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Home My WebLink About2023-06-30 Form 460 - HarnikRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) CLERK's of PA. N OFSER` ,- COVER PAGE Statement covers period Date of election if applig0q{g: (Month, Day, Year).[[ U� I PM 4: { page 1 of 9 from O1/01/2023 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2023 11/08/2022 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee 0 Recall (Also complete Parts) ❑ General Purpose Committee Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ® Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Special Odd -Year Report ❑ Supplemental -Attach Statement -Attach Form 495 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part7) 3. Committee Information I I.D. NUMBER 1322067 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Re -Elect Jan Harnik Palm Desert City Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Indian Wells CA 92210 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Treasurer(s) NAME OF TREASURER Jan Harnik MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Indian Wells CA 92210 ( NAME OF ASSISTANT TREASURER, IF ANY Bryan Burch MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE West Sacramento CA 95799 West Sacramento CA 95691 ( OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information co tained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 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 Member City of Palm Desert RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 9 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 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 ❑ 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 W I T JIMIr- Llr UUVC tim M kluuairrivilc Attach continuation sheets if necessary www.neffile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement SUMMARYPAGE � . Amounts may be rounded Statement covers period Summary Page to whole dollars. 460 from O1/01/2023 FORM SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 3 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... Schedule B, Line 3 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ Column A TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) 0.00 0.00 0.00 0.00 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTALTO DATE Running •r�y in Both the State Primaand General Elections 0.00 1/1 through 6/30 7/1 to Date 2,798.08 $ 2,798.08 0.00 0.00 $ 2,798.08 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 4,425.30 7. Loans Made............................................................. Schedule H, Line 3 0.00. 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 4,425.30 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F,,Line 3 500.00 10. Nonmonetary Adjustment .......................................... Schedule c, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $ 4,925.30 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 12,216.68 13. Cash Receipts ................................................... Column A, Line 3above 0.00 14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 0.00 15. Cash Payments .................................................. Column A, Line 8 above 4,425.30 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7,791.38 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 3,298.08 www.netfile.com $ 4,425.30 0.00 $ 4,425.30 500.00 0.00 $ 4,925.30 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). 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 1 1 $ 1 1 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan12016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE13-PART1 Schedule B — Pali 1 Amounts may be rounded Statement covers period to dollars. 1 0. 1 • 1 Loans Received Whole 01/01/2023 a - from SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 4 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT O (N AMOUNT PAID OUTSTANDING (e) INTEREST (fI ORIGINAL (9) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IFSELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAMEOF BUSINESS) PERIOD PERIOD THIS PERIOD .CLOSE PERIOD PERIOD LOAN TO DATE Brian S. Harnik Attorney ❑ PAID CALENDAR YEAR Roemer & Harnik LLP Indian Wells, CA 92210' $ n_on $ 2,7ee-na n-00% $ 18,000.00 $ 0.00 ❑ FORGIVEN PERELECTION- RATE $ 2,798.08 $ 0.00 $ 0-00 n_nn 10/01/2010 $ DATE DUE ,$ DATE INCURRED t� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** - RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION** RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0.00$ 0.00$ 2,798.08$ 0.00 Schedule B Summary 1. Loans received this period.................................................................................................................... $ 0.00 (Total Column (b) plus unitemized loans of less than $100.) 2.. Loans paid or forgiven this period......................................................................................................... $ 0.00 (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 $ 0.00 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A.. ** If required. wivwxetfile.com (Enter (e) on Schedule E, Line3) 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 D er'uGn1 n G In Summary. of Expenditures Statement covers period . Amounts may be rounded Supporting/Opposing Other • - • to whole dollars. Candidates, Measures and Committees from, 01/01/2023 . - SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 5 Of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OR COMMITTEE 03/01/2023 Resolution No. 2022-50, Measure B Monetary 3,623.14 3,623.14 G2022 $3,623.14 Measure: B City of Palm Desert Contribution ❑ Nonmonetary Contribution ❑' Independent ® Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary. Contribution Nonmionetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 3,623.14 Schedule D Summary 1..Contributions and independent expenditures made this period of $100 or more. (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.) $ 3,623.14 $ 0.00 TOTAL $ 3,623.14 www.neifile.COm FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Re -Elect Jan Harnik Palm Desert City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2023 through 06/30/2023 I Page 6 CODES: If one of the following codes accurately describes the payment, you may enter the, code. Otherwise, describe the payment. 1322067 of 9 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 PEr 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 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 AMOUNTPAID CitiBank Card Credit Card Charges -See Sch. G 409.15 PO Box 6500 Sioux Falls, SD 57117 CitiBank Card Credit Card Charges -See Sch. G 3.52 PO Box 6500 Sioux Falls, SD 57117 No on Measure B Palm Desert Together (ID# 1455489) CTB 3,623.14 37612 College Dr., Unit 101 Palm Desert, CA 92211 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4,035.81 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 6, 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 $ www.netfile.com 4,375.30 50.00 0.00 4,425.30 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.fppc.ca.gov Schedule E - SCHEDULE E (CONT. (Continuation Sheet) Amounts may be rounded Statement covers period a . • Payments Made tovrholedollars. from 01/01/2023 • _ through 06/3,0/2023 Page 7 of 9 SEE INSTRUCTIONS ON REVERSE . g NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 I 1322067 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe ,the payment. CNP 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 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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CitiBank Card PO Box 6500 Sioux Falls, SD 57117 Credit Card Charges -See Sch. G 295.17 CitiBank Card PO Box 6500 Sioux Falls, SD 57117 Credit Card Charges -See Sch. G 44.32 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 339.49 FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) www.neffile.com www.fppc.ca.gov SCHEDULEF Schedule F Statement covers period • - Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. from 01/01/2023 • - � 6 , through 06/30/2023 8 9 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 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 nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr 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 IND 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 (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR (a) OUTSTANDING (b). AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Think Right Compliance, Inc. PRO 0.00 500.00 0.00 500.00 PO Box 981415 West Sacramento, CA 95799 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 . 00$ 500 .00 $ 0 .00$ 500.00 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.).......................................... 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 $ ............PAID TOTALS $ 500.00 0.00 ............................ NET $ 500.00 May be a negative number FPPC Form 460 (Jan/2016) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) www.netfile.com www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. , Contractor (on Behalf of This Committee) from 01/o1/zo23 - SEE INSTRUCTIONS ON REVERSE through 06/30/2023 Page 9 of 9 NAME OF FILER I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2022 1322067 NAME OF AGENT OR INDEPENDENT CONTRACTOR CitiBank Card CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 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 IND 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID NationBuilder WEB 408.00 520 S Grand Ave. Los Angeles, CA 90071 USPS POS 274.00 45300 Portola Ave. Palm Desert, CA 92260 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 682.00 * 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. www.netfile.com FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov