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Home My WebLink AboutCCDR - 10/25/2009 - CCDR: Al Trevillyan (Migrated from Optiview)N SEC FORM CCDR REV 03/2008 State of Georgia _ Campaign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of (Select One): FUM office on only (Select one) 0 Candidate or Public Official Office Sought or Held: Milton City Council XT Q Original Report (Include county, municipality, district, post orjudicial circuit) t.r Amended Report Committee Name: Report of Organization or Person Other than Candidate's Campaign Committee= ommittee Fi� Amendment # Delivered Date 3. Identifying and Contact Information (1) Al Trevillvan (2) 10/23/09 Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date (3) 1975 Birmingham Road, Milton, Georgia, 30004 Mailing Address City State Zip Code (4) (770) 410 - 1193 and / or (770) 241 - 5366 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? ❑ Yes ❑ (6) If so, is the committee registered with the State Ethics Commission? Yes (7) If so, complete the following: Al Trevillyan Name of Chairperson mrd/or Treasurer of Committee 4. Period for which you are Reporting My Non Election Year My Election Year Run -Offs (Report required mk if You are in a Ron- Off Election) Special Elections (Report required only ayoa we in s Special Flection) June 30, (year) March 31, (year) ❑6 days before Primary E] 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 veer folloning [:] September 30, (year) [:]6 days before Special 15 days before the Year in which the election occurs Persons leaving office with excess funds until Primary Run -Off, Special, (Year) such funds are axpwded as provided in the Act R]October 25. 2009 (Year) (Year) a eanbutiondates `of itth excess �' incurred. �6 days before Special Dec. 31, (year) Niho ��fio receive contributions to retire debt a until such funds we expended or such unpaid MDecember 31, (year) Run -Off, (year) debts are satisfied (December 31 filing only) Verification by Oath or Affirmation I ash, r_-,�. County of A,--' , 71? a ✓ / L e- Y R- A/ , being duly sworn (affirm), depose and say at the information in this report form is complete, true, and correct. Further, I affirm that the contents in this report e the same as the contents in the electronic filing submitted, if also electronically filed. Sworn to and subscribed before me on A) • a 6 , 20 C�llt. Sign a of Notary Public JEANM R MARC WAVA y Commission expires Notary PU*, Rbn CO. GA r a. Si o antii to b. Organization/Chairperson/Treasurer of the provisions of the Mcs in Government Act shall be guilty of s SEC FORM CCDR REV 03/2b08 State of Georgia ` Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 ❑ I have no contributions to report. in -Kind Cash Amount ❑ I have the following contributions, including Common Source, torert: Estimated Value A. If this is the first time to file a disclosure report for the current office sou¢ht. 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 15 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 of thisR&porting Cycle, list totals 0 0 from Line 6 of previous report in both the in-kind and cash amount columns. 3 Total amount of all itemized contributions received in this reporting period which are 75 700 listed on the "Itemized Contributions" page. 3a All loans received this reporting period 2,000.00 3b Interest eamed on campaign account this reporting period. ti 0 3c Total amount of investments sold this reporting period. r F Mj 0 3d Total amount of cash dividends and interest paid out this reporting period. 0 Total amount of all separate contributions of less than $101.00 received in this 4 reporting period and not listed on the "Itemized Contributions" page. 250"00 485.00 "Common Source" contributions must be aggregated on the "Itemized Contributions" page. 5 Total contributions reported this period. 3185.00 (Line 3 + 3a + 3b + 3e + 3d + 4)325.00 6 Total contributions to date. Total to be carried forward to next report of this reporting cycled 325.00 3185.00 ine 2 + 5) EXPENDITURES MADE y ❑ I have no expenditures to report. In -Kind Cash Amount I have the following expenditures torert: Estimated Value Total expenditures made and reported prior to this reporting period. If this is the 8 A. First report of this Reporting Cycle*, ENTER 0. 0 0 B. Second or subsequent filing TE Line 12 of 2Migus Mgart 9 Total amount of all itemized expenditures made in this reporting period which are "Itemized 4372.75 listed on the Expenditures" page. 10 Total amount of all separate expenditures of less than $101.00 that were made 51.96 in this reporting period and not listed on the "Itemized Expenditures" page. 11 Total expenditures reported this period. 4,424.71 Line 9 + 10 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle* 4,424.71 Line 8 + 11) INVESTMENTS 13 Total value of investments held at the beginning of this reporting period. 14 Total value of investments held at the end of this reporting period. 15 Net balance on hand. (Line 6-12+14 * O.C.G.A. 21-5-34(bXIXDxii) A reporting cycle shall comnw= on January I 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 unsuccessful; 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 Of iceNCandidalWOther Than Candidate Committee Name N SEC FORM CCDR RPV 1111- State of Georgia Campaign Contribution Disclosure Report Itemized Contributions Must list contributions received by a single contributor for which the aggngag total is $101.00 or more Note: Loans are no longer reported in "Itemized Contributions^ section. See Loan Re rting section below. Full Name of Contributor Mailing Address (Affiliation of Committee if any) Contributor Election Cycle** Cash Amount In -Kind Contributions Received Date Contribution Type* Occupation & Employer Estimated Value Description Curtis Mills 16355 Birmingham Highway Milton, GA 30004 10/2/09 rr Consultant ProCo LLCConsul ting General 250.00 1. Monetary Carol Lane 14890 E. Bluff Road Milton, GA 30004 10/9/09 Home Maker General 200 00 75.00 Monetary Party Hostess Jeb Rand 1985 Birmingham Road Milton, GA 30004 10/7/09 Producer Ice skating Shows General 250.00 Monetary Itemized Contributions Page Total $ 7oo.00 $ 75.00 Loan Reporting Name of Lender Mailing Address Date of Loan Amount of Loan Election Cycle** Person(s) responsible for repayment of loan Mailing Address Occupation & Place of Employment Fiduciary Relationship*** Al Trevillyan 10/1/09 1' AI Trevilyan 1975 Birtrringham Road Milton, GA 30004 Retired Chemist 2,000.00 2. General 1. 2. Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 2,000.00 Contnbution Type (Monetary, In -Kind, 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) ***If any such person(s) shall have a fiduciary relationship to the lending institution or party making the advance or extension of credit Public Officer/Candidate/Other than Candidate Committee Name Page of SEC FORM CCDR REV OVMU State of Georgia • Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures made to a single recipient for which the ag&Egpte total is $101.00 or more List Name and Mailing Address of Recipient Expenditure Date Expenditure Type* Occupation & Employer Expenditure Purpose Amount Paid Clayton Camera Craft 28 N. Main Street Alpharetta, GA 9/16/09 Pictures $ 160.50 Credit Card Run and Win.com P.O.Box 2096 Aiken SC 29802 9/23/09 Campaign signs and car magnets $ 4087.75 Credit Card Trigger Interactive Design 9/25/09 Design campaign materials $124.00 Credit Cana Page Total $ 4,372.25 100*1 * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund Reimbursement, Credit Card, 3rd Party, Deferred Payment, 4�40r Payment on Deferred Expense, Investment) Public Officer/Candidate/Other Than Candidate Committee Name Page of