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Daniel Harney - Form 460 - 2017/07/01 - 2017/12/31 AmendmentRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/17 through 12/31/2017 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. © Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Pad 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) CANDIDATE'S NAME IF NO COMMITTEE) Harney for Council 2018 STREETADDRESS (NO P.O. BOX) Date of election if applicable: (Month, Day, Year) FEB - 6 2018 CITY CLERI('S OFFICE GILROY, CA 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Error found I.D. NUMBER t Treasurer(s) 1386442 NAME OF TREASURER Joan M. Lewis CITY STATE ZIP CODE AREA CODE/PHONE Gilroy CA 95020 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS COVER PAGE IORMNIA 460 For Official Use Only LJ Quarterly Statement ❑ Special Odd -Year Report MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE Gilroy CA 95020 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 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 foregoing is true and correct. Executed on 5 Date Executed on Date Executed on Date Executed on Date 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 IFAPPLICABLE) City Council Member RESIDENTIAUBUSINESS 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page _-�? 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 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 (1an/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Schedule E, Line 4 $ 9.88 $ 5319.38 SUMMARY PAGE Summary Page 8. SUBTOTAL CASH PAYMENTS ........... ............................... to whole dollars. 9. Accrued Expenses (Unpaid Bills) ........... ............................... Statement covers period CALIFORNIA ' 0 11. TOTAL EXPENDITURES MADE ............ ............................Add Lines s +9 +10 $ 9.88 $ 5319.38 17. LOAN GUARANTEES RECEIVED . ............................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 07/01/17 FORM • $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ filed for this calendar year, from only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (Jan /2016) 12/31/2017 -3 www.fppc.ca.gov through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 1386442 Colum A ColuDmn B Calendar Year Summary for Candidates Contributions Received TOTAL PERIOD (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 7749.00 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ $ 1950.00 1/1 through 6/30 7/1 to Date 2. Loans Received ................................. ............................... Schedule 8, Line 3 20, Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 +4 $ $ 8699.00 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 9.88 $ 5319.38 7. Loans Made ........................................ ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 9.88 $ 5319.38 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ............ ............................Add Lines s +9 +10 $ 9.88 $ 5319.38 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 3389.44 13. Cash Receipts ............................ ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ... ............................... Schedule /, Line 4 'Amounts in this section may be different from amounts 15. Cash Payments .......................... ............................... Column A, Line 8 above 9.88 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 3364.21 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 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) -jam $ 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 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). 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 to whole Statement covers period CALIFORNIA Loans Received 07/01/17 . - from through 12/31/2017 g Page of s� SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 1386442 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL B CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD * PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Daniel Harney Manager, ebay Inc $ $ 1000 % 1000 $ 1000 ❑ FORGIVEN PER ELECTION ** Gilroy, CA 95020 RATE $ 1000 $ $ $ 08/05/16 $ DATE DUE DATE INCURRED t © IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR Daniel Harney Manager, ebay Inc $ $ 950 % $ 950 $ 1950 ❑ FORGIVEN PER ELECTION ** Gilroy, CA 95020 RATE $ 950 $ $ $ 06/30/16 s t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE $ $ $ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ 7 Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ In (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ........................................................................... ..............................$ In (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 number) `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 (1an/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE FILER Amounts may be rounded to whole dollars. Statement covers period from 07/01/17 through 12/31/2017 SCHEDULE E Page Jr If I.D. NUMBER 1386442 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR Who is Billing Team sales @whois.com I WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary New Website DESCRIPTION OF PAYMENT 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.) ......... AMOUNT PAID M SUBTOTAL $ 9.88 $ 9.88 ............... $ ............... $ .. TOTAL $ 9.88 FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov V 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 RAID 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 Who is Billing Team sales @whois.com I WEB * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary New Website DESCRIPTION OF PAYMENT 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.) ......... AMOUNT PAID M SUBTOTAL $ 9.88 $ 9.88 ............... $ ............... $ .. TOTAL $ 9.88 FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov