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Home My WebLink About2013-12-31 Form 460 - Harnik - AmendmentRecipient Committee Campaign Statement Cover Page Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from 07/01/2013 SEE INSTRUCTIONS ON REVERSE through 12/31/13 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee Q Primarily Formed p Recall Q Controlled Also Complete Parts/ O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ p Small Contributor Committee Officeholder Committee p Political Party/Central 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 Date of election if appii (Month, Day, Year) CI1ALY CLERK'S &FIC M DESERT. CA 11/4/14 1 A 31 PM 1: 561 Page 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement ® Amendment (Explain below) COVER PAGE Of 6 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Eliminate Sch. I - contributions already. included in Sch. A. Revise Sch. B-Part 1(b) - No monetary amt received. Add to Sch. C 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 Elizabth Lopez MAILING ADDRESS Same 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 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to st k rmation contained herein and in the attached schedules is true and complete certify under penalty of perjury under the laws of the State of California that the f egoing i rue a rrel� J Executed on Uly31, 2014 Date Jul, 2014 Executed on Date Executed on Date By By By Executed on BY FPPC Form 460 (June/01) Date Signature of Controlling Officeholder Candidate Slate Measure Proponent FPPC Toll -Free Helpline: 866/ASK-FPPC State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement F 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: 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 NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 6 6. 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 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 ❑ SUPPORI ❑ 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 (June/01) FPPC Toil -Free Helpline: 866/ASK-FPPC State of California Type or print in ink. Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. JCC IIVJIRVl. 11 V1\J NAME OF OF FILER 0o_1:1onf i3n 14:4rnik Palm Desert Citv Council 2014 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 $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 37243.00 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 11. TOTAL EXPENDITURES MADE ................................ Add Lines a + 9 + 10 $ In 37,243.00 3,795.02 41,038.02 Statement covers period from 07/01/2013 through Column B CALENDARYEAR TOTAL TO DATE $ 37,243.00 11,798.08 $ 49,041.08 3,795.02 $ 52,836.10 4,384.39 $ 4,384.39 -0- -0- 4,384.39 $ 4,384.39 -0- -0- -0- -0- 4,384.39 $ 4,384.39 Current Cash Statement 1,071.26 12. Beginning Cash Balance ....................... Previous summaryPage, Lme 1s $ 37,243.00 13. Cash Receipts ................................................... Column A, Line 3 above -0- 14. Miscellaneous Increases to Cash ........................... Schedule I Line 4 4,384.39 15. Cash Payments .................................................. Column A, Line 8 above 33,929.87 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 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 $ 11,798.08 19. Outstanding Debts ......................... Add line 2 + Line 9 in Column B above $ To calculate Column B, add amounts in Column A to 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 12/31/13 Page 3 of 6 LD NUMBER 1322067 :alendar Year Summary for Candidates Cunning in Both the State Primary and 'eneral Elections 1/1 through 6/30 711 to Date t0. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) .—J $ Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULEB-PART1 ."_ _. v........ .. Schedule B — Part Amounts may be rounded Statement covers period _ Loans Received to whole dollars. 07/01/2013Fpg, r from 12/31/13 6 4 SEE INSTRUCTIONS ON REVERSE through 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 INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE O AMOUNT (N AMOUNT PAID OUTSTANDING BALANCEAT a INTEREST ORIGINAL CUMULATIVE UL OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IFCOMMITTEE ALSOENTERID NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' p PERIOD LOAN TO DATE Brian S. Harnik Self [ jPAID CAI ENOARYEAR RATE 11,798.08 -0- s s 10/1/10 s s s trg IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YE AR $ $ 5 5 _ ❑ FORGIVEN Are PERELECTION" 5 S $ S $ DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION"' S $ $ $ 5 DATE DUE DATE INCURRED tD IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ (toter (e) on Schedule B Summary Schedule E, Line 3) 1. Loans received this period................................................................................................................... $ -o- (Total Column (b) plus unitemized loans less than $100.) 'Amounts forgiven or paid by another party also must be -0- reported on Schedule A. 2. Loans paid or forgiven this period......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) •• If required. (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 $ -0- 9 P ( ) �� (May beanegalive number) Enter the net here and on the Summary Page, Column A, Line 2. t Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 46t1 (June/0 FPPC Toll -Free Helpline: 8661ASK-FPPC Schedule C Type or print in ink. A SCHEDULE C .........a.. L� - �J�J Nonmoneta Contributions Received ""'"""`" le "Mars. " ry to whole dollars. - Statement covers period from 07/01/2013h "geof INSTRUCTIONS ON REVERSE 12/31/13SEE g P6throw NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2014 1322067 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION 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 1 -DEC 31) 11/12/13 Brian S. Harnik ®IND [3Com Self Campaign kick off 3,795.02 3,795.02 ❑pN Desert Willow ❑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 $ 3,795.02 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 $ 3,795.02 3,795.02 "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 I 'r,..e.. I.* i..4 Sr:HFniIIFI Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSEthrough Statement covers period from 07/01/2013• 12/31/13 e F�_ Page 6 o 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............................................................................................... $ -0- 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 Summary Page, Line 14.) ........................................................................................................................... TOTAL $ -0- FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FPPC