COVER PAGE
Recipient Committee Campaign Statement Cover Page
Type or print In Ink.
FILEPD
(Government Code Sections 84200-84216.5) Statement covers period
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee:
from
1/1/2012
through
3/17/2012
Date of election If applicable: (Month, Day, Year)
6/5/2012
For Official USe Only
eeens:ac-D CLERK
2. Type of Statement:
All Committees — Complete Parts 1, 2, 3, and 4.
VI Preelection Statement 0 Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below)
0 Controlled 0 Sponsored (Also Complete Par16)
0 General Purpose Committee 0 Sponsored
of _gli -I
JUL E L RODBNALD COUNTY CLEW
Candidate Controlled Committee 2 Officeholder, Formed Ballot Measure 0 Primarily State Candidate Election Committee Committee 0 0 Recall (Also Coma/e/aParrS)
MAR 2 2 2012
Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495
Primarily Formed Candidate/ Officeholder Committee
00 Small Contributor Committee Political Party/Central Committee
(Also Complete Part 7)
I.D. NUMBER
3. Committee Information COMMITTEE NAME (OR CANDIDATE S NAME IF NO COMM!
EE)
Treasurer(s)
1256185
NAME OF TREASURER
James E. Dewing
Patterson for Supervisor 20(7--
MAILING ADDRESS
3250 Silla Rd. STREET ADDRESS (NO P.O. BOX)
STATE
CITY
9312 N. Santa Margarita Rd.
Atascadero
CITY
STATE
ZIP CODE
Atascadero
CA
93422
ZIP
CODE
CA 93422
AREA CODE/PHONE
805-461-5658
NAME OF ASSISTANT TREASURER, IF ANY
AREA CODE/PHONE
805-466-2645
Betina Salter
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX
MAILING ADDRESS
PO Box 2515
14080 San Antonio Rd.
CITY
STATE
ZIP CODE
Atascadero
CA
93423
AREA CODE/PHONE
CITY
805-466-2645
STATE
Atascadero
OPTIONAL: FM / E-MAIL ADDRESS
CA
ZIP CODE
93422
AREA CODE/PHONE
805-466-0201
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inforM. ed herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. IS e 4t qr eA... t>iefa. Executed on Data
Executed on Executed on Executed on
Date Data
arva
By
By By
By
tar
PS-14.14:11111411
Signature otControCing Officeholder. Candidate, State Measure Propo
orRespensi
r of Sponsor
Signatureof Controlling Ofticeacdcler, Candfdate, State Measure Pmponent Sfonatufe Of GO ntroling Officeholder, Candidate. State Measure Proponent
FPPC Form 450 (January/0 5 ) FPPC Toll-Free Halpline:1186/ASK-FPPC (866/275-3772) State of California
Type or print in Ink.
Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee
COVER PAGE PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF BALLOT MEASURE
James R. Patterson BALLOT NO , OR LETTER
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
JURISDICTION
SUPPORT fl OPPOSE
San Luis Obispo County Supervisor, District 5 RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET)
9312 N. Santa Margarita Rd.
CITY
STATE
Atascadero
ZIP
CA 93422
Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE? YES
COMMITTEE ADDRESS CITY
l NO f
STREET ADDRESS (NO RO. BOX) STATE
ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE? YES
COMMITTEE ADDRESS CITY
ENO
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
7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee Is primarily formed
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
STREET ADDRESS (NO RO. BOX) STATE
ZIP CODE
AREA CODE/PHONE
s
0 SUPPORT OPPOSE
•
SUPPORT 0 OPPOSE
•• OPPOSE SUPPORT •• OPPOSE SUPPORT
Attach continuation sheets if necessary
FPPC Form 480 (January/05) FPPC Toll-Free Helpline: 865 1ASK-FPPC (8661275-3772) State of California
Type or print in Ink.
Campaign Disclosure Statement Summary Page
SUMMARY PAGE
Amounts may be rounded
Statement covers period
to whole dollars.
from through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
1/1/2012 3/17(20123 Page I.D.
Contributions Received 1
Monetary Contributions 2 Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions
Schedule A, Line 3 Schedule B, Line 3 Add Lines 1 + 2 Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED
Add Lines 2 + 4
Expenditures Made 6. Payments Made 7. Loans Made
Schedule E, Line 4
$
Schedule H, Line 3
Column A
Column B
TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES)
CALENDAR YEAR TOTAL TO DATE
26,398 o 26,398 184 26,582
26,398
26,582
21. Expenditures Made
n/a $
19,700
19,700
Expenditure Limit Summary for State Candidates
0
0
19,700 0
10. Nonmonetary Adjustment
Schedule C, Line 3
184
184
19,884
19,884
11. TOTAL EXPENDITURES MADE
Add Lines 8 + 9 + 10
$
22. Cumulative Expenditures Made* of Subject to Voluntary Expenditure Limit)
Date of Election
Total to Date
(mm/ddryy)
n/a n/a
Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts
17,137 26,398 0 19,700 23,835
Previous Summary Page, Line 16 Column A, Line 3 above
14. Miscellaneous Increases to Cash 15. Cash Payments
Schedule I, Line 4 Column A, Line 8 above
Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED
Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts 19. Outstanding Debts
7/1 to Date
n/a $
Schedule F, Line 3
$
1/1 through 6130
20. Contributions Received $
26,398 184
9. Accrued Expenses (Unpaid Bills)
Add Lines 6 + 7
Calendar Year Summary for Candidates Running in Both the State Primary and General Elections
o
19,700 0
8. SUBTOTAL CASH PAYMENTS
18. Cash Equivalents
NUMBER
1256185
Patterson for Supervisor
16. ENDING CASH BALANCE
of 21
See instructions on reverse
$
Add Line 2 + Line 9 in Column B above
$
To calculate Column 13, add amounts in Column A to the corresponding amounts from Co/umn B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year. only carry over the amounts from Lines 2, 7, and 9 (if any).
* Amounts in this secfion may be different from amounts reported in Column B.
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A Monetary Contributions Received
Type or print in ink. Amounts may b e rounded to whole dollars.
Statement covers period
1/1/2012
from through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
3/17/2012
2/24/2012
4
SCHEDULE A ,
460
of
'2-1
NUMBER
1256185
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 oF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
1/22/2012
Page I.D.
Patterson for Supervisor DATE RECEIVED
CALIFORNIA FORM
Lon Allan 6815 Santa Lucia Atascadero, CA 93422 Patricia Andreen 190 1st St. Avila Beach, CA 93424
•
IND COM DOTH ID PTY SCC
AMOUNT RECEIVED THIS PERIOD
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
Retired
$100
$100
lawyer Lozano Smith Law Firm
$100
$100
Dean Cal Poly
$100
$100
Retired
$100
$100
$100
$100
PER ELECTION TO DATE (IF REQUIRED)
•
IVA ND
••
COM OTH 0 PTY SCC
•
IND COM OTH PTY SCC
2/24/2012
Philip Bailey 1628 Royal Way San Luis Obispo CA 93405
• 0 ••
2/11/2012
Katherine Barnett 383 Quarterhorse Ln Paso Robles CA 93446-2980
• • EscC
2/16/2012
Donald Bearden 1411 7th St Los Osos CA 93402-1617
VI IND IIICOM 0 OTH PTY SCC
IND COM ID OTH PTY
••
Retired
SUBTOTAL $
500
Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)
, t0,645 t5,753 TOTAL
$
26398
*Contributor Codes IND —Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
FPPC Form 460 (January/05) FPPC Toll-Free Helpllne: 866 1ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print in ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
IU
of 7_7
I D. NUMBER
NAME OF FILER
1256185
Patterson f r Supervisor DATE RECEIVED
5
46n ,
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITME. ALSO ENTER I D. NUMBER) CODE *
• •
VIIND COM ID OTH PTY 0 SCC
2/11/2012
Mike Benson 3650 Lawnwood Ct San Luis Obispo CA 93401-0922
2/15/2012
Lisen Bonnier 6015 Los Osos Valley Rd San Luis Obispo CA 93401
2/14/2012
David Brown 7175 Ave Atascadero CA 93422-4505
2/11/2012
Nancy Bruno 528 Mason Way San Luis Obispo CA 93401-5676
IND COM IE OTH PTY 0 SCC
3/3/2012
David Chipping 1530 Bayview Heights Dr Los Osos CA 93402-4412
VI IND COM OTH 0 PTY SCC
ND
•• COM
•• ••Pinal • E scc .4 • • ••
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
Retired
Retired
00TH PTY SCC IND COM E OTH PTY
VP of Mfg. Applied Technologies
Retired
Retired
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$1,000
$1,000
$100
$100
$100
$100
$100
$100
$100
$100
PER ELECTION TO DATE (IF REQUIRED)
•
SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enfity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
1400
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 666/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
Type or print In Ink. Amounts may be rounded to whole dollars.
SCHEDULE A (CONT.) Statement covers period from
1 11/2012
through
3/17/2012
Patterson for Supervisor
2/8/2012
Page
6
460
of 247
1256185
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER La NUMBER)
Muril Clift 1011 Suffolk St Cambria CA 93428-2511
2/1312012
Joan Cabin 2050 Pitt Place Cambria CA 93428
1/22/2012
Tom Comar 5525 Cascabel Rd Atascadero CA 93422-2347
1/22/2012
Polly Cooper 16550 Oracle Oak Way Santa Margarita CA 93453-9789
2111/2012
FORM
ID. NUMBER
NAME OF FILER
DATE RECEIVED
CAUFORNIA
Alison Denlinger 880 Luisita St Morro Bay CA 93442-2833
CONTRIBUTOR CODE *
•• • •
ND COM OTH PTY SCC
ZINO
oCOM
• 0 •• ••
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
Retired
0 IND ID COM 00TH 0 PTY SCC
• ECOM •• ND
•
OTH PTY SCC
$100
$100
$100
Family Nurse Practitioner Atascadero State Hosp.
$100
$100
Architect Self: San Luis Sustainability Group
$100
$100
Farmer Long Shadow Orchards
$100
$100
Retired
SUBTOTALS *Contributor Codes IND — Individual COM—Redpient Committee (other than PTY or SCC) OTH — Other (e.g., business ent (ty) PTY — Political Party SCC — Small Contributor Committee
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
LI OTH PTY 0 SCC
IND COM OTH PTY SCC
AMOUNT RECEIVED THIS PERIOD
PER ELECTION TO DATE (IF REQUIRED)
500
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
7
of
2.7
ID. NUMBER
NAME OF FILER
1256185
Patterson f r Supervisor DATE RECEIVED
! 'I'A 60 .
from
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITME, ALSO ENTER IL. NUMBER)
2/10/2012
Susan Devine 1745 Garden St San Luis Obispo CA 93401-4420
1/22/2012
James Dewing 3250 Silla Rd Atascadero CA 93422-2575
2/11/2012
Bill Ernst 7350 Carmelita Ave Atascadero CA 93422-4044
3/16/2012
Stephen Sara Foland 301 D St Cayucos CA 93430-1153
2/13/2012
Jane Fong 2026 Alturas Rd Atascadero CA 93422-1102
&
CONTRIBUTOR CODE *
•• • El ••
IND COM OTH PTY SCC
IND COM OTH PTY El SCC
n
•• •• •• •• Z • com • El scc !AIND COM OTH PTY SCC
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
$100
$100
Maintenance Mechanic Cuesta College
$150
$150
$1,000
$1,000
$100
$100
$200
$200
Retired
Retired
IND
Psychologist The PACT Clinic
SUBTOTALS *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
Legislative Analyst SLO County
IND COM OTH PTY SCC
0 OTH PTY
AMOUNT RECEIVED THIS PERIOD
PER ELECTION TO DATE (IF REQUIRED)
1550
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
Type or print In Ink. Amounts may be rounded to whole dollars.
SCHEDULE A (CONT.) Statement covers period from
1/1/2012
through
3/17/2012
Patterson for Supervisor FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (I F COMMITTEE, ALSO ENTER I.D. NUMBER)
Fred Frank 3615 Ardilla Rd Atascadero CA 93422-2401
3/3/2012
Christine George French 9300 Santa Cruz Rd Atascadero CA 93422-1377
2/4/2012
Michael Furlotti 4963 17th St. San Francisco CA 94117
2/4/2012
8
of 2-
7
1256185
1/22/2012
2/4/2012
Page
460
1.0. NUMBER
NAME OF FILER
DATE RECEIVED
CALIFORNIA FORM
&
Nancy Furlotti 5 Toby Lane Aspen CO 81612 Alex Furlotti 5 Toby Lane Aspen CO 81612
CONTRIBUTOR CODE *
ND
pcom
•• • •• •• El
OTH PTY 0 SCC ND COM 0 OTH PTY SCC VAI ND
COM OTH PTY
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF. EMPLOYED, ENTER NAME OF BUSINESS)
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
Forester Tree Farm
$100
$100
Teacher Atascadero Unified School Dist.
$100
$100
Real Estate Investor Self
$450
$450
Psychologist Self
$450
$450
Real Estate Investor Quorum Properties
$550
$550
PER ELECTION TO DATE (IF REQUIRED)
0 scc
o IND
ID com 0 OTH 0 PTY
D scc
•
ZIND COM 0 OTH 0 PTY 0 SCC
SUBTOTALS *Contributor Codes IND — Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
1650
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 866/ASK-FPPC (866/2754772)
Schedule A (Continuation Sheet) Monetary Contributions Received
Type or print In Ink. Amounts may be rounded to whole dollars.
SCHEDULE A (CONT.) Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
Patterson f r Supervisor
1256185
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D. NUMBER) CODE *
•
ID COM IZOTH
2/14/2012
Chester Gibbs 3057 S Higuera St Spc 36 San Luis Obispo CA 93401-6436
ZIND 0 COM I:0TH El PTY El SCC
1/22/2012
Bruce Gibson 1410 Cottontail Creek Rd Cayucos CA 93430-1570
2/11/2012
2/15/2012
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED. ENTER NAME OF BUSINESS)
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$950
$950
Maintenance Supervisor SLO County YMCA
$100
$100
SLO County Supervisor SLO County
$500
$500
$300
$300
$200
$200
•
PER ELECTION TO DATE (IF REaUIRED)
PTY 0 SCC
Z IND
Doom nOTH OPTY SCC
•
•• • ••• ••
Nick Gilman 800 Cherry St Paso Robles CA 93446-2448
Z IND OM OTH PTY Ill SCC
John Goers 5200 Dolores Ave Atascadero CA 93422-2932
ZIND COM OTH PTY SCC
A ina 12)
spiv-
feei
Professor Cal Poly
SUBTOTALS *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business enfity) PTY — Political Party SCC —Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
IWO
Nancy Furlotti 76 Trust 5 Toby Lane Aspen CO 81612
2/4/2012
of 2.7
ID, NUMBER
NAME OF FILER
DATE RECEIVED
9
460
2050
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 866/ASK-FPPC (866 1 275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
1256185
Patterson f r Supervisor FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER L 0 NUMBER)
2/24/2012
Leon Goldin 2658 Rodman Dr. Los Osos CA 93412
3/3/2012
Richard Greek 202 Kerwin St Cambria CA 93428-4425
3/16/2012
Greenhouse 1959 Fixlini St. San Luis Obispo CA 93401
1/22/2012
Betty Jim Guthrie 514 Starlight Ln Arroyo Grande CA 93420-4156
2/24/2012
of 2 7
I.D. NUMBER
NAME OF FILER
DATE RECEIVED
10
460
&
Ken Haggard 16550 Oracle Oak Way Santa Margarita CA 93453-9789
CONTRIBUTOR CODE *
•• COH WA
ND
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
Retired
OTH 0 PTY IIISCC ND
ECOM
•
Retired
OTH EIPTY SCC
• •• • ••
• COM OTH PTY SCC 0 IND COM Ill OTH
Retired
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$200
$200
$250
$250
$100
$100
$250
$250
$1,090
$1,090
• • ND
PER ELECTION TO DATE (IF REQUIRED)
PTY SCC
(ZIND El COM OTH PTY
•• ijSCC
Architect Self: San Luis Sustainability Group SUBTOTALS
*Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
1890
FPPC Form 460 (January/06) FPPC Toll-Free Helpilne: 866/ASK-FPPC (866 1275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
through
3/17/2012
3/9/2012
Page
11
460
of
27
1256185
Patterson f r Supervisor
1/13/2012
FORM
ID. NUMBER
NAME OF FILER
DATE RECEIVED
CALIFORNIA
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER ID NUMBER)
&
Betty Ann Stephen Hansen 8930 Morro Road Atascadero CA 93422 Patricia M Harris 2106 Fern Dr Cambria CA 93428
3/16/2012
Dai ne Harrison 7700 Portola Rd Atascadero CA 93422-3808
1/22/2012
John Pam Heatherington 7790 Yesal Ave Atascadero CA 93422-5280
3/16/2012
Margaret Hennessy 1505 Cobblestone Way Arroyo Grande CA 93420
&
CONTRIBUTOR CODE *
•• El 0
•
IND COM OTH PTY SCC
•
ND COM ID OTH ID PTY SCC
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF SUMESS)
Consultant SLOCAP
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$100
$100
Gardener Self: Harrison
$100
$100
Luthier National Reso-Phonic Guitar
$100
$100
Manager Solstice Green Directory
$100
$100
Retired
PER ELECTION TO DATE (IF REQUIRED)
•
q ND
•• I •• •• •• •
ID COM OTH PTY 0 SCC % ND COM OTH PTY SCC
PA IND COM OTH PTY SCC
•
SUBTOTALS *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
500
FPPC Form 460 (January/05) FPPC Toll-Free Helpune:866/ASK-FPPC (866/2754772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
17
1256185
Patterson f r Supervisor FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I CI NUMBER) CODE *
2/10/2012
Marc Johnston 22710 Madison Dr. Santa Margarita CA 93453
2/16/2012
Frank Kelton 1710 Condado Vista Ct Arroyo Grande CA 93420-4904
2/14/2012
Mary Knable 7435 Gabarda Rd Atascadero CA 93422-4731
2/14/2012
Randy Knight 10050 Corona Rd Atascadero CA 93422-7745
2/19/2012
of
ID. NUMBER
NAME OF FILER
DATE RECEIVED
12
460
Linda Kristenson 5990 Encino Ave Atascadero CA 93422-3135
Z IND COm OTH PTY D Soo
•• • • • • El •
Z IND COIN E OTH
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF.EMPLOYED, ENTER OF BUSINESS)
NAI/IE
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
Chiropractor Johnston Chiropractor
$100
$100
C.E.O. San Luis Ambulance
$500
$500
Instructional Assistant Atascadero Unified SD
$100
$100
$250
$250
PER ELECTION TO DATE (IF REQUIRED)
PTY 0 SCC
0 IND COM OTH PTY 0 SCC
r4 ND
••
COM OTH E PTY SCC
Retired
•
0 IND
•
Retired
OTH El PTY SCC
•
SUBTOTALS *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
1050
FPPC Form 460 (January/06) FPPC Toll-Free Helpline: 866 1ASK-FPPC (86612754772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
Patterson f r Supervisor FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR BF COMMITTEE, ALSO ENTER IA). NLIMBER)
CONTRIBUTOR CODE *
ND
0 COM 00TH •AI ND
3/9/2012
Kurt Kupper 8888 Toro Creek Rd Atascadero CA 93422-1016
2/24/2012
George Lewis 1852 6th St Los Osos CA 93402-2704
2/14/2012
Richard Livingston 8625 Sierra Vista Rd Atascadero CA 93422-2178
0 COM 00TH
Roger Longden 288 Almond St. San Luis Obispo CA 93405-2302
OCOM 0 OTH 0 PTY
2/13/2012
27
1256185
Sally Kruger 5290 Righetti Rd. San Luis Obispo CA 93401
2/3/2012
of
I.D. NUMBER
NAME OF FILER
DATE RECEIVED
13
460
0 PTY SCC
•
•• •• •• •
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER
.
