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Home My WebLink About2014-06-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE NSTRUCTIONS ON REVERSE Type or print in ink. CtPI Statement covers period Date of election If applidmq: n1/(11/9n14 I (Month, Day, Year) from 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 p State Candidate Election Committee Committee O Recall Q Controlled (Also CompletePad5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee p Sponsored Q Small Contributor Committee p Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1322067 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re -Elect Jan Harnik Palm Desert City Council 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert CA 92260 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE 11/4/14 CLERK'S OFFICE M DESERT. CA 31 PM 1:56 COVER PAGE Page _ I of V" For Official Use Only 2. Type of Statement: ❑ 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) 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 Elizabeth Lopez MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Indio CA 92203 ( OPTIONAL FAX / E-MAIL ADDRESS 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 sOlBcerofSponsor Executed on Date BY Signature ofControl6ng Officeholder, Candidate, Slate Measure Proponent Executed on pate BY Signature ofControlfing Officeholder. Candidate. State Measure Proponent FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print in ink. COVERPAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 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 In 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 CODE/PHONE COMMITTEE NAME ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PA BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page A of 1 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames 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 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Statement covers pe CALIFORNIA ' Amounts may be rounded Summary Page to whole dollars. from 01/01/2014 O' • SEE INSTRUCTIONS ON REVERSE through 06/30/2014 Page 3 of 15 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions ........................................... Schedule A. Lanes $ 20 ,345.00 $ 20 345.00 General Elections 2. Loans Received...................................................... Schedule e, Line 3 -0- 11,798.08 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 20,345.00 $ 32,143.08 20. Contributions 4. Nonmonetary Contributions .................................... Schedule c, Line 3 1,090.00 1 ,. 00 Received $ $090 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 21,435.00 $ 33,233.08 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 1,941.06 $ 1,941.06 Candidates 7. Loans Made............................................................. Schedule H, Line 3 -0- -0- 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 1,941.06 $ 1,941.06 22• Cumulative Expenditures Made' (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 -0- -0- Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 -0- -0- (mm/dd/yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ 1,941.06 $ 1,941.06 $ $ Current Cash Statement 12. Beg nn:ng Cash Balance ....................... Previous Summary Page, Line 16 $ 33,929.87 To calculate Column B, add '3. Cash Receipts ................................................... Column A, Line 3 above 20,345.00 amounts in Column A to the _ J� $ 32 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule I Line 4 from Column B of your last) $ 15. Cash Payments ............."""""""....................... Column A, Line 6 above 1,941.06 report. Some amounts in Column A may be negative J $ 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 16 $ 52,334.12 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. Cash Equivalents and Outstanding Debts Y) 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 11,798.08 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may be rounaeo Monetary Contributions Received to whole dollars. Statement covers period • - , from 1/1/14 • ' through 6/30/14 Page 4 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER ' D NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESSDE O ZIER CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. 1.D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) OF BUSINESS) 1/11/14 Elizabeth Lopez ®❑COD IND Legal Assistant 100.00 ❑ PTY ❑SCC 1/12/14 Vic Gainer ®❑COD IND Coach 100.00 ❑ PTY School ❑SCc 1/24/14 Building Industry Assoc. of Southern California ❑❑coM IND 250.00 c/o Reed & Davidson ®OTH 3699 Wilshire Blvd., Ste. 1290 ❑ PTY Los Angeles, CA 90010 ❑SCC 1/24/14 CREPAC ®COM IND ID #890106 1,000.00 525 So. Virgil Ave. ❑OTH Los Angeles, CA 90020 ❑ PTY ❑ SCC 1/24/14 Katherine Snoble ❑®coM IND None 100.00 ❑ PTY ❑ SCC SUBTOTAL$ 1,550.00 Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.)........................................................................................................ $ 18,212.00 2. Amount received this period — unitemized contributions of less than$100............................................. $ 2,133.00 3. Total monetary contributions received this period. 20,345.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ IND-individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2014 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/14 through 6/30/14 SCHEDULE A (CONT) Page 5 of 1'S ID.NUMBER 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCON"ITTEE,ALSOEPoTERIDNUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1/24/14 Kathleen Block RJCOM IND None 250.00 ❑ PTY ❑ SCC 200.00 2/14/14 Warren Smith ®IND com ❑❑OTH VP of Sales ❑ PTY ❑ SCC 2/1/14 Helene V. Galen ❑&ND None 5,000.00 ❑ PTY ❑ SCC 2/20/14 Lucker Anderson pcOM IND 500.00 ❑ PTY ::] SCC 2/20/14 Larrea Partners, LLC ❑❑COD IND 1,000.00 ❑ PTY ❑ SCC SUBTOTALS 6,950.00 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2014 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMRTEE,ALSO ENTER I.D NUMBER) CODE 2/18/14 GID Monterey, LLC E]IND COM ❑®OTHTH 3470 Wilshire Blvd., Ste. 1020 Los Angeles, CA 90010 —1PTY ❑SCC 2/20/14 Kenneth W. Huddy ®IND ❑ COM ❑ PTY ❑ SCC 2/20/14 Thomas F. O'Brien ®IND ❑ COM ❑ PTY ❑ SCC 2/20/14 Michael J. McGarrey ®IND ❑COM ❑ PTY ❑ SCC 2/20/14 Robert W. Roark ®IND COM ❑❑OTHTH ❑ PTY ❑ SCC 'Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY —Political Party SCC —Small Contributor Committee SCHEDULE A (CONT.) Statement covers period from 01/01/14 through J6/30/14 I Page-6_ of�1— t I.D. NUMBER 1322067 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) None I 100.00 CPA 100.00 O'Brien, Miller & Blake, CPA's None 114.00 Real Estate Dev. 114.00 On Time Performance SUBTOTALS 928.00 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONY.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 01/01/14 • from through I6/30/14 Page 7 of 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 (EETAIF DRE,ALSANDZIO ENTER CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED .D.NDEO CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OFBUSINESS) 2/20/14 Janice A. Olipphant MIND COM ❑❑OTH None 114.00 ❑ PTY ❑ SCC 2/20/14 Larry Goodwin MIND ❑ COM Insurance 114.00 ❑ PTY Network ❑SCC 2/20/14 Dennie Marks X]IND Self 114.00 ❑ PTY Products ❑ SCC 2/20/14 Jacqueline T. Jones q MIND ❑ COM VP & Secretary 150.00 ❑ PTY Construction ❑ SCC 2/20/14 Sandra Hardin MIND ❑COM Self 150.00 ❑ PTY ❑ SCC SUBTOTAL$ 642.00 I �_ 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 01 /01 /14 FORM -r6 from through i6/30/14 _ Page 8 of S 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 (IF COMMITTEE, ALSO ENTERI.O NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE (IF SEL.F-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) OF BUSINESS) Development Director A' A 200.00 2/20/14 Janice M. Hawkins ®IND COM ❑❑OTH ❑ PTY ❑SCC 2/20/14 Marilyn Kornell ®IND ❑CM None 228.00 ❑PTY ❑ SCC 2/20/14 Margaret Danna-McTaque ®❑COD IND None 250.00 ❑ PTY ❑ SCC ®IND ❑COM None 2/20/14 Lynda M. Altman y 500.00 ❑PTY ❑SCC 2/15/14 Neon Development Group E]COM IND 500.00 ❑ PTY []SCC SUBTOTALS 1,678.00 •Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 01/01/14 • from through 06/30/14 Page 9 ofI r5 NAME OF FILER T I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AIF RE,ALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT I D NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) 2/21/14 Premier Home Healthcare ❑IND 200.00 75101 Sego Ln., Ste. 52 MOTH Palm Desert, CA 92211 ❑ PTY ❑SCC 2/19/14 2009 Hubbard Family Trust ❑IND CO 2,500.00 72- ❑ SCC 3/1/14 Carl T. Cardinalli ❑MIND Real Estate Sales 500.00 4 Development and ❑SCC Management MIND 1,000.00 2/25/14 Ariana Chase None 74695 ❑ SCC 2/27/14 Mark Nickerson MIND EICO86-705 E]SCC SUBTOTAL$ 4,700.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars.CAL • • , from 01/01/14 • - through 06/30/14 Page 10 of _ 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 pFCOMMRTEE,ALSNDI.U.NUMB CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 3/15/14 Arthur Block MIND ❑COM None 500.00 ❑ PTY ❑SCC 3/3/14 Richard Umbenhauer MIND Attorney 100.00 ❑ PTY ❑ SCC 2/20/14 Victoria Bloom ®❑COM IND Investor, self 114.00 ❑ PTY ❑ SCC 3/19/14 Valerie Gwyn MIND ❑COM None 250.00 ❑ PTY []SCC 3/22/14 Bonnie Garcia for Senate 2014 ®COM IND ID #1356568 500.00 ❑ PTY ❑ SCC SUBTOTAL $ 1,464.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2014 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITfEE,ALSO ENTER I.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 4/1/14 Russell Davis RIIND Self, Attorney ❑PTY ❑SCC 5/2/14 Richard Selberg ❑IND None ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY -- ---- - - - _ � ❑ SCC — - - - ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 'Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Parry SCC - Small Contributor Committee SCHEDULE A (CONT.) Statement covers period CALIFORNIA 01 /01 /2014 • - • from through 06/30/2014 Page 11 of I.D. NUMBER I 1322067 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 200.00 100.00 SUBTOTAL $ 300.00 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE B - PART 1 Schedule B — Part 1 Amounts vmay .be.rounded Statement covers period P CALIFORNIA to whole dollars. Loans Received 01/01/2014 • - • from 06/30/2014 12 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , a OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e INTEREST (g) ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS I (IF COMMnTEE. ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) D PERIOD THIS PERIOD' _p RI PERIOD LOAN ! TO DATE I CALENDAR YEAR Brian S. Harnik Self PAID 45- RATE PERELECTION- 11,798.08 -0- $ S 10/1/10 5 t i� IND ❑ COM ❑ OTH ❑ PTY ❑SCC DATE DUE DATE INCURRED 1 { ❑ PAID CAI r. NDAR YI %P S $ % $ �S ❑ FORGIVEN RATE PERELECTION" S S $ S $ DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED CALENDAR YEAR U PAID ]FORGIVEN RATE i PcRtLcCTION— S S S_ $ S I I DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ $ $ $ F_ Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) -0- -0- 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ -0- Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) t Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee %_ — Schedule E. Line 3) 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule C Type or print in ink. Nonmoneta Contributions Received Amounts may of rounded ry to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER T Re -Elect Jan Harnik Palm Desert City Council 2014 Statement covers period from 01 /01 /2014 through 06/30/2014 pa e 9 13 of I.D. NUMBER 1322067 FULL NAME, STREET ADDRESS AND DATE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR ! TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN t -DEC 31) ❑IND Keed 's 2/24/14 y ❑COM Cam ai n event p g 1,000.00 1,000.00 73633 Highway 111 MOTH beverages, Palm Desert, CA 92260 ❑Pn wages wages ❑SCC ❑ IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY (:]SCC ` ]IND ❑COM ❑OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1,000.00 Schedule C Summary 1. Amount received this period — nonmonetary contributions of $100 or more. (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.) ...................... TOTAL $ 1,000.00 90.00 1,090.00 *Contributor Codes IND — Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule E Type or print in ink. Statement covers period Pa menu Made Amounts may be rounded y to whole dollars. from 01/01/2014 _ SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2014 through 06/30/2014 Page 14 of _6i I.D. NUMBER 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalla/misc. 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 RL 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 M independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Buzz Factory 1801 E. Tahquitz Canyon Way, Ste. 101 CNS 875.00 Palm Springs, CA 92262 Buzz Factory 1801 E. Tahquitz Canyon Way, Ste. 101 LIT 685.35 Palm Springs, CA 92262 Palm Desert Chamber Membership Dues 72-559 Highway 111 200.00 Palm Desert, CA 92260 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,760.35 Schedule E Summary 1. Payments made this period of $100 or more. Include all Schedule E subtotals. ..... . $ 1,760.35 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 180.71 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ -0- 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. 1,941.06 P Y P ( rY 9 ) ............................. TOTAL $ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC Schedule I Tuna nr nrin} in in& grHi=ni 11 F I Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2014 06/30/2014h through CALIFORNIA I ' • ' Page 15 of r . 5 NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2014 I.D. NUMBER 1322067 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period........................................................................................................... $ -0- 2. Unitemized increases to cash under $100 this period............................................................................................... $ .31 3. Total of all interest received this period on loans made to others. Schedule H, Column e . -0- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................... ............................................... TOTAL $ 31 FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC