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Henneberry 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period January 1, 2014 from SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees — Complete Paris 1, 2, 3, and 4. June 30, 2014 Officeholder, Candidate Controlled Committee o State Candidate Election Committee O Recall (Also Complete Part 5) El General Purpose Committee o Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information 1367459 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Solana Henneberry for AUSD School Board 2014 Primarily Formed Ballot Measure Committee 0 Controlled o Sponsored (Also Complete Part 6) Ej Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) ID. NUMBER STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE (510)381 8369 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS solanahenneberry@gmail.com 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. 1■1111■11_ COVER PAGE ' CALIFORNIA 460 FORM Date of election if applic, (Month, Day, Year) November 4, 2014 ATV OF ALAMEDA C TY CLERK'S OFFICE 2. Type of Statement: LI Preelection Statement [Z Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) [l] Amendment (Explain below) Treasurer(s) NAME OF TREASURER Benjamin T. Reyes II MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY Susan Reyes MAILING ADDRESS CITY Alameda OPTIONAL: FAX / E-MAIL ADDRESS btr2esq@gmail.conn "e of 4 For Official Use Only El Quarterly Statement El Special Odd-Year Report El Supplemental Preelection Statement - Attach Form 495 vesesse= STATE ZIP CODE CA 94501 STATE ZIP CODE CA 94501 AREA CODE/PHONE (510)7593236 AREA CODE/PHONE (510) 882 4536 Executed on Executed on Executed on Executed on Date Date Date Date By By By By Signature of Treasurer or Assistant Treasurer Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Solana Henneberry for AUSD School Board 2014 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda Unified School District Board of Education Member Type or print in ink. RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Alameda CA 94501 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? 0 YES 0 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? 0 YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 161■11111■1•01• 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE- PART 2 CALIFORNIA 460 FORM 0 SUPPORT 0 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 candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME - OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach continuation sheets if necessary O SUPPORT • OPPOSE • SUPPORT O OPPOSE Ei SUPPORT Li OPPOSE O SUPPORT O OPPOSE FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule 13, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3 +4 $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTALCASHPAYMENTS AddLines6 +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 $ 13. Cash Receipts Column A, Line3above 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. 17. LOAN GUARANTEES RECEIVED Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above Schedule B, Part 2 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 100.00 0 100.00 0 100.00 0 0 0 0 0 0 0 100.00 0 0 100.00 0 0 $ Statement covers period January 1, 2014 from through Column B CALENDAR YEAR TOTALTO DATE 100.00 0 100.00 0 100.00 0 0 0 0 0 0 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). June 30, 2014 SUMMARY PAGE CALIFORNIA FORM 460 Page 3 I.D. NUMBER 1367459 of 4 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6/30 7/1 to Date $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mmldd /yy) Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED SoanaHennoberry 6/30/2014 • Type or print in ink. Amounts may be rounded to whole dollars. 1111011601 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OF COMMITTEE, ALSO ENTER W.NUMBER) CODE * Wt]wo UCOM U 0H OPTY L]aco []|wo OCOM OTH OPTY []SCn []|wo COM []oTH OPTY []aoo []|wo Ooom oTH OPTY []SCo |wo ▪ coM [10TH OPTY []aoo IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotaJs.) * 2. Amount received this period — unitemized monetary contributions of less than $100 � 3. Total monetary contributons received this period. (Add Lines 1 and 2. Eriter here and on the Summary Page, Coumn A, Line 1.) TOTAL $ Statement covers period January 1, 2014 from through June 30, 2014 AMOUNT RECEIVED THIS PERIOD 100.00 100.00 0 100.00 SCHEDULE A CALIFORNIA FORM 4 Page /.uwuwaEn 1367459 of 4 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) oT*— Other (e.Q, business entity) PTY — Political Party sCC— Small Contributor Committee FPPC Form *60(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772