Moe McHenry - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
A Public Document
COVER PAGE
STATEMENT OF ECONOMIC INTERESTS
NAME
(lAST)
(FIRST)
('A c 1-\ f lJ Q.,
MAILING ADDRESS STREET
(Business Address Acceptable)
1. Office, Agency, or Court
Name of Office, Agency, or Court:
(.1. of (,'L.ftO~
Division, Board, District, if applicable:
PflI-ltYJ f ItEc.IlEA-lI0~ (()~rv\l~IO""
Your Position:
C 14 At Lvn.A -
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
D State
D County of
~ City of (:,ll.- IU) '(
D Multi-County
D Other
3. Type of Statement (Check at least one box)
D Assuming Office/Initial
Date: ----.l----.l_
IXJ Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
a The period covered is ----.l----.l_, through
December 31, 2009.
D Leaving Office Date Left: ----.l----.l_
(Check one)
a The period covered is January 1, 2009, through the
date of leaving office.
-or-
a The period covered is ----.l----.l_, through
the date of leaving office.
D Candidate Election Year:
(MIDDLE)
f'V\.
STATE ZIP CODE
(4/or ) ~tt t- y:tV
OPTIONAL: E-MAil ADDRESS
cA. 'i:t
4. Schedule Summary
~ Total number of pages
including this cover page:
~ Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-l DYes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 DYes - schedule attached
Investments (10% or Greater Ownership)
Schedule B DYes - schedule attached
Real Property
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-
~eportable interests on any schedule
5. Verification
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.
I certify under penalty of perjury under the laws ofthe State
of California that the foregoing is true and correct.
Date Signed .5""- / ~ -- 10
(month, ,day. year)
Signature
FPPC Form 700 (2009/2010)
FPPC Toll- ASK-FPPC www.fppc.ca.gov