HomeMy WebLinkAboutCCDR - Lusk, William - 10/25/2017r'FCCDR 111
V14
Campaign Contribution Disclosure Report
Georgia Government Transparency and Campaign Finance Com"Know
200 Piedmont Avenue S.E. I Suite 1402 West Tower I Atlanta, GA 30334 1404463-19801 www.ethics.Qa.gov
1. Report Type
2. Filing is being made on behalf of (Select One):
use Earlier of Post
(select one)
Candidate or Public Official
Owke"r Har&It°erect
Office Held or Sought Milton City Council District 2/Post 1
Date
(include cnuri municipality. district, root M)udlclal contain
E Original
Filer ID C2006000990
CITY CLERK
E Amendment
(Filer ID dirt begins with the letter "C")
ITY OF MILTON
Organization or Person Other than Candidate's Campaign Committee
Committee Name:
1S( `q
VV
Amendment k ONE
Filer ID:
(p
(Filer ID that begins with the letter "W")
3. Identifying and Contact Information 60
3
(1) William C. Lusk (2) 11/01/2017
Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date
(3) 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 30, (year)
❑ March 31, (year)
116 days before General
Special Primary,
El June 30, (year)
Run -Off (year)
❑un-
6 days before Special
(year)
El 15 days before
Supplemental Reporting
❑ June 3Q, (year)
❑ September30, (year)
Prim ear
Primary Run -Off_ _(year)
Special, (year)
❑ December 31, (year)
0 October 25, 2017 (year)
❑ 6 days before Special
❑ Dec. 31, (year)
'Per,one leaving office with excess tuna. Until
❑ Dec. 31, (Year)
Run -Off (year)
such funds are expended as provided in the Act
*Unuuccssfiil candidates with excess funds. or who receive
corer rutions to retire debt incurred, until such funds are
expended, w such unpaid debts are sadafied (December 31
filire, rmdO
tttltltt
� p
State of Georgia .
� � o� "r
k L C William C. us '
I, . being duly sworn (alj�m I.1 �'�M� •v t th(Snformation in this report form is
complete, true, and correct. Further, I affirm that the contents in this repoAr Asa11 co it eelpetronic filing submitted, if
also electronically filed. �/9L1Gif �.
%p .r
Sworn to and subscribed before me on lI 20 1 q �4,
S�Rod l
Signatu of Notary 161ic Commission Expiration a. Sign Candi to
b. fzation/ airperson/Tmasurwr
Public Officer/Candidate/Other Than Candidate Committee Name
Page { of /'`
CFC-CCDR 1114
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
I
❑ I have no contributions to report.
In -Kind
0 I have the following contributions, including Common Source, to report:
Estimated Value
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 -kind
column and list any net balance on hand brought forward from the previous
12,800
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
5,023
is listed on the "Itemized Contributions" page.
3a
All loans received this reporting period.
0.00
3b
Interest earned on campaign account this reporting period.
U W
3c
Total amount of investments sold this reporting period.
0.00
3d
Total amount of cash dividends and interest paid out this reporting period.
0.00
4
Total amount of all separate contributions of $100 or less received in this
550.00
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)
6
Total contributions to date. Total to be carried forward to next report of this
election cycle*.
18,373.00
Line 2 + 5
EXPENDITURES MADE
7
❑ I 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.
10,313.58
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.
12,553.19
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
0.00
l I
Total expenditures reported this period.
(Line 9 + 10
12,553.19
12
Total expenditures to date. Total to be carried forward to next report of this
election cycle*.
22,866.77
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.
0.00
TOTAL NET BALANCE ON HAND
15
Net balance on hand.
4,493.77
(Line 6-12+14)
* O.CG.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 sball be construed and applied separately for eacb elective office including the date.
Public Officer/Candidate/Other Than Candidate Committee Name
William C. Lusk 4.
Page % of /N
r rxrmt ma
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtness
Election. Cycle*: General Election Year: 2017
Amount
1
Outstanding indebtedness at the beginning of this reporting period.
10000
2
Loans received this reporting period.
ON
3
Deferred payment of expenses this reporting period
0.00
4
Payments made on loans this reporting period.
0.00
5
Credits received on loans this reporting period
0.00
6
Payments this reporting period on previously deferred expenses.
0.00
7
Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6)
10.000.00
Election Cycle*: General Election Year: 2017
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*: General Election Year: 2017
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)
10,000.00
* 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 //,{�// Page �, of //I.
CFC-CCDa 1114
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
C.h A.,
Est. Value
Scottsdale Farms
10/13/2017
Nursery
508.00
❑ Primary
® General
Las[ Name
❑ Special
❑Special Primary
❑ Run -Off Primary
Address
15639 Birmingham Highway
0Run-0ff General
❑ Run -Off Special
0Run-0ff Special
Address2
U Monetary
Employer
Description
® In
Primary
Use of facility for a Meet
City
-Kind
& Greet
Milton
❑ Common Source
State
Zip
GA
30004
❑ Credit Received on Loan
Aff. Comm.
First Name or Business Name
Date
Occupation
gash A°u
Est. Value
LRF Milton LLC
10/19/2017
Events Facility
1.750
El Primary
® General
L
Last Name
❑ Special
❑Special Priman
❑ Run -Off Primary
Address
14505 Batesville Road
❑ Run -Off General
❑Run-0ff Special
Description
Address2
Monetary
Employer
El Run -Off Special
0In-Kind
Primary
Use of facility for a Meet
& Greet
City
Milton
❑ Common Source
❑ Credit Received on Loan
State
Zip
GA
30004
Aff Comm.
First Name or Business Name
Date
Occupation
Caah Ani1
Est Value
10/19/2016
Mechanical
750
Terrell
Contractor
[]Primary
®General
Last Name
❑ Special
Barden
❑ Special Primarc
❑ Run -Off Primary
❑Run-0ff General
Address
1690 Bluegrass Lakes Parkway
0Run-0ff Special
0Run-0ff Special
Address2
Lj Monetary
Employer
Description
Primary
El In -Kind
City
Alpharetta
❑ Common Source
State
Zip
GA
30004
❑ Credit Received on Loan
Aff. Comm.
Itemized Contribution age Total $ 750 $ 2,258
Public Officer/Candidate/Other Than Candidate Committee Name vvmloDl a.. Juan � PW 4 Of /Z
CFCCCDR 1/1
First Name or Business Name
Date
Occupation
C.h Am
Est. Value
Alan Densmore, Inc.
10/03/2017
Trucking
❑ Primary
® General
250
Last Name
❑ Special
❑Special Priman
❑Run -Off Priman
Address
P.O. Box 3729
❑ Run -Off General
❑Run -Off Special
Address2
E Monetary
Employer
Description
❑ In -Kind
Same
❑Run -Off Special
Primary
City
Suwanee
❑ Common Source
State
Zip
GA
30024
❑ Credit Received on Loan
Aff Comm.
First Name or Business Name
Date
Occupation
Cash An,
Est. Value
Tebarco Door & Metal Services, Inc.
Door Vendor
❑Primary
® General
300
Last Name
❑ Special
❑ Special Primary
❑ Run -Off Primary
Address
1905 Grasssland Parkway
❑ Run-OffGencral
❑ Run -Off Special
Address2
Monetary
Employer
Description
❑ Run -Off Special
❑ In -Kind
Same
Primary
...,..
City
Alphartetta
❑ Common Source
State
Zip
GA
30004
❑ Credit Received on Loan
Aff. Comm.
First Name or Business Name
Date
Occupation
Ca,h Ama
Est. Value
Kimberley & Tom
10/1912017
Attorney
❑Primary
®General
225
Last Name
Gauger
❑ Special
❑ Special Primary
❑Run -Off Priman
Address
422 Calton Hill Court
[]Run -Off General
❑Run-0ffSpecial
Address2
Monetary
Employer
Description
❑Run -Off Special
❑ In -Kind
Kimberley Gauger,
Attorney at Law
Primary
City
Milton
❑Common Source
State
Zip
GA
30004
❑ Credit Received on Loan
Aff. Comm.
First Name or Business Name
Date
Occupation
Clash Ama
Est. Value
Brandy
10/19/2017
Housewife
❑Primary
® General
200
Last Name
Barden
❑ Special
❑ Special Priman
❑ Run -Off Priman
Address
110 Windy Hill Road
❑ Run -Off General
❑Run -Off Special
❑Run-0ffSpecial
Primary
Address2
U Monetary
❑ In -Kind
Employer
Description
City
Alpharetta
❑Common Source
Stale
Zip
GA
30004
❑ Credit Received on Loan
Aff. Comm.
975
Itemized Contributions Page Total $ $
• Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Loan)
*" Election Cycle (Primary, General, Special, Special Primary, Ron -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 party making
the
aaddvvance or extension of credit
Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk G'Vlir ` Paze 4�1of /N
fW_XCDR ina
First Name or Business Name
Date
Occupation
Ca�sh,Amt
Est. Value
!�-• �y
V6rrzw7
J&
❑Primary
{General
J�v
Last,Ntame
❑Special
❑Special Primary/�
❑ Run-0ff Primary
Address
/ /���/�a/ ``,,,, //
1 �� . i/6wx
❑ Run-0ff General
QRun-0ff Special
Address2
Mmonetary
Employer
Description
El In -Kind
Source
❑ Credit Received on Loan
❑ Run-0ff Special
Primary
City//„yyr�
StCato•fa0/''V❑Common
Aff. Comm.
Fi tN�ame/orr/$usinoss Name
Date
Occupation
Cash Am.
Est. Value
/q�,�
% Ail: �e �r
ry
1Amgel7
'
/ 1-m vyF
❑Primary
O mGeneral
Last Name
❑ Special
❑ Special Primary
11Run-0ff Primary
Address
"3/,Ar �
ElRun-OffGeneral
❑Ran -Off Special
Run -Off Special
Primary
Address2
Monetary
❑ In -Kinder
❑ Common Source
❑ Credit Received on Loan
Employer
Description
City/�,e'fyorx
Stat%AI
Aff. Comm.
First Name or Busin/e/s/�Name
AM u
Date //� a ,
� �iF/l7
/occcup/aytiioonn
! U�C�q 'yN�
7
El Primary
General
Cash AA.,
Est Value
Last Name
❑ Special
❑ Special Primary
❑Run-0ff Primary
Address
�/ /� //
21*16 !//�(c7�!%AC4
El Run -Off General
11Run-0ff Special
❑ Run -Off Special
Primary
Address2
Monetary
❑ In -Kind
❑ Common Source
Employer
Description
Civ
State /7. /
,,, Ziy12t�-
-%fir/
❑ Credit Received on Loan
Aff. Comm.
First Name or Business Name
Date
Occupation
Cash Amy.
Est. Value
_
_
❑ Primary
WGeneral
)
Last Name
Special
❑Special Primary
❑ Run -Off Primary
Address
❑ Run -Off General
❑Run -Off Special
❑ Run-0ff Special
Primary
Address2
Monetary
❑ In -Kind
Employer
Description
City
❑ Common Source
State
Zip
❑ Credit Received on Loan
Aff. Comm.
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 person(s) shall have a fiduciary relationship to the lending institution
A
orpaarty making the advance or extensionoof credit
Public Officer/Candidate/Other Than Candidate Committee Name Z_140 I: j/� Page of �z
CFC-CCDR 1114
Loan Reportiniz
Name of Lender
].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, Inst.)
I,
First Name
1,
William
17DEC2012
Lusk for Milton
Retired
Lender Last Name
2,
Last Name
2,
Lusk
1355 Summit Rd., Milton, GA 30004
Address
3,
Address
3,
1355 Summit Road
❑ Primary
®General
El special
2350 Justin Trail
Public Officer
Address2
Address2
❑ Special Primary
❑ Candidate
City
ElRun-OffPrimary
❑ Other Than Candidate Committee
City
❑Run -Off General
Name
Milton
❑Run -Off Special
Alpharetta
El Run -Off Special
State Zip
GA 30004
State GA
Zip
30004
Primary
Lender Name (First Name, Business, Inst.)
j,
First Name
]-
Lender Last Name
2,
Last Name
2,
Address
3.
Address
3,
❑ Primary
❑ General
El Special
❑ Special Primary
❑ Public Officer
❑ Candidate
Address2
Address2
city
❑ Run -Off Primary
El Other Than Candidate Committee
C1ty
El Run -Off General
Name
❑ Run -Off Special
State Zip
❑Run -Off Special
State
Zip
Primary
rence: OCGA § 21-5-34(b)(1) Loan Page Total $ 11,400
F
' 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 party making the advance or extension of credit
Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk V Page 7 of 1A/
CFC-CCDaI/14
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Must list expenditures made to a single recipient for which the aRgregate 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
Meet & Greet
Scottsdale Farms
11/01/2017
Nursery
502.23
Last Name
Address
N Expenditure
15639 Birmingham Highway
❑In -Kind
[]Low Repayment
❑Refund
Address2
Employer
❑Reimbursement
[]Credit Card
[]3rd Party
City
[]Deferred Payment
Milton
❑Payment on Deferred Expense
❑Investment
State GA
ZiP 30004
First Name
Date
Occupation
Scott
10/24/2017
Campaign Consultant
1,515.00
Last Name
Jackson
Address
Expenditure
1730 Rising Mist Lane
❑In -Kind
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
Self
❑Credit Card
3rd Party
City
Cumming
Deferred Payment
[]Payment on Deferred Expense
❑Investment
State GA
Zip 30004
First Name
Date
Occupation
Tag Signs
10/30/2017
Printer
1,080.99
Last Name
Address
M Expenditure
1820 Grassland Parkway
❑In -Kind
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
[]Credit Card
Party
Referred
City
Alpharetta
❑Deferred Payment
[]Payment on Deferred Expense
❑Investment
State GA
Zip 30004
Page Total $ 3,098.22
• Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Parry, 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 PageX of/&
rrrrrnn i
List Name and
Exp. Date
Occupation &
Expenditure
Amount
Mailing Address of Recipient
Exp. Type*
Employer
Purpose
Paid
First Name
Date
Occupation
Meet & Greet
1776 Old Country Place
10/19/2017
Caterer
1,149.04
Last Name
Address
N Expenditure
1776 Old Country Place
❑ln-Kind
❑Loan Repayment
❑Refund
Address2
Employer
[]Reimbursement
❑Credit Card
❑3rd Party
City
Deferred Payment
Canton
Payment on Deferred Expense
❑Investment
State GA
Ztp 30188
First Name
Date
Occupation
Marketing
Robert
10/12/2017
Designer
1,436.25
Last Name
Simmons
Address
Expenditure
❑In -Kind
6649 Reinhardt Parkway
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
Self
❑Credit Card
03rd Party
City
El Deferred Payment
Waleska
Payment on Deferred Expense
Investment
State GA
Zip 30183
First Name
Date
Occupation
Mailings
Amplifii
11/01/2017
Printer
5,088.99
Last Name
Address
Expenditure
2055 New Point Pkwy.
❑In -Kind
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
❑Credit Card
3rd Party
City
Lawrenceville
Deferred Payment
Payment on Deferred Expense
❑investment
State GA
Zip 30043
First Name
Date
Occupation
Advertisement
Appen Media Group
Newspaper
1,186.90
Last Name
Address
M Expenditure
❑ln-Kind
319 North Main Street
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
❑Credit Card
❑3rd Party
City
Alpharetta
Deferred Payment
Payment on Deferred Expense
❑Investment
State GA
Zip 30009
* 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 S 8,861.18
Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk 4 Page 4!� of If
List Name and
Exp. Date
Occupation &
Expenditure
Amount
Mailing Address of Recipient
Exp. Type"
Employer
Purpose
Paid
First Name
Date
Occu ation
Last Name
Address
Expenditure
[]Kind
[]Loan Repayment
❑Refund
Address2
Employer
[]Reimbursement
�r
[]Credit Card
❑3rd Party
J�Delerred Payment
City
Payment on Deferred Expense
JPaym
❑I nvestment
State �r /
Zip W,/�
5
�Date
First Name!
Occupation
Last Name
Address
0 Expenditure
❑In -Kind
[]Low 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
❑Reimbursement
[]Credit Card
❑3rd Party
City
❑Deferred Payment
[]Payment on Deferred Expense
❑Investment
State
Zip
First Name
Date
Occupation
Last Name
Address
Lj 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, fegrA Payment on Deferred Expense,
Investment)Public Officer/Candidate/Other Than Candidate Committee Name �Page Total $
Public Officer/Cmdidate/Other Than Candidate Comminee Name /,.//�`L��� J�� Pa,"e r 0 Hof '/'9
nm
State of Georgia
Campaign Contribution Disclosure Report
Investments Statement
1. 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
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 Mriod $
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 William C . Lusk Page // of 4f
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 Paee IL of f �J
Fax Call Report HP PageWide Color MFP 586
Page 1
Fax Header Information
City of Milton
678-242-2499
Nov/01/2017 3:25:53 PM
Job Date/Time Type Identification Duration Pages Result
656 Nov/01/2017 3:18:39 PM Send 18669147974 07:12 12 Success
NovIO112017 3:25:53 PM English (United States)