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Home My WebLink AboutCCDR: Richard Mohrig (3)t 4 SEC FORM CCDR REV 01/21006 1. Report Type (Select One) �ginal Report ® Amended Report State of Georgia LWI Campaign Contribution Disclosure Report 2. Filing is being made on behalf of (Select One): M16ndidate or Public Official Office Sought or Held: L 1 1 "I o Al /L_[__JNr (6 w r OtIM ✓ (inchtde county, municipality, district p.t ofi d,,,.l cirarit) Committee Name: Amendment # I ❑ Report of Organization or Person Other than Candidate's Campaign 3. Identifying and Contact Information ulton County OV 1 - 2006 Use earkr of Ptts4_ Iq VI ,t. e C A -l" g 1`41 (2) IVOV l Q Full Name of'Candidate or Non -Candidate Campaign CommWee Today's Date (3) 1 q e Ae -f e rVe- 6r,. ve AIPAd re �� C"4 Sono y Mailing Address City State Zip Code (4) (27p 9'3-064 and / or (0 7 9a - �d 3 � Contact Phone Number (We will understand the release of this information as permission to rail your offre if necessary) (5) If a Candidate or Public Qfr-tcial, is there a campaign committee (one or more persons) to make campaign transactions, keep the financial records of the campaign, or file the reports? El Yes (6) If so, is the committee registered with the State Ethics Commission? L__.1 Yes (7) If so, complete the following: Name of Chairperson and/or Treasurer ofCommittee 4. Period for which you are Reporting You Must Check Only _Qjje Box My Non Election Year My Election Year Run -Offs (Report require only if yon aro in a Run -0R Election) Special Elections (Repan require only if you aro in a Run -Off F -f—) []June 30, (year) M March 31, (year) ❑6 days before Primary Q15 days before Run -Off, (year) Special Primary, ®Dec. 31, (year) []June 30, (year) 06 days before General (year) 'Pwsmu clean] to o(Fce in each year following / ESelstember 30, 2a 66 (year) Run -Off, (year) []6 days before Special [] 15 days before dreyew inavingoffi ft ron the ce= •Peron[] leaving office with exoeas fends tmtfl Primary Run -Off , Special , (year) ° --.--- aradr i� ata a cpendW w providat in nie Aa ❑ October 25, (year) (year) *Unsuccetsiiml cantlitium vAto lesiva contributions to rCin atebt ieaairred, totheredeWi wrmc []6 days before Special Dec. 31, (year) to di such finds aro *xP«Hl«+, or wadi unpaid ❑ December 31, (year) Run -Off, (year) debb arc sated (Deeember 31 iH only) _ Verification by Oath or Affirmation State of�� County of _0 j_,______— tut C I� ay �Q e_$_ _m c� , being duly sworn (affirm), depose and say that the information in this report form is complete, tri , d 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,mee on _ dX�, Notary Public a. Signature of Candid to or b. (hytnizationl i n/Treasurcr Nty Commission a PMO WaWy �uttorl County, Georgia __1J1yr4m8bWi4n x iresFebrun 3, 2007 PENALTIES: Any person who knowingly litiis to comply with or who knowingly violates any of the provisions of the Ethics in Government Act shalt he guilty of a inisuetneanor. SEC FORM CCDR REV OI2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I hav In -Kind 1 No contributions to report. Estimated Cash Amount The followingcontributions, includingCommon Source, to report: 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 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 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. 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. Total to be canted forward to next report ojthis reporting eye%': (Line 2 + 5) / `� 5K EXPENDITURES MADE 7 ["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*, ENTER 0. (Line 12 of previous report) 9 1 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 reporting 1period. 11 Total expenditures reported this period. (Line 9 + 10) H1312 Total expenditures to date. Total to be carried forward to next report of this reporting cyclet (Line 8 + 11) Net balance on hand. Line 12 - line 6 • O.C.G.A. 21-5-34(b)(1)(D)(ii) A reporting cycle shall commence on January I of the year in which an election is to be held for the public office to which a candidate -eks 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; (II) On December 31 of the 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 reporting cycle shall end when the reporting cycyle for reelection or for some other office begins Public Officer/Candidate/Non-Candidate Committee Name I `F n� 4 04 in SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness Election..Cycle*:'t C 0 2`*•' ' I _ Election Year ' Amoont' I 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. I(Line I + 2 + 3 - 4 - 5 - 6) Elect><on '... r;', ^ E,lect>iow. ear A��oant 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 2 Deferred payment of expenses this period 4 1 Payments made on loans this period. 5 1 Credits received on loans this period. I 6 Payments this period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. I(Line I + 2 + 3 - 4 - 5 -6 Election ElectionYear: " `moun 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 ICredits received on loans this period. 6 Payments this period on previously deferred expenses. 7 Total indebtedness at the close of this reporting period. _ I(Line I + 2 + 3 - 4 - 5 - 6) :01 Election Cycle (Primary, General, Special, Special Primary, Run -Off Primary, Run -Off General, Run -Off Spccial, Run -Off Special Primary) Public Officer/Candidate/Von-Candidate Committee Name(. Q/ J �e3 / •tVy f�' /r� N SEC FORM CCDR REV 01/:006 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 Type* b. Employer Cycle** Amount Descrintion 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 arc individually -ss 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 Officer/Candidate/Non-Candidate Committee Name f/� r ar J �f ►m QS /' 4y, 6 Page I of E E SEC FORM CCDR REV 01/2006 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 $ 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 ,om4css than $101.00. rr* Expenditure Type (Expenditure, Loan Refund, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) r Public 0fricer/Candidate/Non-Candidate Committee Name C- �� ✓W V i, page ) of SEC FORM CCDR REV 012006