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Henneberry 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) 1089421 SEE INSTRUCTIONS ON REVERSE Statement covers period from through 01/01/2016 06/30/2016 1. Type of Recipient Committee: Committees Com Complete ee• All Committee p ete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee Q Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 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 ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS solanahenneberry@gmail.com AREA CODE /PHONE (510)381 -8369 AREA CODE /PHONE COVER PAGE Date of election if applicable (Month, Day, Year) iPY OF AL AMED A CLERK'S OFF CE 2. Type of Statement: ❑ Preelection Statement Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ 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 btr2esq ©gmail.com 1 of 4 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ 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. 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, 07/13/2016 Date 07/13/2016 Date Date Date By By By By _ Susan Reyes Solana Hennebeiry Signature of Controlling 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 21■1110101■1 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 COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE BALLOT NO, OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA A a ri FORM 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 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 0 SUPPORT O OPPOSE O SUPPORT 0 OPPOSE O SUPPORT O OPPOSE O SUPPORT O OPPOSE _DBEE.C.111 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwippc.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 Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 8. SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTAL EXPENDITURES MADE 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 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. Amounts may be rounded to whole dollars. MI111011111■1■Ml AIME 17. LOAN GUARANTEES RECEIVED Schedule B, Pad 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 .7776911■ 176.58 0.00 176.58 0.00 0.00 176.58 1,652.91 0.00 0.00 176.58 1,476.33 $ Statement covers period from through Column B CALENDAR YEAR TOTALTO DATE 0.00 0.00 0.00 0.00 0.00 176.58 0.00 176.58 0.00 0.00 176.58 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). 0.00 1 0.00 1 1 1 1 4 0.00 01/01/2016 06/30/2016 SUMMARY PAGE CALIFORNIA Ann FORM "n7 Id lir 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* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Solana Henneberry for AUSD School Board 2014 Amounts may be rounded to whole dollars. Statement covers period from through 01/01/2016 06/30/2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othamioe, describe the poynnent DIP CNS CTB CVC FIL FND IND LEG LIT campaign campaign consultants contribution (explain nonmonetary)* civic donations candidate fi|ing/ba|kdfeea 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 ME3R MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research puvtogo, delivery and messenger services professional servi�s (legal, accounting) print ads CODE PRO RAD RFD SAL TEL TRC TRS Tor VOT WEB SCHEDULE E Page 4 of « /.o.wumasn 1367459 radio airtime and production costs returned contributions campaign workers' salaries t.x or cable airtime and production costs candidate travel, |odging, and meals staff/spouse travel, |odging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT Accounting and Treasurer Services * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule EE Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) � 2. Unitemized payments made this period of under $1 00 � 3. Total 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 $ AMOUNT PAID 112.50 112.50 112.50 64.08 0.00 176.58 FPPC Form 460 (Jan/206) pPpo Toll-Free Mdplino:onsoASm,pppo(us0o7s-377o) vmmw.,ppo.na.nvv