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HomeMy WebLinkAbout2020-06-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page Statement covers period from 01 /01 /2020 SEE INSTRUCTIONS ON REVERSE I through 06/30/2020 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee ommittee 0 Recall E Controlled (MO Compme Aut 5) 0 Sponsored :Mo Cw0efe Pan 6) ❑gneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (40 COMPWe Part n 3. Committee Information ITTEE NAME I,D_ NUMBER 1322067 S NAME IF NO COMMITTEE} RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 STREET ADDRESS (NO P O. BOX) 45- STATE ZIP CODE AREACODEIPHONE INDIAN WELLS CA 92210 (760) ADDRE SS (IF DIFFERENT) NO. AND STREET OR PO BOX P. CITY STATE ZIP CODE AREA CODEIPHONE PALM DESERT CA 92262 OPTIONAL: FAX IE-MAIL ADDRESS 4. Verification Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp ECEi f Pc, "IT > CLERK'S CFf;I PALM DE '020 JUL 16 AM $; S COVER PAGE Page I of 1 For Official Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ® Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER DR. WILLIAM KROONEN MAILING ADDRESS P. STATE ZIP CODE AREA CODE)PHONE PALM DESERT CA 92260 (760) OF ASSISTANT TREASURER, IF ANY ELIZABETH LOPEZ MAILING ADDRESS 41621 STATE ZIP CODE AREA CODEIPHONE INDIO CA 92203 (760) FAX I E-MAIL ADDRESS I have used all reasonable diligence in prepay ng and reviewing this statement and to the best of my knowledge the information 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 foregoing is of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature at Controlling Officeholder. Candidate. State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 S. 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 RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP LA-S45- INDIAN Wj A 92210 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) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ik ❑ YES ❑ NO ADDRESS STREETADDRESS 'NO P.O. BOX'. - CITY STATE ZIP CODE AREA CODE/PHONE Page of 1-*P1 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 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 HEI-D ❑ SUPPORT ❑ OPPOSF NAME OF OFFICEHOLDER OR CANDIDATE Oi FICE 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/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period - from 01/01/2020 • - • 06/30//2020 Page of -- L � SEE INSTRUCTIONS ON REVERSE through 9 NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions. ........ __ ....... ............................. Schedule A, Line 3 $ 00.00 $ 00.00 00.00 00.00 111 through 6130 7/1 to Date Loans Received................................................................ Schedule 8, Line 3 00.00 00.00 20. Contributions ,. SUBTOTAL CASH CONTRIBUTIONS .............................. .add Lines 1 * 2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C Line 3 00.00 00.00 21. Expenditures 5, TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 00.00 $ 00.00 Made $ $ Expenditures Made 6. Payments Made .......................... .. Schedule E. Line 4 $ 304.67 $ 304.67 7. Loans Made ............................................ ......... ............. Schedule H, Line 3 00.00 00.00 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 304.67 $ 304.67 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 00.00 00.00 10. Nonmonetary Adjustment......................................................... Schedule C. Line 3 00.00 00.00 11. TOTAL EXPENDITURES MADE...................................Add Lines 8+9+10 $ 304.67 $ 304.67 Current Cash Statement C2. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 8038.03 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 8 above 304.67 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 7733.36 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED..... ........................... schedules, Part2 $ 00.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............................................... See instructions on reverse $ 00.00 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 00.00 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 th's 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 (mmtdd/yy) $ $ 'Amounts n 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 Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period e - from 01/01/2020 through 06/30/2020 Page of 14A SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE OF WAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR " OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVER (IF COMMITTEE ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 -DEC 31) (IF REQUIRED) []IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COIN ❑ OTH ❑ PTY ❑ SCC J ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 00.00 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.)......... 00.00 $ 00.00 .......TOTAL $ 00.00 '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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B - PART I Schedule B — Part 9 to whole dollars. Statement covers period I ' Loans Received from 01/01/2020 . - • 06/30/2020 SEE INSTRUCTIONS ON REVERSE through Page of ` NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 FULL NAME, 5TREETADDRESSANp ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMUgLATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF C.ONTRIBUTIOW (IF COMMITTEE, ALSO ENTER 10. NUMBER} (IF SELF-EMPLOYED. ENTER BEGINNING THIS PERIOD THISPERIOD- CLOSE OF THIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD PERIOD - [I PAID CALENDAR YEAR BRIAN S. HARNIK SELF S 2798.08 S 18,000 C45-025 & HARNIK LLP $ _ % $ INDIAN WELLS, CA 92210 2798.08 00.00 FORGIVEN El FORGIVEN 10/01/10 PER ELECTION S S S S g to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S ❑ FORGIVEN S S S DATE DUE Lj PAID S S ❑ FORGIVEN S S S DATE DUE SUBTOTALS $ $ $ 2798.08 $ Schedule B Summary 00.00 1. Loans received this period (Total Column (b) plus unitemized loans of less than $100.) 00.00 2. Loans paid or forgiven this period.......................................................................... ....$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 00.00 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. (May be a negative numbe". 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. % $S RATE PER ELECTION" S S DATE INCURRED CALENDAR YEAR % S S RATE PER ELECTION- S g DATE INCURRED on tContributor Codes IND - Individual COM - Recip ent Committee (other than PTY or SCC) OTH - Other (e,g„ business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016)) FP PC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov C Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received Statement covers period from 01/01/2020 . - • 06/30/2020 S Page SEE INSTRUCTIONS ON REVERSE through h of NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED 21P CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) * CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ 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 $ 00.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (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.) 00.00 ............ I ........... $ 00.00 ..........................$ 00.00 .............TOTAL $ '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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 1 Schedule D SCHFDULF D aumma OT CX erIQliUreS Amounts may oe rounaea Statement covers period . to whole dollars Supporting/Opposing Other - i , • 01/01/2020 from . - Candidates, Measures and Committees through 06/30/2020 , 49 page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT IF REQUIR D PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN.1-OEC.31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Support Oppose] Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent support Oppose] Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 00.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.). 2. Unitemized contributions and independent expenditures made this period of under$100 .............................. 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) $ 00.00 $ 00.00 .. TOTAL.. $ 00.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 covers period from 01/01/2020 through 06/30/2020 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page V of I322067 CMP campaign paraphernalia/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 F1L candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals 4D fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals .ND independent expenditure supporting/opposing 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 WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE ALSO ENTER 10 NUMBER) CITI CARDS POST OFFICE BOX RENTAL 190.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).................................................................................... 2. Unitemized payments made this period of under$100................................................................................................................. 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.)............... SUBTOTAL $ l9 D , 00 ........................ $ ........................ $ 190.00 114.67 00.00 ............ TOTAL $ 304.67 FPPC Form 460 (!an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov C SCHEDULEF Schedule F Amounts may be rounded to whole dollars. Statement covers period I ' Accrued Expenses (Unpaid Bills) 01/01/2020 • - from through 06/30/2020 1�1 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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 donat ons 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 AND fundra s ng events POL polling and survey research TRS staff/spouse travel, lodging, and meals JD Independent expenditure supportingloppos ng others (expla n)* POS postage, delivery and messenger sery ces TSF transfer between committees of the same cand date/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT pant ads WEB Information technology costs (internet. e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IFCOMMITTEE,ALSO ENTER LD, NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD * Payments that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. Schedule F Summary Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)..................... $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.).. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)............................................................................................................................. ...............INCURRED TOTALS $ .....I..."............ PAID TOTALS $ ........................ NET $ $ 00.00 00.00 00.00 00.00 May be a negative number FPPC Form 460 (]an/2016)I FPPC Advice: advice@fppc.ca.gov 1866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. SCHEDULE G covers from 01/01/2020 through 06/30/2020 )� Page --I-0— of Ic NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1 1322067 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAID 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 VC civic donations PET petition circulating TEL t.v, or cable airtime and production costs IL candidate filingiballot 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 WEB information technology costs (internet, e-mail) Payments that are contributions or Independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE Al SO ENTER I D NUINIBER] Attach additional information on appropriately labeled continuation sheets Do not transfer to any other schedule or to the Summary Page This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. TOTAL* $ 00.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule H Loans Made to Others* Amounts may be rounded to whole dollars. Statement covers period from 01 /01 /2020 SCHEDULE H 06/30/2020 ! SEE INSTRUCTIONS ON REVERSE through Page of —LA—_ NAME OF FILER I.D. NUMBER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 1322067 FULL NAME, S7REER AND ZIP CODE S IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a) OUTSTANDING (b) AMOUNT c REPAYMENT OR OUTSTANDING e M ORIGINAL g CUMULATIVE OF RECCIPIENIPIEN T (IF COMMITTEE, ALSO ENTER 10. NUMBER) (IF SELF-EMPLOYED. ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS INTEREST RECEIVED AMOUNT OF LOANS NAMEOFBUSINESS) PERIOD THIS PERIOD' PFRion LOAN TO DATE CALENOARYrAR ❑ PAI'; S $ 96 S g RATE © FORGIVEN PER ELECTION" g g $ g $ DATE DUE DATE INCURRED PAID CALENDAR YEAR S S 46 $ g RATE ❑ FORGIVEN PER ELECTION" S S DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forg ven must also be reported on Schedule E. SUBTOTALS $ $ $ $ (Enter (e) on Schedule (, Line 3) Schedule H Summary 1. Loans made this period.................................................................................................................................. (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans......................................................................................................................... (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)................................................................................... (Enter the net here and on the Summary Page, Column A, Line 7) 00.00 00.00 .... NET $ 00.00 (May be a negative number} "*If Required FPPC Form 460 (Jan/2016)l FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I A.ni.,,ndc —, tie . .-A.A SCHEDOLE I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2020 through 06/30/2020 . a ' 1 pa e i a of 1 A g NAME OF FILER RE-ELECT JAN HARNIK FOR PALM DESERT CITY COUNCIL 2018 LD_ NUMBER 1322067 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER] DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASE{ Attach additional infonnation on appropriately labeled continuation sheets. SUBTOTAL $ 00.00 Schedule 1 Summary 1. Itemized increases to cash this period. $ 00.00 2. Unitemized increases to cash of under $100 this period. . 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) . 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................. $ 00.00 $ 00.00 00.00 ........... TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov