sec --~- form ccdr-ballot rev i state of georgia …€¦ · · 2009-01-29i rev 03r008 state of...

SEC FORM CCDR-Ballot - - ~ - ~

REV 03R008

I State of Georgia Campaign Contribution Disclosure Report

1. Report Type (Select One)

Amendment #- 1 Delivered Date

3. Identifying and Contact Information

Original Report

Amended Report

l ( l ) yG'5 ~ ~ I I ' L P O ~ ~ C (2) / L / z z / ~ ~ Full Name of Campaign Comminee Todqv's Date

2. Name of proposed Constitutional Amendment, Statewide Referendum, or Ballot Question in any County or Municipal

(3) -)Oz< w/n/7vmP c7.., C O L ~ M B U S , GP 3 190G Mailing Aaiiress C i y State Zip Code

~ i i office use only

Election: M U 5 C o Q t f t / C ~ u , v ~ ~ @AJSOL//>~CD

6%vtV?~41&7 OF C O C U / ~ R U S - , & ~ G ~ ~ / , P A C ~ P i ' I d n ) y . ?+X

(include couny or munkipaliy in the case of local ballot questions)

and/ or Q%)326 - /7@1 Contact Phone Number

Use earlier of Post Mark of Hand

, 4 / ~ 7 0 / L ] Z ~ A / ~ S 706 - 7(9/-32G 3 Name of Chairperson and/or Treasurer of Committee

4. Period for which you are Reporting Date of Election: I 5 J u L 0 8

State of County of /no < c& #

Constitutional Amendment or Statewide Referendum

75 days before Date of Election, - (year)


15 days before Date of Election. - (year)

December 3 1, - (year)

I, 7/7@~k3 41 r W d Z70~e.S , being duly sworn (affm), depose and say that the information in this report form is complete, true, and correct. Further, I affirm that the contents in this report are the same as the contents in the electronic filing submitted, if also electronically filed.

County or Municipal Ballot Question


December 3 1, c 6 (year)

a- ' r b. ~r~anizationl- reasurer

on who .knowingly fails to comply with or who knowingly violates any of the provisions of the Ethics in Government Act

shall be guilty of a misdemeanor.

Verification by Oath or Affirmation

SEC FORM CCDR-BallCl - - . - - .- - --

Cash Amount

O.C.G.A. 2 1-5-34@XlXDXii) A q x h n g cycle shall commence on January 1 of the ycar in which an election is to be held for the public office to which a candidate seeks election and shall conclude: (I) At the expiation of the term of office if such candidate is eleaed and &s not seek reelection or election to m e otha office;

(11) On Decanber 3 1 of the ycar in which such election was held if such candidate is unsucccsi3; or

(111) If such candidate is successful and seeks reelection or seeks election to some other office the current reporting cycle shall end when the repolting cycle for reelection or for some other office begins.

Public OfflcerlCandidatelOther Than Candidate Committee Name

SEC FORM CCDR-W0l R E V (URMS

* Election Cycle (Primary, General, Special, Special Primary, Run-Off Primary, Run-Off General, Run-Off Special, Run-Off Special Primary)

Poblic Omeer/Candid~~tdOther Than Candidate Committee Name Y G R)t /3 IC rd Y

SEC FORM COR-Wol REV 312008

State of Georgia Campaign Contribution Disclosure Report

Itemized Contributions

Loan Reporting

Must list contributions received by a single contributor for which the neeregPte total

Name of Lender Mailing Address

Itemized Contributions Page Total $7,3 7<& $ - O

is $101.00 or more Reporting section

Cash Amount

See Loan

Election Cycle**

Note: Loans are no

Full Name of Contributor Mailing Address (Affiliation of Committee if any)

Reference: OCGA 8 2 1-5-34(b)(1) Loan Page Total $ -0-

* Contribution Q p e (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 OfBcer/CandidaWOtber Than Candidate Committee Name v 6 fbC UEtlC <hf page \ of * cou 74 /pb7/o,ts

Date of Loan Amount of Loan Election Cycle**

below.

In-Kind Contributions

Estimated Value Description

longer reported in UItemked Contributioosn section.

Contributor

Person(s) responsible for repayment of loan

Mailing Address

1.

2.

1.

2.

Received Date Contribution Type*

Occupation & Place of Employment Fiduciary Relationship***

Occupation & Employer


Itemized Contributions

Full Name of Contributor Mailing Address (AfFiliation of Committees, if any)

Alcaide, Ferdinand 6228 Bradley Park Drive Columbus, Georgia 31 904

Anthony, Wayne 5839 Wiltshire Drive Columbus, Georgia 31 909

Contributor

July 9, 2008 Monetary

Bell, Bill 1409 17'" Street Columbus, Georgia 31901

Election Cycle Received Date

Contribution Type


Blanchard, Billy P. 0. Box 120 Columbus, Georgia 31 902

o~upation and Employer

Self-Employed Medical Doctor

July 9,2008 Monetary

Brown, Frank 2560 - 2 Old River Road Columbus, Georgia 31 904

Cash Amount

Minister, Aldersgate United Methodist Church

July 14' 2008 Monetary

Chong, Jerry 6253 Seminary Road Columbus, Georgia 31 904

In-Kind Contribution Estimated Value

Description

Sp.cial

Energy Savers of GA, Inc.

Monetarl 2008'

Grantham, Richard 3501 Earlene Avenue Columbus, Georgia 31 904

50.00

Special

Banker, Synovus

July 14' 2008 Monetary

Green, Sandi 2512 W a n Springs Road Columbus, Georgia 31 904

Special

100.00

Special

President, Columbus State University

July 2008 Monetary

Jones, Brock P. 0. Box 1283 Columbus, Georgia 31902

Yes For Public safety t 6 F - ebm. J ~ L J ~ I ~ & L C

250.00

Special

President, Korean Assoc. of Columbus


1,000.00

Special

RFG Management Group, dba Sunshine Banners


100.00

Special

Georgia .- Association of Realtors, Inc. RlAC

General Contractor

1,000.00

Special 100.00

Special 1,000.00

Yes For Public Safety PIT&- 3 bP 1/ - CsA/7/t/Bl7tICMLC

200.00

200.00

25.00

100.00

500.00

100.00

500.00

50.00

200.00

200.00

200.00

Special

Special

Special

Special

Special

Special

Special

Special

Special

Special

Special

Caravelle Moving and Storage Inc.

Livingston Storage and Transfer Co. Inc.

Golf Director, City of Columbus, Georgia

Sun video, Inc. DBA ~blumbus Tape and Video

Ritch Electric Co. Inc.

Retired

Robinson Paving Co.

Your Home s ~ ~ ~ ~ ~ - R ~ ~ ~ Estate SVC, LLC

Attorney

Smith Barney

Smith Barney

Livingston, Cliff P. 0. Box 7007 Columbus, Georgia 31908

Livingston, Cliff P. 0. Box 7007 Columbus, Georgia 31908

Milam, John 5390 McCaghren Drive Columbus, Georgia 31909

Patterson, Brice 6298 Veterans Parkway Columbus, Georgia 31909

Reed, Betsy R. 11 11 14* street Columbus, Georgia 31 901

Rhodes, Jim 1 North Whisper Court Columbus, Georgia 31909

Robinson, Pee Wee P. 0. Box 12266 Columbus, Georgia 31917

Roper, Billy 2307 Hamilton Road Columbus, Georgia 31904

Rothschild, Jerome 1661 1 3* Street Columbus, Georgia 31 901

Swift, Henry 6696 Waterford Court Columbus, Georgia 31904

Swift, Richard 601 I Banbury Drive Columbus, Georgia 31 904


June 12,2008 Monetary

June 6,2008 Monetary

July 2008 Monetary


June 3, 2008 Monetary


9t 2008 Monetary


July 2008 Monetary

July 2008 Monetary

., . Be.-. "'* - - - - Columl mrgia 319w

Wrenn, Jerry 5200 Hamilton Road Columbus, Georgia 31904

Columbus and the Valley Magazine P. 0. Box 229 Columbus, Georgia 31 902

Reaves Wrecking Co. 18 Old Brickyard Road Phenix City, Alabama 36869

Colony Furniture Leasing P. 0. Box 8868 Columbus, Georgia 31908

WLTZ -TV 6140 Buena Vista Road Columbus, Georgia 31 907

Monetary

July 2008 Monetary




August 22, 2008 Monetary

Durty Works, Inc.

Monthly ~~~~i~~ Publication

Refund of overpayment on account: Advertising

Special

Special

Special

Special

Special

250.00

50.00

100.00

100.00

400.00

* Expenditure Type (Expenditure, In-Kind, Loan Repayment, Refand, Reimbursement, Credit Card, 3rd Party, Deferred Payment, Payment on Deferred Expense, Investment)

C FORM CCDR-WLol !V o m


Itemized Expenditures

Public OmcerKandidatdOther Than Candidate Committee ~ a m e -= PUBUP r h f F7V p a g e o f 7

I ~ 3 ( ~ 3 / ? v r l ~

or more

Amount Paid

$

$

$

$

$

$

$

$

a4;2r/Oz

the aaeremte total is $101.00

Expenditure Purpose

1

I

I

PageTotal

Must list expenditures made to a single recipient for which


,ist Name and Mailing Address f Recipient

$& 4774rtfen

Expenditure Date Expenditure Type*

Yes for Public Safety Pbw 2 O F 3 - e?PwD/7U&fl

List Name and Mailing Address of Recipient

Columbus Times Newspaper 2230 Buena Vista Rd Columbus, GA 31 906

Ledger-Enquirer Newspaper P. 0. Box 2747 Columbus, GA 31 902

WRBL Television 1350 1 3th venue Columbus, GA 31901

Clear Channel Broadcasting P. 0. Box 406253 Atlanta, GA 30384

Columbus Concerned Citizens 2408 1 7th venue Columbus, GA 31 901

Davis Broadcasting 2203 Wynnton Road Columbus, GA 31 906

Curtiss Signs 1026 7th Avenue Columbus, GA 31901

Expenditure Date Expenditure Type

July 3, 2008 Expenditure




July 8,2008 Expenditure




Newspaper

Newspaper

Television Broadcasting Company

Radio Broadcasting Company

Community Advocacy Group

Radio Broadcasting Company

Sign makers

Expenditure Purpose

Advertising

Advertising

Advertising

Advertising

Flyers and distribution

Advertising

Campaign Podium Sign

Amount Paid

$1,000.00

$6371 .OO

$4,650.00

$1,249.50

$3,000.00

$786.00

$26.75

SEC FORM CCDR-Bdlot REV 030008


I Addendum Statement I The Addendum Statement should be used for explanation of any additional information needed to complete an acwate filing of this repon

On the Campaign Contribution Disclosure Report form dated June 30, 2008, the Yes for Public Safety Committee reported an expenditure of $23,100 to VVNM for advertising costs. The correct amount is $23,110, a difference of $10.00. The total expenditure for the period is therefore $41,116.54. This is the figure that is being reported on the Campaign Contribution Disclosure Report form dated December 31,2008 on Line 8 of the Summary Report page and again on Line 12 of that same page.

Yes for Public Safety P 4- 3 0 f 3 e.~ P m b ~ ~ f i ~ .

$175.00

$4,149.05

$1 00.00

$1,375.00

$1,307.25

$300.00

$691 .I5

$60.00

Advertising

Printing of flyers

Television Rental

Election night reception

Advertising

Advertising

Direct Mail

Advertising voice-over

Newspaper Publishing Company

Printing Company

Furniture rental

Restaurant

Newspaper

Newspaper

Direct mail

Clear Channel Broadcasting P. 0. Box 406253 Atlanta, GA 30384

Courier Newspaper 1829 Wynnton Road Columbus, GA 31 906

X-press Printing 1520 1 3th venue Columbus, GA 31901

Aaron's Sales 1201 Broadway Columbus, GA 31 901

Rankin Quarter 21 East 10'" Street Columbus, GA 31901

Ledger-Enquirer Newspaper P. 0. Box 2747 Columbus, GA 31 902

Columbus Times Newspaper 2230 Buena Vista Rd Columbus, GA 31 906

Pamela Rodriguez 896 Lee Road 424 Salem, AL 36874

Edgar Champaign 1501 1 3'h Street Columbus, GA 31904








August 5,2008 Expenditure

sec --~- form ccdr-ballot rev i state of georgia …€¦ · · 2009-01-29i rev 03r008 state of...

Documents