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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