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CCDR: Roger Santi
�Vwurb' LN 53! FORM CMR RIN DI/2006 State of Georgia Campaign Contribution Disclosure Report - 1. Report 'Type 2. Filing is being made on behalf of (Select One): (Select One) ❑ Candidate or Public Official r Office Sought or Held: cc i+y OT H; I i 0vI I C l C 0 Uy1G ® Original Report (Include county, municipality, district, post orjudicial circuit) ❑ Amended Report Committee Name: AN 9 2W Amendment # I ❑ Report of Organization or Person Other than Candidate's Campaign Committee PTi 3.1d&ntifgdng and Contact Information (1) C i- l Z{V\s foil tRoaty 5o►a tk-t - a00-1 (2) 1 4 Aon Full Name of Candidate or Non -Candidate 64npaign Committee Today's Date (3) 3970 Old .N i 1+0h TLVILW V 5w4c apo AI phq-vc4+c. GA 3oo05 Mailing Address City State Zip Code (4) (1 -7n 4,7a - Lj14q D and / or ( ) - Contact Phone Arumber (We Neill understand the release of this information as permission to call your office if necessal)) Earlier of Post (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 reogistered with the State Ethics Commission? ❑ Yes (7) If so, complete the following: Name of Chairperson and/or Treasurer of Committee 4. Period for which you are Reporting Your Must Check Only One Sox My Non Election Year My Election Year Run -Offs (Report required only if you are in a Rim -Off Election) Special Elections (Report required only if you are in a specie! Flection) ❑ June 30, (year) ❑March 31, (year) 76 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) `Fersons elected to office in each veal following ❑September 30, (year) ❑6 days before Special ❑15 days before the year in whin the election occurs Primary Run -Off, Special, (year) `Persons leaving office with excess funds until such funds ere expended as prtivided in the Aet ❑ October 25,(year) (year) 'Unsuccessful candidates with excess funds, or 06 days before Special ❑Dec. 31, (year) who receive contributions to retire debt incurred, until such finds are expended, or such unpaid ® December 31, ,7007(year) Run -Off, (year) dents are sati£xed (December 31 filing only) Verification by Oath or Affirmation State of G eo G 1 a County of F(A.1 fa V) being duly sworn (affirm), depose and say that the info this report form is complete, true, and correct Further, I affirm that the contents in this report are the same the pl(ents in the electronic filiptg submitted, if also electronically filed. �cQ Vllq and sjibsjibed befor,�/ � 20_ son wbo Imxrwingiy fails to comply with orwho knowingly idolates any of the CiFARd20 a Signature of Candidate S b.Organization/Chairperson/Treasurer .ons of the Ethics in G-ermnent Act shall be guilty of a misdemeanor. h Ib r- r� e SEC FORM CCDR REV 01/2006 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED I have: In -Kind 1 No contributions to report. Value Cash Amount The followin .contributions, including Common Source, to report: A. If this is the first time to file a disclosure report for the current office souzht, 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 and list any net balance on hand brought forward from the previous reporting cycle 2 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. �O Ll U 1315 Total amount of all contributions of $101.00 or more received in this reporting period. 3 Each such contribution must be listed on the "Listed Contributions Received" page. 3 6 o 0 3a All loans received this period. coo 3b Interest earned on campaign account this period.;, w 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 Q on the "Listed Contributions Received" page. aZ 7 5 Total contributions reported this period. G 98 (Line 3 +3a+3b+4) 6 Total contributions to date. Total to be carried forward to next report of this reporting cyclet (Line 2 + 5) EXPENDITURES NUDE I have: In -Kind 7 No expenditures to report. Value Cash Amount The following expenditures to report: 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) 13 5 41 9 Total amount of all expenditures of $101.00 or more made in this reporting period. 39 f Total amount of all separate expenditures of less than $101.00 each that were made 10 in this reporting eriod. g 11 Total expenditures reported this period. (Line 9+ 10) 3q,I a 3 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle". 51 37 7 (Line 8 + 11) Net balance on hand. 13 (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: (n:.4t 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 �n C Public Officer/CandidatelNon-Candidate Committee Name � b Z_ r w -F Y/ �d1 yr `� �� a607 SKTORM CCDR REV 01/2006 - State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness !tI. 0.n CyCle*r f.ViC.V( Election Year: 906.7 Amount: I Outstanding indebtedness at the beginning of this period. 30 001 2 Loans received this period. QQ 3 Deferred payment of expenses this period 4 Payments made on loans this period. 30,600 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) P 150© teCtlollt C cle 'i lecidoti'Year:,. AaBoun 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 I + 2 + 3 - 4 - 5 - 6) El eCtlOii Cycle*; Election, Year: Amoun# - 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) * 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 +-� ZW `S 1O`1"r """ ��) — ,3kOQ7 SEC. FORM CCDR RFV 07/2006 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 (PAC Affiliation if applies) Election Cycle** Cash Amount Received Date Contribution Type* a. Occupation b. Employer Estimated Value Description ACnA#tX,1AC,- 1,513 - -3owtson GWY (hut t do -, 6A 00 to a i %I 19 07 wo i $ a 50 $ clopim —b'MI v+ �+ U., �� a 35 A lsk-iowu/ Tv ( . 5av�d. sp✓►�s,6A 303s ►o a 9 07 Guncv�l $ PGO $ E lltvi �+hG/�dc�� DO*VN0n CF. D"Aw"Ay GA 1 p acs o- Gtvu✓91 $ 1500 $ 3o a3$ Ir AlV1�vr+ead � �- F'ulnd Go ad 5at0o1 ►��woPia�c. Gve�l $ a5 0 Act 10x� id_ aA 30 360 NOW . A+q At- L.WW(�ev�.l 40 V5 LAkc Fa✓✓e4+ ►7✓. V11107$ $ a�0 Ark L oan.t0`-, GR► ,303 �8 140,(+ -Pot V0- Hos P' {Cav�( &OU p -'t 0 Bax 3717 A I pkaxoHOL aA 300 93 (0 a 4 0 ? CkYWA $ 50o $ t7a�i til dost 31Vs ShL%w►avd rra&f KWi e,++o. 6A (619U 10? $ alb $ Sao U 5195 wWsPWk ha G-qu utasJ; t1L GA 3aso 01 CsOn� $ aS0 $ Page Total $ ;600 $ 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 C t T) Zeins QV IZO M_F1 — 0 00 I Page I of a sECTORM ccnx REV 0112006 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 C cle** Cash Amount In -Kind Contributions Received Date Contribution Type* a. Occupation b. Employer Estimated Value Description W�ti�al�• �owc. a*o vat1q vifw - EElk&", Qaosacv � � �y aoo� $ 500 $ 'ti c. ,4vw 6 kV0" ' Geou,P o F Cowl avt�ed � Ptvvws�vovu, pl eLk%4W PA 10001 t o ag 0 G *ItWl $ 5Q0 $ $ $ 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 C l+ ( -X&AS FO V _204 &W •i( - d->007Page & of SF: FORM CMR REV 0712006 State of Georgia Campaign Contribution Disclosure Report Misted 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 . � SQbt,OWl� COIMM'1�Ytil�v X9.75 �s wc.l 1 i2o(. 4to�v� C.� 3Q 350 t o aSr o 1 N�0.v�-er�uNt $ 3900 �xpw�di re i Squ�lp,.Vtd C,�o vv�,hr►uUrc� cajid" -sq 1 S 20-0 V4 ll fid. Akkan - 30as6 16122/67 Ka $ 3900 Ex 116Li hw Mt Wp,rl t'e a 3y5 Esser AV • G'4 30 3 3�1 F'tOG/A,; S• $ $ OS ��#uYe. $ $ $ $ Page Total $ 'd (P 06 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. C* Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense) Put is Officer/Candidate/Non-Candidate Committee Name `"�5 -a —00o'7 age of