(IF SELF EMPLOYM ENTER NAME OF BUSINESS)
Owner Bed Breakfast
&
COM OTH PTY SCC
14 ND COM
OTH PTY 0 SCC 14 IND
Professor Cal Poly
Retired
AMOUNT RECEIVED THIS PERIOD
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$200
$200
$100
$100
$100
$100
$100
$100
PER ELECTION TO DATE (IF REQUIRED)
E PTY SCC
•
ir4 ND
Retired
• SCC SUBTOTALS
600
*Contributor Codes COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 8661A5K-FPPC (86612754772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Tipe or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
of
27
I.D. NUMBER
NAME OF FILER
1256185
Patterson f r Supervisor DATE RECEIVED
14
460
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ER COMMITTEE. ALSO ENTER I D. NUMBER)
2/11/2012
Chuck Lowe 1256 Mill St San Luis Obispo CA 93401-2815 .
3/9/2012
William Luffee 170 Bradley Ave Morro Bay CA 93442-2845
CONTRIBUTOR CODE *
•• • •• com
ND COM OTH PTY 0 SCC ND
OTH
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOTED, ENTER NAME OF BUSINESS)
Retired
Sales Promotions Plus
AMOUNT RECEIVED THIS PERIOD
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$300
$300
$170
$170
$100
$100
$300
$300
PER ELECTION TO DATE (IF REQUIRED)
oPTY
EJSCC
&
Z IND
••
Retired
•• ••
Retired
3/12/2012
Karl Sue Luft 4561 Almond Dr Templeton CA 93465-8681
2/14/2012
Judie Magonacelaya 8400 Piedras Altos Ave Atascadero CA 93422-3966
r4 IND COM OTH PTY SCC
2/4/2012
Marquesas Holdings 5 Toby Lane Aspen CO 81612
EICOM IN OTH
El COM OTH PTY E SCC
• IND
Ill PTY SCC
•
SUBTOTALS *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
970
FPPC Form 460 (January/05) FPPC Toll-Free Helpilne: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
Patterson f r Supervisor
27
1256185
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I O. NUMBER)
CONTRIBUTOR CODE *
2/15/2012
Craig McCollum 1139 Iris St San Luis Obispo CA 93401-4117
z• IND OTH •• COM PTY • SCC
2/13/2012
John McGee 15805 Chispa Rd Atascadero CA 93422-6510
'AI ND 0 COM OTH ill PTY 0 SCC
2/17/2012
Eric Michielssen 2310 Clark Valley Rd Los Osos CA 93402-4606
3/3/2012
Morin Bros Automotive 4090 Broad St. San Luis Obispo CA 93401
3/16/2012
of
LD. NUMBER
NAME OF FILER
DATE RECEIVED
15
460
Susan Mullen 2200 Greenwood Ave Morro Bay CA 93442-1539
• z• •• • Ei z•• COM • •• E •• IND COM OTH PTV SCC
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
Mediator Just Resolutions
$100
$100
Landscaper John McGee Landscape
$100
$100
Organic Farmer Pozo Organic Farm
$100
$100
$100
$100
$100
$100
PER ELECTION TO DATE (IF REQUIRED)
IND
OTH
PTY SCC
Ir4 IND COM OTH PTY SCC
Business Manager Pacific Energy Co.
SUBTOTALS 'Contributor Codes IND — Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
500
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 8661ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
27
1256185
Patterson f r Supervisor FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER W. NUMBER)
3/3/2012
Pandora Nash-Karner 350 Mitchell Dr. Los Osos CA 93402
1/22/2012
Joan O'Keefe 9985 Old Morro Rd E Atascadero CA 93422-4949
3/16/2012
Pacific Energy 2121 Santa Barbara St. San Luis Obispo CA 93401
3/3/2012
Alston Paff 10025 El Camino Real Atascadero CA 93422
3/9/2012
of
LD. NUMBER
NAME OF FILER
DATE RECEIVED
16
460
Kathy Peterson 8525 Alegre Ave Atascadero CA 93422-5000
CONTRIBUTOR CODE *
ND •• COM •• OTH PTY SCC
q
• COM 0 OTH PTY p0 SCC ND
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS)
Owner Green Cottage
Retired
•• ND
COM
o OTH
•• SCC PTY
0 IND
ECOM DOTH
Retired
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$300
$300
$250
$250
$140
$140
$150
$150
PER ELECTION TO DATE (IF REQUIRED)
0 PTY SCC
•
0 IND COM OTH PTY SCC
•• ••
Teacher Atascadero Unified SD
SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
940
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 866/ASK-FP PC (866 1275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
Type or print In Ink. Amounts may be rounded to whole dollars.
SCHEDULE A (CONT.) Statement covers period from
1/1/2012
through
3/17/2012
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER 10, NUMBER)
CONTRIBUTOR CODE *
• ••
IND COM ID OTH PTY SCC 0
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF EEL REMPLOTED, ENTER NAME OF BUSINESS)
2/9/2012
2/11/2012
Bev Prayer 1865 Downing Cambria CA 93428-0894
•• DISCc
Quorum Holdings 5 Toby Lane Aspen CO 81612
• IND
2/4/2012
Barbara Rad ovich 784 Buchon San Luis Obispo CA 93401
WI IND
p OTH
Director ARTS Obispo
Alice Reinheimer 580 Gularte Rd. Arroyo Grande CA 93420
VA IND COM OTH PTV
Sr. Applications Engineer e2V Aerospace Defense
1/18/2012
17
of
27
1256185
Susan Piel 1075 San Carlos Dr San Luis Obispo CA 93401-5374
2/19/2012
Page
460
I.D. NUMBER
Patterson for Supervisor DATE RECEIVED
CALIFORNIA FORM
*Contributor Codes IND — Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee
IND
•com
Retired
CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 - DEC, 31)
WO
$100
$100
$100
$950
$950
$100
$100
&
$100
$100
SUBTOTAL 8
1350
Retired
OTH PTY
III COm • OTH
••
AMOUNT RECEIVED THIS PERIOD
PER ELECTION TO DATE (IF REQUIRED)
PTY SCC
II COm
•• ••0 • IjSCc PTY SCC
FPPC Form 460 (January105) FPPC Toll-Free HeiplIne: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
of
27
LD. NUMBER
NAME OF FILER
1256185
Patterson f r Supervisor DATE RECEIVED
18
460
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER)
2115/2012
BK Richard 130 Anacapa Cir San Luis Obispo CA 93405-1071
2/24/2012
Arley Robinson 3184 Ocean Blvd Cayucos CA 93430-1824
2/4/2012
Sakura Holdings 5 Toby Lane Aspen CO 81612
3/3/2012
Bettina Salter 14080 San Antonio Rd Atascadero CA 93422-6320
2/3/2012
John Schutz 471 Hill St San Luis Obispo CA 93405-2325
CONTRIBUTOR CODE *
ZINC)
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
• 0
Retired
'AIND
Retired
•cOkt
OTH PTY EISCC
•• •
OCOM OTH PTY SCC
• IND
Ocom
••
OTH PTY SCC
ZINC/
•cokt
•
Retired
OTH El PTY El SCC IF/
ND
Ocorvi
•• •
Retired
OTH PTY SCC
SUBTOTALS *Contributor Codes IND— Individual COM —Recipient Committee (other than PTV or SCC) OTH — Other (e.g., business entity) PTY —Political Party SCC— Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$100
$100
$300
$300
$170
$170
$100
$100
PER ELECTION TO DATE (IF REQUIRED)
770
FPPC Form 460 (January/06) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
Typo or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
7
1256185
Patterson for Supervisor FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER)
CONTRIBUTOR CODE *
Elizabeth Scott-Graham 2410 Cima Ct. San Luis Obispo CA 93401
•• COr4 DPTY
2/16/2012
Anneka Scranton 2590 San Dominico Ave Los Osos CA 93402-4204
ZIND E COM OTH 0 PTY Scc
2/11/2012
BJ Semmes 8007 Toro Creek Rd Atascadero CA 93422-1028
)2:1IND 0 COM OTH PTY SCC
2/11/2012
Donald I Smith 1111 Vista Del Lego San Luis Obispo CA 93405-4832
(r4 IND COM OTH PTY SCC
2/11/2012
Deborah Stafford 3866 Ardilla Rd Atascadero CA 93422-2400
31912012
of 2
ID. NUMBER
NAME OF FILER
DATE RECEIVED
19
460
ND
IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (rp SELF.EMPLOVEO, ENTER NAME OF BUSINESS)
Retired
OTH
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$150
$150
$100
$100
$500
$500
$1,000
$1,000
$175
$175
PER ELECTION TO DATE (IF REQUIRED)
0 SCC
• •
•• • •• ••
Ir4 ND OCOM 00TH 0 PTY Scc
Retired
Retired
Retired
Registered Nurse Atascadero State Flosp.
