Adam Henig - Assuming Office 2017 Date Left //
(Check one)
The period covered is //, through the date
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
FPPC Form 700 (2016/2017)
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
(month, day, year)
(Check at least one box)
State
Multi-County County of
City of Other
(Check at least one box)
Election Year and o
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700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
Agency Name
Division, B
()
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Investments – schedule attached
Investments – schedule attached
Real Property – schedule attached
( )
(Business or Agency Address Recommended - Public Document)
Income, Loans, & Business Positions – schedule attached
– schedule attached
– schedule attached
No reportable interests on any schedule
A PUBLIC DOCUMENT
CourtCommissioner
The period covered is January 1, 2016, through
The period covered is //, through
December 31, 2016
-ILDDRESS
Date assumed
FPPC Advice Email: advice fppc.ca.gov@
Dnotuseacronyms
Dnotuseacronyms
December 31, 2016
the date of The period covered is January 1, 2016, through
lntiallng
Received
101500115-NFH-0115
Henig, Adam
City of Gilroy
Recreation Recreation Manager
X Gilroy
X 02 01 2017
2
X
7351 Rosanna Street Gilroy CA 95020
408 846-0577 adam.henig@cityofgilroy.org
02/16/2017 Adam Henig
E-Filed
02/16/2017
12:02:16
Filing ID:
163356897
IF APPLICABLE, LIST DATE:
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ACQUIRED DISPOSED
IF APPLICABLE, LIST DATE:
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ACQUIRED DISPOSED
SCHEDULE A-2
of Business Entities/Trusts
Comments:
Name
Address (Business Address Acceptable)
Name
Address (Business Address Acceptable)
INVESTMENT REAL PROPERTY
Description of Business Activity or
City or Other Precise Location of Real Property
Check one
Trust, go to 2 Business Entity, complete the box, then go to 2
Check one
Trust, go to 2 Business Entity, complete the box, then go to 2
3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
(Attach a separate sheet if necessary.)
2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
Name
700
Check one box:
FPPC Form 700 (2016/2017) Sch. A-2
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
FAIR MARKET VALUE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
$0 - $499
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000
OVER $100,000
INVESTMENT REAL PROPERTY
Description of Business Activity or
City or Other Precise Location of Real Property
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
(Attach a separate sheet if necessary.)
2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
Check one box:
FAIR MARKET VALUE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
$0 - $499
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000
OVER $100,000
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
1. BUSINESS ENTITY OR TRUST 1. BUSINESS ENTITY OR TRUST
NATURE OF INTEREST
Stock Partnership
Leasehold Other
Check box if additional schedules reporting investments or real property
are attached
NATURE OF INTEREST
Stock Partnership
Leasehold Other
Check box if additional schedules reporting investments or real property
are attached
IF APPLICABLE, LIST DATE:
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ACQUIRED DISPOSED
FAIR MARKET VALUE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
GENERAL DESCRIPTION OF THIS BUSINESS
YOUR BUSINESS POSITION
NATURE OF INVESTMENT Partnership Sole Proprietorship
Other
$0 - $1,999
IF APPLICABLE, LIST DATE:
// //
ACQUIRED DISPOSED
FAIR MARKET VALUE
GENERAL DESCRIPTION OF THIS BUSINESS
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
YOUR BUSINESS POSITION
NATURE OF INVESTMENT
Partnership Sole Proprietorship
Other
$0 - $1,999
Assessor’s Parcel Number or Street Address of Real Property
Name of Business Entity, if Investment, or
Assessor’s Parcel Number or Street Address of Real Property
Name of Business Entity, if Investment, or
None None
FPPC Advice Email: advice fppc.ca.gov@
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
or Names listed below or Names listed below
Henig, Adam
101500115-NFH-0115
Adam Henig (author/speaker)
P.O. Box 1544
San Martin, CA 95046
X
Author of two nonfiction books. Earn monthly
royalties. Paid speaker too.
X
X
X
X