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Home My WebLink About2014-06-30 Form 460 - Harnik - AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) fro Type or print in ink. m Statement covers period I Date of election if applicable: 01 /01 /2014 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE through 06/30/2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pad5) 0 Sponsored ❑ General Purpose Committee (At- Complete Part 5) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 11 /4/2014 2. Type of Statement: CITY `C`t 'S OF PALM DESERT. I 2014 AUG 28 PM 2: COVER PAGE If 10 For Official Use Only ❑ Preelection Statement ❑ Quarterly Statement ® Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ® Amendment (Explain below) Amending Schedule A - To include missing "Cumulative To Date Calendar Year (Jan.1 - Dec. 31)" and correct typographical errors. Treasurer(s) NAME OF TREASURER Dr. William Kroonen MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 ( NAME OF ASSISTANT TREASURER, IF ANY Palm Desert CA 92260 ( Elizabeth Lopez MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Indio CA 92203 ( OPTIONAL. FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS mrslizlopez@gmail.com 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 co Executed on August �'i , 2014 Date Executed on AugusrL9, 2014 Date Executed on Date By By By Signature ofControlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement CALIFORNIA ' � � � 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) City Council / City of Palm Desert RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Palm Desert, CA 92260 Related Committees Not Included in this Statement: List any committees not included /n this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page 2 of 10 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee 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 -1. � pv u1 I .. I1R �VuC rnwllc Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Schedule A Type or print in ink. SCHEDULE A A ... _.._�_ I-- - Monetary Contributions Received "MOO S mayue rounded Statement covers period 01/01/2014 CALIFORNIA • from SEE INSTRUCTIONS ON REVERSE through 06/30/2014 Page of ID NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QFCOMMnIRE ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OFBUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Elizabeth Lopez 01ND ❑COM Legal Secretary❑OTH 1/11/14 ❑ PTY ❑scc Vic Gainer OIND ❑COM Coach 1/12/14 ❑ PTY School ❑ SCC Building Industry Assoc. of Southern California ❑IND 1/24/14 c/o Reed & Davidson ❑COM ®OTH 250.00 250.00 3699 Wilshire Blvd., Suite 1290 ❑ PTY Los Angeles, CA 90010 ❑scc CREPAC ❑IND acoM ID #890106 1/24/14 525 So. Virgil Ave. ❑OTH 1,000.00 1,000.00 Los Angeles, CA 90020 ❑ PTY ❑ scc Kathleen Snoble ®IND None 1/24/14 ❑ PT), ❑ SCC SUBTOTAL$ 1,550.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 18,212.00 2,133.00 20,345.00 '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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary ContrinutlonS Kecelved Amounts may be rounded Statement covers period to whole dollars. • " ' from 01 /01 /2014 • through 06/30/2014 Page<L of�L0 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Kathleen Block IaIND None 1/24/14 ❑ PTY ❑SCC Warren Smith 01ND VP of Sales 2/14/14 ❑OTH ❑ PTY ❑ SCC Helene V. Galen 01ND None 2/1/14 ❑❑OTH ❑ PT, ❑SCC Lucker Anderson ❑IND 2/20/14 ❑ PT, ❑ scC Larrea Partners LLC ❑IND 2/20/14 7 Via Merenda 1,000.00 1,000.00 Rancho Mirage, CA 92270 BOTH ❑ PTY ❑ SCC SUBTOTALS 6,950.00 *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 Fond 460 (January/05) FPPC Toll -Free Helplins: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary c:ontrawtionS Keceived Amounts may be rounded Statement covers period to whole dollars.01/01/2014 .. from 10f -F-jo- 06/30/2014 C�through Page ✓ NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) GID Monterey, LLC ❑IND 2118/14 3470 Wilshre Blvd., Suite 1020 ❑coM ®OTH 500.00 500.00 Los Angeles, CA 90010 ❑ PTY ❑SCC Kenneth W. Huddy ®IND None 2/20/14 ❑OTH ❑ PTY ❑ SCC Thomas F. O'Brien ®IND CPA 2/20/14 ❑OTH CPA's El PTY []SCC Michael J. McGarrey 01ND None 2/20/14 ❑OTH ❑ PTY ❑ SCC Robert W. Roark 01ND Real Estate Dev. 2/20/14 ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 928.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. 01 /01 /2014 • from FORM through 06/30/2014_ __ Page /// of NAME OF FILER I.D NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE (EET A COMM.-TEE. ALSO ENTER ZI .D.N DE O FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Janice A. Oliphant ®IND None 2/20/14 ❑ PTY ❑SCC Larry Goodwin OIND Insurance 2/20/14 ❑OTH ❑ PTY ❑ SCC Dennie Marks OIND Self 2/20/14 ❑OTH Products ❑ PTY ❑ SCC .;acqueline T. Jones OIND VP & Secretary 2/20/14 0 PTY Construction [-]SCC Sandra Hardin BIND Self 2/20/14 ❑OTH ❑ PTY ❑ SCC SUBTOTAL $ 642.00 '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 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.) monetary uontrioutionS Keceiveci Amounts may be rounded Statement covers period to whole dollars. 01 /01 /2014 from • through 06/30/2014 _ Page �_ of ip NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) Janice M. Hawkins ®IND Development Director 2/20/14 Foundation ❑SCC Marilyn Komell ®IND None 2/20/14 ❑OTH ❑ PTY ❑ SCC Margaret Danna-McTague ®IND None 2/20/14 ❑OTH ❑ PTY []SCC Lynda M. Altman 01ND None 2/20/14 ❑OTH ❑ PTY ❑ SCC Neon Development Group ❑IND 2/15/14 19 Villaggio PI. eo°H 500.00 500.00 Rancho Mirage, CA 92270 ❑ PTY ❑ SCC SUBTOTALS 1,678.00 '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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.) Monetary c:ontrlbutlonS Keceived Amounts may be rounded Statement covers period to whole dollars. �- . 01 /01 /2014 fromthrough FL10— 06/30/2014 Page of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMn7EE.ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) Premier Home Health Care Inc. ❑IND 2/21/14 75101 Sego Ln., Ste J2 ❑COM BOTH 200.00 200.00 Palm Desert, CA 92211 ❑ PTY ❑SCC 2009 Hubbard Family Trust ❑IND 2/19/14 ZOTH ❑ PTY ❑ SCC Carl T. Cardinalli ®IND Real Estate Sales 3/1/14 ❑ PTY Development and ❑SCC Management Adana Chase BIND None 2/25/14 ❑ PTY ❑ Scc Mark Nickerson OIND Managing Member 2/27/14 ❑ PTY ❑ SCC SUBTOTAL $ 4,700.00 *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 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary t;ontribuillonS Keceivea Amounts may be rounded Statement covers period - to whole dollars. • ' from _ 01 /01 /2014 e - • through 06/30/2014 Page _1_ of ILL NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVF'TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) Arthur Biock ®IND None 3/15/14 ❑ PTY []SCC Richard Umbenhauer 01ND Attorney V 3/3/14 ❑ PTY ❑ scC Victor'a Bioom ®IND Investor, Self 2120/14 ❑ PTY ❑ SCC Valerie Gwyn OIND None 3/19/14 ❑OTH ❑ PTY ❑ SCC Bonnie Garcia for Senate 2014 ❑IND ID # 1356568 --- - - 3/22/14 P.O. Box 984 ®coM 500.00 500.00 Willows, CA 95988 ❑OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,464.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE (CONT,) mvneiar %oonl<rioutttons meceivea Amounts may berounaea Statement covers period to whole dollars. CALIFORNIA 01/01/2014 from FORM • through 06/30/2014 Page 10 of _1 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Russell Davis ®IND Self, Attorney 4/1/14 ❑ OTH ❑ PTY []SCC Richard Selberg ®IND None 5/2/14 ❑OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY I ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ Scc SUBTOTAL$ 300.00 '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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)