•
SUBTOTALS *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
1925
FPPC Form 460 (January/05) FP PC Toll-Free Helpllne: 866/ASK-FPPC (866 (275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
e or print in ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA F•RM
through
3/17/2012
Page
1256185
Patterson f r Supervisor
3/9/2012
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMRTEE.ALSO ENTER
La NUMBER)
Jeff Stein 1460 Andrews St San Luis Obispo CA 93401-2606
3/9/2012
James Summers 8320 San Dimas Rd Atascadero CA 93422-4849
2/3/2012
Mark Tomes 22540 J St. Santa Margarita CA 93453-0735
2/11/2012
3/3/2012
of 7:7
LD, NUMBER
NAME OF FILER
DATE RECEIVED
20
460
Arthur Van Rhyn 6576 Moonstone Beach ID. Cambria CA 93428 Robert Vessely 1745 Garden St San Luis Obispo CA 93401-4420
CONTRIBUTOR CODE *
IND
pcom
• OTH p PTV 0 SCC
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO, ENTER NAME OF BUSINESS)
Attorney Stein,Casciola, & Galambo LLP
•
Retired
Z IND p COM • OTH
Educator Cuesta College
[6 IND COM • OTH • PTY 0 SCC
• pPTY
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$200
$200
$100
$100
$100
$100
$100
$100
$250
$250
PER ELECTION TO DATE (IF REOUIRED)
• soc
Er'IND
• com • OTH • PTY
Retired
• SCC V4 IND
•COm pOTH
• PTY
Civil Engineer Self: Vessely Engineering
• SCC SUBTOTALS
*Contributor Codes IND — Individual COM — Redpient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
750
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received
SCHEDULE A (CONT.)
lype or print in Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
2/11/2012
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMITTEEASO ENTER I.D. NUMBER)
Ken & Mandy Weathers 14020 Morro Rd Atascadero CA 93422-1610 Stephen Weinstein 1222 San Carlos Dr San Luis Obispo CA 93401-5334
2/13/2012
Bruce Whitcher 1670 Pin Oak Ln Templeton CA 93465-8366
1/22/2012
James Wiley 3675 Ardilla Rd Atascadero CA 93422-2401
2/13/2012
2.7
1256185
Patterson for Supervisor
2/14/2012
of
I.D. NUMBER
NAME OF FILER
DATE RECEIVED
21
460
Paul & Marion Wolff 3128 Spring Ct San Luis Obispo CA 93401-6014
CONTRIBUTOR CODE *
WI IND
• corvi LIOTH
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF. EMPLOYEO, ENTER NAME OF BUSINESS)
Retired; Artist, Self
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$100
$100
$250
$250
$100
$100
$100
$100
PER ELECTION TO DATE (IF REQUIRED)
LI PTY SCC
•
ND
• com
Retired
E OTH ID PTY
E Soo vA IND
•com
Oral Surgeon Central Coast Oral Maxillo Surgery
(11 IND
Retired
Li OTH • PTY E SOO
• com • OTH • PTY
&
E Soo .4 ND
• Com • OTH • PTY
Retired
• SCC
SUBTOTAL$ *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
AMOUNT RECEIVED THIS PERIOD
650
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/2754772)
Schedule A Continuation Sheet . Monetary Contributions Received
SCHEDULE A (CONT.)
TVDO _. or orint In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
CALIFORNIA FORM
through
3/17/2012
Page
of
21
ID. NUMBER
NAME OF FILER
1256185
Patterson f r Supervisor DATE RECEIVED
22
460
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER)
3/9/2012
Janis Woolpert 59 Los Palos Dr San Luis Obispo CA 93401-7725
2/19/2012
Mike Zappas 8189 San Dimas Lane Atascadero CA 93422
CONTRIBUTOR CODE *
ND
IDCOM
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EM PLOYEC , ENTER NAME OF BUSINESS)
Retired
LI OTH El PTY IllSCC Z IND •COM OTH PTY 0 SCC
••
Property Manager Self: Zappas Investrnnets
AMOUNT RECEIVED THIS PERIOD
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
$100
$100
$1,000
$1,000
PER ELECTION TO DATE (IF REQUIRED)
0 IND COM OTH PTY E SCC
•• • •• COM ND • OTH E PTY • SCC 0 IND LICOM OTH PTY El SCC
• •
SUBTOTAL s *Contributor Codes IND — Individual CO M — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
1,100
FPPC Form 460 (January/05) FPPC Toll-Free HelpIlne: 866/ASK-FPPC (866/275-3772)
Schedule C Nonmo etary Contributions Received
Type or print In ink. Amounts may oe rounario to whole dollars.
SCHEDULE C Statement covers period
1/1/2012
from through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
3/17/2012
2/1/2012
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR BF COMMITTEE, ALSO ENTER TO. NUMBER)
Jim Patterson 9312 N. Santa Margarita Rd. Atascadero CA 93422
Page
23
of
460 27
I.D. NUMBER
Patterson for Supervisor DATE RECEIVED
CALIFORNIA FORM
1256185 CONTRIBUTOR CODE *
IND
DOOM
•OW • PTY • SCC
/F AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF. EMPLOTED, ENTER NAME OF BUSINESS)
SLO County Supervisor, SLO County
DESCRIPTION OF GOODS OR SERVICES
Office Supplies
AMOUNT/ FAIR MARKET VALUE
134
CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31)
PER ELECTION TO DATE (IF REQUIRED)
134
BIND OCOM OT1-1 0 PTY SCC
• • • ND [3COM • OTH E PTY EISCC OIND 000M 00TH PTY SCC
• •
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
134
Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) 2. Amount received this period — unitemized nonmonetary contributions of less than $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)
134 50 TOTAL $
184
*Contributor Codes IND— Individual COM —Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee
FPPC Form 460 (January/05) FPPC Toll-Free HelplIne: 866 1ASK-FP PC (866 12753772)
Schedule E Payments Made
SCHEDULEE
Type or print in Ink. Amounts may be rounded to whole dollars.
Statement covers period from through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
1/1/2012 3/17/2012
Page
24
of
"2-7
LD. NUMBER
1256185
Patterson for Supervisor CODES: If one of the following codes accurately describes the payment, you may enter the code. 0 therwise, describe the payment. OVP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense LfT campaign literature and mailings
MBR member communications ATM meetings and appearances OFC office expenses PET petition circulafing PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accourffing) PRT print ads
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENT ER 1.0. NUMBER)
CODE
OR
RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL b.,. or cable airtime and production costs BC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail)
AMOUNT PAID
DESCRIPTION OF PAYMENT
Fig 5945 Traffic Way Atascadero CA 93422
FND
$
250
Hart Impressions 7730 Morro Rd. Atascadero CA 93422
LIT
$
209
Mike's Copy & Graphics 179 Granda Dr. Suite 2 San Luis Obispo CA 93401
LIT
$
495
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
Schedule E Summary
18,964
1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $100 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) ) 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)
954
736 0 TOTAL
$
19,700
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E (Continuation Sheet) Payments Made
SCHEDULE E (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
1/1/2012 3/17/2012
Page
25 of
27
I.D. NUMBER
1256185
Patterson for Supervisor CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIvP campaign paraphernalia/misc.
CNS CTB CVC FIL FND
campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events tap independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IE COMMITTEE, ALSO ENTER 1.0. NUMBER)
member communications meetings and appearances office expenses petition circulating phone banks pa polling and survey research PCS postage, delivery and messenger se rvices PRO professional services (legal, accounting) FRT print ads MBR MTG OFC PET FHO
CODE
OR
RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL h./. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration NEB information technology costs (internet, e-mail) AMOUNT PAID
DESCRIPTION OF PAYMENT
New Times 1010 Marsh St. San Luis Obispo CA 93401
PRT
483
PG&E Sacramento CA 95899-7300
OFC
118
Plaza dePueblo 7425 El Camino Real Atascadero CA 93422
OFC
4000
Poor Richard's Press 2224 Beebee St. San Luis Obispo CA 93401
LIT
193
Poor Richard's Press 2224 Beebee St. San Luis Obispo CA 93401
POS
5275
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
10,069
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866 1ASK-FPPC (8661275-3772)
Schedule E (Continuation Sheet) Payments Made
SCHEDULE E (CONT.)
Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
from
1/1/2012
through
3/17/2012
Patterson for Supervisor CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtvP campaign paraphernalia/misc. CMS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate g ing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense Lff campaign literature and mailings NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER O. NUMBER)
SLO County Clerk 1055 Monterey St. San Luis Obispo CA 93401 SoCal Gas
Susan Mullen 2200 Greenwood Morro Bay CA 93442 AT&T
Tom Fulks Campaign Strategy 410 Parkfield Dr. #93 Sacramento CA 95864
MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHD phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE
OR
RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals IRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) AMOUNT PAID
DESCRIPTION OF PAYMENT
FIL
1933
OFC
138
CNS
1500
OFC
183
CNS
4000
* Payments that are contributions or Independentexpenditures must also be summarized on Schedule D.
SUBTOTAL $
7754
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866 1275-3772)
Schedule E (Continuation Sheet) Payments Made
SCHEDULE E (CONT.) Type or print In Ink. Amounts may be rounded to whole dollars.
Statement covers period from
1/1/2012
through
3/17/2012
Page
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
27
of
2-.7
1.0. NUMBER
1256185
Patterson for Supervisor
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. CNG campaign consultants CTB contribution (explain nonrnonetary )* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IsD independent expenditure supporting/opposing others (explain)* LEG legal defense LIT cam ai n literature and mailin s NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
Wilkins Design 22321 J St. Santa Margarita CA 93453
MBR MTG OFC FET R-0 POL FOS PRO FRT
member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE
OR
RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL Lv. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration VVEB information technology costs (Internet, e-mail) AMOUNT PAID
DESCRIPTION OF PAYMENT
187
OFC
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL
187
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)