HomeMy WebLinkAboutCCDR - 9/30/2009 - CCDR: Joe Longoria (3) (Migrated from Optiview)SEC FARM CCDR
REV 03/2009 r
I State of Georgia RECEIVED
Campaign Contribution Disclosure Report
. Report Type
(select one)
[Original Report
❑ Amended Report
Amendment #
2. Filing is being made on behalf of (Select One):
Candidate or Public Official
Office Sought or Held: Cl -r-1 of AAI LTotJ ](ST (L(C + 5 j6 W4 Li
(Include county, municipality, district, post orjudicial circuit)
Committee Name: FAtc,Yds 04 Tee Layt an A -
❑ Report of Organization or Person Other than Candidate's Campaign Committee
3. Identifying and Contact Information
(1) josepk Louis (2) q -3a -.o I
Full Name of Candidate or Other Then: Candidate Campaign Committee Today's Date
(3) 1,4341 6LU,.6 CVCC-C- NIL,roN 6"� 3dv07
Mailing Address City State Zip Code
(4) (6'7$) f!M 1- 4-7 & 9 and / or ( ) -
Contact Phone Number (We will understand the release of this information as permission to call your office if necessary)
Fift office use only
SEP 3 0 2pp9
CITY CLERIC
CITY OF MILTON
Use Earlier of Post
Marls or Hand
Delivered Date
(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? 19Yes ❑
(7) If so, complete the following: ALL 0EPAiglypeZ
Name of Chabperson 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 yon are in a Run -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,
E] Dec. 31, (year)
❑June 30, (year)
❑6 days before General
(year)
Run -Off, (year)
-Person elected to office in each year following
M September 30, —M (year)
[:]6 days before Special
❑ 15 days before
the year in which the election oocm
Persona leaving office with excess funds until
Primary Run -Off,
Special, (year)
such funds are expended as provided in the Act
❑ October 25, (year)
(year)
candidatesionswornQedeatindu,
debt incurred,
❑6 days before Special
F-1 Dec. 31, (year)
who
who receive contributions m retire e
until such funds die expended, or such unpaid
❑ December 31, (year)
Run -Off, (year)
debts are satisfied (December 31 Sling only)
Verification by Oath or Affirmation
State of G -C. County of 15"
being duly sworn (affirm), depose and say
that the information in this report form is complete, true, and correct. Further, I affirm that the contents in this report
are the same as the contents in the electronic filing submitted, if also electronically filed.
Swom to and subscribed before me on 5 t i0 f 20Aa
Signature of Notary PublicSi of &Adidate kj
b. Organization/ChairpersowTreasurer
No! n, C'rh,h County, GA
Commission expires thCcs: � ,ii es January 20, 2011
fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act shall be guilty of a misdemeanor.
SEC FORINT CCDR
REV 032008
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, to report:
Estimated Value
A. If this is the rust 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 Reporting Cycle• list totals
DD
oO
from Line 6 of previous report in both the in-kind and cash amount columns.
Total amount of all itemized contributions received in this reporting period which are
3
listed on the "Itemized Contributions" page.
O
3a
All loans received this reporting period.
3b
Interest earned on campaign account this reporting period.
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.
5
Total contributions reported this period.
D
ine 3 + 3a + 3b + 3c + 3d + 4)
Total contributions to date. Total to be carried forward to next report of this reporting eyelet
6
(Line 2+5
O
EXPENDITURES MADE
7
❑ 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.
B. Second or subsequent filing ENTER Line 12 of previqqLLeport.
9
Total amount of all itemized expenditures made in this reporting period which are
listed on the "Itemized Expenditures" page.
10
Total amount of all separate expenditures of less than $101.00 that were made
Q
in this reporting eriod and not listed on the "Itemized Expenditures" page.
11
Total expenditures reported this period.
O
(Line 9+10
12
Total expenditures to date. Total to be carried forward to new report of tkis reporting cycle*
(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.
Q
15
Net balance on hand.
n b
(J
Line 6 - 12 + 14
* 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:
(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 successfid 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. �� l
Public Officer/Candidate/Other Than Candidate Committee Name h
SEC FOAM CCDR
REV OMMM'
Public Officer/Candidate/Other Than Candidate Committee Name 6J 4nel — ` 0"
State of Georgia
Campaign Contribution Disclosure Report
Outstanding Indebtedness
WWI`
,rP
1
Outstanding indebtedness at the beginning of this reporting period.
O , 0 d
2
Loans received this reporting period.
01 db
3
Deferred payment of expenses this reporting period
0,00
4
Payments made on loans this reporting period.
0,Q
5
Credits received on loans this reporting period.
Q, v b
6
Payments this reporting period on previously deferred expenses.
0,00
7
Total indebtedness at the close of this reporting period.
2C, �(
(Line 1 +2+3-4-5-6)
✓ l6,vv
V, III
1
Outstanding indebtedness at the beginning of this reporting period.
2
Loans received this reporting period
3
Deferred payment of expenses this reporting period
Payments made on loans this reporting period.
5
Credits received on loans this reporting period.
6
Payments this reporting period on previously deferred expenses.
Total indebtedness at the close of this reporting period.
7
(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.
Total indebtedness at the close of this reporting period
7
(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 6J 4nel — ` 0"
SEC FORM CCDR.
RFV i/10OR
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
Mailing Address
(Affiliation of Committee if any)
Contributor
Election
Cycle**
Cash
Amount
In -Kind Contributions
Received Date
Contribution Type*
Occupation &
Employer
Estimated Value
Description
1.
2.
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ Z?�%0'
Itemized Contributions Page Total $ $
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***
C
3 6 by
UUIy3`l)
� 61.wOR1
G1�ei�6�I
J2.
1.
2.
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ Z?�%0'
* 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 len ing institution or party making the advance or extension of credit
Public Officer/Candidate/Other than Candidate Committee Name 6 SP�j^ 4,h j/z('4� Page / of
SBC FARM CCDR
RF.v mnfm '
State of Georgia
Campaign Contribution Disclosure Report
Itemized Expenditures
Must list expenditures made to a single recipient for which the MUnte total is $101.00 or more
List Name and Mailing Address
of Recipient
Expenditure Date
Expenditure Type*
Occupation &
Employer
Expenditure Purpose
Amount Paid
Iz
Page Total
* Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Payment on Deferred Expense, Investment)
Public Officer/Candidatetother Than Cetdidate Committee Name a U�`��` Page / of
E
F
SEC FORM CCDR
Rev 3/2009
`/
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
?. 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 beginning of reporting period $
Total value of investments at end of reporting period $
01
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 6 Q Page of
`/
SEC FARM CCDR
'REQ 03/20M
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.
Public Officer/Candidate/Other Than Candidate Committee Name Page of