HomeMy WebLinkAboutCCDR - Rencher, Laura - 09/30/2017ORIGINAL
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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)