HomeMy WebLinkAboutCCDR - Lusk, William - 1/8/2018 - Final Report and Termination StatementPage 1 of 10
CFC-CCDR-FR&TS 1/14
Campaign Contribution Disclosure Final Report and Termination Statement
Georgia Government Transparency and Campaign Finance Commission
200 Piedmont Avenue SE Suite 1402 West Tower I Atlanta, GA 30334 111 0
1. Report Type
2. Filing is being made on behalf of (Select One):
Use Earlier of Post
(S01e 0.)
Candidate or Public Official
Mark or Hand
office Held or sought Milton City Council District 2/Post 1
_ e(diypµ�i)ate
C ClU1 �iCI�lLf
(Indu& aowM maddWity. dimia. pa oriudid.1 chcw)
❑a Original
Filer ID C2006000990
��1I
(Fda m Mai beai. with the kn.r-C')
CI
CLERK
❑ Amendment
rganization or Person Other than Candidate's Campaign Committee W" TM
DF M1L.f0111
Committee Name:
A.endmem q
Filer n):
�� m dw begha wxh aa kau-Nc-(
3. Identifying and Contact Information I
(1) William C. Lusk (2) 01108/2018
Full Name of Candidate or Other Than Candidate Campaign Committee Today 5 Date
(3) 1355 Summit Road Milton GA 30004
hfailingAdiress City Sate Zip Code
(4) (678) 458-4208 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? O Yes ❑ No
(6) If yes, is the committee registered with the Commission? 0 yes ❑ No
(7) If yes, complete the following William C. Lusk jSusan Gatins
Name of Committee Chairperson Name of CommitW Reanver
4. Person Responsible for Maintaining Campaign Records
Susan Gatins
(1) Full Name
2350 Justin Trail
(2) Mailing Address
Alpharetta GA 30004
(3) City state Zip Code
624-0202 susan@luskco.com
(4)(678)
fs)
Primary Contact Phone Number Email Address
5. TERMINATION DATE: 01 /08/2018
Stateof Georgia County of ➢lixnt:.;l-
tltxfr[
I, /GZ- IW "// L/-$� �. IVil rfi
C(¢�u ly sworn (atBren), depose and say that the into ion in s report forth is
a- � •
complete, true, and correct. Further} this report are the same as the contents in electronic ling submitted, if
also electronically filed. �; cp i0i'• i
MAY
a'
Sworn to and subscribed before
202 e: e
�y�'•�r 5-2CL20
_
Sf tore ojNolory Public i��i�Itq RYluuto� nlixpira[ion
b �i�amreronCandrrperson/freasurer
(Arty person who knowingly fails to comply with or who knowingly violates any of the provisions of the shall be guilty of a misdemeanor.)
William C. Lusk
Public Officer/Candida[e/Other Than Candidate Committee Name Page Lof
Page 2 of 10
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
18,373.00
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
is listed on the "Itemized Contributions" page.
000
2.700.00
3a
All loans received this reporting period.
0.00
0.00
3b
Interest earned on campaign account this reporting period.
0.00
O.00
3c
Total amount of investments sold this reporting period.
0.00
0.00
3d
Total amount of cash dividends and interest paid out this reporting period.
0.00
OAD
4
Total amount of all separate contributions of $100 or less received in this
0.00
trod
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
000
2.700
6
Total contributions to date. Total to be carried forward to next report of this
election cycles.
0.00
21,073.00
Line 2 + 5)
EXPENDITURES MADE
7
I have no expenditures to report.
■ I 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 Cycles, ENTER 0.
0.00
22,866.77
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.
0.00
2,568.63
10
Total amount of all separate expenditures of S 100.00 or less that were made
in this reporting riod and not listed on the "Itemized Expenditures" page
0.00
0.00
I
Total expenditures reported this period.
Line 9 + 10
0.00
2,588.83
12
Total expenditures to date. Total to be carried forward to next report of this
election cycles.
0.00
25,433.40
Line 8 + 11
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period. 0.00
14
Total value of investments held at the end of this reporting period. ::dm 000
TOTAL NET BALANCE ON HAND
15
Net balance on hand.
0.00
-4,360.40
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 onlce through ana
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/Candidate/Other Than Candidate Commiuee Name William C. Lusk page :;� of LO
Page s or iu
�xuva vw
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.
�m
2
Loans received this reporting period.
pAp
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)
101000.00
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 I + 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, 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 Wiliam C. Lusk _ Page 3 of/0
rage a or it;
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
Occupatim
Ce Ana
Est. Value
Fuqua & Associates, Inc.
12/112017
House Builder
700.00
❑Primary
® General
Last Name
❑ Special
❑Spcciat Primary
❑ Run -Off Primary
Address
985 Canonero Drive
❑ Run -Off General
❑ Run -Off Special
Address2
N Monetary
Employer
❑Run -Off Special
Description
❑ In -Kind
Primary
City
Milton
❑ Common Source
State
Zip
GA
30004
❑ Credit Received on Loan
Aff Comm.
First Name or Business Name
Date
Occupation
c=u' A"
Est. Value
Orkin & Associates, Inc.
11/15/2017
Building Managers
2,000.00
❑ Primary
® General
Last Name
❑ Special
❑ Special Primary
❑Run -Off Primary
Address
12650 Crabapple Road
❑ Run -Off General
❑ Run -Off Special
Address2
Monetary
Employer
Em p Y
❑Ron -Off Special
Description
x
❑ In -Kind
Primary
City
Milton
❑ Common Source
❑ Credit Received on Loan
State
Zip
GA
30004
Aff Comm.
First Name or Business Name
Date
Occupatim
Css A.
Est. Value
❑ Primary
❑ General
Last Name
❑ Special
❑ Special Primary
❑ Run -Off Primary
El Run -Off General
Address
❑ Run -Off Special
Address2
El Monetary
Employer
❑Run -Off Special
Description
Primary
❑ In -Kind
City
❑ Common Source
❑Credit Received on Loan
State
Zip
Aff. Comm.
Itemized Contributions Page Total $ 2,700.00 $ 0.00
Public Officer/Candidate/Other Than Candidate Committee Name •^" --- 11_.__r^
Page 5 of lu
First Name or Business Name
Date
Occupation
Cam' Aas�
Est. Value
❑ Primary
❑ General
last Name
❑Special
❑Special Primary
❑ Run -Off Primary
Address
❑Run -Off General
Address2
Monetary
❑ In -Kind
Employer
❑Run -Off Special
❑ Run -Off Special
Primary
Description
City
❑ Common Some
state
Zip
❑ Credit Received on Loan
Aff. Comm.
First Name or Business Name
Date
Occupation
Cash Am
Est. Value
❑ Primary
❑ General
❑ Special
❑Special Primary
❑ Run -Off Primary
last Name
Address
❑ Run -Off General
❑Run -Off Special
❑ Run -Off Special
Primary
Address2
Monetary
❑ In -Kind
Employer
Description
City
❑ Common Some
State
Zip
❑ Credit Received on Loan
AT Comm.
First Name or Business Name
Date
Occupation
Cash Ane-
Est. Value
❑ Primary
❑ General
❑ Special
[]Special Primary
❑ Run -Off Primary
Lag Name
Address
❑ Run -Off General
❑Run -Off Special
❑Run -Off Special
Primary
Address2
El Monetary
❑ In -Kind
Employer
Description
City
❑Common Source
State
Zip
❑ Credit Received on Loan
Aff. Comm.
First Name or Business Name
Date
Occupation
Cash Amy
Est. Value
❑ Primary
❑ General
❑Special
❑Special Primary
❑ Run -Off Pnmary
last Name
Address
❑ Run -Off General
❑Run -Off Special
❑ Run -Off Special
Primary
Addmss2
Lj Monetary
❑ In -Kind
Employer
Description
City
Common Source
State
Zip
Credit Received on Loan
ro
Aff. Comm.
.00 $ 0.00
Itemized Contributions Page Total $ 0
• Contribution Type (Monetary, In -Kind. Common Sourcc, 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
Page (-
Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk
Page a or iu
Loan Reporting
Name of Lender
1.Date of Loan
Person(s) responsible for
1.0ccupation &
&
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
Lusk for Milton
Retired
Lender last Name
2,
cast Name
2.
Lusk
1355 Summit Road, Milton, GA
Address
3,
Address
3.
1355 Summit Road
El Primary
®General
❑Special
2350 Justin Trail
® Public Officer
❑ Candidate
Address2
Address2
❑ Special Primary
❑ Run -Off Primary
❑Other Than Candidate Committee
City
city
❑ Run-Off General
Name
Milton
❑Run -Off Special
Alpharetta
State
❑Run -Off Special
State GA
Zip 30004
GA 30004
GA
Primary
Lender Name (First Name, Business, Inst.)
1,
First Name
I,
Lender Last Name
2,
Last Name
2.
Address
3_
Address
3.
❑ Primary
❑ General
❑Special
❑ Special Primary
❑ Public Officer
❑ Candidate
Address2
AddmW
❑ Run -Off Primary
❑ Other Than Candidate Committee
City
City
[I Run -Off General
Name
❑ Run -Off Special
❑Ran -Off Special
State
Zip
State
Zip
Primary
Reference: GCGA § 21-5-34(bx1) Loan Page Total S 11.400
• 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 my 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 Page �_of :X
Page 7 of 10
014
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
Date
Occupation
Mailings
Amplifii
10/31/2017
Printer
898.14
Last Name
Address
E Expenditure
2005 New Point Parkway
❑ln-Kind
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
❑Credit Card
❑3rd Party
cm
❑Deferred Payment
Lawrenceville
❑ Payment on Deferred Expense
❑Investment
State GA
Zip 30043
First Name
Date
Occupation
Legal
Briskin, Cross & Sanford, LLC
12/07/2017
Attorney
1,668.49
Last Name
Address
0 Expenditure
1001 Cambridge Square
[]In -Kind
❑Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
[]Credit Card
3rd Party
City
Alpharetta
Deferred Payment
Payment on Deferred Expense
❑Investment
State GA
Zip 30009
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
Page Total $ 2,566.63
• Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Patty, 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 or /O
rage is or 3D
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
❑3rd Party
City
Deferred Payment
Payment on Deferred Expense
❑Investment
State
Zip
First Namc
Date
Occupation
LAM Name
Address
Expenditure
❑In -Kind
❑l.aen Repayment
[]Refund
Address2
Employer
❑Reimbursement
[]Credit Card
❑3rd Party
Ciry
L❑�- Defcricd 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
Ciry
Deferred Payment
Paymenton 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
• Expenditure Type (Expenditure. In -Kind, Loan Repayment, Retard, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense,
Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total
Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk Page 8_ of / b
rage v of iu
CrC-CCpatna
State of Georgia
Campaign Contribution Disclosure Report
Investments Statement
I. Investment Name
Account #
Institution/Person
Holding Account
1355 SIRnmk Road
Mailing Address
Address2
City
State Zip
Value at beginning of reporting period $
Value at end of reporting period $
Difference in value S
Interest Paid Out $
Cash Dividends $
Investment Transactions
Date
Person(s) Involved in Transaction
Value of investment purchased
Value of investment sold
Lroffi
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 S
Cash Dividends S
Investment Transactions
Date
Persons) 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: $ oA0
Total value of investments at end of reporting period $
Total difference in value $
Public Officer/Candidate/Other Then Candidate Commmee Name William C. Lusk Page I of / 0
rage iu of w
1".. me
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 Then Candidate Committee Name William C. Lusk Page /V of / 0
Lc�Sk - nw, iykOt",o�
Fax Call Report HP PageWide Color MFP 586
Page 1
Fax Header Information
City of Milton
678-242-2499
Jan/08/2018 3:48:04 PM
Job Date/Time Type Identification Duration Pages Result
894 Jan/08/2018 3:42:31 PM Send 18669147974 05:29 10 Success
Jan/0812018 3:48:04 PM English (United States)