georgia government transparency and campaign … government transparency and campaign finance...

CFC-CCDR 1/14

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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.ethics.ga.gov 1. Report Type

(SeICCl One) 2. Filing is being made on behalf of (Select One): Candidate or Public Official Office Held or Sought Fulton County Commission, District 2

o Amendment

Filer ill:

[!] Original Filer TD (Include county, municipality, district, post or judicial circuit)

C2013000351 (Filer ill that begins with the leiter "en)

Amendment ff _

Organization or Person Other than Candidate's Campaign Committee Committee Name:

3. Identifying and Contact Information

(I) Friends to Elect Bob Ellis, LLC

(Filer 10 that begins with (he lctn ... "f "NCl

(2) July 3, 2014

Today s Date

JULA) 8 2014 ~.Ca . Dir '(tor of Registrations lAd EI€ctions I

Full Name of Candidate or Other Than Candidate Campaign Committee

Roswell GA 30077 (3)~~ __ ~ ~ ___ Mailing Address City State Zip Code

(4) (404) 264-7763 and! or [email protected]

Primary Contact Phone Number E-Mail

(5) Ifa 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? 0 Yes [!] No

(6) If yes, is the committee registered with the Commission? 0 Yes [!] No

(7) If yes, complete the following: ----------------+1--------------- Name 0/ Committee Chairperson Name of Committee Treasurer

4. Period for which you are Reporting You Must Check Only One Box

My Non Election Year Run-Offs My Election Year (Report required only if you are in a

Run-Off Election)

o January 31, __ (year)

o March 31, (year)

~---S~u-p-p-I-em--en-t-a-I=R-e-p-or-ti-·n-g----- ~ June 30, 2014 (year)

o June 30, (year) 0 September 30, __ (year) o December 31, __ (year)

o 6 days before Primary Run-Off (year)

o 6 days before General Run-Off (year)

o 6 days before Special Primary RWI-Off __ (year)

o 6 days before Special Run-Off (year)

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

"Persons leaving office with excess funds until such funds arc expended as provided in the Act "Unsuccessful candidates with excess funds, or who receive cootribution. s to retire debt incurred, until such funds are expended, or such unpaid debt. s arc satisfied (December 31 filina onlv1

o October 25, __ (year)

o Dec. 31, (year)

Special Election

o 15 days before Special Primary, _____ (year)

o 15 days before Special, (year)

o Dec. 31, __ (year)

L:... ~ / J..., \ rf,vr; 1/111" =: Stateof cje6CMOt County of tZA OVn _~.~~C~!~~~~'~'\ 0, IA C r- " ('\ U fIt'~'V;'" \lY ~

T, ! '\ I) vJ~ \ I:::- t l f">} J r- , being duly sworn (affirm), depose and say that the information 111 this report f!j~"" ~ complete, true, and correct. Further, I affirm that the contents in this report are the same as the contents in the electronic filing SUbl~l ~ g:..~I.( ~~ I

also electronically filed. JIA-{ fAr 5 I W ,,~ ~'?r~ ~~1 '£ s~womtomd'"b,,,jbOOb"orem'oo ~ ,20 --+ L ~;;~

~~"'=>'-'-~__ apr}) 30/ J1Jl [' 60- (", ~L ~ ,,,,, ~c Commission Expiration a. Signature of Candidate

b. OrganizationlClzairperson/Treasurer

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

of 1, CfC-CCDR 1/14

State of Georgia Campaign Contribution Disclosure Report

Summary Report CONTRIBUTIONS RECENED

I 0 I have no contributions to report. In-Kind ~ [ 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. Jfthis is the first report of this Election Cycle*, ENTER 0 in the in-kind column and list any net balance on hand brought forward from the previous

2175 69506 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 all itemized contributions received in this reporting period which 2225 is listed on the "Itemized Contributions" page.

3a All loans received this reporting period. 0

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

3c Total amount of investments sold this reporting period. 0

3d Total amount of cash dividends and interest paid out this reporting period. 0

4 Total amount of all separate contributions of $100 or less received in this reporting period and not listed on the "Itemized Contributions" page. 780 "Common Source" contributions must be aggregated on the "Itemized Contributions" page.

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

6 Total contributions to date. Total to be carried forward to next report of this election cycle*. 2175 72511 (Line 2 + 5)

EXPENDITURES MADE 7 0 I have no expenditures to report.

~ I have the following expenditures to report: 8 Total expenditures made and reported prior to this reporti.ng period. If this is the

A. First report of this Election Cycle*, ENTERO. 31382.43 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. 38162.42

10 Total amount of all separate expenditures 0[$100.00 or less that were made in this reporting period and not listed on the "itemized Expenditures" page 28.65

11 Total expenditures reported this period. (Line 9 + 10) 38191.07

12 Total expenditures to date. Total to be carried forward to next report of this election cycle * . 69573.5 (Line 8 + 11)

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

0

H Total value of investments held at the end of this reporting period. 9

TOTAL NET BALANCE ON HAND 15 Net balance on hand.

2937.50 (Line 6 - 12 + 14) * O.C.G.A. 21-5-3(10) : Election cycle means the period from the day following the date of an election or appointment of a person to elective public office through and of the next such election of a person to the same public office and shall be construed and applied separately for each elective office including the date.

Public Officcr/Candidate/Other Than Candidate Committee Name Robert C Ellis, Jr. Page z_ of1-_t_

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Outstanding Indebtness Election Cycle*: Primary Election Year: 2014 Amount 1 Outstanding indebtedness at the beginning of this reporting period. H1H.tI§ 2 Loans received this reporting period. (l

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) 60160.00

Election Cycle*: Election Year: Amount

1 Outstanding indebtedness at the beginning of this reporting period.

2 Loans received this reporting period.





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.





7 Total indebtedness at the close of this reporting period. (Line 1 + 2 + 3 - 4 - 5 - 6)

* Election Cyclc (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary) Public Officer/Candidate/Other Than Candidate Committee Name

Public Officer/Candidate/Other Than Candidate Committee Name Robert C Ellis, Jr. Pase }5 of) I ~ - -

CFC-CCDR 1114

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Itemized Contributions Must list contributions received by a single contributor for whicb 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 Tn-Kind Mailing Address Cycle** Amount Contributions (Affiliation of Committee if any) Received Date Occupation & Estimated Value

Contribution Type* Employer Description First Name or Business Name Date Occupation Cosh Amt. Est. Value

Apri123,2014 Real Estate 250 William

III Primary Last Name o General I' Lovett o Special o Special Primary Address o Run-Off Primary 7455 Princeton Trace o Run-Off General o Run-Off Special Address2 I!!IIMonetary Employer o Run-Off Special Description

City o In-Kind Brookwell Capital Primary

Sandy Springs o Common Source State I Zip GA 30328 o Credit Received on Loan Aff Comm.

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

Dunwoody Diamonds April 23, 2014 175

M1Primary Last Name o General o Special o Special Primary Address ORun-OffPrimary 4780 Ashford Dunwoody Rd. o Run-Off General o Run-Off Special Addrcss2 III Monetary Employer o Run-Off Special Description Ste 500 o In-Kind Primary City

Dunwoody o Common Source State I Zip o Credit Received on Loan GA 30338 I

! Aff. Comm.

I First Name or Business Name Date Occupation Cash Ann. Est. Value

April 23, 2014 Insurance David 200

III Primary Last Name o General Robertson

o Special o Special Primary

Address o Run-Off Primary o Run-Off General 875 Old Creek TrI NW o Run-Off Special

Address2 III Monetary Employer o Run-Off Special Description Primary

DIn-Kind Wells Fargo II City

" Atlanta o Common Source "

State I Zip II II

GA 30328 o Credit Received on Loan Aff. Comm.

Itemized Contributions Page Total $ 625 $ Public Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis. Jr Page ~of _'_'_

CFC-CCDR 1114

of l' First Name or Business Name Date Occupation Cas s hAmt. Est. Value

Rhonda April 10,2014 250 II Primary

Last Name o General Chapman o Special Address

o Special Primary o Run-Off Primary 5780 Windward Pkwy o Run-Off General Address2 III Monetary Employer ORun-OffSpccial Description Sle 300 o Run-Off Special City Din-Kind Primary

Alpharetta o Common Source State I Zip GA 30008 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Amt. Est. Value

Brent Insurance 200 April 15, 2014 III Primary

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

1155 Taylor Oaks Dr o Run-Off General Address2 III Monetary Employer o Run-Off Special Description o Run-Off Special City Din-Kind Chubb Primary Roswell State I Zip o Common Source GA 30076 Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash Ami. Est. Value

Friends of Wendell Willard April 13,2014 500 III Primary

Last Name o General OSpecial o Special Primary

Address o Run-Off Primary 7840 Roswell Rd. o Run-Off General Address2 III Monetary Employer o Run-Off Special Description o Run-Off Special City Din-Kind Primary Sandy Springs o Common Source

II State I Zip GA 30350 I Aff. Comm. o Credit Received on Loan First Name or Business Name Date Occupation Cash AmI. Est. Value

Renee May 3, 2014 Insurance 250 III Primary Last Name o General Merback OSpecial o Special Primary Address o Run-Off Primary 207 Brandywine Cir o Run-Off General Address2 III Monetary Employer ORun-Off Special Description o Run-Off Special City DIn-Kind Allstate Primary

Atlanta State I Zip o Common Source II

GA 30350 Mf. Corum. o Credit Received on Loan

,-

9SQ> 1200 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 Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis, Jr. Page S of _'_'_

Page 'of l' CFC-CCDR 1/14

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

Diane 200 April 15,2014 Retired II Primary

Last Name o General II Zeman o Special Address

o Special Primary o Run-Off Primary 820 Barnesville Ct ORun-OffGeneral

Address2 III Monetary Employer o Run-Off Special Description o Run-Of I Special City DIn-Kind Primary

Alpharetta o Cornman Source State I Zip GA 30004 Aff. Corum. o Credit Received on Loan First Name or Business Name Date Occupation Cn.. s hAmt. Est. Value

Michael 200 April 28, 2014 Business Owner II Primary

Last Name o General Bernstein o Special o Special Primary Address o Run-Off Primary 515 Trowbrook Rd o Run-Off General Address2 II Monetary Employer o Run-Off Special Description o Run-Off Special City DIn-Kind The World©S Global Primary Atlanta Source LLC State I Zip o Common Source II GA 30350 I'

Aff. Comm. o Credit Received on Loan I'

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

o Primary Last Name o General

OSpecial o Special Primary Address

ORun-Off Primary o Run-Off General Address2 o Monetary Employer DR un-Off Special Description o Run-Off Special City Din-Kind Primary

State I Zip o Common Source

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

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

ORun-OffPrimary o Run-Off General Address2 o Monetary Employer o Run-Off Special Description o Run-Off Special City DIn-Kind Allstate Primary

State I Zip o Common Source

Aff. Comm. o Credit Received on Loan

I

Itemized Contributions Page Total !:a 1...f:. O~

$ $ * 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 Robert C. Ellis, Jr. Page & of J1

CFC-CCDR 1/14

PageJof 1, 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.Fiduciary Relatioushio==" Lender Name (First Name, Business, Inst.) 1. First Name 1.

Lender Last Namc 2. LastNamc 2.

Address 3. Address 3. DPrimary DGeneml D Public Officer

Addrcss2 DSpccial Addrcss2 D Special Primary DCandidatc DRun-OffPrimary

D Other TIlUn Candidate Committee City D Run-Off General City

D Run-Off Special Name

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

Lender Last Name 2. Last Name 2.

Address 3. Address 3. DPrimary DGcocral D Public Officer

Address2 DSpecial Addrcss2 D Special Primary DCandidate D Run-Off Primary

D Other TIlan Candidate Committee City D Run-Off General City

D Run-Off Special Name

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

Reference: OCGA § 21-5-34(b)(I) Loan Page Total $

* Contribution Type (Monetary, In-K1I1d, 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 sucb person(s) shall bave 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. of ll__

Pagegofl'

CFC·CCDR 1114


Itemized Expenditures Must list expenditures made to a single recipient for which the aggregate total more than $100.00.

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

First Name Date Occupation Peachtree Public Relations April 11 & April 12, 2014 & May 25, 750

2014 _. Last Name

0>f,ffe-(,1-r II Address • Expenditure Cy?1P11l 0 vJ 3398 Forest Knoll Dr Dhl-Kind

DLoan Repayment r Address2 DRefund Employer

DReimbursement S6Clth- DCredit Card I,

City D3rd Party M{zt>}1r Duluth DDeferred Payment

DPayment on Deferred Expense State GA I Zip 30097 DInvcstment

First Name Date Occupation Insight Strategic Group May 12, 2014 6569.06

Consulting & Mailers & Last Name Robo Calls II

Address • Expenditure 2521 Gramercy Park Cir DIn-Kind

DLoan Repayment Address2 DRefund Employer

II DReimbursement DCredit Card

City D3rd Party

Duluth DDefcrred Payment ~ DPayment on Deferred Expense II

State GA I Zip 30097 Dlnvestmcnt

FirstName Date Occupation Video Production J2 Productions April 15, 2014 1200

Last Name

Address ~ Expenditure 505 Corporate Center Dr DIn-Kind II DLoan Repayment Address2 DRefund Employer Ste 107 DReimbursement

DCredit Card City D3rd Party II Stockbridge DDeferred Payment I

DPayment on Deferred Expense State GA I Zip 30281 Dlnvestment

8519.06 Page Total $ _

* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment) Public Officer/Candidate/Other Than Candidate Committee Name

Public Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis, Jr. Page '? of M

CFe·CCDR 1114

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

First Name Date Occupation

Creative Awards & Promotions April 10, 2014 402.32

Last Name

T- SJht<.iIS Address '-- Expenditure II 11299 Hwy 92 Din-Kind

Dloan Repayment Address2 DRefund Employer

DReimbursement DCrcdit Card

City D3rd Party Woodstock BDererred Payment

Payment on Deferred Expense State GA I ZiP30188 Dlnvestment

First Name Date Occupation HEG, LLC CD NSl{ vrJ.;J&

1920.28 May 14, 2014

Last Name II

5 z:;dZvl c e 5 Address ~ Expenditure 980 Birmingham Rd, 501-306 DIn-Kind *" DLoan Repayment

I, Address2 DRefund Employer lZo f.So I, DReimbursement DCredil Card

LIft.L-S City D3rdParty Milton DDeferred Payment

DPayment on Deferred Expense State GA I ZiP30004 DInvestment

First Name Date Occupation Hi-Tech Signs 667.80

May 15, 2014 Last Name y /r«fJ

SI6N5 Address III! Expenditure 1018 North Fifth Ave DIn-Kind

DLoao Repayment Address2 DRefund Employer

DReimbursement DCredit Card

I City D3rdParty Rome BDeferred Payment

Payment on Deferred Expense State GA I ZiP30165 DInvestment

First Name Date Occupation HI-Tech Signs April 16, 2014 1615.70

Last Name y~D 516{\) ) Address ~ Expenditure

1018 North Fifth Ave DIn-Kind DLoan Repayment

Address2 DRefund Employer DRcimbursemeot

I! DCredit Card City D3rd Party Rome BDeferred Payment

Payment on Deferred Expense State GA I Zip 30165 Dlnvestment

* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Inveslment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ ~ 'j '" 0 4. • ) D

Public Officer/Candidate/Other Than Candidate Committee Name Robert C. Ellis, Jr. Page .1_ of 1 {

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CFC-CCDR 1/14

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

First Name Date Occupation Insight Strategic Group May10, 2014 5638.26

Consulting, Mailers, Last Name Robo Calls, Advertising

Address III Expenditure 2521 Gramercy Park Cir Din-Kind

DLoan Repayment Address2 DRefund Employer

DReirnbursement DCredit Card

City D3rdParty

Duluth BDeferred Payment Payment on Deferred Expense

State GA I ZiP30097 o Investment u.

First Name Date Occupation Insight Strategic Group 3050

April 14, 2014 Consulting, Mailers, Last Name Robo Calls, Advertising

I Address ~ Expenditure 2521 Gramercy Park Cir DIn-Kind

DLoan Repayment II

Address2 o Refund Employer DReirnbursement DCredit Card II

City D3rdParty

Duluth DDeferred Payment I DPayment on Deferred Expense I

State GA I ZiP30097 DInvestrnent

First Name Date Occupation Apache Poltiical 6502

April 24, 2014 Consulting, Mailers, Last Name Robo Calls, Advertising

Address III Expenditure 2454 Briarmoor Rd DIn-Kind

DLoan Repayment Addrcss2 DRefund Employer

DReimbursement DCrcdit Card

City D3rd Party

Atlanta BDeferred Payment Payment on Deferred Expense II

State GA I ZiP30345 DInvestment

First Name Date Occupation Insight Strategic Group May14,2014 9847

Consulting, Mailers, Last Name Robo Calls, Advertising

Address III Expenditure 2521 Gramercy Park Cir DIn-Kind II DLoan Repayment Address2 DRefund Employer

DRciroburscmcnt DCredit Card

!I City D3rdParty BDeferred Payment :1

Duluth Payment on Deferred Expense State GA I Zip 30097 o Investment

* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refund, Reimbursement, Credit Card, 3rd Party, Deferred Payment on Deferred Expense, Investment)Public Officer/Candidate/Other Than Candidate Committee Name Page Total $ 25037.26

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crC-CCDR 1/1·1

State of Georgia Campaign Contribution Disclosure Report (J lit-

Investments Statement 1. Investrnent Name ACCOWlt#

Value at beginning of reporting period $ Instituti on/Person -: Holding Account Value at end ofrepo7efiod s Mailing Address

7Fence in value $ Address2

/ Interest Paid Out s City State Zip / Cash Dividends $

Investment Transactions / Date Person(s) Involved in Transaction Value of investment purchased 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 $

/ Mailing Address Difference in value $ / Address2

/ Interest Paid Out $

City / State Zip Cash Dividends $

Investment Transactions / Date Personts) Involved in Transaction Value of investment Qurchased Value of investment sold Profit Loss

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

Total value of investments at end of reporting period s Page T otallnterest Paid Out: $

Total difference in value $ Page Total Profit: s Page Total Loss: $

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

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