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Home My WebLink About2018-12-31 Form 460 - HarnikRecipient Committee DatREOEI - COVER PAGE Campaign Statement • ' • CITY CLERK 0 � � . Cover Page PALM DESF..RT SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/21/2018 12/31 /2018 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 2, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (k;0CW WfePafD. 0 Sponsored fAfso Canote PM 6 ❑ General Purpose Committee ❑ Formed Candidate! 0 Sponsored Primarily 0 Small Contributor Committee Officeholder Committee • Political Party/Central Committee (Aim Corrq*M Pxf '! 3. Committee Information LD NUMBER 1322067 COMMITTEE NAME (OR CANDIDAT-.'S NAME IF Re-elect Jan Harnik for Palm Desert City Council 2018 STRr ET ADDRC SS: NO P O. BOX' CITY STATE ZIP CODE AREACOC=!PHONE Indian Wells CA 92210 ( MAILING A'7DRESS;IFDIFFERENT) NO, AND STREET ORPO BOX P. STATE ZIP CODE AREA CODrlPHONE Palm Desert CA 92262 OPTIONAL FAX IE-MAIL ADDRESS 4. Verification Date of election if applicable: 2G E3 JAN 29 Ptl F i of (Month, Day, Year) I For Official Use Only 11 /06/2018 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement t c{ � ar Report ❑ Termination Statement;''.'. (Also file a Form 410 Termination) ■ � ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Dr. William Kroonen MAILING ADDRESS 73575 STATE ZIP CODE AREACODFJPHONE Palm Desert, CA 92260 (760) OF ASSISTANT TREASURER, IF ANY Elizabeth Lopez MAIL NG ADDRESS 41- STATE ZIP CODE AREA COD_ 'tiJN= Indio CA 92203 (760) FAX IE-MAIL ADDRESS have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Information coma ned herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of Califon a that the fBZo ng is t� Executed on Date Executed on I },fa By Signature of Controlling Officeholder Candidate Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov.M66/275-3772) r.fppc.ca.gov COVER PAGE - PART 2 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 - City of Palm Desert RESIDENTIALIBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP Indian Wells, CA 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. NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? — ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE Page 2 of r V 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 OR HELD DISTRICT NO I-- ANY 7. Primarily Formed Candidate/Officeholder Committee Lisrnames or officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIC;ATI OFFICE SOUGHT OR HELD m SUPPORT Jan Harnik 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page 10/21/2018 . � ' • � from through 12131 /2018 Page 3 of 13 SEE INSTRUCTIONS ON REVERSE 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 CALENDAR YEAR Running in Both the State Primary and {FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections1. 3625.00 46874.03 Monetary Contributions................................................... Schedule A, Line 3 $ s 111 through 6130 7i1 to Date 00.00 00.00 2. Loans Received................................................................ Schedule B, Line 3 3625.00 46874.03 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ................. Received $ 5 00.00 00.00 4. Nonmonetary Contributions ............................................ Schedule C. Line 3 21Expenditures 3625.00 46874.03 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ....... .................. ........... Add Lines 3+4 $ $ Expenditures Made 6, Payments Made................................................................ schedule E, Line 4 S 20577.54 7. Loans Made...................................................................... Schedule H, Line 3 00.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 20577.54 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 8 + s + 10 $ 20577.54 Current Cash Statement 12. Beginning Cash Balance ........................... Previous Summary Page, Line 16 $ 25634.43 13. Casa Receipts _ Column A. L,ne 3 above 3625.00 14. Miscellaneous increases to Cash .................................. schedule i. Line 4 00.00 15. Cash Payments ................................................... Column A. Line a above 20577.54 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 8681.89 If this is a termination statement. Line 16 must be zero 17. LOAN GUARANTEES RECEIVED ............................... Schedule S. Part 2 $ 00.00 Cash Equivalents and Outstanding Debts 18_ Cash Equivalents......... .......... See instructions on reverse S 00.00 19. Outstanding Debts ........................ Add Line 2 + Line 9 in Column B above $ 00.00 S 41682.54 00.00 S 41682.54 00.00 00.00 $ 41682.54 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` In Subject to Voluntary Expenditure Limit) Cate of Election Total to Date (mmiddtyy) I I $ I I $ '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 Crhnrl� �In A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period , - , from 10/21 /2018 0- 12/31/2018 ILD. through age of n SEE INSTRUCTIONS ON REVERSE NAME OF FILER NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 22067 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE ALSO I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC, 31) (IF REQUIRED) OF BUSINESS) IND 10/25/2018 Michael Knighten ❑ COM Attorney 250.00 250.00 73852 Guralnick, Gilliland & Palm Desert, CA 92211 ❑ PTY Knighten ❑ SCC m IND 10/22/2018 Mark Nickerson ❑ COM Farmer/Agriculture 1000.00 1000.00 86- OTH Prime Time International Coachella, CA 92236 ❑ PTY ❑ SCC ❑ IND Southern California Edison ElcoM 500.00 500.00 1115/2018 P. OTH Rosemead, CA 91770 ❑ PTY ❑ SCC ❑IND Southwest Regional Council of Carpenters E]COM 500.00 500.00 11/512018 FPPC ID #: 870169; 533 South Fremont Los Angeles, CA 90071 ❑ PTY ❑ SCC ❑IND Indian Wells Restaurant Inc. 300.00 300.00 11/5/2018 75-188 Highway CA 92210 ❑ PTY ❑ SCC SUBTOTAL $ 2550.00 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 $ 3550.00 75.00 3625.00 '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) ' .rW fppc.ca-gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period — CALIFORNIA , from 10/21 /2018FORM • through 12/31/2018 Page of 5L NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {IF COMMITTEE, ALSO ENTER LD. NUMB E Q) CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND California Real Estate PAC - California ®Conn 1000.00 1000.00 11/6/2018 Association of Realtors (FPPC lD: 890106) ❑ OTH , Los Angeles, CA 90020 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑O H ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC '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 SUBTOTAL $ 1000.00 1 1 FPPC Form 460 Van/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 'I dollars. ~VM Statement covers period , Loans Received 10/21/2018 from 12/31/2018 a Page SEE INSTRUCTIONS ON REVERSE through �lL ofL NAME OF FILER I.Q. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMOUNT PAID OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE OF LENDER M (IF SELF-EMPLOYED ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.O. NUMBER) NAME BUSINESS) PERI;?r, PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Brian S. Harnik Self Roemer & Harnik LLP $ $ 2798.08 % s 18,000 s PER ELECTION" Indian Wells, CA 92210 ❑ FORGIVEN RATE 2798.08 00.00 s 5 10/01/10 s 5 S DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR S ❑ FORGIVEN RATE PER ELECTION" DATE DUE 1 ❑ IND ❑ COM ElOTH ❑ -TY El SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ 3 % $ 3 [:1 FORGIVEN RATE PER ELECTION- S_ II 5 S S DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ $ $ $ 2798.08 Schedule B Summary 1. Loans received this period ....................................................... .............................................................$ nn nn (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ (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 $ 00 nn Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative ^°mbey) 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. (t:rner (e) on Schedule E, Line 3) tContributor 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 B - PART 2 Schedule B — Part 2 Amounts may be rounded Statement covers period . to whole dollars. • Loan Guarantors 10/21/2018 • from through 12/31/2018 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 -4.L L NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING ZIP CODE OF GUARANTOR (IF COMMITTEE. ALSO ENTER I.O. NUMBERI uODE ER (IF SELF@ THIS PERIOD TO DATE TO DATE OF BUSINEEN LENDER CALENDAR YEAR ❑ IND ❑ COM S DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC : CALENDAR YEAR ❑ IND LENDER ❑ Com $ ❑ OTH PER ELECTION (IF REQUIRED) DATE ❑ PTY []SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ LENDER CALENDAR YEAR ❑ IND ❑ COM s D ATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s n er an SUBTOTAL $ Summary Page, Line 1; only. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 0. Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers period ._ � 1 • from 10/21/2018 •' 12/31/2018 through page of� SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE FULL NAME. STREET CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO PATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE. ALSO ENTER LD NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND Cl COM ❑ OTH ❑ PTY ❑ SCC ❑ [ND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTALS 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.).....................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 Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. CALIFORNIA • " ' from 10/21/2018 Candidates, Measures and Committees 12/31/2018 Page [ SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR -TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN, 1- DEC. 31) {IF REQUIRED) OR COMMITTEE ❑ 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 $ 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.) .......... TOTAL FPPC Form 460 (Ian/2016) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT) Summary of Expenditures to whole dollars. Statement covers period , Supporting/Opposing Other 10/21/2018 • from Candidates, Measures and Committees through 1213112018 m f page ' " of NAME OF FILER LD. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN. 1 DEC 31 (IF REQUIREDI ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ 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 $ FPPC Form 460 (Jan/2026) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www-fppc.ca.gov [:YaI:l�alaR�� Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Re-elect Jan Harnik for Palm Desert City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 10/21/2018 through 12/31/2018 Page _y_ of �(L D NUMBER 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. INBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' O' C office expenses SAL campaign workers salaries CVC civic donations PP— petition circulating T�:L t.v, or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging. and meals IND independent expenditure supportinglopposmg others (explain)' POS postage. delivery and messenger services r SF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VO— voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internel, e-mail) NAME AND ADDRESS OF PAYEE Pr UOMMITTEE,ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Buzz Factory 1801 E. Tahquitz Canyon Way, Suite 101 CNS 3858.75 Palm Spr;ngs, CA 92262 Buzz Factory 1801 E. Tahquitz Canyon Way, Suite 101 LIT 2771.85 Palm Springs, CA 92262 The Williams Company CNS 1935.00 3711-A Arlington Avenue Riverside, CA 92506 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 8565.60 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................... 20413.99 2. Unitemized payments made this period of under $100.................... 163.55 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 $ 20577.54 FPPC Form 460 (!an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONY.) statement covers period Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made from 10�21�2018 12/31/2018 r,,�1c_ / r" SEE INSTRUCTIONS ON REVERSE through Pa a of j g 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 paraphernalialmisc. 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 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 FND fundra'smg events POI 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NVMBERI Buzz Factory LIT 3279.10 Palm Springs, CA 92262 Buzz Factory CNS 1548.75 Palm Springs, CA 92262 CitiCards Buzz Factory LIT 4127.98 Phoenix, AZ 85062-8045 Palm Springs, CA 92262 CitiCards Desert Willow Golf Resort FND 2642.54 Phoenix, AZ 85062-8045 Palm Desert, CA 92260 CitiCards GoDaddy.com and NationBuilder.com WEB 119.76 Phoenix, AZ 85062-8045 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 11718.13 FPPC Form 460 (Jan/2016) ,..� FPPC Advice: advice@fppc.ca.gov (866/275-3772) v.fppc.ca.gov Schedule E SCHEDULE E (CONT.) Sheet) Amounts may be rounded to whole dollars. Statement covers period • / (Continuation S Payments Made from 10/21/2018 • 12/31/2018 L % SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER CODES: If one of the foilowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 FIND 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 Iterature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE JIF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DL SCRIPTION OF PAYMENT AMOUNT PAID CiliCards Phoenix, AZ 85062-8045 OFC 130.26 " Payments that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL $ 130.26 FPPC Form 460 (Jan/2016) r-� FPPC Advice: advice@fppc.ca.gov (866/275-3772) 0 ;'�f.fppc.ca.gov SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVE NAME OF FILER Re-elect Jan Harnik for Palm Desert City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 10/21 /2018 through 12/31/2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CMP campaign paraphernalia/misc. MBR member communications RAD CNS campaign consultants MTG meetings and appearances RFD CTB contribution (explain nonmonetary)' OFC office expenses SAL CVC civic donations PET petition circulating TEL FIL candidate filing/ballot fees PHO phone banks TRC