Henneberry 460,Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
1036435
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 1o/1*/2014
through
12/31/2014
Date
Date of election if applicable:
��QO��D1�
.�="^'�"^�
%���� COVER PAGE
460
FORM
Page
(Month, Day, Year)
' CITY OF ALAPNEUA
-CITY
11/04/2014
1' Type of Reipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement
Offlceholder, Candidate Controlled Committee
{} State Candidate Election Committee
i}
Recall
(Also Complete Part m
LI General Purpose Committee
O Sponsored
0 Small Contributor Committee
() Political Party/Central Committee
3. Committee Information
Primarily Formed Ballot Measure
Committee
{J
Controlled
0 Sponsored
• Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
/.D.wumasn
1367459
COMMITTEE NAME (0R CANDIDATE'S NAME IF NO COMMITTEE)
Solaria Henneberry for AUSD School Board 2014
STREET ADDRESS (NO P0. BOX)
CITY STATE ZIP CODE
Alameda co 94501
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE
OPTIONAL: FAX / E-MAIL ADDRESS
oozaoaueooeuezzy@emaiz.com
AREA CODE/PHONE
(510)381-83e9
AREA CODE/PHONE
Preelection Statement
Termination Statemen
(AIso file a Form 410 Termination)
Amendment (Explain below)
add non monetary contribution
Treasurer(s)
NAME OF TREASURER
Benjamin Reyes
MAILING ADDRESS
CITY
Alameda
NAME OF ASSISTANT TREASURER, IF ANY
Susan Reyes
MAILING ADDRESS
CITY
Alameda
OPTIONAL: FAX / E-MAIL ADDRESS
utr2eaowymaiz.com
1
of 7
For Official Use Only
Quarterly Statement
[] Special Odd-Year Report
LJ
Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA 94501
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
(510)759'3236
AREA CODE/PHONE-
(510)882-4536
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. |:ertify
urtder penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
Executed on
Executed on
Executed on
02/01/2015
Date
02/01/2015
Date
Date
Date
By
By
By
By
-, Signature of Treasurer or Assistant Treasurer
Solana Henneberry
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature Officeholder, Candidammateweasure Proponent
Signature of Controlling Officeholde Candidate, State Measure Proponent
FPPC Form 460 (January/05)
pppo Toll-Free x°/pone:ooumuK-FPpn(8umo 5-3772)
State of California
Recipient Committee
Campaign Statement
Cover Page — Part 2
1111•11=01■11
Type or print in ink.
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
0 YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
0 YES 0 NO
COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
BALLOT NO. OR LETTER
JURISDICTION
COVER PAGE - PART 2
CALIFORNIA A an
FORM "Illr IholF 16IF
Page
2
of 7
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
ri SUPPORT
O OPPOSE
El SUPPORT
0 OPPOSE
O SUPPORT
E) OPPOSE
Ei SUPPORT
O OPPOSE
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure K�
cU��re ent
Summary Page
^ ~
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Solana Henneberry for AUSD School Board 2014
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 B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines /~o $
4. NonmnnntaryCnnthbuUone Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines x~« $
Expenditures Made
6. Payments Made Schedule E, Line 4 $
7. Loans Made Schedule H, Line 3
D. SUBTOTAL CASH PAYMENTS Add Lines o+r $
9. Accrued Expenses (Unpaid Bills) Schedule F, Line o
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines o+u~m $
Current Ca:3h Statement
12. Beginning Cash Balance Previous Summary Page, Line m $
13. Cash Receipts Co/umn A, Line 3 above
14. Miscellaneous Increases to Cash Schedule I, 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 Schedule B, Part u $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instruction on reverse $
19. Outstanding Debts Add Line 2 + Line 9 in Column B above $
Column
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
2,750.00
0.00
2,750.00
18,014.14
zo'ro4.z4
z's«o.11
0.00
1,548.11
0.00
zn'n14.14
1y'soo.zs
1,188.02
2,750.00
0.00
1,548.11
2,389.91
0.00
0.00
0.00
�
�
�
�
Statement covers period
from
through
Column B
CALENDAR YEAR
TOTALTO DATE
10,838.00
0.00
10,838.00
22,891.88
33,729.88
8,448.09
0.00
8,448.09
0.00
22,891.88
31,339.97
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, r, and 9 (if
any).
10/19/2014
12/31/2014
SUMMARY PAGE
CALIFORNIA Ann
FORM '1'1010
Pe of 7
/.o.wumosn
1367459
Calendar Year Summary for Candidates
1 Running in Both the State Primary and
General Elections
1/1 through 6/30
20. Contributions
Received $
| 21. Expenditures
Made *
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(8 Subject to Voluntary Expcnciiture Limit)
Date of Election
/ / �
/ / �
Total to Date
wAmounts in this section may be differentfrom from amounts
reported in Column B.
FPPC Form 460 (January/05)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Solana Henneberry for AUSD School Board 2014
DATE
RECEIVED
Type or print in ink.
Amounts may be rounded
to whole dollars.
FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRtBUTOR CONTRIBUTOR
(IF COMMITrEE,ALSO ENTER ID. NUMBER) CODE *
11/03/2014 DRIVE Committee (ID# C00032979)
Washington, DC 20001 -2198
11/03/2014 Political Action For Classified Employees of
California School Employees (ID# 7611e8)
Sacramento, CA 95814
11/03/2014 TWU California State Conference PAC (ID#
822114)
Hayward, CA 94544
11/03/2014 Angela Wong
Alameda, CA 94121-1106
COM
00TH
PTY
LJGCC
[]|ND
COM
00TH
UPTY
LJSCC
U|wo
COM
OOTH
UPTY
LJGCC
IND
OCOM
00TH
PTY
LJSCC
[]|No
OCOM
[]OTH
PTY
[]nco
1§1
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Pediatrician
Kaiser SF
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include alT Schedule A subtotals.) �
2. Amount received this period — unitemized monetary contributions of less than $100 �
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $
Statement covers period
from
10/19/2014
through 12/31/2014
AMOUNT
RECEIVED THIS
PERIOD
500.00
1,900.00
250.00
100.00
SCHEDULE A
CALIFORNIA 460
FORM
Page 4 of
/.uwmwesn
1367459
7
CUMULATIVE ToDATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 - DEC. 31) (IF REQUIRED)
2,750.00k
2,750.00
0.00
2,750.00
500.00 G2014
1,900.00 G2014
250.00 G2014
100.00 G2014
$500.00
$1'suo.00
$250.00
$100.00
*Contributor Codes
|mo—Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY— Pu|itiuu|Porty
snc — amaUcontri»utorovmmittee
FPPC Form 460 (January/05)
Schedule C
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 COMMITTEE, ALSO ENTER I.D. NUMBER)
10/21/2014 IAFF Local 689Alameda Firefighters
Association
Alameda, CA 94501
10/31/2014 Alameda Education Association Political
Action Committe PAC 1326421 (ID#
1326421)
Alameda, CA 94501
12/31/2014 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.
IF AN INDIVIDUAL, ENTER
CONTRIBUTOR
OCCUPATION AND EMPLOYER
CODE *
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
IND
0 COM
OTH
PTY
LI SCC
DIND
COM
[10TH
PTY
LI SCC
0 IND
COM
OTH
PTY
El SCC
IND
▪ COM
▪ OTH
[1 PTY
LI SCC
Attach additional information on appropriately labeled continuation sheets.
Statement covers period
from
10/19/2014
through 12/31/2014
DESCRIPTION OF
GOODS OR SERVICES
Walk Piece
Literature and
Mailers
LIT/PHO/CMP
AMOUNT/
FAIR MARKET
VALUE
3,868.47
8,217.50
5,928.17
SCHEDULE C
CALIFORNIA Ann
FORM .111110 INF
Page 5 of 7
ID. NUMBER
1367459
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
3,868.47G2014 $3,868.47
19,023.41G2014 $19,023.41
19,023.41G2014 $19,023.41
SUBTOTAL $ 18,014.141HH'
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions.
(Include all Schedule C subtotals.)
2. Amount received this period — unitemized nonmonetary 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.) TOTAL $
18,014.14
0.00
18,014.14
*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
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Solana Henneberry for AUSD School Board 2014
1■•
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
10/19/2014
12/31/2014
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CfVF'
CNS
CTB
CVC
FIL
FND
IND
LEG
LTT
campaign
campaign consultants
contribution (explain nvnmondany)^
civic donations
candidate fi|ing/ba||o«feoo
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMI1TEE ALSO ENTER ID. NUMBER)
Office Max
Alameda, CA 94501
Susan Reyes
Alameda, CA 94501
Pacific Printing
San Jose, CA 95112
MBR
MTG
OFC
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
pomoge, delivery and messenger services
professional services (|ego|, accounting)
print ads
CODE
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E
CALIFORNIA Af
FORM
Page Page � r
6
/.D.wuwesn
1367459
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, |odging, and meals
staff/apovootrave|. |vnging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (Internet, e-mail)
OR DESCRIPTION OF PAYMENT
OFC
PRO Accounting & Reporting
LIT Walk Flier
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
AMOUNT PAID
97.03
487.50
676.43
SUBTOTAL$ 1,260.96
Schedule E Summary
1. Itemized payment made this period. (Include all Schedule E subtotals.)
2. Unitemized payments made this period of under $100
3. Tota interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) �
4. Total payment made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $
�
�
1,347.96
200.15
0.00
1,548.11
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole doltars.
Statement covers period
from
10/19/2014
through 12/31/2014
SCHEDULE E (CONT.)
CALIFORNIA Agn
FORM .17111.1F
Page 7 of 7
I.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. DUlemioe, describe the payment.
CTVP
CNS
Cm
CVC
FIL
FND
ND
LEG
UT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate fiUng/ba|k*feea
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAMEANDADDRESS OF PAYEE
(IF COMMITrEE, ALSO ENTER ID. NUMBER)
Pacific Printing
San zvoe, CA 95112
MBR
MTG
OFC
PET
P1-10
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
pum^ge, delivery and messenger services
professional services (|ogm|, accounting)
print ads
CODE OR
OFC Business Cards
* Payments tha are contributions or independent expenditures must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
VVso
radio airtime and production costs
returned contributions
campaign workers' salaries
t.x or cable airtime and production costs
candidate travel, lodging, d meals
staff/spouse travel, |ndnins, and meals
transfer between committees of the same candidate/sponsor
voter re immUon
information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
87.00
87.00
FPPC Form 460 (January/05
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)