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Home My WebLink About2017-12-31 Form 460 - HarnikRecipter., 3mmittee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2017 through 12/31/2017 'I. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q recall O Controlled (AboCwnpWePWI5) O Sponsored (Ai -Can DWSPOdR ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Ai-CP► *tePe f7) 3. Committee Information ;OMMITTEE NAME (OR CANDIDATE'S NAME JAN HARNIK FOR SUPERVISOR 2018 STREET ADDRESS (NO R.Q. BOX) CITY I.D. NUMBER 1395155 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 Date of election if applicable: (Month, Day, Year) 06/05/2018 2. Type of Statement: ❑ Preelection Statement ❑ Semiannual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurells) NAME OF TREASURER DAVID BAUER POVER PAGE Page 1 of 86 For Official Use Only ❑ Quarterly Statement Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE SACRA14ENTO CA 95033 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE PALH DESERT CA 92261 OPTIONAL- FAX / E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS ( 4. Verification I have used all reasonable diligence in preparing and reviewing this slatement 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 01/10/2018 Dale Executed on 01 / 10 / 2 018 Dale Executed on Dale Executed on Dale By By By By somanorCaaoft0flowtdder,Caxk%b.StWeMe*wmP,pww2 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 0 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 Supervisors RIVERSIDE COUNTY District 4 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP PALM DESERT CA 92260 Related Committees Not included In this Statement: Listany 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 HARHIK PALM DESERT CITY COUNCIL 1322067 2014 NAME OF TREASURER CONTROLLED COMMITTEE? ® YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92260 ( COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLEDCOMMITTEE7 ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COVEOGE-PART2 Page 2 of 86 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identity 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 of offlceholderjs) or candidate(s) for which this committee is primarily funned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE 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 ff necessary FPPC Form 460 (Jaml(116) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Campaign -Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN HARHIR FOR SUPERVISOR 2018 Amounts may be rounded to whole dollars. Column A Contributions Received TOTALTMPERIOD (FHOrrAT P41- EDW- EM LES) 1. Monetary Contributions .......................................;... schedule A, Lime 3 $ 153, 840.00 2. Loans Received...................................................... Schedule B, Lkie 3 0.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines i +2 $ 153, 840.00 4. Nonmonetary Contributions .................................... sctieduJa C. Line 3 1,257.99 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lkies3+4 $ 155, 097.99 Expenditures Made 6. Payments Made ....................................................... Schedule E. Line 4 $ _ _ 67, 946.57 7. Loans Made ............................................................. schedule H, Line 3 0.00 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 7 $ 67, 946.57 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F,Line 3-1,635.66 10. Nonmonetary Adjustment .......................................... Schedule C. Line 3 1,257.99 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 67,568.90 Current Cash Statement 12. Beginning Cash Balance ....................... PmvidusSurrinuiryPage, Line 16 $ 225, 362.69 13. Cash Receipts .......... column A, Line 3 above 153, 840.00 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 0.00 15.Cash Payments .................................................. Column A. Line 8abate 67,946.57 16. ENDINGCASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Lirm 15 $ 311, 256. 12 /f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule 9, part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse $ 0.00 19. Outstanding Debts ......................... AddLine2+Line9 in Column a above $ 2,638.83 QMARY Statement covers period from 07/01/2017 through 12/31/2017 Page 3 of 86 I.D. NUMBER 1395155 Column B Calendar Year Summary for Candidates CALENoCATE Running in Both the State Primary and General Elections $ 391,248.18 0.00 $ 391,248.18 1,257.99 $ 392,506.17 $ _ 79,992.06 0.00 $ 79,992.06 2,636.83 1,257.99 $ 83,888.88 Ta calculate Column B. add amounts in Column A to the corresponding amounts from Column 8 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 Unes 2, 7, and 9 (if any). 111 through e130 711 to Date 20, Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (it Subject to Voluntary Expenditure Untit) Dale of Election Total to Date (mm/ddtyy) 1 1 $ 'Amounts in this section may be different from amounts reported in Column S. FPPC Form 460 (Jarr/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule, .� SCHEDULE A IVlane#a Contributions Received Amounts may tie rounaea Monetary statement covers Period • to whole dollars. i from 07/01/2017 •' SEE INSTRUCTIONS ON REVERSE through 12/31/2017 pie 4 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 WE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCOMMITTEE,ALSO ENTER I,D.NUMBER) CODE i OCCUPATION AND EMPLOYER IIFSELF-EMPLOYE➢,ENTER fAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) TO DATE (IF REQUIRED) ❑IND OFBUSINFSS) 07/03/2017 Committee to Re-elect Bob Magee (ID# 1254151) 250.00 250.00 P2010 $250.00 ❑ OTH ❑ PTY ❑SCC 07/03/2017 Bette Lou Myers MIND Not employed 100.110 125.00 P2018 $125.00 ❑OTH ❑ PTY ❑ SCC 07/03/2017 Leo Overgaag ®IND Farmer 1,000.00 1,004.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑ SCC m 07/03/2017 Velma Ristaino MIND Not employed 200.00 20C.00 P20t8 $200.00 ❑ OTH ❑ PTY ❑ SCC Broo ie Los Ange es Builders Inc. - 10 6 ❑IND 0.00 PV1111- 3200 Park Center Dr., #1000 ❑COM COSTA MESA, CA 92626 [MOTH ❑ PTY ❑ SCC SUBTOTAL$ 1,700.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 150, 402.00 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ _- 3,438.00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. . TOTAL $ 153, 840.0a ......... - "If- ___ '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 (Jant2016) FPPC Advice: advicegfppc.ca.gov (866/275-3772) www.fppc.ca.gov Scheduled (Continuation Sheet) SCH RULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period *. to whole dollars. from 07/01/2017 � through 12/31/2017 pie 5 of 8b NAME OF FILER I.D. NUMBER JAN HARNIR 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 TODATE RECEIVED {IFOOMMFTTEE,ALSO ENTER I.D.NUMBER) ODE * pFSELF-EMKOYED,ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 07 11 2017 John Cr ste RIND Planner 250.00 250.00 P2018 $250.00 []OTH ❑ PTY []SCC 07/14/2017 Mike Downs ❑xIND Executive 1,500.00 1,500.00 P2010 $1,500.00 []OTH ❑ PTY []SCC 07/20/2017 Victor Gainer ®IND Not employed 100.00 100.00 P2010 $100.00 QO OTK ❑ PTY ❑SCC 07/28/2017 Michael Rover ❑xIND Attorney 250.00 250.00 P2018 $250.00 ❑ OTH ❑ P'T'Y ]SC []SCC JaniceBarnes o employed - ❑ OTH ❑ PTY []SCC SUBTOTALS 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 FPPC Form 460 Wan/2016) FPPC Advice: advice@fppc.ca.gov (868J275-3T72) www.fppc.ca.gov Schedule A (Continuation Sheet) SCULE A CONT ( ) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA towholedollars. ' from 07/01/2017 ` through 12/31/2017 Page 6 of 86 NAME OF FILER I.O. NUMBER JAN HARNIX FOR SUPERVISOR 2010 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 TODATE RECEIVED (IF COMMMEE,AI.SOENTER ID.NIXBER) CODE * {1FSEIFEMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFOMNESS) 08 07/2017 Allen Matter x❑IND Not employed 250.00 250.00 P2018 $250.00 76789 ❑ PTY ❑SCC 08/09/2017 Jan Hawkins RIND Director of Development 250.00 250.00 P2018 $250.00 75275 ❑ PTY ❑SCC 00/09/2017 Tim Lynch ®IND VP 250.00 250.00 P2018 $250.00 1554 Advertising []PTY []SCC 08/11/2017 Sandra Davis BIND Not employed 150.00 500.00 P2018 $500.00 78990 ❑ PTY ❑SCC SC Dennis i ar x❑ IND o employed 42451 ❑ PTY ❑SCC SUBTOTAL$ 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 (3and2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Scheduie� (Continuation Sheet) SC4rD-ULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers periodFpaoe---Z-- towholedollars. from 07/OS/2017through 12/31/2017 of 86 NAME OF FILER I D. NUMBER JAN HARNIR FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTFZISUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVEDtIFCOMMn7EE.ALSOEMERI0.NlMaM COS * (IF SRF-EMPLOYED,ENTERNAWtE PERIOD (JAN. i- DEC. 31) (IF REQUIRED) OF BLONESS) 08/11/2017 Nancy Singer x❑IND Not employed 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 08/11/2017 Cathy Smith x❑IND Not employed 100.00 350.00 P2018 $350.00 ❑ oTH ❑ PTY []SCC 08/11/2017 Robert Smith ®IND Engineer 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC 00/11/2017 Sandra Woodson ❑xIND Not employed 100.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑ SCC r. gainer bergmann RIND Dentist 250.00 250.00 P2018 ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Scheduled Continuation Sheet SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. I 6 from 07/01/2017 - Pape B of 86 through 12/31/2017 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 201E 1395155 DATEREET 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 ELEC ION TODATE RECEIVED (IFCOMWrTEE,ALSO BITER i.D. NUMBER) CODE * (IF SELF.EMPLOYED,EWER NAME PERIOD (JAN. i- DEC. 31) (IF REQUIRED) OF BUSINESS) 08 12 2017 herb temple BIND reta.red 150.00 150.00 P2018 $150.00 ❑OTH Opn ❑scc 08/13/2017 Stephen Jones Design & Constru BIND 2,000.00 4,150.00 P2010 $4,150.00 ®OTH OPn []SCC 08/17/2017 Viola Benson ®IND realtor 150.00 450.00 P2016 $450.00 ❑ OTH ❑ PTY ❑SCC 08/18/2017 Gayle Moore BIND Private Investigator 150.00 150.00 P2018 $150.00 Services ❑ OTH []PTY []SCC argu eas []IND Business executive - ❑OTH LLC ❑ PTY ❑scc SUBTOTAL$ 2,950.00 '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 FPPC Form 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedufe�t Continuation Sheet SCH DULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIF, . NI to whale dollars. I • from 07/01/2017ORM through 12/31/2017 page 9 of 86 NAME OF FILER I .D. NUMBER JAN HARNIX FOR SUPERVISOR 2018 1 1395155 DATE FULL NAME, STREET ADDRESS AND TJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (tFCOMWTTEE,AL50ENTER LD.NWBER) CODE * (IF SELFEMPLOYED,ENTER NAME PERIOD (JAN.'I- DEC. 31) (IF REQUIRED) OF BUSINESS) 08/21/2017 Lucile Cutler ]IND Not employed 150.00 150.00 P2018 $150.00 44- ❑ PTY ❑SCC 08[21 2017 Marjorie Dodge E]IND Officer 250.00 400.00 P2018 $400.00 79305 ❑ PTY ❑SCC 08/21/2017 Rudolf Fuhiendorf ®IND Retired 250.00 250.00 P2018 $250.00 81091 ❑ PTY ❑SCC 08/21/2017 Gary Galton ❑IND Attorney/Mediator 250.00 1,250.00 P2018 $1,250.00 16 OTH ❑ PTY ❑SCC aro - ne ra - a or x❑IND Realtor - 7 ❑ PTY ❑ SCC SUBTOTAL$ 1,lao.ao 'Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY- Political Party SCC - Sma II Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275.3772) www.fppe.ca.gov SchedulQe Continuation Sheet SCHULEA (CONY) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 6 'from 07/01/2017through F 12/31/2017 10 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR SANDERi'v'NUM O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED fEETA COS * OF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 08 21 2017 Ralph Hitchcock X❑IND Consultant 100.00 100.00 P2018 $10O.0o ❑0TH ❑ PTY []SCC 08/21/2017 David Hyllengren 91IND Not employed 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 08/21/2017 Jeff Stone for State Senate 2018 (ID# ❑IND 5,000.00 5,000.00 P2018 $5,000.00 1374274) ®COM 5041 La Hart Dr., #110 RIVERSIDE, CA 92507 ❑OTH ❑ PTY ❑SCC 08/21/2017 Norman Lewis X❑IND retired 250.00 350.00 P2018 $350.00 ❑ OTH ❑ PTY []SCC ❑ OTH ❑ PTY []SCC SUBTOTAL$ 6,000.00 'Contributor Codes MD -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 (JanM16) FPPC Advice: adviee@fppe.ca.gov (8661275-3772) www.fppc.ca.gov Scheduled (Continuation Sheet) SCFMDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statemard covers period CALIFORNIA towhoiedollars. 460 from 07/01/2017 FORM through-12/31/2017 Page 11 Of 86 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 �UPAMONAND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECDATE EIVED 1�FCTADDEEn�.sANDZI1.CODEO CODE* (IF SELF-EMPLQYED,ENTER NAME PERIOD (JAN. 1 - DEC.31) (IF REQUIRED) OF BUSINESS) 08 21 2017 Neon Development Group, Inc. ❑IND 150.00 10,450.00 P2018 $10,450.00 899 Island Dr. #401 ❑COM Rancho Mirage, CA 92270 [K]OTH ❑ PTY ❑SCC 08/22/2017 pricilla porter RIND retired 150.00 150.00 P2018 $150.00 78440 ❑ PTY ❑Scc 08/21/2017 Robertson's ❑IND 1,000.00 3,000.00 P201B $3,000.00 200 s. Main St. ❑COM Carona, CA 92878 ®OTH ❑ PTY ❑scc []SCC 08/21/2017 Sarah Somonds Not employed 150.00 150.00 P2018 $150.00 74403 ❑ PTY ❑SCC Franklin Gaeta ]IND o employed 7171 44- ❑ PTY ❑SCC SUBTOTAL$ 1,700.00 '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 FPPC Form 460 (Jan/2016) FPPC Advice: advtce@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period e . � to whole dollars. I � from 07/01/2017 • ' through 12/31/2017 Page 12 of 86 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2010 1395155 DOTE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IIFCOMMMEE.ALSO ENTER I.D.MMBERI CODE * pFSELFEMPLOYED.ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF SUSINEW) 00 23 2017 David Greenberg x❑IND attorney 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY [-]SCC 08/23/2017 Robert Robert J. Giililland, Jr. Professional ❑IND 150.00 400.00 P2018 $400.00 Law Corp. ❑ COM 40-004 Cook St., #3 ®OTH PALM DESERT, CA 92211 ❑ PTY []SCC 08/23/2017 Werner Corp. dba Foster Sand 3 Gravel ❑IND 1,600.00 3,000.00 P2018 $3,000.00 25555 Maitri Rd. ❑COM Corona, CA 92883 ❑x OTH ❑ PTY []SCC 08/25/2017 Ricardo Loretta x❑IND Educator 99.00 449.00 P2018 $449.00 ❑ OTH ❑ PTY ❑SCC Peggy cravens BIND retired , , , 000.00 []OTH ❑ PTY ❑SCC SUBTOTALS 2,499.00 '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 (Jen/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule'A (Continuation Sheet) SC HULE A (CONT,) Monetary Contributions Received Amounts may be rounded Statement covers period , . ,Irl to whole dollars. I i from 07/01/2017 � through 12/31/2017 page 13 Of 86 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 IODATE RECEIVED tIFCOMM(TTEE,ALSO ENTER I.D.NUMBER) CODE * gFSE Y-EMPLOrED,ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REWIRED) OF BUSINESS) 0828 2017 Linda Sender -Evans (ID# Mayor) x❑IND City of La Quinta 250.00 250.00 P2018 $250.00 78495 ❑ PTY []SCC OB/28 2017 Darlene Casella X❑IND None 125.00 325.00 P2018 $325.00 81935 ❑ PTY ❑SCC 08/20/2017 Federico Cortes ®IND Realtor 150.00 959.00 P2018 $959.00 179 ❑ PTY [:]SCC 06/28/2017 Tom Cullinan X❑IND Real Estate 150.00 400.00 P2018 $400.00 48 ❑ PTY ❑SCC ❑ENO ' 68990 Harrison St. ❑COM Thermal, CA 92274 x❑ OTH ❑ PTY []SCC SUBTOTAL$ 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 (Jon/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedulo-A (Continuation Sheet) SCk"LEA (CONT) Monetary Contributions Received Amounts may be rounded Statem nicoversperiod CALIFORNIA to whale dollars. ' from 07/01/2417 i through-12/31/2017 Page 14 of 86 NAME OF FILER I D. NUMBER JAN HARNIX FOR SUPERVISOR 2018 1395155 CODE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZJ CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECDATE EIVED (�FCOLIMIDRE AL5bND lD CODE * IIFSRF-EMPLOYED. EWER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF 6USINESS) 08/28/2017 Irene Dolan BIND Not employed 250.00 500.00 P201B $500.00 ❑ OTH ❑ PTY ❑SCC 08/28/2017 POLO DORIA ]IND CORHERCIAL REALTOR 500.00 500.00 P2018 $500.00 ❑OTH ❑ PTY ❑SCC 00/20/2017 Encore Homes, LLC ❑IND 1,000.00 1,000.04 P2018 $1,000.00 78110 calls Estado, #205 ❑COM LA QUINTA, CA 92253 ©OTH ❑ PTY ❑SCC 08/28/2017 Family Development Group ❑IND 200.00 350.00 P2018 $350.00 73001 Fred Waring Drive ❑COM Palm Desert, CA 92260 x❑OTH []PTY []SCC 08/28/2017 on Genhart @IND Retired P zuld ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,000.00 *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 (Jen/2016) FPPC Advice: advice@fppc.ca.gov (86612754772) --,.r,.- --- www.fppc.ca.gov Schedule -A (Continuation Sheet) SCHtviJLEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA towholedollars. from 07/01/2017 FORM through 12/31/2017 page 15 of 86 NAME OF FILER I.D. NUMBER JAN HARNIB FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND LP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (�FCdMMiTTEE 4ESOfNiERLD.NUMBERM CODE * {IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OFBUSINESS) 00 2H 2O17 Elaine Holmes x❑IND owner 150.00 150.00 P2018 $150.00 45271 ❑ PTY ❑SCC 08/28/2017 William Johnson Jr. X❑IND Not employed 1,000.00 1,000.00 P2018 $1,000.00 2551 ❑ PTY []SCC 08/28/2017 Patricia Larson ®IND retired 250.001 650.00 P2018 $6so.00 P. ❑ PTY []SCC 08/28/2017 Alan Pace RIND Engineer 150.00 700.00 P2018 $700.00 42335 []PTY ❑SCC ui a or an a 104 ❑OTH ❑ PTY ❑SCC SUBTOTAL$ 1,650.00 '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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@tppc.ca.gov (8661275-3772) www.fppc.ca.gov SchedUIWA (Continuation Sheet) SOk tvULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. , 601 from 07/0112017 • through 12/31/2017 page 16 Of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER AND uSar-EMPLOYED, AMOUNT RECEIVEDTHISIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE (IFCOMMITTEE,ALSOENTER 10.NWBER) CODE * ENTER NAMPATION IF E (.IAN. 1 -DEC. 31) IF REWIRED) oFsusINEss} 08 28 2017 James Schmid x❑IND Not employed 250.00 250.00 F2018 $250.00 74535 Daylily ❑SCC 08/28 2017 Patrick Sinclair x❑IND Executive 250.00 250.00 P2018 $250.00 1050 Industrial Solutions ❑ PTY []SCC 08/28/2017 George Stettler ®IND Not employed 150.00 150.00 P2018 $150.00 31855 Date ❑SCC 08/30/2017 Douglass Davert x❑IND Attorney 200.00 600.00 P2018 $600.00 17492 Parker ❑SCC Davert aw Corp. ❑IND 625 The City Dr. S., Ste 350 ❑COM ORANGE, CA 92868 x❑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 FPPC Form 460 (Jan12016) FPPC Advice: advtce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Scheduled (Continuation Sheet) SCitMdULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period A e ' to whale dollars. � f 01 from 07/01/2017 • through 12/31/2017 page 17 of 86 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE Z FULL NAME, STREET ADDRESS AND 3P CODE OF CONTRIBUTOR FULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER IF AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE IiFco�wn,4LSAND rD NUMBER) CODE * pFsELF-EmK YED,ENTERNAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OFBUSINESS) 08 31 2017 Judy allen EIIND retired 500.00 500.00 N P2018 MEN 101 ❑ PTY ❑SCC 08 31 2017 Lewis Investment Co., LLC ❑IND 500.00 2,750.00 P2018 $2,750.00 1156 N. Mountain Ave. ❑COM Upland, CA 91786 ®OTH ❑ PTY ❑SCC 08/31/2017 Barbara Resmo ®IND Hot employed 1,000.00 1,000.00 P2018 $1,000.00 912 ❑ PTY ❑SCC 09/05/2017 Pierson Professional Plaza LP ❑IND 300.00 300.00 P2018 $300.00 5150 E. Pacific Coast Hwy. #605 ❑COM LONG BEACH, CA 90804 x❑ OTH ❑ PTY ❑SCC CR&R, Inc. ❑IND 500.00 500.00 P2010 11292 WESTERN AVE. ❑CQM Stanton, CA 90680 p 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 SUBTOTAL $ 2,500.00 FPPC Form 460 psn*016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) —_acrr— ---' www.fppc.ca.gov Scheduler+C+(Con#inuation Sheet) 0 SCH ULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 07/01/2017 FORM through 12/31/2017 Page 18 of 86 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 TODATE RECEIVED IIFCOMMITTEE,ALSOENTER10.NUMBER) CODE * QFSELFEMPLOYED,ENTER NAME PERIOD (JAN. T- DEC. 31) (IF REQUIRED) OF BUSINESS} 09 08 2017 David Garcia BIND Not employed 1,000.00 1,250.00 P2018 $1,250.00 []OTH ❑ PTY ❑SCC 09/08/2017 Lynn Gelman BIND Not employed 1,000.00 2,000.00 P2018 $2,000.00 []OTH ❑ PTY []SCC 09/00/2017 Cecelia Peroni ®IND retired 500.00 500.00 P2018 $500.00 []OTH ❑ PTY []SCC 09/10/2017 Janet Asten ❑RIND homemaker 150.00 400.00 P2016 $400.00 ❑ OTH ❑ PTY ❑SCC [:]OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,800.00 '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 FPPC Form 460 (Janl2016) FPPC Advice: advlceOfppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C'(Continuation Sheet) Monetary Contributions Received SCi4�LE A (CONT) Amounts may be rounded Statement covers period to whole dollars. e r from 07/01/2017 through 12/31/2017 Page 19 Of 86 NAME OF FILER I.D. NUMBER JAN HARNIR FOR SUPERVISOR 2010 1395155 ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZI1.U. ODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE REDATE CEIVED [IFGpfdM(DRE SAND Cam * [IFsSj%EmPLOYED.ENTER NALME PERIOD (.GIN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS1 09 11 2017 Gary Galton ❑IND Attorney mediator 250.00 1,250.00 P2018 $1,250.00 16 OTH ❑ PTY ❑SCC 09/13/2017 ADRAN ENGINEERS ❑IND 1,000.00 2,000.00 P2018 $2,000.00 6820 AIRPORT DR. ❑COM Riverside, CA 92504 ®OTH ❑ PTY ❑SCC 09/13/2017 Eleni Christenson ®IND manager 250.00 250.00 P2018 $250.00 12620 ❑ PTY ❑SCC 09/13/2017 Riverside Construction Co., Inc. ❑IND 500.00 500.00 P2018 $500.00 4225 Garner Rd. ❑CDM RIVERSIDE, CA 92501 xCIOTH []PTY []SCC ompson x❑IND Not employed P2018 45- ❑ PTY ❑SCC SUBTOTALS 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 480 (Jan/2016) FPPC Advice: advice@fppc.ce.gov (8661275-3772) www.fopc.ca.gov Schedule -A (Continuation Sheet) SCFIi--dfJLEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period -CALIFORNIA to whole dollars. from 07/01/2017 FORM through 12/31/2017 Page 20 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER �UPATIONAND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOM6MTfEEAME:NTERI,D.NMELER) CAE * (IF SELF-EMPI.aYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BLOW -SS) 09 14 2017 Ken Wallace ❑IND Not employed 250.00 250.00 P2018 $250.06 ®oTH ❑ PTY ❑SCC 09 15/2017 Ancore Associates Int'l Inc. ❑IND 150.00 I50.00 P2018 $150.00 155 Loma St. ❑COM BEAUMONT, CA 92223 ®OTH []PTY []SCC 09/15/2017 Federico Cortes ®IND Realtor 260.00 959.00 P2018 $959.00 ❑ OTH ❑ PTY ❑ SCC 09/15/2017 GHI Enterprises, Inc. ❑IND 150.00 150.00 P2018 $150.00 30875 Date Palm Dr., ,#C2 ❑COM CATHEDRAL CITY, CA 92234 II❑ OTH []PTY []SCC 09/15/2017 Russ Martin ❑ COM Dist. ❑ OTH ❑ PTY ❑SCC SUBTOTAL; 960.00 '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 FPPG Form 460 (Jan12016) FPPC Advice; advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedul" (Continuation Sheet) SCRf�tULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. .! 6 ' from 07/01/2017 FORM through 12/31/2017 Page 21 of 86 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSZI O CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECMN TO DATE REDATE CEIVED IEET L0. MIMB • CODEpFSEv-EMPLOYED,ENTERN E PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OFeu52NESS) 09/15/2017 Alan Pace QIND Engineer 150.00 700.00 P2018 $700.06 ❑ OTH ❑ PTY []SCC 09 15/2017 Larry Parrish RIND Not employed 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY [:]SCC 09/15/2017 C.W. Porter ®IND Retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑SCC 09/15/2017 Ray Rodriguez ❑IND Manager 150.00 150.00 P2018 $150.00 K] OTH []PTY []SCC Claudia a va ierra- am in ❑RIND Development pecia is - �OTM ❑ PTY ❑SCC SUBTOTALS 1,050.00 '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 (JanJ2016) FPPC Advice: advice@tppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedul (Continuation Sheet) 20 Sdi�bl.EA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. from o7/a11zo17 F through 12/31/2a17 22 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2010 1395155 �� CODE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO IDATE CALENDAR YEAR PER ELECTION TODATE RECEIVED {IFCO►IDDRE,ALSANDZJO ENTFR CODE * pFSELFEMPLOrED.EMERWSE PERIOD (.LAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 09 15 2017 -Werner Corp. dba Foster Sand a Gravel ❑IND 1,000.00 3,000.00 P2018 $3,000.00 25555 Maitri Rd. ❑COM Corona, CA 92883 p oTH ❑ PTY ❑SCC 09/18 2017 Linda Garbarini RIND Not employed 500.00 500.00 P2018 $500.00 ❑OTH ❑ PTY ❑SCC 09/28/2017 Semper Pi PAC ❑IND Federal PAC 1,000.00 1,000.00 P2018 $1,000.00 4905 Del Ray Ave., #401 ❑COM BETHESDA, MD 20814 FX] OTH ❑ PTY One 09/20/2017 Sam Spinello RIND ❑❑ real estate 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑SCC 0972012017 Terry Weiner ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL.$ 5,500.00 "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 (Jan/2016) FPPC Advice: advtce@fppc.ca.gov (8661275-3772) www.fppc.ca.gov ScheduleA (Continuation Sheet) SCR-LdDLEA (CONT.) Monetary Contributions Received Amounts maybe rounded Statementcovers period CALIFORNIA to whole dollars. � � ' trap 07/01/2017 f through 12/31/2017 page 23 of 86 NAME OF FILER 1 D. NUMBER JAN RARNIR 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 CO6UAiTEE,ALSO ENTER I.D.NfWSME CODE * pFSEt-F-EMPLOYED,ENrERN AME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09 21 2017 Shannon Moraga EIIND Business Owner 250.00 250.00 P2018 $250.00 1043 Grand ❑SCC 09/22/2017 Beacon Property Management, LLC ❑IND 1,000.00 1,000.00 P2018 $1,000.00 1985 Cedar Bridge Ave., #1 ❑COM LAKEWOOD, NJ 08701 ®OTH ❑ PTY ❑SCC 09/2212017 Edward Manley ®IND Developer 1,000.00 1,000.00 lP2018 $1,000.00 3708 Happy []SCC 09/2512017 Westcon Construction Group Inc. ❑IND 250.00 250.00 P2018 $250.00 81149 Indio Blvd. [3ComINDIO, CA 97201 x❑ OTH ❑ PTY []SCC 01972672017 Betty Baxter x❑IND coaching B consulting 1,000.00 1,0011.60 P2018 .5run.0 72828 Joshua []SCC SUBTOTAL$ 3,500.00 '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 Farm 460 (Jant2016) FPPC Advice: advice@fppc.ca.gov (866(275-3772) www.fppc.ca.gov Schedule-C'(Continuation Sheet) SCAWdLE A (CONT,) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 07/01/2017 FORM through 12/31/2017 page 24 of 86 NAME OF FILER I.D. NUMBER JAN 6ARNIK FOR SUPERVISOR 2018 1395155 DADATE(IFOOMMfE,AL50Q ZJ FULL NAME, STREET ADDRESS AND CODE OF CONTRIBUTOR OODE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED I.O. NUMB C* pFSEiF-EMPLOYED.ENTERNAME PERIOD {.IAN. I - DEC. 31) (IF REQUIRED) OFBLO ESSj 09 27 2017 Vernon Kozlen x❑IND retired 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑SCC 09 27 2017 Don Rowan MIND retired 250.00 1,250.00 P2018 $1,250.00 ❑OTH ❑ PTY ❑SCC 09/27/2017 Joan Woehrmann ®IND retired 100.00 100.00 P2018 $100.00 ❑ oTH ❑ PTY ❑SCC 10/01/2017 John Ehrhardt QIND retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC ea w z e ❑X IND retired ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 2,600.00 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political 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) SCFi7;r1[JLE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. Ell tram o71o1/zo17 through 12/31/2017 page 25 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1 1395155 �� O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR SANDLSO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (�FCO�ADDRE ERI.O.NUMB CODE * pFSELF-EMPLCrYED.ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OFBUSLNE s) 10/03 T20 77 Dennis Gillard ]IND Not employed 150.00 400.00 P2018 $400.00 ❑ OTH ❑ PTY ❑ SCC 10/03/2017 Franklin Jones ]IND Publisher 3,000.00 3,000.00 P2018 $3,000.00 ❑OTH ❑ PTY ❑Scc 10/03/2017 William Kroonen ®INp retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑SCC 10/03/2017 PALM COMMUNITIES ❑INp 500.00 500.00 P2018 $500.00 44-139 Monterey Avenue, Suite A ❑COM Palm Dessert, CA 92261 ] OTH ❑ PTY [-]SCC 10/03/2017 Robert o ert J. G111111and, Jr. Professional ❑INd 250.00 4UU.UU P2018 Law Corp. ❑COM 40-004 Cook St., #3 PALM DESERT, CA 92211 QOTH ❑ PTY ❑SCC SUBTOTALS 4,150.00 "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 (Jon/2016) FPPC Advice: advice@fppc.ca.gov (666WS-3772) www.fppc.ca.gov Schedul" (Continuation Sheet) S ULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 6 from 07/01/2017 FORM through 12/31/2017 page 26 of 86 NAME OF FILER I.D. NUMBER JAN HARNIX FOR SUPERVISOR 2018 1 1395155 DATE FULL NAME, STREET ADDRESS AND 2JP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION IODATE (IFCOMATfEE,ALSO ENTER I,D.NWSER) ODE * jTFSELF-EMPLOYED, ENTER NMF PERIOD (JAN, i- DEC. 31) (IF REQUIRED) OFI3USINES9) 10 03 2017 Gina Sullivan ]IND Realtor 150.00 150.00 P2018 $ 55 ..00 ❑ OTH ❑ PTY []SCC 10/03 2017 James Willingham BIND Not employed 150.00 150.00 P2010 $15D.OD ❑OTH ❑ PTY ❑ SCC 10/04/2017 Jeffery Garatea ®IND Not employed 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY [:]SCC10/04/2017 Guido Portante RIND retired 100.00 800.00 P2018 $000.00 �CpH ❑ PTY ❑SCC ENGINEERS ❑IND 000.0 P 2018 $2,000.00 6820 AIRPORT DR. ❑COM Riverside, CA 92504 R❑ OTH ❑ PTY ❑ SCC SUBTOTALS 1,650.00 `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 FPPC Form 460 (,ian/2016) FPPC Advice: advice@tppc.ca.gov (966/275-3772) www.fppc.ca.gov Schedule (Continuation Sheet) SCULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars.from 07/O1/2017through F 12/31/2017 21 of 86 NAME OF FILER I D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER IF AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION IODATE pFCOMIMIiTEESN�ERI.D.NVMBERI CAE * (IF SELF EMPUNEo,ENrMNAME PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OF BUSINESS) 10/05/2017 BG's El Paseo ❑IND 250.00 250.00 P2018 $250•ob 73520 El Paseo #1D ❑COM PALM DESERT, CA 92260 ] OTH ❑ PTY ❑SCC 10 05/2017 Event Management Productions ❑IND 100-00 100.00 P2018 $100.00 73647 Sun Ln. EICO ❑COINI PALM DESERT, CA 92260 ❑ PTY []SCC 10/05/2017 Harvey Stern ®IND Not employed 250.00 250.00 P2018 $250.00 303 ❑ PTY ❑SCC 10/05/2017 Herbert Temple @IND Retired 150.00 150.00 P2016 $150.00 38592 ❑ PTY ]SC []SCC Sandra Woodson o employed 10 ❑ PTY ❑SCC SUBTOTAL$ 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 FPPC Form 460 (JPmW16) FPPC Advice: advlce0fppc.ca.9ov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCRs-OULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 07/01/2017 FORM through 12/31/2017 page 28 of 86 NAME OF FILER I.D. NUMBER JAN RARNIK FOR SUPERVISOR 2018 1395155 �� 7J O FULL NAME, STREET ADDRESS AND 7JP CODE OF CONTRIBUTOR CONTFJ IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED I�FooMMrDRES SAND �.°, NIaMa CODE * pFSELF-EMPLOYED.ENMNAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) of DMNESS! 10 06/2017 Nary Blanton x❑IND Not employed 500.00 500.00 P2018 $500.00 ❑ OTH ❑ PTY []SCC 10 06/2017 Marjorie Dodge []IND Officer 150.00 400.00 P2018 $400.00 OTH []OTH Desert ❑ PTY ❑ SCC 10/06/2017 Dallas Erwood ®IND Not employed 250.00 250.00 P201B $250.00 []OTH ❑ PTY ❑ SCC 10/06/2017 Mary Kelly %❑IND Not employed 250.00 550.00 P2018 $550.00 ❑ OTH ❑ PTY []SCC 10/06/2017 Kincaid n us ries, Inc. ❑IND 31-065 Plantation Dr. ❑ COM THOUSAND PALMS, CA 92276 x[] OTH []PTY ❑ SCC SUBTOTAL$ 1,400-00 '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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.tppc.ca.gov Schedule r� (Continuation Sheet) SC tQd LEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ' from 07l01/2017 w FORM through 12/31/2017 page 29 of 86 NAME OF FILER I.D. NUMBER JAN BARNIK FOR SUPERVISOR 2018 1395155 �� 7J O FULL NAME, STREET ADDRESS AND 27P CODE OF CONTRIBUTOR ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED I�FCpM1vU I.D. NUN6 CAE � IIFSaF�EMPLDYED,ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 10 06 2017 Frank Smith ]IND Owner 2,500.00 2,500.00 P2018 $2,500.00 ❑ OTH ❑ PTY []SCC 10/06/2017 Charles TDpalian x❑IND Contractor 500.00 500.00 P2018 $500.00 ❑ OTH ❑ PTY ❑SCC 10/09/2017 Rachel Druten ®IND retired 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 10/09/2017 Allen Monroe x❑IND Zoo Director 150.00 150.00 P2018 $150.00 ❑ OTH C) PTY ❑SCC 1070972017 Creek and Carolyn's Williams x❑IND Manager ❑ OOH []PTY []SCC SUBTOTAL $ 3,550.00 '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@tppc.ca.gov (866W5-3772) www.fppc.ca.gov Schedul(Continuation Sheet) SC td LEA (CONT) Monetary Contributions Received Amounts maybe rounded Statement covers period a - , to whole dollars. 6 from 07/01/2017 • - through 12/31/2017 page 30 of 86 NAME OF FILER I.D. NUMBER JAN HARNIX FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION RECEIVED (IFCOM%OTTEE.ALSO ENTER I,D.NUMBER) CODE * (IFSELFEMPLOYED,ENTER t"E PERIOD (JAN, i- DEC. 31) (IF REQUIRED) OFBUSINESS) 10/10/2017 Viola Henson X❑IND realtor 150.00 450.00 P2018 $450.00 ❑ OTH ❑ PTY []SCC 10/10/2017 David Garcia ]IND Not employed 250.00 1,250.00 P2018 $1,250.00 ❑ OTH ❑ PTY []SCC 10/10/2017 Hot Purple Energy ❑IND 250.00 250.00 P2018 $250.00 810 N. Farrell Dr. ❑COM PALM SPRINGS, CA 92262 ©CO OTH ❑ PTY ❑SCC 10/10/2017 Patricia Larson [@IND retired 250.00 650.00 P2018 $650.00 ❑ OTH ❑ PTY ❑SCC 10/10/2017 Milestone ar e s Tiler Inc. ❑INfl ' 72091 Woburn Ct., ,#D ❑COM THOUSAND PALMS, CA 92276 ) OTH []PTY ❑ SCC SUBTOTALS 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 (Jan/2016) FPPC Advice: advice0l[ppc.ca,gov (8661275-3772) www.fppc.ca.gov Schedule (Continuation Sheet) SCIIJLE A (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period CALIFORNIA to whole dollars. 6 from07lD1/20k7 _ FORM through 12/31/2017 page 31 of 86 NAME OF FILER ---- I.D. NUMBER JAN RARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR FULLADDRESSNDERI•Dn�ua O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE IIFoo� CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF9USINESSI 10 10I2017 Neon Development Group, Inc. ❑IND 150.00 10,450.0 P2018 $10,450.00 899 Island Dr. #401 ❑GOM Rancho Mirage, CA 92210 x❑OTH ❑ PTY []SCC 10/10/2017 Cecelia Peroni X❑iNp Retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 10/10/2017 Judy Sanders ®IND Retired 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑SCC �$2,000.00 10/10/2017 Southwest Regional Council of Carpenters (ID# ❑IND 1,D00.00 2,D40.D0 P2D18 870169) ❑GOM 533 S. Fremont Avenue #501 Los Angeles, CA 90071 ❑OTH []PTY x❑ 5CG ❑ PT`/ ❑SCC SUBTOTAL$ 1,600.00 'Contribtdor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedules (Continuation Sheet) SC ht-OULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period towholedollars. ! from 07/01/2017 r through 12/31/2017 page 32 of 86 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 (iFCOMMTTEE,ALSOENTER I.D.NI MBER) CODE f [IF SELF-EMPLOYED, ENTER NAME PERIOD (.JAN. 1 -DEC. 31) (IF REQUIRED) OFeUNNESS) 10 11 2017 Michael Knighten MIND Attorney 300.00 300.00 P2018 $300.00 74525 ❑0TH ❑ PTY ❑SCC 10 lI 2017 Donna J MacMillan MIND Retired 500.00 500.00 P2018 $500.00 74695 ❑ PTY []SCC 10/11/2017 bill nicholson MIND Retail 250.00 250.00 P2018 $250.00 2211 ❑ PTY ❑SCC 10/12/2017 Dorothy Broderick MIND Not employed 150.00 150.00 P2018 $150.00 4 ❑ PTY ❑SCC Margit Chiriado Rusche X❑IND retired - 62450 ❑ PTY ❑SCC 'Contributor Codes IND — Individual COM— Recipient Committee (other than PTY or SCC) OTH -- Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee SUBTOTAL$ 1,350.00 FPPC Form 460 (Jen/2016) FPPC Advice: advice(§fppc.ca.gov (066/275-3772) www.fppc.ca.gov Schedule (Continuation Sheet) r SC4w6LE A (CONT) Monetary Contributions Received Amounts may be rounded statement cogs period CALIFORNIA to whole dollars. , 601 fromD7/01/2017 O through 12/31/2017 page 33 of 86 NAME OF FILER I.O. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION IODATE RECEIVED jIFO0MMrTTEE.ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED.ENTER NAME PERIOD (JAN. 1 - DEC.31) (IF REQUIRED) OF BUSINESS) 10/12/2017 Frank Harrison x❑IND Contractor 250.00 750.60 P2018 $750.00 ❑ OTH ❑ PTY ❑SCC 10/12/2017 Bobby Melkesian x❑IND Developer 1,000.00 1,000.00 P2010 $1,000.00 ❑ OTH ❑ PTY ❑SCC 10/12/2017 LORETTA MOSS ®IND BUSINESS DEVELOPMENT 150.00 150.00 P2018 $150.00 ❑ OTH []PTY []SCC 10/12/2017 Richard Spicer ]IND retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑SCC Donna Sturgeon ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@tppc.ca.gov (866/275-3772) www.fopc.ca.gov Schedule A (Continuation Sheet) SCFQLE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. g from 07/01/2017 FORM through 12/31/2017 page 34 of 86 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 TODATE RECEIVED pFCOMMMEE,AMEMERI.D.NUMBER) CODE * (IF SEY-eMKOrED,ENTER WME PERIOD (JAN. 1 -DEC, 31) (IF REQUIRED) OF BUSINESS) 10 13 2017 James Cornell MIND ecological consultant 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑SCC 10/13 2017 Chris Hermann MIND Pres. 150.00 150.00 P2010 $150.00 BOTH ❑ PTY ❑SCC 10/14/2017 Barbara Fromm ®END retired 500.00 500.00 P201B $500.00 ❑ DTH ❑ PTY ❑SCC 10/16/2017 Acker Chiropractic, Inc. ❑IND 500.00 500-00 P2018 $500.00 33669 Date Palm Dr. ❑COM CATHEDRAL CITY, CA 92234 MOTH ❑ PTY ❑SCC 10/16/2017 Bonnie Bowie MIND Retired OOM ❑ PTY []SCC SUBTOTALS 1,400.00 '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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Scheduiw-A (Continuation Sheet) SC8r_dJLE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from 07/01/2017 FORM through 12/31/2017 page 35 of 86 NAME OFFILER 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 M DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED ERL (IF COMMiTME,ALSO ENTD.NUMBER) CODE t (IF SELF-EMPLOYED, EWER NAME PERIOD (JAN. t - DEC. 31) (IF REQUIRED) OF BUSINESS) 10 16 2017 Brenda Devlin 6 Assoc. Inc. ❑IND 250.00 350.00 P2018 $350.00 ❑x OTH [-I PTY ❑SCC 10 16 2017 James Collings ]IND Realtor 500.00 500.00 P2018 $500.00 ❑OTH ❑ PTY ❑SCC 10/16/2017 Corman Leigh Companies ❑INO 250.00 250.00 P2018 $250.00 32823 Temecula Pkwy. ❑Cm TEMECULA, CA 92592 ©OTH ❑ PTY ❑SCC 10/16/2017 Federico Cortex 8❑IND Realtor 200.00 959.00 P2018 $959.00 ❑OTH ❑ PTY ❑ SCC 10/1612017 Roger Dash x❑IND ITUE employed �COH ❑ PTY ❑SCC SUBTOTAL$ 1,350.00 '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 (Jen/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCULE A (CONT) Monetary Contributions Received Amounts maybe rounded Statement covers period e to whole dollars. I g from 07/01/2017 through 12/31/2017 page 36 of 86 NAME OF FlLER ID, NUMBER JAN HARNIR FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULLO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE IIFCOMMIE,RLSND I.D. M1M9 CODE � pF SELF-EMPLOYE0, EWER NWE PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 10/16/2017 Daveco, LTD. ❑IND 250.00 250.00 P2018 $250.00 ] OTH ❑ PTY ❑SCC 10 l6/2017 Margaret Drury S❑IND Builder 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY []SCC 10/16/2017 Johnette Elhendy ®IND Realtor 150.D0 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC 10/16/2017 MICHAEL FEDDERLY ]IND Not employed 150.00 1,150.00 P2018 $1,150.00 ❑ OTH ❑ PTY []SCC Joseph Gibbs ❑COM ❑ OTH ❑ PTY []SCC SUBTOTAL$ 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/2754M) www.fppc.ca.gov Schedule (Continuation Sheet) SCh--dULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. , frOnl 07/01/2017 a - through 12/31/2017 Page 37 of 06 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CON7RIBUTDR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (IFCOMMI TEE.ALSOENTERI.D. NUMBER) CODE * (IF SELF-EMPLOYED, EWER UAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BULB wm) 10/16/2017 Donna Griffith ©IND Paralegal 99.00 199.00 P2018 $199.00 [-]OTH ❑ PTY ❑SCC 10 16/2017 William Hampton IV ❑RIND iDirector 100.00 200.00 P2010 $200.00 []OTH Services ❑ PTY ❑ SCC 10/16/2017 Wayne Harvey ®IND None 250.00 750.00 P201B $750.00 ❑OT H ❑ PTY ❑SCC 10/16/2017 Mark Ressler x❑IND Sales 500.00 500.00 P2018 $500.00 []OTH []PTY ❑SCC 101115/2017 Jennifer Loretta ❑ COM ❑ OTH ❑ PTY []SCC SUBTOTAL$ 1,049.00 'Contributor Codes IND - Individual COM - Redpient 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.co.gov (86WV5-3772) www.fppc.ca.gov Schedule- (Continuation Sheet) SCHULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers Period e to whole dollars. I from 47/01/2017 • through 12/31/2017 page 38 of 86 NAME OF FILER I.D. NUMBER JAN HARNIH FOR SUPERVISOR 2018 1395155 DATEJ FULL NAME, STREET ADDRESS AND ZP CODE OF CONTRIBUTOR O CONTRIBUTORIF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IIFC6MMITTEE,ALSND ID NUME CODE * {WSaFEMPLOYEDENTER NAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) oFeUSiNESS) 10 lfi 2017 MCI Contractors Inc. ❑IND 1,000.00 1,000.00 P2018 $1,000-00 1983 W. 190th St., #100 ❑C{JM TORRANCE, CA 90509 x❑ OTH ❑ PTY []SCC 10/16/2017 Allan Nyman KIND Not employed 125.00 125.00 P2018 $125.00 410 ❑ PTY ❑ SCC 10/16/2017 Richard Oliphant ®IND Not employed 250.00 1,250.00 P2018 $1,250.00 45- ❑ PTY ❑SCC 10/16/2017 Nancy Osborne x❑IND CPA 250.00 250.00 P2018 $250.00 43- []PTY ❑SCC 1071972017 Alan Pace ❑% IND Engineer 42335 ❑Scc SUBTOTAL$ 1,775.00 *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 (Jar1/2016) FPPC Advice: advice@f}pc.ca.gov (8661Z75.3772) www.fppc.ca.gov ....__....-,ems.- ---- ScheduWA (Continuation Sheet) SCIiL-EtLE A (CONT) Monetary Contributions Received Amounts maybe rounded Statement covers period to whole dollars. ' from 07/01/2017 • - through 12/31/2017 Page 39 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME. STREET ADDRESS AND LP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED I.D. D.NUMR) (IFCOMMnTMALSOENTERE CODE * IIFSELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF REQUIRED) OF WrANEM) 10/16/2017 James Palmer ❑xIND Not employed 20.00 220.00 P2018 $220.00 ❑ OTH ❑ PTY ❑SCC 10 i6/2017 James Pearce x❑INp Realtor 250.00 250.00 P2018 $250.00 ❑ QTH ❑ PTY []SCC 10/16/2017 Michael Pike ®IND Builder 150.00 150.00 P2018 $150.00 ❑ OTH []PTY ❑ SCC 10/16/2017 William Powers x❑IND Not employed 150.00 300.00 P2018 $300.00 ❑ OTH ❑ PTY []SCCRobertson's 10/16/2017 ❑SC KI OTH ❑ PTY []SCC 'Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY - Political Party SCC -Small Contributor Committee SUBTOTAL$ 1,570.00 FPPC Form 460 (3an12016) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Scheduk—A (Continuation Sheet) SCH'EdULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 6 from 07/01/2017 FORM through 12/31/2017 Page 40 of eb NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND 7JP COOS OF CONTRIBUTOR AND ZJP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED gFcoMhuDRE nS NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/16/2017 David Savoca )IND Not employed 150.00 300.00 P2018 $300.00 []OTH ❑ PTY ❑SCC 10/l6/2017 Weiquan Tan %BIND Developer 150.00 650.00 P2018 $65 0 ..00 ❑OTH ❑ PTY []SCC 10/16/2017 Sandra Taylor ®IND Sales 250.00 250.00 P2018 $250.00 []OTH ❑ PTY ❑SCC 10/16/2017 Ken Vonq x❑IND Not employed 150.00 150.00 P2010 $150.00 ❑ OTH ❑ PTY ❑ SCC 10/24/2017 Jane Beresford x❑IND Psycho ogis ❑OTH ❑ PTY []SCC SUBTOTAL$ 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 FPPC Form 460 (Jorl/2016) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SchedukrA (Continuation Sheet) SCULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period A O R towholedollars. .1 � From 07/01/2017 • Page 41 of 86 through 12/31/2017 NAME OF FILER I.D. NUMBER JAN HARNIR FOR SUPERVISOR 2018 1395155 DATE FULL NAME. STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULAI VE TO DATE CALENDAR YEAR PER ELECTION TO RECEIVED j1FMMMITfEE.AMENTERI.D.M�NBER► CODE * (IFSaF-EMPLOYrD.ENrERNAME PERIOD (.lAN. 1 -DEC. 31) IF REQUIRED) OF BUSINESS) 10 24 2017 Caddeus Elghanayan )IND Administrator 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑SCC 10 24/2017 Eveleen Farzaneh BIND Real estate broker 100.00 100.00 P2018 $100.00 ❑OTH ❑ PT`( ❑SCC 10/24/2017 Quadrow Inc. ❑IND 200.00 200.00 P2010 $200.00 23141 Moulton Pkwy #113 ❑COM LAGUNA HILLS, CA 92653 ®OTH []PTY ❑SCC 10/24/2017 Tri-Millenium Dessert BioomLLC ❑IND 500.00 500.00 P2018 $500.00 8730 Wilshire Blvd., #202 ❑COM BEVERLY HILLS, CA 90211 R❑OTH []PTY ❑SCC 10127/2017 Alan Kiselstein QCTM ❑ PTY ❑SCC SUBTOTAL$ 1,950.00 'Contributor Codes IND- Individual COM - Redpient Com miftee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (JOW2016) FPPC Advice: advice @Fppc.ca gov (866/275.3772) www.fppc.ca.gov Scheduled (Continuation Sheet) SC o JLEA (CONT,) Monetary Contributions Received Amounts may be rounded dollars. Statement covers period CALIFORNIA to whole from 07/01/2017 FORM through 12/31/2017 page 42 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2010 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATtONAND EMPLOYE R AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED (IFCOMM17rEE,ALSOENTEFtI.D.NUM9ER) CODE pF5ELF-EMPLOYED,ENTERNA1,iE PERIOD (AN. 1 -DEC. 31) (1F REOiJIRED) OFBWIMESS) 10 27 2017 Lewis Investment Co., LLC ❑IND 250.00 2,750.00 P2018 $2,750.00 1156 N. Mountain Ave. ❑COM Upland, CA 91786 ❑X OTH ❑ PTY ❑SCC 10/27 2017 KEVIN MCGUIRE %❑IND Not employed 100.00 100.00 P2018 $200.00 45655 ❑ PTY ❑SCC 10/30/2017 Justin Baldwin ®IND Vintner 500.00 500.00 P2018 $500.00 1150 ❑ PTY ❑SCC 10/30/2017 Union Pacific Railroad ❑IND 500.00 500.00 P2018 $500.00 915 L Street #1180 ❑COM Sacramento, CA 95814 x❑OTH ❑ PTY ❑SCC Management, Inc. ❑INp 2,000.00 7282 Orangethorpe [3Com PARR, CA 90622 ❑lC OTH []PTY ❑SCC SUBTOTAL$ 3,350.00 '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 (JarM16) FPPC Advice: advice@fppc.ca.gov (866/27&3772) www.fppc.ca.goV Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTEROCCUPATION RECEIVED (IFCOMMITTEE,AMENrERI.D.NUMBER) CODE * O, EN1ER NAME pF SELF-EMPLOYED, ENTER OFBUSINESS) 11 01 2017 Harech Investment Properties Management, LLC ❑IND 1121 SW. Salmon St. ❑COM PORTLAND, OR 97205 E] OTH ❑ PTY ❑SCC 11/05/2017 Karen Hiles S❑IND retired ❑ OTH ❑ PTY ❑SCC 11/06/2017 Helton Windsor ®IND Not employed ❑ OTH ❑ PTY ❑ SCC 11/10/2017 Desert Valley Date ❑IND 86-740 Industrial Way ❑COM COACHELLA, CA 92236 [K] OTH ❑ PTY ❑SCC 11/13/2017 i een ason ❑COM ❑ OTH ❑ PTY ❑SCC r .Contributor Codes IND - Individual COM - Recipient Committee (Other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC-Small Contributor Committee SCHEDULE A (CONT) Statement covers period CALIFORNIA 461 from 07/01/2017 FORM through 12/31/2017 Page 43 of 86 I.D. NUMBER 1395155 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 2,500.00 2,500.00 P2018 $2,500. ,UUU.UUI 1,Uuu.uulrauia a?a,— . .0ol 200.00 P2018 $200.00 .00 5,500.001112018 $5,500. SUBTOTALS 4,300.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@tppc.ca-gov (866/275-3772) 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 07/01/2017 through 12/31/2017 Page 44 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATECONTRIBUTOR{If00MM1TTEE. O FULL NAME, STREET ADDRESS AND JP CODE OF CONTRIBUTOR Z CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION IODATE RECEIVED ALSO ENTER I.D. NUM6 GODS * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. i-DEC.31) (IF REQUIRED) OF BUSINESS) 11 14/2077 Federico Cortes x❑IND Realtor 99.00 959.00 P2018 $959.00 ❑OTH ❑ PTY ❑SCC 11/17/2017 H. Linda Leventhal ]IND Not employed 200.00 200.00 P2018 $200.00 ❑OTH ❑ PTY ❑SCC 11/17/2017 Cameron Quinn ®IND Attorney 100.00 100.00 P2018 $100.00 ❑OTH Attorney at Law ❑ PTY ❑ scc 11/20/2017 Lew Blackwell X❑IND retired 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑SCC 11/21/2017 James raw or RIND Retired ❑ 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 SUBTOTAL $ 899.00 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 07/01/2017through 12/31/2017 page of 86 !BE NAME OF FILER I.D. NJAN HARNIK £OR SUPERVISOR 2018 1395 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED iIFCOMMITEE.ALSOENTER I,D.NUMBER) CODE* �UPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) 11 2Z 2017 John Lewis ]IND VP of Sales and Marketing 2,500.00 2,500.00 P2018 $2,500.00 68888 ❑ PTY [-]SCC 11/23/2017 Alexander Polsky x❑IND Mediator 100.00 100.00 P2018 $100.00 17052 ❑ PTY []SCC 11/26/2017 Buddy Sklar ®IND retired 150.00 250.00 P2018 $250.00 50- ❑ PTY []SCC 11/27/2017 Sandra Davie X❑IND Not employed 100.00 500.00 P2018 $500.00 78990 ❑ PTY ]SC []SCC Robert Eisner o employed 803 ❑ PTY ❑SCC SUBTOTAL$ 2,950.00 '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 FPPC Farm 460 (Jon/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fopc.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 pe from 07/0112017 through 12/31/2017 SCHEDULEA (CONT.) Page 46 of 86 1395155 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED �IFCOMMITTEE.ALSOEERI.ONUMBER) NT CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SEIF-EMPLQYED,EWER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) 11/27/2017 Travis Erwin x❑IND retired 150.00 150.00 P2018 $150.00 45-525 Navajo Rd ❑ 27/2017 Gerald Fogelson x❑IND Not employed 1,000.00 2,000.00 P2010 $2,000.00 1550 S. Indiana, #200 ❑ 27/2017 Paul Golden x❑IND Contractor 150.00 400.00 P2018 $400.00 44500 Grand Canyon Ln. ❑ 27/2017 Patricia Larson QIND retired 150.00 650.00 P2018 $650.00 P.O. Box 13921 11/20/2017 ran arrison RIND on rac or 31170 Reserve Drive General SUBTOTALS 1,700.00 '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 FPPC Form 460 (Jan/2096) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fopc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary contributions Received Amounts may be rounded Statement covers period to whole dollars. • ' from 07/01/2017 • ' FPage___417 through 12/31/2017 of 86 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 IIFCOMMITTEE,ALSOENTERI.D.NUMBERI CODE + OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE pFSEi.P-EMPLOYED,ENTERNIVME PERIOD (JAN. 1 - DEC. 34) (IF REQUIRED) OF BUSINESS) 11 28/2017 Guido Portante x❑IND retired 100.00 800.00 P2018 $800.00 ❑ OTH []PTY []SCC 11/28/2017 Stephen Jones Design & Constru ❑IND 2,000.00 4,150.00 P2018 $4,150.00 ®OTH ❑ PTY []SCC 11/30/2017 Ricardo Loretta ®IND Educator 100.00 449.00 P2018 $449.00 ❑ OTH ❑ PTY ❑ SCC 11/30/2017 Leon Parma x❑IND Consultant 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑SCC yVilla X❑IND —TM- Law ❑ PTY ❑SCC SUBTOTAL$ 2,550.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC -- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) monetary uonumutionS Keceivea Amounts may be rounded Statement covers period • to whole dollars. . � from 07/01/2017 6 Fpage-_ through 12/31/2017 48 pf eb 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 (IFCOMMITTEE,ALSOENTERLO.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE QFSEIF-EM?LdYEb,ENTERNAME PERIOD (,IAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 12/01 20 77 Andrew Bentley RIND Rabbi 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑SCC 12/04/2017 bunni benaron @IND retired 1,000.00 2,500.00 P2018 $2,500.00 []OTH ❑ PTY ❑SCC 12/04/2017 Dennis Gillard ®IND Not employed 150.00 400.00 P2018 $400.00 ❑ OTH ❑ PTY ❑SCC 12/04/2017 Tom Kieley III KIND Financial services 250.00 250.00 P2018 $250.00 ❑ OTH Financial Svc. ❑ PTY ❑ SCC 12104/2017 Gary Lyons ❑COM []OTH ❑ PTY ❑SCC SUBTOTAL$ 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 6 from 07/01/2017 through 12/31/2017 page 49 of 86 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 0F00MMITTEE.ALSO EKER10NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF$USINESS) 12 09 2017 Mark Nickerson ❑IND FARMER 1,000.00 2,000.00 P2018 $2,000.00 x❑ OTH ❑ PTY ❑SCC 12/04/2017 RIVERA VINEYARDS ❑IND 150.00 150.00 P2018 $150.00 78-365 HIGHWAY 111, PMH 360 [3Com Quinta, CA 92253 ®OTH ❑ PTY ❑ SCC 12/04/2017 Mark Sofonio ®IND Medical Doctor 100.00 100.00 P2018 $100.00 ❑CO OTH ❑ PTY ❑SCC 12/05/2017 HURRTEC WASTE AND RECYCLING SERVICES, LLC ❑IND 1,000.00 2,000.00 P2018 $2,000.00 224 S. LAS POSAS RD. ❑COM San Marcos, CA 92070 ] OTH ❑ PTY ❑Scc INLANDI DI P AL A ( IND ❑IND , ''au P2018 , 761452 ) 1851 East First St., #1220 ff1com Santa Ana, CA 92705 ❑OTH ❑ PTY ❑SCC SUBTOTAL$ 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@tppc.ca.gov (066/275.3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) monetary L;ontrinutronS Keceivea Amounts may be rounded Statement covers period to whole dollars. • ' r from 07/01/2017 6 FPage--50 through 12/31/2017 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED IIFCOMMITTEE. ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) oKBU51NEsS1 12 05 2017 Sarah Simonds X❑IND Not employed 100.00 100.00 P2018 $100.00 74403 ❑ PTY ❑SCC 12/05/2017 Maureen Thompson EIIND Not employed 100.00 200.00 P2018 $200.00 45- ❑ PTY ❑SCC 12/06/2017 Wesley Ahlgren ®IND none 250.00 250.00 P2018 $250.00 49500 ❑ PTY ❑SCC 12/06/2017 Bob Ballew x❑IND none 100.00 100.00 P2018 $100.00 43930 ❑ OTH ❑ PTY ❑ SCC John a Claudia Gamlin X❑IND Investigator 79625 ❑ OTH ❑ PW ❑SCC SUBTOTALS 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 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT.) monetary Contribution@ Received Amounts may be rounded Statement covers period to whole dollars. e from 07/01/2017 6 • ` through 12/31/2017 Page 51 Of 86 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 (IFODMMITTEE,ALSOENTERI.D.NUMBER) CODE ; OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 12/06/2017- Al Keck X❑IND none 250.00 250.00 P2018 $250.00 ❑OTH ❑ PTY []SCC 12/06/2017 Issac Lewis x❑IND none 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC 12/06/2017 Robert Melkesian ®IND none 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH ❑ PTY ❑SCC 12/06/2017 Linda Port x❑IND N/A 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY SC []SCCDanie Gottlieb X❑ IND Investor , , , ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTALS 4,450.00 '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 (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT,) Monetary contributions Received Amounts may he rounded Statement covers period to whole dollars. CALIFORNIA from 07/01/2017 FORM through 12/31/2017 Page 52 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND 7JP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE.ALSOENTERI.D.NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SEIF-EMPLOY£D,ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 12 07 2017 Richard Gottlieb X❑IND Real Estate 2,000.00 2,000.00 P2018 $2,000.00 ❑aTH ❑ PTY ❑ SCC 12/09/2017 suBan harvey x❑IND Realtor 250.00 250.00 P2018 $250.00 ❑OTH ❑ PTY ❑SCC 12/11/2017 Viola Benson ®IND realtor 150.00 450.00 P2018 $450.00 ❑ OTH ❑ PTY ❑ SCC 12/12/2017 Janet Asten X❑IND homemaker 250.00 400.00 P2018 $400.05 [3OTH ❑ PTY ❑SCC Brenda Devlins Assoc. Inc. ❑IND 100.00 350.00 P2018 5350.00 78595 K] OTH ❑ PTY ❑ SCC SUBTOTAL$ 21750.ao '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 (86B/275-3772) 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 07/0112017 •' through 12/31/2017 page 53 of 86 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 (IFCOMMITTEE.ALMENTERI.O.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) 12/12/2017 Craig Bryant MIND Not employed 150.00 150.00 P2018 $150.00 595 Sypes Canyon 12/12/2017 Richard Erwood MIND Not employed 250.00 250.00 P2018 $250.00 74-025 Mockingbird 12/12/2017 Donna Griffith MIND Paralegal 100.00 199.00 P2018 $199.00 76341 Via Fiore [: 12/12/2017 David Hermann MIND Analyst 250.00 250.00 P2018 $250.00 611 S. Palm Jason fluskey MIND Sherift Captain 150.00 150.00 16791 Davie Ave. ❑ SUBTOTAL$ 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 -u:e- --_ FPPC Form 460 (Jan/2016) FPPC Advice: adv€ce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period e . to whole dollars. / from 07/01/2017 e ' through 12/31/2017 Page 54 of 86 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 TODATE RECEIVED (�FCDMMRTEE,AND8Hl D NUMB CODE f (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC.31) (IF REQUIRED) OF BUSINESS) 12/12/2017 Mary Kelly MIND Not employed 50.00 550.00 P2018 $550.00 ❑OTH ❑ PTY ❑ SCC 12 12/2017 Gabriella Knox MIND Not employed 500.00 500.00 P2018 $500.00 ❑OTH ❑ PTY ❑SCC 12/12/2017 KTGY Group, Inc. ❑IND 150.00 150.00 P2018 $150.00 17911 Von Karman Ave., #200 ❑COM IRVINE, CA 92619 MOTH ❑ PTY ❑SCC 12/12/2017 Bette Lou Myers MIND Not employed 25.00 125.00 P2018 $125.00 ❑OOH []PTY ❑SCC Neon l5evelopment Group, Inc. ❑IND 899 Island Dr. #401 ❑COM Rancho Mirage, CA 92270 MOTH []PTY ❑ SCC SUBTOTAL$ 075.00 '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 (866/275-377I2) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. a 4 from 07/01/2017 • through 12/31/2017 page 55 p[ 86 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 HATE PER ELECTION RECEIVED IIFOOMMITrEE,ALSOENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SELF-EMPLOYED,EWER NAME PERIOD (JAK i - DEC, 31) (IF REQUIRED) OF BUSINESS) 12/12/2017 Nigosian Family Farme Inc. ❑IND 150.00 150.00 P2018 $150.00 75-572 Painted Desert Dr. ❑COD INDIAN WELLS, CA 92210 ] OTH ❑ PTY ❑SCC 12/12/2017 Peter Rabbit Farms ❑IND 1,000.00 1,000.00 P2018 $1,000.00 85810 Peter Rabbit Lane ❑COM Coachella, CA 92236 ®OTH ❑ PTY []SCC 12/12/2017 Robert J. Gilliland, Jr Law Corp. ❑IND 150.00 150.00 P2010 $150.00 40-004 Cook St. #3 ❑C0M PALM DESERT, CA 92211 x❑OTH ❑ PTY ❑SCC 12/12/2017 Johnny Rodriguez x❑IND Law enforcement 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY ❑SCC Richard y er S❑IND Attorney ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 1,550.00 '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 (866/276-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. from 07/01/2017 through 12/31/2017 Page 56 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DA-E FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE IIFSELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC.31) (IF REQUIRED) oFauslN�ssl 12 12/2017 David Savoca X❑IND Not employed 150.00 300.00 P2018 $300.00 ❑ OTH ❑ PTY ❑SCC 12/12/2017 Cathy Smith RIND Not employed 250.00 350.00 P2018 $350.00 ❑OTH ❑ PTY ❑SCC 12/12/2017 Southern Calif. Energy Alternatives, Inc. ❑IND 300.00 300.00 P2018 $300.00 45350 San Luis Rey ❑COM PALM DESERT, CA 92260 0 OTH ❑ PTY []SCC 12/12/2017 Rose Swearingen x❑IND Physician 150.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY ❑ SCC exquan Tan X❑IND Developer ❑ OTH []PTY []SCC SUBTOTAL$ 1,350.00 '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 --anti— --- - FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 07/01/2017 e . through 12/31/2017 page 57 of 86 NAME OF FILER LD. 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 UFGOMW7EE,ALSO ENTER I.D.NUMBER) CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12 13 2017 Scott Wilson ]IND Real estate broker 150.00 150.00 P2018 $150.00 ❑ OTH ❑ PTY []SCC 12/14/2017 William Bone 8❑IND CEO 1,000.00 1,000.00 P2010 $1,000.00 ❑OTH ❑ PTY ❑SCC 12/14/2017 Angie Gerber ®IND Not employed 200.00 200.00 P2018 $200.00 ❑OTH ❑ PTY ❑SCC 12/14/2017 Werner Corp. dba Foster Sands Gravel ❑IND 1,000.00 3,000.00 P2018 $3,000.00 25555 Maitri Rd. ❑COM Corona, CA 92883 x❑ OTH ❑ PTY ❑SCC 1211412017 Jeffrey Wilson ❑COM ❑ OTH ❑ PTY [:]SCC SUBTOTAL $ 2,500.00 '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 (Jar1/2016) FPPC Advice: advice@fppc.ca.gov (MG/275-3772) 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 07/01/2017 • through 12/31/2017 Page 58 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE.ALSO ENTER I.RNUMBERI CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. l - DEC. 31) (IF REQUIRED) OFBLGNESSI 12 16 2017 Mathias Vince Rarlen x❑IND Real Estate Finance 250.00 250.00 P2018 $250.00 ❑ OTH ❑ PTY []SCC 12 1912017 bunni benaron BIND retired 1,500.00 2,500.00 P2018 $2,500.00 ❑ OTH []PTY []SCC 12/19/2017 al keck ®IND Grower 750.00 750.00 P2018 $750.00 ❑ OTH ❑ PTY []SCC 12/20/2017 Maggie Lee x❑IND Not employed 2,500.00 2,500.00 P2018 $2,500.00 ❑ OTH ❑ PTY ❑ SCC Harold a zner @IND BUSINESS OWNER 20,000.00 , , ' ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 25,000.00 '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 ,. ._ — pro- ---- FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866(275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. • from 07/01/Z017through 12l31/2017 page59 of 8CfP__ NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 �� FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR ADDRESSZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED pFCT W. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE [IFSEif-EMPLOYED.ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFeUSINESS► 12 20/2017 Sean McGrath x❑IND President 5,000.00 5,000.00 P2018 $5,000.00 ❑ OTH ❑ PTY []SCC 12/22 2017 Nevins Kutz x❑IND Realtor 500.00 500.00 P2018 $500.00 ❑ OTH ❑ PTY ❑SCC 12/22/2017 Cynthia Trask ®IND Not employed 200.00 200.00 P2018 $200.00 ❑ OTH ❑ PTY ❑SCC 12/24/2017 Angus mcBain MIND retired 100.00 100.00 P2018 $100.00 ❑OTH ❑ PTY [-]SCC n & au is am in MINDInvestiga or 100.00 600.DU P2018 -Tn= ❑COM ❑ OTH ❑ PTY []SCC SUBTOTALS 5,900.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee __..:,_ --- FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (tZM275-3772) www.fopc.ca.gov Schedule A (Continuation Sheet) SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. 6 from 07/01/2017 through 12/31/2017 Page 60 Of 86 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 M4TT (IFODMEE,AMENTERLD.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 12/27/2017 Sofia Investments, Inc. ❑IND 250.00 250.00 P2018 $250.00 79625 Rancho San Pascual ❑COM La Quinta, CA 92253 ) OTH ❑ PTY []SCC 12 28/2017 Erica Harnik RIND Field rep 300.00 300.00 P2018 $300.00 ❑OTH ❑ PTY [-]SCC 12/29/2017 Chad Mayes for Assembly 2016 (ID# 1374095) ❑IND 2,500.00 5,000.00 P2018 $5,000.00 1022 G St., #B ®COM SACRAMENTO, CA 95814 ❑ OTH ❑ PTY ❑SCC 12/29/2017 Charissa Farley @IND CEO 500.00 500.00 P2010 $500.00 []OTH ❑ PTY []SCC 12/79/2017 Gary Galton ❑IND torney a i. for 250.00 1,250.00P , ] OTH []PTY ❑SCC SUBTOTAL$ 3,800.00 '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 _...__.. - "to- ___ FPPC Form 460 (Jan/2016) 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 period CALIFORNIA to whole dollars. 460 from 07/01/2017 FORM through 12/31/2017 page 61 of 86 NAME OF FILER I.D. NUMBER JAN HARNIR FOR SUPERVISOR 2018 1395155 DATE M FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR FULL CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION IODATE (IFOOMMITTEE,ALSND I-D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) 12/30/2017 Marge Dodge MIND Retired 100.00 100.00 P2018 $100.00 ❑ OTH ❑ PTY ❑SCC 12/30/2017 William Emmerson MIND Supervisor 1,000.00 1,000.00 P2018 $1,000.00 ❑ OTH []PTY []SCC 12/30/2017 Susan Hunt ®IND Retired 500.00 500.00 P2018 $500.00 ❑ OTH ❑ PTY ❑ SCC 12/31/2017 Gary Annunziata MIND Physician 1,000.001 1,000.00 P2018 $1,000.05 ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 2,600.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee .-... . —_"21- FPPC Form 460 (Jan/2016) FPPC Advice: adviee@fppe.ca.gov (8661275-3772) www.fopc.ca.gov Schedule C Nonmonetary Contributions Received SEE JAN HARNIK FOR SUPERVISOR 2018 DATE FULL NAME, STREET ADDRESS AND RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER] 1O/11/241 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31/2017 CONTRIBUTOR I IFANINDIVIDUAL,ENTERI DESCRIPTION OF CODE * OCCUPATIONANDEMPLOYER [IF SELF-EMPLOYED, ENTER GOODS OR SERVICES NAME OF BUSINESS] 7 Keedy Is LLC 73622 Hwy. 111 ❑IND PALM DESERT, CA 92260 ❑C+DM l] OTH ❑ PTY ❑SCC 12/05/2017 Michael Williams x❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY [:]Sc ❑IND ❑COM ❑OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.).................................................................................. 2. Amount received this period — unitemized nonmonetary contributions of less than $100 . 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) tering ing event SUBTOTALS AMOUNT/ FAIR MARKET VALUE 610. 647.9 1,257.99 1,257.99 ......... .........,.,,, $ 0.00 TOTAL $ 1,257.99 page 62 Of == 06 I.D. NUMBER 1395155 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) 610.40 I PER ELECTION TODATE (IF REQUIRED) Ole $610.00 647.99IP201e $647. 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 Amounts may be rounded I Statement covers period to whole dollars. from 07/01/2017 through 12/31/2017 I Page 63 of 86 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1395155 CMP campaign paraphemalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHD phone banks TRC candidate travel, lodging, and meals FND fundraising events Pal. polling and survey research TRS stab/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain), POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF 00MMITFEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID David Bauer PRO 708.31 Citi Cards FND 4,241.86 P.O. Box 18045 Phoenix, AZ 85062 COPS Voter Guide LIT 1,500.00 705-2 E. Bidwell St. #370 Folsom, CA 95630 " Payments that are contributions or independent expenditures must also be surpmarized on Schedule D. SUBTOTAL$ 6,450.17 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 67, 086.07 2. Unitemized payments made this period of under $100.................................................. $ 60.50 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 $ 67, 946.57 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 64 of 86 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 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 stab/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 MB 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 erundraising Connections OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 Buzz Factory LIT 32.63 1001 E. Tahquitz Canyon way #101 PALK SPRINGS, CA 92262 Printing Connection, Inc. LIT 386.53 11800 Steriing Ave., #E RIVERSIDE, CA 92503 Postmaster LIT 1,470.00 4150 Chicago Ave. Riverside, CA 92507 David Bauer PRO 764.40 " Payments that are contributions or Independent expenditures must also he summarized on Schedule D. SUBTOTAL $ 2,670.31 FPPC Form 460 (Jan/2016) FPPCToll-Free Helpiine:866/ASK-FPPC(8661275-3772) Schedule E (Continuation Sheet) Payments Made Amounts maybe rounded to whole dollars. Statement covers period from 07/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/31/2017 page 65 of 86 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. GNP campaign paraphemalia/mist. 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 FEr petition circulating TEL im. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 PIT print ads MB information technology casts (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID (IF COMMITTEE, ALSO ENTER I.0- NUMBER) eFundraising Connections OFC 98.00 2031 G St., #120 SACRAMENTO, CA 95816 Printing Connection, Inc. LIT 464.81 11800 Steriing Ave., #E RIVERSIDE, CA 92503 The Williams Co. CNS 15,690.42 3711-A Arlington Ave. Riverside, CA 92506 eFundraising Connections OFC 163.00 2831 G St., #120 SACRAMENTO, CA 95816 David Bauer PRO 543.40 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 16,959.63 FPPC Form 460 (Jan/2616) FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772) ....... s..-____ Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/31/2017 I Page 66 of 86 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. CMIR 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 F1L candidate filingtballot fees Ph10 phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals ND 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 pF COMMITTEE, ALSO ENTER I.D. NUMBER) DATA DOG FND 150.00 3711 A ARLINGTON AVE. RIVERSIDE, CA 92506 eFundraiaing Connections OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraiaing Connections OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraiaing Connections OFC 157.50 2831 G St., #120 SACRAMENTO, CA 95816 eFundraiaing Connections OFC 10.25 2831 G St., #120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 351.25 FPPC Form 460 (Jon/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTI+ NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE E Page 67 of 86 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. CIVP campaign paraphemalialmisc. Mt3R member communications RAD radio airtime and production costs CNS campaign consultants MiG 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 filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same 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 (internal, e-mail) NAME AND ADDRESS OF PAYEE IIF COMMITTEE, ALSO ENTER I-D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Buzz Factory CNS 3,421.56 1801 E. Tahguitz Canyon Way #101 PALM SPRINGS, CA 92262 eFundraising Connections oFC 43.25 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 27.00 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 65.50 2831 G St., #120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,574.06 FPPC Form 460 (Jan/2016) FPPC Toil -Free Helpline: 866/ASK-FPPC 18661275-3772) Schedule E SCHEDULE E (CONT (ContinuationSheet) Amounts may berounded Statement covers period Pa ments Made Y to whole dollars. EM from 07/o1/2a17 SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 68 of 86 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 paraphernalialmisc. MBR member communications RAO 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 PHD phone banks TRC candidate travel, lodging, and meals FND fundraising events POL palling 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 MB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE {IF COMMITTEE, ALSO EMER LQ NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections OFC 6.94 2831 G St., #120 SACRAMENTO, CA 95816 Citi Cards OFC 190.65 P.O. Box 78045 Phoenix, AZ 85062 eFundraising Connections OFC 33.00 2831 G St., #120 SACRAMENTO, CA 95816 JOSEPH PRADETTO OFC 313.40 David Bauer PRO 458.90 " Payments that are contributions or independent expendHures must also be summarized on Schedule D. SUBTOTAL $ 1,002.89 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC 18661275-3772) Schedule E SCHEDULE E (Continuation Sheet) Amounts may be rounded Statement covers period . ll Payments Made to whole dollars. . - Y from 07/01/2017 SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 69 car 86 NAME OF FILER I.D. NUMBER JAN HARKIK 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 paraphemalia/misc. MBR member communications RAO radio airtime and production costs CNS campaign consultants MM meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC Office expenses SAL campaign workers' salaries CVC civic donations PET pelition circulating TEL Lv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure 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 IIF COMMITTEE, ALSO ENTER I.O. NUMBER) Postmaster LIT 1,813.00 4150 Chicago Ave. Riverside, CA 92507 Printing Connection, Inc. LIT 1,237.77 11800 Steriing Ave., #E RIVERSIDE, CA 92503 Printing Connection, Inc. LIT 499.23 11800 Steriing Ave., #E RIVERSIDE, CA 92503 eFundraising Connections OFC 43.25 2831 G St., #120 SACRAMENTO, CA 95816 Nygren 6 Co. TRS 472.29 3470 Park Dr. E1 Dorado Hills, CA 95762 ' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,065.54 FPPC Form 460 (,lan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) ......... _....._ -- Schedule E (Continuation Sheet) Payments Made ON REVERSE F410ij Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE E Page 70 Of 86 I.O. NUMBER JAN HARNIH 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. CMS campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WIG 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 'IRC 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 LIT campaign literature and mailings PRT 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 AMOUNTPAID eFundraising Connections OFC 16.75 2031 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 Nygren 8 Co. CNS 1,000.00 3470 Park Dr. El Dorado Hills, CA 95762 eFundraising Connections OFC 65.50 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections O£C 16.75 2831 G St., #120 SACRAMENTO, CA 95816 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,115.75 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Amounts berounded Payments Made towholf,dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE E Page 71 of 86 I.A. NUMBER JAN RARNIK FOR SUPERVISOR 2010 '� 1395155 you may enter the code. Otherwise, CODES: If one of the following codes accurately describes the paymenimmunications describe the payment. C1VP campaign paraphemalialmisc. MBR member RAD radio airtime and production costs CNS campaign consultants MTG meetings'and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filinglballot fees PHO phone batiks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staflspouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the some candidatelsponsor LEG legal defense PRO profess€oryal services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Williams Co. CNS 4,169.00 3711-A Arlington Ave. Riverside, CA 92506 3 Printing Connection, Inc. t LIT 1,089.10 11800 Steriing Ave., #E RIVERSIDE, CA 92503 Buzz Factory LIT 293.52 1801 E. Tahquitz Canyon way #101 PALM SPRINGS, CA 92262 eFundraising Connections OFC 65.50 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 89.25 2831 G St., #120 SACRAMENTO, CA 95016 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 5,706.31 FPPC Form 460 (Jan/2016) FPPC Toll -Free Hetpline: 8661ASK-FPPC (8661275-3772) Schedule E SCHEDULE E (Continuation Sheet) Amounts maybe rounded Statement covers period *. , Payments Made to whole dollars. kom 07/01/2017 SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 72 Of 86 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 paraphemalia/misc, MBR member communications RAD radio airtime and production casts CNS campaign consultants MiG 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 FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Citi cards FND 1,120.90 P.O. Sox 78045 Phoenix, AZ 85062 DATA DOG FND 150.00 3711 A ARLINGTON AVE. RIVERSIDE, CA 92506 eFundraising Connections i! OFC 82.25 2831 G St., #120 SACRAMENTO, CA 95816 x i i eFundraising Connections OFC 195.50 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections - OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 3 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 1,565.40 FPPC Form 460 (Jan/2016) FPPC Toll -Free Melpline: 6661ASK-FPPC 18661275-3772) Schedule E SCHEDULE E (CONT) (Continuation Sheet) Amounts maybe rounded Statemenicoversperiod CALIFORNIA towhole'dollars. • ' 8 ' Payments Made fto,,, 07/o1/zo17 SEE INSTRLICilONS ON REVERSE through 12/31/2017 Page 73 of m 86 NAME OF FILER I.D. NUMBER JAN HARNIR 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 MfG 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 IND independent expenditure supporting/opposing others (explain)' POS postage, deilvery 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 VUEB information technology costs (internal, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID (-F COMMITTEE, ALSO ENTER M NUMBER) eFundraising Connections OFC 10.25 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 174.00 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 40.50 2831 G St., #120 SACRAMENTO, CA 95016 eFundraising Connections OFC 60.00 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 84.25 2831 G St., #120 SACRAMENTO, CA 95816 Payments that are contributions or independent expenditures must also be summarized do Schedule D. SUBTOTAL $ 369.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 8661ASK-FPPC 186612753772) Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to wholeiVollam. Statement covers period from 07/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE I through 12/31/2017 I Page 74 of 86 NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 I.D. NUMBER 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. t7VP 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 PH() 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 supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the some 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 tIF COMMITTEE. ALSO ENTER 1-0- NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections OFC 82.75 2831 G St., #120 SACRAMENTO, CA 95816 Nygren & Co. CNS 1,000.00 3470 Park Dr. E1 Dorado Hills, CA 95762 David Bauer PRO 571.24 Calif. Taxpayer Protection Committee LIT 1,423.74 9321 Silverbend Ln. Elk Grove, CA 95624 Conservative Voter Guide LIT 1,368.60 9321 Silverbend Ln. ELK GROVE, CA 95624 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,446.33 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-37721 Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole;dollars. Statement covers period from 07/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 75 of 86 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. G1P campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations FfT 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 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internal, e-mail) NAME AND ADDRESS OF PAYEE JIF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID eFundraising Connections OFC 33.00 2831 G St., #120 SACRAHENTO, CA 95816 Rodrigo Pena Photography LIT 187.50 437 Tech Mailing Svc. OFC 160.00 75071 St. Charles P1. Palm Desert, CA 92261 La Bodega FND 1,468.00 3512 Central Ave. RIVERSIDE, CA 92506 Postmaster LIT 1,715.00 4150 Chicago Ave. Riverside, CA 92507 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SU13TOTAL $ 3,563.50 FPPC Form 460 (Jan/2016) FPPC Toil -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Amounts maybe rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE E Page 76 of 86 I.D. NUMBER JAN HARNIR FOR SUPERVISOR 2018 f 1395155 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWP campaign paraphemalialmisc. VSR 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 pelklon circulating TEL Lv. or cable airtime and production costs FIL candidate filing/ballot fees PFID phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS g ng, and meals staff/spouse travel, lodging, 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE IIF COMMITTEE, ALSO ENTER I D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID eFundraising Connections OFC 65.50 2831 G St., #120 r SACRAMENTO, CA 95816 David Bauer PRO 639.60 Printing Connection, Inc. LIT 2,912.08 11800 Steriing Ave., #E RIVERSIDE, CA 92503 The Williams Co. CNS 5,942.64 3711-A Arlington Ave. Riverside, CA 92506 Landslide Communications LIT 3,000.00 30011 Ivy Glenn Dr. #223 LAGUNA NIGUEL, CA 92677 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 12, 559.82 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 666/ASK-FPPC (8661275-3772) ....... r--_ -- --.. Schedule E (Continuation Sheet) Payments Made Amounts may be rounded to whole dollars. Statement covers period from 07/01/2017 SCHEDULE E through 12/31/2017 78 86 SEE INSTRUCTIONS ON REVERSE of Page NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 I.D. NUMBER 1395155 CODES: If one of the fallowing 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 CTt3 contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations IEr 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 fundralsing events POL polling and survey research TRS staff/spouse travel, lodging, and meals NO independent expenditure supportinglopposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the some candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMM TTEE ALSO ENTER F.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID eFundraiaing Connections OFC 120.00 2831 G St., #120 SACRAMENTO, CA 95816 eFundraiaing Connections OFC 84.00 2831 G St., #120 SACRAMENTO, CA 95616 Printing Connection, Inc. LIT 150.65 11800 Steriing Ave., #E RIVERSIDE, CA 92503 eFundraiaing Connections x OFC 20.50 2031 G St., #120 SACRAMENTO, CA 95816 SF eFundraiaing Connections OFC 17.25 2831 G St., #120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 392.40 FPPC Form 460 (Jan121116) FPPC Toll -Free Helpline: 6661ASK-FPPC (866/2753772) Schedule E (Continuation Sheet) Amounts maybe rounded Payments Made to whole dollars. Statement covers period from 07/01/2017 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page 79 of 86 NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 CODES: If one of the following codes CIVP CNS CTB CVC FIL FND IND LEG LIT campaign paraphemalialmisc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filing/ballot fees fundraising events Independent expenditure supportinglopposi legal defense campaign literature and mailings accurately describes the payment, -you may enter the code. ng MBR member communications NnG meetings and appearances OFC office expenses FEf petition circulating PHD phone banks POL polling and survey research others (explain)' POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL Lv. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEI3 information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMM TTEE, ALSO ENTER i D. NUMBER) eFundraising Connections OFC 147.25 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 34.50 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 65.50 2831 G St., 0120 SACRAMENTO, CA 95816 eFundraising Connections oFC 156.25 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 130.50 2831 G St., #120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 534.00 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helptine: 866/ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 Amounts may be rounded to whole a ollars. Statement covers period from 07/01/2017 through 12/31/2017 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 80 of 86 I.O. NUMBER 1395155 CMP campaign paraphemaltalmisc. 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 PI-IO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads . WEB information technology costs (internal. e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) Nygren a Co. 3470 Park Dr. E1 Dorado Hills, CA 95762 eFundraising Connections 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections 2831 G St., #120 SACRAMENTO, CA 95816 Secretary of State 1500 llth St., Rm 495 SACRAMENTO, CA 95814 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID TR5 1 224.86 OFC 1 I 176.00 OFC 1 1 16.75 OFC - 1 27.00 FIL 1 I 50.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule A. SUBTOTAL; 494.61 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA 460 l towhoe dollars. • ' Payments Made ha„ 07/01/z017 through 12/31/2017 Page 81 Of 86 SEE INSTRUCTIONS ON REVERSE 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. QUIP 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 PEf petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot lees 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID LIF COMMITTEE, ALSO ENTER I O NUMBER) Citi Cards OFC 265.22 P.O. Box 78045 Phoenix, AZ 85062 eFundraising Connections OFC 16.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 98.00 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 374.75 2831 G St., #120 SACRAMENTO, CA 95816 eFundraising Connections OFC 3.75 2831 G St., #120 SACRAMENTO, CA 95816 " Payments that are contributions or independent expenditures must also be summarized on Schedule d. SUBTOTAL $ 758.47 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. NAME OF FILER JAN HARNIK FOR SUPERVISOR 2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphemalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations P r petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research ND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR IIF COMMITTEE, ALSO EIVER I D. MJMBERi eFundraising Connections I OFC 2831 G St., #120 SACRAMBNTO, CA 95816 eFundraising Connections OFC 2B31 G St., #120 SACRAMENTO, CA 95816 Statement covers period from 07/01/2017 through 12/31/2017 SCHEDULE E Page 82 of 86 I.D. NUMBER 1395155 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL l.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID 7.00 23.75 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 30.75 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276-3772) ........ s---- -- --.. SCHEDULEF Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON Amounts maybe rounded to whole dollars. Statement covers period from 07/01/2017 through 12/31/2017 Page 83 of 86 NAME OF FILER JAN HARRIK FOR SUPERVISOR 2018 I.D. 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. 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 PFIO 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 candidale/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) b c NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PE RIOD 1+4 54 REPORT ON E; OF THIS PERIOD Citi Cards FND 4,241.86 0.00 4,241.86 0.00 P.O. Box 78045 Phoenix, AZ 85062 High Tech Mailing Svc. OFC 0.00 435.95 0.00 435.95 75071 St. Charles P1. Palm Desert, CA 92261 Citi Cards FND 0.00 2,202.88 0.00 2,202.88 P.O. Box 78045 Phoenix, AZ 85062 • Payments that are contributions or Independent expenditures must also be SUBTOTALS $ 4, 241.86$ 2, 638. B3 $ 4, 241.86$ 2,638.83 summarized on Schedule D. Schedule F Summary Total accrued expenses incurred this period. (Include all Schedule Fr Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)............................................ INCURRED TOTALS $ 2,fi3e.B3 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 $ 4,274.49 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 $ _1 635.66 .,..,...+...,,....+++.... _- y be a negaty, number FPPC Form 460 WarM16) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule G Payments Made by an Agent or Independent Amounts maybe rounded Contractor (on Behalf of This Committee) to whole dollar:. SEE INSTRUCTIONS ON REVERSE NAME OF FILER covers period from 07/01/2017 through 12/31/2017 I Page.84— off 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. G CfVIP 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 filinglballot fees PFIO 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 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) Verizon OFC 190.65 P.O. Box 920041 DALLAS, TX 75392 Jackalope Ranch FND 370.90 80400 Hwy 111 Indio, CA 92201 Refreshments only Nicolino's FND 750.00 35325 Date Palm Dr CATHEDRAL CITY, CA 92234 Refreshments only GODADDY.COM WEB 147.75 WWW.GODADDY.COH Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 1,459.30 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.gov ......... --"Jt- --- Schedule G (Continuation Sheet) Payments Made by an Agent or Independent Amounts may be rounded Statement covers period SCHEDULE G (CONT.) Contractor (on Behalf of This Committee) towholedollars. from 07/01/2017 through 12/31/2017 Page 85 off SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JAN HARNIR 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. ClVP campaign paraphemalia/misc. WR 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 fllingiballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr 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.O. NUMBER) Desert ARC - Disabled Services IFND 570.00 73255 Country Club Dr. PALM DESERT, CA 92260 Carl's Jr. FND ` 1,616.25 1051 N. Wineville Ave. I ONTARIO, CA 91764 Verizon OFC 180.20 P.O. Box 920041 DALLAS, TX 75392 Attach additional infonnation on appropriately labeled continuation sheets. TOTAL" $ 2,366.45 " 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: adviceQfppc.ca.gov (li6S1275-3772) www.fppc.ca.gov Schedule G SCHEDULEG Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Contractor (on Behalf of This Committee) towhole dollars. from 07/01/2017 • - • 1 through 12/31/2017 Page_ Of 86 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER JAN HARNIK FOR SUPERVISOR 2018 1395155 NAME OF AGENT OR INDEPENDENT CONTRACTOR JOSEPH PRADETTO CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same 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) ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR IIF COMMITTEE, ALSO ENTER I.D. NUMBER I CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Nationbuilder www.nationbuilder.com OFC 278.40 Attach additional information on approptiately labeled continuation sheets. TOTAL* $ 278.40 ' 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 repoded on Schedule E. FPPC Form 460 (Jar1/2016) FPPC Advice: advice@fppc.ca.gov (866W5.3772) www.fppc.ca.gov