HomeMy WebLinkAboutCCDR - 12/31/2009 - CCDR: Bill Lusk (2) (Migrated from Optiview)SEC FORM CCDR
REV 03/2(y,J8
1. Report Type
(Select One)
State of Georgia
Campaign Contribution Disclosure
2. Filing is being made on behalf of (Select One):
❑✓ Candidate or Public Official
Office Sought or Held: Councilman of City Of Milton
Filing office use only
QOriginal Report (Include county, municipality, district, post orjudicial circuit)
❑ Amended Report Committee Name: Lusk for Milton 3 & Friends of Bill Lusk Use Earlier of Post
MReport of Organization or Person Other than Candidate's Campaign Committee Mark or Hand
Amendment # Delivered Date
3. Identifying and Contact Information
(1) William C. Lusk (2) 12/31/2009
Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date
(3) 1355 Summit Road Milton GA 300004
Mailing Address City State Zip Code
(4) 678424-0202 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? Z Yes ['—1 (6) If so, is the committee registered with the State Ethics Commission? Z Yes
(7) If so, complete the following: Russel K. Paul, Chairperson
Name of Chairperson and/or Treasurer of Committee
4. Period for which you are Reporting
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)
E]6 days before Primary
15 days before
Run -Off, (year)
Special Primary,
Dec. 31, (year)
June 30, (year)
E]6 days before General
(year)
Run -Off, (year)
'Persons elected to office in each year following
September 30, (year)
E:]6 days before Special
❑ 15 days before
the year in which the election occurs
*Persons
Primary Run -Off,
Special, (year)
leaving office with excess funds until
such funds are expended as provided in the Act
❑ October 25, (year)
(year)
*Unsuccessful candidates with excess funds,
debt incurred,
�6 days before Special
[:]Dec. 31, (year)
who receive contributions to retire
anal such f�mds are expended. or such unpaid
❑✓ December 31, 2009 (year)
Run -Off, (year)
debts are satisfied (December 31 filing only)
State of Georgia
IC�w•T4, 9,�
0 ���our,
I, William C. Lusk 11 -6 -ONS
that the information in this report form is com dQ
are the same as the contents in the electronic filing ftnl�[in�
Sworn to and subs before me on December 31 12009
Signaffire.af/Notary 7
lic
My Commission expires 7 g Q
or Affirmation
County of Fulton
W� duly sworn (affirm), depose and say
,Further, I affirm that the contents in this report
electronically ffle¢a
a. Signature of Candidate
b. Organ ization/C haimert
A, person who knowingly fails to comply with or who knoeingh violates air, of the provisions of the Ethics in Government Act shall be guilty of a misdemeanor.
SEC FORM CCDR
REV 03/2008
State of Georgia
Campaign Contribution Disclosure Report
Summary Report
CONTRIBUTIONS RECEIVED
1
❑ I have no contributions to report.
In -Kind
Cash Amount
❑ 1 have the following contributions, including Common Source, to report:
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 this Reporting Cycle, list totals
500.00
49564.87
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
listed on the "Itemized Contributions" page.
5720.00
3a
All loans received this reporting period.
rUt
3b
Interest earned on campaign account this reporting period.
23.23
3c
Total amount of investments sold this reporting period.
3„
3d
Total amount of cash dividends and interest paid out this reporting period.
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.
"Common Source" contributions must be aggregated on the "Itemized Contributions" page.
5
Total contributions reported this period.
5743.23
(Line 3 +3a+3b+3c+3d+4)
Total contributions to date. Total to be carriedforward to next report of this reporting cycle*.
6
(Line 2 + 5)
55308.
EXPENDITURES MADE
❑ I have no expenditures to report.
In -Kind
Cash Amount
❑ I have the following expenditures to report:
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.
0.00
37188.90
B. Second or subsequent filing ENTER Line 12 ofrevious re ort.
9
Total amount of all itemized expenditures made in this reporting period which are
"Itemized
6473.73
listed on the Expenditures" page.
10
Total amount of all separate expenditures of less than $101.00 that were made
in this reporting eriod and not listed on the "Itemized Expenditures" page.
11
Total expenditures reported this period.
6473.73
Line 9 + 10
12
Total expenditures to date. Total to be carried forward to next report ofthis reporting cycler.
43662.63
(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 eriod.
15
Net balance on hand.
11645.47
(Line 6 - 12 + 14)
u k q N
* O.C.G. A. 21-5-34(b)(1)(D)(ii) A reporting cycle shall commence 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:
(1) 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 ofthe year in which such election was held if such candidate is unsuccessful; or
(111) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycleshall end when the reporting cycle for reelection or for some other office
begins. yyl'Ilam C. Lusk
Public Officer/Candidate/Other Than Candidate Committee Name
SEC FORM CCDR
rcev usrnm
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtedness
1 Outstanding indebtedness at the beginning of this reporting period. 10,000.00
2 Loans received this reporting period.
3 Deferred payment of expenses this reporting period
4 Payments made on loans this reporting period.
5 Credits received on loans this reporting period.
6 Payments this reporting period on previously deferred expenses.
7 Total indebtedness at the close of this reporting period. 110,00
O.00
(Line 1+2+3-4-5-6)
1 Outstanding indebtedness at the beginning of this reporting period.
2 Loans received this reporting period.
3 Deferred payment of expenses this reporting period
4 Payments made on loans this reporting period.
5 Credits received on loans this reporting period.
6 Payments this reporting period on previously deferred expenses.
7 Total indebtedness at the close of this reporting period.
(Line 1+2+3-4-5-6)
1 Outstanding indebtedness at the beginning of this reporting period.
2 Loans received this reporting period.
3 Deferred payment of expenses this reporting period
4 Payments made on loans this reporting period.
5 Credits received on loans this reporting period.
6 Payments this reporting 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/Other Than Candidate Committee Name William C. Lusk
SE� FORM CCDR
REV 3/2008
State of Georgia
Campaign Contribution Disclosure Report
Itemized Contributions
Must list contributions received by a single contributor for which the aggregate total is $101.00 or more
Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below.
Full Name of Contributor
Contributor
1.
In -Kind Contributions
Mailing Address
Election
Cash
Received Date
Occupation &
Estimated Value
(Affiliation of Committee if any)
Contribution Type*
Employer
Cycle**
Amount
Description
P. Fantozzi
12830 N. Winesap Run
Roswell, GA 30075
11/02/09
Retired
200.00
Monetary
Patricia Ramirez
11/02/09
Retired
1531 Summberset DR.
Dunwoody, GA 30336
200.00
Monetary
Randall Coggins
11/02/09
Dentist
950 Pleasant Hollow Trail
Milton GA 30004
200.00
Monetary
Carson Developments Inc.
11/02/09
Builder
3082 E. Shadowlawn Ave
Atlanta, GA 30305
250.00
Monetary
RSM
11/02/09
Retired
3265 Wolf Hollow Close
Alpharetta, GA 30004
100.00
Monetary
Itemized Contributions Page Total $sso.00 $ 5720
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***
1.
2.
1.
2.
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $
* Contribution 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 William C. Lusk Page 1 of 1
SEC FORM CCDR
REV 032008
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Must list expenditures made to a single recipient for which the aggregate total is $101.00 or more
List Name and Mailing Address
of Recipient
Expenditure Date
Expenditure Type*
Occupation &
Employer
Expenditure Purpose
Amount Paid
Beaconcast Media
515 East Croseville Road
Roswell, GA 30075
Advertising
$ 1200.00
HEG
Campaign Mgr
$ 700.00
Alpharetta PAL
Charity- Shop with a cop
$100.00
Old Blind Dog
Fundraiser Reception
$ 468.00
BB& T- Credit Card
Mailings, Printing &
Reproduction,
Refreshments
$ 2651.94
BB& T Bank Charge
Bank Charge
$ 50.00
Appen Newspapers
Ads
$1212.90
Staples
Office Supplies
$ 90.89
Page Total $ 6473.73
wr * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Payment on Deferred Expense, Investment)
PublicOfticer/Candidate/Other Than Candidate Committee Name William C. Lusk Page 1 of
SEC FORM CCDR
Rev V2008
`
State of Georgia
Campaign Contribution Disclosure Report
Investments Statement
1. Investment Name
Account Number
Institution/Person
Holding Account
Mailing Address
City, State, Zip
Value at beginning of reporting period $
Value at end of reporting period $
Difference in value $
Interest Paid Out $
Cash Dividends $
Investment Transactions
Date
Person(s) Involved in Transaction
Value of investment purchased
Value of investment sold
Profit
Loss
2. Investment Name
Account Number
Institution/Person
Holding Account
Mailing Address
City, State, Zip
Value at beginning of reporting period $
Value at end of reporting period $
Difference in value $
Interest Paid Out $
Cash Dividends $
Investment Transactions
Date
Person(s)
Involved in Transaction
Value of investment purchased
Value of investment sold
Profit
Loss
Total value of investments at beginnin,p- of reporting period $
Total value of investments at end of reporting period $
Total difference in value $
Page Total Cash Dividends: $
Page Total Interest Paid Out: $
Page Total Profit: $
Page Total Loss: $
Public Officer/Candidate/Other Than Candidate Committee Name William C. Lusk Page 1 of 1
SEC FORM CCDR
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.
PublicOfficer/Candidate/Other Than Candidate Committee Name William C. Lusk page of