Bill Headley - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
STATEMENT OF ECONOMIC INTERESTS
Date ~~ceived
Officiai'j!e Only
COVER PAGE
APR 2010
em ClERKS OF:'~
Please type or print in ink.
A Public Document
NAME
(LAST)
(FIRST)
(MIDDLE)
DAVTWETELEPHONE NUMBER
STATE ZIP CODE
~;I
1. Office, Agency, or Court
Name of Office, Agency, or Court:
C\ '
4. Schedule Summary
~ Total number of pages I
including this cover page: ---L...-
Divisio , Board, District, if a licable:
L.~ ~tl7fe(1)JM:e.
Your Posi ion: . J...
JU,.
~ If filing f r multiple positions, list additional agen (ies)/
position(s): (Attach a separate sheet if necessary.)
~ Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 DYes - schedule attached
Investments (Less than 10% Ownership)
Agency:
Schedule A-2 DYes - schedule attached
Investments (10% or Greater Ownership)
Position:
Schedule B DYes - schedule attached
Real Property
2. Jurisdiction of Office (Check at least one box)
D State
D County of
~ City of ~/LR6f
D Multi-County
D Other
Schedule C DYes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D DYes - schedule attached
Income - Gifts
Schedule E DYes - schedule attached
Income - Gifts - Travel Payments
-or-
3. Type of Statement (Check at least one box)
;X1 No reportable interests on any schedule
~ Assuming Office/lnitial
Date: tJ2,J1:tLJ2afI
5. Verification
D Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
'V1 The period covered is !llt.J.t/2Li.1lJ:!{throU9h
{\ December 31, 2009.
I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best
of my knowledge the information contained herein and in any
attached schedules is true and complete.
D Leaving Office Date Left: -----1-----1_
(Check one)
o The period covered is January 1, 2009, through the
date of leaving office.
-or-
I certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
o The period covered is -----1-----1_, through
the date of leaving office.
D Candidate Election Year:
,
Date Signed ftfJ((iL 1'2. WED
(month, Lay: year)
t
Signature
FPPC Form'700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov