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Home My WebLink AboutFDR: Clinton JohnsonForm FD Rev. 4/04 STATE OF GEORGIA FINANCIAL DISCLOSURE STATEMENT E] Original ❑ Amendment (Enter Date of Statement "ate of this Statement: Covering Calendar Year: Soo Being Amended) Name of Public Officer or Candidate: C.iN'ToN _zE FirstfiddleALast - l Mailing Address: 0567D90 (� P_ Ol i � '1 L� iZ ��-T01J " � Strcet or Y.O. Box City County State Zip code 9 Telephone Number: (OffiCO (Home) 'IITO 4715 5 bSd RECEIVED Fulton County Name of Public 0111ce field or Sought/Authority/Board: CITI GJ QC I L. < L—r O AUG 8 2006 Check One: p ��,, ❑ Elected Public Officer ❑ .Appointed Public Officer Candidate for Public Office ❑ Member of State Auiet�8tion {� ns WHO FILF,S A FINANCIAL DISCLOSURE STATEMENT: Each public officer holding office in Georgia, and each person who qualifies as a candidate for election as a public officer for one of the offices listed below, and all others on the following list. (A) Ever,, constitutional officer; (fi) F -: "\ ,. ctC:d Aalk' otitctal; (C) 'hhe 0XC':utiv ,2, ery state department or agency, whether elected or appointed; (D) Each of d"ie ileneral Assembly; (f) fhe c x ciin v e dircc(or of each state board or authority and the members thereof; 0") Ever � s.,: county of`i( ial, every elected county or area school superintendent, and every elected member of a county or area hoard ()I education; and low - (t i) f�.vet �t't�ti muni�:i��rl officer. WHEN TO FILE A FINANCIAL DISCLOSURE STATEMENT: Public Officer; ry Disclosure Statement is filed not before January 1 and not later than July 1 of each year that a public officer hol0� . !'` >'esc;nt Fire year of election). The information to be provided shall be that from the preceding calendar year. If the puh';iC 0!"I�:ccr chooss 11,01 10 run for re-election or for another public office no Financial Disclosure Statement need be filed in the v ear to sLIC Cc(] him takes place. A public officer shall not be deemed to hold the office in a year in which the public officer ht,id of! 1, c t„t les; cyan 1> days. Candidate for Public Office: A Financial Disclosure Statement covering the period of the preceding calendar year shall be filed no later than the fifteenth day following the date of qualifying as a candidate. Candidates for state wide office file not later than seven days after qualifying for office. Only one Financial Disclosure Statement is required per calendar year. Special requirements for State Wide Candidates: Candidates for a public office elected state wide must file their Financial Disclosure Statements not later than seven days after qualifying or filing a notice of candidacy. State wide candidates must disclose more information than other candidates for public office and forms for the additional disclosure sections required of state wide candidates may be obtained from the Secretary of State Elections Division. WHERE TO FILE A FINANCIAL DISCLOSURE STATEMENT: Every public officer and every candidate for election as a public officer defined above in categories (A) through (E) will file a Financial Disclosure Statement v,,ith the Secretary of State, Elections Division, 2 Martin Luther King Jr. Drive, SE, 1104 West Tower, Atlanta, GA 30334-1530. Every public officer who is an elected county official and every candidate for election as a county public official will file a Financial Disclosure Statement with the election superintendent of the county of election. Every public officer who is an elected municipal officer and every candidate for election as a municipal public officer will file a Financial Disclosure Statement with the municipal clerk or, if there is no clerk, with the chief executive officer of the municipality of election. SECTION I MONETARY FEES RECEIVED (This section to be completed by Public Officers only) Identify each monetary fee or honorarium of $101.00 or less accepted from speaking engagements, participation in seminars, discussion panels, or other activities which relate to the official duties of or the office of the public officer, with a statement ," Ientifying the fee or honorarium and the person from whom it was accepted. I received: 16Io monetary fee or honorarium. o Monetary fee(s) or honoraria of $101.00 or less as shown below. Identify Fee or Honorarium And Amount Accepted Name and Address of Person from Whom Accepted SECTION II FIDUCIARY POSITIONS Name all fiduciary positions held by the candidate for public office or the public officer. (You may attach additional sheets of paper if necessary.) A fiduciary position is any position imposing a duty to act primarily for another's benefit as officer, director, manager, partner, or other designations of general responsibility of a business entity. A business entity is any corporation, sole proprietorship, partnership, limited partnership, enterprise, franchise, association, trust, joint venture, or other entity, whether profit or nonprofit. I held: ❑ No fiduciary positions in any business entity. )Oiduciary positions in the following business entity(ies). IDENTIFY: 1. Title of each position. 2. Name and address of business entity. 3. Principal activity of each business entity. R—;-- ant;t- i{7 �Sr � 5D1c3� �I�T"� CrA 3�U33 SECTION III DIRECT OWNERSHIP INTERESTS IN BUSINESS ENTITY Direct ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or eneficial use of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held intly or as tenants in common between the person and spouse. Identify the name, address and principal activity of any business entity and the office held by and the duties of the candidate for public office or public officer within a business entity as of December 31 of the covered year in which a direct ownership interest: (A) Is more than 10 percent of the total interest in the business; or (13) Has a net fair market value of more than $20,000. (You may attach additional sheets of paper if necessary.) 1 held: ,4.14o direct ownership interests in any business entity. ❑ Direct ownership interests in the following business entity(ies). IDENTIFY: 1. Name and address of business entity. r 2. Principal activity of business entity. 3. The office held by the candidate or the public officer within the business entity. 4. The duties of the candidate or the public officer within such business entity. Business entity #1 Business entity #2 Business entity #3 SECTION IV Ownership Interests Check One or Both If Applicable ❑ Ownership interest is more than 10% ❑ Ownership interest has a net fair mar- ket value of more than $20,000.00 ❑ Ownership interest is more than 10% ❑ Ownership interest has a net fair mar- ket value of more than $20,000.00 ❑ Ownership interest is more than 10% ❑ Ownership interest has a net fair mar- ket value of more than $20,000.00 DIRECT OWNERSHIP INTERESTS IN REAL PROPERTY irect ownership interest is the holding or possession of good legal or rightful title of property or the holding or enjoyment of real or beneficial use of the property by any person and includes any interest owned or held by a spouse of the person if such interest is held jointly or as tenants in common between the person and spouse. Identify each tract of real property in which the candidate for public office or public officer as a direct ownership interest as of December 31 of the covered year when that interest has a net fair market value in excess of $20,000.00. "Net fair market" value means the appraised value of the property for ad valorem tax purposes less an indebtedness thereon. (You may attach additional sheets of paper if necessary.) I had: ❑ No ownership interests with a net fair market value in excess of $20,000.00 Ownership interests with a net fair market value in excess of $20,000.00 IDENTIFY: 1. County where property is located. 2. State where property is located. 3. General location of property. Property #1 so - =Mov' Property #2 01 Property #3 0-1 r property #4 SECTION V ANNUAL PAYMENTS RECEIVED BY THE PUBLIC OFFICER OR BUSINESS ENTITY FROM THE STATE OF GEORGIA (This section to be completed by Public Officers only) Identify all annual payments in excess of $20,000.00 received by the public officer — or by any business entity in which the public officer has an ownership interest of more than 10 percent of the business or has an ownership interest having a net fair market value of more than $20,000.00 — from the State, any agency, department, commission or authority created by the State and authorized and exempted from disclosure under O.C.G.A. § 45-10-25. (You may attach additional sheets of paper if necessary.) I r eived: ,""o annual payments in excess of $20,000.00 from any State entity. ❑ Annual payments in excess of $20,000.00 from the below named State entity(ies). IDENTIFY: 1. Name and address of State entity making the payments. 2. Amount of annual payment. 3. The general nature of the consideration rendered for the payment(s). State entity source #1 State entity source #2 VER�11j1C 4iW4gN BY OATH OR AFFIRMATION State of Georgia ��\CIA /y��''�i,�� County of 2-5' \.�QQMMISSipyO��'%; I, the undersigned, being duly sworn I>dep�s� an sjffiat the info ton in t ' sta ment is complete, true, and correct. Cn Sworn to and subscribed before me or�Z 206 ;��j9COUPGAO. 9� PUS \ ' nature of Candidate o ublic Officer 0--, attire of Notary Public PENALTIES: Any person who knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty of a My Commission expires / �-J • p cJ misdemeanor.