Daniel Harney - Form 460 - 2017/07/01 - 2017/12/31Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2017
through 12/31/2017
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
(Also Complete Part 6)
❑ General Purpose Committee
• Sponsored ❑ Primarily Formed Candidate/
• Small Contributor Committee Officeholder Committee
• Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I I.D. NUMBER
1386442
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Harney for Council 2018
STREETADDRESS (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
COVER PAGE
ttate Stamp
- '
RE��1y �
w
Date of election if applic Page of
(Month, Day, Year) 1� R�S ��F�CE For Official Use Only
GILROY, CA V
2. Type of Statement:
10 Preelection Statement ❑ Quarterly Statement
❑ Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Joan M Lewis
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILINGADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX /E -MAIL ADDRESS
joaniemlewis @charter. net
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
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on h� / 4 a w
Data
Executed on 1 L - -
Date
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
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 IF APPLICABLE)
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 STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
CALIFORNIA TORM
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 Listnamesof
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
Amounts may be rounded
SUMMARY PAGE
Summary Page
to whole dollars.
Statement covers period -
07/01/2017
from
through
12/31/2017 Page of
SEE INSTRUCTIONS ON REVERSE
_
NAME OF FILER
I.D. NUMBER
Harney for Council 2016
1386442
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
7749.00
1. Monetary Contributions .................... ............................... schedule A, Line 3
$
$
1/1 through 6/30 7/1 to Date
1950.00
2. Loans Received .... ............................... ............................. Schedule B, 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
Expenditure Limit Summary for State
6. Payments Made ................................. ............................... Schedule E, Line 4
$
$ 5309.56
Candidates
7. Loans Made ........................................ ............................... Schedule H, Line 3
5309.56
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7
$
$
(If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3
(mm /dd /yy)
11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines s + 9 + 10
$
$ 5309.56
$
$
Current Cash Statement
12. Beginning Cash Balance ..... ....................... Previous summary Page, Line 16
$ 3389.44
To calculate Column B,
13. Cash Receipts ............................ ............................... Column A, Line 3 above
add amounts in Column
A to the corresponding
*Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4
amounts from Column B
reported in Column B.
15. Cash Payments .......................... ............................... Column A, Line s above
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$ 3364.21
be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero.
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
an y).
18. Cash Equivalents ................. ............................... See instructions on reverse
$
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above
$
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 dollars.
Statement covers period
Loans Received
07/01/2017
so=
from
through 12/31/2017
page_
SEE INSTRUCTIONS ON REVERSE
of
NAME OF FILER
I.D. NUMBER
Harney for Council 2016
1386442
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
AMOUNT PAID
OUTSTANDING
BALANCE AT
INTEREST
ORIGINAL
9
CUMULATIVE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
OF THIS
PAID THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
NAME OF BUSINESS)
PERIOD
THIS PERIOD
PERIOD
Daniel Harney
Manager,
❑ PAID
CALENDAR YEAR
eBay inc,
$
$ 1000
0 %
$ 1000
$ 1000
PER ELECTION**
[] FORGIVEN
RATE
$ 0
$ 1000
$
$
08/05/16
$
DATE DUE
t1Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDAR YEAR
Daniel Harney
Manager,
eBay inc.
$
$ 950
0 %
$ 950.00
$ 1950
El FORGIVEN FORGIVEN
PER ELECTION"
$
$ 950
$
$
06/3016
$
DATE DUE
TO IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDAR YEAR
PER ELECTION'"
❑ FORGIVEN
RATE
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
I
SUBTOTALS $ 1950$ $ 1950
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.) ............................... ............................... NET $
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.
(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 Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov