The URL can be used to link to this page

Home My WebLink About2023-09-28 Form 410 - Harnikell, Staterrlent of Organization R CEIVED`AND FILE r, � L rpi iC88eii1 a L pi a d�sFs retary of S In tl @office of the Septat " `-- ------- -j of the State of California Stafernent Type Initial ® Amendment ❑ Termination - See Part 5 I For Official Use Only rr� Q Not yet qualified IOCTa�j� ' ®C11 20.3 OCT II99 19 F 1`1 I 1 ' �, r� or O Date qualification threshold met Date qualification threshold met Date of termination ' Hi nd Delivered, Sacrament- I 28 2023 u / / —09 / / I / r� ..... _ NAME OF COMMITTEE _.....-..�......:.........EASU w....-....—e........._-.:n ._.. _ __.. _ •.�_— .. RER NAME OF TREASURER s__.—....:� _ — Re -Elect Jan Harnik Palm Desert Cit,, Council 2024 , y I J2H.t iiarnlK STREET ADDRESS (NO P.O. BOX) 45-025 Manitou ADDRESS (NO P,O. BOX) CITY ~— STATE ZIP CODE AREA COD'eiPHONEy 45-925 \-lanitou a_ A 9i210 9ili- Ici-;>77_ ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Indian Wells CA 92210 9164,176-6926 FULL MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) PO Box 981415, (REQUIRED)/FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE bryan@thinkrightco.com 'Vest 95691 916-476-6926 JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S) Riverside City of Palm Desert Jan Harnik STREET ADDRESS (NO P.O. BOX) . ' 45-025 Manitou CODE AREA CODE/PHONE Attach additional information on appropriately labeled continuation sheets. Indian Wells CA 92210 916-476-6926 used all reasonable diligence in preparing this -statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California th the fore 'n&srue and correct. Executed on 10/08/2023 ,®_ DATE SIGNATLFRE OFTREASURER OR MEASURE PROPONENT ;,do ,;;: + �'•,`.. Executed on DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT rN,:y J P FPPC Form 4M(Augu'st/(-2P18) FPPC Advice: advice ca f imca.gov (866/2754772) wWw.fppc.ca.goy Statement of Organization CALIFORNIA Recipient Committee FORM INSTRUCTIONS ON REVERSE Page 2 COMMITTEE NAME I.D. NUMBER Re -Elect Jan Harnik Palm Desert City Council 2024 1463190 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER California Bank and Trust 213-593-2134 ADDRESS CITY STATE ZIP CODE 550 S. Hope St., Ste. 100 Los Angeles CA 90071 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference' is acceptable • If this committee acts jointly with another controlled committee, list the name and identification number of the other'controlled committee. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE Jan Harnik City of Palm Desert 2024 Nonpartisan Partisan (list political party below) Nonpartisan Partisan (list political party below) FormedPrimarily Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULLTITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410(August/2018) FPPC Advice: advice@fPPc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR Page 3 I.D. NUMBER STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE Date qualified •+ 7: PrrYUrlaIhinn,RptjuirAmpntq=-Rvsieninetheverification.thP.trea"surer.assistanttreasurerand/nr.candidaEe. officeholder. or'uonentcertifvfhatalltof:thefollowineconditions have'be'en met: This committee has ceased to receive contributions and make expenditures; This committee does not anticipate receiving contributions or making expenditures in the future; This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; This committee has no surplus funds; and This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. — There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. — Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (August/2018) FPPC Advice: advice@fPPc.ca.gov (866/275-3772) wwwiJopc.ca.gov