Campaign Contribution Disclosure Report
Transcription
Campaign Contribution Disclosure Report
1. Save to File SEC FORM CCDR REV 0312008 2. Attach to Email State of Georgia Campaign Contribution Disclosure Report 1. Report Type 2. Filing is being made on behalf of (Select One): o (Select One) Filing office use only Candidate or Public Official Office Sought or Held: Chairman, Cobb County Board of Commissioners [{] Original Report o Amended Amendment (Include county, municipality, district, post or judicial circuit) Committee Report 0 # Savage Name: for Chairman Use Earlier of Post Mark or Hand Delivered Date Report of Organization or Person Other than Candidate's Campaign Committee 3. Identifying and Contact Information (2) 06/30/2010 (1) Larry Savage Today's Date Full Name of Candidate or Non-Candidate Campaign Committee (3) 4226 Columns Marietta Drive City Mailing Address and / or (4) (770) 690 - 0907 (404) 626 30067 GA Zip Code State - 5397 Contact Phone Number (We will understand the release of this information 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 If so, is the committee registered with the State Ethics Commission? campaign, or file the reports? DYes D DYes No (6) IZl (7) If so, complete the following: Name of Chairperson and/or Treasurer of Committee 4. Period for which you are Reporting My Non Election Year o June 30, __ ODec.31, __ (year) OMarch (year) o June 30,.2O.1{L (year) o September "Persons elected to office in each year following the year in which the election occurs *Persons leaving office with excess funds until such funds are expended as provided in the Act "Unsuccessful candidates with excess funds, or who receive contributions to retire debt incurred, until such funds are expended, or such unpaid debts are satisfied (December My Election Year 31 filing only) o o 31, __ (year) 30, __ October 25, __ December (year) (year) 31, __ Run-Offs Special Elections (Report required only if you are in aRun-Off (Report required only if you are in a Special Election) Election) 06 days before Run-Off, __ 06 days before Run-Off, __ 06 days before Primary (year) General (year) Special Primary Run-Off, __ (year) 06 (year) days before Special Run-Off, __ (year) o o 15 days before Special Primary, __ (year) 15 days before Special, ___ ODec.31, __ Verification by Oath or Affirmation State of Georgia County of Cobb I, Larry Savage , being duly sworn ffirm), depose say that the information in this report form is complete, true, and correct. Further, I affi that the con ts in this report are the same as the contents in the electronic filing submitted, ifalso electronic y filed. Sworn to and subscribed before me on June 30 ,20~ ~. Signature of Notary Public /-/J _I. a. Signature of Candidate b. OrganizationiChairpersonffreasurer My Commission expires 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 ofa misdemeanor. (year) (year) No SEC FORM CCDR REV031Z008 State of Georgia Campaign Contribution Disclosure Report Summary Report CONTRIBUTIONS RECEIVED 1 2 3 o I have no contributions to report. I have the following contributions, including Common Source, to report: A. If this is the first time to flle a disclosure report for the current office sought. ENTER 0 in both columns (one time only); or o In-Kind Estimated Value Cash Amount B. If this is the first report of this Reporting Cycle*, ENTER 0 in the in-kind column and list any net balance on hand brought forward from the previous reporting cycle 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. Total amount of all itemized contributions received in this reporting period which are listed on the "Itemized Contributions" page. I $0.001 I $0.001 $4,225.00 $15,000.00 3a All loans received this reporting period. 3b Interest earned on campaign account this reporting period. $0.00 3c Total amount of investments sold this reporting period. $0.00 Total amount of cash dividends and interest paid out this reporting period. $0.00 3d 4 5 6 Total amount of all separate contributions of less than $101.00 received in this reporting period and not listed on the "Itemized Contributions" page. "CommonSource" contributionsmust be aggregated on the "ItemizedContributions"page. Total contributions reported this period. (Line 3 + 3a + 3b + 3c + 3d + 4) Total contributions to date. Total to be carriedforward to next report of this reporting cycle". (Line 2 + 5) $0.00 $0.00 $19,225.00 $0.00 $19,225.00 EXPENDITURES MADE 7 8 9 10 11 12 o I have no expenditures to report. o I have the following expenditures to report: Total expenditures made and reported prior to this reporting period. If this is the A. First report of this Reporting Cycle", ENTER O. B. Second or subsequent filing ENTER Line 12 ofnrevious renort. Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized Expenditures" page. Total amount of all separate expenditures of less than $101.00 that were made in this reporting period and not listed on the "Itemized Expenditures" page. Total expenditures reported this period. (Line 9 + 10) Total expenditures to date. Total to be carriedforward to next report of this reporting cycle". (Line 8 + 11) In-Kind Estimated Value Cash Amount $0.00 $0.00 $0.00 $0.00 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) $19,225.00 * O.C.C.A. 21·5·34 (b) (I) (D) (il) A reporting cycle shall commence on January 1 of the year in which an election is to be beld 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 (lID 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 _L_a_r_ry=--S_a_v_a..:9:...e _ SEC FORM CCDR REV03/200S State of Georgia Campaign Contribution Disclosure Report Outstanding Indebtedness Election Cycle": Election Year: 2010 Special 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. S 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 - S - 6) Election Cycle*: $0.00 Election Year: 2010 Special 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. S 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 - S - 6) Election Cycle*: Amount Amount $0.00 Election Year: 2010 Special 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. S 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) Amount $0.00 * Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary) Public Officer/CandidatelNon-Candidate Committee Name _L_a_rry__ S_a_V_a_9_e _ SEC FORM CCDR REV 312008 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) Michael M. Neal 1488 Old Hunters Lake Dr. Marietta, GA 30062 Peter MacDonald 1504 Villa Chase Ct. Marietta, GA 30068 Robbie Baron In-Kind Contributions Contributor Received Date Contribution Type* Occupation & Employer 05/03/2010 retired teacher Election Cycle** Estimated Value Description Cash Amount special 200 monetary retired businessman special 100 05/03/2010 businessman special 250 0510412010 businessman special 200 05/27/2010 businessman special 300 05/03/2010 monetary 57 Old Fuller MillRd. Marietta, GA 30067 Patrick Harkins 4783 Broxbourne Dr Marietta, GA 30068 Henry Hale 821 Burning Tree Dr. Marietta, GA 30067 Itemized Contributions Page Total $ 1050 $ 0 Loan Reporting Name of Lender Mailing Address Larry Savage Date of Loan Amount of Loan Election Cycle** 04/13/2010 4226 Columns Drive Marietta, GA 30067 $10,000.00 Person(s) responsible for repayment ofloan Mailing Address I.Larry Savage 4226 Columns Drive Marietta, GA 30067 Occupation & Place of Employment Fiduciary Relationship*** - candidate, self 2. special Larry Savage 5/27/2010 4226 Columns Drive Marietta, GA 30067 $5,000.00 I Larry Savage •4226 Columns Drive Marietta, GA 30067 2. candidate, self . special Reference: OCGA § 21-S-34(b)(l) * ** Loan Page Total $ $15,000.00 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 Larry Savage Page_1__ of 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 Ionzer renorted Full Name of Contributor Mailing Address (Affiliation of Committee if any) in "Itemized Contributions" section. See Loan Reporting section. In-Kind Contributions Contributor Received Date Contribution Type* Sheldon Smith 5521 Collins Blvd. Austell, GA 30106 O5I27fL010 Jon Reinhardt 6051 Rachel Ridge Norcross, GA 30092 06f1612010 Glenn Savage 1011 Ardmore Trail Hoschton, GA 30548 06f1812010 Jim Bunnelle 1551 Sandpoint Dr. Roswell, GA 30075 06f1812010 Wendell Wood 3218 Hilltop Dr. Marietta, GA 30066 06f1812010 Duncan Taylor 160 Club Ridge Dr. Marietta, GA 30068 06f30f2010 Gerry Ball 1645 Winterthur Close Atlanta, GA 30328 061'30I2010 Occupation and Employer Election Cycle** Cash Amount Estimated Val ue Description businessman special $500.00 special $500.00 special $500.00 special $500.00 monetary businessman monetary businessman monetary businessman monetary businessman special $200.00 special $250.00 special $500.00 special $225.00 monetary businessman monetary businessman monetary Aggregated small contributions monetary Itemized Contributions Page Total $ $3,175.00 $0.00 $ * 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) Public Officer/CandidatelNon-Candidate Larry Sava e Committee Name 9 2 2 Page __ of __ SEC FORM CCOR REV 0312008 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 Cobb County Board of Elections Expenditure Date Expenditure Type* Occupation & Employer qualifying fee 04/13/2010 expenditure Claxton Printing 1835 MacArthur Blvd Atlanta, GA 30318 05/07/2010 Hi-Tech Signs 1018 North Fifth Ave. Rome, GA 30165 OS/26/2010 Production Services 561 Rock Road Stockbridge, GA 30281 OS/26/2010 Intelligent Marketing Solutions 521 Village Trace Building 10A Marietta, GA 30067 06/0212010 Republican Party of Cobb County 06/24/2010 Advantage Fullfillment Service Intelligent Marketing Solutions 521 Village Trace Building 10A Marietta, GA 30067 $3,896.321 ~ Printer Rack Cards $1 Sign Shop $770.111 Yard Signs $2,060.821 ~ Printer Push Cards $1 06/30/2010 06/30/2010 Marketing Services Political Body Mail service Marketing Services advertising, signs, cards, stickers, magnets, Ad in East Cobber, mail list, letter $340.26 I~ $4,184.64 I~ $300.00 I~ $1,112.35 $1 $1,533.70 Sponsorship, picnic Letter to list Creative work, web site design, construction, sign install labor, courier Page Total * Amount Paid Expenditure Purpose I i1'---__ °1 . $14,198.2 Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment) Public Officer/CandidatelNon-Candidate Committee Name Larry Savage _ Page __ of __ SEC FORM CCDR Rev 3/2008 State of Georgia Campaign Contribution Disclosure Report Investments Statement Account Number 100-002-437 -0 1. Investment Name Checking account InstitutionlPerson Bank of North Georgia Holding Account Mailing Address City, State, Zip P.O.Box 1407 Valueat beginningof reporting period $ $0.00 Valueat end of reporting period $ $8,254.85 Difference in value $ $8,254.85 Interest Paid Out $ $0.00 Cash Dividends $ $0.00 n Alpharetta, GA 30009 Investment Transactions Person(s) Involved in Transaction Date Value of investment purchased Value of investment sold Profit Loss Account Number 2. Investment Name Valueat beginning of reporting period $ InstitutionlPerson Holding Account Value at end of reporting period $ Mailing Address Difference in value $ Interest Paid Out $ City, State, Zip Cash Dividends $ Investment Transactions Person(s) Involved in Transaction Date Value of investment purchased Total value of investments at beginning of reporting period Total value of investments at end of reporting period Total difference in value Public Officer/CandidatefNon-Candidate Committee Name $ $ $ Larry Savage $0.00 Value of investment sold Profit Page Total Cash Dividends: $ $0.00 Page Total Interest Paid Out: $ $0.00 Page Total Profit: $ $0.00 Page Total Loss: $ $0.00 $8,254.85 -$8,254.85 Loss Page 1 of~ SECFORMCCDR REV 0312008 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/Non-Candidate Committee Name Larry Savage _ Page _1__ of_1 __ 0 SEC FORM CCDR REV 0312008 State of Georgia Campaign Contribution Disclosure Report Itemized Expenditures Must list expenditures List Name and Mailing Address of Recipient Atlanta Aerial Billboards made to a single recipient for which the aggregate total is $101.00 or more Expenditure Date Occupation & Expenditure Type* Employer 06/30/2010 Advertising by airplane banner Amount Paid Expenditure Purpose Advertise candidate $1.200.001 ~ monetary $1 1 ~ 1 I~ I~ I~ - $1 $1 Page Total * I ill-- $1.200.001 _ Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment) Public Officer/CandidatefNon-Candidate Committee Name Larry Savage _ 1 Page __ 1 of __