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Home My WebLink AboutCCDR: Martin Lock (3)STATE OF GEORGIA CAMPAIGN CONTRIBUTION DISCLOSURE REPORT Electronically Filed With F0 t {On (City or County Filing Officer) Date of This Filing: �Q Name of Public Officer or Candidate: Isar h n E . Lock Mailing Address: Telephone Number: (Office) LA04)1515T2-2G0 (H.., bi ) (olocJ -o I cl4 Name of Public Office Held or Sought: l ' It\I Wund I M I l tO n (Include eMunicipality, District, Post or Judicial Circuit) PAPER NOTARIZED AFFIDAVIT REQUIRED FOR ANY CAMPAIGN CONTRIBUTION DISCLOSURE REPORTS FILED ELECTRONICALLY. State of Georgia SEND TO: State Ethics Commission 205 Jesse Hill Jr. Drive, S.E. Suite 478 — East Tower Atlanta, GA 30334 County of l i) I -inn I, the undersigned, being duly sworn, do swear or affirm, certify and say that the Campaign Contribution Disclosure Report that I have filed electronically (this affidavit and the information hereinabove set forth constitute the first portion thereof) is true, complete, and correct to the best of my knowledge and belief. Sworn to and subscribed before me on 0-- tC�eC --�Q , 20 QG /10 P �a"C� �49ijature(61` Nkary Public Signature of Afflant Filer x,11 My Commission Expires on to , 20� `��%%% , iOy r,`� rornraj.� 0� 0 �► .as !M-0 f. GP iilso% SEC FORM CCDR REV 012006 State of Georgia Campaign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of (Select One): (Select One) ® Candidate or Public Official ((�� Office Sought or Held: O i N Miftn Original Report (include county, municipality, district,poost of+judicial circuit) Amended Report Committee Name: May � F,Qr I , Y ( � 1 fion Amendment # I ❑ Report of Organization or Person Other than Candidate's Campaign Committee I i 3. Identifying and Contact Information (1) W -11i n E. Lock (2) 1 Qj 2q LQ& Full Name of Candidate or Non -Candidate Campaign Committee Today's Date (3) i`tjUU rree r T M V1 i ie Ka, /-�i Pt)a e_tjjL cyst AAA Mailing Address TU City l State Zip Code (4) J I7 tGip� �'�� - and / or (1 Oj 604 ��5 Contact Phone Number (We will understand the release of this information as permission to call your office if necessary) County OT 1 - 2006 (5) If a Candidate or Public Official, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records of the campaign, or file the reports? ® Yes (6) If so, is the committee registered with the State Ethics Commission? E0 Yes (7) If so, complete the following: Ktf m Rowel, t mrela`s u �� Name of Chairperson and/or Treasurer of Committee 4. Period for which you are Reporting You Must Check Only One Box Date My Non Election Year My Election Year Run -Offs (Report require only if you aro in a Run -Off Election) Special Elections (Report require only if you am in a Run -Off Elation) June 30, (year) E] March 31, (year) Q6 days before Primary E] 15 days before Run -Off, (year) Special Primary, E]Dec. 31, (year) June 30, (year) E]6 days before General (year) Run -Off, (year) •Pasotu elected to office in each yew following ❑ September 30, (year) M6 days before Special M 15 days before the year in which the elation ocems 'Penang leaving office with excess funds until Primary Run -Off, Special, (year) such Rada am expended as provided in the Aa October 25, (year) (year) *Unwho sea`ve "cess ncurrr F16 days before Special E] Dec. 31, (year) connidid"nstomdreddxith who receive wnlrilwtiom to retied debt insured, until such Reub am expended, or such unpaid [:]December 31, (year) Run -Off, (year) debts arc satisfied (December 31 filing only) Verification by Oath or Affirmation State of County of Ful Cil i, t6m-hn E. Lock , 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. Sworn to and subscribed before me on ``o t'f11111 �obet' to , 20�oG, joy Na Go10 pxmla�jo . �s� ��iLcr D ry ruplte a. Signature of Candidate or b. Organization/Cha irpecpn/Tkasurer u ommission /ex/pias n G 4� �b11C Lo NAL IES: Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Eth%411082061 1?ora ,�t Ql,, •�� 11 be guilty of a misdemeanor. 111 0Y g g a g t a' ` SEC FORM CCDR RE3 01!2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I have: In_ Kiud 1 No contributions to report. Estimated Value Cash Amount X"The following contributions, including Common Source, to report: A. If this is the first time to file a disclosure report for the current office soup -ht, ENTER 0 in both columns (one time only); or B. If this is the first report of this Reporting Cycle*, ENTER 0 in the in-kind column 2 and list any net balance on hand brought forward from the previous reporting cycle in the cash amount column (Line 13 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 or this Reporting, Cycle, list totals O ^, I 10,001 O 00 from Line 6 of previous report in both the in-kind and cash amount columns. , 3 Total amount of all contributions of $101.00 or more received in this reporting period. Each such contribution must be listed on the "Listed Contributions Received" page. `I 00 3a All loans received this period. C J MD 3b Interest earned on campaign account this period. Total amount of all separate contributions of less than $101.00 each that were 4 reported in this reporting period. "Common Source" contributions must be aggregated 27S on the "Listed Contributions Received" page. J 5 Total contributions reported this period. rr� 175 (Line 3+3a+3b+4 (C� 6 Total contributions to date. Total to be carried forward to next report of this reporting cyclet `` lG I(iLine2+5) 176 EXPENDITURES MADE I have: In -Kind 7 No expenditures to report Estimated Value Cash Amount $<"The followingexpenditures to report: Total expenditures made and reported prior to this reporting period. If this is the 8 first report of this Reporting Cycle*, ENTER 0. C 5,118 (Line 12 of previous re rt) J 9 Total amount of all expenditures of $101.00 or more made in this reporting period. 10 Total amount of all separate expenditures of less than $101.00 each that were made in this reportin period. 11 Total expenditures reported this period. &p Line 9 + 10) 12 Total expenditures to date. Total to be carried forward to next report of this reporting cyclet �� Line 8 + 11) I 13 Net balance on hand. Line 6 - Line 12 5s4 * O.C.G.A. 21-5-34(bx l)(D)(ii) A reporting cycle shall commence on January I of the year in which an election is to be held for the public offtoo to which a candidate seeks election and shall conclude: (1) At the ern of the term of offtoe if salt cand is elected and does not seek reelection or election to some other office; (II) On December 31 of the year in which such election was held if such candidate is tioxxxesstui; or (tR) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the repotting cycle for reelection or for some other office begins e 0M SEC FORM CrDR REV 01/2006 Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -Off Special Primary) Public Officer/Candidate/Non-Candidate Committee Name State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness Election Cycle Elect><on Year::011": Amount' 1 Outstanding indebtedness at the beginning of this period. I 0,000 2 Loans received this period. 000 2 Deferred payment of expenses this period 4 Payments made on loans this period. 5 Credits received on loans this period. 6 Payments this period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6) n /� 5 i QLJ I/ Electioi P] IN SEC FORM CCDR eev n1 n_au State of Georgia Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More Full Name of Contributor Mailing Address PAC Affiliation if applies) Contributor Election cycle" Cash Amount In -Kind Contributions Received Date Contribution Type* a. Occupation b. Employer Estimated Value _ Description Shuntel Rex_h 3ico F3y(o,-6eld Rd. Alourei k AA _ t01-31 Q&- M"Wy fm&er FuIt n Ooin Gch s $ 200 $ ---- -- Nidolas &koofon 3125 136--y� Rd m_ i"t�l IO� �01, rMnacfee- I-% � $ 2� $ Maar y maytin LXCI-11 41 Rearcr�u l le A� etta' - A gc � 1010 ' al $ '5?W0 $ LOM FZicc1 Qrt:�trd 11025 Parte loth, C`4 A &OV p 3 '(dred $ 250 $ MaVet ec�nndvI'c�7 3wans N 11cir' A re+6,GA 3 $ 250 $ *rtar/ s s s ------------- $ $ Page Total $ 0 $ The Act requires all public officers, candidates, and campaign committees to list contributions received and expenditures made which are ndividually $101.00 or more and to disclose the total amount of all contributions received and expenditures made which are individually css than $101.00. * Contribution Type (Monetary, In -Kind, Loan, 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) Public 0Mcer/Candidate/Non-Candidate Committee Name N VL r 1`n F— • Lock Page of I SEC FORM CCDR REV 011!006 State of Georgia Campaign Contribution Disclosure Report Listed Expenditures Made of $101.00 or More List Name and Mailing Address Expenditure Date Occupation or Place Expenditure Purpose Amount of Recipient Expenditure Type* of Employment 7 a 5 fw raid $ 375 ra LAndrna><k COYYiiIUn ` _ _ 10�0� r(nfied mGt}Eri�,is $ 2,295 X51 1 tw-T.r)A X31 P Duluth A 30096 L i Me, LWI n rk 1011010& k'x ivre i jer $ 3220 Marti) Lam- 1 o1z Invi 1-utTa�, 14140 cnvil IoT2cl. FXi 1vr� �► $ 24 AI e}ta iA 8000 rwre W s 065 $ Page Total The Act requires all public officers, candidates, and campaign committees to list contributions received and expenditures made which are ,,toam.,individually $101.00 or more and to disclose the total amount of all contributions received and expenditures made which are individually css than $101.00. * Expenditure Type (Expenditure, Loan Refund, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) j,tr�i�. Lock.- PublicOfncer/Candtdate/Nos-Candidate Committee Name Page __ _ of