Bill Headley - Annual 2013• " • " STATEMENT OF ECONOMIC INTERESTS NO ate Received Use nly
FAIR POLITICAL PRACTICES COMMISSION Aft
DOCUMENT A PUBLIC COVER PAGE
Please type or print in ink. e
NAME OF FILER (LAST) (FIRST) (MIDDLE)
H eROc s I Trz U), II\aryl lll� .
1. Office, Agency, or Court
(Do not use
D V10-
Division, Bgard, Department, District, if ap_plicablb , Your Position
is
► 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)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
City of & I I IR& ❑ Other
3. Type of Statement (Check at least one box)
XAnnual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left I I
-or-
December 31, 2013. (Check one)
The period covered is I I through O The period covered is January 1, 2013, through the date of
December 31. 2013. leaving office.
❑ Assuming Office: Date assumed —J 1 O The period covered is I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary i
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A -1 - Investments – schedule attached ❑ 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 - P blic Document)
•i C f Cam►( � 7 ?3S! Rvs �,l,�: : %�iLrd %C 052!)M
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the liest of my knowledge the
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 California that the foregoing is true and correct. /
Date Signed
day, year)
Signature
(File the originally signed statement with your
FPPq Fo 700(2013/2014)
FPPC Advice Em 6d: : advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov