HomeMy WebLinkAboutCCDR - 9/30/2009 - CCDR: Karen Thurman (5) (Migrated from Optiview)M11-01111
SEC FORM CCDRy
REV 03/1008
State of Georgia RECEIVE
Campaign Contribution Disclosure Report
1. Report Type 2. Filing is being made on behalf of (Select One): Mir o11eUs
(Select one) ✓❑ Candidate or Public Official
Office Sought or Held: Milton City Council - District 1
❑✓ Original Report
Amended Report
(Include county, municipality, district, post orjudicial circuit)
Committee Name: Thurman For Milton
Amendment # I ❑ Report of Organization or Person Other than Candidate's Campaign Committee
3. Identifying and Contact Information
(1) Karen C. Thurman (2) 09/30/09
Full Name of Candidate or Other Than Candidate Campaign Committee Today's Date
(3) 310 Lake Bend Court Milton Georgia 30004
Mailing Address City State Zip Code
(4) 004 ) 790 - 2874 and / or ( ) -
Contact Phone Number (We will understand the release of this information as permission to call your office if necessary)
CTTY CLERK
QTY OF MILTON
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? Z Yes ❑
(7) If so, complete the following: Terri Lawson
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)
[:]6 days before Primary
15 days before
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
❑✓ September 30, 2009 (year)
E]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
F October 25, (year)
(year)
" Unsuccessful candidates with excess funds,
[:]6 days before Special
E] Dec. 31,
re
who receive contributions to retire debt incurred,
until such funds are expended, or such unpaid
❑ December 31, (year)
Run -Off, (year)
_(year)
debts are satisfied (December 31 filing only)
Verification by Oath or Affirmation
State of Georgia
1, Karen C. Thurman
that the information in this report form is complete,
are the same as the contents in the electronic ftliud
Sworn to and subscribed before me on
AX&,
Signature of Notary Public
My Commission expires 1 -9 -
(Include
"d
who knowingly fails
JULY
Y
2010
0 -Eff C��
A YP
y with 7 i Vio13 1
County of Fulton
being duly sworn (affirm), depose and say
�.t�.�FF�urther, I affirm that the contents in this report
%Wtronically filed.
11, A C
a. S ature of Candidate
b. Qeanization/Chaimerson/Treasurer
of the Ethics in Government Act shall be guilty of a misdemeanor.
SEG FORM CCDFt
REV 03/2008
Campaign Contribution Disclosure 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 soucht*
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
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
250
6250
listed on the "Itemized Contributions" page.
3a
All loans received this reporting period.
5790
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.
1400
"Common Source" contributions must be aggregated on the "Itemized Contributions" page.
5
Total contributions reported this period.
250
13440
Line 3 + 3a + 3b + 3c + 3d + 4)
6
Total contributions to date. Total to be carried forward to next report of this reporting cycle
750
13440
Line 2 + 5
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.
500.00
B. Second or subsequent filing ENTER Line 12 ofrevious re rt.
9
Total amount of all itemized expenditures made in this reporting period which are
250.00
7374.04
listed on the "Itemized Expenditures" page.
10
Total amount of all separate expenditures of less than $101.00 that were made
11.75
in this reporting eriod and not listed on the "Itemized Expenditures" page.
11
Total expenditures reported this period.
250.00
7385.79
l(Line 9 + 10
12
Total expenditures to date. Total to be carried forward to ne d report of this reporting cycle
750.00
7385.75
Line 8 + 11
INVESTMENTS
13
Total value of investments held at the beginning of this reporting period.
0
14
Total value of investments held at the end of this reporting period.
IN
15
Net balance on hand.
Line 6 - 12 + 14)
* O.C.G.A. 21-5-34(b)(1 XDxii) A reporting cycle shall commence on January l of the year in which an election is to be held for the public office to which a candidate seeks election and shall
conclude:
;rte (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;
(I1) 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. Karen C. Thurman
Public Officer/Candidate/Other Than Candidate Committee Name
No Text
14
SEC 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
Mailing Address
(Affiliation of Committee if any)
Contributor
Election
Cycle**
Cash
Amount
In -Kind Contributions
Received Date
Contribution Type*
Occupation &
Employer
Estimated Value
Description
See attached schedule
Frazier &Deeter, LLC
General
Mark & Karen Thurman
310 Lake Bend Court
Milton, GA 30004
09/14/09
1- Karen C. Thurman
CPA
4650
'310 Lake Bend Ct
Milton, GA 30004
Frazier & Dealer, LLC
General
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 5790
Itemized Contributions Page Total $6250 $ 250
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
Milton, GA 30004
08/31/09
1. Karen C. Thurman
CPA
1140
2'310 Lake Bend Ct
Milton, GA 30004
Frazier &Deeter, LLC
General
Mark & Karen Thurman
310 Lake Bend Court
Milton, GA 30004
09/14/09
1- Karen C. Thurman
CPA
4650
'310 Lake Bend Ct
Milton, GA 30004
Frazier & Dealer, LLC
General
Reference: OCGA § 21-5-34(b)(1) Loan Page Total $ 5790
* 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 Karen C. Thurman Page of
SEC -FORM CCDP.
Anv mnma
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
Expenditure Date
Occupation &
Expenditure Purpose
Amount Paid
of Recipient
Expenditure Type*
Employer
City Of Milton
08/31/09
Filing Fee
13000 Deerfield Parkway
$ 390.00
Milton, GA 30004
Expenditure
Stirrups Corporate Apparel
09/17/09
t -shirts
2190 Brandon Trail
Alpharetta, GA 30004
$1337.50
Expenditure
All About Signs
09/19/09
Signs
4371 Roswell Road
$1885.00
Marietta, GA 30062
Expenditure
Handy Advertising
09/18/09
Promotional items
6108 Village Oaks Drive
$ 604.99
Pensacola, FL 32504
Expenditure
Aluma Panel
09/21/09
Sign stakes
2410 Oak Street West
$176.55
Cumming, GA 30041
Expenditure
HEG, LLC
09/22/09
Consulting & printing
2774 Royal Oaks Drive
$ 2230.00
Tallahassee, FL 32309
Expenditure
Beacon Media
09/03/09
Deposit on
515 East Crossville Road,
Advertisement
Suite #350
$ 750.00
Roswell, GA
Expenditure
Olde Blind Dog
09/22/09
Food & drinks
12650 Crabapple Rd
$ 500.00
Milton, GA 30004
In-kind
Page Total $ 7874.04
* Expenditure Type (Expenditure, In -Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment,
Payment on Deferred Expense, Investment)
Public Officer/Candidate/Other Than Candidate Committee Name Karen C. Thurman
Page of
SEC FORM CCDR
Rev 3/2008
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 $
L 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 $
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 Karen C. Thurman Page of
SE}FORM CCDR
REV MOM
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 Karen C. Thurman
Page of
SEC FORM CCDR
REV3/2008
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
Mailing Address
(Affiliation of Committee if any)
Contributor
Election
Cycle**
Cash
Amount
In -Kind Contributions
Received Date
Contribution Type*
Occupation &
Employer
Estimated Value
Description
Gordon & Brook Hunter
14680 Wood Rd, Milton, GA 30004
9/22/2009
Retired
General
500
check
Greg & Lisa Swayne
760 Lake Mist Cove, Alpharetta, GA 30004
9/22/2009
CEO
HSWint
General
500
check
Catherine Haire
12180 King Cir, Roswell, GA 30075
9/22/2009
Retired
General
350
check
Terry & Mignon Herr
110 Champions Club Ct, Alpharetta, GA 30004
9/22/2009
Architect
Pieper, O'Brien, Herr
General
300
check
Mark & Wendy Reed
14240 Phillips Cir, Alpharetta, GA 30004
9/22/2009
CFO
Infomentis, Inc.
General
300
check
Dillard & Galloway
3500 Lenox Rd, Atlanta, GA
9/22/2009
Attorney
Dillard & Gallows
General
200
check
Pete & Susan Campbell
245 Bay Colt Rd, Alpharetta, GA 30009
9/22/2009
Sales Engineer
Heat Transfer System
General
250
check
Matt & Karen Salter
210 Atlanta Providence Ct, Alpharetta, GA 30004
9/22/2009
Real Estate Sales
Telecom
General
200
check
?01hy Heetland
rw,Glen National Dr, Alpharetta, GA 30004
9/22/2009
Real Estate Agent
Kathy Hee land, LLC
General
200
check
James & Robin Dunn
765 Lake Mist CV, Milton, GA 30004
9/22/2009
Teacher
Birmingham Falls
General
200
check
John F. Wieland
P.O. Box 87363, Atlanta, GA 30337
9/22/2009
Real Estate
John Wieland Homes
General
200
check
Chris Etheridge
1647 Damon Ct., Dunwoody, GA 30338
9/22/2009
CPA
Frazier & Deeter, LLC
General
500
check
Mike & Susan Sutcliff
1285 Rolling Links Dr, Alpharetta, GA 30004
9/22/2009
Consultant
Accenture
General
500
check
Roger Sant!
9/23/2009
CPA
Santi & Associates
General
250
545 Tullamore Way, Alpharetta, GA 30004
check
Orkin & Associates
12600 Deerfield Pkwy, #150, Alpharetta, GA 30004
9/22/2009
Real Estate
General
500
check
Willis Chiropractic Center
317 North Main St, Alpharetta, GA 30004
9/22/2009
Chiropractor
General
300
check
Olde Blind Dog
12650 Crabapple Road, Milton, GA 30004
9/22/2009
Restaurant
General
250
in-kind
Food & drinks
J. David Chatham
1865 Bethany Way, Milton, GA 30004
9/18/2009
Chatham Holdings
Real Estate
General
1000
check
$ 6,250 $ 250
Itemized Contributions Page Total