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Henneberry 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1140930 SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2017 through 06/30/2017 1. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) O General Purpose Committee O Sponsored o Small Contributor Committee O Political Party/Central Committee 0 Primarily Formed Ballot Measure Committee o Controlled 0 Sponsored (Also Complete Part 6) CI Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.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 STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS ssjreyes@comcast.net AREA CODE/PHONE (510) 882-4536 AREA CODE/PHONE Date of election if applica (Month, Day, Year) 11/04/2014 CITY OF ALAMEDA CITY CLERK'S OFFIC 2. Type of Statement: O Preelection Statement O Semi-annual Statement Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) Treasurer(s) NAME OF TREASURER Susan Reyes MAILING ADDRESS CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS ssjreyes@comcast.net COVER PAGE , rsALIFORNIA 460 FORM ge of 6 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 02119.60. AREA CODE/PHONE (510)882-4536 AREA CODE/PHONE 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. Executed on Executed on Executed on Executed on 07/17/2017 Date Date Date Date By Susan Reyes By By By 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, Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 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? ❑ YES ❑ 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA FORM ❑ SUPPORT ❑ 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 ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 Contributions Received Amounts may be rounded to whole dollars. 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule a Line u 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines /~u $ 4. Nonmonetary Contributions Schedule C, Line n 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines x+4 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) .0111■11111.1■ Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines e~r $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Line o 10.Nonmono\ory Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines u~y~10 � Current Cash 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 BAL.ANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 1■11011111■61111 � � 17. LOAN GUARANTEES RECEIVED Schedule 4 Part o $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See ins(ructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above � � 0.00 0.00 0.00 0.00 0.00 1,351.33 0.00 1,351.33 0.00 0.00 1,351.33 1,351.33 0.00 0.00 1,351.33 0.00 0.00 � � � � Statement covers period from through Column B CALENDAR YEAR TOTALTO DATE 0.00 0.00 0.00 0.00 0.00 1,351.33 0.00 1,351.33 0.00 0.00 1,351.33 To calculate CoJumn B, add amourits in Column A to the corresponding amounts from Column B of your Jast 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). 01/01/2017 06/30/2017 SUMMARY PAGE CALIFORNIA 460 FORM 3 Page m /.o.wuwasR 1367459 6 Calendar ¥ear Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions Received $ 21 . Expenditures Made s -- `~~~~~~ � 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (5 Subject to Voluntary Expenditure Limit) Date of Election Total to Date *Amounts in this section may be differen from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 06/02/2017 Gray Harris for Alameda School Board 2016 Support 0 Oppose 0 Support 0 Oppose 0 Support 0 Oppose Amounts may be rounded to whole dollars. TYPE OF PAYMENT Monetary Contribution fl Nonmonetary Contribution O Independent Expenditure O Monetary Contribution • Nonmonetary Contribution O Independent Expenditure O Monetary Contribution LI Nonmonetary Contribution O Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ Statement covers period from 01/01/2017 SCHEDULE D CALIFORNIA 460 FORM through 06/30/2017 Page 4 of 6 ID. NUMBER 1367459 CUMULATIVE TO DATE AMOUNT THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) 250.00 250.00 PER ELECTION TO DATE (IF REQUIRED) 250.00G2014 $250.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) www.netfile.com TOTAL $ 250.00 0.00 250.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Solana Henneberry for AUSD School Board 2014 Statement covers period from through 01/01/2017 06/30/2017 CODES: If one of the following codes accurately describes the paymant, you may enter the code. Othonwiva, describe the payment. C1VP CNS CTB CVC FIL FND IND LEG LIT c=mpaignporaphomo|ia/misc campaign consultants contribution (explain nonmonetary)* civic donations candidate fiUng/bo||mfooa fundraising events independent expenditure supporting/opposing others (explain)" legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITFEE, ALSO ENTER ID. NUMBER) Alameda Point Collaborative Alameda, CA 94501 Girl's Inc of the Island City Alameda, CA 94501 Gray Harris for Alameda School Board 2016 (zoo 1383636) Alameda, CA 94501 MBR MTG OFC PET PHO POL Poo PRO nRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research pvstago, delivery and messenger services professional services (|ega|, accounting) print ads CODE CVC CVC CTB RAD RFD SAL TEL TRC TRS TSF VOT WEB SCHEDULE E CALIFORNIA Page Page 5 of � /.umumasn 1367459 radio airtime and production costs returned contributions campaign workers' salaries t.^ or cable airtime and production costs candidate travel, |noging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration iriformation 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 250.00 251.33 250.00 SUBTOTAL $ 751.33 Schedule E Summary 1. Itemized payments made this period. (!nclude all Schedule E subtotals.) � 2. Unitemized payments made this period of under $1 00 � 3. Total interest paid this period on Ioans. (Enter amountfrom 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 $ 1,351.33 0.00 0.00 1'ss1.sa FPPC Form 460 (Jan/2016) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 through 06/30/2017 CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Susan Reyes Alameda, CA 94501 MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR PRO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD RFD SAL TEL TRC TRS TSF VOT WEB payment. SCHEDULE E (CONT.) CALIFORNIA Agil FORM "nT 111 Page 6 I.D. NUMBER 1367959 of 6 radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ 600.00 600.00 FPPC Form 460 (Jan/2016)