Henneberry 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER ST)
14 Pi
STATEMENT OF ECONOMIC INT
(FIRST)
COVER PAGE
Date Initial Filing Received
'
MAR 2 3 2016
(MIDDLE) 11.'
Cirrk: C)i: ALAMEDA
crr! CLENc orricr:
1. Office, Agency, or Court
Agency Name (Do not use acro yms)
Division, Bo d, Department, District, if applicable
‘t At kt •
Your Position
If filing for multiple positio , list below or on an attachment. (Do not use acronyms)
Agency:
Position:
2. Jurisdiction of Office (Check at !east one box)
0 State
0 Multi-County
0 City of
0 Judge or Court Commissioner (Statewide Jurisdiction)
0 County of
0 Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is / / , through
December 31, 2015.
Assuming Office: Date assumed _/_/
LI Leaving Office: Date Left /
(Check one)
O The period covered is January 1, 2015, through the date of
leaving office.
-or-
o The period covered is , through
the date of leaving office.
E] Candidate: Election year and office sought, if different than Part 1-
4 Schedille Summary (must complete) o. Total number of pages including this cover page:
Schedules attached
O Schedule A-1 - Investments — schedule attactled
O Schedule A-2 Investments — schedule attached
O Schedule 8 - Real Property — schedule attached
[14/0/7e - No reportable interests on any schedule
0 Schedule C - Income, Loans, & Business Positions — schedule attached
0 Schedule D - Income — Gifts — schedule attached
Schedule E Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET
(6) --7/1 -761 (
CITY
41% /it ‘751C2)(
STATE
ZIP CODE
E-MAIL ADDRESS
/41 100?I'r 54e- AL.
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best o my knowledge t e information contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date Signed
(month, day year)
Signature
(
FPPC F0 710(2015/2016)
FPPC Advice Email: advi ppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov