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Home My WebLink About2014-09-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE C1 Type or print in ink. F 201 Statement covers period Date of election if applicable: from 07/01 /2014 (Month, Day, Year) through 09/30/2014 1 11 /4/2014 RECEIVED LMD f*f,CA OCT -6 PM 4-. 12 COVER PAGE Page 1 of 12 For Official Use Only 1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4. 2. Type of Statement: JZ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure (a Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semiannual Statement ❑ Special Odd -Year Report 0 Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also complete Part5) Sponsored � P (Also file a Form 410 Termination) Statement -Attach Form 495 ❑ General Purpose Committee (Also Complete Part 6) ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part n 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 Treasurer(s) NAME OF TREASURER Dr. Wiliam Kroonen MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Palm Desert, CA 92260 ( CITY STATE ZIP CODE AREA CODE/PHONE 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 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 lave 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 l`a�ws�(of the State of California that the foregoing is true and corn Executed on I 14A, By Date on 62 /^s/ ' Date Executed on Date By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Data Signature of Controlling Olfieeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (86612753772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 5. 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. 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CI'Y STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMIiTEEADDRESS STREETADDRESS (NO P.O. BOX) C"-Y STATE ZIP CODE AREA CODE/PHONE Page 2 of 12 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 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 Attach continuation sheets if necessary FPPC Form 460 (Januarylo5) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. Statement covers period from 07/01/2014 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 09/30/2014 Page 3 of 12 NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik Palm Desert City Council 2014 1322067 Contributions Received olu oD Column B Calendar Year Summary for Candidates To E (FROMATTACHED SCHEDULES) EAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... schedule A, Line 3 00 999. $ 6,$ 27,344.00 2. Loans Received...................................................... Schedule B, Line 3 00.00 11,798.08 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ 6,999.00 $ 39,142.08 20. Contributions Received $ $090 4. Nonmonetary Contributions .................................... schedule c, Line 3 00.00 1,. 00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 6,999.00 $ 40,232.08 Made $ $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 20,241.95 7. Loans Made............................................................. Schedule H, Line 3 00.00 8. SUBTOTAL CASH PAYMENTS ................................ Add Lines 6+7 $ 20,241.95 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 tines E + 9 + 10 $ 20,241.95 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous 'ncreases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A. Line a 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_ 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 $ 52,334.12 6,999.00 00.00 20,241.95 39,091.17 00.00 11,798.08 $ 22,183.01 00.00 $ 22,183.01 00.00 00.00 $ 22,183.01 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). 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) f I $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded ry to whole dollars. Statement covers period • 07/01 /2014 from . • t through _ 09/30/2014_ 122 Page 4 of SEE INSTRUCTIONS ON REVERSE _ - NAME OF FILER i 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. 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) OFBUSINESS) Alexander Longmuir OIND ❑COM Art Curator 07/07/14 ❑ PTY ❑SCC Debbie McNicol OIND ❑COM Legal Assistant 07/24/14 ❑ PTY Bemheimer ❑ SCC Thomas O'Brien ®IND ❑COM Certified Public 07/24/14 1 ❑ PTY O'Brien, Miller & Blake ❑SCC LLP Robert Roark OIND ❑COM Real Estate Developer 07/24/14 ❑ PTY ❑ SCC Vic Gainer BIND Coach 07/24/14 ❑ PTY I School ❑ SCC SUBTOTAL$ 1,500.00 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 $ 6,750.00 249.00 6,999.00 '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 (866/2753772) 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. 07/01 /2014FORM • from through 09/30/2014 Page 5 of 12 NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik Palm Desert City Council 2014 1322067 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED .D.N CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Committee to Re -Elect Dana Hobart OCoM ID # 1280702 07/20/14 36989 Palmdale Rd. ❑OTH $250.00 $250.00 Rancho Mirage, CA 92270 ❑ PTY ❑SCC Fred Fern OIND Chief Executive Officer 08/27/14 E] PTTHH Group ❑ SCC Committee to Elect Kathleen DeRosa ❑IND ID # 1266861 09/17/14 67789 East Palm Canyon OCOM $250.00 $250.00 Cathedral City, CA 92234 ❑OTH ❑ PTY [:]SCC Peter Friedman OIND Real Estate Developer 09/30/14 ❑OTH ❑ PTY ❑ SCC Larry Bonafide 01ND Retired 09/30/14 ❑OTH []PTY ❑ SCC SUBTOTAL$ 2,750.00 '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 (8661276-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 07/01 /2014 CALIFORNIA from FOR through 09/30/2014 Page 6 of 12 _ NAME OF FILER I.D. NUMBER Re -Elect Jan Hamik Palm Desert City Council 2014 1322067 FJL_ NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DATE-IFCOMMnTEE. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE ALSO ENTER I.D.NUMBER) RECEIVED CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Gary M. Galton ®IND Attorney 09/30/14 I ❑ PTY ❑ SCC Philip Rushing BIND Retired 09/29/14 ❑OTH ❑ PTY ❑ SCC California Real Estate Political Action ❑IND ID # 890106 09/30/14 Committee (CREPAC-C.A.R) ®coM $1,000.00 $2,000.00 525 S. Virgil Avenue ❑OTH PTY ❑SCC Los Angeles, CA 90020 Coachella-9mperial Valleys Strategies ❑IND ID # 1351123 09/29/14 75100 Mediterranean OCO $300.00 $300.00 Pa;m Desert, CA 92211 ❑ PTY ❑ SCC Virginia Folkers 01ND Retired 09/29/14 ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,900.00 'Contributor Codas 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) 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 -ER CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE, ALSO EN I.D.NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Barbara C. Spencer ®IND Retired 09:29/14 ' MPTY ❑SCC Kathy Deeb OIND Business Owner 09/29/14 ❑OTH ❑ PTY ❑ sCC ❑ IND i ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ '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 Statement covers period from 07/01/2014 through 09/30/2014 AMOUNT RECEIVED THIS PERIOD $500.00 $100.00 SCHEDULE A (CONT.) Page 7 of 12 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1- DEC. 31) (IF REQUIRED) $500.00 $100.00 FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Tune or nrint in ink SCHEDULEB-PART1 Scneauie F3 — Part i Amounts may be rounded Statement covers period • Loans Received to whole dollars. 07/01/2014 CALIFORNIA A J • from e 09/30/2014 8 12 SEE INSTRUCTIONS ON REVERSE through Page _ _ _ off 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 AMOUNT AMOUNT PAID OUTSTANDING BALANCEAT (a INTEREST ORIGINAL g CUMULATIVE OF LENDER (IFCCMMnTEE.ALSOENTERI.D.NUMBERI (IFSELF•EMPLOYED.ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN • CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOFBUSINESS) P PERIOD THIS PERIOD O PERIOD LOAN TO DATE Brian S. Harnik Self ❑ PAID _ CALENDAR YEAR $11,798.08 % RATE s ❑ FORGIVEN PER ELECTION'" 11,798.08 $ -0- s 10/01/10 s t6Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR PER ELECTION** ❑ FORGIVEN RATE $ $ $ S $ DATE DUE DATE INCURRED to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR PERELECTION— ❑ FORGIVEN RATE S $ $_ $ I S DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED 1 SUBTOTALS $ $ $ 11,798.08 $ Schedule B Summary 1. Loans received this period.................................................................................................................... $ (Total Column (b) plus unitemized loans of 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.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (Enter (a) on Schedule E. Line 3) -0- tContributor Codes M -0- (May be a negative number) 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 E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2014 -_ SEE INSTRUCTIONS ON REVERSE through _09/30/2014 9 _ Page of 12 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik 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. Chip campaign paraphemalia/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 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 staff/spouse travel, lodging, and meals W 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Palm Desert Chamber of Commerce 72-559 Highway 111 MTG $240.00 Palm Desert, CA 92260 O's American Kitcken 72840 Highway 111, W465 FND $203.25 Palm Desert, CA 92260 U.S. Postal Service USPS Portola OFC $154.00 Palm Desert, CA 92260 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 597.25 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................... $ 20,137.20 2. Unitemized payments made this period of under $100 $ 104.75 ....................... 00.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)........................................................ $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 20,241.95 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E SCHEDULE E (CONT.' (Continuation Sheet) Type or print in ink. Amounts may be roundedCALIFORNIA Statement covers period Payments Made to whole dollars. from 07/01/2014 FORM SEE INSTRUCTIONS ON REVERSE 09/30/2014 through Page 10 Of 12 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik 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. CtuP campaign paraphemalia/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 PET petition circulating TEL Lv. 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 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID O's American Kitchen 72840 Highway 111, W465 FND $57.74 Palm Desert, CA 92260 City of Palm Desert 73-510 Fred Waring Drive FIL $500.00 Palm Desert, CA 92260 Jan Hamik mymms.com Reimbursement Hackettstown, NJ 07840 Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 CNS $337.50 Palm Springs, CA 92262 Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 LIT $38.15 Palm Springs, CA 92262 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,155.87 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA Payments Made to whole dollars. 07/01 /2014 • ' , from _ SEE INSTRUCTIONS ON REVERSE through _ _09/30/2014 11 12 Page of NAME OF FILER I.D. NUMBER 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. CIVP campaign paraphemalia/misc. kSR member communications RAD radio airtime and production costs CNS campaign consultants MfG 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 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 PAD 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 CNS $1,600.00 Palm Springs, CA 92262 Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 LIT $34.08 Palm Springs, CA 92262 Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 PRT $15,517.87 Palm Springs, CA 92262 Buzz Factory Precint Map and Walk List 1801 East Tahquitz Canyon Way, Suite 101 $357.13 Palm Springs, CA 92262 i II East Valley Republican Womens Federated 81-955 Highway 111 OFC $100.00 Indio, CA 92201 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 17,609.08 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made NAME OF FILER Re-elect Jan Hamik Palm Desert City Council 2014 CODES: If one of the following avp CNS CTB CVC RL FND ND LEG LIT campaign paraphemalia/misc. campaign consultants contribution (explain nonmonetary) civic donations candidate filing/ballot fees fundraising events independent expenditure supporting legal defense campaign literature and mailings Type or print in ink. Amounts may be rounded to whole dollars. codes accurately describes the payment, you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research /opposing others (explain)' POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads Statement covers period from 07/01 /2014 through 09/30/2014 SCHEDULE E (CONT.) Page.__12 of 12 I.D. NUMBER Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Buzz Factory 1801 East Tahquitz Canyon Way, Suite 101 Palm Springs, CA 92262 CNS $775.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 775.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2754772)