cfc-ccdr 1114 campaign contribution disclosure report...

CFC-CCDR 1114

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Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Commission

200 Piedmont Avenue S.E. 1 Suite 1402 West Tower 1 Atlanta, GA 30334 1404-463-19801 www.etbjcs.ga.gov ]. Report Type 2. Filing is being made on behalf of (Select One): Use Ea~~~9~~D

(Select One) Candidate or Public Official Mark of#lbtl>Bel+Rl-t[jlty Office Held or Sought Fulton County Commission, District 2

(Include county. municipality, district, post or judicial circuit) D Original Filer ill C2013000351

(Filer [D that begins with the letter "C")

[!] Amendment Organization or Person Other than Candidate's Campaign Committee

arne: Amendment #_1 _

Filer 10: (Filer ID thut begins with the IClh .. rr "NC',)

Full Name of Candidate or Other Than Candidate Campaign Committee

(3) __ ~ ~ ~R_o_s_w_e_" G~A 3_0_07_7 __ ~ _ Mailing Address City State Zip Code

(4) ~ 264-7763 andJ or [email protected]

(5) If a Candidate or Public Official is there a campaign committee (one or more persons) to make campaign transactions, keep financial records of the campaign or file the reports? DYes [!] No

3. Identifying and Contact Information

(1) Friends to Elect Bob Ellis, LLC (2) July 3,2014

Today's Date

Primary Contact Phone Number E-Mail

(6) If yes, is the committee registered with the Commission? DYes [!] No

Date

JUL 08 2014 Director of Registra Ions

Ions

Name of Committee Chairperson (7) If yes, complete the following: ----------------4------------ _

Name 0/ Committee Treasurer 4. Period for which you are Reporting

You Must Check Oni One Box Run-Offs Special Election My Non Election Year My Election Year

(Report required only if yon are in a Run-Off Election)

o 6 days before Primary Run-Off (year)

D 6 days before General Run-Off __ (year)

D 6 days before Special Primary Run-Off (year)

D 6 days before Special Run-Off __ (year)

o January 31, __ (year) D June 30, __ (year)

D January 31, ____ (year)

iii March 31, 2014 (year)

D June 30, __ (year) D September 30, ____ (year) D October 25, ____ (year)

D Dec. 31, __ (year)

Supplemental Reporting

D June 30, (year) D December 31, (year) "Persons leaving office with excess funds until such funds arc expended as provided in the ACl "Unsuccessful candidates with excess funds, or who receive contributions 10 retire debt incurred. until such funds arc expended, or such unpaid debts nrc satis s ficd (December 31 filinu on1

Commission Expiration

D 15 days before Special Primary, __ (year)

D 15 days before Special, (year)

o Dec. 3 I, (year)

a. Signature ofCandidate b. OrganizalionlChaitpersonlTreas!lrer

Public Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis, Jr Page of .!j_

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State of Georgia Campaign Contribution Disclosure Report

Summary Report CONTRIBUTIONS RECEIVED

I 0 I have 110 contributions to report. In-Kind ~ I have the following contributions, including Common Source, to report: Estimated Value Cash Amount

2 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. Tfthis is the first report of this Election Cycle*, ENTER 0 in the in-kind COlumn auu ,;". ClUJ "I;;. oaiance on nanu orotrgrrrrorwam trom me previous

925 60290 election 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 Election Cycle, list totals from Line 6 of previous report in both the in-kind and cash amount columns.

3 Total amount of aIL itemized contributions received in this reporting period which 1250 7775 is listed on the "Itemized Contributions" page.

3a All loans received this reporting period. 1 0

3b Interest earned on campaign aCCOlUJt this reporting period. 0

-3-c -- '-rotal amount-ofinvestrnents sold this reporting period. -- --- 0

3d Total amount of cash dividends and interest paid out this reporting period.

4 Total amount of all separate contributions of $100 or less received in this reporting period and 110t listed 011 the "Itemized Contributions" page. 1441 "Common Source" contributions must be aggregated on the "Itemized Contributions" page.

5 Total contributions reported this period. 1250 (Line 3 + 3a + 3b + 3c + 3d + 4) 9216

6 Total contributions to date. Total to be carried forward to next report of this election cycle*. 2175 69506 (Line 2 + 5)

EXPENDITURES MADE 7 0 I have no expenditures to report.

~ I have the following expenditures to report: 8 Total expenditures mane and reported prior to this reporting period. If this is the

A. First report of this Election Cycle*, ENTERO. 16624.74 B. Second or subsequent filing ENTER Line 12 of previous report.

9 Total amount of all itemized expenditures made in this reporting period which are listed on the "Itemized Expenditures" page. 14706.84

10 Total amount of all separate expenditures of $ I 00.00 or less that were made in this reporting period and not listed all the "Itemized Expenditures" page 50.85

11 Total expenditures reported this period. (Line 9 + 10) 14757.69

12 Total expenditures to date. Total to be carried forward to next report of this election cycle*. 31382.43 (Line 8 + 11)

INVESTMENTS 13 Total value of investments held at the beginning of this reporting period.

0

:- ota+vahre of ill vestrrrerrts lre+d at tile errd of thrs reporting pel rod: 9

TOT AL NET BALANCE ON HAND '-" I "T_. L_I _____ L ___ ~ .

38123.57 (Line 6 - 12 + 14) ., O.C.G.A. 2J -5-3( 10) : Ejection cycle means the period from the day following the datc of an election or appomtmcnt of a person to elective public officc through and of the next such election of a person to the samc public office and shalt be construed and applied separately fur each elective office including the date.

Public Officer/Candidate/Other Than Candidate Committee Name Robert C Ellis, Jr. Page ~Of 14-

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Outstandinz Indebtness Election Cycle*: Primary Election Year: 2014 Amount 1 Outstanding indebtedness at the beginning of this reporting period.

H11O~ 2 Loans received this reporting period.

§

-5 uClt:::ut:::u paymencny-e-xpenses lITIS reportmg penoa

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) 60160.00

- _Election Cy_cJe*: - - - 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



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) 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



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)

.. Elcctiuu Cycle (PlUJJ<U-y, GC[Jcml, Special, Special Primary, Run-Off Primary, Run-Off General, l{un-Utl Spcclfil, Run-Off Spcciall'rimary) ----Il'tI~l-ie--Bffieer/eandi:datx:f{)tlici Than Ca -

-- --------

Public Officer/Candidate/Other Than Candidate Committee Name Paze .3 of 14- ------------------ "- - Robert C Ellis, Jr.


Itemized Contributions Must list contributions received by a single contributor for which the aggregate total more than $100.00.

Note: Loans are no longer reported in "Itemized Contributions" section. See Loan Reporting section below. Full Name of Contributor Contributor Election Cash In-Kind Mailing Address Cycle** Amount Contributions (Affiliation of Committee if any) Received Date Occupation & Estimated Value

Contribution Tvne* Emolover n '" T

First Name or Business Name Date Occupation CashAmL Est. Value

Ronnie March 14,2014 Retired 200

II Primary Last Name o General I

Ronden DSpecial DSpecial Primary

Address o Run-Off Primary 13390 Providence Lk Dr. D Run-Off General

DRun-Off Special Address2 II Monetary Employer o Run-Off Special Description

City DIn-Kind Primary -- - - -

Roswell o Common Source State I Zip GA 30004 o Credit Received on Loan Aff. Comm.

First Name or Business Name Date Occupation ellSh AmI. Est. Value

Glenn March 16,2014 Financial Planning 250

III Primary Last Name o General Williams OSpecial o Special Primary Address

D Run-Off Primary 1090 Brooksglen Dr. o Run-Off General

D Run-Off Special Address2 III Monetary Employer ORun OffSpecial Description

o In-i(jnd U.S. Planning Primary City Roswell D Common Source State I Zip D Credit Received on Loan GA 30075

Aff. Comm. - ----

First Name or Business Name Date Occupation Cash AmI. Est. Value March 11, 2014 Retired /Investor

1,000 Ronald III Primary

Last Name o General

Wallace o Special o Special Primary

Address D Run-Off Primary ORun-OffGeneral

13090 Freemanville Rd. ORun-OffSpecial

.• ddresse III-Monen.. J Emptoye lliun:.().f[Spe-:_1 lJescnprlOn

Prirnarv DIn-Kind "'''''

City II

Milton o CUIJlIJlUU Source State I Zin_ GA 130004 IU Credit Received on Loan Aff. Comm.

Itemized Contributions Page Total $ 1450 $

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Public Officer/Candidate/Other Than Candidate Committee Name Robert C. ElliS. Jr

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CfC-CCDR 1/14

First Name or Business Name Date Occupation Cash AmI. Est. Value C.W. March 13,2014 Insurance 250

III Primary Last Name o General Milton OSpecial

Address o Special Primary o Run-Off Primary 11105 Stroup Rd. o Run-Off General Address2 ~Monetary Employer o Run-Off Special Description

Allstate ORun-Off Special City DIn-Kind Primary Roswell

II, o une I zrp /L....I ....... uulluun ~vw"" .... , GA 30076 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Amt. Est. Value Brian March 13, 2014 Investor / Owner 500

(ijj)Primary Last Name o General Martin o Special o Special Primary Address o Run-Off Primary 5020 Heatherwood Ct. o Run-Off General Addrcss2 lIlMonctary _Employer o Run-OffSnecil!L ,.. Description - o Run-Off Special Slate Restaurant City DIn-Kind Primary I

Roswell State I Zip o Common Source GA 30075 Aff. Corum. o Credit Received on Loan First Name or Business Name Date Occupation Cash AmI. Est. Value James March 6, 2014 Sales 500 III Primary Last Name o General Zauderer o Special o Special Primary Address o Run-Off Primary P.O. Box 724378 o Run-Off General Address2 III Monetary Employer o Run-Off Special Description

Zauderer & o Run-Off Special City DIn-Kind Associates Primary Atlanta State I Zip o Common Source GA 31139 Aff. Comrn. o Credit Received on Loan

---- First Name or Business Name Date Occupation CashAmL. Est. Value Peyton March 6,2014 Investment

III Primary 250

Last Name Management o General

Jamison o Special o Special Primary Address o Run-Off Primary 13790 Birmingham Hwy ORun-OffGeneral Address2 III Monetary Employer o Run-Off Special Description

Diversified Financial o Run-Off Special City DIn-Kind Planning Primary Milton ~tate I Zip o Common Source

- 1 .... 55""' o Credit Received on Loan Aff. Corum.

Itemized Contributions Page Total $ IOUU $ - * 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 SpecialPrimary) *** 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 Robert C. Ellis, Jr. Page '5 of 0i_

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First Name or Business Name Date Occupation Cash AmI. Est. Value

William March 18, 2014 Retired 200 ~Primary

Last Name o General -

Beckemeyer o Special Address

o Special Primary o Run-Off Primary 9560 River Lake ORun-OffGeneral

Address2 ~Monetary Employer o Run-Off Special Description ORun-Off Special

City DIn-Kind Primary Roswell - -. ~ ~ ~,a,~ I Loll'

- ~~~.~~~~ UU~ __

GA 30075 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Arnt. Est. Value Rock 250

March 21,2014 Owner III Primary Last Name o General Kenney o Special o Special Primary Address o Run-Off Primary 450 Northwood Cove o Run-Off General

-- Address2 III Mo..!!ctary Employer o Run-Off Special -- _Description __ - o Run-Off Special City DIn-Kind 5-Star Painting Primary

Milton State I Zip o Common Source

GA 30004 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash AmI. Est. Value Builders PAC March 27, 2014 500

I!IPrimary Last Name o General o Special o Special Primary Address o Run-Off Primary o Run-Off General Address2 II Monetary Employer o Run-Off Special Description o RUD-Off Special City DIn-Kind Primary

Atlanta State I Zip o Common Source

GA 30004 Aff. Comm. o Credit Received on Loan ,

",......._ - First Name or Business Name Date Occupation Cash Amt. Est. Value

Kim March 13, 2014 Attomey III Primary 750

Last Name o General Gauger OSpeeiai o Special Primary Address o Run-Off Primary 422 Calton Hill Ct o Run-OflGeneral Address2 o Monetary Employer o Run-Off Special Description o Run-Off Special , City II In-Kind Self Primary I Event supplies & hosting

Milton - -Stare I Lip B~ ~. I~gg::'

- 0 Credit Received on Loan Aff. Comm.

$ ~~~ IOU Itemized Contributions Page Total $

* 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 OfficerlCandidatelOther Than Candidate Committee Name Page Lof ) If

Page !i3!i&l9 7 of 1<-(

CFC-CCDR 1114 First Name or Business Name Date Occupation Cash AmI. Est. Value

Scott Feb 6,2014 Accountant 250 ~Primruy

Last Name o General McKelvey o Special Address

o Special Primary ORun-OffPrimary

1305 Cashiers Way ORun-OffGeneraJ

Address2 III Monetary Employer o Run-Off Special Description o Run-Off Special City DIn-Kind Dynamix Primary Roswell - - .,'ilLl;

/30675 ,_ ~~~.uu ~uu.~~

GA Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Amt. Est. Value

Chris February 15, 2014 & Vice President 200 March 12, 2014 IIlPrimruy

Last Name o General I

Cocca o Special o Special Primary Address

ORun-OffPrimruy 190 Colton Crest o Run-Off General

i-Addrcss2 IIIMonetacy ...Employer ORun-Off Sl1eeial -Dcseciption --- ORun-OffSpeeial· Chubb

City DIn-Kind Primary Johns Creek State

13~~05 o Common Source Ii GA

Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Amt. Est. Value Gerald March 1, 2014 Vice President 250

III Primary Last Name o General Scott o Special o Special Primary Address o Run-OffPrimruy 5024 Gunners Run ORun-OffGeneral Address2 III Monetary Employer ORun-OffSpecial Description

First Community o Run-Off Special City DIn-Kind Development Primruy Roswell State I Zip o Common Source GA 30075 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash AmI. Est. Value

Michael March 12, 2014 Vice President 200 III Primary

Last Name o General Turner o Special o Special Primary Address o Run-Off'Prirnary 1090 Oakhaven Dr. o Run-Off General Address2 III Monetary Employer ORun-OffSpecial Description

ORun-Off Special City DIn-Kind Home Service Primary Roswell State I Zip._ o Common Source

1- ~. ~ o Credit Received on Loan Aff. Comm.

Itemized ContIibutions Page Total $ uuu $ * Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, General, Special, Special Primary, Run-OffPrimruy, Run-Off General, Run-OffSpceial, 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 Comm.ittee Name of LY

~ §

ere ceca 1114 First Name or Business Name Date Occupation Cash Amt. Est. Value Roger March 6. 2014 Retired 200

II Primary Last Name o General Wise o Special o Special Primary Address

ORun-OffPrimary 215 Back Tee Ct. o Run-Off General Address2 III Monetary Employer o Run-Off Special Description

ORun-Off Special City o In-Kind Primary Roswell

In_ - ."",e I '-'I' I"""'" ........... u_..._ ... VLl. .......................

GA 30076 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Arnt. Est. Value Hodge Investment Partners March 1, 2014 1000

III Primary Last Namc o General o Special o Special Primary Address o Run-Off Primary

10560 Montclair Way o Run-Off General Address2 IIIMonct.acy Employer ORun-OffS~ Description --- o Run-Off Special Cily o In-Kind Primary Duluth State I Zip o Common Source GA 30097 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash AmI. Est. Value Orkin & Associates March 3,2014 500 III Primary Last Name o General

OSpecial o Special Primary Address o Run-Off Primary 12600 Deerfield Pkwy, Suite 150 ORun Off General Address2 III Monetary Employer o Run-Off Special Description o Run-Off Special City o In-Kind Primary

Milton State I Zip o Common Source GA 30004 Aff Comm. o Credit Received on Loan

'-- -- Fi.rst Name or Business Name Date Occupation Cash AmI. Est. Value

Native American Advisors February 5, 2014 250 III Primary Last Name o General o Special o Special Primary Address o Run-Off Pri mary 801 N. Brookshade Way o Run-Off General Address2 III Monetary Employer o Run-Off Special Description o Run-Off Special City o In-Kind Primary

Alpharetta o Common Source State I Z· - '-eIP- ~, IV ._ o Credit Received on Loan Aff. COI11m.

I,vvu

$ Itemized Contributions Page Total $ * Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (primary, General, Special, Special Primary, Run-Off Primary, Run-OffGcncral, 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 Page

Page § &II ?",f' J'(

crC-CCDR 1114 First Name or Business Name Date Occupation Ca. s hAmt. Est. Value

Bob Ferris Commercial Real 200 Estate III Primary

Last Name o General o Special o Special Primary Address o Run-Off Primary 1175 Wilde Run CL o Run-Off General Address2 III Monetary Employer o Run-Off Special Description o Run-Off Special City Orn-Kind Situs Primary Roswell

-- - State I z.ip ,~ ~v=,.vu ..,v~~~

GA 30075 Aff. Comm. o Credit Received on Loan II

First Name or Business Name Date Occupation Cash Amt. Est. Value

Russell February 16, 2014 Project Manager 125 III Primary

Last Namc o General Blocker o Special o Special Primary Address o Run-Off Primary 2180 Whittingham Ct o Run-Off General

,~LI,ddr~s2 III Monetary Employer ORun-OffS~ Description --- ORun-OffSpecial US Steel

City DIn-Kind Primary Roswell State I Zip o Common Source GA 30075 Aff. Comm. o Credit Received on Loan

First Name or Business Name Date Occupation Cash AmI. Est. Value

Andrea February 7,2014 Consultant 500 III Primary

Last Name o General -

OSpecial II

Youngstrom o Special Primary Address o Run-Off Primary 415 Timber Crest LN o Run-Off General Address2 III Monetary Employer o Run-Off Special Description

Burchwood o Run-Off Special City DIn-Kind Consulting, LLC Primary Roswell State I Zip o Common Source GA 30075 Aff. Comm. o Credit Received on Loan

= J First Name or Business Name Date Occupation Cash AmI. Est. Value

Mark February 2, 2014 Vice President 200 III Primary Last Name o General Robinson OSpecial o Special Primary Address o Run-Off Primary 12880 Bucksport LN o Run-Off Genera I

Address2 III Monetary Employer o Run-Off Special Description ORun-Off Special

City DIn-Kind UPS Primary Roswell _State I ZIP __ a Common Sourcc - 1 .... 66' .... o Credit Received on Loan Aff. Comm.

Itemized Contributions Page Total $ 'I0'2..S $ * Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (Primary, Genernl, 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 - of c!t

CFC-CCDR 1114 First Name or Business Name Date Occupation ea. s h AmI. Est. Value

Scott Accountant 500 III Primary

Last Name o General McKelvey o Special Address

o Special Primary o Run-Off Primary 1305 Cashiers Way o Run-Off General Address2 o Monetary Employer o Run-Off Special Description

Dynamix o Run-Off Special City III In-Kind Primary Event Planning & Hosting Roswell stare I Lip ,o.-J \...ouWlon ..,uu,~~ GA 30075 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation CnshAmL Est. Value

o Primary Last Name o General o Special o Special Primary Address o Run-Off Primary o Run-Off General

.-Add[ess2 o Monetary Employer o Run-Off Special Description -- --- ORun-Off Special

City DIn-Kind Primary

o Common Source I' State I Zip

Aff. Comm. o Credit Received on Loan

First Name or Business Name Date Occupation Cash Arnt. Est. Value

OPrima.ry Last Name o General o Special o Special Primary Address o Run-Off Primary o Run-Off General Address2 o Monetary Employer o Run-Off Special Description o Run-Off Special City o In-l(jnd Primary

State I Zip o Common Source

Aff. Comm. o Credit Received on Loan First Name or Business Name Dale Occupation Cash AmI. Est. Value

III Primary Last Name o General o Special o Special Primary Address

ORun-OffPrimary o Run-Off General I'

Address2 o Monetary Employer o Run-Off Special Description o Run-Off Special City III In-Kind Primary

State I Zip o Common Source I o Credit Received on Loan Aff. Comm.

Itemized Contributions Page Total $ $ouu

* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) ** Election Cycle (primary, Geneml, 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 Robert C_ Ellis, Jr. Page 1..E__ of !..1_

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Loan Reporting Name of Lender I.Date of Loan Person(s) responsible for 1.0ccupation &

& 2.Amount of Loan repayment of loan & 2.Place of Employment Mailing Address 3.Election Cvcle** Mailing Address 3.Fiduciarv Relationship*** Lender Name (First Name, Business, Inst.) l. First Name I.

Lender Last Name 2. LastNamc 2.

Address 3. Address 3. I::TP"nmary o General o Public Officer

Addrcss2 o Special Address2 o Special Primary DCandidatc o Run-Off Primary o Other Than Candidate Committee City o Run-Off General City

o Run-Off Special Name

State I Zip o Run-Off Special State 1 Zip Primary Lender Name (First Name, Business, Inst.) 1. First Name 1.

._Lender. Last.Name 2. l-Last Name '2.

Address 3. Address 3. o Primary o General o Public Officcr Address2 o Special Address2 o Special Primary o Candidate

DRun-OffPrimary o Other Than Candidate Committee City o Run-Off General City

o Run-Off Special Name

State I Zip o Run-Off Special State I Zip Primary

Reference: OCGA § 21-5-34(b)(J) Loan rage Total $

* Contribution Type (Monetary, In-Kind, Common Source, Credit Received on Loan) *'" Election Cyclc (Primary, General, Special, Special Primary, RWI-OITPrimary, Run-Off General, Run-Off Special, Run-OffSpeciall'rimary) *** If any such person(s) shall have a fiduciary relationship to the lenrling institution or party making the advance or extension of credit

Lot\i\JS

Public Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis, Jr. Page I I of ) i.f. ~- -~

Page~ /2- trf Il£-

CFC-CCDRIfl4


Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total more than $ LOO.OO.

List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid

First Name Date Occupation Content, Social Media, lnsioht sfrateolc (-;rnlln Ferbuarv 14 2014 ?1nn ~~~

Last Name

Address II Expenditure 2521 Gramercy Park Cir DIn-Kind

DLoan Repayment Address2 DRefund Employer

DReimbursement DCredit Card

City D3rd Party

Duluth DOeferred Payment DPayment on Deferred Expense

State GA I Zip 30097- DInvcstmeut 11_ ~-

First Name Date Occupation Content, Social Media,

Peachtree Public Relations February 23,2014 Press 500

Last Name I

Address II Expenditure 3398 Forest Knoll Drive DIn-Kind

DLoan Repayment I, Address2 DRefund Employer

DReimbursement DCredit Card

City D3rd Party Ii Duluth DOcferred Paymcnt I!

DPayment on Deferred Expense State GA I Zip 30097 Dlnvcstment

- First Name Date Occupation

Consulting Insight Strategic Group February 14, 2014 3354.14

Last Name

II Address ~ Expenditure I,

2521 Gramercy Park Cir DIn-Kind II DLoan Repayment II I Address2 DRefund Employer DReimbursement DCredit Card

City D3rd Party

Duluth DOeferred Payment DPayment on Deferred Expense

State GA I Zip 30097 Dlnvestment

Page Total $ _ * Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement. Credit Card. 3rd Party Deferred PaymenLon..Defen:e.d..Exp.ens.e,.1rurestmentc·~ _ Publ.ic Officer/Candidate/Oilier Than Candidate Committee Name

5954.14

Public Officer/Candidate/Other Than Candidate Committee Name Robert C_ Ellis, Jr. Page J Zof ) Y-

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List Name and Exp. Date Occupation & Expenditure Amount Mailing Address of Recipient Exp. Type* Employer Purpose Paid

First Name Date Occupation d ~P' q

1600.50 Hi-Tech Signs February 19, 2014

Last Name Y~'D S16NS

Ii Address lii Expenditure 1018 North Fifth Avp Orn-Kind

-OC{)an Repayment Address2 ORefund Employer

i OReimbursement OCredit Card

City 03rdParty Rome BDeferred Payment

Payment on Deferred Expense State GA I Zip 30165 Obwestmeot

First Name Date Occupation f:!I! IF" Insight Strategic Group February 17, 2014 2500

Last Name ~eA1~

G-'\ 5wl t-," '" '1 ,- - - Address • ~ Expenditure +- 2521 Gramercy Pk. Circle DIn-Kind

C!<><"f"1"''1'" OLoan Repayment Address2 ORe fund Employer N/itv- ... ')-<"-Jt OReimbursement

OCredit Card City 03rdParty Duluth o Deferred Payment

OPayment on Deferred Expense State GA I Zip 30097 o Investment

First Name Date Occupation @I 1l!!!J Fulton County Republican Party February 28, 2014 1056

Last Name ~1A.c..l;~'''-<,

F-te) Address ~ Exp~nditure u

Parkside Shopping Center DIn-Kind OLoan Repayment

-' Address2 ORefund Employer 5920 Roswell Road I Ste A- 208 OReimbursement

OCrcdit Card City 03rd Party Sandy Springs BDeferred Payment

Payment on Deferred Expense State GA I Zip 30328 Ornvestment

First Name Date Occupation %?Gy Insight Strategic Group March 13, 2014 3596.20 Last Name c: ",(H~I

Ctw--p-'1I' '"'- II II Address :. ~ Expenditure M ~"7J-<"-v--4-

2521 Gramercy Park Cir DIn-Kind OLoan Repayment + Addrcss2 -FlRefund r:=lo.y.-- Rc;t ,.,f<eo{ OReimbursemcnt OCrcdit Card 'S-e.-r-v.h:'</l City 03rd Party

Duluth BDeferred Payment ;=;Payment on Deferred Expense

"Im~ GA I z.ip 30097 L.....IIU " .... :~UIl .... UL

- - * Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public Officer/CandidatclOther Th~U1 Candidate Committee Name Page Total $ ~ ~ 752 .7

Public Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis, Jr. of li_

CfC·CCDR 1/14

State of Georgia Campaign Contribution Disclosure Report ('J 1 (l-

Investments Statement l. Investment Name Account #

Value at beginning of reporting period $ InstitutionlPerson

/' /

Holding Account Value at end of reportjag period $

Mailing Address .: /,ft'erence in value $

Address2 .: Interest Paid Out $

City State Zip / Cash Dividends $

Investment Transactions / Date Person(s} Involved in Transaction Value of inV"'tm';Zh,{sod Value of investment sold Profit Loss

- /

2. Investment Name / Account #

/ Value at beginning of reporting period $ InstitutionlPerson Holding Account Value at end of reporting period $ Z Mailing Address

Difference in value $ / Address2

/ Interest Paid Out $

// /

City State Zip Cash Dividends :I>

Investment Transactions" Date Personrs) Involved in Transaction Value of investment QUfchased Value of investment sold Profit Loss

Total value of investments at beginning of reQorting period $ Page Total Cash Dividends: $

Total value of investments at end of reporting period $ Page Total Interest Paid Out: $

Total difference in value $ Page Total Profit: $

Page Total Loss: $

Public Officer/Candidate/Other Than Candidate Committee Name Page ~ of _!_i

cfc-ccdr 1114 campaign contribution disclosure report...

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