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Daniel Harney - Form 460 - 2016/06/01 - 2016/09/24 AmendmentRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 06/01/2016 through 09/24/2016 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 91 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Alao Complete Part 5) 0 Sponsored El General Purpose Committee (Also Complete Pert 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Pan 7) 3. Committee Information I.D. NUMBER 1386442 "arney for Council 2016 STREETADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E -MAIL ADDRESS Date Stamp OCT 1 e 20116 Date of election if applicable: (Month, Day, Year) COVER PAGE of 16 For Official Use Onty 11/8/2016 `9S bra Fwd 2. Type of Statement: 6Z Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) m Amendment (Explain below) Correction to addresses and disclosure summary statements. Treasurer(s) lc u � `I / /A t JIAIt fir uuut AKtAUUUt /VNUNt NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E -MAIL ADDRESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury u der the laws of the State of California that the ..r o........: nR;.....r e.......... Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Daniel Harney OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member RESIDENTIAUBUSINESS ADDRESS (N0. AND STREET) CITY STATE LP 7351 Rosanna street Gilroy, CA 95020 Related Committees Not Included In this Statement: Listany 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 OF TREASURER 138 (,o44 2- ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page i° of 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, H any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee ust names of ofBceholde") or candidates) 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 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 Summary Page to whole' dollars. Statement covers period from 06/01/2016 a 4 Expenditures Made $ To calculate Column B, 6. Payments Made ................................. ............................... 09/24/2016 3659.56 $ SEE INSTRUCTIONS ON REVERSE 7. Loans Made ........................................ ............................... Schedule H, Una 3 of your last report. Some through 8. SUBTOTAL CASH PAYMENTS ........... ............................... Page of NAME OF FILER 3659.56 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Una 3 1650.00 I.D. NUMBER Daniel Harney Schedule C, Una 3 -4$b ` Q0 %4- �- ' 11; TOTAL EXPENDITURES MADE ........................................ 1386442 Contributions Received �t U • Column A Column B Calendar Year Summary for Candidates FPPC Form 460 (Jan /2016) (FROM ATTACHED SCHIEDULES) TOTALTODATE Running In Both the State Primary and General Elections 1. Monetary Contributions .................... ............................... Schedule A. Une3 6999.00 $ $ 6999 1950.00 1950 1l1 through BI30 7/1 to Dale 2. Loans Received .................. ..... Schedule e, Una 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 8949.00 $ $ 8949 20, Contributions Received $ $ 4,. Nonmonetary Contributions; ............. ; ............................. Schedule C, Una3 750.00 750 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................. .. Add Lines 3 +4 $ 9699.00 $ 9699 Made $ $ Expenditures Made $ To calculate Column B, 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 3659.56 $ 3659.56 7. Loans Made ........................................ ............................... Schedule H, Una 3 of your last report. Some 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines a +7 $ 3659.56 $ 3659.56 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Una 3 1650.00 1650 10. Nonmonetary Adjustment .......................... ............................... Schedule C, Una 3 -4$b ` Q0 %4- �- ' 11; TOTAL EXPENDITURES MADE ........................................ Add unese +9 +10 $ 61©5gT�6 $ �t U • Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Una 16 $ 13. Cash Receipts ............................ ............................... Column A; Line 3 above 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 15. Cash Payments .......................... ............................... Column A, Line 8above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Una 18 $ if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... schedule 9, Part 2 $ 0 8949 3659.56 5289.44 Cash Equivalents and Outstanding Debts 18; Cash Equivalents ................. ............................... 'See instructions On reverse $ 19. Outstanding Debts .............................. Addune2 +Una ginColumn9'above $ 3600 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (M subject to VobrMary Eipenditure UmIt) Date of Election Total to Date (mm /ddtyy) e J__J $ $ To calculate Column B, add amounts In Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported In Column B. of your last report. Some amounts in Column may be negative figures that should be subtracted from previous period amounts. If this lsdhe,first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (666/275 -3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary ontributions Received to whole dollars. ry Statement covers perlod 06/01/2016 from FFF through 09/24/2016 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE FULL NAME STREET ADDRESS AND 21P 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 CODE * (IF SELF�EMPLOYEO. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND 07/25/2016 Micheal Hawk DR El COM Sales 100 100 ❑OTH South Bay Metals C% 1 LJLO- e 4 ❑ PTY , ❑SCC ❑ IND 07/25/2016 Jernell Escobar DDS ID OTH 200 200 95020 ❑ OTH G I LtLX-JLj , COC ❑ PTY ❑ ScC IND 08/15/2016 Marta Dinsmore ❑ coM Realtor 500 500 95020 ❑OTH Intero C11 LR-r)� C� 0 PTY ❑SCC David and Lisa Sheedy ® IND ❑TH Contractor 100 100 08/1512016 95020 OTH ❑ 0 ("�!'oJtZv t'�H E1�1J� L fjXjLA I e 1r ❑ PTY �N3t'(w C-n r� ❑ SCC Gurries Enterprise 6 i IND 08/22/2016 96020 (dcoM ❑OTH 200 200 C11 LXD CJ� ❑PTY ❑SCC SUBTOTAL$ 1100 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, ColumnA, Line 1..) ......................TOTAL $ ! -TT7 6999 .Contributor Codes IND - Individual COM - Recipient Committee (other then 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.ce.govi(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 e from 06/01/2018 • cofi—kp- through 09/24/2016 Page NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) John M Filice D IND Real estate . 08/22/2016 `11 LrL- " Q^ ❑ PTY , ❑ SCC Hewell & Sheedy Construction ❑ IND m COM 08/29/2016 95020 ❑ OTH 100 100 Ci I L fLt� `'� C ❑ PTY ❑ SCC Kevin Cunningham la IND ❑ COM Real Estate, Cornish & 09/15/2016 94563 El OTH Carry 100 100 ClrL.L'*_'A' eAr ❑ PTY ❑ SCC Joan Lewis V IND ❑coM Retired 09/15/2016 95020 ❑ OTH 250 250 Cti 1 tCtrG� C /k ❑ PTY ❑ SCC Connie Rogers LZ IND ❑ Retired 08131/2016 , 95020 OTH ❑ OTH 100 100 C I GA ° PTY I ❑SCC SUBTOTAL$ 650 `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 may be rounded SCHEDULE (CONT.) Monetary Contributions Received to Whole dollars. Statement covers period CALIFORNIA I , from 06/01/2016 • through 09/24/2016 i Page of --&-- NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE A 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, ENTER I.D. NUMBER) (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND 08/2912016 Ruggen - Jensen Azar 95020 ®COM ❑OTH 250.00 250 G i LlLcm Ca El ❑ scc Alicia Domingos OCOOM Manager, 100.00 100 09/01/2016 , 95020 El OTH �, l nJ e ❑ PTY [I SCC 09/01/2016 David Peoples , 95020 m IND DOOM ❑ OTH Self Employed C1 �`,` h1AisTt 100.00 100 ❑'PTY ❑scc Joan Buchanon 0 O IND D Retired 50.00 50 09/09/2016 95020 D OTH G (LMT / ❑ PTY ❑ SCC Ronald L Kirkish ® IND D Retired 50.00 50 09/09/2016 , 95020 OTH E] O OTH CAI Ln b1 e/- ❑sCC SUBTOTAL$ 550 'Contributor Codes IND — Individual COM — Recipient Committee (other then 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 CALlFbkNIA , • 1 from 07/01/2016 ® 09/24/2016 through Page of NAME OF FILER I.D. NUMBER Daniel Hamey 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 09/15/2016 Hosein Fallah 95020 ❑ OTH ❑ OTH Retired 100.00 ❑❑S PTY CC 09115/2016 Michael Hensley ® IND ❑ COM Banker 500.00 95008 ❑ OTH FRB CAr"Q1r,5L.L ( C3 PTY ❑SCC ❑ IND 09/15/2018 Alpine Landscape , 95020 OCOM [1 OTH 750.00 Q 1 L(LC1�j ❑ PTY ❑ ScC ❑ IND Brookfield Norcal Builder Inc. 250.00 09/15/2016 94526 OOTH C1 PTY 0 SCC Paul S and Christine Wheeler ® IND El Realtor 100 09/15/2016 95020 El O OTH TH Codwell Banker I Ar ❑SCC SUBTOTAL$ 1700 'Contributor Codes IND — Individual COM — Recipient Committee (other then PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2036) 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 ! from 06/01/2016 !UE thr ough 09/24/2016 Page of NAME OF FILER I.D. NR Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND AP CODE OF CONTRIBUTOR ENTER I.D. 