Bill Headley - Annual 2015STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
Initial Filing R
Official Use Oafy
APR 13 2016
NAME OF FILER (LAST) (FIRST) (MIDDLE) C'I
Ito
1. Office, Agency, or Court
► It tiling for mull le positions, list below11A�v or on an attachment. (uo not use acronyms) Q
Agency: � d Position: �d"'" ` " Lis
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
`City of 0� , ❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left _J I
December 31, 2015. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2015, through the date of
December 31, 2015. -or- leaving office.
❑ Assuming Office: Date assumed 1 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year
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 Property — schedule attached
- No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP
(Business Agency Address Recomme ed - Public Docu ent) S,,`
g_5V1W
CIL
DAYTIME TELEPHONE NUMBER I E- MAILADDDDREESS
IL- r
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the b st of my knVAedge he information contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of pe Wry under the laws of the State of California that the foregoing is true and correct.
Date Signed Signature - &"9:1 �4
onth, day, year) (File the originally signed statement with your fill ci .)
FPPC Igo A 700 (2015/2016)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov