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Home My WebLink About2013-06-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 1/1/13 through 6/30113 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure p State Candidate Election Committee Committee p Recall Q Controlled Also Complete Part5) Q Sponsored (At -Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ p Small Contributor Committee Officeholder Committee p Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1322067 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee to Elect Jan Harnik for City Council 2010 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Palm Desert CA 92260 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Same CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 2. Type of Statement: IT Y M PrioS O F F! PALM DE517F + CI JUL 31 At,11: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE 1 of 4 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Sabby Jonathan MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 ( NAME OF ASSISTANT TREASURER, IF ANY Debbie McNicol MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92211 ( OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. i certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Julys 2013 Date Executed on Jul /d/, 2013 Date Executed on Date By By By Signature of Controging OMcetnlder,Candidate, Slate Measure Proponent Executed on By Date Signature of Controlling OlfiooWder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toil -Free Helpline: 8661ASK-FPPC (8661Z753772) State of California Recipient Committee Type or print in ink COVER PAGE - PART 2 Campaign Statement FOFORNIARM460 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) Councilmember / City of Palm Desert RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Palm Desert, CA 92260 Related Committees Not Included in this Statement: Listanycommittees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION ElSUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... schedule A, Line 3 $ 2. Loans Received...................................................... schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions .................................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ Expenditures Made Statement covers period from 1/1/13 through 6/30/13 Column A Column B TOTALTHIS PERIOD CALENDAR YEAR (FROMATTACHEDSCHEDULES) TOTALTODATE 11,798.08 6. Payments Made ....................................................... schedule E. Line 4 $ (50.00) $ 7. Loans Made............................................................. schedule H Line 3 — 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ (50.00) $ 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 — 10. Nonmonetary Adjustment .......................................... schedule C. Line 3 — 11. TOTAL EXPENDITURES MADE ................................Add Lines a+ 9 + to $ (50.00) $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 1021.26 13. Cash Receipts ................................................... Column A. Line 3 above — 14. Miscellaneous Increases to Cash ........................... schedule /, Line 4 50.00 15. Cash Payments .................................................. Column A. Line a above — 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 1,071.26 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 11,798.08 Page 3 of 4 I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made; (If Subject to voluntary Expenctiture limit) Date of Election Total to Date (mm/dd/yy) J _ $ —�—I $ To calculate Column B, add amounts in Column A to the corresponding amounts "Amounts in this section may be different from amounts from Column B of your last reported in Column B. report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (January105) FPPC Toll -Free Helpiine: 866/ASK-FPPC (8661275-3772) Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Jan Hamik for City Council 2010 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE OF COMMITTEE, ALSO ENTER I.D. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA from 1/1/13 • - through— — 6/30/13 Page 4 Of 4 I.D. NUMBER 1322067 DESCRIPTION OF RECEIPT — AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period........................................................................................................................ $ 2. Unitemized increases to cash of under $100 this period. 50.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)....................................................................................................... TOTAL $ 50.00 FPPC Form 460 (January106) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-3772)