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CCDR: Roger Santi (2)
SEC FORM CCDR REV 01C2006 State of Georgia Campaign Contribution Disclosure Report RECEIVE 1. Report Type 2. Filing is being made on behalf of (Select One): Fd� (Select One) ® Candidate or Public Official NOV Y 2� Office Sought or Held: c i t y_ o f M i l t o n, City Council ©Original Report (Include county, municipality, district, post orjudicial circuit) 1) hMW of R"Ist ition Amended Report Committee Name: [J>rc rM7 Amendment # Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand Delivered Date 3. Identifying and Contact Information (I)Citizens for Roger Santi (2)10/31/06 Full Name of Candidate or Non -Candidate Campaign Committee Today s Date (3)330q p,_arhtree TnduStria1 Blvd, #100 Duluth GA 30096 Mailing Address City State Zip Code (4).070)F,2_3 -4440 and/or ( ) - 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? E] Yes (6) If so, is the committee registered with the State Ethics Commission? F_� Yes (7) If so, complete the following: Name of Chairperson and/or Treasurer of Committee 4. Period for which you are Reporting You Must Check Only Onn Tiny My Non Election Year My Election Year Run -Offs (Report required only if you we in a Run -Off Election) Special Elections (Report required only if you are in a Special Election) June 30, (year) r7March 31, (year) F]6 days before Primary 15 days before Dec. 31, (year) June 30, (year) Run -Off, (year) E]6 days before General Special Primary, (year) Run -Off, (year) *Parsons elected to office in each year following [:] September 30, (year) E]6 days before Special 15 days before the year nra in which the election occurs •Paoleaving office with excess funds tit Primary Prima Run -Off, Special, (year) such funds are expanded as provided in the Act ® October 25, 2QQE(year) (year) *Unsuccessful candidaeswith esfundor whoreceive contributions to retire dept incurred [:]6 days before Special EjDec. 31, (year) until such funds us expended. or such unpaid ❑ December 31, (year) Run -Off, (year) debts are satisfied (December 31 riling only) Verification by Oath or Affirmation State of c, P c) r g i a County of Fulton 1, ti being duly sworn (affirm), depose and say that the ' rmatio this report form is complete, true, and correct. Further, I affirm that the contents in this report are the dame as citents in the electronic filing submitted, if also electronically filed. ,11111It(IIN, to anXtbed ti 1 2pCAO 6.missio expiresOrlobei- l 1 Jj t TIES: Any person who knowingly fails to comply with or who knowingly violates env of the a. Signature of Crandidate b. Organization/Chairpersonfrreasurer .•• S� ••• Cp111MLt�,. `� "ef of the Ethics in Government Act shall be guilty of a misdemeanor. �%h� r11f1111� SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I have: 1 No contributions to report. �Estimated In -Kind Cash Amount The followingcontributions, includingCommon Source, to report: Value A. If this is the first time to file a disclosure resort for the current office soueht 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. 0 33,150 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. 7, 000 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. 2,100 5 Total contributions reported this period. (Line 3 + 3a + 3b + 4) 91100 6 Total contributions to date. Total to be carried forward to next report of this reporting cycle •. (Line 2 + 5) 42,250 EXPENDITURES MADE I have: 7 No re expenditures to rt. p � In -Kind Cash Amount The followingexpenditures to report: Estimated Value Total expenditures made and reported prior to this reporting period. If this is the 8 first report of this Reporting Cycle*, ENTER 0. Line 12 of previous report) 9 Total amount of all expenditures of $101.00 or more made in this reporting period. 1 4,491 10 Total amount of all separate expenditures of less than $101.00 each that were made in this reporting eriod. 