HomeMy WebLinkAboutCCDR - Rencher, Laura - 12/31/2017Page 1 of 30
CFC{'mR 1114 014
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 1 404-463-1980 1 www.ethics. a. ov
1. Report Type
2. Filing is being made on behalf of (Select One):
use Ea liar o Post
(select ooe)Candidate
or Public Offic
' i i
Mark or HD Delivered
Office Held or Sought 0. o'
te
0 Original
(Gc county, mmici lily. dimity, poY mjudiciel c'ucua)
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) A N — 8 CV10
❑ Amendment
Filer ID r) 0 1
(Filamthat beghu with the to "C'1
7 �{J
JV
Organization or Person Other than Candidate's Campaign Committee
CITY CL RK
Committee Name:
CI
Amendmenta
Filer ID:
(File ID tMt begin with tK Mtt "NC")
3. Identifying and Contact Information
L �e��Qr
(1) o u r k (2) Zo ( 8
Full Name of Candidate or Other Than Candidate Campaign To ay s Date
nCommittee
n
IO & 140 & R 3 ()00
(3) �o O f ✓VN" t^d� �n�tn 1`d �Y►'' (� /
Mailing Address City State Zip Code
-�� (4) —1 � � -1? �) I and/ or
Primary COnIaCtP)ioneNumber -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 k7 No
pQ
(7) if yes, complete the following: _L-1 I / f CA Pil\cw I L� O Q 11� nf�r Z 1 I IP v
Name of Committee Chairperson I Name ojConvnitteeTreasurer
4. Period for which you are Reporting
You Must Check 0 ly One Box
My Non Election Year
My Election Year
Run -Offs
Special Election
(Report required only if you are in a
Run -Off Election)
❑ January 31, (year)
❑ January 31, (year)
❑ 6 days before Primary
Run -Off
❑ 15 days before
❑ June 30(year)
❑March 31, _ (year)
❑ 6 days before General
Special Primary,
nmary'
❑June 30, (Year)
Run -Off _ (year)
116 days before Special
(year)Supplemental
❑ 15 days before
Reporting
❑ June 30, (year)
El September 30, _ (year)
primary Run-off _(year
tnarY)
Special, (year)
❑ December 31, (year)
❑ October 25, _ (year)
❑ 6 days before Special
❑ Dec. 31, (year)
•Parity leaving once with excess fulls uail
Dec. 31 (year)
Run -Off _ (year)
such fuN = cxpcn N s providN m the An
•Unsuccessful candidates wnh excess funds, or who recelvc
eh..,urdilsuchfundsarc
espeMed, or such unpaid dada ere vtiefxd (Daevber 31
,ceded
flin onl 1
of Y 1 k County of - 1�
''111111 VY (State
I, L lA, W I Lk Yt h e _being duly sworn (affirm), depose and say that the information in this report form is
P Y•
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 fi'ed.
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x%O�ofl �Dn�illt�... �a,
tA� 1 20 aO I(L
Swom tg� uj7suribifl,'Altb:1(fs�ne on J
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_ PI S1
Signju-V 4IMMO1 ; ? dommission Axpiration a. Signature of Candidate
?; G b. Organization/Chairpmlml/heasurer
-yg q�..�•(��. "em1u �- ..._ � ;. Law
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Public Of6cerlCandl�iUt7tlkY�han Cmdidate Committee Name Page of �,..
Page 2 of 10
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
1
❑ I have no contributions to report.
In -Kind
❑ I have the following contributions, including Common Source, to report:
Estlmated 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
5
column and list any net balance on hand brought forward from the previous
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
n
p S
is listed on the "Itemized Contributions" page.
9
l!J
3a
All loans received this reporting period.
3b
Interest earned on campaign account this reporting period.
3c
Total amount of investments sold this reporting period.
3d
Total amount of cash dividends and interest paid out this reporting period.
/
4
Total amount of all separate contributions of $100 or less received in this
reporting period and not listed on the "Itemized Contributions" page.
t
"Common Source" contributions must be aggregated on the "Itemized
J
Contributions" page.
5
Total contributions reported this period.
��
ine 3 + 3a + 3b + 3c + 3d + 4)1i
6
Total contributions to date. Total to be carved forward to next report of this
election cycle*.
{�
l�
(Line 2 + 5)J
EXPENDITURES MADE
7
❑ 1 have no expenditures to report.
I have the following expenditures to report:
8
Total expenditures made and reported prior to this reporting period. If this is the
^
A. First report of this Election Cycle*, ENTER 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
listed on the "Itemized Expenditures" page.
10
Total amount of all separate expenditures of $100.00 or less that were made
in this reporting eriod and not listed on the "Itemized Expenditures" palre
11
Total expenditures reported this period.
Line 9 + 10
0
12
Total expenditures to date. Total to be carried forward to next report of this
election cycle*.
(Line 8 + 11)
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period.
14
Total value of investments held at the end of this reporting period. -
TOTAL NET BALANCE ON HAND
15
Net balance on hand.
_
(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 punuc office tnrou
of the next such election of a person to the same public office and shall be construed` andappliedseparately for each elective office including the date. /n_ C (�j 1!1
public Officer/Candidate/Other Than Candidate Committee Name aAA \ cil - \ e-V u v e � page rof V5—
5
rWr R ttu
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtness
Election Cycle*: t Election Year: )-o 11 Amount
1
Outstanding indebtedness at the beginning of this reporting period.
2
Loans received this reporting period.
-1 p
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*: Election Year. o I i
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)
o
Election Cycle*: L Election Year: 2
Amount
1
Outstanding indebtedness at the beginning of this reporting period.
a O
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, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary)
Public Officer/Candidate/Other Than Candidate Committee Name
Public ORcer'Candidate; Other Than Candidate Committee Name l aA-j, -� Pie 3 of r
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
Description
Contribution Type*
Employer
First Name or Business Name
re,wL
Date
fib/1 O I �
Occupation
[]primary
(�ieneml
�0V
Est. Value
Iasi Name
❑Special
❑Special Primary
❑Run -Off Primary
❑Ron -Off General
Address n
Qo. a5
a
onetary
Employer
Employ
❑Run-Off Special
❑Run-OffSpecial
Description
1
❑ In -Kind
Primary
City
❑ Common Source
❑ Credit Received on Loan
State/��
l3 I/1-
Aff. Comm.
First Name or Business Name
Date
10, I
Occupation
`f e)
`
❑Prim,
E{Geneml
Cmh An
So
Est. Value
East NamejI
1
I J
❑Special
❑ Special Primary
❑ Run -Off Primary
Address
0Run-Off0e feral
Address2
Monetary
Employer
❑Run -Off Special
❑Run -Off Special
Description
❑ In -Kind
Primary
City
❑ Common Source
❑Credit Received on Loan
State J �
i
Zip
Aff. Comm.
First Name or Business Name
Date
Occupation
r'uh A"
Est. Value
0
'I I �l�
I l'�
II
r`^`�
\. V CCCCCG��iiGG77
❑Primary
�1
❑Special
❑Special Primary
❑ Run -Off Primary
I� Z
i
st
laName,
�Y./
Address
❑ Run-off General
❑ Run -Off Special
❑Runny Special
Primary
Address2
Monetary
In -Kind
❑Common Source
❑Credit Received on Loan
Employer
Description
, /t
YI��%
City
Q r`--'
1S
S c_ 1
zip
Aff. Comm
C �j �7
Itemized Contribu ns Page otal $ S cp $ / (y
Public Officer/Candidate/Other Than Candidate Committee Name I— OL u rc� Page Lof 5
Page 7 of 10
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Must list expenditures made to a single recipient for which the ag&Eegate total more than $100.00.
List Name and
Exp. Date
Occupation &
Expenditure
Amount
Mailing Address of Recipient
Exp. Type"
Employer
Purpose
Paid
First me
boo
Date
11) 15 ) � 11
Occupation
V�
$ �O
Last Name -
VON,
L
I"01,1'1 v C•
-
Address n
C
penditure
❑In_Kind
[]Loan Repayment
❑Refund
❑Reimbursement
Addmss2
Employer
❑Credit Card
3rd Party
Deferred Payment
Payment on Deferred Expense
Investment
City
State
Zip
First Name
Lq,icck—
Date
„f 20,�
Occupation
CarJ�`5�`rS
\
1
Las ame
ev%OA&C
_:
Address13
to b v r
Expenditurelo
payment
Fen
[]credit Card
�3rd Party
Deferred Payment
Payment on Deferred Expense
❑Investment
Address2
Employeremem
City
State
Zip
First Nma I (� (� t 44
i,
Date
Occupation
-yam
V
//1 ��/r
�
l/Eexpenditure
1 L GLL
Last Name
�J\y- \
j �1\
1.
Address
❑
❑Loowe d
m Repayment
Rre
AJ^a
EmployeORcimbursement
Cdit Card
Party
De Payment
oo Deferred Expense
copyDeferred
cityHInvestment
KillPayment
State
Zip
Page Total $' La
' 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 Officer/Candidate/Other Than Candidate Committee Name L o"o P c� &V.%'C� _ Y Page �d of S
Fax Call Report HP Page Wide Color MFP 586
Page 1
Fax Header Information
City of Milton
678-242-2499
Jan/08/2018 5:07:14 PM
Job Date/Time Type Identification Duration Pages Result
895 Jan/08/2018 5:03:23 PM Send 18669147974 03:49 5 Success
JenlOm120iS &07:15 PM English (unNad Slabs)
by \CkkA�
Fax Call Report HP Page Wide Color MFP 586
Page 1
Fax Header Information
City of Milton
678-242-2499
Jan/08/2018 5:11:09 PM
Job Date/Time Type Identification Duration Pages Result
896 Jan/08/2018 5:07:16 PM Send 18669147974 03:50 5 Success
Jan -08'2018 5. 11. 09 PA1 English (United States)