Daniel Harney - Form 460 - 2016/06/01 - 2016/09/24Recipient Committee Campaign Statement Cover Page . SEE INSTRUCTIONS ON REVERSE Statement covers period from 06/01/2016 through 09/24/2016 Date of election If applicable: (Month, Day, Year) 11/812016 Date Stamp Page I of PAGE 1. Type of Recipient Committee: All Committees— Complete 'Pads 1,'2, 3, and* 2. Type Of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure W Preelection Statement ❑ quarterly Statement O State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report O Recall O Controlled ❑ Termination Statement (Also cornpletePort s) O Sponsored (Also,file a Form 410 Termination) ❑ General Purpose Committee wso cm we Part 6) ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also cor ,pieta parr r) 3. Committee Information I I.D. NUMBER Harney for Council 2016 STREET ADDRESS (NO P.O., BOX) LING ADDRESS (IF DIFFERENT)iNO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS 4. Verification Treasurer(s) NAME OF TREASURER Michelle Limon MALINGAD RESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX 'I E-MAIL ADDRESS I have used all reasonable diligence In preparing and reviewing thisstatement andito 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 laws of the State of California that the foregoi 1 ru�-a direct. '� asurer or Assistant Treasurer Executed on ( a'9 `?i c" By —` �� Date Signature of .Controlling Officehol e , an (ae, State Measure Proponent or Responsible- Officer of Sponsor Executed on Date Executed on ate By Signature of Controlling Officeholder, Candidate, State' assure Proponent BY Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (Jan /2016) FPP,C Advice: advice ftpc.ca:gov (866/275. -3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDEK OR CANDIDATE Daniel Harney OFFICE SOUGHT OR.HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPUCABLE) City Council Member RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 7351 Rosanna street Gilroy, CA 95020 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 I.D. NUMBER NAME OF TREASURER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page �'J of 6. Primarily Formed Ballot'Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identity the controlling officeholder, candidate, or state measure proponent. It any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT. OFFICE SOUGHT OR IF ANY 7. Primarily Formed Candidate /OfficeholderCommittee Llsrnamesof officeholders) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE !OFFICE SOUGHT OR HELD El 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 (Jan /2016) FPPC Advice: advice @fppc.ca:gov (866/275 -3772) www.ippc.ca.gov Campaign Disclosure Statement Amounts may be rounded 6. Payments Made: ............................................................... SUMMARY PAGE Summary Page 7. Loans Made ........................................ to whole dollars. Statement covers period e - , , 3659.56 9. Accrued Expenses (Unpaid Bills) ........... ............................... schedule F Line 3 1650.00 10. Nonmonetary Adjustment ......................... 06/01'/2016 s • ! 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines a + 9 + 10 $ 5309.56 from h through 09/24/2016 Page -> Of (� a SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Daniel Harney 1386442 Contributions Received A Column B Calendar Year Summary for Candidates 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, Linea 6999.00 $ $ 6999 Z. Loans Received ................................ ............................... . Schedule B, Line 3 1950.00 1950 111 through 6130 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add lines 1 +2 8949.00 $ $ 8949 20. Contributions Received $ $ 4. Nonmonetary Contributions. Schedule.C, Line 3 750.00 750 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................... Add Lines 3 + 4 $ 9699.00 $ 9699 Made $ $ Expenditures Made 6. Payments Made: ............................................................... schedule E, Line 4 $ 3659.56 7. Loans Made ........................................ ............................... schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 3659.56 9. Accrued Expenses (Unpaid Bills) ........... ............................... schedule F Line 3 1650.00 10. Nonmonetary Adjustment ......................... ............................... schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines a + 9 + 10 $ 5309.56 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 13. Cash Receipts ............................ ............................... Column A; Line 3 above 14. Miscellaneous Increases 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. 0 8949 3659.56 5289.4.4 $ 3659.56 $ 3659.56 1650 $ 5309.56 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 17. LOAN GUARANTEES RECEIVED . ............................... schedule B, Part 2 $ filed for this calendar year, only cany overthe amounts Cash Equivalents and Outstanding Debts from.Lines,2, 7, and 9,(if any). 18. Cash Equivalents ................. ............................... see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 3600 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' IN Subject to Voluntary Expenditure limn) Date of Election Total to Date (mm /dd /yy) *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 SC11P_dlile A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnoie aouars. Statement covers period CALIFORNIA from 06/01!201:6 e 09/24/2016 through Page of SEE INSTRUCTIONS20N REVERSE IND-Individual NAME OF FILER I.D. NUMBER Daniel Harney 1386442. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED 3. Total monetary contributions received this period. CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - -DEC. 31) (IFAEQUIRED) OPBUSINESS) FPPC FormA60 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866 /275 -3772) EI IND www.fppc.ca.gov 07/25/2016 Micheal Hawk DR ❑ CoM Sales 100 100 ❑OTH South Bay Metals ❑ PTY ❑ SCC. El IND 07!2512016 Jernell Escobar,DDS la OTH 200 200 E] OTH ❑ PTY ❑ SCC m IND 08/15/2016 Marta Dinsmore ❑ COM Realtor 500 500 95020 ❑ OTH Intero ❑ PTY ScC David and Lisa Sheedy IND ❑ COM Contractor 100 100 08/15/2016 95020 ❑ OTH Self employed El PTY ❑ SCC Gurries Enterprise EI IND ❑COM 08/22/2016 95020 ❑ ,OTH 200 200 ❑ PTY ❑ SCC SUBTOTAL $ 11.00 Schedule A Summary •Contributor Codes 1. Amount received this period - itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) 6900 COM­ Recipient Committee ...................: ................... . .... . ...................... ............................... .......$ an-PTY S (other than PTY or SCC) 2, Amount received this period - unitemized monetary contributions of less than $100 ....................... $ 99 OTH - Othec(e:g., business entity) .PTY - PoliticahPaAy 3. Total monetary contributions received this period. sec - Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. ...TOTAL $ (Add 9 ) 6999 FPPC FormA60 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866 /275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to Whole dollars. Statement covers period CALIFORNIA 460 from 06/0112016 FORM through 09/24/2016 Page S of D NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF ENTER Lo. NUMBER) CODE (IF SELF- EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND John M Filice ❑ CO Real estate 08/22/2016 95020 OTH ❑ OTH 100 100 PTY ❑ SCC Hewell & Sheedy Construction ❑ IND ®'COM 0812912016 95020 ❑ OTH 100 100 ❑ PTY ❑ SCC Kevin Cunningham ® IND COM Real Estate, Cornish & 09/15/2016 94563 p OTH Carry 100 100 ❑'PTY ❑ SCC Joan Lewis IND ❑ Retired 09/15/2016 95020 El OTH OTH 250 250 PTY ❑ SCC Connie Rogers JZ IND ❑ Retired 08/31!2016 , 95020 OTH ❑ OTH 100 100 ❑ PTY ❑ SCC SUBTOTAL$ 650 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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to Whole dollars. statement covers, period / . I I !� 1 from 06/01/2016 • ' through 09/24/2016 Page J of i NAME OF FILER I'.D. NU ER Daniel Harney 1386442 DATE ADDRESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS' CUMULATIVE T.O'DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * (IF SELF- EMPLOYED: ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND 08/29/2016 Ruggen- Jensen Azar ®COM 250:00 250 95020 ❑ OTH ❑ PTY ❑ SCC Alicia Domingos ® IND COM ❑❑OTH Manager 100.00 100 09/01/2016 , 95020 ❑ PTY ❑ SCC David Peoples 0 IND El COM Self Employed 100.00 100 09/0.1/2016 , 95020 ❑ OTH ❑',PTY ❑ SCC 1,7/ I ND Joan Buchanon ❑ ND Retired 50:00 50 09/09/2016 95020 El OTH ❑ PTY ❑ SCC Ronald L Kirkish IND LA IND Retired 50.00 50 09/09/2016 , 95020 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL .$ 550 '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 A (Continuation Sheet) Amounts maybe rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period. :CALIFORNW , from 07101/2016 FORM '� through 09/240016 Pam NAME OF FILER I.D. NUMBS Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER'ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 0IND 09/15/2016 Hosein Fallah p OTH Retired 95020 100.00 El PTY ❑ SCC Michael Hensley ®IIND ❑IOM Banker 500.00 09/1572016 95008 ❑ OTH FRB ❑ PTY ❑ SCC IND 09/15/2016 Alpine Landscape , 95020 ®COM 0OTH 750.00 ❑ PTY ❑ SCC W IND Brookfield Norcal Builder Inc. V 250.00 09/15/2016 94526 El OTH OTH ❑ PTY ❑ SCC Paul S and Christine Wheeler BIND ❑COM :Realtor U9/15/2016 95020 ❑ OTH ;Codwell Banker 100 ❑ PTY ❑ SCC SUBTOTALS 1700 "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 FormA60 (Jan /2016) FPPCAdvice: advice @fppc.ca.gov.(866 1275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement: covers period CALIFORNIA, 6( from 0610112016 ' through 09/24/2016 Page s of t NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) (IF SELF•EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Satish Dadrai ❑OTH Banker 09/15/2016 94022 ❑r TH 'ells Fargo 1N 200 ❑PTY ❑ ScC Darren Harney Ila'IND El coM President 09/12/2016 Canada, J5R 2A6 ❑ OTH Savonnette 1000 ❑ PTY ❑SCC Kevin Kearns ❑ IND ❑ CoM Director 08/24/2016 San Jose 0TH Papal _ 100 ❑ PTY ❑ SCC ❑ IND California League of Conservative Voters ❑ coM 09/16/2016 951 09 p OTH 500 ❑ PTY ❑ SCC Michael J Zyburra JZ IND ❑ coM Owner, 09/25/016 95020 ❑ OTFI The Milias Restaurant 100 ❑PTY ❑'SCC SUBTOTAL$ 1900 "Contributor Codes IND— Individual COM — Recipient Committee (other thamPTY 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 A (Continuation Sheet) Amounts may be rounded SCHEDUILEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period :CALIFORNIA , i o from 06101/2016 • ' through 09124/2016 Page of I NAME OF FILER P.D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S A CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE S ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Bracco's Towing and Transport Inc. ® Coen 09/15/2016 95020 ❑ OTH 250 250 ❑ PTY ❑ SCC Peter Koska ® IND ❑❑OTH General Manager, 100 100 09/15/2016 94566 Boral Industries ❑ PTY ❑ SCC Milan Hrncir ®IND ❑COM Police Officer 09/15/2016 95051 ❑ OTH City of San Jose 300 300 ❑ PTY ❑ SCC Arcadia Development Co. ❑IND Q 250 250 09/22/2016 ', 951.50 ❑ O OTH TH ❑ PTY ❑ SCC Don Gage m IND E] Retired 100 100 09/22/2016 95020 C] OTH OTH PTY ❑ SCC SUBTOTALS 1000 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 1 Schedule B — Part 1 '`° "'°' ° °' ° °' ° °° tavrhole dollars. Statement covers period CALIFORNIA 460 Loans Received from 06/01/2016 FORM . 09124/2016 through Page i r` of / SEE INSTRUCTIONS ON REVERSE NAME OF-FILER I.D. NUMBER Daniel Harney 1386442 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT AMOUNT PAID OUTSTANDING BALANCE AT e INTEREST PAID THIS ORIGINAL AMOUNT'OF s CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE. OALSO ENTER ID. NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) .BEGINNING THIS INNING RECEIVED THIS PERIOD OR FORGIVEN* THIS,PERIOD CLOSE OF.THIS PERIOD LOAN TO DATE PERIOD ❑PAID CALENDAR YEAR Daniel Harney Manager; 1000 0 $ 1'000 eBay Inc. $ % s_1000 s ❑ FORGIVEN PER ELECTION° RATE s 0 1000 s 08/05/16 s t10 IND ❑'COM ❑ OTH ❑ PTY ❑ SCC s S DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR Daniel Harney Manager, 950. % s 950.00 s 1950 eBay Inc. $ RATE s [] FORGIVEN PER ELECTION' s s 950 $ 06/3016 $ s DATE DUE DATE INCURRED t'iZl IND ❑ COM El OTH El PTY El SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION' RATE t❑ IND ❑ COM ❑ OTH [I PTY El SCC S S S S $ DATE!DUE DATE INCURRED SUBTOTALS $ 1950$ $ 1950 $ Schedule B Summary 1. Loans received this, period ...................................:.................................................. ..............................$ 19550 (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 $ 1 cis n Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative numbef) Schedule E, Une 3) tContributor Codes IND — Individual COM — Recipient Committee (otherrthan PTY or SCC) OTH —Other (e.g.,business entity) PTY — Political Party SCC —Small Contributor. Committee FAmounts forgiven or paid by another party also must be ;reported on- Schedule A. FPPE Form.460 (Jan /2016) f required. FPPC Advice: advice @fppc.ca.gov (866/2753772) www.fppc.ca.gov SCHEDULEB -PART 2 Schedule B — Part 2 Amounts may be rounded Statement covers period s FORM - to whole dollars. � Loan Guarantors' ' 0 O� from through 09/24/2016 paw. ! of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.,NUMBER 1386442 Daniel Harney FULL NAME; STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING ZIP CODE OF GUARANTOR ALSO ENTER I.D. NUMBER) CODE D, (IF SELF-EMPLOYED, ENTER THIS PERIOD TO DATE TO ' DATE (IF COMMITTEE. NAME OF BUSINESS) LENDER CALENDAR YEAR ❑ IND ❑ COM s El OTH DATE PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s - - CALENDAR YEAR ❑ IND LENDER ❑ COM s PER ELECTION - DATE ❑ OTH (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM s PER ELECTION _ ❑ OTH DATE (IF REQUIRED) ❑ PTY SCC s CALENDAR YEAR _ LENDER ❑IND ❑ COM s PER ELECTION ❑ OTH DATE (IF REQUIRED) ❑ PTY ❑ SCC s Enter on SUBTOTAL $ Summary Page, Una 17 onty. FPPC Form 460 Oan /2016) FPPC Advice; advice @fppc.ca.gov(866 /275 -3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C to whole dollars: Nonmonetary Contributions Received Statement,covers,period . t' from 06701/2016 FORM,, through 09/24/2016 Page 2' of 3EE INSTRUCTIONS ON REVERSE qAME OF FILER i:D: NUMBER Daniel Harney 1386442 DATE FULL NAME, STREETADDRESSAND CONTRIBUTOR IFAN'INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! FAIR MARKET CUMULATIVE TO DATE PER ELECTION 70 DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) Michael Hawk Photography D IND Phtography 750:00 750.00 95020 ❑ OTH service ❑ 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: SUBTOTALS 750.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ............................... ,,,,,,,,,,,,,,$ 750 2. Amount received this period —unitemized nonmonetary contributions of'less than $100 .... ..............................$ 0 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on. the Summary Page, ColumnA, Lines 4 and 10.)........:.... ...TOTAL $ 750 'Contributor Codes IND — Individual COM - Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committe FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc:ca:gov (866/275.3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period . SCHEDULE E Payments Made y AMOUNT PAID to Whole dollars' • 7351 Rosanna Street, 95020 FIL from 06/01/2016 900.00 Zahra Stavis Campaign consulting 09/24/2016 95020 OFC 117.81 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTAL $ 2767.81 Schedule E Summary 1. Itemized payments made this period. include all Schedule E subtotals. $ 3659.56 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.)......... ............... TOTAL $ 3659.56 FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866 /275 -3772) www,tppc.ca.gov Schedule E SCHEDULE E (CONT) Amounts may be rounded (Continuation Sheet) to,whole dollars. Statement covers period CALIFORNIA ,E 0 Payments Made from 06/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 09/24/2016 Page I F, of f NAME OF FILER LD.NUMBER Daniel Harney 1386442 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 andproduction 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, (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID I Pinnacle Bank Banking services 18181 Butterfield blvd, 95037 PRO 30.00 Daniel Harney Copies 95020 CMP 515.26 Daniel Harney Signage hardware and installation 95020 CMP 294.27 Paypal Online financial services 2211 North St. 95125 PRO 52.22 ' Payments,that are contributions. or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 891.75 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded to whole dollars. Statement covers period • �i Accrued Expenses (Unpaid Bills) from 06/01/2016 • �''' through 09/24/2016 Page l of SEE INSTRUCTIONS ON REVERSE NAME OF FILER - I.D. NUMBER Daniel Harney 1386442 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 civiadonations 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) NAME ANDADDRESS OF CREDITOR CODE OR tai ( IN (e) (d) (IF COMMITTEE, ALSO EWER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Legacy Printing 3310 Woodward ave, 95054 CMP 0.00 1650 1650 Payments'that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule 0. 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 $ 1650 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $1.00 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.). . ..... ............................................................................................................................... ............................... NET $ 1650 May be anegative number FPPC Form 460'(Jan /2016) FPPC Advice: advice @fppc.ra.gov (866/275 -3772) www.fppc.ca.gov