The URL can be used to link to this page

Home My WebLink About2017-06-30 Form 460 - HarnikCOVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE from RE E I V EJ)te Stamp C!P ALH ES O c E Statement covers period Date of election If ap�l yb ;, 1 12 pu eat go 01/01/2017 (Month, Day, �'�q 6 fi through 06/30/2017 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (At- C-plo*FW5) O Sponsored IN- Carpwre Pal 6) ❑ General Purpose Committee • Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party/Central Committee (AJwePad A 3. Committee Information I.D. NUMBER 1322067 04MMITTEE NAME iOR CANDIDATE'S NAME IF NO COMMITTEE) Re-elect Jan Harrlik Palm Desert City Council 2014 STREET ADDRESS (NO P.O. BOX) 73- STATE ZIP CODE AREACODEIPHONE Palm Desert CA 92260 (760) ADDRESS (IF DIFFEiaEfM NO. AND STREET OR P.O. SOX CITY STATE Z]PCODE AREACODEIPHONE 11 /04/2014 Page 1 of 6 For Official Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also fife a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Dr. William Kroonen MAILING ADDRESS 73575 . TAT F ZIPGODt AREACODE/PHONE Palm Desert CA 92260 (760) OF ASSISTANT TREASURER, IF ANY Elizabeth Lopez MAILING ADDRESS 41621 Michelle Place City STATE ZIP CODE AREA HONE Indio CA 92203 (760) FAX I E-MAILADDRESS OPTIONAL FAX tE-MAILADDRESS mrslizlopez@gmaii. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge liv 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 for Executed on O { E3y Date- Executed112 on Date By a, RespdrtsitAe Ofrrcer oT ponsar Executed On Date By Sgnature of Comralling Otricerolder Candidate. State Measure Proponent Executed on Date By Signature of CoMmUhg Otheehdtder Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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) City Council and Mayor of the City of Palm Desert RESIDENTIALIBUSINESSADDRESS (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. NAME OF ADDRESS (NO P.O. I.O. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME TREASURER ADDRESS I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODEIPHONE COVER PAGE - PART 2 Page 2 of 6 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 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 (Jan/20I6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON NAME OF FILER Re-elect Jan Hamik Palm Desert City Council 2014 Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 $ 2. Loans Received................................................................ schedule 9, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 S 4. Nonmonetary Contributions ............................................ schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED...................................Add Lines 3+4 $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 7. Loans Made....................................................................... schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3 10. Nonmonetary Adjustment......................................................... schedule C. Line 3 1i. TOTAL EXPENDITURES MADE ........................................ Add lines a + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page. Line 16 13. Cash Receipts........................................................... Column A. Line 3 above 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 15. Cash Payments......................................................... Column A, Line 6 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14. then subtract Line 15 If this is a termination statement, Line 16 must be zero. Column A TOTAL THIS PERIOD (FROMATTACHED SCHEDULES) 00.00 00.00 00,00 00.00 00.00 g 5050.00 00.00 $ 5050.00 00.00 00.00 $ 5050.00 $ 9373.16 00.00 00,00 5050.00 $ 4323.16 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 $ 00.00 00.00 -2798.08 s Statement covers period from 01/01/2017 through 06/30/2017 Page Column B CALENDAR YEAR TOTAL TO DATE 00.00 -2798.08 $ 00.00 00.00 $-2798.08 $ 5050.00 00.00 $ 5050.00 00.00 00.00 S 5050,00 TD calculate Column B, add amounts in Column Ato the corresponding amounts from Column B 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 Lines 2, 7, and 9 (if any). SUMMARY PAGE 3 of 6 1322067 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections ill through 6130 711 to Date 20. Contributions Received S $ 21. Expenditures Made S $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (n Sublea to Voluntary Espend0ure LimHl Date of Election (mmfdd►yy) Total to Date 'Amounts in this section may be different from amounts reported in Column 8. FPPC Form 460 (Jan/2016) FPPC Advice: adviceQfppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE 8 - PART t Schedule B — Part 1 �to whole dollars. Statement covers period '� � 1 • Loans Received 01/01/2017 • - from through 06/30/2017 Page 4 of B SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Re-elect Jan Harnik Palm Desert City Council 2014 1322067 FULL NAME, STREETADDRESS AND 21P CODE IF AN INDIVIDUAL, ENTER TION AND E PLO OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (°) AMOUNT PAID OUTSTANDING BALANCE AT e INTEREST ORIGINAL 4 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.O. NUMBER) (IF S BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN PERIOD CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE NAME OF BUSINESS) PERIOD THIS PERIOD [3PAID CALENDAR YEAR Brian S. Hamik Self ❑ FORGIVEN RATE PER ELECTION" 2798.08 00.00 10/01/10 $ t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ s DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR S S % S S ❑ FORGIVEN RATE PER ELECTION" S S S S S DATE DUE to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" s s S S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 00.00 $ $ 2798.08 $ Schedule B Summary 1. Loans received this period....................................................................................................................$ nn nn (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ 0000 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ nn-nn- Enter the net here and on the Summary Page, Column A, Line 2. (May be a nepelire nwnber) (Enter (e) on SdbdLAe E. Une 3) tConlributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/20161 If required. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. Pram 011D112017 Candidates, Measures and Committees F!!9 through 06/3012017 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Re-elect Jan Harnik Palm Desert City Council 2014 1322067 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REDUIRED) PERIOp (JAN. 1-DEC. 31) {IF REWIRED) OR COMMITTEE "Jan Harnik for Supervisor 2018" 0 Monetary 03/31/2017 Jan Hamik - Riverside County Supervisor 4th Contribution 5000.00 5000.00 5000.00 District ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL_ $ 5000.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 5000.00 2. Unitemized contributions and independent expenditures made this period of under$100.................................................................................... $ 00.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 5000.00 FPPC Form 460 (Jan/20161 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. covers period from 01 /01/2017 SCHEDULE E through 06/30/2017 Page 6 of 6 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER Re-elect Jan Hamik Palm Desert City Council 2014 1322067 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 filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staf ispouse travel, lodging, and meals IND independent expenditure supporlinglopposing 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, a -mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ,Ian Harnik for Supervisor 2018 2150 River Plaza Drive, Suite 150 CTB 500D.00 Sacramento, CA 958334131 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ 5000.00 2. Unitemized payments made this period of under $100.................. $ 50.00 ................................................................................................................ 3. Total interest paid this period on loans. (Enter amount from Schedule B........................................................................., Part 1, Column (e).) $ 5050.00 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 $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.co.gov (866/275-3772) www.fopc.ca.gov