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Home My WebLink AboutCCDR: Tina D'Aversa WilliamsSEC Fl RM CCDR REV 01/2006 1. Report Type (Select One) Original Report L.S�- Amended Report State of Georgia Campaign Contribution Disclosure Report 2. Filing is being made on behalf of (Select One): ® Candidate or Public Official ) Office Sought or Held: 1 l „� C ` ' (Include county, municipality, distric , post orjudicial circuit) Committee Name: Amendment # ❑ Report of Organization or Person Other than Candidate's Campaign Committee 3 Ideutifviing and Contact Information office use only S I W crrymm UseTar t re Ht Mark or Hand Delivered Date f� I � (1) 1n yJ AriE 1,94�� l f c i'mS (2) 1 Full Name of Candidate or Non -Candidate Campaign Committee _ ] Tod 's Date (3) SSS �t��-b,— , ��S �v, ��n��at�ll'°t, CA 3 UbOy MailingAddress City State Zip Code (4) (09 sl - Q ') and / or ( ) - Contact Phone Number (We will understand the release of this information as permission to callyour 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? ❑ Yesfl�is the committee registered with the State Ethics Commission? Yes (7) If so, complete the following: Name of Chairperson and/or Treasurer 4. Period for which you are Reporting You Must Check Onlv One Box My Non Election Year My Election Year Run -Offs (Report required only if you are in a Run -Off Election) Special Elections (Report required only if you are in a Special Election) ❑June 30, (year) ❑March 31, (year) ❑6 days before Primary ❑ 15 days before Run -Off, (year) Special Primary, Dec. 31, (year) [–]June 30, (year) ❑6 days before General (year) Run -Off, (year) *Persons elected to office in each yew following September 30, 6aVL(year) ❑6 days before Special ❑ 15 days before the year in which the election occurs *Persons leaving office with excess funds until Primary Prima Run -Off Special, ear P , (year) such funds are expended as provided in the Act ❑ October 25, (year) (year) *Unsuccessful candidates with excess funds, who receive contributions retire debt incurree o d, s Special E:]6 daY before p E] Dec. 31, (year) until such funds are expended, or such unpaid El December 31, (year) Run -Off, (year) debts are satisfied (December 31 filing only) State of thata information inthis repo are a same as the contents in e Swo , and subscribed before �N Signature of Notary Publi' ornt�r p MYCOMM My Commission expires PENALTIES: Any person who knowingly fails to Verification by Oath or Affirmation County of ,U / 7e,� 1 (� - — (� being duly sworn (affirm), depose and say orm is complet e, and correct. Further, I affirm that the contents in this report electronic fili g ub itted, if also electronically filed. on tag 2 '° 20 o7 PV a. lgnature of Candidate `J11W.FULTOMCOIINTYARDR01b.Organization/Chairperson/Treasurer g"ExPIRESAPRL Lsaea with or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty of a misdemeanor. N SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 1 No contributions to report. In -Kind Cash Amount The following contri uttons, including Common Source, to report: Value 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 Com, 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 carried forward to next report of this reporting cycle". (Line 2 + 5) EXPENDITURES MADE I have: 7 No expenditures to report. In-Kind Amount 0 owin ex en itures to report. ValueCash Total expenditures made and report- prior to this reporting period. If this is the 8 first report of this Reporting Cycle*, ENTER 0. (Line 12 of previous report)ils l 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 reporting period. 11 Total expenditures reported this period. (Line 9 + 10) 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle*. (Line 8 + 11) 13 Net balance on hand. (Line 6 - Line 12) * O.C.G.A. 21-5-34(b)(1)(D)(ii) A reporting cycle shall commence on January 1 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; (11) On December 31 of the year in which such election was held if such candidate is unsuccessrul; or WU1r✓ (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 1 Public Officer/Candidate/Non-Candidate Committee Name �) A n � � U � r- SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness 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 I + 2 + 3 - 4 - 5 - 6) 1 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) 1 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) * 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 7 Y\!1 AU /S-%► �) 1 �7 AYv� S 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 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 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. * 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 �� n� �jyE 1 Ste/-► — t� ? L/)a 41kS Page of 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 and Place of Employment Expenditure Purpose Amount Paid 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, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) Nftwe %r � Public Officer/Candidate/Non-Candidate Committee Name / � JAS/ E f —A �' ? 1 �+ 4 yh1 Page of 19 SEC FORM CCDR REV 012006 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 Officer/Candidate/Non-Candidate Committee Name Page of City of Milton ✓� 13000 Deerfield Parkway Suite 107A Milton, GA 30004 February 22, 2007 State Ethics Commission 205 Jesse Hill Jr. Drive, SE Atlanta, GA 30334 RE: Tina D'Aversa-Williams Campaign Contribution Disclosure Report (Original) September 30, 2006, Election Year, Fulton County Due Date: September 30, 2006 Dear Sir: I am the filing officer for the new City of Milton. I am also in receipt of all original records filed with Fulton County for the candidates/ elected officials for the November, 2006 election. This is to advise you that Councilmember Tina D'Aversa-Williams filed her September 30, 2006 Campaign Contribution Disclosure Report with my office on Wednesday, February 21, 2007. Thank you for your attention to this matter. Sincerely, Jeanette R. Marchiafava, CMC City Clerk Attachment Copy of September 30, 2007 CCDR cc: Councilmember Tina D-Aversa-Williams February 19, 2007 Tina D'Aversa-Williams City of Milton Council Member District 5 555 Champion Hills Dr. Milton, GA 30004 To: State Ethics Commission 205 Jesse Hill Jr Dr, SE Atlanta, GA 30334 Sent via United Parcel Service and Sent via Facsimile: 404-463-1988 Dear State Ethics Commission: I received a letter February 18, 2007, stating that I may have failed to file my original campaign contribution disclosure forms due September 2006. I am confident this is an error as I have copies of the forms as mailed to the Fulton County Elections Division, 141 Pryor Street, S.W. Suite 4075, Atlanta, GA 30303. Enclosed please find a photo copy of both the completed original campaign disclosure forms and the second filing. I request that these forms be reviewed and that I received a formal confirmation of receipt and any information needed if there is additional information required by the commission. Thank you in advance. SiTAX . Tin ail iam City of Milton, Georgia Council Dist t 5 678-457-0677 (telephone) Cc: Fulton County Elections Commission 141 Pryor Street, S.W. Suite 4075, Atlanta, GA 30303 Jeanette Marchiafava, City of Milton Municipal Clerk City of Milton, Georgia 1300 Deerfield Parkway, Milton, GA 30004 February 19, 2007 Tina D'Aversa-Williams City of Milton Council Member District 5 555 Champion Hills Dr. Milton, GA 30004 To: State Ethics Commission 205 Jesse Hill Jr Dr, SE Atlanta, GA 30334 Sent via United Parcel Service and Sent via Facsimile: 404-463-1988 This facsimile is being sent with pages that reflect completed Campaign Contribution Forms for Tina D'Aversa-Williams for the year 2006. 22 pages including cover Please notify sender if this document is received incorrectly by calling 678-457-0677 This Facsimile is confidential and meant only for the person listed in To: or Cc.. above. No portion maybe used for any other purpose. If you have received this fax document in error, please call 678 457 0677 or fax to 678 534,6841, Thank you. F-Arnictt W, 13owi:rs :ifember :titllti� Nr:;ll.tii7 ri v firs .sem. f�icia 71a�lriinsi7ti E.kecalive Se(rehuy 1 illii 11 L1.'v ClJil-OlY dlilikdli� r rise ea l 1'1tlinpioll r1tIts r' 1plial-el.la, UA. 3UI)Ua Dear'1ill;a I3'Avc1sa-wilharns: Stag Ethics t "clinmission 205 Jesse 1-i ill Jr L)r, SE Atlanta, Cieor-P-ia 30334 (404) 463-19811 I acsirnily (1404) 463-1988 wW%.LthIeS.ga. oV 5k iilia.m If ndan ifiendler rta"ceriiaer 'Iaki:" Volki rd Membex is v liallailC: Crt`tice)-, i Can tlil.ate jol- potpie oTtice, ora tion-canoruiatC. cora malice Ito the -)este 111 Ucor1gla, Vou arc rWklulrz 1,1'y' lilt 1^. MCS In l.ltlVel"IlMerit: flet to timely rile C altipaign Ci)niributiun 1.lisl col ,inc Rcpoit(J) N-iji div 51bilg oiiw;: Utmg1l:rWd by the Act. I�liYti'VeV;; i", 4�C tiatVe �ei::il TiUatI.1kU 111 tell' litilltil% iu tilt; lI1C till lltl4 Ji 1�.;. f{eoort Uescrr t 1.1)1 CAMPAIGN CONt'RIBM ION DISCLOSLO.RE RETORT (_ORKANA.i..) 09,'30/Z006 September 30th - E'IlMiOrl Wear-1;17L`fOR COL NTY 1 f you tt:il to file the required repor(s} as indicated above, the :Matt: Ethics Uynintission inay cause. an ;administrative Subpoena and Rulc> .Nisi. to b+e issued commanding your presence before the State; Ethics Commission in give: reason why you have tailed to file as required. Should you fail to timely file the rt quired statennent or fail to appear hefom the State Ethics Commission after service of the Administrative Subpoena and Rule Nist. the C'ominission may issue a Notice of IWaring as provide. in Rule 1.89-2-.114. You can find a blank. (,'. mpraign Contribution Disclosure Report on our web site. Ifyou still have not tiled the cited report, please del so and file with the appropriate filing office. Please ask. your filing otficer to notify this office as soon as you have tiled the .above-mentioned report(s). „11tR L' 7::11:14J'• 4 VSI llili5„`.,"l,lli