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 NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) is IND Satish Dadral ❑ Banker 09/15/2016 94022 [:1 OTH TH Wells Fargo 200 L—M Q —1-6s ❑ PTY ❑ SCC Darren Harney ® IND ❑ OM c President 09/12/2016 Canada, J5R 2A6 0TH Savonnette 1000 (A%-tA-i AC j ❑ PTY ❑ SCC Kevin Kearns ❑iND Director 100 08/24/2016 San Jose I g i ❑ OTH Paypal ❑ PTY ❑ SCC ❑ IND California League of Conservative Voters ❑ coM 09/1612016 95109 10OTH 500 ❑ PTY ❑ SCC Michael J Zyburra ® IND ❑COM Owner, 09/25/016 95020 0 OTH The Milias Restaurant 100 I C.(j _C)� ` e A- ❑ PTY ❑ SCC SUBTOTAL$ 1900 "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 (866/2753772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. statement covers period e . e 0 from 06/0112016 FORM. ® 09/2412016 Page A— of �- through NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ENTER C 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 NUMBER) (IF SELF - EMPLOYED. ENTER NAME PERIOD (JAN. 1 • DEC. 31) (IF REQUIRED) OF BUSINESS) IND Bracco's Towing and Transport Inc. ® COM 250 250 09/15/2016 95020 ❑ OTH ��� ❑ PTY ❑ scc Peter Koska ®1ND ❑ COM General Manager, 100 100 09/15/2016 94566 [1 0TH Boral Industries C.,A7 ❑ PTY [1 SCC Milan Hrncir 0IND El COM Police Officer 300 300 09/15/2016 95051 El OTH CI of San Jose City SASr�jC'�. CL/�tLL� I CA- ❑ PTY ❑ SCC [1 IND Arcadia Development Co. VCOM 250 250 09/22/2016 95150 OTH DOTH [1 PTY ❑ SCC Don Gage m IND 0 Retired 100 100 0912212016 95020 OTH [1 O OTH 1 LrL—O �—A( ❑ PTY 1 ❑ SCC SUBTOTAL$ 1000 .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 may be rounded SCHEDULE (CONT.) monetary contributions Received to whole dollars. Statement covers period CALIFbRNIA from 06/01/2016 'FORM ®'' through 09/24/2016 page j of 16 NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 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 (IF CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Erik Anderson El CoM Sales 09/15/2016 El OTH Watersmart 99.00 99.00 CA q 3 3 p PTY ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ q9 - "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 -3712) www.fppc.ca.gov SCHEDULE B -PART 1 Schedule B — Part 1 d" ollare. ._.- statement covers period �; CALIFORNIA Loans Received from 06/01/2016 FORM 09/24/2016 Page _. of AL, SEE INSTRUCTIONS ON REVERSE through I NAME OF FILER LD. NUMBER Daniel Harney 1386442 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT RECEIVED THIS AMOUNT PAID OUTSTANDING BALANCE AT a INTEREST PAID ORIGINAL AMOUNT OF 9 CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE. ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD OR FORGIVEN THIS PERIOD CLOSE OF THIS PERIOD PERIOD PERIOD LOAN TO DATE E] PAID CALENDAR YEAR Daniel Harney Manager, 1000 0 a 1000 s 1000 95020 eBay Inc. s RATE s ❑ FORGIVEN PER ELECTION" 0 1000 g 08/05/16 s t IZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR Daniel Harney Manager, s 950 0 % s 0.00 ag s 1950 eBa Inc. y a RATE ❑FORGIVEN PER ELECTION•• s s 950 s 0,6/3016 $ s DATE DUE DATE INCURRED to IND ❑ COM ❑ OTH El PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s a a s DATE INCURRED s DATE DUE SUBTOTALS $ 1950$ $ 1950 $ Schedule B Summary 1. Loans received this period .................... ............................... (Total Column (b) plus unitemized loans of less than $100,) .................................. ..............................$ 1950 2. Loans paid or forgiven this period ........................................................................... ..............................$ n (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 $ 1950_ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative nwnben 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 "Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 ()an /2016) "• If required. FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.8ov (866/275 -3772) www.fppc.ca.gov SCHEDULE B - PART 2 Schedule B — Part 2 Amounts may be rounded Statement covers Period "`s:'CALIF0RNIA- 46 O to whole dollars. Loan Guarantors from 06/01/2016 FORM; 09/24/2016 Fpsge7i J y through of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 1386442 Daniel Harney FULL NAME, AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING 21P CODE OF GUARANTOR CODE O GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑IND ❑ COM t [3 OTH DATE PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM t PER ELECTION DATE ❑ OTH (IF REQUIRED) ❑ PTY ❑ SCC r CALENDAR YEAR ❑ IND LENDER ❑ COM s PER ELECTION ❑ OTH DATE (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR LENDER ❑ IND r ❑ COM PER ELECTION ❑ OTH DATE (IF REQUIRED) ❑ PTY ❑ SCC t Enter on SUBTOTAL $ summery Papa, Una 17 Dory. FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.8ov (866/275 -3772) www.fppc.ca.gov 0-9%. A. A— r Amounts may be rounded SCHEDULE C to wnout aouars. Nonmonetary Contributions Received Statement covers period 6 . 0 from 06/01/2016 FORM 09/24/2016 through Page of SEE INSTRUCTIONS ON REVERSE VWUFFM I.D. NUMBER 1386442 Daniel Harney DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR * /FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF GOADS OR SERVICES AMOUNT/ FAIR MARKET CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMRTEE. ALSO ENTER 1, D. NUMBER) CODE OF SELF- EMPLOYED, ENTER NAME OF BUSINESS) VALUE (JAN 1 - DEC 31) (IF REQUIRED) Michael Hawk Photography [I IND V COM Phtography 750.00 750.00 /1 95020 ❑ OTH service (711. eft `1 ❑PTY -(Uj� ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 750.00 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 $ 750 0 50 '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 E Amounts may be rounded Statement coven period SCHEDULE E • . to whole dollars. 460 Payments Made from 06/01/2016 FORM SEE INSTRUCTIONS ON REVERSE through 09/2412016 Page of 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 nonmonetery)• 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 other (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 1.0, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City Of Gilroy Candidate statement 7351 Rosanna Street, 95020 FIL 900.00 G--(1 C & Zahra Stavis Campaign consulting 95136 CNS 1750 Daniel Harney Office supplies 95020 OFC 117.81 CA ) t Q* ' 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.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period SCHEDULE E (CONT.) (Continuation Sheet) to whole dollars. e - Payments Made from 06/0112016 • ®1. SEE INSTRUCTIONS ON REVERSE through 09/24/2016 page of NAME OF FILER 1.0. 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 paraphemalie /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)` 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 fundralsing events POL polling and survey research TRS stafflspouse 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 (internal, e-mail) NAME ANDADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D: NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pinnacle Bank Banking services 18181 Butterfield blvd, 95037 PRO 30.00 C1 c,n,c, crtJ 4, Lx, cfl Daniel Harney Copies 95020 CMP 515.26 G I L XL C)" I C S 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. SUBTOTALS 891.75 FPPC Form 460 (Jan /2016) FPPC Advice: advlee @fppc.w.gov (666/275.3772) www.fppc.ca.gov SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills SEE INSTRUCTIONS ON REVERSE CODE OR Amounts may be rounded to whole dollars. gGt.n.nt c eCALIFORNIA from 06/01 /2018 through 09/24/2016 I 6 ' FORM Page of NAME OF FILER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING I.D. NUMBER Daniel Harney BALANCE AT CLOSE 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 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 CREDITOR CODE OR p) ( IN (e) ( (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 Legacy Printing 3310 Woodward eve, 95054 CMP 0.00 1650 1650 • Payments that are contributions or Independent expenditures must also be $ I� ' summarized on Schedule D. SUBTOTALS $ L ►Y D $ $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 1850 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.) ................................................................................................................................................... ............................... NET $ 1650 May be a negative number FPPC Form 460 (Jan /20161 FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov