news-slo%20scene-hill-4:5

Type or print in ink.

FILECOVER PAGE

acipient Committeeampaign Statementover Pagewernment Code Sections 84200-84216 5)

CITY STATE ZIP CODE

San Luis Obispo CA 93401AREA CODE/PHONE

(805) 550-7916

CITY

Arroyo GrandeNAME OF ASSISTANT TREASURER, IF ANY

AREA CODE/PHONE

(805) 481-0268STREET ADDRESS (NO P.O. BOX)260 Sandercock

STATE ZIP C ODE

CA 93420

AREA CODE/PHONESTATE ZIP CODEAREA CODE/PHONE CITY

OPTIONAL: FAX / E-MAIL ADDRESS

, CITY STATE ZIP CODE

Grover Beach CA 93483 OPTIONAL: FAX / E-MAIL ADDRESS

By N \ V4-,An"-- NCYv

By

Signatur7f Tr urer or ssistant Treasurer

By

Signature o holder, Candidate, State Measure Proponent or Responsible Officer of Sponsor

By

Sgnature of Controlling Officeholder, Candidate, State Measure Proponent

Signatureof Controlling Officeholder, Candidate, State Mena Proponent FPPC Form 460 (January/05)

Executed on

Executed on

Executed on

Executed on Date

\ a (,) \

Date

Statement covers period01/01/2012from

Date of election if applicable:(Month, Day, Year) MAR 2 1 2012 For Official Use Only

JULIE L RODEWALD COUNTY CLEP03/17/2012through 06/05/2012 -90444.4Z

Complete Parts 1, 2, 3, and 4.L,CYL/ p T2. Type of Statement:

Primarily Formed Ballot Measure 2 Preelection Statement ID Quarterly StatementCommittee D Semi-annual Statement D Special Odd-Year Report

Controlled 0 Termination Statement 0 Supplemental Preelection0 Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495(Nso Complete Part 6) 0 Amendment (Explain below)Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)

I.D. NUMBER Treasurer(s)1294032

a INSTRUCTIONS ON REVERSE

Type of Recipient Committee: All Committees• Officeholder, Candidate Controlled Committee 0O State Candidate Election Committee

O Recall(Also Complete Pert 5)

O General Purpose CommitteeO Sponsored0 Small Contributor CommitteeO Political Party/Central Committee

Committee InformationCOMMITTEE NAME (OR CANDIDATES NAME IF NO COMM! EE)

Friends of Adam Hill, County Supervisor 2012NAME OF TREASURERSharon A. McMahanMAILING ADDRESS765 Mesa View Drive #21

MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX

P.O. Box 1248MAILING ADDRESS

VerificationI have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.

FPPC Toll-Free HelplIne: 866/ASK-FPPC (866 1275-3772)State of California

tecipient Committee:ampaign Statement:over Page — Part 2

Type or print in ink. COVER PAGE - PART 2

BALLOT NO. OR LETTER JURISDICTION 0 SUPPORTOPPOSE

Primarily Formed Candidate/Officeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD0 SUPPORT• OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT• OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT• OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT0 OPPOSE

Attach continuation sheets if necessary

Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure CommitteeNAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE

Adam HillOFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)

San Luis Obispo County Supervisor, District 3RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZI P

260 Sandercock San Luis Obispo, CA 93401

Related Committees Not Included in this Statement: List any committeesnot included in this statement that are controlled by you o are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.

Identify the controlling officeholder, candidate, or state measure proponent, if any.

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY

COMMITTEE NAME LD. NUMBER

7.NAME OF TREASURER CONTROLLED COMMITTEE?YES 0 NO

COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

COMMITTEE NAME .D. NUMBER

NAME OF TREASURER CONTROLLED COMMITTEE?YES EI NO

COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

FPPC Form 460 (January/05)FPPC Toll-Free HelplIne: 856/ASK-FPPC (8661275-3772)

State of California

Statement covers period01/01/2012 from

CALIFORNIA 460FORM

03/17/20123 19through Page ofSEE INSTRUCTIONS ON REVERSE

lype or print In Ink.Amounts may be rounded

to whole dollars.Campaign Disclosure StatementSummary Page

SUMMARY PAGE

NAME OF FILER ID. NUMBERFriends of Adam Hill County Supervisor 2012 1294032

$ 0

$ 953.00

$

To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe fi rst report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 ( ifany).

Contributions Received

Monetary Contributions Schechae A, Line 3

Column ATOTALMS PERIM

(FIROMATTACHED SCHEDULES)

19,985.00o2. Loans Received Schedule B, Line 3

19,985.003. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2638.404. Nonmonetary Contributions Schedule C, Line 3

20,623.405. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4

Expenditures Made6. Payments Made Schedule E, Line 4 $ 14,295.927. Loans Made Schedule H, Line 3 08. SUBTOTALCASH PAYMENTS Add Lines 6 + 7 $ 14,295.929. Accrued Expenses (Unpaid Bills) Schedule F Line 3 953.00la Nonmonetary Adjustment Schedule C. Line 3 638.4011. TOTAL EXPENDITURES MADE Add Lines 13 + 9 + 10 $ 15,887.32

Current Cash Statement12. Beginning Cash Balance Previous Summery Page, Line 18 61,770.66

19,985.0013. Cash Receipts Column A, Line 3 above014. Miscellaneous Increases to Cash Schedule I, line 0

14,295.9215. Cash Payments Column A, Line 8 above

16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 67,459.74II this is a termination statement, Line 16 must be zero.

17. LOAN GUARANTEES RECEIVED Schedule s, Part 2 $

Cash Equivalents and Outstanding Debts18. Cash Equivalents See insbuctions on reverse 67,459.774

5,253.0019. Outstanding Debts Add Line 2 + Line 9 in Column B above

Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections

1/1 through 6/30 7/1 to Date

20.ContributionsReceived $

21.ExpendituresMade

Expenditure Limit Summary for StateCandidates

22.Cumulative Expenditures Made'Sub}act to voluntary Expenditure Limiti

Date of Election Total to Date(mm/dd/yy)

'Amounts in this section may be different from amountsreported in Column B.

FPPC Form 480 (January/05)FPPC Toil-Free Helpline: 866/ASK-FPPC (866 1275-3772)

Column BCALENDAR YEAR

TOTALTO tan

4300.00

hedule A• Type or print in ink. SCHEDULE AAmounts may be roundedmetary Contributions Received to whole dollars.

INSTRUCTIONS ON REVERSE

Statement covers period01/01/2012from

Page

CALIFORNIAFORM 460

4of \ CA

03/17/2012throughIE OF FILERFriends of Adam Hill, County Supervisor 2012

I.D. NUMBER1294032

DATE2ECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR

CODE *IF AN INDIVIDUAL, ENTER

OCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAME

OF BUSINESS)

MAOUNTRECEIVED THIS

PERIODCUMULATIVE TO DATE

CALENDAR YEAR(JAN. 1 - DEC. 31)

PER ELECTIONTO DATE

(IF REQUIRED)

13/12 & Norm Adams3337 Kiler CanyonPaso Robles, CA 93446

INDRetired 150.00• COM

DOTH• PTY• SCC

2/6/12 Stella Jenkins285 Buena VistaSan Luis Obispo, CA 93405

12] NDRetired 100.00• COM• OTH• PTY• SCC

2/6/12 Peter Keith865 CharlesGrover Beach, CA 93433

gj INDSelf-Employed, Investor 1500.00• cm• OTH• PTY• SCC

2/6/12 Kurt P. Kupper8888 Toro Creek Rd.Atascadero, CA 93422

Retired 100.00IND• COM• OTH• PTY• SCC

2/6/12Mike Ritter120 Highway 28Crystal Bay, NV 89402

INDRetired 250.00• Coro• OTH• PTV0 SCC

SUBTOTALS 2100.00hedule A Summary\ mount received this period — itemized monetary contributions.Include all Schedule A subtotals.)

1, mount received this period — unitemized monetary contributions of less than $100rotal monetary contributions received this period.Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 19,°036,00

\ 1l00.0061%aS.uo

*Contributor CodesIND —IndividualCOM — Recipient Committee

(other than PTY or SCC)OTH — Other (e.g., business entity)PTY — Political PartySCC —Small Contributor Committee

FPPC Form 460 (January/06)FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)

:hedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)onetary Contributions Received Amounts may be rounded

to whole dollars.Statement covers period

01/01/2012fromCALIFORNIA 460

FORM

of N `I03/17/2012throughAE OF FILERr riends of Adam Hill, County Supervisor 2012

I.D. NUMBER1294032

DATERECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOROF COMMITTEE) ALSO ENTER La NUMBER) CONTRIBUTOR

CODE *IF AN INDIVIDUAL, ENTER AMOUNT

OCCUPATION AND EMPLOYER RECEIVED THISOF SELF-EMPLOYEO ENTER NAME PERIOD

OF BUSINESS)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

PER ELECTIONTO DATE

(IF REQUIRED)

2/22/12 Ray Weymann7610 San Marcos RoadAtascadero, CA 93422

Retired 190.00IND• COM• OTHDPW

E scc

2/16/12 Marion Wolff3128 Spring StreetSan Luis Obispo, CA 93401

q IND Retired 100.00• COM• OTH• PTV• SCC

3/11/12 Robert Vessely1745 Garden StreetSan Luis Obispo, CA 93401

Self-Employed, Structural Engineer 485.00

•4 IND• c0m• OTH• PTV• SCC

2/06/12 Lawrence Vierheilig950 Waypoint DriveNipomo, CA 93444

Retired 100.00r/ IND• COM• OTH• PTY• SCC

2/15/12 John Carsel3285 Shearer AvenueCayucos, CA 93430

I INDDCOM Self-Employed, Attorney

At Law 300.00• OTH• PTVEl sccSUBTOTALS 1175.00

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866 1275-3772)

i:ontributor CodesID — IndividualOM —Recipient Committee

(other than PTY or SCC)TH — Other (e.g., business entity)TY — Political PartyCC —Small Contributor Committee

;hedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)onetary Contributions Received Amounts may be rounded



FORM

of k c \03/17/2012through.01E OF FILERr riends of Adam Hill, County Supervisor 2012

L D. NUMBER 1294032

DATERECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR


OCCUPATION AND EMPLOYERBF SELF-EMPLOYEET ENTER NAME

OF BUSINESS)

AMOUNTRECEIVED THIS

PERIODCUMULATIVE TO DATE

CALENDAR YEAR(JAN. 1 - DEC. 31)

PER ELECTIONTO DATE

(IF REQUIRED)

3/11/12 Lisen A. Bonnier6015 Los Osos Valley Rd.San Luis Obispo, CA 93405

IND Self-Employed, Farmer 100.00• COM• OTH• PTY• SCC

2/17/12 Muril Clift1011 Suffolk StreetCambria, CA 93428

IND Retired 300.00• COMIJOTH• PTV• SCC

1/06/12 Burke L. Dambly1201 Longview AvenuePismo Beach, CA 93449

ZI INDECOM Retired 200.00• OTH0 PTV• SCC

2/14/12 Ed Eby520 Camino RobleNipomo, CA 93444

Retired 340.00Ir/ IND• com• OTHn PTY• SCC

3/6/12 Tracy Del Rio135 Whiteley StreetArroyo Grande, CA 93420

IZ INDOcom Mediator, SLO County

Superior Court 180.00• OTH• PTY• SCC

SUBTOTAL $ 1120.00

FPPC Form 460 (January/05)FPPC Toll-Free HelplIne: 8661ASK-FPPC (866/275-3772)

ontributor CodesID —IndividualOM —Recipient Committee

(other than PTY or 5CC)TI-1 — Other (e.g., business entity)TY — Political PartyCC — Small Contributor Committee

;hedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT)onetary Contributions Received Amounts may be rounded


from 01/01/2012CALIFORNIA 460

FORM

of ‘e%03/17/2012throughAE OF FILER'--riends of Adam Hill, County Supervisor 2012

ID. NUMBER1294032

DATERECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOROF COMMITTEE, ALSO ENTER 1.1). NUMBER)

CONTRIBUTORCODE *

_IF AN INDIVIDUAL. ENTER AMOUNT

OCCUPATION AND EMPLOYER RECEIVED THISOF SELF-EMPLOYED, ENTER NAME PERIOD

OF BUSINESS) 1...


PER ELECTIONTO DATE

(IF REQUIRED)

2/10/12 Castlerock Development, A California Corp.445 Green Gate Rd.San Luis Obispo, CA 93401

• ND5000.00COM• OTH• PTY

0 SCC

2/06/12 Verdin Marketing Ink689 Tank Farm Rd #210San Luis Obispo, CA 93401

0 INDZCOM 100.00• OTH0 PTY• SCC

1/25/12 George Lewis1852 6th StreetLos Osos, CA 93402

100.00Retiredq IND• COM• OTH0 PTY• SCC

3/07/12 Allyn Arnold777 North Ocean AveCayucos, CA 93430

100.00Retired1 !A IND0 COM• OTH• PTY• SCC

2/21/12 Sheila Blake1320 Longview AvenuePismo Beach, CA 93449

0 IND Retired 245.00• COM• OTH• PTY• SCC

SUBTOTAL S 5545.00

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

3ontributor CodesID —IndividualOM — Recipient Committee

(other than PTY or SCC).TH — Other (e.g., business entity)TY — Political PartyCC —Small Contributor Committee

:hedule A Continuation Sheet e or print in ink. SCHEDULE A (CONT.). . .. .onetary Contributions Received Amounts may be rounded


from 01/01/2012

Page

CALIFORNIAFORM

4608 of \ P'"03/17/2012through

AE OF FILERrriends of Adam Hill, County Supervisor 2012

I.D. NUMBER

1294032

DATERECEIVED

FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I a NUMBER)

CONTRIBUTORCODE *

IF AN INDIVIDUAL, ENTER AMOUNTOCCUPATION AND EMPLOYER RECEIVED THIS

(IF SELF-EMPLOYED, ENTER NAME PERIODOF BUSINESS)


PER ELECTIONTO DATE

(IF REQUIRED)

3/05/12 Walter Brothers Construction Company, Inc.3220 S. Higuera StreetSan Luis Obispo, CA 93401

• IND250.00COM• OTH• PTY• SCC

1/06/12 Lynne Landwehr2644 Flora StreetSan Luis Obispo, CA 93401

!I IND Retired 150.00• COmfj OTH• PTY0 SCC

2/21/12 Dawn Legg2480 Parkland TerraceSan Luis Obispo, CA 93401

Assistant ProjectManager, First Solar 135.00

vál IND• Com• OTH• PTY• SCC

3/03/12 Pricilla Kiessig460 Tessa CourtTempleton, CA 93465

Director, Sea Life Center 135.00%IND•com00TH• PTV• SCC

3/01/12 Jerry Williams5365 CandelabraSan Luis Obispo, CA 93401

IN NDIm Builder, JW Design &

Construction, Inc. 500.00•co• OTH• PTY• SCC

SUBTOTALS 1170.00

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

3ontributor CodesID —IndividualOM — Recipient Committee

(other than PTY or SCC)TH — Other (e.g., business entity)TY— Political PartyCC —Small Contributor Committee

:hedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)onetary Contributions Received Amounts may be rounded


01/01/2012from

,CALIFORNIA 460

FORM

of \ c‘03117/2012throughAE OF FILER:riends of Adam Hill, County Supervisor 2012

ID. NUMBER1294032

DATERECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOROF COMMITTEE, ALSO ENTER I D. NUMBER) CONTRIBUTOR


OCCUPATION AND EMPLOYEROF SELF-EMPLOYED, ENTER NAME

OF BUSINESS)

AMOUNTRECEIVED THIS

PERIOD


PER ELECTIONTO DATE

(IF REQUIRED)

2/22/12 David Ogren1016 Willow CircleSan Luis Obispo, CA 93401

IND Senior Deputy PublicDefender, County ofSanta Barbara

190.00• COM• OTHEl PTYIliSCC

2/16/12 Dr. Bradford Parkinson236 Camino EdnaSan Luis Obispo, CA 93401

IND Retired 100.00• COMill OTH• Pr(0 scc

3/11/12 Kayla Ann Plourde745 Evans RoadSan Luis Obispo, CA 93401

Self-Employed, BookSales 160.00

rj INDEl COM• OTH• PTY• SCC

1/03/12 Christine Rogers735 Tank Farm Road #264San Luis Obispo, CA 93401

Program Manager,Economic VitalityCorporation

190.00.4 IND• COM• OTH• PTV• scc

2/06/12 Ernest Roide88 Bena VistaSan Luis Obispo, CA 93405

21IND Owner, Promotions Plus• OTH• PTY• SCC

SUBTOTALS 890.00

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)

:;ontributor CodesID — IndividualOM — Recipient Committee

(other than PTY or SCC)TH — Other (e.g., business entity)TY — Political PartyCC —Small Contributor Committee

;hedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (cormonetary Contributions Received Amounts may be rounded



FORM

of \ ck03/17/2012throughAE OF FILERzriends of Adam Hill, County Supervisor 2012

I.D. NUMBER12 032

DATERECEIVED

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER W. NUMBER) CONTRIBUTOR


OCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAME

OF BUSINESS)

AMOUNTRECEIVED THIS

PERIOD


PER ELECTIONTO DATE

(IF REQUIRED)

2/16/12 Charles Senn178 Broad StreetSan Luis Obispo, CA 93401

IND Self-Employed, Sales 100.000 COM• OTH• PTY• SCC

2/23/12 San Luis Obispo Democratic Club1406 Broad StreetSan Luis Obispo, CA 93401

• IND FPPC # 862266 100.00• cOm• OTHru PTY• SCC

3/11/12 Jennifer Skinner5420 Huasna Township RoadArroyo Grande, CA 93420

Owner, Huasna ValleyFarms 170.00

•41 IND•COm• OTH• PTY• SCC

2/06/12 Mary E. Smith1111 Vista Del LagoSan Luis Obispo, CA 93405

Retired 300.00w4 INDMom00TH0 PTY0 SCC

2/06/12 John Spatafore1303 Garden StreetSan Luis Obispo, CA 93401

r NDAl I Self-Employed,John A.Spatafore, Attorney AtLaw

250.000 COM0 OTH• PTY• SCC

SUBTOTALS 920.00

FPPC Form 460 (January/05)FPPC Toll-Free HelplIne: 866/ASK-FPPC (866/275-3772)

3ontributor CodesJD -IndividualOM - Recipient Committee

(other than PTY or SCC)TH - Other (e.g., business entity)TY - Political PartyCC -Small Contributor Committee

Schedule A Continuation Sheet) or print In Ink. SCHEDULE A (CONT.)Monetary Contributions Received Amounts may be rounded


from 011/2012CALIFORNIA 460

FORM

Page 1% of \ ek03/17/2012throughNAME OF FILER

Friends of Adam Hill, County Supervisor 2012ID. NUMBER1294032

DATERECEIVED

FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOROF COMMITTEE, ALSO ENTER I.D. NUMBER)

CONTRIBUTORCODE *

IF AN INDIVIDUAL ENTER AMOUNTOCCUPATION AND EMPLOYER RECEIVED THIS OF SELF-EMPLOYEA ENTER NAME PERIOD

OF BUS INES51

DATE31)

PER ELECTIONTO DATE

(IF REQUIRED)CUMULATIVE TO

CALENDAR YEAR(JAN. 1 - DEC.

3/11/12Jenifer Rescola1323 Balboa StreetSan Luis Obispo, CA 93401

ND• OM• OTH• PTY• SCC

Psychiatric Technician,Atascadero State 140.00Hospital

01/06/12 Teddy Bear Homes896 Tanis PlaceNipomo, CA 93444

• INDrACOM• OTHEl PTY0 SCC

100.00

END• COM0 OTH• PTY• SCC• IND• COM00TH• PTY0 SCC• IND• COM• OTH0 PTY0 SCC

SUBTOTALS 240.00

FPPC Form 460 (January/05)FPPC Toll-Free HelplIne: 8661ASK-FP PC (866/2754772)

*Contributor Codes

COM — Recipient Committee(other than PTY or SCC)

OTH — Other (e.g., business entity)PTY — Political PartySCC —Small Conhibutor Committee

*Amounts forgiven or paid by another party also must be reported on Schedule A.** If required. FPPC Form 460 (January/05)

FPPC Toll-Free Mainline: 866/ASK-FPPC (866 1275-3772)

SCHEDULE B - PART 1Schedule B — Part 1 Inn vai in nit 1 el •• 1 n.

Amounts may be roundedLoans Received to whole dollars.

SEE INSTRUCTIONS ON REVERSE

from

Statement covers period01/01/2012

CALIFORNIAFORM

12Page

460of \ C\through 03/17/2012

NAME OF FILER

Friends of Adam Hill, County Supervisor 2012

I.D. NUMBER

1294032

FULL NAME, STREET ADDRESS AND ZIP CODEOF LENDER

(IF COMMITTEE ! ALSO ENTER ID. NUMBER)

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF-EMPLOYED, ENTERNAME OF BUSINESS)

(I)OUTSTANDING

BALANCE H IsBEGIMItNIAT

(b)AMOUNT

RECEIVED THISPERIOD

(ciAMOUNT PAIDOR FORGIVENTHIS PERIOD - PFRIOD

OUTSTP,I4DINGBALANCEAT

CLOSE OF THISINTE(eRESTPAID THISPERIOD

( nORIGINAL

AMOUNT OFLOAN

19)CUMULATIVE

CONTRIBUTIONSTO DATE

Adam Hill260 SandercockSan Luis Obispo, CA 93401

to IND 0 COM 0 OTH 0 PTY 0 SCC

Candidate-Supervisor SLO CountyDistrict 3

4300.005 0$

0 PAID

s 0 $ 4300.00 0 k $ 10,300CALENDAR YEAR

$

0 FORGIVEN

5 0

RATEt

s

PER ELECTION'.

sDATE DUE DATE INCURRED

t 0 IND 0 COM 0 OTH 0 PTY 0 SCC$ $

0 PAID

5 S %

CALENDAR YEAR

$

0 FORGNEN

S

RATE

s

PER ELECTION**

$DATE DUE DATE INCURRED

TO IND 0 COM 0 OTH 0 PTY O SCC$ S

0 PAID

S $ % 5

CALENDAR YEAR

S

C FORGIVEN

$

RATE

5

PER ELECTION**

$DATE DUE DATE INCURRED

SUBTOTALS $ 0 $ 0 $ 4300.00 $ 0

Schedule B Summary(Enter (et) on

Sthedule E, Lino 3)

1. Loans received this period (Total Column (b) plus unitemized loans of less than $100.)

0

tConhibutor Codes0 ND—Individual

2. Loans paid or forgiven this period COM — Recipient Committee(Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC)

(Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity)PTY —Political Party

0 SCC — Small Contributor Committee3. Net change this period. (Subtract Line 2 from Line 1.) NET $

(May be • negafiVe nurnbar)Enter the net here and on the Summary Page, Column A, Line 2.

Type or print in Ink. SCHEDULE C— — - -- ---- — Amounts may be roundedNonmonetary Contributions Received to whole dollars.

SEE INSTRUCTIONS ON REVERSE

statement covers period

from 01/01/2012CALIFORNIA 460

FORM

13 19Page ofthrough 03/17/2012

NAME OF FILER

Friends of Adam Hill County Supervisor 2012ID. NUMBER

1294032

DATERECEIVED

FULL NAME. STREET ADDRESS ANDZIP CODE OF CONTRIBUTOR

(IF COMMITTEE. ALSO ENTER 70. NUMBER)

CONTRIBUTORCODE *

IF AN INDIVIDUAL, ENTEROCCUPATIONAND EMPLOYER

(IF SELF-EMPLOVED, EN7F_RNAME OF BUSINESS)

DESCRIPTION OFGOODS OR SERVICES

AMOUNT/FAIR MARKET

VALUE

CUMULATIVE TODATE

CALENDAR YEAR(JAN 1 - DEC 31)

PER ELECTIONTO DATE

(IF REQUIRED)

2/24/12 Adam Hill260 SandercockSan Luis Obispo, CA 93401

District 3 Supervisor Wine Basketsand other itemsfor raffle

$600.000% IND5COM• OTHEj Pr(•SCC• IND• COMDOTH0 PTY• SCCIDIND• COMEIOTH• PTY• SCC• NoDCOM0 OW0 PTY5SOO

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 600.00

Schedule C Summary *Contributor Codes1. Amount received this period — itemized nonmonetary contributions.

(Include all Schedule C subtotals.) 600.00 IND—IndividualCOM —Recipient Committee

(other than PTY or SCC)2. Amount received this period — unitemized nonmonetary contributions of less than $100 38.40 OTH — Other (e.g., business entity)

PTY —Political Party3. Total nonmonetary contributions received this period.

(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ re 38.40 SCC — Small Contributor Committee

FP PC Form 460 (January/05)FPPC Toll-Free HelplIne: 866/ASK-FP PC (86612754772)

SCHEDULEESchedule EPayments Made

Type or print in ink.Amounts may be rounded

to whole dollars.

through 03/17/2012 Page 1 LI of \ :LEE INSTRUCTIONS ON REVERSENAME OF FILER

Friends of Adam Hill, County Supervisor 2012I.D. NUMBER

1294032

Statement covers period011/2012 from

RADRFDSALTEL1RCTRSTSFVOTNEB

CM° campaign paraphernata/misc.ChIS campaign consultants0113 contribution (explain nonmonetary)*OVC civic nonationsFL candidate filing/ballot feesFt fundraising events

independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)FRT print ads

escribe the payment.radio airtime and production costsreturned contributionscampaign workers' salariesLv. or cable airtime and production costscandidate travel, lodging, and mealsstaff/spouse travel, lodging, and mealstransfer between committees of the sarne candidate/sponsorvoter registrationinformation technology costs (*Internet, e-mail)

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, d

NAME AND ADDRESS OF PAYEEocCOMMITTEE ALSO ENTER 1.1). NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

poliARC286 Aspen Street #220EArroyo Grande, CA 93420

Web Management300.00

Pismo Beach Chamber of Commerce581 Do!liver StreetPismo Beach, CA 93449

Dues 71.00

Grover Beach Chamber of Commerce180 Highway OneGrover Beach, CA 93433

Installation Dinner 100.00

Payments that ore contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 471.00

Schedule E SummaryI. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Uniterni zed payments made this period of under $100 3 Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) )t. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $

14,136.80159.12

014,295.92

FPPC Form 460 (January/05)FPPC Toll-Free HelplIne: 866/ASK-FPPC (866/276-3772)

SEE INSTRUCTIONS ON REVERSENAME OF FILER


03/17/2012through 1 5 Page of ID. NUMBER1294032

SCHEDULE E (CONT.)Statement covers period

from 011/2012

Schedule E(Continuation Sheet)Payments Made

Type or print In Ink.Amounts may be rounded

to whole dollars.

payment, you may enter the code.member communicationsmeetings and appearancesoffice expensespetition circulatingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print ads

Otherwise, describe the payment.RAD radio airtime and production costsRFD returned contributionsSAL campaign workers salariesTEL tv. or cable airtime and production costsITC candidate travel, lodging, and mealsWS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB Information technology costs (Internet, e-mail)

CODES: If one of the following codes accurately describes thecampaign paraphernalia/misc. MBR

CNS campaign consultants MTGCTB contribution (explain nonmonetary)* OFCCVC civic donations FETFIL candidate filing/ballot fees PHOFND fundraising events POLIC independent expenditure supporting/opposing others (explain)* POSLEG legal defense PROUT campaign literature and mailings Ffit

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER to NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Political Data Inc.1251 Imperial Highway, Suite 200Norwalk, CA 90650

On-Line Voter File, Software, Bar Code Wand476.50

Pacific Coast Business Times14 East Carrillo Street #ASanta Barbara, CA 93101

Reprints of article, including high resolution PDF's169.00

Pismo Beach Chamber of Commerce581 Dolliver StreetPismo Beach, CA 93449

Installation Dinner50.00

Susan Devine1845 Garden StreetSan Luis Obispo, CA 93401

Reimburse for Auction items at Grover BeachInstallation Dinner 860.00

Susan Devine1845 Garden StreetSan Luis Obispo, CA 93401

Reimburse for Auction items at Pismo BeachInstallation Dinner 500.00

* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL 2,055.50FPPC Form 460 (January/05)

FPPC Toll-Free Helpline: 866/ASK-FPPC (86612754772)

SCHEDULE E (CONT.)Type or print in ink.

Amounts may be roundedto whole dollars.

Statement covers period

from 011/2012

03/17/2012 through of \C La NUMBER1294032

Schedule E(Continuation Sheet)Payments MadeSEE INSTRUCTIONS ON REVERSE NAME OF FILER


QvV campaign paraphernalia/misc.CNS campaign consultantsC1B contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot teesEND fundraising events

independent expenditure supporting/opposing others (explain)*LEG legal defenseLif campaign literature and mailings

MBR member communicationsMTG meetings and appearancesOFC office expensesFET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)FRT print ads

Otherwise, describe the payment.RAD radio airtime and production costsRFD returned contributionsSAL campaign workers salariesra tv. or cable airtime and production costs1RC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (Internet, e-mail)

CODES: If one of the following codes accurately describes the payment, you may enter the code.

NAME AND ADDRESS OF PAYEEBF COMMITTEE. N-50 ENTER LE NUMBER)

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID


Web Management, Walk Piece printing1179.65

Clint Weirich380 SaratogaGrover Beach, CA 93433

Campaign worker salary500.00


On-Line Voter File, Software, Bar Code Wand476.50

PPS - Public Policy Solutions979 Osos Street, Suite ESan Luis Obispo, CA 93401

Office supplies for precinct walk k ts186.16

San Luis Obispo Chamber of Commerce1039 Chorro StreetSan Luis Obispo, CA 93420

State of the State Luncheon280.00

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,622.31FPPC Fonn 460 (January/05)


SCHEDULE E (CONT.)Type or print in Ink.Amounts may be rounded


011/2012 from

Schedule E(Continuation Sheet)Payments Made

03/17/2012through of \ SEE INSTRUCTIONS ON REVERSE NAME OF FILER

Friends of Adam Hill, County Supervisor 2012ID. NUMBER1294032

CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CM° campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFWD fundraising eventsBID independent expenditure supporting/opposing others (explain)*LEG legal defenseUT campaign literature and mailings

MBR member communicationsMTG meetings and appearancesOFC office expensesPET pefition circulatingPI-10 phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

NAME AND ADDRESS OF(IF COMMITTEE, ALSO ENTER ID.NUMBER)

PMEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

San Luis Obispo County Clerk1055 Monterey StreetSan LuisObispo, CA 93401

Filing Fee820.14

Pismo Beach Chamber of Commerce581 Dolliver StreetPismo Beach, CA 93449

Mailing List35.00


Precinct Map81.56

•PPS - Public Policy Solutions979 Osos Street, Suite ESan Luis Obispo, CA 93401

Campaign Consultant, Voter List2555.00


Mailing List175.00

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,666.70FPPC Form 460 (January(05)


Statement covers period

from 011/2012

SEE INSTRUCTIONS ON REVERSENAME OF FILER


03/17/2012through of I.D. NUMBER1294032

SCHEDULE E (CONT.)Schedule E(Continuation Sheet)Payments Made

Type or print In Ink.Amounts may be rounded

to whole dollars.

CODES: If one of the following codes accurately describes thecm, campaign paraphernalia/misc. MBR

campaign consultants MTGCTB contribution (explain nonmonetary) OFCCVC civic donations PETFIL candidate fi ling/ballot fees PHO

fundraising events POLnu independent expenditure supporting/opposing others (explain)* POSLEG legal defense PROUT campaign literature and mailings PRT

member communicationsmeetings and appearancesoffice expensespetition circulafingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print ads

payment, you may enter the code. Otherwise, describe the payment.RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTa ty. or cable airtime and production costsNC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs ( internet, e-mail)

NAME AND ADDRESS OF PAYEE(IF coMMITTEE, ALS0 ENTER 1.1) NUMBER)

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

San Luis Obispo County Clerk1055 Monterey StreetSan LuisObispo, CA 93401

Spanish Ballot970.00

Grover Beach Chamber of Commerce180 Highway OneGrover Beach, CA 93433

Membership and Mailing List200.50


Campaign Literature and Mailings2805.53

Patricia Harris218 Via La PazSan Luis Obispo, CA 93401

Campaign Management500.00


Good Morning SLO Breakfast148.00

* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,624.03FPPC Form 460 (January/05)

FPPC Toll-Free Helpline: 866/ASK-FPPC (8664275-3772)

Statement covers period011/2012 from03/17/2012 through

SCHEDULE E (CONT.)Type or print in Ink.Amounts may be rounded

to whole dollars.

Schedule E(Continuation Sheet)Payments MadeSEE INSTRUCTIONS ON REVERSE NAME OF FILER


payment, you may enter the code. Otherwise, describe the payment.CODES: If one of the following codes accurately describes theGIP campaign paraphernalia/misc. MBR

campaign consultants MTGCTB contribution (explain nonmonetary)* OFCCVC civic donationsFIL candidate filing/ballot fees PHOFND fundraising events POLIND independent expenditure supporting/opposing others (explain)* FOSLEG legal defense PROLIT campaign literature and mailings FRT

member communicationsmeetings and appearancesoffice expensespetition circulabngphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounfing)print ads

RAD radio airtime and production costsRFD returned contributionsSAL campaign workers' salariesTEL t.v. or cable airtime and producbon costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationNEB information technology costs (internet, e-mail)

NAME AND ADDRESS OF PAYEESE COMMITTEE, ALSO ENTER LO. NUMBER/ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Denis Degher8650 Centra RoadPaso Robles, CA 93446

Music for Cayucos Fund Raiser175.00

Patricia Harris218 Via LaPazSan Luis Obispo, CA 93401

Reimburse for food, tables & chairs for Cayucos FundRaiser 522.26

* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 697.26

•

FPPC Form 460 (January/OS)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/2754712)

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