Moe McHenry - Annual 2013OR OR ' o STATEMENT OF ECONOMIC INTERESTS. , i Qr
to Receivetl _ \
/;�,�' kW$fC,3i Use Only . ->>
JAS
A PUBLIC DOCUMENT
20 �,
COVER PAGE
Please type or print in ink.
rq
NAME OF FILER (LAST) (FIRST) \� ;:. (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not•use acronyms)
_- C i -( `'( O f (,j L 2 b `( C. O VY► M I S S I 0 ".!5
Division, Board, Department, District, if applicable Your Position
PA P_ 12 EC, iz ATr ok
P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at,least one box)
11 State
❑ Multi- County - -- --
,zCity of
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
I Type of Statement (Check at least one box)
AAnnual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left
-or-
December 31, 2013. (Check one)
The period covered is —J I through O The period covered is January 1, 2013, through the date of
December 31, 2013. leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is 1.. _ __ - . - , through
the date of leaving office.
❑ Candidate: Election year and office sought if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A -1 - Investments – schedule attached g Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule A -2 - Investments – schedule attached ❑ Schedule D - Income – Gifts – schedule attached
Schedule B - Real Property – schedule attached ❑ Schedule E - Income - Gifts = Travel Payments - schedule attached
-or-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
TF.MAII 'AnnRFRR (OPTIONAI 1
N OY )
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 under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct.
Date Signed �' j / Signature
(month, day, Y—) (File the onginally signed statement with your 6iing aof6aoffi at.)-
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY -
V I
FAIR MARKET VALUE IF APPLICABLE_, LIST DATE_:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 13 .. j___j 13
$100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
Ownership /-Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $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.
❑ None
Name
rKo22f5 mc4£01 y
I► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ s2,000 $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,600
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
/ 13 % _j_/ 13
ACQUIRED DISPOSED
❑ Easement
❑ Leasehold _ ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $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.
❑ None
* 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 Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,600
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, N applicable
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
°k ❑ None -
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments: - - - -
FPPC Form 700 (2013/2014) Sch. B
FPPC Advice Email:. advice @fppc.ca.gov
FPPC Toll-Free Helpline:866 /275 -3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
IE OF SOURCE OF INCOME
PE 25
ADDRESS (Business Address Acceptable)
5 Pic, ILA M 6w70 GO
BUSINESS ACTIVITY IF ANY, OF SOURCE
YOUR BUSINESS POSITION
KIirT 1
GROSS INCOME RECEIVED
$500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 aOVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of - --
(Real property, car, boat, etc.)
❑
Commission or ❑ Rental Income, list each source or $10,000 or more
[other PE, W
(Describe)
Name jj
(VI.02R.1 S (MLIi6N1R-`f
NAME OF SOURCE OF INCOME
G 1 T K o f C�i LROY
ADDRESS (Business Address Acceptable) `
G11LOLOY, cA 43'01-6
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
l
GROSS INCOME RECEIVED
❑ $500 - $1,000 ® $1,001 - $10,000
❑ $10,001 - $160,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of -
(Real property, car, blot, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
�] Other 1-0N 1-r F- VI,T`l P44
(Descnbe)
o - -- e- e s -e -err
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, 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*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $106,000
Comments:
INTEREST RATE TERM (MonthsNears)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
City
❑ Guarantor
❑ Other
(Descnbe)
FPPC Form 700 (2013/2014) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPCT611 -Free He1pline:866 /275 -3772 www.fppc.ca.gov