Moe McHenry - Annual 2014Please type or print in ink.
NAME OF FILER
1. Office, Agency, or Court
STATEMENT OF ECONOMIC INTERESTS
(LAST)
c-N €U2
COVER PAGE
(FIRST)
M
Date Dial Fill
R i
MAR 3 2015
MWft CA
Agency Name (Do not use acronyms)
c(Ty of vlt -PLCY
Division, Board, Department, District, if applicable Your Position
QAR-Ic A00 RfGIfLf4ATid,4,,, toMih15.5(0... Gpw.n,1 St0oir-
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
City of C-7 I I, P-oy ❑ Other
3. Type Statement (Check at least one box)
Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left I I
December 31, 2014.
-or-
The period covered is I I through
December 31, 2014.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments - schedule attached
❑ Schedule A -2 - Investments - schedule attached
ASchedule B - Real Property - schedule attached
5. Verification
(Check one)
0 The period covered is January 1, 2014, through the date of
leaving office.
0 The period covered is —
the date of leaving office.
and office sought, if different than Part 1:
through
► Total number of pages including this cover page: 3
Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
❑ None - No reportable interests on any schedule
MAILING ADDRESS STREET CITY STATE 21P CODE
(Business or Agency Address Recommended - Public Document)
E
( �t cAS) is 4 T- � aL. k 3
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 California that
)
FPPC Form 700 (2014/2015)
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
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001- $100,000 _j 1, 14 -j--/-L4
,jj!'$100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
fid 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
cAE,o P,y
► ASSESSOR'S PARCEL NUMBER OR STREET
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
�
114 _j__j 14
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" NAME OF LENDER'
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER 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:
INTEREST RATE TERM (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100;000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700(2014/2015) Sch. B
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 wwwfppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
P E e. 5
ADDRESS (Business Address Acceptable)
5f �LR.-AiY\tll"70 � C,A
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Q. E T r L nn>EIL, FU IJ h
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
. (For self - employed use Schedule A -2.)
Partnership (Less than ID% ownership. For 10% or greater use
Schedule A -2.)
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
NAME OF SOURCE OF
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10;000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For self- employed use Schedule A -2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
❑ Loan repayment
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe) (Describe)
Other [J El Other
(Describe) (Describe)
LbANs7RECEIVED OR OUTSTANDING DURING THE REPORTING • r
* 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
❑ $1001 - $100,000
❑ OVER $100,000
INTEREST RATE TERM (Months/Years)
0% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
❑ Guarantor
❑ Other
City
(Describe)
Comments:
FPPC Form 700 (2014/2015) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov