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HomeMy WebLinkAboutCCDR: Richard Mohrig (2)SEC FORM CCDR REV 01/!006 State of Georgia a: Campaign Contribution Disclosure Report 13 M±L 1. Report Type 2. Filing is being made on behalf of (Select One): F."Wrigy (Select one) Ucandidate or Public Official A nty Office Sought or Held: Ct` } y oT /t'�i4yi , (puhc;1 win D�`sii ��ct- u�{On Co �inal Report (include county, municipality, district, post ofjudicial circuit) O V 006 _ 2 2 06 ❑ACommittee Name: Amended Report ' pi Oi�' ° Amendment # ❑ Report of Organization or Person Other than Candidate's Campaign Committee ncMl� tetWl+rh Delivered Date 3. Identifying and �� Contact tInformation (1) (2) D1)r i L00o;A� n/N Full Name of Candidate or Non -Candidate Campaign Committee Today's Date (3) 13 -10 c t e 4e Pre_ Or. 1 Aj(e , tre-wr 6A 3"e Mailing Address City State Zip Code (4) (7l1)) jj3 Dbtib and/or ((7§ q_3— 143A Contact Phone Number (We will understand the release of this information as permission to call your office if necessary) (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? F__j Yes (7) If so, complete the following: Name of Chairperson and/or Treasurer of Committee 4. Period for which you are Reporting You Mus A Check Only One Box My Non Election Year My Election Year Run -Offs (Report require only if you are in a Run -0R Election) Special Elections (Report mquire only if you am in a Run -Off Election) June 30, (year) ❑ March 31, (year) 06 days before Primary ❑ 15 days before Run -Off, (year) Special Primary, Dec. 31, (year) June 30, (year) M6 days before General (year) Run -Off, (year) *Persons elected to office in each yew following E] September 30, (year) []6 days before Special E] 15 days before me yew to which the election occurs office with excess funds until Primary Run -Off, Special, (year) such such funds am expatded as provided in the Ad M46etober 25, . year) (year) who nso i a c candidates; with end's funds, or who receive contributions to retiro debt intoned, �6 days before Special Y P ❑ Dec. 31, (year) until such funds are expauled, or suds unpaid ❑ December 31, (year) Run -Off, (year) debt arc satisfied (December 71 filing only) Verification by Oath or Affirmation State of- County of J"X4^_1-j L_j 14 1e DVl✓ , being duly sworn (affirm), depose and say that the information in this report form is compl ruc, 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 ,20 ,0 <0 Notary Public a. SignatureofCandidate or .My Commission cxroeboMh S. HOW V Nay Public, Fulton County, (3emgta ---My fontmissieR-fs(pire�' Fet�raePy-3-2007 PENALT(CS: Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act Ishall he guilty of a misdemeanor. I SEC roto* CCOR REV otr_ooe State of Georgia Campaign Contribution Disclosure Report Summary Reuort CONTRIBUTIONS RECEIVED I hav In -Kind 1 No contributions to report. Estimated Cash Amount El The following contributions, including Common Source, to re rt: A. If this is the first time to file a diselosure report for the current office sought. 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 fteAjWg= 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 Rerwiting Q&k, list totals 162f 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 Aroreceived in this reporting period. Each such contribution must be listed on the "Listed Contributions Received" page. 3a All loans received this period. 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 on the "Listed Contributions Received" page. 5 Total contributions reported this period. (Line 3+3a+3b+4 6 Total contributions to date. T0191 10 be canted fenwrdle next report ofthis reporting cyclelt (Line 2 + 5) EXPENDITURES MADE 7 1 © No expenditures to report, Cash Amount ❑ The following expenditures to report: Total expenditures made and reported prior to this reporting period. If this is the first report of this 8 Reporting Cycle*, EMMR (1, Line 12 of revious report) 9 Total amount of all expenditures of $10 1,00 or r Borg made in this reporting period. 10 Total amount of all separate expenditures of less than 8101.00 each that were made in this reporting 1 ! Total expenditures reported this period. (Line 9 + 10) C/ 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle t I - V (Line 8 + 11) 13 Net balance on hand. (Line 12 - line 6) • O.C.G.A. 21-5-34(b)(1)(0)(ii) A reporting cycle shall commence on January 1 or the year in which an election is to be held for the public office to which a candidate seeks election and shall conclude: (1) At the expiration of the term of office if such candidate is elected and does not seek reelection of election to some other office; til) On Decetntxv 31 ofthe year in which such election was held if such candidate is unsuccessrul; or (111) If such candidate is successful and seeks reelection or seeks election to some other office the current repmning cycle shall cnd when the reporting cycyle for reelection pox for some other office begins � C Public Officer/Candidate/Non-Candidate Committee Name SEC FORM CCDR REV 01/1006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness Election Cycle*: l 2 � Election Year: AJ6 amount' 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 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) . Election Cycle*: Election Year: �. Am(,an# I Outstanding indebtedness at the beginning of this period. 2 Loans received this period. _r 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 I+2+3 -4-5-b Election Cycle*: Election Year: Amount 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 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. {LincI+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/Von-Candidatc Committee Name � (C hq Y_ u M e S / dy it � SEC FORM C CDR REV 01;2006 State of Georgia Campaign Contribution Disclosure Report Listed Contributions Received of $101.00 or More Full Name of Contributor Contributor In -Kind Contributions Mailing Address Received Date Ia. Occupation Election Cash Estimated Value (PAC Affiliation if applies) Contribution Tvne* b. Emnlover Cvele** Amnunt T)P.wrintinn 1$ I I - ___ FS-__ Page Total The Act requires all public officers, candidates, and campaign committees to list contributions received and expenditures made which are *~individually $101.00 or more and to disclose the total amount of all contributions received and expenditures made which are individually than $101.00. * Contribution Type (Monetary, to -Kind, Loan, Common Source, Credit Received on Loan) ** Election Cycle (Primary, Cenral, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Special, Run -tiff Special Primary) Public Otrcer/Candidate/Non-Candidate Committee Name �t ��1/`(� �ri{ ✓hy Q� / ' 1 r Page _ _ o(---11"__ SEC FORM CCM REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Listed Expenditures Made of $101.00 or More List Name and Mailing Address of Recipient Expenditure Date Expenditure Type* Occupation or Place of Employment Expenditure Purpose Amount Page Total The Act requires all public officers, candidates, and campaign committees to list contributions received and expenditures made which are individually $101.00 or more and to disclose the total amount of all contributions received and expenditures made which are individually less than $101.00. Expenditure Type (Expenditure, Loan Refund, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) Public Officer/Candidate/Non-Candidate Committee Mame fC � i _, (,{ � ��Av- -f aAe � o! 1 SEC FORM CCDR REV OtP_006 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. Public Officcrlt':fndidate ,Nun-Ca.lidale Cmirnittee Name .�_C IiI a V U` ��( ✓Yr�P�� 0 n r i _ I -•-.— ,.. Pale �._�___ of _L