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Home My WebLink About2017-12-31 Form 460 - HarnikRecipient Committee COVER PAGE Campaign Statement CITY CLERKS 0FF1 ,� Cover Page PALM DESE�RT r Statement covers period from July 1, 2017 Date of election If applicable: 12010 JAN 25 PM 2: (Month, Day, Year) of 5 SEE INSTRUCTIONS ON REVERSE through December 31, 2017 November 4, 2014 1. Type of Recipient Committee: All Committees --Complete Parts 1, 2, 3, and 4. 2. Type of Statement: 2] Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee 10 Semi-annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Aho b PNIs) 0 Sponsored raaar�prPar�dei (Also file a Form410 Termination) ❑ General Purpose Committee ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee — —• - 0 Political Party/Central Committee rAnaF*1n 3. Committee Information I.D. NUMBER 1322067 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re-elect Jan Hamik Palm Desert City Council 2014 STREET ADDRESS (NO PO, BOXi CITY STATE ZIP CODE AREACOOERHONE Palm Desert CA 92260 ( MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL, FAX I E-MAIL ADDRESS Only Treasurer(s) NAME OF TREASURER Dr. William Kroonen MAILING ADDRE SS CITY STATE ZIP CODE AREACODEIPHONt Palm Desert CA 92260 ( NAME Or ASSISTANT TREASURER, IF ANY Elizabeth Lopez MAILINP. ADDRr �S OTY STATE ZIP CODE AREACODEIPHONE Indio CA 92203 ( OPTIONAL FAX I 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. 1 certify under penalty of perjury under the laws of the Slate of California that the foregoing is Executed on 1 [0 11.Ar 8 _ By - Bate _ /l,ofVolum of Treasurer %Asustard Treasurer Executed on Date Executed on Date Executed on Date By By By SsW*hffe of CONIC" Officeholder Candidate, Stale Measure I'r�t FPPC Form 460 (!an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -- Part 2 6, Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jan Hamik OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council / City of Palm Desert RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) 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 Jan Harnik for Supervisor 2018 1395155 NAME OF TREASURER CONTROLLED COMMITTEE? David Bauer ® YES ❑ NO 73-901 Shadow Lake Drive CITY STATE ZIP CODE AREACODEIPHONE Palm Desert, CA 92260 (760) 895-2690 COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE COVER PAGE - PART 2 Page 2 of 5 S. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION f fII ❑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 0 SUPPORT Jan Hamik, City Council HELD ❑ 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 (!an/2016) 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 REVERSE NAME OF FILER Re-elect Jan Harnik for Palm Desert City Council 2014 Contributions Received 1. Monetary Contributions ................................................... Schedule A. Line 3 S 2. Loans Received................................................................ Schedule B. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add limes 1 + 2 S 4. Nonmonetary Contributions ............................................ schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED,__..... .... .............. Add Lines 3+4 S Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 00.00 00.00 00.00 00.00 00.00 Expenditures Made 6. Payments Made.............................................................. schedule r=, line 4 S 832.76 7. Loans Made .................................. schedule H. Line 3 00.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+ 7 S 832,76 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 00.00 10. Nonmonetary Adjustment.....__................................................ schedule c. Line 3 00.00 11. TOTAL EXPENDITURES MADE ................... ...... Add Lines a +9 + 10 S 832.76 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page. Line 16 $ 4323,16 13. Cash Receipts ........................................................... Column A. line 3 above 00.00 ................................. 14. Miscellaneous Increases to Cash . schedule 1. Line 4 00.00 15. Cash Payments ......................................................... column A, Line a above 832.76 16. ENDING CASH BALANCE ..................Add Lines 12+ 13 + 14, then subtract Line 15 $ 3490.40 if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ schedule 9, Part $ 00.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see insbuctions on reverse $ 00,00 19. Outstanding Debts .............................. Add tine 2 + tine g in Column 8 above $ 00.00 from Statement covers period m July 1, 2017 SUMMARY PAGE through December 31, 2017 I Page 3 of 5 Column B CALENDAR YEAR TOTAL TO DATE S 00.00 -2798.08 S 00.00 00.00 S-2798.08 S 5882.76 00.00 g 5882.76 00.00 00.00 S 5882.76 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). 1322067 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to pate 20. Contributions Received S S. 21, Expenditures Made S 5. Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' IN subject to voluntary Espendltum Limill Date of Election Total to Date (mmlddtyy) I 1 1 1� 1 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov s.,.. rota mn tie ..,"noind SCHEDULE B - PART 1 Schedule B— Part 1 ltowhole dollars. ^!^ Statement covers period _ Loans Received July 1, 2017 . ± • from through December 31, 201 i 7P, 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.Q. NUMBER Re-elect Jan Hamik for Palm Desert City Council 2014 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT IN AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE ATPAID CLOSE OF THIS THIS AMOUNT OF CONTRIBUTIONS OF COMMITTEE. ALSO ENTER I.D. NUMBER)NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD ` PERIOD PERIOD LOAN TO DATE ❑PAID CALENDAR YEAR Brian S. Hamik Self 45- RATE PER ELECTION~ 2798.08 00.00 10101 /10 $ $ s s _ S DATE DUE t 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" S S S S S DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR S ❑ 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 $100.) 2. Loans paid or forgiven this period..........................................•--............................................................$ nn on (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 nepti-n "es) `Amounts forgiven or paid by another party also must be reported on Schedule A. if required. (Enter (e) an Sche" E. line 3) tContribulor 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc-ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period Payments Made to whole dollars. Jul 1, 2017 from Y SEE INSTRUCTIONS ON REVERSE through December 31, 20�t7 page 5 of 5 NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for 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 Lv, or cable airtime and production costs FIL candidate fllinglballot 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 IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads VVER information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (OF COMWTrEE. use ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 Palm Springs, CA 92262 WEB 782.76 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 782.76 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. .................. $ 782.76 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).) $ 00.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 832.76 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-37721 www.fppc.ca.gov