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