SEC --~- FORM CCDR-Ballot REV I State of Georgia …€¦ · · 2009-01-29I REV 03R008 State of...
Transcript of SEC --~- FORM CCDR-Ballot REV I State of Georgia …€¦ · · 2009-01-29I REV 03R008 State of...
SEC FORM CCDR-Ballot - - ~ - ~
REV 03R008
I State of Georgia Campaign Contribution Disclosure Report
1. Report Type (Select One)
Amendment #- 1 Delivered Date
3. Identifying and Contact Information
Original Report
Amended Report
l ( l ) yG'5 ~ ~ I I ' L P O ~ ~ C (2) / L / z z / ~ ~ Full Name of Campaign Comminee Todqv's Date
2. Name of proposed Constitutional Amendment, Statewide Referendum, or Ballot Question in any County or Municipal
(3) -)Oz< w/n/7vmP c7.., C O L ~ M B U S , GP 3 190G Mailing Aaiiress C i y State Zip Code
~ i i office use only
Election: M U 5 C o Q t f t / C ~ u , v ~ ~ @AJSOL//>~CD
6%vtV?~41&7 OF C O C U / ~ R U S - , & ~ G ~ ~ / , P A C ~ P i ' I d n ) y . ?+X
(include couny or munkipaliy in the case of local ballot questions)
and/ or Q%)326 - /7@1 Contact Phone Number
Use earlier of Post Mark of Hand
, 4 / ~ 7 0 / L ] Z ~ A / ~ S 706 - 7(9/-32G 3 Name of Chairperson and/or Treasurer of Committee
4. Period for which you are Reporting Date of Election: I 5 J u L 0 8
State of County of /no < c& #
Constitutional Amendment or Statewide Referendum
75 days before Date of Election, - (year)
45 days before Date of Election, - (year)
15 days before Date of Election. - (year)
December 3 1, - (year)
I, 7/7@~k3 41 r W d Z70~e.S , being duly sworn (affm), depose and say that the information in this report form is complete, true, and correct. Further, I affirm that the contents in this report are the same as the contents in the electronic filing submitted, if also electronically filed.
County or Municipal Ballot Question
15 days before Date of Election, - (year)
December 3 1, c 6 (year)
a- ' r b. ~r~anizationl- reasurer
on who .knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act
shall be guilty of a misdemeanor.
Verification by Oath or Affirmation
SEC FORM CCDR-BallCl - - . - - .- - --
Cash Amount
O.C.G.A. 2 1-5-34@XlXDXii) A q x h n g cycle shall commence on January 1 of the ycar in which an election is to be held for the public office to which a candidate seeks election and shall conclude: (I) At the expiation of the term of office if such candidate is eleaed and &s not seek reelection or election to m e otha office;
(11) On Decanber 3 1 of the ycar in which such election was held if such candidate is unsucccsi3; or
(111) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the repolting cycle for reelection or for some other office begins.
Public OfflcerlCandidatelOther Than Candidate Committee Name
SEC FORM CCDR-W0l R E V (URMS
* Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)
Poblic Omeer/Candid~~tdOther Than Candidate Committee Name Y G R)t /3 IC rd Y
SEC FORM COR-Wol REV 312008
State of Georgia Campaign Contribution Disclosure Report
Itemized Contributions
Loan Reporting
Must list contributions received by a single contributor for which the neeregPte total
Name of Lender Mailing Address
Itemized Contributions Page Total $7,3 7<& $ - O
is $101.00 or more Reporting section
Cash Amount
See Loan
Election Cycle**
Note: Loans are no
Full Name of Contributor Mailing Address (Affiliation of Committee if any)
Reference: OCGA 8 2 1-5-34(b)(1) Loan Page Total $ -0-
* Contribution Q p e (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off
Special Primary) *** If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit
Public OfBcer/CandidaWOtber Than Candidate Committee Name v 6 fbC UEtlC <hf page \ of * cou 74 /pb7/o,ts
Date of Loan Amount of Loan Election Cycle**
below.
In-Kind Contributions
Estimated Value Description
longer reported in UItemked Contributioosn section.
Contributor
Person(s) responsible for repayment of loan
Mailing Address
1.
2.
1.
2.
Received Date Contribution Type*
Occupation & Place of Employment Fiduciary Relationship***
Occupation & Employer
State of Georgia Campaign Contribution Disclosure Report
Itemized Contributions
Full Name of Contributor Mailing Address (AfFiliation of Committees, if any)
Alcaide, Ferdinand 6228 Bradley Park Drive Columbus, Georgia 31 904
Anthony, Wayne 5839 Wiltshire Drive Columbus, Georgia 31 909
Contributor
July 9, 2008 Monetary
Bell, Bill 1409 17'" Street Columbus, Georgia 31901
Election Cycle Received Date
Contribution Type
July 9, 2008 Monetary
Blanchard, Billy P. 0. Box 120 Columbus, Georgia 31 902
o~upation and Employer
Self-Employed Medical Doctor
July 9,2008 Monetary
Brown, Frank 2560 - 2 Old River Road Columbus, Georgia 31 904
Cash Amount
Minister, Aldersgate United Methodist Church
July 14' 2008 Monetary
Chong, Jerry 6253 Seminary Road Columbus, Georgia 31 904
In-Kind Contribution Estimated Value
Description
Sp.cial
Energy Savers of GA, Inc.
Monetarl 2008'
Grantham, Richard 3501 Earlene Avenue Columbus, Georgia 31 904
50.00
Special
Banker, Synovus
July 14' 2008 Monetary
Green, Sandi 2512 W a n Springs Road Columbus, Georgia 31 904
Special
100.00
Special
President, Columbus State University
July 2008 Monetary
Jones, Brock P. 0. Box 1283 Columbus, Georgia 31902
Yes For Public safety t 6 F - ebm. J ~ L J ~ I ~ & L C
250.00
Special
President, Korean Assoc. of Columbus
July 11, 2008 Monetary
1,000.00
Special
RFG Management Group, dba Sunshine Banners
July 28,2008 Monetary
100.00
Special
Georgia .- Association of Realtors, Inc. RlAC
General Contractor
1,000.00
Special 100.00
Special 1,000.00
Yes For Public Safety PIT&- 3 bP 1/ - CsA/7/t/Bl7tICMLC
200.00
200.00
25.00
100.00
500.00
100.00
500.00
50.00
200.00
200.00
200.00
Special
Special
Special
Special
Special
Special
Special
Special
Special
Special
Special
Caravelle Moving and Storage Inc.
Livingston Storage and Transfer Co. Inc.
Golf Director, City of Columbus, Georgia
Sun video, Inc. DBA ~blumbus Tape and Video
Ritch Electric Co. Inc.
Retired
Robinson Paving Co.
Your Home s ~ ~ ~ ~ ~ - R ~ ~ ~ Estate SVC, LLC
Attorney
Smith Barney
Smith Barney
Livingston, Cliff P. 0. Box 7007 Columbus, Georgia 31908
Livingston, Cliff P. 0. Box 7007 Columbus, Georgia 31908
Milam, John 5390 McCaghren Drive Columbus, Georgia 31909
Patterson, Brice 6298 Veterans Parkway Columbus, Georgia 31909
Reed, Betsy R. 11 11 14* street Columbus, Georgia 31 901
Rhodes, Jim 1 North Whisper Court Columbus, Georgia 31909
Robinson, Pee Wee P. 0. Box 12266 Columbus, Georgia 31917
Roper, Billy 2307 Hamilton Road Columbus, Georgia 31904
Rothschild, Jerome 1661 1 3* Street Columbus, Georgia 31 901
Swift, Henry 6696 Waterford Court Columbus, Georgia 31904
Swift, Richard 601 I Banbury Drive Columbus, Georgia 31 904
July 9,2008 Monetary
June 12,2008 Monetary
June 6,2008 Monetary
July 2008 Monetary
July 9, 2008 Monetary
June 3, 2008 Monetary
July 9, 2008 Monetary
9t 2008 Monetary
July 11,2008 Monetary
July 2008 Monetary
July 2008 Monetary
., . Be.-. "'* - - - - Columl mrgia 319w
Wrenn, Jerry 5200 Hamilton Road Columbus, Georgia 31904
Columbus and the Valley Magazine P. 0. Box 229 Columbus, Georgia 31 902
Reaves Wrecking Co. 18 Old Brickyard Road Phenix City, Alabama 36869
Colony Furniture Leasing P. 0. Box 8868 Columbus, Georgia 31908
WLTZ -TV 6140 Buena Vista Road Columbus, Georgia 31 907
Monetary
July 2008 Monetary
July 9,2008 Monetary
July 28,2008 Monetary
July 28, 2008 Monetary
August 22, 2008 Monetary
Durty Works, Inc.
Monthly ~~~~i~~ Publication
Refund of overpayment on account: Advertising
Special
Special
Special
Special
Special
250.00
50.00
100.00
100.00
400.00
* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refand, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment)
C FORM CCDR-WLol !V o m
State of Georgia Campaign Contribution Disclosure Report
Itemized Expenditures
Public OmcerKandidatdOther Than Candidate Committee ~ a m e -= PUBUP r h f F7V p a g e o f 7
I ~ 3 ( ~ 3 / ? v r l ~
or more
Amount Paid
$
$
$
$
$
$
$
$
a4;2r/Oz
the aaeremte total is $101.00
Expenditure Purpose
1
I
I
PageTotal
Must list expenditures made to a single recipient for which
Occupation & Employer
,ist Name and Mailing Address f Recipient
$& 4774rtfen
Expenditure Date Expenditure Type*
Yes for Public Safety Pbw 2 O F 3 - e?PwD/7U&fl
List Name and Mailing Address of Recipient
Columbus Times Newspaper 2230 Buena Vista Rd Columbus, GA 31 906
Ledger-Enquirer Newspaper P. 0. Box 2747 Columbus, GA 31 902
WRBL Television 1350 1 3th venue Columbus, GA 31901
Clear Channel Broadcasting P. 0. Box 406253 Atlanta, GA 30384
Columbus Concerned Citizens 2408 1 7th venue Columbus, GA 31 901
Davis Broadcasting 2203 Wynnton Road Columbus, GA 31 906
Curtiss Signs 1026 7th Avenue Columbus, GA 31901
Expenditure Date Expenditure Type
July 3, 2008 Expenditure
July 8, 2008 Expenditure
July 8, 2008 Expenditure
July 8, 2008 Expenditure
July 8,2008 Expenditure
July 8, 2008 Expenditure
July 8, 2008 Expenditure
Occupation & Employer
Newspaper
Newspaper
Television Broadcasting Company
Radio Broadcasting Company
Community Advocacy Group
Radio Broadcasting Company
Sign makers
Expenditure Purpose
Advertising
Advertising
Advertising
Advertising
Flyers and distribution
Advertising
Campaign Podium Sign
Amount Paid
$1,000.00
$6371 .OO
$4,650.00
$1,249.50
$3,000.00
$786.00
$26.75
SEC FORM CCDR-Bdlot REV 030008
State of Georgia Campaign Contribution Disclosure Report
I Addendum Statement I The Addendum Statement should be used for explanation of any additional information needed to complete an acwate filing of this repon
On the Campaign Contribution Disclosure Report form dated June 30, 2008, the Yes for Public Safety Committee reported an expenditure of $23,100 to VVNM for advertising costs. The correct amount is $23,110, a difference of $10.00. The total expenditure for the period is therefore $41,116.54. This is the figure that is being reported on the Campaign Contribution Disclosure Report form dated December 31,2008 on Line 8 of the Summary Report page and again on Line 12 of that same page.
Yes for Public Safety P 4- 3 0 f 3 e.~ P m b ~ ~ f i ~ .
$175.00
$4,149.05
$1 00.00
$1,375.00
$1,307.25
$300.00
$691 .I5
$60.00
Advertising
Printing of flyers
Television Rental
Election night reception
Advertising
Advertising
Direct Mail
Advertising voice-over
Newspaper Publishing Company
Printing Company
Furniture rental
Restaurant
Newspaper
Newspaper
Direct mail
Clear Channel Broadcasting P. 0. Box 406253 Atlanta, GA 30384
Courier Newspaper 1829 Wynnton Road Columbus, GA 31 906
X-press Printing 1520 1 3th venue Columbus, GA 31901
Aaron's Sales 1201 Broadway Columbus, GA 31 901
Rankin Quarter 21 East 10'" Street Columbus, GA 31901
Ledger-Enquirer Newspaper P. 0. Box 2747 Columbus, GA 31 902
Columbus Times Newspaper 2230 Buena Vista Rd Columbus, GA 31 906
Pamela Rodriguez 896 Lee Road 424 Salem, AL 36874
Edgar Champaign 1501 1 3'h Street Columbus, GA 31904
July 8,2008 Expenditure
July 9,2008 Expenditure
July 15,2008 Expenditure
July 15, 2008 Expenditure
July 25, 2008 Expenditure
July 25, 2008 Expenditure
July 25,2008 Expenditure
August 5,2008 Expenditure