Terrie Berry - Annual 2015f Initial Filing Re(
• - • - I 1 STATEMENT OF ECONOMIC INTERESTS Orhual Use Only
FAIR POLITICAL PRACTICES COMMISSION I
A PUBLIC N Mq c
DOCUMENT COVER PAGE
Please type or print in ink. �Q
NAME OjVR (LAST) (FIRST) tM�QLE)
1. Office, Agency, or C urt
Age '� lam (Do not us acro yms)
Pivlzion. Board De�artmen , District, if aRplic Your on
P. If fling for multiple positions, list below or on attachment. (Do -trot use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
EJ City of
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2015, through
December 31, 2015.
.or-
The period covered is I I through
December 31, 2015.
Assuming Office: Date assumed J_ _I_
❑ Candidate: Election year
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one)
Q The period covered is January 1, 2015, through the date of
-or-
leaving office.
p The period covered is —J I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
.or-
❑ Schedule A -1 - Investments – schedule attached
❑ Schedule A -2 - Investments – schedule attached
❑ Schedule B - Real PropegL – schedule attached
None - No reportable interests on any schedule
❑ Schedule C - Income, Loans. & Business Positions – schedule attached
❑ Schedule D - Income – Gifts – schedule attached
❑ Schedule E - Income – Gifts – Travel Payments – schedule attached
5. Verification
I UF&AIL AnnRFS3
( �9 11 `-t r.) ?r �
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 the foregoing is true and correct.
Date Signed ��`' Signature
(month, day, year) ( )
FPPC Form 70bb)2015/2016)
FPPC Advice Email: advice @fppc.ca.gov
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