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Henneberry 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1055112 SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: I§1 Type or print in ink. Statement covers period from through 01/01/2015 06/30/2015 All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Part 5) 0 General Purpose Committee O Sponsored o Small Contributor Committee o Political Party/Central Committee 0 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) • 3. Committee Information I.D. NUMBER 1367459 COMMITTEE NAME (OR CANDIDATES 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 OPTIONAL: FAX / E-MAIL ADDRESS solanahenneberry@gmail.com AREA CODE/PHONE (510)381-8369 ZIP CODE AREA CODE/PHONE Date Stamp COVER PAGE CAI_IFORNIA 460 Date of election if applicable (Month, Day, Year) 11/04/2014 2, Type of Statement: CITY C-th'K.3 OF CF0 F JUL 3 0 2015 CITY OF ALAMED '\ O Preelection Statement Semi-annual Statement [11 Termination Statement (Also file a Form 410 Termination) O 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 btr2esg@gmail .com 1 of 4 For Official Use Only O Quarterly Statement O Special Odd-Year Report O Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 94501 STATE ZIP CODE CA 94501 J611110E■■■• 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. 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 07/25/2015 Date 07/25/2015 Date Date Date By By By By Signature of Treasurer or Assistant Treasurer 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, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 MCSA1■11 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 I.D. NUMBER 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA FORM 4 6 0 Page 2 of 4 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 NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 0 YES LINO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 0 SUPPORT 0 OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 YES 0 NO OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California 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 5. TOTAL CONTRIBUTIONS RECEIVED Type or print in ink. Amounts may be rounded to whole dollars. Schedule A, Line 3 $ Schedule B, Line 3 Add Lines 1 + 2 $ Schedule C, Line 3 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. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 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 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 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 TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 0.00 0.00 0.00 0.00 0.00 435.00 0.00 435.00 0.00 0.00 435.00 2,389.91 0.00 0.00 435.00 1,954.91 0.00 0.00 $ Statement covers period from through Column B CALENDAR YEAR TOTALTO DATE 0.00 0.00 0.00 0.00 0.00 435.00 0.00 435.00 0.00 0.00 435.00 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). 01/01/2015 SUMMARY PAGE CAI_IFORNIA A 1460 FORM 06/30/2015 Page 3 of 4 I.D. NUMBER 1367459 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (It Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) / / $ / / $ *Amounts in this section may be different from amounts reported in Column B. 0.00 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 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2015 ou/s n/zn1s Solana Henneberry for AUSD School Board 2014 SCHEDULE E CALIFORNIA 460 FORM through Page 4 of « NumBER �»� o 1367459 s* CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. — CUP CNS CTB CVC FIL FND LEG LIT campaign campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/baliot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAMEANDADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Susan Alameda, CA 94501 ME3R OFC PET R-I0 POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research pvmago, delivery and messenger services professional services (lago|, accounting) print ads CODE PRO RAD RFD SAL TEL TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.x or cable airtime and production costs candidate travel, |ndning, and meals staff/spouse travel, |nu3ing, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) OR DESCRIPTION opPAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 375.00 SUBTOTAL$ 375.00 � Schedule E Summary 1. Itemized payments made this period. (Include all Schedule Eoubtotoks.) 2. Unitemized payments made this period of under $1OO 3. Tota interest paid this period on loans. (Enter onnountfnnmGchedu|eB 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 $ � � 375.00 60.00 0.00 435.00 FPPC Form 460 (January/05) pppo Toll-Free Mnlp|ine:nso/ASw-FpPo<us6/2ra'aTro>