood Ave. Santa Ana, CA 92705 Citi Cards OFC 1,759.44 P.O. Box 78045 Phoenix, AZ 85062 eFundraising Connections OFC 14.00 2831 G St., #120 SACRAMENTO, CA 95816 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 12,187.10 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 666/ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 SCHEDULE E SEE INSTRUCTIONS ON REVERSE I through 06/30/201E I Page 19 of 36 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 I 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. KBR member communications RAD 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 PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals M 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 FRT 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) Fedex OFC 272.03 P.O. Box 7221 Pasadena, CA 91109 Ford Printing and Mailing LIT 2,416.75 1440 Arrow Hwy, Unit F Irwindale, CA 91706 Moore Information POL 7,750.00 921 SW Washington St. j#810 Portland, OR 97205 Nygren & Co. LIT 1,293.00 3470 Park Dr. E1 Dorado Hills, CA 95762 The Monaco Group LIT 21,498.05 1011 S. Linwood Ave. Santa Ana, CA 92705 * Payments that are contributions or Independent expenditures mustalso besummarized onSchedule D. SUBTOTAL $ 33,229.83 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 SCHEDULE E I SEE INSTRUCTIONS 0NREVERSE through 06/30/2018 ! page 24 of 36 NAME OF FILER "°"' I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 I 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND 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 M8 information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.O. NUMBER) eFundraising Connections OFC 17.75 2831 G St., ##120 SACRAMENTO, CA 95816 eFundraising Connections OFC 27.00 283I G St., 9120 SACRAMENTO, CA 95816 Ford Printing and Mailing LIT 11,184.93 144D Arrow Hwy, Unit F Irwindale, CA 91706 Nygren & Co. LIT 296.31 3470 Park Dr - El Dorado Hills, CA 95762 The Hattin Group RAD 20,014.00 78710 Avenida Nuestra LA QUINTA, CA 92253 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 21, 539.99 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 6661ASK-FPPC (8661276-3772) Schedule E SCHEDULE E (CONT.) period (Continuation Sheet) Amounts may be rounded Statement covers pCALIFORNIA� Payments Made to whole dollars. from 05/20/2018 • of 36 06/30/201a I SEE INSTRUCTIONS ON REVERSE throughPage 21 1 NAME OF FILER I D. NUMBER JAN HARN3K FOR SUPERVISOR 2018 I 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. AABR member communications RAD radio airtime and production costs CNS campaign consultants UM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations F T petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHD phone banks 7RC candidate travel, lodging, and meats FIND fundraising events POI. polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) eFundraising Connections OFC 79.00 2831 G St., #120 SACRAMENTO, CA 95816 Jobob, LLC TEL 250.00 10730 Church St., 424 RANCHO CUCAMONGA, CA 91730 Nygren & Co. LIT 1,589.31 3470 Park Dr. E1 Dorado Hills, CA 95762 eFundraising Connections OFC 65.50 2831 G St., #120 SACRAMENTO, CA 95816 Political Data Inc. OFC 15.10 12501 Imperial Hwy #200 Norwalk, CA 9065o R Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,998.91 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 06/30/2018 Page 22 of 36 NAME OF FILER I.R. 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. CNP campaign paraphemalialmisc. NW 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 t.v. or cable airtime and production costs FIL candidate fling/ballot tees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals I+D 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 (intemel, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMM TTEE. ALSO ENTER I D NUMBER) The Monaco Group LIT 20,344.42 1011 S. Linwood Ave. Santa Ana, CA 92705 eFundraieing Connections OFC 33.00 2831 G St., #120 SACRAMENTO, CA 95816 Nygren & Co. LIT 1,023.63 3470 Park Dr. E1 Dorado Hills, CA 95762 Matt Stockton CNS 2,000.00 The Monaco Group LIT 9,279.43 loll S. Linwood Ave. Santa Ana, CA 92705 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 32,680.48 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 SCHEDULE E SEE INSTRUCTIONS ON REVERSE I through 06/30/2010 I Page 23 of 36 NAME OF FILER I.D. NUMBER OAN 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. CNP campaign paraphemalWmisc. NIM member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IPD 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF G MIMITTEE, ALSO ENTER 1,0. NUMBER) WELLS FARGO OFC 34.50 400 CAPITOL AVE- Sacramento, CA 95814 eFundraising Connections OFC 49.13 2831 G St., #120 SACRAMENTO, CA 95826 Cardinal Communication Strategies, LLC PHO 896.59 925 University Ave. #A SACRAMENTO, CA 95825 Cardinal Communication Strategies, LLC PHO 513.95 925 University Ave. #A SACRAMENTO, CA 95825 eFundraising Connections OFC 33.00 2831 G St., 9120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,527.17 FPPC Form 460 pan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule E SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded Statement covers period towholedollars. - ' Payments Made from 05/20/2016 through 06/30/2018 24 36 SEE INSTRUCTIONS ON REVERSE g Page of 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. 