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Home My WebLink AboutCCDR - 12/31/2009 - CCDR: Karen Thurman (3) (Migrated from Optiview)SEC FORM CCDR REV 03/2008 1. Report Type (Select One) Original Report FlAmended Report State of Georgia Campaign Contribution Disclosure Report 2. Filing is being made on behalf of (Select One): ✓❑ Candidate or Public Official Milton City Council - District 1 Office Sought or Held: (Include county, municipality, district, post or judicial circuit) Committee Name: Thurman For Milton 11 Amendment # IO Report of Organization or Person Other than Candidate's Campaign Committee 3. Identifying and Contact Information (1) Karen C. Thurman (2) 01/06/10 Full Name of Candidate or Non -Candidate Campaign Committee Today's Date (3) 310 Lake Bend Court Milton Georgia 30004 Mailing Address City State Zip Code (4) 404-790-2874 and / or Contact Phone Number (We will understand the release of this information as permission to callyour office if necessary) Filing office use only Use Earlier of Post Mark 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? Yes (7) If so, complete the following: Terri Lawson Name of Chairperson and/or Treasurer of Committee 4. Period for which you are Reporting •:c;4 %Np My Non Election Year My Election Year Run -Offs (Report required only if you are in a Run -Off Election) F-16 days before Primary Special Elections (Report required only if you are in a Special Election) ❑ 15 days before ❑ June 30, (year) ❑ March 31, (year) Run -Off; (year) Special Primary, Dec. 31, (year) June 30, (year) F-16 days before General (year) Run -Off, (year) *Persons elected to office in each year following F-1 September 30, (year) ❑ 6 days before Special ❑ 15 days before the year in which the election occurs Primary Run -Off, Special, (year) *Persons leaving office with excess funds until such funds are expended as provided in the Act ❑ October 25, (year) (year) * Unsuccessful candidates with excess funds, E]6 days before Special Dec. 31, (year) who receive contributions to retire debt incurred, until such funds are expended, or such unpaid �✓ December 31, 2009 (year) Run -Off, (year) debts are satisfied (December 3 l filing only) Verification by Oath or Affirmation State of Georgia County of Fulton I Karen C. Thurman being duly sworn (affirm), depose and say II11I ! t� ation in this report form is complete, true, and correct. Further, I affirm that the contents in this report �Ite ,�e contents in the electronic filing submitted, if also electronically filed. ;slog�•j•.. Sworn to'*— ubsc&ed before me on 1114004 , 201D JULY '_ t1n-L-- 20 i at iNot�y Public a. Signature of Candidate �� b.Organization/Chairperson/Treasurer �6` i ,res r I tlov Any person who knowingly 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 *FORM CCDR REV 03/2008 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED ❑ I have no contributions to report. p In -Kind 1 0 I have the following contributions, including Common Source, to report: Estimated Value Cash Amount 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 750.00 16,840.00 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 of this Reporting Cycle, list totals 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 450.00 listed on the "Itemized Contributions" page. 3a All loans received this reporting period. 3,000.00 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. 100.00 "Common Source" contributions must be aggregated on the "Itemized Contributions" page. 5 Total contributions reported this period. 3,550.00 (Line 3 + 3a + 3b + 3c + 3d + 4) 6 Total contributions to date. Total to be carried forward to next report of this reporting cyclet (Line 2 + 5) 20,490.00 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. 750.00 14,975.05 B. Second or subsequent filing ENTER Line 12 of 12revious re ort. 9 Total amount of all itemized expenditures made in this reporting period which are 4026.00 listed on the "Itemized 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. Line 9 + 10 12 Total expenditures to date. Total to be carried forward to next report of this reporting cycle*. 19,001.05 (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(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: 00— (1) At the expiration of the term of orrice if such candidate is elected and does not seek reelection or election to some other Office; �1IMew+' (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/Non-Candidate Committee Name Karen C. Thurman SEC FORM CCDR• REV3i2008 State of Georgia Campaign Contribution Disclosure Report Itemized Contributions fir✓ 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 Mailing Address (Affiliation of Committee if any) Contributor Election Cycle** Cash Amount In -Kind Contributions Received Date Contribution Type- Occupation & Employer Estimated Value Description Nathan Hendricks III 6085 Lake Forrest Drive, Atlanta, GA 11/7/2009 Attrorney General 200 Check Carson Development 3082 E. Shadowlawn Ave, Atlanta, GA 11/7/2009 Real Estate General 250 Check $ 450 $ Itemized Contributions Page Total M SEC FORM CCDR REV 03/2008 State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness Election Cycle*:. General Election Year: 2009 Amount 1 Outstanding indebtedness at the beginning of this reporting period. 6,929.00 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. (Line 1 + 2 + 3 - 4 - 5 - 6) 6,929.00 Election Cycle*: Election Year: Amount 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. I(Line I + 2 + 3 - 4 - 5 - 6) Election Cycle*: Election Year: Amount 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. j 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 Karen C. Thurman SECFORM CCDR RIN 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 Mailing Address (Affiliation of Committee if any) See attached Contributor Election Cycle** Cash Amount In -Kind Contributions Received Date Contribution Type* Occupation & Employer Estimated Value Description 2. General 1. 2. Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 3,000.00 Itemized Contributions Page Total $ $4550.00 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*** Mark & Karen Thurman 310 Lake Bend Court 11/10/09 1' Karen C. Thurman CPA 3000.00 2. General 1. 2. Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 3,000.00 * 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/Non-Candidate Committee Name Karen C. Thurman Page of SEC FORM CCDR REV 03/2008 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 Beacon Media 515 East Crossville Rd. Suite 350 Roswell, GA 30075 11/20/09 Thank you ad $ 250.00 check HEG, LLC 2774 Royal Oaks Drive Pensacola, FL 32504 11/10/09 Consulting $ 3,750.00 check Bank of America Roswell, Georgia 11/30 &12/31/09 Service charge $ 26.00 bank draft $ $ $ $ $ Page Total $ 4,026.00 * Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment) Public Officer/Candidate/Non-Candidate Committee Name Karen C. Thurman Page of SEC FORM CCDR Rev 3/2008 State Ethics Commission INVESTMENTS STATEMENT Account Number 1. Investment Name Institution/Person Value at beginning of reporting period $ Holding Account Value at end of reporting period $ Mailing Address Difference in value $ City, State, Zip Interest Paid Out $ Cash Dividends $ Investment Transactions Date Person(s) Involved in Transaction Value of investment purchased Value of investment sold Profit Loss Account Number 2. Investment Name Value at beginning of reporting period $ Institution/Person Holding Account Value at end of reporting period $ Mailing Address Difference in value $ Interest Paid Out $ City, State, Zip 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 $ Page Total Cash Dividends: $ Page Total Interest Paid Out: $ Total value of investments at end of reporting period $ Page Total Profit: $ Total difference in value $ Page Total Loss: $ Public Officer/Candidate/Nun-Candidate Committee Name Karen C. Thurman Page of SEC FORM CCDR REV 03/2008 State of Georgia Campaign Contribution Disclosure Report Addendum Statement I The Addendum Statement should be used for explanation of any additional information needed to complete an accurate filing of this report. Clear I Submit Form Public Officer/Candidate/Non-Candidate Committee Name Karen C. Thurman Page of