HomeMy WebLinkAboutCCDR - 6/30/2009 - CCDR: Bill Lusk (5) (Migrated from Optiview)RECEIVED
SEC FORhf CCDR SEEO JUL ` 6 M
REV 0(206)
State of Georgia CrrY CLERK
Campaign Contribution Disclosure Report - Statewide Elected ExecutinAWamTom
1. Report Type 2. Filing is being made on behalf of (Select One): Filing office use only
(Select One) Candidate or Public Official
Office Sought or Held: William C. Lusk, City of Milton, District 3
Original Report (Include county, municipality. district, post orjudicial circuit)
XXAmended Report Committee Name: Lusk for Milton 3 & Friends of Bill Lusk Use EarlicrotPost
hlark or Hand
Amendment 0 1 Report of Organization or Person Other than Candidate's Campaign Committee Delivered nate
3. Identifying and Contact Information
(1) William C. Lusk (2) 07/06/09
Full Nome of Candidate or Non -Candidate Campaign Comtniftee Today's Dale
(3) 1355 Summit Road Milton GA 30004
Afailing Address City State Zip Code
(4) k6678) 624 - 0202 and/ or ( }
Contact Phone Number 011e ndll underuand file release of this inforinalion 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? M Yes ❑ No (6) if so, is the committee registered with the state Ethics Cttrlit116Siel l? [AYcs ❑Nts
(7) If so, complete the following: Russell K. Paul, Chairperson and Diane K. Bauerle, Treasurer
Name of Chairperson and/or Treasurer of Committee
4. Period for which you are Reporting
You Must Check Only One Box
My Non Election Year
My Election Year
Run -Offs
(Report required only if you ars in a Ruo-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)
2009
XXJune 30, (year)
6 days before General
(year)
Run -Off, (year)
4 Persons elected to office in each year following
September 30, (year)
6 days before Special
15 days before
the year in%hlchthe election occurs
Prinrnry Run -Off,
Special, (year)
' Persons leaving office with excess fiords until
such funds aro cxpendrd as provided in tha Act
October 25, (year)
(year)
• Unsuccessful candidates w•itb CU435 funds, or
6 days before Special
Dec. 31, (year)
who receive contributions to retire debt incurred,
anuta hrwW..rar V—scd.oraurhuo,,.id
Dcccmber31, (year)
Run Off,_ (year)
debts ase satisfied (December ) I filing only)
Verification by Oath or Affirmation
of Georgia
County of Forsyth
1 William C. Lusk , being duly sworn (afiirni), depose and say
That the information in this report form is complete, true, and correct Further, l affirm tha e c ntents in this report
1111 i1ffi y#q.samc as the contents in the electronic filing submitted, if also electronically file
K.
3 E T,
1
20 0
C �sE Eli
before moon 6, July , 20 2009
it uregfWary Public
ssionn.l$pires 11, September 2010
#nydarton who knowingly fails to comply with cc who knowingly violates
w
a. Signature of Candidate /
b. Organizat ion/Ch airpersorl/Treas�r
Government Act shall he guilty of a misdemeanor.
SEC FORMSEEO
REV 062009
State of Georgia
Campaign Contribution Disclosure Report - Statewide Elected Executive Officier
Summary Report
CONTRIBUTIONS RE,CE,IVED
I
❑ I have no contributions to report.
In -Kind
Cash Amount
Pq(I 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 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 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 Renortin Cycle, list totals
from Line 6 of preiious report in both the in-kind and cash amount columns.
0.00
46 822.99
Total amount of all itemized contributions received in this reporting period which are
3
listed on the "Itemized Contributions" page.
500.00
0.00
3a
All loans received this reporting period.
0.00
3b
Interest earned on campaign account this reporting period.
-
36.32
3c
total amount of investments sold this reporting period.
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.
Total contributions reported this period.
5
Line 3 1 3a 13b 13c 13d 14)
500.00
36..32
6
Total contributions to date. Tolal to be carriedforward ro nevt report ofthis reporling cycle".
500.00
Line2+5
46,859.31
EXPENDITURES MADE
7
❑ 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.
B. Second or subsequent riling ENTER Line 12 of previous re rt.
0.00
35,260.42
Total amount of all itemized expenditures made in this reporting period which are
9
listed on the "Itemized Expenditures" page.
0.00
10
"Total amount of all separate expenditures of less than $101.00 that were made
lin
this reporting eriod and not listed on the "Itemized Expenditures" page.
67.08
11
Total expenditures reported this period.
Line 9 + 10
67.08
Total expenditures to date. Total to be carried fonrard to nevf report of this reporting cycle".
12
(Linc 8 + 11)
1
1 35,327.50
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period.
0.00
14
Total value of investments held at the end of this reporting period.
0.00
15
Net balance on hand.
(Line 6- 12+14)
11,531.81
4 O.C.G.A. 21-5-34(b)(1xD)(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 sects election and shall
conclude;
(1) At the expiration of the tern 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 unsuccessful; or
(111) 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 Officer/Candidate/Other Than Candidate Committee Name William C. Lusk
19
SEC FORAM SEEO
REV 06h009
State of Georgia
Campaign Contribution Disclosure Report - Statewide Elected Executive Officier
Outstanding Indebtedness
I
Outstanding indebtedness at the beginning of this reporting period.
10,000.00
2
Loans received this reporting period.
0.00
3
Deferred payment of expenses this reporting period
0.00
4
Payments made on loans this reporting period.
0.00
5
Crcdits received on loans this reporting period.
0.00
6
Payments this reporting period on previously deferred expenses.
0.00
7
Total indebtedness at the close of this reporting period.
(Line 1 +2+3 -4-5-6)
10,000.00
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.
(Lina 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 Orticer/Caudidale/Onrer Than Candidate Cuivauitlee Name William C. Lusk
SEED
SFC FUR.\1 CCDa
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.
�] h4ark if associated*with a regulated entity
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
® Beacon Media Cos
515 E. Crossville Rd
Roswell, Georgia
Advertising
General
250.00
14 June 09
U The Olde Blind Dog
12650 Crabapple Road
Milton Georaia
Restaurant
General
250.00
Reception Food
17 June 09
O
Regulated Entity Page Total
Regulated Entity Total Itemized Contribution Page Total $ $ 500.00
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****
—
William C. Lusk
1355 Summit Rd
Milton, GA 30004
2006
I • William C. Lusk
1355 Summit Road
Milton, GA 30004
Self
2•
1.
2.
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 10,000.00
• Any person who may be employed by a regulated entity, including a person in whose name a license or lease is held, or who is an officer of a regulated entity
• * 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-OfrSpecial, Run -Off Special Primary)
•' • • If any such persons shall have a fiduciary relationship to the ]ending institution or party making the advance or extension of credit
Public Officer/Candidate/Non-Cmididate Committee Name William C. Lusk
Page 1 of 1
SEC FORM SEEO
REV MOW
State of Georgia
Campaign Contribution Disclosure Report - Statewide Elected Executive Officier
Itemized Expenditures
Must list expenditures made to a single recipient for which the aggregate total is S101•00 or more
List Dame and Mailing Address
of Recipient
Expenditure Date
Expenditure Type`
Occupation &
Employer
Expenditure Purpose
Amount Paid
$
$
Page Total $ 0.00
Expenditure Type (Expenditure, in -Kind, loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Payment on Deferred Expense, Investment)
Public Onicer/Candidale/Other'rhan Candidate Coniine, Nmne William C. Lusk PAge 1 �r 1
SEC FORM SEE -0
Rev 6/2009
State of Georgia
Campaign Contribution Disclosure Report - Statewide Elected Executive Officier
Investments Statement
1. Investment Name
Account Number
Institution/Person
Holding Account
ivlailing Address
City, State, Zip
Value at beginning of reporting period S
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
Rmft
Loss
2. Investment Name
Account Number
Institution/Person
Holding Account
Mailing Address
City, Slate, Lip
Value at beginning of reporting period $
Value at end of reporting period $
Difference in value $
Interest Paid Out $
Cash Dividends $
Investment Transactions
Date
Person(,) Involved in Transaction
Value of investment purchased
Value of investment sold
Profit
Loss
Total value of investments at beginning of reporting veriod $
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/Olher Than Candidate Conunittce Name William C. Lusk Page 1 of
SGC FORM SFEO
REV 062009
State of Georgia
Campaign Contribution Disclosure Report - Stateivide Elected Executive Officier
Addendum Statement
The Addendum Statement should be used fat explanation of any additional information needed to complete an accurate filing of this report.
Public 0flicer/Candidate/0ther7'han Candidale Committee Name William C. Lusk Page 1 of 1