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 Tit Lv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 UT campaign literature and mailings PRT print ads WEB 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) Cardinal Communication Strategies, LLC PHO 1,146.88 925 University Ave. #A SACRAMENTO, CA 95B25 Matt Stockton CNS 2,228.00 The Williams Co. CNS 6,576.00 3711-A Arlington Ave. Riverside, CA 92506 David Bauer PRO 1,570.40 Fedex OFC 157.39 P.O. Box 7221 Pasadena, CA 91109 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 13,680.67 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpllne: 8661ASK-FPPC (8661275-3772) SCHEDULE F Schedule F Amounts may be rounded Statement covers period I W. ' Accrued Expenses (Unpaid Bills) towholedollars. from 05/20/2018 SEE INSTRUCTIONS ON REVERSE • through 06/30/2018 page 25 of 36 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. CblP campaign paraphernalialmisc. NW member communications RAD radio airtime and production costs CNS campaign consultants KM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations FJ=r petition circulating TEL t.v. or cable airtime and production costs FIL candidate rilinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) { { {c] { NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNTIN CURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON OF THIS PERIOD Ford Printing and Mailing LIT 2,416.75 0.00 2,416.75 0.00 1440 Arrow Hwy, Unit F Irwindale, CA 91706 Citi Cards OFC 1,759.44 0.00 1,759.44 0.a0 P.O. Box 78045 Phoenix, AZ 85062 Moore Information POL 7,750.00 0.00 7,750.00 0.00 921 SW Washington St. #810 Portland, OR 97205 • Payments that are contributions or Independent expenditures must also he summarized on Schedule 0. SUBTOTALS $ 11, 926.19$ 0.00$ 11, 926.19$ 0.00 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 $ 35, 095.63 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 $ 11, 926.19 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 $ 23, 969.44 May be a negative number FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 8661ASK-FPPC 18661275-3772) Schedule F SCHEDULE F (CONT) (Continuation Sheet) Amounts may be rounded Statement covers period •- to whole dollars. _ Accrued Expenses (Unpaid Bills) from 05/20/2018 through 06/30/2018 Page 26 of 36 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2010 139SISS CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphemalialmisc. NIBR member communications RAD radio airtime and production casts CNS campaign consultants KM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meats IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR CODE OR { OUTSTAA NDING {N AMOUNT IND (c) AMOUNT PAID ( OUTSTANDING (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Roemer & Harnik LLP PRO See Sch. G for 0.00 30,000,00 0,00 30,000.00 45025 Manitou Ar. pase-through Indian wells, CA 92210 information Citi Cards Phonebanks, election 0.00 4,659.83 0.00 4,659.83 P.O. Box 78045 night gathering Phoenix, AZ 85062 La Bodega FND 0.00 1,235.80 0.00 1,235.80 3512 Central Ave. RIVERSIDE, CA 92506 SUBTOTALS $ 0.00$ 35,895.63$ 0.00 $ 35,895.63 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) vjwjw fnnr ra nnv Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. coven; from 05/20/2018 SEE INSTRUCTIONS ON REVERSE through 06/30/2018 Page 27 of 36 NAME OF FILER 10. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR Citi cards CODES: If one of the fallowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. NW member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC once expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL U. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LTT 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) callhub.io PHO 450.00 https://calhub.io Casuelas cafe MTG 1,643.34 73703 Hwy 111 PALM DESERT, CA 92260 Political Data Inc. PHO 2,007.12 12501 Imperial Hwy #200 Norwalk, CA 90650 Political Data Inc. PHO 201.SS 12501 Imperial Hwy #200 Norwalk, CA 90650 Attach additional information on appropriately labeled continuation sheets. ` 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. TOTAL' $ 4,302.01 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule G (Continuation Sheet) SCHEDULE G(CONT.) Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA Contractor (on Behalf of This Committee) to whole dollars. from 05/20/2018 FORM ' 60 06/30/2018 h SEE INSTRUCTIONS ON REVERSE through Page 28 of 36 NAME OF FILER 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, t7VP campaign paraphemaliaimisc. KM member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballat fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Verizon P.O. Box 920041 DALLAS, TX 75392 OFC 222.42 Attach additional information on appropriately labeled continuation sheets. TOTAL.' $ 222.42 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. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.pov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period J ' Contractor (on Behalf of This Committee) to whole dollars. from 05/20/2018 0. SEE INSTRUCTIONS ON REVERSE through 06/30/2010 Paged of 36 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR Ford Printing and Mailing CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalialmisc. NBR 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 FET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling'and survey research TRS staff/spouse travel, lodging, and meats IND independent expenditure supportingiopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I-D. NUMBER) Postmaster LIT 7,723.85 4150 Chicago Ave. Riverside, CA 92507 Nygren & Co. LIT 610.50 3470 Park Dr. E1 Dorado Hills, CA 95762 Postmaster LIT 6,504.43 4150 Chicago Ave. Riverside, CA 92507 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 14, 638.78 * 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. FPPC Form 460 (Jan(2016) FPPC Advice: advice@fppc.ca.gov (86612754772) www.fppc.ca.pov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. covers from 05/20/2018 SCHEDULE G through 06/30/2018 Page. of366 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I D NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR Roemer & Harnik LLP CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalialmisc. MI3R 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 t.v. or cable airtime and production costs ML candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND 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) " 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 I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bell, McAndrews and Hiltachk 455 Capitol Mall 4600 SACRAMOM, CA 95814 PRO 30,000.00 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 30, 000.00 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jant2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fpoc.ca.aov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 SCHEDULE G 06/30/2018 h SEE INSTRUCTIONS ON REVERSE throw g Page 31 of 36 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR Matt Stockton CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CHIP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NITG 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.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meats FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals INa independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Nueva Era Musical 6 Communications Inc. 45921 Monroe St_ INDIO, CA 92281 OFC 228.00 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 220.00 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov 18861275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers period from 05/20/2018 SCHEDULE G I through 06/30/2018 I Page 32 Off SEE INSTRUCTIONS ON REVERSE i NAME OF FILER I.D. NUMBER JAN HARNiK FOR SUPERVISOR 2D18 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR The Battin Group CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. NM 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 filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals I+D 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 casts (intemet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) KDES Radio RAD 1,387,20 2100 TAHQUITZ Palm Springs, CA 92262 KDGL Radio RAD 609.45 1321 North Gene Autry Trail PALM SPRINGS, CA 92262 KEZN Radio RAD 893.35 900 E. Washington St., #315 Colton, CA 92324 KJJZ Radio RAD 841.50 75153 Merle Dr. #G PALM DESERT, CA 92211 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 3,731.50 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. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ra.gov (8661275-3772) www.fppc.ca.pov Schedule G (Continuation Sheet) Payments Made by an Agent or independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. covers from 05/20/2018 SCHEDULE G (CONT.) SEE INSTRUCTIONS ON REVERSE through 06/30/2018 Page-3 of 36 NAME OF FILER I.Q. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR The Battin Group CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PFID phone banks TRC candidate travel, lodging, and meals FND fundraising events POI. 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 candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrf 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 I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID KNWZ Radio RAID 3,570.00 1321 N. Gene Autry Trail Palm Springs, CA 92262 KPLM Radio RAD 1,210.40 441 S. Calle Encilia i#8 Palm Springs, CA 92262 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 4,780.40 ' 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. FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-37721 www.fppc.ca.pov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers from OS/20/2018 SCHEDULE G through 06/30/2018 I Page 34 off SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR The Monaco Group CODES., If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalialmisc. NM member communications R AD radio airtime and production costs CNS campaign consultants Mfrs meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' 0FC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingiballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel_ lodging, and meals IND independent expenditure supportingtopposing 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 PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Postmaster LIT 5,569.41 4150 Chicago Ave_ Riverside, CA 92507 Nygren & Co_ LIT 595.00 3470 Park Dr, E1 Dorado Hills, CA 95762 Postmaster LIT 11,607.05 4150 Chicago Ave. Riverside, CA 92507 Nygren & Co. LIT 1,191.00 3470 Park Dr. E1 Dorado Hills, CA 95762 Attach additional infonnation on appropriately labeled continuation sheets. TOTAL* $ 19, 962.46 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. FPPC Form 460 (Jan12016) FPPC Advice: advice@fppe.ca.gov (866127"772) www.fppc.ca.Aov Schedule G (Continuation Sheet) Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) towholedollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER covers from 05/20/2018 through 06/30/2018 SCHEDULE G Page 35 of 36 rD NUMBER JAN HARNIK FOR SUPERVISOR 201E 11395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR The Monaco Group CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphemalialmise. UBR member communications RAD 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 PE' petition circulating TEL t.v. or cable airtime and production costs FIL candidate riling/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads MB 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIR (IF COMMITTEE. ALSO ENTER D. I.NUMBER) Postmaster LIT 10,83B.42 4150 Chicago Ave. Riverside, CA 92507 Nygren & Co. LIT 627.00 3470 Park Dr. E1 Dorado Hills, CA 95762 Postmaster LIT 4,754.43 4150 Chicago Ave. Riverside, CA 92507 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 16,219.85 ' 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. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.rlov Schedule I RrHF:nt 11 F I Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period From os/zo/zone through 06/30/2018 WA 4 i. _ J � 1014111 page 36 of 36 NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 I.D. NUMBER 1395155 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMrrTEE. ALSO ENTER W. NUMBER) DESCRI PTfON 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. $ 0.00 2. Unitemized increases to cash of under $100 this period. ......................... $ 31.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)................................. $ 0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ................ TOTAL $ 31.00 FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov