HomeMy WebLinkAboutCCDR: Joe Lockwood (3)C
O
^^,
Z
S
o
L
L
O
,J
LLI
a
c
o
U
7
CL
a
v
J
of
LL
r
U)
a
�"
W
CD
Q
U
®
L
U
O
w
y
V`
E
N
O
O
O
O
O❑
N N
"d
L:
�.
C
d
CO
.�
C
O
N
N
O
.y
h
a
m
't -
't-
Z3
U
LL
Z
O
H m
,
°a
W
O z_
`.
oar
~-J
�c
O ❑
�Z
W
LLj�
U
D
Q
M
y
a)
C 'O
E
p
V
O
d
z
co
O O
a
(0 N
coo
d
E
O
u$
�dw
ui rc
Z _
m
>
cm
Z
U
Q
1� Q
C7 ❑
lL
u gin._ >�!Y►.[T�! _._ _.___ __ __._
Form FD -Local
Rev. •3/06 o C T2 O 2 (7 0 E
STATE OF GEORGIA
FINANCIAL DISCLOSURE SrfX f tion Original
❑ Amendment
(Entedate of this Statement: (�G i-, 2 Being mendeDate Statemen[
� (?.� iQ Covering Calendar Year: � oB (� Being Amended)
Name of Public Officer or Candidate: .J o C k L-wck-w'eo
First Middle Last
Mailing Address: eA_f ✓ttv^ 3
Street or P.O. Box cio County State Zip code
Telephone Number: (Office) '7 -7 y _ 6 6 3 - 3,9 1::�j (Home) % ),o - gcf—Z • I -1—/ -1
Name of City or County Office Held or Sought: fy\ lh-lp (2 , r '4.r 'a � \Nnn
Check One:
❑ Elected City or County Officer
*,Candidate for City or County Office
WHO FILES A FINANCIAL DISCLOSURE STATEMENT:
Each public officer holding office in Georgia, and each person who qualifies as a candidate for election as a
public officer for one of the offices listed below, and all others on the following list.
(A) Every constitutional officer;
(B) Every elected state official;
(C) The executive head of every state department or agency, whether elected or appointed;
(D) Each member of the General Assembly;
(E) The executive director of each state authority, board or commission and the members thereof;
(F) Every elected county official, every elected county or area school superintendent, and every elected member of a county or
area board of education; and
(G) Every elected municipal officer.
"6*HEN TO FILE A FINANCIAL DISCLOSURE STATEMENT:
Public Officer: A Financial Disclosure Statement is filed not before January 1 and not later than July 1 of each year that a public
officer holds office (except the year of election). The information to be provided shall be that from the preceding calendar year.
If the public officer chooses not to run for re-election or for another public office no Financial Disclosure Statement need be filed in
the year qualifying to succeed him takes place. A public officer shall not be deemed to hold the office in a year in which the public
officer holds office for less than 15 days.
Candidate for Public Office: A Financial Disclosure Statement covering the period of the preceding calendar year shall be filed no
later than the fifteenth day following the date of qualifying as a candidate. Candidates for state wide office file not later than seven
days after qualifying for office. Only one Financial Disclosure Statement is required per calendar year.
Special requirements for State Wide Candidates: Candidates for a public office elected state wide must file their Financial
Disclosure Statements not later than seven days after qualifying or filing a notice of candidacy. State wide candidates must disclose
more information than other candidates for public office and the additional disclosure sections required of state wide
candidates must be completed in the year of election filing.
WHERE TO FILE A FINANCIAL DISCLOSURE STATEMENT:
Every public officer who is an elected county official and every candidate for election as a county public official will file a
Financial Disclosure Statement with the election superintendent of the county of election.
Every public officer who is an elected municipal officer and every candidate for election as a municipal public officer will file a
Financial Disclosure Statement with the municipal clerk or, if there is no clerk, with the chief executive officer of the municipality
of election.
SECTION I
MONETARY FEES RECEIVED
(This section to be completed by Public Officers only)
Identify each monetary fee or honorarium accepted from speaking engagements, participation in seminars, discussion panels, or other
activities which relate to the official duties of, or to the office of the public officer, with a statement identifying the fee or honorarium
and the person from whom it was accepted. (You may attach additional sheets of paper if necessary.)
I received:
%ANo monetary fee or honorarium.
❑ Monetary fee(s) or honoraria as shown below.
Identify Fee or Honorarium
And Amount Accepted
Name and Address of Person from Whom Accepted
SECTION II
FIDUCIARY POSITIONS
Name all fiduciary positions held by the candidate for public office or the public officer. (You may expand this section if necessary to
include all positions.) A fiduciary position is any position imposing a duty to act primarily for another's benefit as officer, director,
manager, partner, guardian, or other designations of general responsibility of a business entity. A business entity is any corporation,
sole proprietorship, partnership, limited partnership, limited liability company, limited liability partnership, professional corporation,
enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit. (You may attach additional sheets
of paper if necessary.)
I held:
No fiduciary positions in any business entity.
Fiduciary positions in the following business entity(ies).
IDENTIFY:
1. Title of each position.
2. Name and address of business entity.
3. Principal activity of each business entity.
Business entitv #1
Pr`Pr�
11-1
Business entity #2
Business entity #3
mousiness entity 94
)t.
t3��r�•�N�`�iRM
SECTION III
DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY
Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or
*beneficial use of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held
,,.jointly or as tenants in common between the person and spouse.
Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public
office or public officer within a business entity as of December 31 of the covered year in which a direct ownership interest: (A) Is
more than 5 percent of the total interest in the business; or (B) Has a net fair market value of more than $10,000. (You may attach
additional sheets of paper if necessary.)
I held:
❑ No direct ownership interests in any business entity.
.Direct ownership interests in the following business entity(ies).
IDENTIFY:
1. Name and address of business entity.
2. Principal activity of business entity.
3. The office held by the candidate or the public officer within the business entity.
4. The duties of the candidate or the public officer within such business entity.
Business entity #1
Business entity #2
N or k (1 it 14.1
car r�
t� ce h
Business entity #3
Business entity #4
Business entity #5
Ownership Interests
Check One or Both If Applicable
Er-0;Wnership interest is more than 5%
e-15w--n—ership interest has a net fair mar-
ket value of more than $10,000.00
�Ownershipnterest is more than 5%
ownership interest has a net fair mar-
ket value of more than $10,000.00
❑ Ownership interest is more than 5%
❑ Ownership interest has a net fair mar-
ket value of more than $10,000.00
❑ Ownership interest is more than 5%
❑ Ownership interest has a net fair mar-
ket value of more than $10,000.00
❑ Ownership interest is more than 5%
❑ Ownership interest has a net fair mar-
ket value of more than $10,000.00
SECTION IV
DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY
Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or
beneficial use of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held
,. jointly or as tenants in common between the person and spouse.
Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of
December 31 of the covered year when that interest has a fair market value in excess of $10,000.00. "Fair market" value means the
appraised value of the property for ad valorem tax purposes. (You may attach additional sheets of paper if necessary.) Check one box
to show the applicable valuation range for each tract. (You may attach additional sheets of paper if necessary.)
I had:
❑ No ownership interests with a fair market value in excess of $10,000.00
-.4 Ownership interests with a fair market value in excess of $10,000.00
IDENTIFY:
1. County where property is located.
2. State where property is located.
3. General description of property (give street address or location, size of tract, and nature or use of property).
Property #I
(9 00rr�S
no 5 ,a nc, C c A.I n
Property #2
1 tJ f1/i 4 [__G rn
Property #3
Property #4
Property #5
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
V More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
"ore than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
$ .Between $100,000.01 and $200,000
❑ More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
�Zlmore than $200,000
SECTION IV
DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY
Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or
beneficial use of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held
jointly or as tenants in common between the person and spouse.
Identify each tract of real property in which the candidate for public office or public officer has a direct ownership interest as of
December 3 l of the covered year when that interest has a fair market value in excess of $10,000.00. "Fair market" value means the
appraised value of the property for ad valorem tax purposes. (You may attach additional sheets of paper if necessary.) Check one box
to show the applicable valuation range for each tract. (You may attach additional sheets of paper if necessary.)
I had:
❑ No ownership interests with a fair market value in excess of $10,000.00
-. Ownership interests with a fair market value in excess of $10,000.00
IDENTIFY:
1. County where property is located.
2. State where property is located.
3. General description of property (give street address or location, size of tract, and nature or use of property).
Property #k
353 pc�r-res� R—�
Ai cd
renes l h &V S c-
PrnnPrfxr A
Property #F �7
kn
Property #&
K2
�p�.. �,... rte,. t Lr L. n.4--v!J f
Property 40 . !
*
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
�f ore than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
c;INore than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
More than $200,000
SECTION V
SPOUSE'S DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY
Identify each tract of real property in which the filer's spouse has a direct ownership interest as of December 31 of the covered year
vhen that interest has a fair market value in excess of $10,000.00. (You may attach additional sheets of paper if necessary.) Check
*Meone box to show the applicable valuation range for each tract. (You may attach additional sheets of paper if necessary.)
My spouse had:
❑ No ownership interests with a fair market value in excess of $10,000.00
$40wnership in the following tracts with a fair market value in excess of $10,000
IDENTIFY:
1. County where property is located.
2. State where property is located.
3. General description of property (give street address or location, size of tract, and nature or use of property).
Property #1
_7r
{
6� xc
Property #2
_Z
Ito I- 14-k t9 %-o YVP—, P
Pronerty 43
�lau7t mw., n 31�
0"
Property #4
Property #5
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
1XIMore than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
%More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
V More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
❑ More than $200,000
The Value of this tract is
❑ Between $10,000 and $100,000
❑ Between $100,000.01 and $200,000
❑ More than $200,000
Filer's Occupatior
Filer's Employer
mployer's Addre
Employer's Princi
SECTION VI
EMPLOYMENT AND FAMILY MEMBERS
Filer's Spouse's Name lice " 1> ,
Spouse's Occupation
Spouse's Employer
Address of Spouse's Employer
Principal Activity of Spouse's Employer
Names of Filer's Dependent Children (We, v G L.v a� S �_ �'_�,czV-
SECTION VII
INVESTMENT INTERESTS
List the name of any business or subsidiary thereof or investment (do not list individual stocks and bonds that are held by mutual
funds), in which the filer (either individually or with any other legal or natural person or entity) owns a direct ownership interest that:
1. Is more than 5 percent of the total interests in such business or investment, or
2. Hasa net fair market value of more than $10,000.00.
Business or Investment Entity #1 r `
Name a,9,—+k hA. 1�ry It( I r►
Business or Investment Entity #2
Name (4 G G TS
;usiness or Investment Entity #3
Name
Business or Investment Entity #4
Name
SECTION VIII
KNOWN BUSINESS OR INVESTMENT INTERESTS OF SPOUSE AND DEPENDENT CHILDREN
Identify any business or investment known to the filer in which the Filer's spouse or dependent children have a direct ownership
interest (either individually or with any other legal or natural person or entity) if any one of the following is true
(do not list individual stocks and bonds that are held by mutual funds):
1. the subject interest is more than 5 percent of the total interest in the business or investment,
2. the subject interest has a net fair market value exceeding $10,000.00, or
3. the subject interest is one in an entity for which the Filer's spouse or a dependent child serves as an officer, director, equitable
partner, or trustee.
Business or Investment Entity #1
Name
Business or Investment Entity #2
Name
Business or Investment Entity #3
"4ame
Business or Investment Entity #4
Name
SECTION IX
ANNUAL PAYMENTS RECEIVED BY THE PUBLIC OFFICER OR BUSINESS ENTITY
FROM THE STATE OF GEORGIA
(This section to be completed by Public Officers only)
„e Identify all annual payments in excess of $20,000.00 received by the public officer — or by any business entity in which the public
officer has an ownership interest of more than 10 percent of the business or has an ownership interest having a net fair market value of
more than $20,000.00 — from the State, any agency, department, commission or authority created by the State and authorized and
exempted from disclosure under O.C.G.A. § 45-10-25. (You may attach additional sheets of paper if necessary.)
I received:
❑ No annual payments in excess of $20,000.00 from any State entity.
❑ Annual payments in excess of $20,000.00 from the below named State entity(ies).
IDENTIFY:
1. Name and address of State entity making the payments.
2. Amount of annual payment.
3. The general nature of the consideration rendered for the payment(s).
State entity source #I
State entity source #2
State of G is
County off4
I, the undersigned, being duly sworn
Sworn to and subscribed before me
\'a, , 200(-0
Public
My Commission expires \' '-QS
VERIFICATION BY OATH OR AFFIRMATION
that the information in this statement is complete, true, and correct.
O E( „, i at- e o a date or Public Officer
.-& 2S Zoog
;
'."ttLTIES: Any person who knowingly fails to comply with or who knowingly
ates any of the provisions of the Ethics in Government Act shall be guilty of a
misdemeanor.