FND fundraising events POL polling and survey research TRS IND :ndependent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF LEG legal defense PRO professional sery ces (legal, accounting) VOT LIT campaign literature and mailings PRT print ads WEB describe the payment. Page of I D. NUMBER 1322067 radio airtime and production costs returned contributions campaign workers'salaries t.v or cable airtime and production costs candidate travel, lodging, and meals staffispouse travel, lodging, and meals transfer between committees of the same cand datelsponsor voter registration information technology costs (intemet, e-mail) NAME AND ADDRESS OF CREDITOR tIF COMMITTll ALSO INTER I.D. NYMBERI CODE OR DESCRIPTION OF PAYMENT (a) OJTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALff RFrIA 'N, (d) OUTSTAND NG BALANCE AT CLOSE OF THIS PERIOD " Payments that are contributions or independent expenditures must also he SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. 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.) ..............................................INCURRED TOTALS $ 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.)................................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................ 0 .................................................. NET $ May be a negative number FPPC Form 460 (!an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) - W.fppc.ca.gov Schedule F Amounts may be rounded (Continuation Sheet) to whole dollars. Accrued Expenses (Unpaid Bills) NAME OF FILER Re-elect Jan Harnik for Palm Desert City Council 2018 Statement covers period from 10/21/2018 through 12/31/2018 SCHEDULE F (CONT.) Page 1 ✓ of I.D. NUMBER 1322067 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 RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL 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 (intemet, e-mail) " Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAMEAND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov l� Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. Statement covers perm from 10/21/2018 through 12/31/2018 SCHEDULE G Page _ffa of ) 8 NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 11322067 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 campa gn paraphernal'a/misc. IVIBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribut-on (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition c rculating 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 poll ng and survey research TRS staffispouse travel, lodging, and meals IND Independent expenditure supportinglopposing 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Attach additional infomtation on appropriately labeled continuation sheets. TOTAL* $ " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 IJan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275 3772) www.fppr—ca.gov EN SCHEDULE H Schedule H Amounts may be rounded Statement covers period CALIFORNIA * to whole dollars. Loans Made to Others 10/21 /2018 , • ' from 12/31/2018 Page /� SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER Re-elect Jan Harnik for Palm Desert City Council 2018 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE WAN INDIVIDUAL, ENTER la OUTSTANDING (b) AMOUNT CC) REPAYMENT OR (d) OUTSTANDING (e) INTEREST t9 ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCEAT CLOSE OF THIS RECEIVED AMOUNT OF LOANS (IF COMMITTEE ALSO ENTER �.D NUMBER] NAME OF BUSINE5S5 PERIOD PERIOD THIS PERIOD' LOAN TO DATE ❑ PAID CALENDAR YEAR PER ELECTION' ❑ FORGIVEN RATE S S S S S DATE INCURRED ❑ PAID CALENDAR YEAR s s x s s ❑ FORGIVEN RATE PER ELECTION" s s s DATE DUE DATE INCURRED "Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUSTOTALS $ $ $ $ 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.)............................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) k_ Schedule I. Line 3) -If Required I May be a negative numbed FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Crhnrirlln I SCHEDULEI Miscellaneous Increases t0 Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/2112018 through 12/31/2018 CALIFORNIA FORM 460 Page of 1, 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. AL59 ENTER LD. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period.............................................................................1........................ 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.)......................................................................................................................... N ................... $ ................... $ ................... $ TOTAL $ FPPC Form 460 (7an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Y.fppc.ca.gov