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HomeMy WebLinkAboutCCDR - Lusk, William - 09/30/2017CFC-CCDR 1/14 Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Comfy l w 200 Piedmont Avenue S.E. I Suite 1402 West Tower I Atlanta, GA 30334 1404463-1980 I www.etllics.ga.gov 1. Report Type 2. Filing is being made on behalf of (Select One): SEPu $�rli oSt (sdm oM) Candidate or Public Official �fi'3�jS��P Mark or Han a rvered Office Held or Sought Milton City Council District 2/Post 1 E Original (Include county. in ssiapalit, district, pest orjudiaid circuu) Filer ID C2006000990 aw CURB (Filer ID thin, begins with the hour .-C-) OF M)LTOI# El Amendment Organization or Person Other than Candidate's Campaign Committee Committee Name: Amendment M , Filer ID: (Filer ID that begin with the kttn'NC") 3. Identifying and Contact Information W (1) William C. Lusk (2) 09/29/2017 Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date (3) 1355 Summit Road Milton GA 30004 Mailing Address City State Zip Code (4) (678) 4584208 and/or bill@luskco.com 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? E Yes ❑ No (6) If yes, is the committee registered with the Commission? E Yes ❑ No (7) If yes, complete the following: William C. Lusk I Susan Gatins Name of Committee Chairperson Name of Committee Treasurer 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 (year) ❑ 15 days before ❑ June 3Q (year) ❑ March 31, _ (year) ❑ 6 days before General Special Primary, El June 30, (year) Run -Off (year) El❑ 6 days before Special (year) 15 days before Supplemental Reporting ❑ June 30, (year) ❑ September 30, 2017 (year) Primary _(year) Prima Run -Off ear Special, (year) ❑ December 31, (year) ❑ October 25, (year) ❑ 6 days before Special ❑ Dec. 31, (year) Versions leaving office with excess funds until ❑ Dec. 31, (year) Run -Off (year) such funds are expended ss provided in the Ad 'Unsuccessful candidates with excess runtk or who receive contributions to retire debt licensed, until such funds art expended, or such unpeid.debts ere satisfied (December 31 Alin ant State of C n" County ofiL �l% ma A \� [, e .l- KS l� '� (.viirm), depose and say that the info im is rt form is complete, true, and correct. Further, I affirm tt t are the same as the contents i e electronic filing submitted, if also electronically filed. C Swom to and subscribed before me on l) t C is c4 ad o ure of Notary Public ('ol11 nration -a. gnature C didate 1 b. Organiz i Chairper n/7reasl Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk Pate % of /0 CFC-CCDR 1114 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I ❑ 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 0.00 11,400.10 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 1,400 is listed on the "Itemized Contributions" page. 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. "Common Source" contributions must be aggregated on the "Itemized Contributions" page. 5 Total contributions reported this period. (Line 3 + 3a + 3b + 3c + 3d + 4) 1,400 6 Total contributions to date. Total to be carried forward to next report of this election cycle*. 12,800 Line 2 + 5 EXPENDITURES MADE 7 ❑ I have no expenditures to report. 9 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. 0.00 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. 10,263.58 10 Total amount of all separate expenditures of $100.00 or less that were made in this reporting period and not listed on the "Itemized Expenditures" page 50.00 I I Total expenditures reported this period. Line 9 + 10 12 Total expenditures to date. Total to be carried forward to next report of this election cycle*. 10,313.58 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. 2,486.42 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 othce 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. Publict)ffcer/Candidate/Other Than Candidate Committee Name William C. Lusk Page Q of /O CFC-CCUR 1114 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtness Election Cycle*: General Election Year: 2017 Amount I Outstanding indebtedness at the beginning of this reporting period. IOAMA 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) 10,000.00 Election Cycle*: Election Year: Amount I 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 I 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, Run -Off Primary, Run -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 William C. Lusk Pape 3 of /0 I'll. �11. 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) Contribution Type* Employer Description First Name or Business Name Date Occupation Cash Amy. Est. Value Ronald 09/03/2017 Retired 500 El Primary ®General l East Name Bogino ❑Special []Special Priman ❑ Run -Off Priman Address 14485 Hopewell Road ❑Run -Off General ❑ Run -Off Special Description Address2 NMonetary Employer ❑Run -Off Special ❑ In -Kind Primary City Milton []Common Source State Zip GA 30004 ❑ Credit Received on Loan An.. Comm. First Name or Business Name Date Occupation cash Am' Est. Value Richard 8 Susan 08/26/2017 Retired 200 El Primary ® General last Name Pershing ❑ Special ❑ Special Priman ❑ Run -Off Primary Address 1370 Summit Road ❑ Run -Off General ❑ Run -Off Special Description Address2 N Monetary Employer ❑Run -Off Special ❑ In -Kind Primary city Milton ❑ Common Source ❑ Credit Received on Loan State Zip GA 30004 AM Comm. First Name or Business Name Date Occupation Cash Amt. Est_ Value 09119/2017 Accounting 200 Santl 8 Associates, PC rim ❑Pary ® General last Name ❑ Special ❑Special Primary ❑ Run -Off Primary Address ❑ Run -Off General 4010 Old Milton Parkway ❑ Run -Off Special ❑Run -Off Special Address2 N Monetary Employer Description Primary ElIn-Kindtiff City Alpharetta ❑ Common Source State St 30Zip 005 ❑ Credit Received on Loan Aff. Comm. Itemized Contributions Page Total $ 900 $ Public Officer/Candidate/Other Than Candidate Committee Name """"""' ". ""^ Page 4- 01 /0 CFCLCDR VI< First Name or Business Name Date Occupation Cmh At. Est. Value Registered Land Surveyors 09/09/2017 Land Surveyors ❑Primary ®General 300 Last Name ❑ Special ❑ Special Priman ❑ Run -Off Priman Address 136 Savanna Estates Drive ❑ Run -Off General ❑Run -Off Special Run -Off Special Primary Address2 M Monetary ❑ In -Kind Employer Description City Canton ❑Common Source State Zip GA 30115 ❑ Credit Received on Loan Aff. Comm. First Name or Business Name Date Occupation Est. Value ❑ Primary ❑ General Last Name ❑ Special ❑ Special Primary ❑ Run -Off Printan Address ❑ Run -Off General El 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 (°,h AI Est. Value ❑ Primary ❑ General Last Name ❑ Special []Special Priman ❑ Run -Off Priman Address ❑ Run -Off General El 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 tst. Value ❑ Primary ❑ General Last 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. 300 Itemized Contributions Page Total $ $ " Contribution Type (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 permn(s) 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 William C. Lusk Page C; of le IrIGI Loan Reporting Name of Lender l.Date of Loan Person(s) responsible for l.Occupation & & 2.Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election C cle** Mailing Address 3.Fiduciary Relationshi *** Lender Name (First Name, Business, Ins[.) 1, First Name I, William 12/17/2012 Lusk for Milton Retired Lender Last Name 2, Last Name 2. Lusk 10,000 Address 3, Address 3, 1355 Summit Road ❑ Primary 2350 Justin Trail ®General El Special ❑ Public Officer Address2 Address2 ❑ Special Primary ® Candidate ❑ Run -Off Primary ❑ Other Than Candidate Committee city City ❑Run -Off General Milton ❑Run -Off Special Alpharetta Name El Run -Off Special State Zip GA 30004 State GA Zip 30004 Primary Lender Name (First Name, Business, Inst.) I , First Name I, Lender Last Name 2. Last Name 2. Address 3. Address 3, ❑ Primary ❑General ❑Special ❑ Public Officer Address2 Address2 ❑ Special Primary ❑ Candidate City ❑Run -Off Primary ❑ Other Than Candidate Committee City ❑Run -Off General ❑ Run -Off Special ❑Run -Off Special Name State Zip State Zip Primary Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 10,000 • Contribution Type (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 parry making the advance or extension of credit Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk Paee 1p of l� 1v11( elite State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a single recipient for which the a e ate 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 Occupation Marketing Robert 08/102017 Designer 1000 Last Name Simmons - Address Expenditure 6649 Rienhardt Parkway ❑ Lon Repayment ❑Refund Address2 Employer ❑Reimbursement Self [-]Credit Card Party Referred City Waleska ❑Deferred Payment ❑Payment on Deferred Expense ❑Investment State GA Zrp 30183 First Name Date Occupation Marketing The Mauldin Group Marketing 4000 Last Name Address Expenditure 500 Sunvalley Drive ❑In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement []Credit Card ❑3rd Party City Roswell Deferred Payment Payment on Deferred Expense ❑Investment State GA Zip 30076 First Name Date Occupation Signage Tag Signs 09/282017 Printer 2255.04 Last Name Address M Expenditure 1820 Grassland Parkway ❑In -Kind []Low Repayment ❑Refund Address2 Employer ❑Reimbursement [-]Credit Card ❑3rd Party City ❑Deferred Payment Alpharetta ❑ Payment on Deferred Expense ❑Investment State GA Zip 30004 7255.04 Page Total $ • 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 William C. Lusk Page �7 of /Q CFC-CCDR 1114 List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid First Name Date Occupation Mailings Amplifii 09/2212017 Printer 2768.54 LastName Address N Expenditure 20055 New Point Pkwy. ❑In -Kind El Loan Repayment ❑Refund Addless2 Employer ❑Reimbursement []Credit Card 3rd Party City Lawrenceville Deferred Payment Payment on Deferred Expense [Investment State GA Zip 30043 First Name Date Occupation Last Name Address Ll Expenditure ❑In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement ❑Credit Card ®3rd Party City Deferred Payment ❑Payment on Deferred Expense ❑Investment State GA Zip 30041 First Name Date Occupation Administrative Janet 09/2a/2017 Sell 240 Last Name Matelski Address U Expenditure 2169 Spikerush Way ❑In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement ❑Credit Card 3rd Party City Buford Deferred Payment Payment on Deferred Expense ❑Investment SDN GA Zip 30519 First Name Date Occupation Last Name Address U Expenditure ❑In -Kind ❑Loan Repayment ❑Refund Address2 Employer ❑Reimbursement []Credit Card ®3rd Party City eDeferred 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, InvestmentjPublic Officer/CandidaWOther Than Candidate Committee Name Page Total $ 3008.54 Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk Page A of /.-.1 CrccCoa ina State of Georgia Campaign Contribution Disclosure Report Investments Statement I. Investment Name Account # Institution/Person Holding Account Mailing Address 1355 Summit 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 ]emc William C . Lusk page 9 of le CEC-CC6 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/Candidate/Other Than Candidate Committee Name William C.Lusk Pa2c lO of /,�? Fax Call Report Fax Header Information City of Milton 678-242-2499 Oct/02/2017 10:04:48 AM rc D� 9/// I uU4 HP PageWide Color MFP 586 Page 1 Job Date/Time Type Identification Duration Pages Result 542 Oct/02/2017 9:58:42 AM Send 18669147974 06:03 10 Success Oct/021201710:04:48 AM English (United States)