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Henneberry 460COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp SZOC (Government Code Sections 84200-84216.5) 1028936 SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/01/2014 through 10/18/2014 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 00 Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee O Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) D General Purpose Committee 0 Sponsored O Small Contributor Committee D Primarily Formed Candidate/ Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information l.D. NUMBER 1367459 COMMITTEE NAME (OR CANDIDATE 'S NAME IF NO COMMITTEE) Solana Henneberry for AUSD School Board 2014 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE Alameda CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX I E-MAIL ADDRESS solanahenneberry@gmail .com 4. Verification STATE ZIP CODE AREA CODE/PHONE (510)381 -8369 AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) 11/04/2014 2. Type of Statement: 00 Preelection Statement D Semi-annual Statement D Termination Statement (Also file a Form 41 O Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Benjamin Reyes MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY Susan R:eyes MAILING ADDRESS CITY Alameda OPTIONAL: FAX I E-MAIL ADDRESS btr2esq@gmail.com STATE CA STATE CA D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 ZIP CODE 94501 ZIP CODE 94501 AREA CODE/PHONE (510)759-3236 AREA CODE/PHONE (510)882-4536 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 10/21/2014 Date Executed on 10/21/2014 Date Executed on Date Executed on Date By Benjamin Reyes Signature of Treasurer or Assistant Treasurer By Solana Henneberry Signature of Controlling Officeholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder. Candidate. State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVER PAGE -PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Solana Henneberry OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Board of Education AUSD School Board Member: City of Alameda 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 NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY l.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O . BOX) STATE ZIP CODE AREA CODE/PHONE SSS 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO . OR LETTER JURISDICTION 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 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT OOPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE .Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772) State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 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 . Non monetary Adjustment ............................ : ............. Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $ Current Cash Statement 12 . Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule I, Line 4 15. Cash Payments Column A. Line B 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 Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18 . Cash Equivalents See instructions on reverse $ 19 . Outstanding Debts Add Line 2 + Line 9 in Column B above $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1,725.00 0 .00 1,725.00 2,261.89 3 ,986.89 4,524.32 0.00 4 ,524.32 0 .00 2,261.89 6,786.21 3,987.34 1,725 .00 0.00 4,524.32 1,188.02 0.00 0.00 0.00 from 10/01/2014 through 10/18/2014 Page 3 of~6 $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE 8 ,088 .00 0 .00 8,088.00 4,877.74 12,965.74 6,899.98 0 .00 6,899 .98 0.00 4,877.74 11,777 .72 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). l.D. NUMBER 1367459 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 7/1 to Date 20 . Contributions Received $ _____ _ $ ___ _ 21 . Expenditures Made $ _____ _ $ ___ _ Expenditure Limit Summary for State Candidates 22 . Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date $ ___ _ $ ___ _ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME , STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITIEE.ALSOENTER l.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 10/07 /2014 I Ronald Lind Milpitas, CA 95035 10/07/2014 !Sheet Metal Worker's International Association Local 104 PAC (ID# 850381) San Ramon, CA 94583 10/08/2014 IDon Crosatto Burlingame, CA 94010 10/08/2014 !Florence Culp Alameda, CA 94501 10/08/2014 !Davis, Cowell & Bowe, LLP San Francisco, CA 94105 Schedule A Summary 1. Amount received this period -itemized monetary contributions . IB)IND DCOM DOTH DPTY DSCC DINO IX]COM DOTH DPTY DSCC IB)IND DCOM DOTH DPTY DSCC IX]IND DCOM DOTH DPTY DSCC DINO DCOM IB)OTH DPTY DSCC Union Officer UFCW Local 5 Union Leader IAM Local 1546 Lawyer Davis, Cowell & Bowe SUBTOTAL$ Statement covers period from 10/01/2014 through 10/18/2014 SCHEDULE A CALIFORNIA 460 FORM Page 4 of _ _,,6 __ l.D . NUMBER 1367459 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN . 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 100.00 750.00 200.00 100.00 500 .00 100. OOIG2014 750 . OOIG2014 200. OOIG2014 100. OOIG2014 500 . OOIG2014 *Contributor Codes IND-Individual $100.00 $750.00 $200 .00 $100.00 500 .00 (Include all Schedule A subtotals.) ................................................................ . $ 1,650.00 COM-Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ 75 · oo 3. Total monetary contributions received this period . SCC -Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A , Line 1.) ....................... TOTAL $ l, 72 5 · 00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) ScheduleC Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) 10/18/2014 !Alameda Education Association Political Action Committe PAC 1326421 (ID# 1326421) Alameda, CA 94501 Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR I IF AN INDIVIDUAL, ENTER CODE * OCCUPATION AND EMPLOYER DINO !!]COM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC (IF SELF-EMPLOY ED, ENTER NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals.) ................................................................................... . 2. Amount received this period -unitemized non monetary contributions of less than $100 ...... . 3. Total nonmonetary contributions received this period . (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) SCHEDULEC Statement covers period CALIFORNIA 460 FORM from 10/01/2014 through 10/18/2014 DESCRIPTION OF GOODS OR SERVICES Literature & Mailers SUBTOTAL$ AMOUNT/ FAIR MARKET VALUE 2 ,261.89 2' 261. 89 .................... $ 2,261.89 ..... $ 0 . 00 .... TOTAL $ 2,261.89 Page __ 5 _ of _6 __ l.D. NUMBER 1367459 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 4, 877 . 74 IG2014 $4,877.74 •contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e .g., business entity) PTY -Political Party SCC-Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE E ScheduleE Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/2014 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through 10 /18/2014 Page_6 __ of 6 NAME OF FILER l.D . NUMBER Solana Henneberry for AUSD School Board 2014 1367459 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a.,p campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (expla in nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL cand idate filing/ballot fees PHO phone banks TRC candidate travel , lodging , and meals FND fundraising events POL polling and survey research TRS staff/spouse travel , lodging , and meals IND independent expenditure supporting/opposing others (explain)* POS postage , delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literatu re and mailings PRr print ads VI/EB information technology costs (internet , e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pacific Pri nting LIT 4 ,469 .82 San Jose, CA 95 11 2 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4 ,469.82 Schedule E Summary 1. Itemized payments made this period . (Include all Schedule E subtotals.) ............... .. $ 4 ,469 .82 2. Unitemized payments made this period of under $100 ....................... . .. ...................................................... $ 54.50 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................................. $ 0 . 00 4 . Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A , Line 6.) ... TOTAL$ 4,52 4.32 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)