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Daniel Harney - Form 460 - 2017/01/01 - 2017/06/30M ' COVER PAGE Recipient Committee Date Stamp , Campaign Statement 4� � �' 1 Cover Page � SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2017 through 06/30/2017 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Pert 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Alw CompW Part 7) 3. Committee Information I.D. NUMBER 138644: 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 Date of election if applicable; �+ f J Page of (Month, Day, Year) For Official Use :N0, 9 t d 2. Type of Statement: ❑ reelection Statement ❑ Quarterly Statement emk annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) 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 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledg the inform ipn 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 foregoing is true and correct. �� a FPPC Form 460 (Jan /2016) FPPC Advice: advice @fDDc.ca.sov (866/275 -3772) 07/31 /2017 / Executed on By Date Signature of Tr asurer or Assistant Trea rer Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fDDc.ca.sov (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. D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [:)YES ❑ NO COMMITTEE ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS (NO P.O. CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 9-1 of b 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 DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Listnamesof 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 CALIFORNIA Summary Page from 01/01/2017 • - , • SEE INSTRUCTIONS ON REVERSE 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ........... through 06/30/2017 Page 3 of NAME OF FILER Da r, qaIc- rj- Add Lines 8 + 9 + 10 $ To calculate Column B, I.D. NUMBER 1386442 750.00 add amounts in Column 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 Contributions Received 15. Cash Payments .......................... ............................... Column A, Line 8 above 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 $ 2423.84 be negative figures that If this is a termination statement, Line 16 must be zero. General Elections 1. Monetary Contributions .................... ............................... Schedule A, Line 3 750.00 $ $ 750.00 $ filed for this calendar year, 111 through 6130 7/1 to Date 2. Loans Received ................................. ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ............. ............................... schedule C, Line 3 21, Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 + 4 $ 750.00 $ 750.00 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 90 $ 90 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 8 + 9 + 10 $ $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1763.84 To calculate Column B, 13. Cash Receipts ............................ ............................... Column A, Line 3 above 750.00 add amounts in Column 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 A to the corresponding amounts from Column B 15. Cash Payments .......................... ............................... Column A, Line 8 above 90.00 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract tine 15 $ 2423.84 be negative figures that If this is a termination statement, Line 16 must be zero. 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 carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ................. ............................... see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd /yy) I $ 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 to whole sonars. Monetary Contributions Received Statement covers period CALIFORNIA 01/01/2017 from , - through 06/30/2017 page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dar\C�j 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 Committee to Elect Woodward Mayor p CoM 3/21/2017 7241 Eagle Ridge Dr. ❑OTH 750.00 750.00 Gilroy, CA 95020 FPPC 1375172 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 750.00 Schedule A Summary 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.) .............. $ 750.00 TOTAL $ 750.00 *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) ww%m fnnr ra anv Amounts may be rounded SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received 01/01/2017 CALIFORNIA ' • • from 06/30/2017 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Do 0 l ,eA 4w- r, L 1386442 FULL NAME, STREET ADDRESS AND ZIP CODE [FAN INDIVI AL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (c) AMOUNT PAID OUTSTANDING BALANCE AT 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* THIS PERIOD CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE PERIOD PERIOD Daniel Harney Manager, ebay Inc ❑ PAID CALENDAR YEAR RATE 1000 $ 08/05/16 $ t 1Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE DATE INCURRED Daniel Harney Manager, ebay Inc ❑ PAID CALENDAR YEAR RATE 950 $ $ 06/30/16 $ 1 ❑ IND ❑ COM [I OTH ❑ PTY ❑ SCC $ $ DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR C] FORGIVEN FORGIVEN PER ELECTION " t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ S $ $ $ 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 ............. NET $ (May be a negative number) (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 Parry 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 SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E statement covers perloa CALIFORNIA from 01/01/2017 FORM through 06/30/2017 Page ( of LU. NUMBER �Aav Y t wk- 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 90.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ................ SUBTOTAL $ ..................................................... I................. $ 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 $ •� 1I �* Ii I 1 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov