Moe McHenry - Annual 2011CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRAC110ES COMMISSION • • COVER PAGE APR 2012
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Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
_Mc- 0XVR /1►S M
1. Office, Agency, or Court
Agency Name
(�ILP-0�
Division, Board, Department, District, if applicable Your Position
PA R,k s; R EC, e E Ik11 O w CC nr. m I S i 0r_ C 6 inn t ss 10 iv � n-
► If filing for multiple positions, list below or on an attachment
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
City of l70 1.20
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2011, through
December 31, 2014
-or-
The period covered is /— I through
December 31, 2011.
❑ Assuming Office: Date assumed I I
❑ Candidate: Election Year
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one)
p The period covered is January 1, 2011, through the date of
leaving office.
p The period covered is —
the date of leaving office.
Office sought, if different than Part 1:
through
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
Ell*'S'chedule A -1 - Investments — schedule attached J 7 schedule C - Income, Loans, & Business Positions — schedule attached
El Schedule A -2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached
Ill El Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
'Or.
E] None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
L (10f C. /k- q S b 1- 0
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
(1409) W4$-VA93
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 acknowledge this is a public document.
I certify
(File the arigin* signed statement with your filing official.)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
III
SCHEDULE A -1 CALIFORNIA FORm
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name fVNGRa15
(Ownership Interest is Less Than 10 %) 1/1n C R E Q Al 4
Do not attach brokerage or financial statements.
S004tL657 SE OV 1 tiE S
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
/NU ES? /Me/t -7
FAIR MARKET VALUE
❑ $2,000 - $10,000 $10,001 - $100,000
❑ $100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
�] Stock ® Other Ck-AJ (S
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J / 11 _J_/ 11
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
FPPC Form 700 (2011/2012) Sch. A -1
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental income)
►
CITY
I I.
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
$100,001 - $1,000.000
Over $1,000,000
NATURE OF INTEREST
VrOwnershiWDeed of Trust
!❑ LeawWd
Yrs. reMkft
IF APPLICABLE, LIST DATE:
__j_/ 11
ACQUIRED DISPOSED
❑ Easement
El
Odw
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
E1$0-$499 ❑ $500 - $1,000 ❑ $1,007 - $10.000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you aim a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
Name r1n o 2P- r.S
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
�
CITY
SOO M L AkF -rA Ao e c 1i ? t I S 0
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
EI $2,000 - $10,000
pf $10,001- $100,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
%Ownershipf0eed of Tn>st
❑ Leasehold
Yrs. remaidrg
0
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
E1$0-$499 ❑ $500 - $1,000 ❑ $1,001 - $10.000
❑ $10.001 - $100.000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
* You are not required to report loans from commercial lending institutions made in the lender's regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER' I I NAME OF LENDER`
ADDRESS (Business Address Accept")
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% ❑ None
TERM (Mcn#WYeam)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if apOaMe
Comments:
ADDRESS (Busies Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (M"ithslYears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10.001- $100.000 ❑ OVER $100,000
❑ Guarantor, if q*kaMe
FPPC Form 700 (2011/2012) Sch. B
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov