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 __
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