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Henneberry 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1108425 SEE INSTRUCTIONS ON REVERSE 1. Statement covers period from through 07/01/2016 12/31/2016 Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Pad 5) 0 General Purpose Committee O Sponsored 0 Small Contributor Committee o Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAMEIF NO Solana Henneberry for AUSD School STREET ADDRESS (NO P.O. BOX) CITY 0 Primarily Formed Ballot Measure Committee 0 Controlled (1) Sponsored (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 11.D. NUMBER 1367459 COMMITTEE) Board 2014 STATE ZIP CODE Alameda CA 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX / E-MAIL ADDRESS solanahenneberry@gmail. com 4. Verification STATE ZIP CODE AREA CODE/PHONE (510)381-8369 AREA CODE/PHONE • Date of election if applAble: JAN (Month, Day, Year) 11/04/2014 2. Type of Statement: 0:TY OF P.,12-.MI.DA 712'S Preelection Statement Semi-annual Statement LI Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) 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 bt r2e s q@gmai 1 . com COVER PAGE CALIFORNIA Agn FORM Page 1 of 4 For Official Use Only 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 94501 STATE ZIP CODE CA 94501 ■01■1111111.111MINSI 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. , Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Solana Henneberry OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Board of Education AUSD School Board Member: City of Alameda RESIDENTIAUBUSINESS 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 COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY OMR www.netfile.com CONTROLLED COMMITTEE? YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE I.D. NUMBER CONTROLLED COMMITTEE? LI YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA A an FORM Page 2 of 4 O SUPPORT O 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 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD Attach continuation sheets if necessary O SUPPORT O OPPOSE 0 SUPPORT OPPOSE O SUPPORT O OPPOSE 0 SUPPORT O OPPOSE FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 Contributions Received 1 Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions Schedule A, Line x Schedule 8, Line 3 Add Lines 1 + 2 Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 Expenditures Made 6. Payments Made T. Loans Made Schedule E, Line 4 Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Line 6 + 7 9. Accrued Expenses (Unpaid Bills) Schedule n Line x 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1111MAII y � Current Cash Statement 12. Beginning Cash Balance Previous SummaryPage, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule I, Line 4 15. Cash Payments Co!umn A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, the subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule a Part e $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts www.netfile.com See instructions on reverse Add Line 2 + Line 9 in Column B above s o 0.00 0.00 0.00 0.00 0.00 $ � s 125.00 0.00 125.00 0.00 0.00 125.00 1,476.33 i 0.00 0.00 | 125.00 1,351.33 | -------' � 0.00 ' 0.00 � � Statement covers period from through 07/01/2016 SUMMARY PAGE CALIFORNIA Agn FORM -111. 12/31/2016 Page 3 of uzNUMBER 1367459 - Column B Calendar Year Summary for Candidates CALENDAR YEAR Running in Both the State Primary and TOTALTO DATE General Elections 4 0.00 0.00 0.00 0.00 0.00 301.58 0.00 301.58 0.00 0.00 301.58 1/1 through 6/30 7/1 to Date 20. Contributions Received | 21. Expenditures Made � m To calculate Column B, add amounts in Column A to the Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (8 Subject to Voluntary Expenditure UmIt) Date of Election (mm/dd/yy) Total to Date corresponding amounts °Amounts in this section may be different from amounts from Column ao/ your last reported mCm u�n o B. 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 ove the amounts from Lines 2, 7, and s(i, any). FPPC Form 460 (Jan/20 o) FPPC Advice: advice@f pc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for aoao School Board 2014 Amounts may be rounded to whole dollars. Statement covers period from through 07/01/2016 12/31/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OW' CNS CTB CVC FIL FND IND LEG LIT campaignparaphomana/misc campaign consultants contribution (explain nonmonetary)* civic donations candidate fihing/bailot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings 0111■11■11 Susan Alameda, CA 94501 NAME AND ADDRESS OF PAYEE (IF COMMITTEE. L5O ENTER ID, NUMBER) MBR MTG OFC PET eHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research poamoe, delivery and messenger services professional services (leoa|, accounting) print ads cODE PRO EVIUMINSOM RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E E CALFIOFORMRNIA Page ^ of 4 uzNUwBEn 1367459 radio airtim and production costs returned contributions campaign workers salaries t.x or cable airtime and production costs candidate truve|, munino, and meals staff/spouse travel, |oueinn, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 75.00 SUBTOTALS 75 .00 Schedule E Summary 1. ltemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $1 00 3. Total interes paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) � 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ � � www.netfile.com 75.00 50.00 0.00 125.00 FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)