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HomeMy WebLinkAboutCCDR - Rencher, Laura - 09/30/2017ORIGINAL (M3aT4ai;:1IIr1 Page 1 of 10 4114 Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. I Suite 1402 West Tower I Atlanta, GA 30334 1404-463-19801 www.ethics. a 1. Report Type 2. Filing is being made on behalf of (Select One): use Earner of Post (selwt ores Candidate or Public Official Mark or Hand Delivered Office Held or Sought Mavor - Citv of Milton, Georaia mrnicipalnY. d'eviei. terbihinel ebevb) OCPate 5 201 ■ Original g (Irclude countr. von Filer ID C2017000412 3 i 3s (Filerm am beg.is e k wih the, p ❑ Amendment Organization or Person Other than Candidate's Campaign Committee CRY CLERK CITY OF MILTO Committee Name: Filer ID: (Filer to ihw begun with die letter 'NC "1 3. Identifying and Contact Information (1)Laura Rancher (2) 10/04/2017 Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date (3) 1060 Birmingham Road Milton Georgia 30004 Mailing Address City State Zip Code (4) 678 939 2981 and/ or info@lauraformilton.us Primary Contact Phone Number E-Mail (5) If a Candidate or Public Official is there a campaign committee (one or more persons) to make campaign transactions, keep financial records of the campaign or file the reports? ■ Yes ❑ No (6) If yes, is the committee registered with the Commission? ❑ Yes ■ No (7) If yes, complete the following: Laura Rancher I Joan Borzilled Name of Committee Chairperson Name of Cmindiree Treasurer 4. Period for which you are Reporting You Must Check Onl One Box My Non Election Year My Election Year Run -Offs Special Election (Report required only if you are in a Run -Off Election) Cl January 31, (year) ❑ January 31, (year) 116 days before Primary Run -Off (year) ❑ 15 days before ❑ June 30, (year) ❑ March 31, _ (year) _ ❑ 6 days before General Special Primary, ❑ June 30, ear (year) Run -Off (year) ❑ 6 days before Special (year) ❑ 15 days before Supplemental Reporting ❑ June 30, (year) ■ September 30, 2017 (year) Primary Run -Off (year) Special, _ s ca n ❑ December 31, (year) ❑ October 25, (year) ❑ 6 days before Special ❑ Dec. 31. .\ c u i _ •Prnons l<a.,ng olive wiN examms fuvdsuma El Dec. 31, (year) Run -Off (year) such fiuMs a expected u ptovidsd n art M •L'v.uessful caMMaiw wnh ewer. fwm4 or wAio rexiw co.vibtiuoru i. re to debr Iri ned, it such fuoda are expected, or s,uh..ped &W ae utit'ied Inet.A a 31 laiiii.W State of Georgia County ofgw � O K e + L a ii A L K Q (•_ h Q f I inn , being duly swom (affirm), depose and say that the information in this report form is complete, true, and correct. Further. I aflinn that the co In ents in this report are the same as the contents in the electronic filing submitted, if also electronically filed. ��WIN O Sworn to and subscribed 20 / 7 �ozA � s L7�IHES 4WORGIA -D- Signature of ry 1 11, -. July 31. 2M ( nmission Expiration a. Signature of Candidate t,, p (� b.Organization/Chairperson/Tm=urer z Public Officer/Candidate/Other Than Caniiird' mmittee Name V!X✓ Page of LD Page 2 of 10 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 rl I have no contributions to report. In -Kind I have the following contributions, including Common Source, to report: Estimated value Cash amount 2 A. If this is the first time to file a disclosure report for the current office sought, ENTER 0 in both columns (one time only); or B. If this is the first report of this Election Cycle*, ENTER 0 in the in -kind column and list any net balance on hand brought forward from the previous 0 0 election cycle in the cash amount column (Line 15 of previous report, or total funds left over at year end of previous cycle); or C. If this filing is the second or subsequent filing of this Election Cycle, list totals from Lipe 6 of previous report in both the in -kind and cash amount columns. 3 Total amount of all itemized contributions received in this reporting period which is listed on the "Itemized Contributions" page. 750.00 3a All loans received this reporting period. 750.00 3b Interest earned on campaign account this reporting period. 0 3c Total amount of investments sold this reporting period. 0 3d Total amount of cash dividends and interest paid out this reporting period. p 4 Total amount of all separate contributions of $100 or less received in this 2173AM reporting period and not listed on the "Itemized Contributions" page. "Common Source" contributions must be aggregated on the "Itemized Contributions" page. 5 Total contributions reported this period. (Line 3+3a+3b+3c+3d+4 3673.06 6 Total contributions to date. Total to be carried forward to next report of this election cycle*. 367306 Line 2 + 5 EXPENDITURES MADE 7 I have no expenditures to report. I have the following expenditures to report: 8 Total expenditures made and repotted prior to this reporting period. If this is the A. First report of this Election Cycle*, ENTER 0. 0 0 B. Second or subsequent filing ENTER Line 12 of previous report. 9 Total amount of all itemized expenditures made in this reporting period which are fisted on the "Itemized Expenditures" page. 2712.38 10 Total amount of all separate expenditures of $100.00 or less that were made in this reDortina oeriod and not listed on the "Itemized Expenditures" page 272.59 11 Total expenditures reported this period. Line 9 + 10 2984.97 121 Total expenditures to date. Total to be carried forward to next report of this election cycle*. 2984.97 Line 8 + I 1 INVESTMENTS 13 Total value of investments held at the beginning of this reporting period. 0 14 Total value of investments held at the end of this reporting period. 0 TOTAL NET BALANCE ON HAND 15 Net balance on hand. 588.a9 Line 6 - 12 + 14 • O.C.G.A. 21-5-3(10) : Election cycle means the period from the day following the date of an election or appointment of a person to elective public once through and of the next such election of a person to the same public office and shall be construed and applied separately for each elective office including the date. Public Officer/CandidaWOlher Than Candidate Committee Name Lact rGa, O ea Page9,—of LO Page 3 of 10 MCC k1/I4 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtness Election Cycle*: September 30 Election Year: 2077 Amount 1 Outstanding indebtedness at the beginning of this reporting period. 0 2 Loans received this reporting period. 7900 3 Deferred payment of expenses this reporting period 0 4 Payments made on loans this reporting period. G 5 Credits received on loans this reporting period 0 6 Payments this reporting period on previously deferred expenses. 0 7 Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6) 750.00 Election Cycle*: Election Year: Amount 1 Outstanding indebtedness at the beginning of this reporting period. 2 Loans received this reporting period. 3 Deferred payment of expenses this reporting period 4 Payments made on loans this reporting period. 5 Credits received on loans this reporting period 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6) Election Cycle*: Election Year: Amount 1 Outstanding indebtedness at the beginning of this reporting period. 2 Loans received this reporting period. 3 Deferred payment of expenses this reporting period 4 Payments made on loans this reporting period. 5 Credits received on loans this reporting period 6 Payments this reporting period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6) * Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Rtm-Off General, Run -Off Special, Run -Off Special Primary) Public Officer/Candidate/Other Than Candidate Committee Name Public Officer/Candidate/Other Than Candidate Committee Name r�^�`�'^ "� �'e� "' `�Y Page of Lo Page 4 of 10 State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggregate total more than $100.00. Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor Contributor Election Cash In -Kind Mailing Address Cycle" Amount Contributions Received Date Occupation & Estimated Value (Affiliation of Committee if any) Description Contribution Type" Employer First Name or Business Name Date Occupation O hAmt Est. Value Growing a Greener World 08/19/2017 WA 250.00 ❑ Primary ®General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address 2330 Saddlesprings Drive ❑Run -Off General ❑ Run -Off Special ❑Run -Off Special Address2 U Monetary Employer Description Elin-Kind N/A Primary City Milton ❑ Common Source State Zip Georgia 30004 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation t-xh Am' Est. Value Lee 09/13/2017 N/A 500.00 El Primary ® General L Last Name Rancher ❑ Special ❑ Special Primary El Run -Off Primary Address 921 Seadiff Drive El Run -Off General ❑Rtm-Off Special Description Address2 Monetary Employer ❑Run -Off Special ❑ In -Kind N/A Primary City Fairhope ❑ Common Source ❑Credit Received on Loan State �P Alabama 38532 Aff. Comm. First Name or Business Name Date Occupation Cah Aou Est. Value ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑ Run -Off Special ❑Run -Off Special Description Addtess2 Monetary Employer Primary ❑ In -Kind City ❑ Common Source El Credit Received on Loan State Zip Aff. Comm. $ Itemized Contributions Page Total $ 750.0001 Public Officer/Candidate/Other Than Candidate Committee Name &66(p"'WE e9 n - Page of ,( V Page 5 of 10 CFC-CCDR 1114 First Name or Business Name Date Occupation Cash Anti Est. Value ❑ Primary ❑ General Iasi Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run -Off General ❑Run -Off Special ❑ Run -Off Special Primary Address2 Lj Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Cyh Ant, Est. Valuc ❑ Primary ❑ General last Name ❑Special ❑ Special Primary ❑ Ron -Off Primary Address ❑ Run -Off Gencml ❑Run -Off Special ❑ Run -Off Special Primary Address2 Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation C.,h A^^ Est. Value ❑ Primary ❑ General last Name ❑ Special ❑ Special Primary ❑ Run -Off Primary Address ❑Run -Off General ❑Ron -Off Special ❑ Run -Off Special Primary Address2 Lj Monetary ❑ In -Kind Employer Description City [:]Common Some State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation ,h A^" Est. Value ❑Primary ❑ General last Name ❑Special ❑ Special Primary ❑ Run-0ff Primary Address El Run -Off General ❑Run -Off Special ❑ Run -Off Special Primary Address2 U Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. Itemized Contributions Page Total S S ' Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Lom) •• Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Ruo-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 Officer/Candidatc/Other Than Candidate Committee Name la -A - -✓,L 4_- Page SSof L-0 Page 6 of 10 CFC.CCDlt 1,14 Loan Reporting Name of Lender 1.Date of Loan Person(s) responsible for l.Occupation & & 2.Amount of Loan repayment of loan & 2.Place of Employment Maihng Address 3.Election Cycle** Mailing Address 3.Fiduciary Relationshi *** Leader Name (First Name, Business, Inst.) I. First Name I, Laura 09105/2017 Laura Psychologist Lender Last Name 2. Last Name 2. Rancher 750.00 Rancher Self employed Address 3, Address 3, 1060 Birmingham Rd primary ❑Special 1060 Birmingham Rd ❑ Public Officer Addmss2 Address2 ❑ Special Primary ® Candidate City El Primary ❑Other Than CandidateCommittee City El Run -Off General Milton ❑Run -Off Special Milton Name ❑Run -Off Special State Zip Georgia 30004 State Georgia Zip 30004 Prim. Lender Name (First Name. Business, Inst.) 1. First Name I, Leader Last Name 2, last Name 2. Rancher Address 3, Address 3. ❑ Primary ❑ General ❑Special ❑ Public Officer Address2 Address2 ❑ Special Primary ❑ Candidate City ❑ Run -Off Primary ❑Run -Off General ❑ Other Than Candidate Committee City ❑ Run -Off Special ❑ Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 750.00 ' Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Lose) •• Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) ••• If any such persons) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Public Officer/Candidate/Other Than Candidate Committee Name LLLu.rGi. / Pn c4a.- Page of t] Page 7 of 10 CFC-CCDRVIA State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total more than $100.00. List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name late Occupation City Qualifying Fee to City of Milton Augusl2017 Psychologist run for office 690.00 Last Name Address Expenditure 2006 Heritage Walk ❑lo-Kind ❑L.oan Repayment ❑Refund Address2 Employer ❑Reimbursement Self ❑Credit Card O3rd Party City Milt Payment Deon ❑❑❑Deferred Payment on Deferred Expense Investment State Georgia Zip 30004 First Name Date Occupation Campaign materials Clash Graphics 09/08/2017 Psychologist (signs, etc) 606.17 Last Name Address Expenditure Online prinfing and graphics service ❑In -Kind ❑L.oen Repayment []Refund Address2 Employer ❑Reimbursement Self ❑Credit Card 3rd Party City Referred Payment Paymem on Deferred Expense ❑Investment State Zip First Name Date Occupation Campaign materials Clash Graphics 09/08/2017 Psychologist 545.35 Last Name Address E Expenditure Online printing and graphics service ❑In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement Self ❑Credit Card Pant City D3rdeferred Payment la `fLF��j�ferred Payment on Deferred Expense Investment State Zip Page Total $ 1841.52 • Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment) Public Officer/Candidate/Other Than Candidate Committee Name Public OfScm/Candidate/Other Than Candidate Committee Name C. a,1."-zx_ • -1 c- "'—� Page I of Lo Page 8 of 10 CF Mlt M4 List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Date Occupation Campaign materiels Best Print 09/18/2017, 09/28/2017 Psychologist 342.40 Last Name Address E Expenditure Din -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement Self ❑Credit Card ❑3rd Party City Deferred Payment Payment on Deferred Expense ❑Investment State Zip First Name Date Occupation Campaign materials Cad 09I06/2017 Psychologist 426.00 Last Name Lee Yard Signs Address M Expendim e ❑In -Kind ❑Lear Repayment ❑Refund Address2 Employer ❑Rcunbursement Self []Credit Card 3rd Party 9Deferred City Payment ❑Payment on Deferred Expense ❑Investment State Zip First Name Date Occupation Campaign Fund Raiser FireBy Restaurant 09/2812017 Psychologist 103.46 Last Name Address E Expenditure Windward Parkway ❑In -Kind ❑lean Repayment ❑Refund Address2 Employer ❑Reimbursement Self []Credit Card 3rd Party City Milton Deferred Payment Payment on Deferred Expense ❑Investment State Georgia Zip 30004 First Name Date Occupation Last Name Address U Expenditure ❑In -Kind ❑loan Repayment ❑Refund Address2 Employer ❑Reimbursement ❑Credit Card 3rd Party City Deferred Payment Payment on Deferred Expense ❑Investment State Zip Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ 870.86 Public Officer/Candidate/Other Than Candidate Committee Name � Lt,L.n�L_ 4 encl Q4_Page Lof Page 9 of 10 CFC-CCDR Ins State of Georgia Campaign Contribution Disclosure Report Investments Statement 1. Investment Name N/A Account # Institution/Person Holding Account Mailing Address 1060 Birmingham Road Address2 City State Zip Value at beginning of reporting period $ Value at end of reporting period $ Difference in value $ Interest Paid Out $ Cash Dividends $ Investment Transactions Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss 2. Investment Name Account # Institution/Person Holding Account Mailing Address Address2 City State Zip Value at beginning of reporting period $ Value at end of reporting period $ Difference in value $ Interest Paid Out $ Cash Dividends $ Investment Transactions Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss Total value of investments at beginning of reporting period $ Page Total Cash Dividends: $ Page Total Interest Paid Out: $ Page Total Profit: $ Page Total Loss: $ Total value of investments at end of reporting period $ Total difference in value $ Public Officer/Candidate/Other Than Candidate Committee Name LQAU�_ k&z ) C40—/ Page J- of /—Q Page 10 of 10 CPC-CCDa 1114 State of Georgia Campaign Contribution Disclosure Report Addendum Statement The Addendum Statement should be used for explanation of any additional information needed to complete an accurate filing of this report. Information that is to be reported in the body of the report should not be listed on Addendum Statement. Public Officer/CandidaWOther Than Candidate Committee Name l fib Q- gee6 alje-� Page of LV Fax Call Report HP Page Wide Color MFP 586 Page 1 Fax City of Milton 678-242-2499 Oct/05/2017 4:30:16 PM Job Date/Time Type Identification Duration Pages Result 574 Oct/05/2017 4:24:24 PM Send 18669147974 05:48 10 Success Oct10512017 4:30:16 PM English )United States)