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Home My WebLink AboutCCDR - Rencher, Laura - 10/25/2017Page 1 of 10 (VII(OR114 Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign llnance Coup 200 Piedmont Avenue S.E. I Suite 1402 West Tower I Atlanta, GA 30334 1404-463-I9801 www.et ies.¢a.eov 1. Report Type 2. Filing is being made on behalf of (Select One): Use Earlier of Post tsrlm Dint Candidate or Public Official Office Held or Sought Mayor - City Or Milton, ueorgifl KEY "orelivered e a❑ Original (Iachde mmv, vunNgelny, devin, pov orjmtri.l cant Her ID CZOI /000412 (Fib 1D tha b*n v fa @e Ynm'C") C ITY CLERK ❑ Amendment Organization or Person Other than Candidate's Campaign Committee C17 Y OF MILTON Committee Name: Ame�rcm . - Filer <D: (Film ID rum begun *A the Wa "Nn 3. Identifying and Contact Information Laura Rancher 10/25/2017 �Aj (1) (2) Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date (3) 1060 Birmingham Rd 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? a❑ Yes ❑ No (6) If yes, is the committee registered with the Commission? ❑ Yes El No (7) If yes, complete the following: Laura Rancher I Joan Borzilled Name of Committee Chairperson Name of Commiaee Treasurer 4. Period for which you are Reporting You Must Check Orily One Box My Non Election Year My Election Year Run -Offs Special Election (Report required only if you arc in a Ran -Off Elation) ❑ January 31, (year) ❑ January 31, _ (year) 6 days before Primary Ran -Off (year)S ❑ 15 days before — ❑ June 30, () ❑ March 31, _ (year) ❑ 6 days before General in l Pri mary, ❑ June 30, (year) Rim -Off (year) ❑ 6 days before Special ❑ 15 do before Supplemental Reporting ❑ June 30, (year) ❑ September 30, _ (year) Primary Run -Off Special' (Year) ❑ December 31, _ (year) ® October 25, 2U1 / (year) _(year) ❑ 6 days before Special ❑ Dec. 31, _ (year) ,r.s.m.e wan.a. �.me ❑ Dec. 3, Run -Off_ (yea) .hlu„ m .mmm ak 'UiivaN1 cddas wuham.'.ttint m e o debt mine.. maw[n fuvM ai, amlmL..wh m,peia a.W n vhfwd ImJI fil.,oWy � State zo e, • j� A h of County of r 1 i v bci�� fq,Iyg, (affirm), depose and say that the information in this report form is complete, true, and correct. Furt er, I affirm that the`0)tticM i f �/i/vjy are the same m the contents in the electronic filing submitted, if �/� also electronically filed. '% P• ........• Q i Swom to and subscribed before me on .� /� Sig re of Notary Pub Y r . Signature of Candidat b. Orgamumon/Chairperson/IFeasurer r/fill l l loWl Public Officer/Candidate.: Other Than Candidate Committee Name L2, � r n 11 VSntmu11 Page 1 of 1D qz Page 2 of 10 State of Georgia Campaign Contribution Disclosure Report Sununary Report CONTRIBUTIONS RECEIVED 1 I have no contributions to report. h14Und I have the following contributions, including Common Source, to report: Estimated Vdhsd Cash Amount 2 A. If this is the fast 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-ldnd column and list any net balance on hand brought forward from the previous 3673.06 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 Line 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 400 is listed on the "Itemized Contributions" page. 3a All loans received this reporting period. 257.91 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. 0 4 Total amount of all separate contributions of S 100 or less received in this t 22M 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. ine 3 + 3a + 3b + 3c + 3d + 4) 882s1 6 Total contributions to date. Total to be carried forward to next report of this election cycle'. 4555.97 Line 2 + 5 EXPENDITURES MADE 7 1 have no expenditures to report. • 1 have the following expenditures toreport: 8 Total expenditures made and reported prior to this reporting period. If this is the A. First report of this Election Cycle*, ENTER 0. 2984.97 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 listed on the "Itemized Expenditures" page. 1085 19 10 Total amount of all separate expenditures of S 100.00 or less that were made in this reportingperiod and not listed on the "Itemized Expenditures" page 312.72 11 Total expenditures reported this period. Line 9 + 10 t397.93 12 Total expenditures to date. Total to be carried forward to next report of this election cycle'. 4382.88 Line 8 + 11 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. ine6-12+14 t73 09 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 office through and of the next such election of a person to the same public office and shell be construed and applied separately for each elective office including the daze. Public Onicer/Caadidaro'Other Than Candidate Committee Name L K—✓ rr, Kwa (- page Z of /0 Page 3 of 10 CPC{CUR 1114 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtness 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': 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 i + 2 + 3 - 4 - 5 - 6) • Election Cycle (Primary, General, special, special Primary. Ran -Off Primary, Run -Off General. Rim -Off special, Run -Off specisl Primvy) Public Officer/Candidatc/Other Than Candidate Committee Name Public Ofrlcer/CandidawOther Than Candidate Committee Name � 4- (% t-CL `e V IC a le-(— Pop I of JG 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 (Affiliation of Committee if any) Received Date Occupation & Estimated Value Contribution Type' Employer Description First Name or Business Name W16r2017 t�'�" Est. Value 1 F«e6r&1 Jack 400 ❑ primary �Genersl Lao Name Lindon ❑spec ❑Special Primary ❑ Run -Off Primary Address 14810 East Bluff Rd ❑ Run-off Gerteral Run -Off Special Description Addr=2 Monetary B loyer fy ❑Runoff Special ❑ ta-Kind Primary City Miaon ❑ Common Source State Georgia ❑ Credit Received on Loan All. Comm. First Name or Business Name Date Occupation a.a Am. Est. Value ❑ Primary ❑ General Iasi Name ❑Special ❑ Special Primary ❑ Runoff Primary Address ❑ Runoff General ORun-Off Special Description Address2 Umonctary Employer ❑Run-off Special ❑ In -Kind unary City ❑ Common Source ❑Credit Received on Loan State Zip 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 ❑ Run-off Special ❑Run -Off Special Address2 U Monetary Employer Descrtptim Primary ❑ In -Kind City ❑ Common Source ❑ Credit Received on Loan State Zip Aff. Comm. Itemized Contributions Page Total $ $ Public Officer/Cmdidate/Olber Than Candidate Committee Name Page `Y' of / n Q a i" Page 5 of 10 UC{CDR 1114 First Name or Business Name Date Occupation Est. Value ❑ Primary ❑ General Lag Name ❑ Special ❑Special Primary ❑ Run -Off Primary Address ❑ Run -Off Generel ❑Run -Off Special ❑ Run -Off Special Primary Address2 Monetary ❑ In -Kind Empoyer Description City ❑Common Source State Zip ❑ Credit Received on Loan AM Comm. First Name or Business Name Date Occupation .� Est. Value []primary ❑ General Last Name ❑ Special ❑ Special Primary ❑Run -Off Primary Address ❑ Run -Off General ❑Run -Off Special ❑ Run -Off Special Primary Addresa2 0 Monetary ❑ In -Kind Employer Description City ❑Common Source State zip ❑ Credit Received on Loan Ad Comm. First Name or Business Name Date Occupation C..h A. Est. Value ❑ Primary ❑ General Last Name ❑Special ❑ Special Pnmary Run -Off Primary Address ❑ Run -Off General ❑Rita -Off Special ❑ Run -Off Special Primary Addresa2 Monetary ❑ In -Kind Employer Description City ❑ Common Source State Zip ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation cut Est. Value ❑ Primary ❑General Last Name ❑Special ❑ Special Primary ❑ Run -Off Primary Address ❑ Run-OffGeneml ❑Run -Off Special ❑ Run -Off Special Primary Address2 El Monetary ❑ In -Kind Employer Description City ❑ Common Source State zip ❑ Credit Received on Loan AB', Comm. Itemized Contributions Page Total $ S • Contribution Type (Monetary, In -Kind, Common Source, Credit Received on I.wn) •• 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 parry making tthhee advance orextension of credit Public Officer/Candidatc/Other Than Candidate Committee Name Lo-o / fr' 1 /C� Page _:� of �O Page 6 of 10 UC�CDR toes Loan Rqwrting Name of Lender I.Date of Loan Person(s) responsible for (.Occupation & & 2.Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.ElectionCycle** Mailing Address 3.Fiduciary Relationship"* Leader Name (First Name, Busin s lint) I, First Name I . Laura 10/2017 Laura Psychologist [.ender Last Name 2. LAM Namc 2. Rancher 197.91 Rancher Self Address 3. Address 3. 1060 Birmingham Rd ❑Primary 1060 Birmingham Rd NGeneral ❑Special ❑ Public Officer li Addreas2 Address2 ❑ Special Primary Candidate City❑Run-Oeneral Primary ❑Run-Offff G ❑ Other Than Candidate Committee City Milton ❑Run -Off Special ❑RRur-0rff Special Milton Name Stare Georgia Zip 30004 State Georgia zip 30004 Lrnder Name (First Neme, Business, lost.) 1. First Name I Laura 10116/2017 Sell Lender Last Name 2. Last Name 2. Reacher 60.00 Address 3. Address 3. 1060 Birmingham Rd ❑mmwy E General ❑Special ❑ Public Officer Address2 Address2 ❑Special Primary 0 Candidate City ❑Run -Off Pnmmyff G ❑Run-Oeneral ❑ Other Than Candidate Committee city Milton ❑Rim-OnSPMwI Name State Zip ❑Rm-0ff Special State Zip Georgia 30004 Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 257-91 • Contribution Type (Monetary, In -Kind, Common Sounx, Credit Received on Loan) Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Runt -Off Special, Run -Off Special Primary) "• If my such petson(s) shall have a fiduciary relationship to the lending institution or parry making the advance or extension of credit Public Officer/CendidateOthef Then Candidate Committee Name Page 4-of Page 7 of 10 State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a single recipient for which the Agglegate total more than $100.00. List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type" Employer Purpose Paid First Name Date Occ a ion Campaign Materials and Best Print 9/29/2017, 10/3/2017 Mailer 887.28 Last Name Address Expenditure 4187 Snapfinger Woods Dr. [:]In-Kiod ❑L.oss Repayment ❑Refund Add ess2 Fmolover ' ❑Reimt R ma ❑Cnedil Card Ca ❑3rdPony City Decatur De Payment ❑❑Defencd Payment on interred Expense Investment State Georgia Zip 30035 First Name Date Occuupnaatiuon Campaign Materia Clash Graphics 10=17 lxayMebglaf fq Pr 797.91 /d'2 - Last Name Address Expenditure Min Online printing and graphics service -Kind ❑Loan Repayment ❑Refund Address2 E_ mDloyer ❑Reimbursement .Sent^ ❑Credit Card 3rd Party City Deferred Payment Payment on Deferred Expeose Investment State Zip First Name Date Occupation Last Name Address U Expenditure ❑ln-K ttd ❑Loan Repayment ❑Refund Addresa2 Employer ❑Reimbu semen ❑Credit Cud Party Ciry DefenM Payment Del Payment on Deferred Expense Investment state zip 1085.19 Page Total $ • Expenditure Type (Expendimm, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Cud, 3rd Party, Deferred Payment on Deferred Expense, Investment) Public Officer/CandidatdOther Than Candidate Committee Name Public Offrcar/Cendidate/Odrer Than Candidate Commine Name `a_o nr,,- x `' T_— Page I of / 0 Page 8 of 10 r.tCkNnatrr List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type' Employer Purpose Paid First Name Date Occupation Last Name Address U Expenditure ❑In -Kind Loan Repayment ❑Refund Address2 Employer ❑Reimbursement []Credit Card Party City Milton �3rd Deferred Payment Poymcm on Deferred Expe rise ❑Investment State Georgia Zip 30004 First Name Date Occupation Last Name Address U Expenditure ❑In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement []Credit Card d Potry City Deferted Poyment 13- Payment on Defened Expense Investment state Zip 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 First Name Date Occupation Last Name Address U Expenditure []In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursernent ❑Credit Card Party City �3rd Deferred Payment Payment onDeferred Expense ❑Investment state Zip • Expeaditute Type (Expenditure, In -Kind Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investmem)Pubtic Officer/Candidate/Other Than Candidate Committee Name Page Total $ Public Officer/Candidate/Other Than Candidate Committee Name L (w r CK, Kr --A jL)g Page Page 9 of 10 i�2S49c\aC State of Georgia Campaign Contribution Disclosure Report Investments Statement 1. Investment Name Account # Institution/Person Holding Account Mailing Address ID60 Birmingham Rd Address2 City State Zip Value at beginning of repotting period $ Value at end of reporting period $ Difference in value $ Interest Paid Out $ Cash Dividends $ Investment Transactions Date n Persos) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss I 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 I Total value of investments at beginning of reoorting_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 L� c.i rQ r a `li' I Cl Page I of /0 Page 10 of 10 State of Georgia Campaign Contribution Disclosure Report Addendum Statement The Addendum Statement should he 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 shom►d not be listed on Addendum Statement. Public OlfiadCaodidirWOther Thu Candidate Committee Name (-O-� 0 a u � Page / V of /19 Fax Call Report HP PageWide Color MFP 586 Page 1 Fax Header Information City of Milton 678-242-2499 Nov/01/2017 5:04:57 PM Job Date/Time Type Identification Duration Pages Result 657 Nov/01/2017 4:59:16 PM Send 18669147974 05:40 10 Success Nov107/1017 &OWI 9 PM English (UMbd Slabs)