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Daniel Harney - Form 460 - 2016/09/25 - 2016/10/22Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 09/24/2016 through 10/22/2016 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1386442 Harney for Council 2016 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 certify under penalty of perjury under the laws of the State of California that the foregoing By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officetwlder, 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 RESIDENTIALBUSINESS 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. I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? [:]YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME ADDRESS STREET ADDRESS (NO I:D. NUMBER YES ❑ NO CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2— of I r 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 Listnames 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 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 Summary Page Amounts may be rounded to whole dollars. from Statement covers period m 09/24/2016 SUMMARY PAGE Expenditures Made 6. Payments Made ................................. ............................... schedule E, Line 4 $ 6369.11 7. Loans Made ........................................ ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 9. Accrued Expenses (Unpaid Bills) ........... ............................... schedule F Line 3 10. Nonmonetary Adjustment .......................... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines s + s + 10 $ 6369.11 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 10122/2016 Page 3 SEE INSTRUCTIONS ON REVERSE 5300.00 through of _Ls± NAME OF FILER 6369.11 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 I.D. NUMBER Daniel Harney If this is a termination statement, Line 16 must be zero. 1386442 Contributions Received ��Colulm EAoD Colu�mnEB Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 19. Outstanding Debts .............................. Add. Line 2 + Line s in Column a above $ 1950 General Elections 1. Monetary Contributions .................... ............................... schedule A, Line $ 5300 $ 12299 1950 �/� through 6/30 7/1 to Date 2. Loans Received .......................:....:.... ..::..................:........ schedule e. Line 3 - 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add lines 1 +2 $ $ 14249 20. Contributions Received $ $ 4. Nonmonetary Contributions ............. ............................... schedule C, Line 3 750 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................... .AddLines 3 +4 $ $ 14999 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... schedule E, Line 4 $ 6369.11 7. Loans Made ........................................ ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 9. Accrued Expenses (Unpaid Bills) ........... ............................... schedule F Line 3 10. Nonmonetary Adjustment .......................... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines s + s + 10 $ 6369.11 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 5289.44 13. Cash Receipts ............................ ............................... Column A, Line 3 above 5300.00 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 15. Cash Payments .......................... ............................... Column A, Line s above 6369.11 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 4220.33 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... schedule e, Part $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... see instructjons on reverse $ 19. Outstanding Debts .............................. Add. Line 2 + Line s in Column a above $ 1950 $ $ 10028.67 $ 10028.67 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' IN Subject to Voluntary Expenditure Llm@) Date of Election Total to Date (mm /dd /yy) $ 'Amounts in this section may be diflerent from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to wnore sonars. Monetary Contributions Received Statement covers period • • ,; I� 09724/2016 from FORM 10/22/2016 4 SEE INSTRUCTIONS ON REVERSE through Page of 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 CODE + (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) W1 IND 10/03/2016 GILPAC El COM ❑ OTH 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC m IND 10/03/2016 Amanda Gollott ❑ COM ❑ OTH Self employed 300.00 300.00 300.00 Livermore, CA 94550 ❑ PTY ❑ SCC ® IND 10/03/2016 Marc Lucatuorto ❑ COM Electrician 250.00 250.00 250.00 El OTH NRG Electric Orangevale, CA 95662 11 PTY ❑ SCC Christopher & Jill Vanni pJND ❑lOTH Properties Inc. 10/03/2016 OTH 100.00 1410.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 10/03/2016 Craig Filice IND ❑ COM Thomas Road Properties 100.00 100.00 100.00 Gilroy, CA 95020 p PTY ❑ SCC SUBTOTAL $ 1500.00 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, Column A, Line 1.) ......................TOTAL $ *Contributor Codes IND — Individual 5300 COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party 5300 SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.cagov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT) Monetary Contributions Received to whole dollars• statement covers period 46,01 from 09/24/2016 FORK through 10/2272016 Page of NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * 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) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Salvatore J Bozzo and Judith M Bouo ❑ CoM Retired 10/03/2016 ❑ OTH 25.00 25.00 25.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 10/03/2016 Mr. S. Tornasello ® IND El COM Retired 25.00 25.00 25.00 ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ see Santa Clara CAR CREPAC ❑ IND El COM CREPAC 10/03/2016 0 OTH 750.00 750.00 750.00 Los Angeles, CA 90020 ❑ PTY ❑ SCC 0IND 10/18/2016 Michelle Profitt ❑ OTH Retired 750.00 750.00 750.00 Los Alto, CA 94024 ❑ PTY ❑ SCC David Profitt ® IND El coM Retired 10/19/2016 ❑ OTH 750.00 750.00 750.00 Los Alto, CA 94024 ❑ PTY ❑ sec SUBTOTAL $ 2300.00 *Contributor Codes IND— Individual COM — Recipient Committee (other than aPTY or SCC) OTH — Other (e.g., business. entity) PTY — Political !Party SCC — Smalf 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 , from 09/24/2016 through 10/22/201$ Page 6 of S� NAME OF FILER I.D. NUMBER Daniel Harney 111386 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * 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) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) la IND David A Gillmor L1 Real Estate 10/18/2016 OTH E] O OTH Gillmor Associates 750.00 750,00 750.00 Santa Clara CA 95050 ❑ PTY SCC 10/19/2016 Rene T Coleman 0IND ❑COM Teacher 750.00 750 750.00 El OTH Santa Clara Unified Santa Clara, CA 95050 ❑PTY School District ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM OTH ❑ PTY ❑ SCC SUBTOTAL $ 1500.00 "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 hm^.Infw ...s., tie .. .ndie,a SCHEDULE B - PART 1 Schedule — Part 1 to whole dollars. Statementcovers period Loans Received 09/24/2016 from 0 10/22/2016 1 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Daniel Harney 1386442 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (�) AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCE AT CLOSE HIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE PERIOD THIS PERIOD* PERIOD Daniel Harney Manager, El PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION*" 1000.00 0 $ $ 08/05/16 110 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE INCURRED $ DATE DUE Daniel Harney Manager, E3 PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION** 950.00 0 06/30/16 t IND El CO ❑ OTH [I PTY ❑ SCC S $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION*' t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ DATE INCURRED S DATE DUE SUBTOTALS $ 0 $ 0 $ 1950 S Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ In (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 $ n Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative numbed *Amounts forgiven or paid by another party also must be reported,on Schedule A. ** If required. (Enter (e) on 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 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SCHEDULE B - PART 2 ticneaule t3 — var[ 1 Amounts may oe rounaeu to whole dollars. Loan Guarantors Statement covers period from 09/24/2016 CALIFORNIA • ' through 10/22/2016 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Daniel Harney 1386442 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CU CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE E] IND LENDER CALENDAR YEAR ❑ COM s DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM 3 El OTH PER ELECTION (IF REQUIRED) DATE ❑ PTY ❑ SCC s ❑ IND LENDER CALENDAR YEAR ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC 6 El IND LENDER CALENDAR YEAR ❑ COM r GATE El OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ Scc , En ter SUBTOTAL $ Summary Page, Una 17 only. __— -- FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule C Amounts may be rounded _ a SCHEDULE C Nonmonetary Contributions Received w welo a wo ars. Statement covers period CALIFORNIA I • �, from 09/24/2016 • - through 10/22/2016 Page of SEE INSTRUCTIONS ON REVERSE —I— WMff LER I:D. NUMBER Daniel Harney 1386442 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR WAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER OF SELF - EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND ❑ COM ❑ OTH ❑ 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. SUBTOTAL $ - Schedule C Summary 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 $ *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 (866/278 -3772) www.fppc.ca.gov Schedule D SEHEDLII_F D summary or cxpenuixures Amounts may De rounaeo Supporting /Opposing Other to whole dollars. Candidates, Measures and Committees Statement covers period from 09/24/2016 • 9 ' , • O SEE INSTRUCTIONS ON REVERSE through 10/22/2016 1 �1 Page of NAME OF FILER I.D. NUMBER Daniel Harney 1386442 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. t -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose I Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (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.) .......... TOTAL.. $ FPPC Form 460(Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Daniel Harney Amounts may be rounded to whole dollars. E Statement covers period from 09/24/2016 through 10/22/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page I I of I 1386442 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 PAYEE (IF COMMITTEE; ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Legacy Print Inc. Payment for printing and postage 3310 Woodward Avenue LIT 5404.11 Santa Clara, CA 95054 Political Data Inc. I Online software subscription PO Box 59570 WEB 950.00 Norwalk, CA 90652 Pinnacle Bank Banking services 18181 Butterfield Blvd Suite 135 PRO 15.00 Morgan Hill,CA 95037 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6369.11 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 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 $ 6369.11 6369.11 FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( BAOUTSTAA NDING LANCE BEGINNING OF THIS PERIOD ( AMOUNT IN NCURRED THIS PERIOD i AMOUNN T PAID THIS PERIOD (ALSO REPORT ON E) SCHEDULE F Schedule F Amounts maybe rounded to whole dollars. Statement covers period e ° If Accrued Expenses (Unpaid Bills) 09/24/2016 • 9 from through 10/22/2016 SEE INSTRUCTIONS ON REVERSE _ g 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. CARP 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 tiling /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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( BAOUTSTAA NDING LANCE BEGINNING OF THIS PERIOD ( AMOUNT IN NCURRED THIS PERIOD i AMOUNN T PAID THIS PERIOD (ALSO REPORT ON E) id) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD " Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ 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.) ....................... .......................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 $ May be a negative number FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period cALIFORNIA ,i Contractor (on Behalf of This Committee) to whole dollars. from 09/24/2016 • FORM Attach additional information on appropriately labeled continuation sheets. TOTAL* $ * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan /2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/273 -3772) www.fppc.ca.gov through 10/22/2016 Page 1— of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Daniel Harney 1386442 NAME OF AGENT OR INDEPENDENT CONTRACTOR 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Attach additional information on appropriately labeled continuation sheets. TOTAL* $ * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan /2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/273 -3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded statement covers period * to whole dollars. Loans Made to Others 09/24/2016 CALIFORNIA FORM °' from 10/22/2016 I SEE INSTRUCTIONS ON REVERSE through Page —Li— of 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 (b) AMOUNT to) REPAYMENT OR (d) OUTSTANDING e) INTEREST i ORIGINAL (g) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF SELF- EMPLOYED, ENTER BALANCE BE THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' LOAN TO DATE ❑ PAID CALENDAR YEAR El FORGIVEN FORGIVEN PER ELECTION~' S $ s $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR El FORGIVEN PER ELECTION" RATE S S s s s DATE DUE DATE INCURRED "Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ Schedule H Summary 1. Loans made this period ...................................................................................................................... ..............................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ............................. . ............................... . ............................ ............................... ...................$ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................. ............................... NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) (Enter (a) on Schedule I, Line 3) ` *If d—] (May be a negative number) FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule I Amminfn maw Ma rnionAad SCHEDULE[ Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 09/24/2016 through 10/22/2016 , CALIFORNIA • ' • ' Page of NAME OF FILER Daniel Harney I.D. NUMBER 1386442 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITEE,ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period, 0 2. Unitemized increases to cash of under $100 this period. 0 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .................$ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) .............................................................................................. ............................... TOTAL $ 0 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov