Harney, Dan - Form 410 (City Council 2018 - termination)Statement of Organization
Recipient Committee
Statement Type ❑ Initial
Not yet qualified ❑ or
uate quantlec as committee
1. Committee Information
NAME OF COMMITTEE
Harney for Council 2018
STREET ADDRESS (NO RO, BOX)
JURISDICTION WHERE COMMITTEE 15 ACTIVE
Gilroy
Attach oddltional Information on appropriately labeled continuation sheets,
2.
Treasurer and Cli
NAME OF TREASURER
Joan Lewis
STREET ADDRESS (NO P.O. BOX)
AREA CODE/PHONE
AREA CODE/PHONE
3. Verification
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the Information contained herein 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 ` /7 .;Lo ,-4—o By \--
DATE -
OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFIC D R, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410(Jon/2016)
FPPC Advice: advice@fppc.ce.gov (866/275.3772)
www.fppc.ce.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Harney for Council 2018
a All committees must list the financial; Institution where the campaign bank account Is located,
NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE
Pinnacle Sank 1(408)842 8200
ADDRESS CITY
7597 Monterey St. Gilroy
4. Type of Committee Complete the applicable sections.
Conlrollvd Committee
BANK ACCOUNT NUMBER
STATE ZIP CODE
CA 95020
CALIFORNIA
1
•-
Page 2
I.D. NUMBER
1386442
• List the name of each controlling officeholder, candidate, or state measure proponent, If candidate or officeholder controlled, also list the elective office sought or held, and
district number, If any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts Jointly.with another controlled committee, Ilst the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION
Daniel Harney Council Member, City of Gilroy 2018
Primarily formed to support or oppose specific candidates or measures in a single election. List below;
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER)
CANDIDATES) OFFICE SOUGHT OR HELD OR MEASURE($) JURISDICTION
(INCLUDE DISTRICT NO,, CITY OR COUNTY, AS APPLICABLE)
PARTY
® Nonpartisan
❑ Nonpartisan
CHECK ONE
SUPPORT
OPPOSE
II
SUPPORT
OPPOSE
FPPC Form 410 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAM
Harney or Council 2016
4. Type of Committee (Continued)
CALIFORNIA
FORM
Page 3
I,D, NUMBER
1386442
} Ecfi•ic-candfclate* v, ,I ccou, co I,, a .1,tale elet Llv,i. CIiet k orily one dbx:
O CITY Committee ❑ COUNTY Committee ❑ STATE Committee
PROVIDE BRIEF DESCRIPTION OF ACTIVITY
m List additional sponsors on an attachment.
NAME OF SPONSOR (INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREETADDRBSS NO. AND STREET CITY STATE ZIP CODE
Date qutllMed
5. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures In the future;
• This committee has eliminated or has no Intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
-- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519,
-- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Cade Sections 89511- 89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.
FPPC Form 410 (Jan/2016)
FPPC Advice; advlce@fppc.ca-gov (866/275.3772)
www,fppc.co.gov