11 Total expenditures reported this period. (Line 9 + 10) 14,491 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle t (Line 8 + 11) 2 ,772 13 Net balance on hand. Line 6 - Line 12 * O.C.G.A. 21-5-34(bx1)(D)(ii) A reporting cycle shall commence on January l of the year in which an election is to be held for the public office to which a candidate seeks election and shall conclude: (I) At the expiration of the term of office if such candidate 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 unsuccessrul; or (III) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the reporting cycle for reelection or for some other office begins Public Officer/Candidate/Non-Candidate Committee Name C it i Z e n S for Roger Sant i IN SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness lec>�ioi�c1e,�, 25,000 1 Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 3 Deferred payment of expenses this period 0 4 Payments made on loans this period. 5 Credits received on loans this period. 0 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) U�'el�( ��` 0. �nn. 5 r . 25,000 ttimo iiti; I Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 3 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) C )l� 1 p M.x rk ,.� 1. QQ]� C. �r r ar- � IM - " - _14s k! Outstanding indebtedness at the beginning of this period. 2 Loans received this period. 3 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. j 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/Non-Candidate Committee Name Citizens for go e r S a rit i SEC FORM CCDR 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 Election Cash Received Date a. Occupation Estimated Value (PAC Affiliation if applies) Contribution Type* b. Employer Cycle** Amount Description Eric Chafin Home - Builders 10/17/06 enera 500 $ 5230 Belle Wood Ct $ Ste A Buford, GA 30518 Friends of Karen Handel _10/6/06 Seneral 500 $ 5600 Roswell Rd $ Ste 250 East Meridian Insurance Group, LLC 10.1241106 3eneral500 $ 301 Yamato Rd $ Ste 3150 J.Michael Nixon 621 SW Baypoint 10.123.106 3eneral2,000 $ Circle $ Palm city, FL 3499 John Smoltz 700 Foxhollow Run 10,193,106 Professsiona Gener 1 2/000 $ Alpharetta, GA Athlete $ Time Warner Sparus Holdings, Iiic. $ Two Sun Court Ste 400 enera 500 $ Norcross,GA 30092 Tiffany Santi $ 545 Tullamore Way Alpharetta,GA 30004 CPA Self—employe enera 11000 $ $ Page Total $ 7 , n n n $ 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. ?"* Contribution Type (Monetary, In -Kind, Loan, Common Source, Credit Received on Loan) *44w** 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 _ C i t i z e n s f 0 r R 0 a P r S a n 1- i Page _1. of—j— d 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 of Recipient Expenditure Date Expenditure Type* Occupation or Place of Employment Expenditure Purpose Amount Paid Landmark .Communications Marketing 5,979 Expenditure 3635 Peachtree $ Industrial Blvd, 530 Creative Communication Ink/06 Pictures 250 Expenditure P.O. Box 1242 e $ Grayson,GA 30017 Landmark Communications -in Zi 9 /ne Marketing ' - ' Expenditure 3635 Peachtree $3,440 Industrial Blvd, 530 Landmark CommunicationsMarketing 350 Expenditure 3635 Peachtree $ Industrial Blvd, 5")0 Landmark CommunicationsOffice 3635 Peachtree Supplies 1,972 $ Expenditure Industrial Blvd, 5'0 Diiliii-h- CA -300C)6 Georgia Investigation SpecialistsResearch 200 Expenditur 670 Allen Circle $ Winder, GA 30680 Georgia Investigation Specialists Research 550 670 Allen Circle $ Winder, GA 30680 Peachtree Web 2300 Holcomb Bridg 10/5/06 Web Design 500 Expenditure Rd, Ste 103-314 $ Roswell, GA 30076 Page Total Li3+9q 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, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, w Payment on Deferred Expense) Public Ofricer/Candidate/Non-Candidate Committee Name Citizens f o r Roger S ant i Page 1 of 2 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 of Recipient Expenditure Date Expenditure Type* Occupation or Place of Employment Expenditure Purpose Amount Paid Lowe's Windward Parkway Alpharetta CA 10/2/06 Sign Posts 11000 $ Expenditure Bank of North CA 8025 Westside Parkway Alpharetta, CA 300U4 Bank Fee 250 S Expenditure 5 S S a Page Total S 1 , ? g n The Act requires all public officers, candidates, and campaign committees to list contributions received and expenditures made which are individually 5101.00 or more and to disclose the total amount of all contributions received and expenditures made which are individually less than S101.00. * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) Public Officer/Candidate/Non-Candidale Committee Name (' i f i 7 P n _—tax—R4 nY C a rl t i Page ?— of �_ SEC FORM CCDR REV 01/1006 Public Officer/CandidatONon-Candidate Committee Name C 1 t 1 Z e n S f o r R o q e r S a n t i Page 1 0f 1