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Daniel Harney - Form 460 - 2016/11/02 - 2016/12/31Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 11/02/2016 through 12/31/2016 Date of election if applicable: (Month, Day, Year) 11/8/2016 OF TO COVER PAGE — I of -- For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ` c € 1'4 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee Semi -annual Statement 0 Recall 0 Controlled El Special Odd -Year Report (Also Complete Part S) ❑ Termination Statement Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment (Explain below) 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 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Harney for Council 2016 STREET ADDRESS (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 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 is true and By Treasurer(s) NAME OF TREASURER Daniel Harney MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E- MAILADDRESS the info rmaj!g�ql;ained herein and in the attached schedules is true and complete. I or By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Offic*holder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.Rov (866/275 -3772) 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 (NO.ANDSTREET) CITY STATE ZIP (), ,� 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 CONTROLLED COMMITTEE? [:]YES ❑ NO ADDR RESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME COMMITTEE I.D. NUMBER CONTROLLED COMMIT ❑ YES ❑ NO (NU Y.U. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page . 2- of 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 List names of officeholder(s) 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 PAGE to whole dollars. Statement covers period • . Summary Page � 460 from 11/02/2016 FORM Expenditures Made 6. Payments Made ................................. ............................... schedule E, line 4 $ 2206.16 12/31/2016 Schedule H, Line 3 SEE INSTRUCTIONS ON REVERSE Add Lines 6 +7 $ 9. Accrued Expenses (Unpaid Bills) ........... ............................... through g 10. Nonmonetary Adjustment .......................... ............................... Page — of NAME OF FILER Add Lines 6 + 9 + 10 $ 2206.16 I.D. NUMBER 1386442 Contributions Received Column 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, Line 3 $ $ 12299 1950 111 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 ........ ............................Add Lines 3 + 4 $ $ 149999 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... schedule E, line 4 $ 2206.16 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 6 + 9 + 10 $ 2206.16 kourrent Loasn btatement 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 8 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. 3970.33 2206.16 1763.84 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 1950 $ 12484.83 $ $ 12484.83 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* (If Subject to Voluntary Expenditure Umit) Date of Election Total to Date (mm /dd /yy) I $ *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 Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received `U.„11VIVUvnars. Statement cove Ire period CALIFORNIA 11/02/2016 FORM 460 from through 12131/2016 SEE INSTRUCTIONS ON REVERSE Page Of NAME OF FILER I.D. NUMBER 1386442 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1 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.) ....... �I 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 (866/275 -3772) www fnnr ra anv SCHEDULE B - PART 1 Scneaule t3 — Fart *1 to whole dollars. ^ ^ Statement covers period CALIFORNIA Loans Received 11/02/2016 from FORM 12/31/2016 Page-5— SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER 40,n\z+ ` D. NUMBER �O r 1386442 FULL NAME, STREETADDRESS AND ZIP CODE IFAN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER a OUTSTANDING BALANCE AMOUNT (c) AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN* BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE Daniel Harney Manager, ebay Inc ❑ PAID CALENDAR YEAR RATE 1000 g g g 08/05/16 g t IZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC g DATE INCURRED DATE DUE Daniel Harney Manager, ebay Inc ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE 950 g $ ❑ 0/116 t IND El COM ❑ OTH ❑ PTY ❑ SCC g g g DATE DUE D06/ INCURRED ❑ PAID CALENDAR YEAR $ ❑ FORGIVEN RATE PER ELECTION" 1 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC g 3 g g g DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period .......................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ................................ ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ,$ n . ........$ n ....................... NET $ n (May be a nepative number) kcmer ieI 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 E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 11/02/2016 SCHEDULE E 12/31 /2016 h SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER )) II I.D. NUMBER DLL 117\ 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Zahra Stavis Campaign consultant Angelique Lucero Campaign celebration enterntainment First Street Kitchen & Cocktails TRS 383 First St. CMP 1226.16 Gilroy, CA 95020 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2176.16 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.) 2206,16 ... ............................... $ ... ............................... $ ........ I............ TOTAL $ 2206,16 FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pinnacle Bank 18181 Butterfield Blvd. Morgan Hill, CA 95037 PRO SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period e . CALIFNIA t • Payments Made from 11/02/2016 FORM SEE INSTRUCTIONS through 12/31 /2016 ON REVERSE Page —:7-- of-7— NAME OF FILER l 00, I.D. NUMBER 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pinnacle Bank 18181 Butterfield Blvd. Morgan Hill, CA 95037 PRO banking Fees 30. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 30.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772)