HomeMy WebLinkAboutCCDR - Thurman, Karen - 12/31/2017 - Final Report and Termination StatementPage 1 of 30
CFC-CCDR-FR&TS 1114
Campaign Contribution Disclosure Final Report and Termination Statement
Georgia Government Transparency and Campaign Finance Commission
200 Piedmont Avenue SE. Suite14
I. Report Type
2. Filing is being made on behalf of (Select One): Use Earlier of post
o..)
Candidate or Public Official Mark or Hand
Office Held or Sought Milton City Council AN fcM erad�ale
I I LUIC
pMlwe mwn.mwrtlpaliq. china, roc orrvd�w dravnl
1 Original
Filer ID C2006001039
tFaerIo1Mtb,g rilhthe Innr•r") fTVCLERK
❑ Amendment
Organization or Person Other than Candidate's Campaign Committee CITY OF MILTON
Committee Name:
Avindive1 x
Filer ID:
IFikr ID Wr beat. rah the roan-NC"I
3. Identifying and Contact Information
(1) Karen C Thurman (2) 01/04/2018
Full Name of Candidate or Other Than Candidate Campaign Committee Today •s Date
(3) 360 Tournament Players Dr Milton GA 30004
MadingAddress City Slate Zip Code
(4) (404) 790-2874 and/ or thurman_@bellsouth.net
Primary Contact Phone Number F Afail
(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? [i] Yes ❑ No
(6) If yes, is the committee registered with the Commission? 0 Yes ❑ No
(7) If yes, complete the following Karen C Thurman Karen C Thurman
Name of Committee Chairperson Name of Committee 7)ea%vrer
4. Person Responsible for Maintaining Campaign Records
Karen C Thurman
(1) Full Name
360 Tournament Players Dr
(2) .%failing Addmss
Milton GA 30004
(3) City State Zip Code
790-2874 thurman_@bellsouth.net
(4)(404)
-- — — sl
Primary Contact Plmae Number F.mail Address
.;.TERMINATION DATE: 12/31/2017
State of Georgia County of Fulton
l Karen C Thurman , being duly sworn (affirm), depose and say that the information in this report form is
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 filed.
S m to and subscribed before me 1 ` 20 , 6
ZIF a 4J,
r I 1 WAIL a--
7 ture o Nara Publ"
r Notary i Y o . Ca omission Expiration a. Signature of Candidate
OIARY p,
� b. Orgnuiwtiom Chairperson•7reusurer
T
(Any person who kdg. }y failPCoB o%G 14i O CZuho knowingly violates any of the provisions of the Act shall be guilty of a misdemeanor.)
20
yC0''rO1'lKaren C Thurman I—L� Public Officer/Candidate/Other than C�tiGtljjl�lrjJam it�;I ie page of
Page 2 of 10
CFC-CCDR-FR&TS 1/14
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
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.
3a
All loans received this reporting period.
MI
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)
6
Total contributions to date. Total to be carried forward to next report of this
election cycle'.
Line 2 + 5
EXPENDITURES MADE
7
■
1 have no expenditures to report.
1 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 riod and not listed on the "Itemized Expenditures" page
I 1
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'.
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. :::::::m
TOTAL NET BALANCE ON HAND
15
Net balance on hand.
(Line 6-12+14
• O.C.G.A. 21-5-3(10) : Elation 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 elation of a person to the same public office and shall be construed and applied separately for each dative office including the date.
Public Officer/CandidaWOther Than Candidate Committee Name Karen C Thurman Page 0?, of LO
Page 3 of 30
CFC-CCDR-FR&TS 1/14
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtness
Election Cycle*: Election Year:
Amount
1
Outstanding indebtedness at the beginning of this reporting period.
4689.10
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.
4e8e 1c
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 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'Man Candidate Committee Name Karen C Thurman Page Jar ID
Page 4 of 10
CFC-CCDR-FR&TS 1/14
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 / Business Name
Date
Occupation
C.rh Ana.
Est. Value
❑ Primary
❑ General
Last Name
L
❑ Special
❑ Special Primary
❑ Run -Off Primary
Address
❑ Run -Off General
❑ Run -Off Special
El Run -Off Special
Description
Address2
0 Monetary
Employer
❑ In -Kind
Primary
City
Milton
ElCommon Source
State
Zip
GA
❑ Credit Received on Loan
Aff. Comm.
First Name / Business Name
Date
Occupation
cash Amr.
Est. Value
Primary
❑ General
ElLast
Name
❑ Special
El Special Primary
❑ Run -Off Primary
Address
ElRun-OffGeneral
❑Run -Off Special
❑Run -Off Special
Description
Address2
Monetary
Em to er
Employer
❑ In -Kind
Primary
City
❑ Common Source
❑ Credit Received on Loan
State
Zip
Aff. Comm.
First Name / Business Name
Date
Oc<upuuun
Cash Ami
Est Value
❑ Primary
❑ General
Last Name
❑ Special
❑ Special Priman
El Run -Off Primary
Address
❑Run -Off General
❑ Run -Off Special
❑ Run -Off Special
Addms2
Lj Monetary
Employer
Description
Primary
❑ In -Kind
City
❑ Common Source
❑ Credit Received on Loan
State
Zip
Aff. Comm.
Itemized Contributions Page Total $ $
Public Officer/CandidatdOther "than Candidate Committee Name
aren URTIan __ _ __ Page of
Page 5 of 10
CFC-CCDR-FR&TS 1/14
First Name I Business Name
Date
Occupation
c..e ^"" 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 Source
State
Zip
❑ Credit Received on Loan
Aff. Comm.
First Name / Business Name
Date
Occupation
h' `a"
Est. Value
❑ Primary
❑ General
El special
❑ Special Primary
❑ Run -Off Priman
..�.. �.
Last Name
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-
First Name / Business Name
Date
Occupation
cue Arai.
Est. Value
❑ Primary
❑General
❑ Special
❑ Special Prman'
El Run -Off Primar.
Last 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 / Business Name
Date
Occupation
Est Value
❑ Primary
❑ General
❑ Special
❑Special Primary
❑ Run -Off Primary
Last Name
Address
❑Run -Off General
❑Run -Off Special
❑ Run -Off Special
Primary
-
Address2
Lj Monetary
❑ In -Kind
Employer
De,cripuon
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 or party making the advance or extension of credit
Public OfLcer/Candidate/Other "Than Candidate Committee Name Karen C Thurman Page of Lb
Page 6 of 10
CFC-CCDR-FR&TS 1/14
Loan Reporting
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 Cycle**
Mailing Address
Lender Name (First Name, Business, lost.)
I.
First Name
I.
Lender last Name
2,
Last Name
2.
Address
3,
Address
❑ Primary
❑ General
❑Special
❑ Special Primary
Address2
Address2
City
❑ Run -Off Primary
❑Run -Off General
City
❑ Run -Off Special
❑Run -Off Special
Primary
State Zip
State
Zip
Lender Name (First Name, Business, Inst.)
I,
First Name
1.
Lender Last Name
2,
Last Name
2.
Address
3,
Address
❑ Primary
❑ General
El Special
❑ Special Primary
Address2
Address2
City
❑ Run -Off Primary
❑Run -Off General
City
❑ Run -Off Special
El Run -Off Special
Primary
State
Zip
State
Zip
Reference:OCGA § 21-5-34(b)(1) Loan Page Total $
• Contribution Type (Monetary, In -Kind, Common Source, Credit Received on Loan)
•• Election Cycle (Primary, General, Special, Special Primary, Rum -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary)
Public Officer/Candidate/Other Than Candidate Committee Name Karen C Thurman Page L of 16
Page 7 of 10
CFC-CCDR-FR&TS 1/14
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
Last Name
Address
U Expenditure
❑In -Kind
-
❑Loan Repayment
❑Refund
Addmss2
Employer
❑Reimbursement
❑Credit Card
3rd Party
City
Deferred Payment
Payment on Deferred Expense
Investment
State
Zip
First Name
Date
Occupation
Last Name
-. _....
Address
Expenditure
[]In -Kind
❑ Loan Repayment
❑Refund
Addms2
Employer
❑Reimbursement
[]Credit Card
3rd Party
City
Deferred Payment
Payment on Deferred Expense
[Investment
State
Zip
First Name
Date
Occupation
Last Name
Address
Ll
Expenditure
❑In
-Kind
❑
❑Refund
Loan Repayment
Address2
Employer
❑Reimbursement
[]Credit
IIFy'.IlDeferred
Card
3rd Party
City
Payment
I ,I
LLLIII
Payment on Deferred Expense
Investment
State
Zip
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 Karen C Thurman Page I-- of 10
Page 8 of 10
CFC-CCDR-FR&TS 1/14
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
eDeferred 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
Octirpmnm
Last Name
Address
U Expenditure
[In -Kind
[I Loan Repayment
❑Refund
Address2
Employer
❑Reimbursement
❑Credit Card
❑3rd Party
City
Payment
❑❑❑Deferred
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, 3rd Party, Deferred Payment on Deferred Expense,
Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ /�,\/
Public Officer/Candidate/OtherThan Candidate Committee Name Karen CThurman Page 9—of Lv
Page 9 of 10
CPC-CCDR-FR&TS 1114
State of Georgia
Campaign Contribution Disclosure Report
Investments Statement
1. Investment Name
Account #
Institution/Person
Holding Account
Mailing Address 360 Tournament Players Dr
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
Persons) Involved in Transaction
Value of investment Purchased
Value of investment sold
Profit
os
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
jig
P7
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: $
Total value of investments at end of reporting
period $
Total difference in value $
Public Officer/Candidate/Other Than Candidate Committee Name Karen C Thurman page ! of 1b
CFC-CCDR-FR&TS 1114
Page 10 of 10
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 retorted in the body of the report should not be listed on Addendum Statement.
Public Officer/Candidate/Other Than Candidate Committee Name Karen CThurman Page 1-0—of A
Fax Call Report HP PageWide Color MFP 586
Page 1
Fax Header Information
City of Milton
678-242-2499
Jan/18/2018 4:15:59 PM
Job Date/Time Type Identification Duration Pages Result
917 Jan/18/2018 4:10:15 PM Send 18669147974 05:41 10 Success
JerV1812M8 4:10:39 PM
City of Milton 678Q42-2499
1/10
Pap 1 of 10
X4COM1•Y'R me
Campaign Contribution Disclosure Final Report and Termination Statement
Georgia Government Transparency and Campaign Finance Commission
1. p��re Type
1. FNagbbeing nude on behelfof(S toot):
Om tamaalrm
G,rea l
Gndw...r Pehlic 0111.1
Meh fir Hnrd
once HCW or Sought Milton City Coundl J
kN Tfe e
a�i s�rnFiw,prHamrarrl
■ Original
FikrlO C200600/039
nYsc. V _ asaag T1
^' �
❑Amendment
rgv.undaner Pereee Olamtlu. G.didesPs(Lmpghlrr Cimmill- LIFYDr
MLTON
Cori Name:
rikr Itl
P+.mrr.P real
3. Ideatllying end Canteen Ieforma0on
(I) Karen C Thurman tZ) 01/04/2019
Full NO. ojCmdldarem-Orlier 7lron Condldm, Campulgn CmmMllee roArryi Our,
(3) 380 Tournament players or Milton GA 30004
gAd*. sm. P
(4) (404) 790-2674 saw Or thumwn_@Wlsouth.ne1
Primary Canlact Pbom Abmber F41call
(5) If, Candidate a Public Official is there a campaign consmiaae (one or mom persons) to make campaign oarunmlam, keep
fiwncial records of me campaign. or ale the repoHe? to Yea ❑ No
(6)Ifym. is the commanae mgiemr.d with tM Commlrion? GI Yee 0 No
(7) Ifyeawmpleted %ilowin KamnCThrnman KerenCThwman
.Yams ofcommitle, Chchina'rsan N. o/CaaarMe ihlveer
4. Person Responsible for Mahstgloing Campaign Rectangle
Karen C Thurman
(1)FWl Nnm.
360 Tournament Players or
O) gmabg.fdiev
Mlibn GA 30004
(I eit, _ steu---- miin5ili
(4)(404) 790.2674_ thuman_@bellsouth.net
n
PnwmyfnnmsrPM Nei Funll AJdren
5. TERMINATION DATE: 12/31(2017
smear Georgia coamyrr Fumin
I Karon C Thurman being duly s cm COMM). depam and say pull Ilg infomwkm in NO gaper large is
camp t, g tone, and rnm t. Farmer I emon mul me umknm in mu mpoa arc me game as the mmmn in the elecounk filing submitted. Ir
also akclmnimlly filed.
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JaN18120184:16:01 PM English (United States)